REQUEST FOR INFORMAL QUOTE FOR OUTPATIENT JUVENILE SEX OFFENDER EVALUATION AND TREATMENT SERVICES IN DJJ CIRCUIT 17 REQUEST FOR INFORMAL QUOTE #10131

Transcription

1 REQUEST FOR INFORMAL QUOTE FOR OUTPATIENT JUVENILE SEX OFFENDER EVALUATION AND TREATMENT SERVICES IN DJJ CIRCUIT 17 REQUEST FOR INFORMAL QUOTE #10131 RESPONSES DUE BY: DECEMBER 16, 2013 AT 2:00 P.M., EASTERN STANDARD TIME MAIL OR DELIVER RESPONSES TO: CHARLOTTE SHORTER-RUMLIN, PROCUREMENT MANAGER FLORIDA DEPARTMENT OF JUVENILE JUSTICE 2737 CENTERVIEW DRIVE, SUITE 1107, KNIGHT BUILDING TALLAHASSEE, FLORIDA TELEPHONE NUMBER: (850) ELECTRONIC SUBMISSION FOR THIS RFQ SHALL BE SUMITTED TO: Address: Any alteration of the language of this request for informal quote or any representation of modified language will not be permitted and will be sufficient cause for rejection of a response. In case of any dispute concerning the terms or language in this document, the Department printed file copy of this Request for Informal Quote will prevail.

2 SECTION 1 INTRODUCTION This is a Request for Informal Quote by the State of Florida Department of Juvenile Justice (Department or DJJ), to solicit informal competitive pricing and staffing information regarding available Providers that have the qualifications and experience to provide Juvenile Psychosexual Evaluation and Treatment Services in Circuit 17 as further described in Attachment I, Scope of Services, to this document. The Department intends to enter into a small purchase contract for a total dollar amount less than $35, pursuant to Section 287, Florida Statutes. All questions should be directed to the contact person identified on the cover page of this Request for Informal Quote SECTION 2 SCHEDULE OF EVENTS Listed below are the important actions, dates, and times by which the actions must be taken or completed. All listed times are local time (Eastern Standard Time) in Tallahassee, Florida. DATE TIME ACTION November 20, 2013 C.O.B. Release of Request for Informal Quote November 26, 2013 December 6, 2013 December 16, 2013 February 14, :00 p.m. Eastern Standard Time C.O.B. 2:00 p.m. Eastern Standard Time Question Deadline Last date and time written questions will be accepted for this Request for Informal Quote Anticipated date that the answers to the written questions will be posted to the website Responses due Anticipated Contract Start Date SECTION 3 STATEMENT OF NEED The Department requires outpatient juvenile sexual offender evaluation and treatment services for DJJ youth residing in Judicial Circuit 17 community. Specifically, psychosexual evaluations and treatment services for sex offenders through the provision of psychosexual evaluations, individual juvenile sexual offender therapy, and family and group juvenile sex offender therapy to youth who have been charged with a sexual offense or have a history of sexually inappropriate behavior and are assigned to probation, post commitment probation and aftercare/transition/conditional release services with the Department or entity under contract with the Department to provide probation, post commitment probation or aftercare/transition/conditional release services. Services shall be available to youth residing in Circuit 17, Broward County. All services shall be conducted to assist the Department in making recommendations to the court for the disposition of youth alleged to have committed criminal/delinquent offenses that were sexual in nature. Referrals shall come from the Juvenile Probation Officer or the other Departmental designee. Services shall be provided in accordance with Attachment I, Scope of Services, of this document. Description of Services required is as follows: A General 1. The Provider shall provide psychosexual evaluations and individual, group and family juvenile sexual offender therapy services as requested by the Juvenile Probation Officer or other Departmental designee. 2. Psychosexual evaluations shall begin within three (3) business days of the request from the Department. If the youth and family cannot meet this timeframe, the Juvenile Probation Officer or other Departmental designee shall be notified. 3. Psychosexual evaluations and juvenile sexual offender counseling services shall be designed and appropriate for youth charged with a sexual offense or who have a history of sexually inappropriate behavior. 4. The Provider shall provide psychosocial skills training (e.g., anger management, interpersonal problem solving skills, coping skills, self-esteem) and group counseling designed specifically for youth with a history of sexual offense or sexually inappropriate behavior. 5. Psychosexual evaluations shall be completed and a written report delivered to the Juvenile Probation Officer or the, other Departmental designee, within fourteen (14) business days of accepting the Probation Resource Booking referral. 6. Counseling/therapy shall begin within five (5) business days of receiving approval from the Circuit 17 Chief Probation Officer or designee. 7. All services shall be provided by certified and licensed professionals as defined in Florida Laws and Rules and in accordance with applicable federal laws and rules, the DJJ Mental Health and Substance Abuse Services Manual (Revised August 2006 with March and April 2007 Updates) and this Contract. Specifically,

3 juvenile sexual offender evaluation and treatment services shall be provided by a licensed psychologist meeting the requirements to practice juvenile sexual offender therapy as specified in Section Florida Statutes, and Rule 64B Florida Administrative Code, or a licensed mental health counselor, licensed clinical social worker or licensed marriage and family therapist meeting the requirements to practice juvenile sexual offender therapy as specified in Section , Florida Statutes, and Rule 64B Florida Administrative Code. Additional guidelines for provision of sex offender treatment services are found in Section Florida Statutes, and Rule 64B Florida Administrative Code, or Section , Florida Administrative Code, and Rule 64B Florida Administrative Code. SECTION 4 WRITTEN INQUIRIES All written inquiries shall be directed to Charlotte Shorter-Rumlin, Procurement Manager at the above electronic address and shall be received by the date and time specified above. It is anticipated all written inquiries and the Department s answers will be posted on the web site on the time and date noted above. SECTION 5 RESPONSE SUBMITTAL INSTRUCTIONS All Responses to this Request for Informal Quotes shall be submitted by , in a PDF, Microsoft Word, and/or Microsoft Excel file format and shall be submitted to: Charlotte Shorter-Rumlin, Procurement Manager Florida Department of Juvenile Justice Knight Building 2737 Centerview Drive, Suite 1107 Tallahassee, Florida Telephone Number: (850) Address: charlotte.shorter-rumlin@djj.state.fl.us SECTION 6 RESPONSE REQUIREMENTS FOR SUBMITTAL Responses to this Request for Informal Quote shall include the following: 1. Certificate of Experience Interested Providers shall sign and submit with their response the attached CERTIFICATE OF EXPERIENCE that includes a statement certifying that the proposed provider has experience of at least two (2) years within the last five (5) years relevant to the provision of sex offender therapy, including psychosexual evaluations, and individual, family and group sex offender therapy services. If the proposed Provider is a current Provider in good standing providing the similar services to DJJ and has provided these services for at least the last six (6) consecutive months from the date of this Request for Informal Quote issuance, the proposed Provider shall be responsible for identifying on the Certificate of Experience where these services are currently being provided. If the proposed Provider is not a current provider of the similar services to DJJ but has provided these services to DJJ within the last two (2) years from the date of this\request for Informal Quote issuance, the proposed provider shall identify on the Certificate of Experience where these services to DJJ were previously provided. 2. References Interested Providers shall have the attached CLIENT REFERENCE FORM independently completed and delivered to the Department by at least three previous or current clients for whom the bidder has provided sex offender therapy, including psychosexual evaluations, and individual, family, and group sex offender therapy services. The Department shall not provide a reference. 3. Proposed Staffing Interested Providers shall submit information listed on the attached STAFFING REQUIREMENTS DOCUMENTATION FORM for proposed staff that will be delivering services. Submittals/Responses shall include the information specified in the table below along with copies of appropriate licenses, information on proposed staff s qualifications, education, experience that clearly demonstrates that proposed staff meet the requirements as specified in Section III, C, Staffing Requirements of Attachment I, Scope of Services, to this document. 4. Pricing Information A. Price Sheet: Interested Providers shall submit pricing for the services sought by submitting a completed and signed hard copy of the attached Price Sheet. The price shall be inclusive of all services, material and labor necessary to fully provide the Services as specified in Attachment I, Services to be Provided. B. Current Rate Sheet: In addition, the Provider shall submit a current Rate Sheet listing your usual and customary charges for the services to be provided.

4 CERTIFICATE OF EXPERIENCE THIS FORM SHALL BE COMPLETED AND SIGNED BY A PERSON AUTHORIZED TO MAKE STATEMENTS ON BEHALF OF THE PROPOSED PROVIDER: COMPANY NAME: DATE ESTBLISHED: PRIMARY BUSINESS: TOTAL NUMBER OF EMPLOYEES: NUMBER OF EMPLOYEES ENGAGED IN ACTIVITIES RELEVANT TO THIS OFFER: NUMBER OF YEARS EXPERIENCE IN PROVIDING JUVENILE DETENTION SCREENING SERVICES: LIST ENTITIES FOR WHO THE COMPANY HAS PROVIDED SEX OFFENDER THERAPY, INCLUDING PSYCHOSEXUAL EVALUATIONS, AND INDIVIDUAL, FAMLY, AND GROUP SEX OFFENDER THERAPY SERVICES WITHIN THE LAST FIVE YEARS AND THE DATES OF THE PERFORMANCE (BIDDER SHALL DEMONSTRATE TWO (2) YEARS EXPERIENCE WITHIN THE LAST FIVE (5) YEARS): IF SERVICES PROVIDED TO DJJ A. THIS SECTION IS TO BE COMPLETED BY PROVIDERS CURRENTLY PROVIDING THE SIMILAR SERVICES AS DESCRIBED IN THE RFQ TO DJJ FOR AT LEAST THE LAST SIX (6) CONSECUTIVE MONTHS: CURRENT DJJ CONTRACT NUMBER PROVIDING SERVICES: DATE SERVICES BEGAN FOR THE ABOVE CONTRACT: B. THIS SECTION IS TO BE COMPLETED BY PROVIDERS WHO PROVIDED THE SIMILAR SERVICES AS DESCRIBED IN THE RFQ TO DJJ WITHIN THE LAST TWO (2) YEARS FROM THE DATE OF THIS REQUEST FOR INFORMAL QUOTE: PREVIOUS DJJ CONTRACT NUMBER THAT PROVIDED SERVICES: DATE SERVICES BEGAN FOR THE ABOVE CONTRACT: DATE SERVICES ENDED FOR THE ABOVE CONTRACT: I,, CERTIFY THAT THE PROVIDER KNOWN AS HAS AT LEAST YEARS EXPERIENCE WITHIN THE LAST FIVE (5) YEARS RELEVANT TO THE PROVISION OF SEX OFFENDER THERAPY, INCLUDING PSYCHOSEXUAL EVALUATIONS, AND INDIVIDUAL, FAMLY AND GROUP SEX OFFENDER THERAPY SERVICES AND/OR IS PROVIDING OR HAS PROVIDED SERVICES TO DJJ AS IDENTIFIED ABOVE. SIGNATURE: PRINTED NAME: TITLE: DATE:

5 BUSINESS CLIENT REFERENCE FORM REQUEST FOR INFORMAL QUOTE #10131 (THIS FORM MUST BE COMPLETED BY THE PERSON GIVING THE REFERENCE, NOT THE PROVIDER AND MUST BE CERTIFIED BY A NOTARY PUBLIC) THIS FORM SHALL BE RETURNED BY THE PERSON COMPLETING IT TO: DEPARTMENT OF JUVENILE JUSTICE, BUREAU OF CONTRACTS, 2737 CENTERVIEW DRIVE, TALLAHASSEE, FLORIDA, , ATTENTION: CHARLOTTE SHORTER-RUMLIN THE ENVELOPE MUST BE MARKED RFQ AND RECEIVED AT THE ABOVE ADDRESS BY DECEMBER 16, 2013 at 2:00 P.M. EASTERN STANDARD TIME, OR IT WILL NOT BE ACCEPTED. THIS REFERENCE IS FOR: NAME OF PERSON PROVIDING REFERENCE: TITLE OF PERSON PROVIDING REFERENCE: FIRM OR BUSINESS NAME: OFFICE TELEPHONE NUMBER OFFICE ADDRESS 1. What type of services did this Provider perform (based on your relationship with the Provider) and over what time period to your knowledge? Please also identify your relationship with the Provider. 2. Did you have any specific concerns about this provider? 3. Did the Provider demonstrate the ability to provide sex offender therapy, including psychosexual evaluations? If no, please describe any problems. 4. Did the Provider demonstrate the ability to conduct in-depth psychosexual evaluations? If no, please describe any problems. 5. Did the Provider demonstrate the ability to provide highly qualified staff, with experience in conducting sex offender therapy, including psychosexual evaluations, and individual, family, and group sex offender therapy services? 6. Please make any additional comments here. PLEASE SIGN BELOW AND HAVE THIS FORM CERTIFIED BY A NOTARY PUBLIC. Signed by: Being duly sworn deposes and says that the information contained herein is true and accurate. Subscribed and sworn before me this day of 2013 Notary Public: My Commission Expires: State of Commission:

6 STAFFING REQUIREMENTS DOCUMENTATION FORM For Department of Juvenile Justice Requirements for Contracted Mental Health Professionals Qualifications to provide Juvenile Sex Offender Therapy Providers shall provide the following documentation (as appropriate) for each Proposed Staff member that will be providing services under a contract resulting from this Request for Informal Quote. Proposed Provider s Name: DJJ Staff Name Verifying Qualifications: Chapter 490-Licensed Psychologist Required Check List Based on Service Provision Provide Active and Clear License with date of Renewal: License Number, Expiration Date Provide evidence of completion of requirements to deliver Juvenile Sex Offender Therapy under Rule 64B a) Coursework and/or training in child behavior and development, child psychopathology, and child assessment and treatment; and b) Thirty (30) hours of training in juvenile sex offender assessment and treatment Chapter 491 -Licensed Clinical Social Worker, Marriage and Family Therapy, Mental Health Counselor Required Documents Check List Based on Service Provision Provide Active and Clear License with date of Renewal: License Number, Expiration Date: Provide evidence required to deliver Juvenile Sex Offender Therapy under Rule 64B Staff shall have completed education and training through courses in the following subject areas: a) Theories of child and adolescent development and psychopathology; b) Developmental sexuality, including sexual and reproductive anatomy and physiology, gender and sexual identity, and sexual diversity; c) Interaction between sexuality and the dynamics of interpersonal and family relationships; d) Sexual arousal patterns, including both typical and deviant fantasy patterns; e) Sexual dysfunctions, disorders, and deviancy, including sexual abuse patterns and the thinking errors that support the cycle of abuse; f) Victim empathy and victimology; g) Use and misuse of defense mechanisms; h) Dynamics of power and control; i) Compulsivity management, arousal control, anger regulation, and relapse prevention; j) Social resilience, competence and interpersonal effectiveness of juveniles; k) Group therapy and biomedical approaches in treating sexual dysfunctions, disorders and deviancy; l) Legal, ethical, and forensic issues in treating juvenile sex offenders; And Provide evidence of the required Continuing Education. Staff shall have completed 20 hours of continuing education credits each license renewal biennium in any of the above subject areas or subject areas below; a) Sexual and reproductive anatomy and physiology b) Developmental sexuality c) Gender-identity issues d) Socio cultural factors related to sexuality and sexual functioning e) Interaction between sexuality and dynamics of interpersonal family relationships f) Sexual offender treatment g) Diagnosis of sexual dysfunctions, disorders, and deviancy h) Legal, ethical, and forensic issues in sex therapy i) Sexually transmitted diseases j) Risk assessment with sex offenders k) Psychopharmacological therapy with sexual dysfunctions, disorders, and deviancy l) Research on sexual dysfunctions, disorders, and deviancy m) Sexual abuse treatment n) Victimology/victim therapy o) Group therapy in treatment of sexual dysfunctions, disorders, and deviancy

7 SERVICE TYPE Estimated Number of Sessions PRICE SHEET Prospective Provider Proposed Rates Psychosexual Evaluation 7 (1) (5) ANNUAL MAXIMUM PRICE PROPOSED Treatment Plans 8 Individual Sex Offender 90 (2) (6) Therapy Family Sex Offender 80 (3) (7) Therapy Group Sex Offender Therapy (Average of 6 youth per group) 312 (4) (8) *THE TOTAL ANNUAL MAXIMUM PROPOSED CONTRACT AMOUNT: (9) $ NOTE: THE TOTAL ANNUAL MAXIMUM PROPOSED CONTRACT AMOUNT SHALL NOT EXCEED THE ANNUAL MAXIMUM CONTRACT AMOUNT ($28,000.00). Renewal year contract rates will be at the same rates as set forth in the initial contract. INSTRUCTIONS: Prospective Provider shall insert their best rate available in cells (1), (2), (3), (4), for the respective service type. Multiply the Number of Sessions X the Prospective Provider Proposed Rate for each service type to determine the Annual Maximum Price Proposed for cells (5), (6), (7), and (8). Add the amounts of cells (5), (6), (7), and (8), for the Total Annual Maximum Proposed Contract Amount and then insert that amount in cell (9). *The total annual proposed contract amount (#9) will be multiplied by the number of years in the initial term of the contract (as applicable). Terms of less than one year shall be pro-rated. Any renewal options exercised at the department s discretion shall be on the same terms and conditions. NAME: TITLE: COMPANY: ADDRESS: TELEPHONE NUMBER: SIGNATURE: DATE:

8 ATTACHMENT I SERVICES TO BE PROVIDED OUTPATIENT JUVENILE SEX OFFENDER EVALUATION AND TREATMENT SERVICES I. GENERAL DESCRIPTION A. General Description of Services: The Department requires outpatient juvenile sexual offender evaluation and treatment services for DJJ youth residing in the community. Specifically, psychosexual evaluations and treatment services for sex offenders through the provision of psychosexual evaluations, individual juvenile sexual offender therapy, and family and group juvenile sex offender therapy to youth who have been charged with a sexual offense or have a history of sexually inappropriate behavior and are assigned to probation, post commitment probation and aftercare/transition/conditional release services with the Department or entity under contract with the Department to provide probation, post commitment probation or aftercare/transition/conditional release services. Services shall be available to youth residing in Circuit 17, Broward County. All services shall be conducted to assist the Department in making recommendations to the court for the disposition of youth alleged to have committed criminal/delinquent offenses that were sexual in nature. Referrals shall come from the Juvenile Probation Officer or the other Departmental designee. B. Services to be Provided: 1. The Provider shall provide psychosexual evaluations and individual, group and family juvenile sexual offender therapy services as requested by the Juvenile Probation Officer or other Departmental designee. 2. Psychosexual evaluations shall begin within three (3) business days of the request from the Department. If the youth and family cannot meet this timeframe, the Juvenile Probation Officer or other Departmental designee shall be notified. 3. Psychosexual evaluations and juvenile sexual offender counseling services shall be designed and appropriate for youth charged with a sexual offense or who have a history of sexually inappropriate behavior. 4. The Provider shall provide psychosocial skills training (e.g., anger management, interpersonal problem solving skills, coping skills, self-esteem) and group counseling designed specifically for youth with a history of sexual offense or sexually inappropriate behavior. 5. Psychosexual evaluations shall be completed and a written report delivered to the Juvenile Probation Officer or the, other Departmental designee, within fourteen (14) business days of accepting the Probation Resource Booking referral. 6. Counseling/therapy shall begin within five (5) business days of receiving approval from the Circuit 17 Chief Probation Officer or designee. All services shall be provided by certified and licensed professionals as defined in Florida Laws and Rules and in accordance with applicable federal laws and rules, the DJJ Mental Health and Substance Abuse Services Manual (Revised August 2006 with March and April 2007 Updates) and this Contract. Specifically, juvenile sexual offender evaluation and treatment services shall be provided by a licensed psychologist meeting the requirements to practice juvenile sexual offender therapy as specified in Section Florida Statutes, and Rule 64B Florida Administrative Code, or a licensed mental health counselor, licensed clinical social worker or licensed marriage and family therapist meeting the requirements to practice juvenile sexual offender therapy as specified in Section , Florida Statues, and Rule 64B Florida Administrative Code. Additional guidelines for provision of sex offender treatment services are found in Section Florida Statutes, and Rule 64B Florida Administrative Code, or Section , Florida Statutes, and Rule 64B Florida Administrative Code.

9 C. Authority: Section , Florida Statutes authorizes community-based sexual offender treatment. D. Service Limits The Provider shall provide services for up to 8 youth annually, 260 days a year. Services under this Contract are based on utilization and the frequency of services. E. Goals of the Service 1. All parents/guardians and youth shall receive an orientation explaining the interventions and procedures that will be utilized and any associated risks and benefits (e.g., informed consent). 2. Services shall facilitate positive changes in youth behavior and promote prosocial beliefs and attitudes. Juvenile sexual offender therapy shall focus on guiding the youth to accept their guilt; assume responsibility for their sexual offense or present/past sexually inappropriate behavior; foster empathy with others; identify the deviant cycle; teach relapse prevention; and ensure restitution. Services shall be designed to address sexual and family issues and needs with the goal of improving family functioning and ensuring that a family safety plan is in place for each youth and family. The term safety plan within this contract means a written document prepared by the juvenile sexual offender therapist as defined in Section Florida Statutes, or Section Florida Statutes, in collaboration with the juvenile and his/her parent or legal guardian which identifies potential high risk contacts and situations and addresses ways in which contacts and situations will be handled without the juvenile sexual offender placing others at risk. 3. The primary goals of juvenile sexual offender treatment are for the youth to take responsibility for their behaviors, develop the necessary skills and techniques that will prevent them from engaging in sexually abusive and harmful behaviors in the future, and lead productive and pro-social lives. The youth shall understand the inter-relationship between thoughts, feelings, and behaviors; their impact on one s conduct; and then develop more healthy thinking patterns and appropriate techniques for managing emotions. The youth shall identify the risk factors or triggers that are associated with their sexually abusive or inappropriate behaviors and subsequently develop healthy coping skills to address those risk factors. 4. Services shall address the youth s needs as determined through the juvenile psychosexual evaluation and other formal assessments. Treatment interventions should be driven by formal assessments and each youth s Individualized Treatment Plan. Treatment goals shall be individualized, specific and measurable. 5. Goals of juvenile sexual psych educational programming are to develop an understanding of the wrongfulness of sexual assault/sexually inappropriate behavior; develop an understanding of destructive behavior cycles; develop an understanding of how systems of denial work; take steps to improve family functioning; improve school performance; and build upon community supports. 6. The goal of psychosexual education services is to prevent youth who display sexual behavior problems, but do not meet criteria for placement in a juvenile sexual offense specific treatment program, from escalating into sexual offense behaviors through provision of psychosexual education focusing on increasing physical, emotional and social boundaries, decreasing impulsive behaviors and increasing judgment and consequential thinking. The overall goal of the psychosexual education program is to prevent any re-occurrence of the reported sexual behavior problem, to teach appropriate boundaries, increase positive coping skills, and increase consequential thinking in order to prevent the problem from increasing in severity and to assist the youth in their development toward becoming healthy and productive individuals, especially in regard to their sexual behaviors.

10 II. YOUTH TO BE SERVED A. Youth to be Served: The Provider shall deliver services to boys and girls between the ages of 13 to 18 who reside in Circuit 17, Broward County. Youth falling outside this age range may be served on a case by case basis when mutually agreed upon by the Provider and the Department. B. Youth Eligibility: The program shall serve youth who have been charged with a sexual offense or who have a history of sexually inappropriate behavior and are assigned to probation within the Department or released from commitment programs by the Department or court. The program shall provide outpatient juvenile sexual offender evaluation and treatment services for DJJ youths residing in the community. The program shall be available on an outpatient basis to youth residing in the community to include Circuit 17 (Broward County). C. Youth Referral/Determination for Services Youth referred for services by the Department shall be referred by the Juvenile Probation Officer through the Department s Probation Resource Booking system or the Departmental designee. Any disputes regarding the appropriateness of the youth for program admittance shall be forwarded to the Department s Contract Manager and the Chief Probation Officer in the circuit where services are to be provided. D. Youth Admission/Acceptance for Services: 1. Unless the Provider is at service capacity, all youth referred for services by the Department shall be accepted and a psychosexual evaluation shall be conducted and completed within ten (10) business days of the date of the Department s referral to the Provider. This is a statutory requirement for all youth prior to receiving counseling/therapy. 2. A licensed psychologist meeting the requirements to practice juvenile sexual offender therapy as specified in Section Florida Statutes, and Rule 64B Florida Administrative Code., or a licensed clinical social worker, licensed mental health counselor or licensed marriage and family therapist meeting the requirements to practice juvenile sexual offender therapy as specified in Section , Florida Statutes, and Rule 64B Florida Administrative Code shall perform the psychosexual evaluation and assess all youth for appropriateness of community-based sexual offender treatment. 3. After the psychosexual evaluation is complete, submitted to the Department s Chief JPO, and the youth is referred back to the Provider for counseling/therapy services, the Provider shall be responsible for contacting referred youth to schedule appointments. 4. The Provider shall contact the assigned Juvenile Probation Officer or Department approved referral source when the youth is not responsive (fails to schedule an appointment or attend counseling sessions). 5. Depending on the youth s age and circumstance(s) of the offense(s), the Provider shall be knowledgeable and willing to network with Department of Children and Families Providers or other community resources that provide sex offender treatment to the youth in order to assure that existing services are not duplicated through this Contract. 6. The Provider shall ensure that prior to any services being rendered, youth and parents/legal guardians sign appropriate forms outlining informed consent for treatment and release of treatment records in accordance with Florida law and Chapter 3 of the DJJ Mental Health and Substance Abuse Services Manual (Revised August 2006 with March and April 2007 Updates) including releases that allow the Department access to all service information. E. Discharge/Termination of Services: 1. Discharges/Terminations shall require written approval by the Department prior to the youth s release from services. The Provider shall provide a written

11 report to the Department requesting a discharge/termination of a youth prior to their release. 2. The Department will accept a youth s discharge/termination from services when the youth has successfully completed the recommended course of treatment outlined in the treatment plan or reached the time limits of service for the youth. Documentation supporting the discharge/termination shall be submitted to the Department when any youth is discharged/terminated from services. 3. Successful completion shall be deemed to have occurred when: a. The youth has completed 90% of his/her individual treatment goals that were determined by the original psychosexual evaluation and upon the Provider s validation that the goals have been completed based on a clinical assessment, completion of course work, and when appropriate, additional testing. The rationale for termination shall have been clearly documented in the youth's termination summary and approved by the Chief Probation Officer or designee. b. The youth has received the maximum services available and will no longer obtain benefit as determined by the Provider. The rationale for the youth reaching maximum benefit shall be based on a clinical assessment, testing when appropriate, or documentation of an on-going pattern of behavior that supports this premise, and shall clearly be documented in the termination summary that is approved by the Chief Probation Officer or designee. c. The youth s period of supervision by the Department has expired, or Department custody has ended. d. Other reasons for discharge/termination include, but are not limited to, death, receiving adult sentencing, or the youth has moved outside the boundaries of the Circuit. 4. The Provider shall provide proper documentation for a violation of Probation, violation of Post-Commitment Probation, and/or a violation of Conditional Release or transfer. The documentation shall clearly state that: a. The needs of the youth are such that he/she can no longer be served through community-based services without substantial risk to the community. b. The needs of the youth are such that he/she can no longer be served appropriately by this Provider but would be more appropriate for another community-based service. F. Limits on Youth to be Served: The average length of stay in the sex offender program is nine (9) to twelve (12) months. The average length of stay in the psychosexual education program is six (6) months. Services shall occur until such time as the youth is considered to have successfully completed the program and the JPO has been notified and is in agreement with the discharge. III. Service Tasks A. Tasks to be Performed At a minimum, the Provider shall provide the following tasks: 1. Psychosexual Evaluation The Provider shall provide psychosexual evaluation services to youth charged with sexual offenses or who have a history of inappropriate sexual behavior. The Provider shall assess the youth s risk and needs and recommend the most appropriate course of treatment. A psychosexual evaluation shall be conducted for all youth referred for services. a. Psychosexual Evaluation: A sex offender evaluation shall include review of collateral information, including, but not limited to, the following:

12 1) Police report/arrest report; 2) Pre-disposition report; 3) Victim s statement of offense (when available); 4) Offender s statement of offense; 5) Offense history; 6) Juvenile Justice records (referrals, placements, previous interventions and treatment); 7) Mental health/psychiatric records (when available); and 8) Parent/guardian interview. b. A psychosexual evaluation shall reflect consideration of the following: 1) Presenting problem; 2) History a) Home environment/family functioning; b) Physical abuse, sexual abuse, neglect, witnessing violence and other forms of trauma; c) Health (physical health, mental health, substance abuse); d) Behavioral functioning; e) Educational history; f) Social history; and g) Sexual history; 3) Testing/evaluation procedures including: a) Sex offender inventory/questionnaire; b) Vocational testing; c) Personality testing; and d) Cognitive/intelligence testing; 4) Face-to-face Clinical interview including: a) Antecedents of sexual offense(s); b) Attitudes and knowledge regarding sexuality; c) Cognitive distortions regarding sexually deviant behavior; d) Degree of empathy and denial; e) Emotional functioning; f) Anger; g) Depression; and h) Aggression; 5) Behavioral observations (including mental status examination and current functioning and symptoms); 6) Results/findings (including DSM-IV-TR diagnoses, or most recent edition, Axis I Axis V); and 7) Summary and recommendations. 2. Psychosexual Evaluation Reports a. The psychosexual evaluation shall include the elements specified in subsection III 1. a., and III. 1.b., of this Attachment and shall also include a psychosexual examination, neurological information, psychological analysis, psychiatric analysis, educational testing and review, and in-depth vocational testing and analysis. The Provider shall include recent child status information as gathered from the youth and family and ensure the report includes a review of medical, educational, vocational, substance abuse, and mental health histories. At a minimum, the Provider shall include the following components as part of the written evaluation: 1) Overview of the youth in each domain; 2) Compilation of existing documented information; 3) Emphasis on domain(s) that are indicated as higher need;

13 4) Youth status update through interview of the youth and parent; 5) Extensive evaluation and examination of high need areas; and 6) Recommendation for a course of treatment. b. The Provider shall provide a detailed psychosexual evaluation report that shall be forwarded to the Department s assigned Juvenile Probation Officer or Department approved referral source within fourteen (14) business days of receipt of referral. c. The psychosexual evaluation report shall be provided on the Provider s stationary and contain the name, title, original signature, and Florida license number of the licensed professional as specified in Section III. C., Staffing, who conducted the evaluation and the date of the evaluation(s) and report. 5. Individualized Treatment Plan (ITP) a. An ITP shall be developed for each youth prior to the provision of counseling services by the licensed professional meeting the requirements of a juvenile sexual offender therapist as specified in Section III. C., Staffing. The Individualized Treatment Plan shall be based upon an in-depth psychosexual evaluation. A copy of the youth s treatment plan and progress/treatment notes shall be forwarded to the youth s Juvenile Probation Officer or Department approved referral for permanent filing in the youth s DJJ Individual Healthcare Record (mental health section). The ITP shall contain the following elements: 1) The youth s DSM-IV-TR diagnoses or most recent edition (Axis I, Axis II, Axis III, Axis IV, Axis V); 2) The specific symptoms and behaviors that will be the focus of treatment; 3) The type of counseling and anticipated number of sessions to be completed by the youth and, when applicable, his/her family; 4) Sex offender treatment goals and objectives, written in achievable and measurable terms, which are: a) Related to the diagnosis; b) Responsive to the youth s risk factors, symptoms and inappropriate sexual behaviors; c) Address specific risk factors, behaviors, symptoms, skill deficits, strengths and needs of the youth; and d) The youth s functional strengths/abilities and preferences/needs that may affect his/her success in treatment. e) The intervention/strategies to be provided and target dates for completion and; f) The youth s psychiatric service needs for youth s receiving psychotropic medication or other psychiatric services. b. The ITP shall be signed and dated by the licensed professional meeting the requirements of a juvenile sexual offender therapist as specified in Section III. C., Staffing, completing the treatment plan, the youth, and the parent(s)/legal guardian(s) within ten (10) days of completion. If the parent(s)/legal guardian(s) signature is not included on the treatment plan, the Provider shall include documentation of the reason for non-involvement; efforts to secure the parent(s)/legal guardian(s) involvement; and/or the reason for non-involvement consistent with statutory requirements.

14 c. ITP Review A licensed professional meeting the requirements of a juvenile sexual offender therapist, as specified in Section III., C. Staffing, shall conduct a review of the Individualized Treatment Plan every thirty (30) days. The ITP review will assess the youth progress in meeting his/her treatment goals and objectives and ascertain whether modifications to the treatment plan are needed. The ITP review findings and recommendations shall be documented on a form developed by the licensed professional, or the sample form provided in Appendix I-2 of the Mental Health and Substance Abuse Manual (Revised August 2006 with March 2007 and April 2007 updates) which is form MHSA 016 in the DJJ Forms Library. d. ITP Modifications Modifications made to the ITP shall be documented on the review form and shall be clearly and specifically identified as a modification to the ITP. The ITP review form shall, at a minimum, contain all of the elements of the form provided in Appendix I-2 of the Mental Health and Substance Abuse Manual (Revised August 2006 with March 2007 and April 2007 updates), which is form MHSA 017 in the DJJ Forms Library. e. The treatment plan review form must be signed and dated by the licensed mental health professional meeting the requirements of a juvenile sexual offender therapist in Section III. C., Staffing. 6. Individual Juvenile Sexual Offender Therapy or Psychosexual Education The Provider shall schedule and conduct individual juvenile sexual offender therapy services to youth referred by the Department who meet the criteria for placement in a juvenile sexual offense-specific treatment program. Psychosexual Education shall be provided to youth who have displayed sexual behavior problems, but do not meet the criteria for placement in a juvenile sexual offense-specific treatment program. All individual juvenile sexual offender counseling or individual psychosexual education sessions shall be sixty (60) minutes in duration (counseling time) and shall be conducted by a licensed professional meeting the requirements of a juvenile sexual offender therapist as specified in Section III. C., Staffing. a. Individual juvenile sexual offender therapy or psychosexual education shall be based on the youth s Individualized Treatment Plan (ITP). b. Individual juvenile sexual offender therapy shall be documented in progress/treatment notes, which provide a description of the treatment session/activity and the youth participation in the treatment session/activity. The progress/treatment notes shall document the course of treatment and the youth progress in meeting his or her clinical goals and objectives as specified in the treatment plan. Progress/treatment notes shall be recorded on the day the treatment service/activity is provided. c. A copy of the youth treatment plan and progress/treatment notes shall be forwarded to the youth s Juvenile Probation Officer for permanent filing in the youth s Department Individual Healthcare Record (mental health section). d. The Provider shall document youth participation and progress in the youth file and provide a written monthly update to the Department s assigned Juvenile Probation Officer on the referral or Department approved referral source. e. All youth participating in individual juvenile sexual offender therapy sessions or individual psychosexual education sessions shall sign in and out at the start and end of each session. Copies of sign-in sheets shall be provided to the Department with the invoice for reimbursement.

15 7. Group Juvenile Sexual Offender Therapy or Psychosexual Education The Provider shall schedule and conduct group juvenile sexual offender therapy to youth referred by the Department who meet the criteria for placement in a juvenile sexual offense specific treatment program or psychosexual education services to youth referred by the Department who have displayed sexual behavior problems, but do not meet the criteria for placement in a juvenile sexual offense-specific treatment program. All juvenile sexual offender group therapy sessions and group psychosexual education sessions shall be sixty (60) minutes in duration (therapy time), shall not exceed ten (10) youth and shall be conducted by a licensed professional or a juvenile sexual offender therapist as specified in Section III. C., Staffing. a. Group therapy shall be based on effective treatment models such as Cognitive Behavioral Therapy or Multi-systemic Therapy. Researchbased treatment and curriculums should be used, whenever possible. b. Group therapy shall be based on the youth s Individualized Treatment Plan as specified above. c. Group therapy shall be documented in progress/treatment notes, which provide a description of the treatment session/activity and the youth participation in the treatment session/activity. The progress/treatment notes shall document the course of treatment and the youth progress in meeting his or her clinical goals and objectives as specified in the treatment plan. Progress/treatment notes shall be recorded on the day the treatment service/activity is provided. d. A copy of the youth treatment plan and progress/treatment notes shall be forwarded to the youth Juvenile Probation Officer for permanent filing in the youth Individual Healthcare Record (mental health section). e. The Provider shall document youth participation and progress in the youth file and provide a written monthly update to the Department s assigned Juvenile Probation Officer or Department approved referral source, listed on the referral. f. All youth participating in group juvenile sexual offender therapy sessions or group psychosexual education sessions shall sign in and out at the beginning and end of each session. Copies of sign-in sheets for group sessions shall be provided to the Department with the invoice for reimbursement. 8. Family Juvenile Sexual Offender Therapy or Psychosexual Education The Provider shall schedule and conduct family juvenile sexual offender therapy services with families of Department youth who meet the criteria for placement in a juvenile sexual offense specific treatment program or psychosexual education services with families of Department youth who have displayed sexual behavior problems, but do not meet the criteria for placement in a juvenile sexual offense-specific treatment program. All family juvenile sexual offender counseling or psychosexual education sessions shall be sixty (60) minutes in duration (counseling time) and shall be conducted by a licensed professional or a juvenile sexual offender therapist as specified in Section III. C., Staffing. a. Family therapy shall be based on the youth s Individualized Treatment Plan as specified above. b. Therapy shall be documented in progress/treatment notes which provide a description of the treatment session/activity and the youth and family member s participation in the treatment session/activity. The progress/treatment notes shall document the course of treatment and the youth progress in meeting his or her clinical goals and objectives as specified in the treatment plan. Progress/treatment notes shall be recorded on the day the treatment service/activity is provided.

16 c. A copy of the youth s treatment plan and progress/treatment notes shall be forwarded to the youth s Juvenile Probation Officer, or Department approved referral source, for permanent filing in the Department s Individual Healthcare Record (mental health section). d. The Provider shall document the youth s and family member s participation and progress in the youth s file and provide a written monthly update to the Department s assigned Juvenile Probation Officer listed on the referral, or Department approved referral source. e. All youth and family members participating in family juvenile sexual offender therapy sessions or family psychosexual education sessions shall sign-in for each session. Copies of the sign-in sheets for family therapy sessions or psychosexual education sessions shall be provided to the Department with the invoice for reimbursement. 9. Informed Consent/Records Release The Provider shall obtain informed consent for treatment and release of treatment records in accordance with Florida law and Chapter 3 of the DJJ Mental Health and Substance Abuse Manual (Revised August 2006 with March 2007 and April 2007 updates). 10. Documentation and Record Management The Provider is responsible for implementing a record-keeping system which ensures the confidentiality, security and integrity of information on youth relating to services provided in this Contract. The Provider shall document psychosexual evaluations, individual juvenile sexual offender therapy, family and group juvenile sex offender therapy, or psychosexual education, and services that address the components listed in the Contract. Documentation shall be maintained in the youth s mental health file which shall be kept separate from the youth s program case file and shall be kept in accordance with Florida law and Chapter 4 of the DJJ Mental Health and Substance Abuse Manual (Revised August 2006 with March 2007 and April 2007 updates). 11. Juvenile Justice Information System (JJIS) The Provider shall be responsible for entering information on youth into the Juvenile Justice Information System s Probation Resource Booking system, updating the information, and ensuring the integrity of the data inputted. This responsibility is based on the Department s capability to provide access and utilization to the Provider. It is incumbent upon the Provider to contact the Department s Data Integrity Officer for their area to gain access and secure training. B. Task Service Limits 1. The Provider shall be responsible for notifying the JPO or approved referral source under contract with the Department if a youth is not attending services or appears to be a high public safety issue. 2. The Provider shall be available to provide input into commitment staffing on those youth deemed a high risk in the community or unsuccessful in the program. C. Staffing/Personnel The Provider and all personnel provided under this Contract, whether performance is as a Provider, subcontractor, or any employee, agent or representative of the Provider or subcontractor, shall continually maintain all licenses, protocols, and certifications that are necessary and appropriate or required by the Department or another local, state or federal agency, for the services to be performed or for the position held. All such personnel shall renew licenses or certifications pursuant to applicable law or rule. The Provider shall provide copies of all current licenses or certificates required for the delivery of services under this Contract, to the Department s Contract Manager, prior to the delivery of services. 1. Staff Qualifications Juvenile Sexual Offender Therapist

17 The Provider shall employ juvenile sexual offender therapist(s) meeting the requirements to provide juvenile sexual offender therapy as specified in Florida Statutes and Rule 64B Florida Administrative Code or Section , Florida Statutes, and Rule 64B Florida Administrative Code. Specifically, the Provider shall employ a licensed psychologist meeting the requirements to practice juvenile sexual offender therapy as specified in Section F.S., and Rule 64B Florida Administrative Code, or a licensed mental health counselor, licensed clinical social worker or licensed marriage and family therapist meeting the requirements to practice juvenile sexual offender therapy as specified in Section , Florida Statutes, and Rule 64B Florida Administrative Code, to provide all psychosexual evaluations, individual juvenile sexual offender treatment, group juvenile sexual offender treatment, and family juvenile sexual offender treatment. 2. Staffing Changes Changes to the staff and qualifications required in this Contract are not authorized unless approved in writing by the Department s Contract Manager and Chief Probation Officer/designee. D. Service Location and Times 1. Services shall be available to youth residing in Circuit 17, Broward County. Services shall be provided outside the traditional working hours of 8:00 am to 5:00 pm., 5 days a week 260 days a year. Services shall be provided at locations convenient to the youth and family, including but not limited to the Provider s office(s), the youth s home/school, juvenile detention centers, hospitals, juvenile probation offices, juvenile assessment centers or community centers. In addition, the Provider shall have a Provider-owned or leased facility in the Circuit proposed where youth files shall be securely maintained. 2. Service Times Administrative Services shall be performed Monday through Friday between the hours of 9:00 a.m. and 5:00 p.m., Eastern Standard Time, excluding state holidays. All juvenile sexual offender counseling sessions shall be held weekly, excluding state holidays, and provided during the day and evening hours to accommodate the school schedules of the referred youth. Psychosexual Evaluations shall be conducted as needed. 3. Changes to Service Locations/Times The Provider shall submit a request for written approval prior to any changes to the location of services or times for service delivery to the Chief Probation Officer and Department s Contract Manager. Approval shall be obtained in writing from the Department, prior to any such changes. E. Property 1. No property furnished or purchased with Contract funds is required for the delivery of services defined under the terms of this Contract. IV. Deliverables A. Service Units 1. The services units to be delivered under this Contract are Psychosexual Evaluation with Report; Individual Juvenile Sex Offender Counseling or Psychosexual Education; Family Juvenile Sex Offender Counseling or Psychosexual Education or Group Juvenile Sex Offender Counseling or Psychosexual Education sessions. All sessions provided shall be 60 minutes in duration and provided as indicated for youth referred to the Provider 2. The Provider shall make the services continuously available throughout the term of the Contract for outpatient psychosexual evaluation and treatment services. 3. The Provider shall submit a monthly invoice with sufficient documentation to fully justify payment for the service units delivered the previous month. The