Exhibit “A” |
||||||||||||||||
In consideration of the payments set forth in Exhibit “B”, Contractor shall provide the following services: | ||||||||||||||||
I. |
Contractor shall provide substance abuse counseling, education, anger management, life-skills training, and supportive supervision to clients in the San Mateo County Adult Probation’s Bridges program, located at 680 Warren Street, Redwood City, CA 94063. | |||||||||||||||
Referrals shall be made by judges, probation officers and attorneys for individuals who failed at least two prior rehabilitative efforts. Multiple reviews and background checks to screen out applicants with violent offenses or an unworkable degree of denial are done by Probation at the time of intake via Criminal Justice Information Systems (CJIS), court records, California State Bureau of Criminal Identification and Investigation (CII) rap sheets and probation files. | ||||||||||||||||
A. |
Hours of Service | |||||||||||||||
Contractor shall provide a minimum of 32 hours of service per week devoted to drug treatment and counseling. | ||||||||||||||||
B. |
Direct Client Services | |||||||||||||||
Contractor shall provide services to clients in two phases: | ||||||||||||||||
1. |
Phase I: Primary Services will be provided to approximately 60 plus clients, of which 24 to 30 will be new clients, and reflects anticipated Court referrals during the term of January 1, 2009 through December 31, 2010, | |||||||||||||||
Five Main Components administered in First Phase, “Phase I” (five days a week) | ||||||||||||||||
● |
Large Group Psycho Education Groups | |||||||||||||||
● |
Gender Specific Small Groups | |||||||||||||||
● |
Cognitive Based Reasoning and Rehabilitation Education | |||||||||||||||
● |
Individual Counseling | |||||||||||||||
● |
Collaboration, Case Management and Crisis Intervention | |||||||||||||||
a. |
Contractor will provide cognitive based reasoning and rehabilitation education in a curriculum approved by Probation. Cognitive skills training will be provided by qualified certified staff and will specifically focus on skill building, problem solving, decision making, and on moving participants through the stages of change, future planning, goal setting, accountability and responsibility. | |||||||||||||||
Contractor will provide 38 sessions of cognitive based reasoning and rehabilitation. Sessions will be 1 to 2 hours each. | ||||||||||||||||
b. |
Facilitate both individual and/or group counseling Monday through Friday, including psychotherapy for “dual diagnosis” clients. | |||||||||||||||
● |
Large Group Counseling will be performed in a format that combines education and process with the specific focus of the group on anger and stress management, peer and family relationships, 12 step philosophy, personal accountability, triggers, warning signs, communication, shame, feelings management, job successes and challenges. In addition, large group counseling can focus on the physical, emotional, financial and spiritual effects of addiction including STD and HIV education. | |||||||||||||||
● |
Gender Specific Groups will be provided to allow the focus on gender specific issues, concerns and challenges that come up - including: pregnancy, abortion, molestation, rape, sexuality, sexual orientation, gender roles, domestic violence, child abuse, parenting and reunification. | |||||||||||||||
● |
Individual Counseling will address in-depth issues including co-occurring illness symptom reduction. Individual counseling may include suicide and lethality assessments, crisis management and de-escalation. Individual Counseling will also be provided for more in-depth issues that often become the focus of treatment including reducing the effects of early childhood trauma, as well as symptoms associated with Depression, Bi-polar, Anxiety and Post Traumatic Stress Disorder. | |||||||||||||||
● |
Individual and group counseling (dual diagnosis) | |||||||||||||||
Pyramid staff will work individually and in group to help support clients with complex needs. Pyramid staff will coordinate referrals and client care with doctors and psychiatrists, as needed as communication with doctors prescribing medications can be integral to the success or failure of treatment. Pyramid’s Clinical Director will monitor treatment delivery through supervision with counselors and consultation with the Program Director. | ||||||||||||||||
c. |
Assist in program coverage with Probation staff. | |||||||||||||||
d. |
From time-to-time, as agreed by Probation, participate and lead off-site outings for therapeutic and educational purposes. | |||||||||||||||
e. |
Refer participants to appropriate outside assistance (i.e., supplemental counseling, education, medical/health assistance) as deemed necessary. | |||||||||||||||
f. |
Participate in Bridges staff meetings (usually once per month). | |||||||||||||||
g. |
Contribute input to Probation staff during decision process to transition participants to Phase II (Aftercare). | |||||||||||||||
2. |
Phase II: After-care/relapse prevention will be provided a minimum of two days a week to approximately 40 plus clients during the term of January 1, 2010 through December 31, 2010. | |||||||||||||||
During Phase II After-care/relapse prevention, Pyramid staff will work with clients to establish a plan that includes: | ||||||||||||||||
● |
maintaining sobriety | |||||||||||||||
● |
solidifying stable living and work environments | |||||||||||||||
● |
providing support of follow through with educational goals | |||||||||||||||
● |
solidifying relapse prevention | |||||||||||||||
● |
learning to manage crisis | |||||||||||||||
● |
stabilizing and reunifying families | |||||||||||||||
● |
assisting with issues that come up around reunification and healing in the family | |||||||||||||||
Contractor will provide a consistent holding environment where clients are still held accountable to their life changes and goals with assistance in a crisis as a part of the After-care/relapse prevention. | ||||||||||||||||
The After-care/relapse prevention program will help solidify gains made in the first phase of treatment and providing an environment of support as clients practice these new ways of being. | ||||||||||||||||
Main Components continued in Second Phase (Phase II) – two days a week | ||||||||||||||||
● |
After Care Group | |||||||||||||||
● |
Individual Counseling and Case Management | |||||||||||||||
● |
Crisis Intervention | |||||||||||||||
Contractor shall | ||||||||||||||||
a. |
Facilitate group counseling twice per week for After Care participants. Groups shall be one hour. | |||||||||||||||
b. |
Conduct individual counseling with participants when needed. Participants shall be referred by Probation staff. | |||||||||||||||
c. |
Conduct individual Case Management | |||||||||||||||
Consultation/support case management of participants shall include an emphasis on case consultation with Probation, family members, psychiatrists, the education team, the courts and community mental health. | ||||||||||||||||
Case management may include consultation with programs housing participants including Project 90 and Service League. | ||||||||||||||||
Case management shall include holding someone accountable to their treatment plan and goals through case management and referrals to community agencies. | ||||||||||||||||
d. |
Provide Crisis Intervention and be available during non-program hours, via telephone contact. | |||||||||||||||
e. |
Contribute input to Probation’s written progress reports for submission to Superior Court monthly reviews. | |||||||||||||||
f. |
Provide on-going support to Probation staff for the successful recovery of clients. | |||||||||||||||
g. |
Contractor shall recommend to Probation staff when participant is ready for program graduation. | |||||||||||||||
3. |
A combination of the following types of services shall be provided. | |||||||||||||||
Individual Counseling |
10 hours per week | |||||||||||||||
Group Counseling |
17 hours per week | |||||||||||||||
Large Group Psycho Education |
2-4 hours per week | |||||||||||||||
Gender Specific Group Counseling |
2-4 hours per week | |||||||||||||||
Individual counseling (dual diagnosis) |
On going Monday through Friday | |||||||||||||||
Case Management |
As needed | |||||||||||||||
Cognitive Based Reasoning and Rehabilitation Education |
38 sessions / 3 times per week (Reasoning and Rehabilitation. Sessions are 1 to 2 hours.) | |||||||||||||||
After Care/Relapse Prevention (Phase II) |
2 hours per week (twice per week for one hour) | |||||||||||||||
Crisis Intervention |
As needed | |||||||||||||||
Collaboration |
On going | |||||||||||||||
Contractor will use multi-party collaboration and program management in order to adjust program content and allocate and reallocate hours when necessary. Pyramid counselors will accommodate and adjust for participants work schedules, Probation events and unforeseen crisis that often occur in the course of a day. When a need presents itself, like a Bridges’ Graduation, Bridges’ Picnic or another County event, Pyramid personnel can, as needed, participate in planning, can be flexible with time, and will adjust program content when necessary to accommodate multiple entities. Pyramid staff will be flexible in providing assistance and support to other team members as needs arise including drug testing. | ||||||||||||||||
C. |
Curriculum | |||||||||||||||
Contractor shall include the following topics in its delivery of services | ||||||||||||||||
• |
Anger Management |
• |
Family Systems Education | |||||||||||||
• |
Gender-specific services |
• |
Risk Assessment / Intervention | |||||||||||||
• |
After Care Support Group |
• |
Domestic Violence Prevention | |||||||||||||
• |
Physical Abuse Prevention |
• |
Addiction Prevention/Education | |||||||||||||
• |
Early Recovery Process |
• |
Relapse Prevention | |||||||||||||
• |
Stress management |
• |
Parenting Skills | |||||||||||||
D. |
Support Services | |||||||||||||||
• |
Program Development |
• |
Case Management | |||||||||||||
• |
Regular/Special Meetings |
• |
Coordination with Probation | |||||||||||||
• |
Staff Supervision |
• |
Auto Travel (to/from program) | |||||||||||||
Contractor shall adjust program content and allocation of hours based on feedback from courts, probation and to enhance program effectiveness. | ||||||||||||||||
Contractor shall utilize Probation-supplied assessments, including but not limited to, the Addiction Severity Index (ASI) and Michigan Alcohol Screening Test (MAST). | ||||||||||||||||
Contractor will administer the Addiction Severity Index (ASI) and Michigan Alcohol Screening Test (MAST) tools by properly trained staff. | ||||||||||||||||
The ASI and MAST tools will be used to determine the severity of an individual’s addiction and use and the effects it has had on their lives. The ASI and MAST tools help assess whether a client has a co-occurring mental health issue and to what degree their life has been affected by their use. | ||||||||||||||||
Contractor will administer the ASI when a client enters treatment, mid and at the end of treatment to determine client progress and needs and to determine outcomes for the program. | ||||||||||||||||
Contractor will administer the MAST to determine the extent of alcohol use and abuse and if alcohol is being used as a replacement for another drug as this is common among methamphetamine abuse. | ||||||||||||||||
Contractor shall provide daily consultation with Probation and the court regarding clients’ progress, problems and program adjustments | ||||||||||||||||
E. |
Staff Requirements | |||||||||||||||
Contractor’s staff require a Masters Degree in Counseling or related field. Services may also be provided by trainees enrolled in a graduate school program for counseling or a related field. All staff are supervised per California Board of Behavioral Sciences licensing regulations. | ||||||||||||||||
Contractor shall make every effort to have available bilingual/bicultural staff sensitive to the population(s) of the Bridges community. | ||||||||||||||||
F. |
Fees | |||||||||||||||
Clients served by Contractor under this Agreement shall not be obligated to pay any fees. | ||||||||||||||||
G. |
Performance Measures | |||||||||||||||
Objectives: The goal of the program is to provide intensive substance abuse and life skills training and to reduce recidivism and relapse, while generating cost savings which benefit the County. Performance measures for the population served by Contractor at the Bridges Program are as follows: | ||||||||||||||||
1. |
Pre ASI vs. Post ASI scores shall improve by 75% at client exit. | |||||||||||||||
2. |
80% of clients shall graduate from Phase I to Phase 2 | |||||||||||||||
H. |
Reporting Requirements of Contractor | |||||||||||||||
Contractor shall submit to the County a quarterly report (Attachment III) describing the actual delivery of services described in paragraph I, which shall include the following current and year-to-date information: | ||||||||||||||||
1. |
Number of clients served | |||||||||||||||
2. |
Of the number of clients, number that are new clients | |||||||||||||||
3. |
Number of dual diagnosis clients | |||||||||||||||
4. |
Of the number of dual diagnosis clients, number that are new dual diagnosis clients | |||||||||||||||
5. |
Number of hours by service type: | |||||||||||||||
Phase I | ||||||||||||||||
a. |
Group counseling | |||||||||||||||
b. |
Gender-specific small group counseling | |||||||||||||||
c. |
Cognitive-based Reasoning and Rehabilitation | |||||||||||||||
d. |
Individual counseling | |||||||||||||||
e. |
Individual counseling for dual diagnosis clients | |||||||||||||||
f. |
Group counseling for dual diagnosis clients | |||||||||||||||
g. |
Collaboration, case management and crisis intervention | |||||||||||||||
h. |
Collaboration, case management and crisis intervention for dual diagnosis clients | |||||||||||||||
Phase II | ||||||||||||||||
a. |
After-care group | |||||||||||||||
b. |
After-care group for dual diagnosis clients (if applicable) | |||||||||||||||
c. |
Individual counseling and case management | |||||||||||||||
d. |
Individual counseling and case management for dual diagnosis clients (if applicable) | |||||||||||||||
e. |
Crisis intervention | |||||||||||||||
f. |
Crisis intervention for dual diagnosis clients (if applicable) | |||||||||||||||
6. |
Number of total hours | |||||||||||||||
Report shall additionally include a quarterly summary of program service high-lights, identified problems, solutions, and goals. |
||||||||||||||||
Performance Measure Reporting shall include: | ||||||||||||||||
1. |
Number of clients graduating from Phase 1 to Phase 2 | |||||||||||||||
2. |
Percent of clients graduating from Phase 1 to Phase 2 | |||||||||||||||
3. |
Pre Addiction Severity Index (ASI) vs. post ASI scores shall improve by 75% at client exit | |||||||||||||||
Reports are to be submitted with invoice and mailed to: 400 County Center Drive, 5th Floor Redwood City, CA 94063-1662 Attention: Melissa M. Wagner, Management Analyst III | ||||||||||||||||
I. |
Corrective Action | |||||||||||||||
If County discovers any practice, procedure, or policy of Contractor which, in the judgment of the Chief Probation Officer, fails to meet the standard set forth in paragraph 1 of the agreement or otherwise threatens the success of the program carried on pursuant to this Agreement, or which jeopardizes the fiscal integrity of said program, County shall give Contractor 30 days written notice during which time the discrepancy or discrepancies shall be corrected to the satisfaction of the County. At the expiration of the 30-day period, if County is satisfied that the discrepancy has been corrected, county shall notify Contractor in writing of satisfactory resolution of the discrepancy. In the event the discrepancy is not resolved, County shall give the Contractor written notice that the corrective actions is unsatisfactory and this Agreement shall be deemed terminated, and an effective date of terminating shall be stated. No additional notice and no hearing shall be necessary. In the event of termination, all finished or unfinished documents, reports, and other materials (collectively referred to as “materials”) prepared by Contractor under this Agreement shall become the property of the County and shall be promptly delivered to the County. In such event, County shall reimburse Contractor for the value of satisfactory services performed for the benefit of residents of San Mateo County up to the date the notice is served to Contractor that County is terminating the contract. |
Exhibit “B” | ||||||||
In full consideration of the services provided by Contractor pursuant to this Agreement, and subject to the provisions, County shall pay Contractor in the manner described below. County shall pay Contractor no more than the maximum Agreement obligation of TWO HUNDRED TWENTY NINE THOUSAND TWO HUNDRED THIRTEEN DOLLARS, $229,213.over the term of this twenty-four (24) month Agreement, January 1, 2009 through December 31, 2010. | ||||||||
For the period January 1, 2009 through December 31, 2009 the quarterly rate of payments shall be: $28,228.25 per quarter |
||||||||
January 2009- March 2009 |
$28,228.25 |
|||||||
April 2009-June 2009 |
$28,228.25 |
|||||||
July 2009-September 2009 |
$28,228.25 |
|||||||
October 2009-December 2009 |
$28,228.25 |
|||||||
Total year 1 |
$112,913. | |||||||
For the period January 1, 2010 through December 31, 2010 the quarter rate of payments shall be: $29,075.00 |
||||||||
January 2010- March 2010 |
$29,075.00 |
|||||||
April 2010-June 2010 |
$29,075.00 |
|||||||
July 2010-September 2010 |
$29,075.00 |
|||||||
October 2010- December 2010 |
$29,075.00 |
|||||||
Total year 2 |
$116,300. | |||||||
Agreement maximum during the term of January 1, 2010 through December 31, 2010 |
$229,213. | |||||||
1. |
Contractor shall submit invoices and quarterly unit of service reports in a timely manner. June invoices must be received by the San Mateo County Probation Department no later than the immediate following July 15. | |||||||
2. |
All invoices must be original, be signed, include an individual invoice number and reference the Agreement number before submission for payment. Reports and invoices are to be sent to: | |||||||
San Mateo County Probation Department Adult 400 County Center Drive, 5th Floor Redwood City, CA 94063-1662 Attention: Melissa M. Wagner, Management Analyst III | ||||||||
3. |
The County shall not be obligated to pay Contractor for services covered by any invoice received more than 120 days after the date Contractor renders the services, or more than 90 days after this Agreement terminates, whichever is earlier. | |||||||
4. |
In the event Contractor claims or receives payment from County for a service, reimbursement for which is later disallowed by County or the State of California, or the United States Government, then Contractor shall promptly refund the disallowed amount to County upon request, or at its option, County may offset the amount disallowed from any payment due or become due to Contractor under this Agreement or any other agreement. | |||||||
5. |
Payments for services provided are contingent upon the availability of County, State, Federal, foundation, or other funding. In the event the State or the Federal government does not appropriate the necessary funds as part of either or both of their budgets, the County shall not be liable for any payment whatsoever; including but not limited to, payments that are based on County funds. The County may terminate this Agreement for unavailability of County, State, Federal, foundation, or other funding |
ATTACHMENT I
The undersigned (hereinafter called the "Contractor(s)") hereby agrees that it will comply with Section 504 of the Rehabilitation Act of 1973, as amended, all requirements imposed by the applicable DHHS regulation, and all guidelines and interpretations issued pursuant thereto.
The Contractor(s) gives/give this assurance in consideration of for the purpose of obtaining contracts after the date of this assurance. The Contractor(s) recognizes/recognize and agrees/agree that contracts will be extended in reliance on the representations and agreements made in this assurance. This assurance is binding on the Contractor(s), its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this assurance on behalf of the Contractor(s).
The Contractor(s): (Check a or b)
a. Employs fewer than 15 persons.
b. Employs 15 or more persons and, pursuant to section 84.7 (a) of the regulation (45 C.F.R. 84.7 (a), has designated the following person(s) to coordinate its efforts to comply with the DHHS regulation.
_____________________________________________________
Name of 504 Person - Type or Print
_____________________________________________________
Name of Contractor(s) - Type or Print
_____________________________________________________
Street Address or P.O. Box
_____________________________________________________
City, State, Zip Code
I certify that the above information is complete and correct to the best of my knowledge.
_____________________________________________________
Signature
_____________________________________________________
Title of Authorized Official
_____________________________________________________
Date
*Exception: DHHS regulations state that:
"If a recipient with fewer than 15 employees finds that, after consultation with a disabled person seeking its services, there is no method of complying with (the facility accessibility regulations) other than making a significant alteration in its existing facilities, the recipient may, as an alternative, refer the handicapped person to other providers of those services that are accessible."
Attachment II
County of San Mateo
Contractor Name: |
Pyramid Alternatives (Bridges) |
Phone: |
650 355-8787 |
Contact Person: |
Janeen Smith, Executive Director |
Fax: |
650 355-8780 |
Address: |
480 Manor Plaza Pacifica, CA 94044 |
II. EQUAL BENEFITS (check one or more boxes)
Contractors with contracts in excess of $5,000 must treat spouses and domestic partners equally as to employee benefits.
Contractor complies with the County’s Equal Benefits Ordinance by: | ||
offering equal benefits to employees with spouses and employees with domestic partners. | ||
offering a cash equivalent payment to eligible employees in lieu of equal benefits. | ||
Contractor does not comply with the County’s Equal Benefits Ordinance. | ||
Contractor is exempt from this requirement because: | ||
Contractor has no employees, does not provide benefits to employees’ spouses, or the contract is for $5,000 or less. | ||
Contractor is a party to a collective bargaining agreement that began on (date) and expires on (date), and intends to offer equal benefits when said agreement expires. |
Finding(s) of discrimination have been issued against Contractor within the past year by the Equal Employment Opportunity Commission, Fair Employment and Housing Commission, or other investigative entity. Please see attached sheet of paper explaining the outcome(s) or remedy for the discrimination. | |
No finding of discrimination has been issued in the past year against the Contractor by the Equal Employment Opportunity Commission, Fair Employment and Housing Commission, or any other entity. |
Contractors with original or amended contracts in excess of $100,000 must have and adhere to a written policy that provides its employees living in San Mateo County up to five days regular pay for actual jury service in the County.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that I am authorized to bind this entity contractually.
________________________________________ ______________________________________
Signature Name
________________________________________ ______________________________________
Date Title
ATTACHMENT III
REPORTING
Bridges Program - Pyramid Alternatives
10/01/08 – 09/30/10
QUARTERLY REPORTING REQUIREMENTS |
||||
Data Point |
Phase I |
Phase II | ||
1. |
Number of clients |
|||
2. |
Of the number of clients, number that are new clients |
|||
3. |
Number of dual diagnosis (DD) clients |
|||
4. |
Of the number of DD clients, number that are new DD clients |
|||
5. |
Number of hours by service type: |
|||
Phase 1 |
||||
a |
Group counseling |
--- | ||
b |
Gender-specific small group counseling |
--- | ||
c |
Cognitive-based R & R |
--- | ||
d |
Individual counseling |
--- | ||
e |
Individual counseling for DD clients |
--- | ||
f |
Group counseling for DD clients |
--- | ||
g |
Collaboration, case management and crisis intervention |
--- | ||
h |
Collaboration, case management and crisis intervention for DD clients |
--- | ||
Phase 2 |
||||
a |
After-care group |
--- |
||
b |
After-care group for DD clients (if applicable) |
--- |
||
c |
Individual counseling and case management |
--- |
||
d |
Individual counseling and case management for DD clients (if applicable) |
--- |
||
e |
Crisis intervention |
--- |
||
f |
Crisis intervention for DD clients (if applicable) |
--- |
||
6. |
Number of total hours |
PERFORMANCE MEASURES (Reported on quarterly basis) |
|||
1. |
Number of clients graduating from Phase 1 to Phase 2 |
||
2. |
Percent of clients graduating from Phase 1 to Phase 2 |
||
3. |
Pre ASI vs. post ASI scores shall improve by 75% at client exit |
INSERT BUDGET
INSERT CONTRACTOR’S PROOF OF CURRENT
LIABILITY INSURANCE AND
WORKERS’ COMPENSATION COVERAGE
Please attach current certificates
[to be inserted by Pyramid Alternatives)
(Please note, Liability Certificate must state that
San Mateo County is named as “additional insured”)
INSERT W9 FORM