VOLUME I TECHNICAL PROPOSAL

Transcription

1 VOLUME I TECHNICAL PROPOSAL TABLE OF CONTENTS Page Transmittal Letter and Addendums (#1 & #2 #3 #4 #5 & #6) Volume 1, Tab 1 Attachment O Cross Reference Table Attachment M and N Addendums Site Visit Sign-in Sheet Certificate of a Drug-Free Workplace (Attachment K) Volume 1, Tab 2 Introductory Statement Volume 1, Tab 3 Introductory Statement.. 1 Management Capability Volume 1, Tab 4 2.a. Services 2 2.b. Services in DJJ Owned Building c. Options. 14 Program Services Volume 1, Tab 5 I. General Description 16 II. Youth To Be Served Admission Requirements and Eligibility. 16 Intake Process, Classification and Grouping of Youth by Needs.. 16 III. Service Tasks A.1. Care and Custody Services. 18 A.2. Case Management Services 22 A.3. Health Services.. 24 A.4. Health Education Programming.. 31 A.5. OSHA Requirements 31 A.6. Mental Health and Substance Abuse Services 32 Provision of Sex Offender Treatment Services A.7. Delinquency Programming.. 45 A.8. Educational Services 48 A.9. Pre-Vocational and Vocational Services 49 A.10. Job Training Placement 49 A.11. Self-Sufficiency Planning. 50 A.12. Discharge Policy and Transition Services. 50 A.13. Staff Training.. 51 A.14. Living Environment 51 A.15. Behavioral Management System 53 A.16. Religious/Spiritual Opportunities. 56 A.17. Recreational and Leisure Time Activities.. 57 A.18. Restorative Justice Philosophy, Restorative Programming and Plan 57 A.19. Community Involvement Opportunities.. 58 A.20. Transportation Services 58 IV. Limit of Services 59 V. Staffing/Personnel. 59 VI. Service Location 59 VII. Deliverables 59 VIII. Performance Measures 60 Supplemental Materials Volume 1 Exhibit #1 Youth Arrest Report Chart Exhibit #2 Start-up Chart Exhibit #3 Facility Performance Report Chart Exhibit #4 Award Catalog Exhibit #5 FWHH Program Delivery Diagram Exhibit #6 Ethics Handbooks Exhibit #7 63E Program Administration Exhibit #8 DSOP Training Outline Chart Youth Services International Response to RFP # R2107 Daytona Sex Offender Program

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30 CROSS REFERENCE TABLE ATTACHMENT O SECTION/PART ATTACHMENT O THE COMPLETION OF THIS CROSS REFERENCE TABLE IS A MANDATORY REQUIREMENT RFP/PROPOSAL CROSS REFERENCE TABLE RFP DOCUMENTATION (TO BE COMPLETED BY DEPARTMENT) SUBJECT MANDATORY CRITERIA (X FOR YES) LOCATION IN PROPOSAL (TO BE COMPLETED BY PROSPECTIVE PROVIDER) PAGE NUMBERS SECTIONS/PARTS GENERAL PROPOSAL RESPONSE REQUIREMENTS PLEASE NOTE: General Proposal Response Requirements that are checked as Mandatory Criteria must be provided by the prospective Provider to be considered responsive to this RFP. Failure to provide the required mandatory documentation will result in a proposal not being evaluated and rejected as non-responsive. Section V. E and Section XIX B. Cross Reference Table X Tab 1 Cross Reference Table behind Transmittal Letter Section V. B. and Transmittal Letter containing all the information X Tab 1 Transmittal Letter Section XIX A. required by Section XIX. A. Section XIX A.1 Office Name, Address, Telephone Number, Name and X Tab 1 Transmittal Letter Title of Official with authority to bind the Contract. Section XIX A.1 FEIN Number X Tab 1 Transmittal Letter Section XIX A.1 DUNS Number X Tab 1 Transmittal Letter Section XIX A.2 Name, Title, Address, Telephone Number of Contract Manager Section XIX A.3 D/B/A Doing Business As with Reason for D/B/A (if applicable). Section XIX A.4 Statement Provider agrees to all terms and conditions contained in the Request for Proposal for which this proposal is submitted. Section XIX A.5 Statement Provider meets all Terms and Conditions of Attachment A, including not presently debarred, suspended, or proposed for debarment. Section XIX A.6 Statement Provider certifies that neither the prospective Provider nor anyone acting on its behalf has contacted anyone, between the release of the solicitation due date of this solicitation, any employee or officer of the executive or legislative branch concerning any aspect of this solicitation except in writing to the procurement officer or as provided in the solicitation documents. Section XIX A.7. Statement Provider certifies that it agrees to be responsible for the reporting of all admissions and releases in the Juvenile Justice Information System (JJIS) within 24 hours of the admission/release and for updating the projected release dates of youth at a minimum of once per week if required by this RFP. Section V.C. and Attachment J A completed & signed copy of the Section XIX E. 1. a Attachment J with annual contract dollar amount at and b. or below the annual maximum contract dollar amount stated in the RFP. required. Section V. D. and Section XIX E. 1. c Section IV C. and Section V. G. Section V. H. X Tab 1 Transmittal Letter X NA NA X Tab 1 Transmittal Letter X Tab 1 Transmittal Letter X Tab 1 Transmittal Letter X 16 II. Youth To Be Served - Admission Requirements and Eligibility X Tab 1 Volume II Attachment H Budget X Tab 1 Volume II X 14 2b. Management Capability Department owned or leased X 14 2b. Management Capability Department owned or leased Proof of Attendance at Site Visit (Department Owned/Leased) Prospective Provider to provide information on how or if the facility or site will be renovated, maintained or otherwise made suitable for DJJ and provide a timeline for any renovations. If no changes are 14 anticipated, the prospective Provider shall so state. Section XIX E. 2. Supplier Qualifier Report (SQR) Report Tab 2 Volume II Section XIX E. 3 Certified Minority Business (CMBE) Utilization Plan Tab 3 Volume II Section XIX F. Past Performance NA Volume III Section V Mandatory Requirements (H) Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 1

31 CROSS REFERENCE TABLE ATTACHMENT O TECHNICAL PROPOSAL RESPONSE (SUGGESTED DOCUMENTATION*) *PLEASE NOTE: Proposer is requested to provide evidence of existing documentation (plans, resumes, charts, etc) as requested in this cross reference table and addressed below. If evidentiary documentation is not currently available, provide evidence of intent or plan to implement and identify as such. This will include proposed plans, schedules, proposed staff contracts, job description etc. Include all relevant information that will assist us in evaluating your proposal. Failure to provide information as requested may result in 0 points being assessed for that portion of the proposal evaluation. If Prospective provider is selected for contract award, the proposed service and all elements thereof will be incorporated by reference into the contract, unless they do not otherwise meet the terms and conditions of this RFP. Category #1: Management Capability Section XIX C. Certificate of Drug-Free Workplace Tab 2 Volume 1, Tab 2 Section XIX D. Technical Proposal Introductory Statement 1 Volume 1, Tab 3 Section XIX D.1. 63E F.A.C. and Section XIX. D. 2. a. 63E F.A.C. and Section XIX. D. 2. a. Introduction Statement General Strategy and Methodology Describe your company s management capability to manage /control the program. Describe your Organizational structure and provide an organizational chart and leadership staff qualifications that indicate sufficient management capability to perform the services required 1 Volume 1, Tab Section 2a (4) 4-7 Section 2a (5) 7-11 Section 2a (6) Section XIX, D. 2. b. 63E F.A.C. and Section XIX. D. 2. a. 63E F.A.C. and Section XIX. D. 2. a. 63E F.A.C. and Section XIX. D. 2. a. Attachment I, Section XV and Section XIX D. 2. c. Attachment I, Section XV and Section XIX D. 2. c. Attachment I, Section XV and Section XIX D. 2.c. Attachment I, Section III. A.1. Attachment I, Section III. A.1. & Section V.A. Attachment I, Section III. A.1. Describe any issues relevant to providing services in the DJJ owned facility. Describe your corporate oversight and support for the program Describe Internal quality improvement process utilized to identify problems and improve processes. Provide a copy of training protocols, including specifically a comprehensive training plan to sustain optimum program operations. 14 Section 2b Management Capability Department owned or leased Section 2a (4) Transition Team Corporate Oversight and Program Support for DSOP Internal Quality Improvement - Identifying Problems and Improvement Process 51 A.13.a. & A.13.b. - Staff Training Plan Exhibit #8 Category #2: Options Clause Describe Provider s ability to increase units of service including maximum available beds/slots 14 Section 2c Options for Increased Units of based on available capacity, or defining what space Service is available for increasing beds/slots. Describe plan for recruiting additional staff and provide timeframes for recruitment Section 2c Recruitment of Additional Staff Describe capability and flexibility to change restrictiveness level or gender served and add additional services to meet Department needs to treat youth on waiting list. Category #3: Staffing Describe coverage of staff ratios for supervision (Example: 1:8 awake; 1:12 asleep, etc.) as identified in the RFP, specifically addressing issues such as vacancies and absences (relief factor) Provide a staffing plan which addresses recruitment of qualified staff and how the Provider will sustain staff levels needed. Category #4: Care and Custody Services Submit plan to provide, at minimum, the following services required by Rule 63E-7: a) Youth Admission Section 2c Options for Changes in Contract Services Supervision & Staffing Staffing Plan - FTE Chart Staffing Plan Recruitment of Quality Staff Staff Retention Supporting Our Staff Plan to Provide Care and Custody Admission Requirements and Eligibility Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 2

32 CROSS REFERENCE TABLE ATTACHMENT O SECTION/PART SUBJECT MANDATORY CRITERIA (X FOR YES) Attachment I, b) Youth Intake Section III. A.1. (cont.) c) Youth Orientation d) Quality of Life and Youth Grievance Process e) Youth Hygiene and Dress Code f) Facility and Food Services g) Transfer, Release and Discharge h) Safety and Security PAGE NUMBERS SECTIONS/PARTS Intake Process, Classification and Grouping of Youth by Needs A.1.a. Orientation A.1.a. Quality of Life & Youth Grievance Process A.1.a. Youth Hygiene and Dress Code A.1.a. Facility Food Services/Nutrition Transfer, Release and Discharge A.3.f. (7)Transitional Healthcare Planning A.12 Discharge Policy & Transition Services Transition & Discharge A.1.b. - Safety & Security Attachment I, Section III. A.1. Attachment I, Section III. A.1. Attachment I, Section III. A.1. Attachment I, Section III. A.2. Attachment I, Section III. A.2. Attachment I, Section III. A.2. Attachment I, Section III. A.2. Attachment I, Section II. D.2. Attachment I, Section III. A.2. Attachment I, Section III. A.2. Attachment I, Section III. A.7. Attachment I, Section III. A.7. Attachment I, Section III. A.7. i) Program Administration Describe how you will maintain youth engagement in activities and the treatment process so that at least 80% of youth waking time is devoted to structured therapeutic activity. Describe tracking system for monitoring youth participation for adherence to a structured therapeutic activity schedule. Submit detailed activity schedule for weekday and weekend activities. CATEGORY #5: Case Management Services Describe the assessment process, staffing, etc., of the youth for criminogenic factors. Describe method for completing individualized performance plans developed by a multidisciplinary treatment team in conjunction with youth. Describe motivational interviewing implementation to promote engagement in delinquency intervention. Describe process for ensuring quarterly progress reports are provided to committing court, Department JPO and youth s parents. Describe approach to identification and grouping of youth within the program according to special characteristics for safety, health and treatment purposes. Describe how the youth will be assessed for progress during delinquency interventions. Describe capacity to coordinate services, obtain required consent documentation, and communicate with the custodial parent or guardian, the district or circuit liaison, the Department, the courts and other entities. Category #6: Delinquency Programming. Provide a copy of the delinquency intervention model or curricula intended to be used and submit implementation plan. Describe plan to engage and retain the participation of the families of the youth in the program. Describe the overall goals and objectives of the delinquency intervention program. 20 Program Administration & Exhibit # A.1.c. Structured Activity 21 A.1.c. Tracking System for Monitoring Youth Activity A.1.c. Structured Activity A.2.a. Criminogenic Risk Assessment Process A.2.b. Matching Youth to Delinquency Interventions A.2.a Criminogenic Risk Assessment Process A.2.f. Individual Performance Plan A.2.c. Motivational Interviewing A.6.b. 3. Evidence Bases: Supplementary Mental Health Treatment Models A.2.d. Benchmarking Youth s Progress A.2.e. Performance Summaries Intake Process, Classification and Grouping of Youth by Needs A.2.d. Benchmarking Youth s Progress A.7. Delinquency Programming A.2.a Criminogenic Risk Assessment Process A.2.d. Bench Marking Youth s Progress A.2.e. Performance Summaries A.7. Delinquency Program A.7.c Delinquency Intervention Model A.15.a A.7.b. Family Involvement Implementation Plan for Delinquency Intervention Programming Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 3

33 CROSS REFERENCE TABLE ATTACHMENT O SECTION/PART SUBJECT MANDATORY CRITERIA (X FOR YES) Attachment I, Section III. A.7. Attachment I, Section III. A.7. Attachment I, Section III. A.14. Attachment I, Section III. A.14. and Section III.A.1. Attachment I, Section III. A.14. Attachment I, Section III.A.1. Attachment I, Section III.A.1. Submit documentation to show that delinquency interventions are evidence-based or promising practices. Describe process for monitoring delinquency interventions to ensure adherence/fidelity to the original delinquency intervention model s design. Category #7: Visitation and Family Involvement Describe plan to ensure youth s ongoing communication with family. Describe mechanisms for soliciting family member input/participation in treatment. Describe plan for youth to have access to visitors (family). Describe capacity to provide for comfortable visitation areas. Provide visitation procedures addressing possible security concerns (escape, contraband, weapons, etc). PAGE NUMBERS SECTIONS/PARTS A.7.d. Evidence-Bases for Delinquency Interventions and Practices A.6.c. Evidence Based Models & Promising Models A.7.e. Fidelity to Original Design A.7.b. Family Involvement A.14.a. (7) Visitation, Correspondence and Telephone Access A.7.b. Family Involvement 53 A.14.a. (7) Visitation, Correspondence and Telephone Access 53 A.14.a. (7) Visitation, Correspondence and Telephone Access 53 A.14.a. (7) Visitation, Correspondence and Telephone Access Attachment I, Section III. A.8. Attachment I, Section III. A.8. Attachment I, Section III. A.8. and Section III. A. 15. Attachment I, Section III. A.9. Attachment I, Section III. A.9. Attachment I, Section III. A.12. Attachment I, Section III. A.12. Attachment I, Section III. A.12. Category #8:Educational Services Describe educational services to be provided and the A.8. Educational Services manner of service provision. Describe direct care supervision of youth during 49 A.8.f. Direct Care Staff school hours. Describe how the educational staff is integrated into the current Behavior Management System. 49 A.8.d. Category #9: Pre-Vocational & Vocational Services Describe coordination of traditional and nontraditional pre-vocational and vocational services with the community resources. Describe assessment of youth s interest for a specific vocational area. Describe how required vocational training is integrated into treatment goals and planning process. Category #10: Discharge and Transition Services Provide plan for discharge and transition planning process that considers individual youth needs, characteristics, and risks. Describe how the vendor will work with the community, the JPO, the courts, Department staff, and other partners in their discharge and transition planning. Submit documentation that demonstrates that discharge planning begins at admission A.9. Pre-Vocational and Vocational Services A.10. Job Training Placement A.11. Self Sufficiency Planning A.9. Pre-Vocational and Vocational Services A.10. Job Training Placement A.11. Self Sufficiency Planning A. 12 Discharge Policy & Transition Services A.7.b. Transition & Discharge A.3.f. (7) Transitional Healthcare Planning A Individualized Transition/Aftercare Planning A. 12 Discharge Policy & Transition Services A.7.b. Transition & Discharge A.3.f. (7) Transitional Healthcare Planning A d. Individualized Transition/Aftercare Planning A. 12 Discharge Policy & Transition Services A.7.b. Family Involvement Attachment I, Section III. A.13. Category #11: Staff Training Describe training necessary for direct care staff to perform their duties A.13. Staff Training & Exhibit #8 Training and Staff Development A.3.k. Staff Training Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 4

34 CROSS REFERENCE TABLE ATTACHMENT O SECTION/PART SUBJECT MANDATORY CRITERIA (X FOR YES) Attachment I, Section III. A.13. Attachment I, Section III. A.13. and Section III. A. 15. Attachment I, Section III. A.3. Attachment I, Section III. A.15. Attachment I, Section III. A.15. Attachment I, Section III. A.15. Attachment I, Section III. A.15. Attachment I, Section III. A.15. Attachment I, Section III.A.15. Attachment I, Section III. A.17. Attachment I, Section III. A.16 and 17. Attachment I, Section III. A. 16 and 17. Attachment I, Section III. A.16. Attachment I, Section III. A.18. Attachment I, Section III. A.18. Attachment I, Section III. A.18. Provide a comprehensive training plan to implement orientation and training programs for all new employees, within thirty (30) days of hire, and ongoing staff training to increase knowledge and skills to improve quality of care and training services (outlined in CORE), including specific job responsibilities, care and supervision of youth, first aid, episodic care and CPR as required by Rule 63-7 and the RFP. Provide documentation that demonstrates that the principles of cultural competence and trauma informed care to reinforce non-confrontational interaction are incorporated into the comprehensive training plan Provide training plan as required in the Health Services Manual (2006). Category #12: Behavioral Management System Describe the Behavior Management System and positive behavior reinforcement system to be utilized and the underlying theory. Describe how the provider will prepare and plan with youth for crisis prevention. PAGE NUMBERS SECTIONS/PARTS 51 A.13. Staff Training & Exhibit # A.6.d. A Gender Specific, Culturally and Ethnic Background Aware Program A.15.b Crisis Prevention Preparation and Planning A.13. Staff Training & Exhibit #8 A.13. Staff Training & Exhibit #8 A.3.k. Staff Training A.15. Behavior Management System 56 A.15.b. Crisis Prevention Preparation and Planning Describe training plan for staff regarding the Behavior Management System. 56 A.15.c Behavior Management System - Training Describe process for monitoring the staff and youth s daily activities to ensure consistency with the treatment and the behavioral management philosophy. Provide evidence that the Behavioral Management System has rewards to punishment ratio which exceed the 4 rewards: 1 punishment ratio. Describe how youth s motivational factors are incorporated in the Behavioral Management System. Category #13: Religious Services and Recreational and Leisure Time Activities Provide methodology for obtaining youth input to ensure recreational activities are meaningful to the youth and encourage positive interaction and participation. Provide schedule for religious services and recreational and leisure time activities (including weekends). Submit documentation to show that staffing pattern allows for adequate coverage for religious services and recreational and leisure time activities as offered. 55 A.15.a. Process for Monitoring Staff and Youth s Daily Activities A.15.a. Positive Behavior Reinforcement System A.15.a. & A.15.b. Behavior Management System A17.a. Recreational & Leisure Time Activities A.14.a. (1) Input from Youth A.1.c. Structured Activity A.16. Religious/Spiritual Opportunities A Recreational and Leisure Activities Staffing Plan Supervision & Staffing Describe access to religious services A.16. Religious/Spiritual Opportunities Category #14: Restorative Justice Programming Describe plan for providing Impact of Crime training 57 A.18. a. to staff and implementation of an Impact of Crime 58 A.18.d. program. Exhibit #8 Training Chart Provide evidence and/or documentation that the program supports the restorative justice philosophy A.18. Restorative Justice Programming Illustrate the Restorative Justice Programming plan that creates opportunities for youth to be actively involved, give input, participate in decisions, practice leadership roles, use restorative conflict resolution strategies, and contribute to the community A.18. Restorative Justice Programming Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 5

35 CROSS REFERENCE TABLE ATTACHMENT O SECTION/PART SUBJECT MANDATORY CRITERIA (X FOR YES) Attachment I, Section III. A.3. Attachment I, Section III. A.3. Attachment I, Section III. A.3. Attachment I, Section III. A.3. Attachment I, Section III. A.3. Attachment I, Section III. A.3. Attachment I, Section III. A.3. Attachment I, Section III. A.3. Category #15: Health Services Describe how the vendor will provide the Designated Health Authority (DHA) Services as specified in the Health Services Manual (2006). (Include the proposed physician s CV/resume, letter of intent from the proposed physician, and his/her proposed schedule in the response.) Submit plan for comprehensive on-site health services. Describe provision of nursing services including hours and level of staff (ARNP/ RN s/ LPN s/ etc.), appropriate coverage for the schedule, as required by the RFP. Submit protocol for the provision of health services during natural disasters. Describe the linkage to ancillary services to meet a broad range of youth s medical needs and provide/describe, at minimum, the following: Contracts/written agreements for ancillary services Protocols for accessing emergency medical services Protocols for accessing dental care Protocols for accessing eye care Protocols for accessing x-ray and lab services Provide plan to ensure completion of the physical assessments within the timeframes described in the Health Services Manual (2006). Describe provision of Sick Call Services including, at minimum, the following: Sick call conducted by RN (if by LPN, include protocol for supervision by ARNP or Physician). Provider s written treatment protocols (including complaints, signs/symptoms, criteria of treatment) rendered as described in the Health Services Manual (2006). Frequency for treatment clearly outlined (e.g., x times per as stated in the RFP Scope of Services to be Provided ) Staffing schedule addresses sick call hours. Process outlined for youth to obtain health service in the Providers Facility Operating Procedures (FOPs), Health Services Manual Request Forms, etc.). Protocol in place for parental notification of sick call services to a youth. Clearly written sick call documentation requirements. Tracking mechanism for the sick call services performed and related sick call service details. Describe provision of Episodic Care, addressing, at minimum, the following: Protocols for emergency drills to address the following emergencies: cardiopulmonary arrest; unconsciousness (youth found down); choking episode; uncontrolled bleeding; seizures; sudden mental status changes; chest pain; shortness of breath; open head injury; fractures or potential fractures, and suicide attempt. PAGE NUMBERS SECTIONS/PARTS A.3.b. Method of Health Services Delivery A.3.e. (1) Designated Health Authority A.3. Health Services A.3.e. (2) Nursing Services 26 A.3.e. (5) Disaster Preparedness A.3.d. - Emergencies A.3.e. Service Agreements A.3.f. - Gender Responsive Services A.6.a. (6) Emergency Mental Health and Substance Abuse Services A.3.f. (1) & (2) Screening and Evaluation & Comprehensive Physical Assessments A.3.f. (3) Sick Call Care A.3.e. (2). - Nursing Services 28 A.3.f. (4). Episodic Care (First aid and /or emergency care) Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 6

36 CROSS REFERENCE TABLE ATTACHMENT O SECTION/PART SUBJECT MANDATORY CRITERIA (X FOR YES) Attachment I, Provision of automated external defibrillators Section III. A.3. (AED s) (cont.) Protocol for on-site or off-site emergency medical services. Protocol for Protective Action Response (PAR) Attachment I, Section III. A.3 Attachment I, Section III. A.3 Attachment I, Section III. A.3 Attachment I Section III. A.3 Attachment I, Section III. A.3 Attachment I, Section III. A.3 Attachment I, Section III. A.6. Attachment I, Section III. A. 6. related medical services. Outline the provision of services for ongoing treatment for chronic health conditions which include, at minimum, evaluations at intervals no less than every 3 months. Outline the provision of services for routine immunization in accordance with Center for Disease Control (CDC) recommendations. Describe protocols for transition, addressing at minimum, how the Provider plans to coordinate with the aftercare entities regarding medical needs upon the youth s discharge from the DJJ facility. Submit protocol for communicable disease and infection control (in compliance with OSHA s Standard 1910 Subpart I: 29CFR ; 29CFR ; App. A; and 29CFR ) Describe Provider s ability to provide medication administration, including: 1) Description of development, oversight and monitoring of medication policies and practices (including selection, purchasing, storage, distribution, use and safety of medication and related activities). 2) Protocol that ensures oversight by the Designated Health Authority (DHA) and by outside consultations when appropriate. Describe Health Education Programming, including but not limited to: 1. Monthly schedule detailing the health education sessions. 2. Topics covered throughout the youth s length of stay. Category #16: Mental Health and Substance Abuse Services Describe Provider s approach to the following: Standardized mental health and substance abuse screening process per Mental Health and Substance Abuse Services Manual (2006, 2007 Revisions) : Process to include MAYSI-2 or other mental health/substance abuse screening instruments. Outline the staff responsible for administering the screening instruments. Outline the protocol to be utilized when suicide risk factors are identified. Describe how the requirements of mental health assessments will be provided: Provide documentation that the assessment will be conducted by mental health/substance abuse licensed professionals. (Include FTE list.) If the proposal indicates that non-licensed staff will perform mental health assessments, provide documentation that at least one hour (weekly) face-to-face supervision will be provided by licensed professional. PAGE NUMBERS SECTIONS/PARTS 28 A.3.f. (5) Treatment and Monitoring of Acute and Chronic Conditions A.3.f. (6) - Immunizations 29 A.3.f. (7) Transitional Healthcare Planning A.3.f. (8) Infection Control Measures A.5. OSHA Requirements A.3.g. Pharmaceutical Services/Medications/Medication Management A.3.c. Operating Procedures 31 A.4. Health Education Programming A.6.a A.6.a. (1) Mental Health and Substance Abuse Screening & Intake Process, Classification and Grouping of Youth by Needs Intake Process, Classification and Grouping of Youth by Needs & A.6.a. (1) Mental Health and Substance Abuse Screening A.6.a. (5) Suicide Prevention Services Intake Process, Classification and Grouping of Youth by Needs A.6.a. (2) Comprehensive Mental Health and Substance Abuse Evaluation 2a(6) FTE Chart Attachment II A.5. - Clinical Staff Qualifications Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 7

37 CROSS REFERENCE TABLE ATTACHMENT O SECTION/PART SUBJECT MANDATORY CRITERIA (X FOR YES) Attachment I, Section III. A. 6. (cont.) Attachment I, Section III. A.6. Attachment I, Section III. A.6. Attachment I Section III. A.6. Include protocols to ensure completion of comprehensive mental health evaluations upon 30 days of referral. If completed by a non-licensed staff, include protocol for review and sign off by licensed professional within10 days. Describe how the comprehensive substance abuse evaluations will be conducted in accordance with Rule 65D-30. Specifically address: Provide documentation to evidence that facility is licensed under Chapter 397. OR Provide documentation to evidence that facility staff are licensed under Chapters 397, 458, 459, 490 or 491. Identify how substance abuse evaluations will be conducted within 30 days of referral. Describe the youth s access to psychotherapy or professional counseling (i.e., individual, group, or family therapy) as identified in the screening and/or the assessment. Specifically address: Clinical staff qualifications. Schedule for psychotherapy or professional counseling services. Describe the protocol for psychopharmacological therapy and psychopharmacological therapy followup treatment which addresses the following: Provision of medication prescriptions based on individualized assessment of the youth. (Include documentation of rationale including target symptoms in response.) Understanding that medications are required to be administered by licensed personnel with appropriate training. Training to be provided to specific disciplines, including direct care staff (especially side effect monitoring). Obtaining informed consent from the youth s parent or guardian for each medication prescribed prior to its administration. Provision of appropriate laboratory tests as indicated for specific medications and for monitoring of side effects. PAGE NUMBERS SECTIONS/PARTS A.6.a. (2) Comprehensive Mental Health and Substance Abuse Evaluation A.6.a. (2) Comprehensive Mental Health and Substance Abuse Evaluation A.6.a.(1) & (2) Mental Health and Substance Abuse Screening & Comprehensive Mental Health and Substance Abuse Evaluation Attachment II A Clinical Staff Requirements Attachment II A.5. - Clinical Staff Qualifications A.6.a. (2) Comprehensive Mental Health and Substance Abuse Evaluation A.6.a.(3) Mental Health or Substance Abuse Treatment Attachment II A.5. - Clinical Staff Qualifications A.1.c. Structured Activity A.3.g. Pharmaceutical Services A.3.g (2). Medication Management & A.3.k Staff Training A.3.g (2). Medication Management & A.3.k. Staff Training A.3.g. Pharmaceutical Services A.3.g. Pharmaceutical Services Attachment I, Section III. A.6. Describe the procedures for suicide prevention. Specifically address: Incremental levels of suicide precautions and describe how these precautions will be implemented. Examination of the facility s physical features and the program s procedures to identify risks of suicidal behavior. Interventions that are matched to level of risk associated with youth suicidal behavior, based on youth history and clinical assessment Intake Process, Classification and Grouping of Youth s Needs A.6.a. (5) & (6) Suicide Prevention Services & Crisis Intervention and Emergency Mental Health or Substance Abuse Care A.6.a. (5) & (6) Suicide Prevention Services & Crisis Intervention and Emergency Mental Health or Substance Abuse Care Attachment I, Section III. A.6. Describe how the suicide intervention and suicide prevention protocols are established using evidence based and promising practices A.6.a. (5) & (6) Suicide Prevention Services & Crisis Intervention and Emergency Mental Health or Substance Abuse Care Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 8

38 CROSS REFERENCE TABLE ATTACHMENT O SECTION/PART SUBJECT MANDATORY CRITERIA (X FOR YES) Category #17: Sex Offender Treatment Services PAGE NUMBERS SECTIONS/PARTS Attachment II, A.2 Attachment II, A.6 Attachment II, A.6 Attachment II, A.4, A.5 Describe best practices that have been integrated into the selection and availability of treatment programs. Describe the full array of services and treatment programs (available 7 days a week) provided to meet the needs of individual youth. Describe plan for provisions of sex offender treatment services in accordance with the RFP requirements. Describe the clinical staff to be utilized in the sex offender treatment program, including their qualifications and scheduling Attachment II Provision of Sex Offender Treatment Services Attachment II A Sex Offender Treatment Services Attachment II A.6. Clinical Services Attachment II A Clinical Staff Requirements Attachment II A.5. - Clinical Staff Qualifications Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 9

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40 WALK THROUGH ATTENDANCE RECORD TRAINING TOPIC Daytona Walk Through - RFP HOURS TRAiNER DATE 2t10t11 # I PRINTED NAME Q-*c l+uvsf rkt \.x t--i'.- \,ltght Pa-t-ock Cr'or=<fubba q)a-xb POSITION t ce@e b@aining on the topic listed above: Agendas must be attached to the training forms. cer I -rfd -RA'l..lER,or" CAI l4 t NKt4llq4 NLj_lZ_.tud) n fr v t G\]S CfbfL % u // feuir.s,-ftv'/e.^+/'.j G4s --ia-t- SIGNATURE

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42 INTRODUCTORY STATEMENT Youth Services International is pleased to submit this proposal to manage the Daytona Sex Offender Program (DSOP) for your evaluation. We are confident our Evidenced Based Practices and Trauma Informed Care approach will meet and/or exceed all the technical specifications and requirements of the RFP. YSI is committed to providing a superior program at DSOP that will provide a transformational, rehabilitative, YSI Mission Manage and operate safe, humane, and secure treatment facilities that protect the public and provide youth with training, education and treatment programs designed to reduce recidivism. educational and therapeutic experience which will motivate the boys admitted to the facility to re-enter the community as young men leading pro-social productive lives without further re-offending. Youth Services International (YSI) has partnered with Florida DJJ since 1993 and has successfully managed low, moderate, high, maximum, co-located low/moderate and moderate/high risk programs. We are extremely proud of our successful performance record which clearly demonstrates our ability to operate a physically safe, secure and therapeutic environment. YSI has extensive experience and understands the unique needs of adolescent youth in the juvenile justice system. We have successfully developed a proprietary residential behavioral management system known as YSI Discovery Model. This Stages of Change model interfaces with and augments a specifically selected group of evidence-based treatment components, including a core model and a group of delinquency interventions. This broad spectrum of innovative evidence-based interventions will address the specific needs of the youth placed at DSOP in a gender-specific, safety-based and culturally sensitive environment. A full array of clinical assessment and diagnostic services will be provided in order to identify and treat each youth s mental health, substance abuse (and/or multiple) diagnoses, health and family related problems. All YSI programming operates within the framework of the Department s Balanced and Restorative Justice Model. Every aspect of the program has been carefully designed to provide for each youth s unique needs in the following areas: Individualized Mental Health/Substance Abuse Evaluation and Treatment Behavior Management and Social Skill Development Trauma Sensitive Programming / Trauma Recovery Balance and Restorative Justice Gender Specific, Safety Based and Culturally Sensitive Community YSI Philosophy Youth Service International is fully committed to operating safe and secure residential facilities that provide meaningful rehabilitation opportunities for all youth. YSI s approach to managing youth focuses on decreasing antisocial behavior and developing responsible social and work skills. YSI creates environments for both staff and youth that are totally free of harassment and discrimination. YSI employees are required to adhere to a strict code of ethics and serve as positive role models to youth and co-workers. YSI recognizes the importance of establishing excellent community relations by building partnerships in the community to accomplish our corporate mission. Our programs have demonstrated success in providing treatment to youth identified as requiring sexual offender treatment, diagnosed with chronic and emergent mental health disorders or requiring residential treatment. Data collected from our facilities demonstrate improved behavior and decision making skills of youth as related to reduced recidivism over the duration of the program. All YSI historical information included in this proposal is as of the date of the issuance of this RFP #R2107. Youth Services International Response to RFP #R2107 Daytona Sex Offender Program Page 1

43 MANAGEMENT CAPABILITY Management Capability Services 2a (1) Youth Services International (YSI) is a for profit corporation, headquartered in Sarasota, Florida. 2a (2) YSI is a subsidiary of JFS Development LLC. YSI and its subsidiaries operate thirteen programs in six states. 2a (3) YSI is registered to do business in Florida as evidenced by the certificate of good standing provided as an attachment in Volume 2 Tab 1 (Financial Proposal). 2a (4) Management Experience and Ability to Plan, Control, Manage the DSOP program. Youth Services International (YSI) has partnered with Florida DJJ since 1993 and has successfully managed low, moderate, high, maximum, co-located low/moderate and moderate/high risk programs. YSI believes it is uniquely qualified to operate this program because of the following: 18 years experience successfully operating juvenile residential programs. Currently operating 13 facilities in the U.S., with 7 in Florida Average experience of YSI s 13 Program Directors is over 15 years Youth Services International is nationally recognized as one of the premier private companies excelling at planning, executing and managing the unique challenges associated with operating residential programs for at-risk youth. Our programs are designed to equip youth with the tools necessary to become self-motivated, responsible, and resilient when they are released to their home communities. Through continual best practices research and program refinement, our work with DJJ has lead to increased public safety through the successful completion of the program. YSI s innovative and effective programs contribute to a juvenile justice system that is more responsive in reducing the future risk of recidivism for our youth as well as more efficient in producing overall cost savings to the state. The strength of our management team is demonstrated by our experience in operating residential programs and services for young offenders. Our services include vocational and academic education, employability skills training, mental health and substance abuse education and treatment, dual diagnosis treatment services, sex offender treatment, gender specific treatment and programs for youth with special needs. YSI offers effective programs, experienced managers and well-trained staff that are setting the highest standards in our industry for the secure, safe, and effective management of juvenile offender programs. YSI s mission and philosophy, as stated in our introductory statement on page 1, are the guiding principles we utilize in our focus to provide quality services to our youth, reduce the likelihood of re-offense, assist in youth rehabilitation and ultimately, their successful return to the community. YSI possesses extensive experience in operating mental health and substance abuse treatment programs, having operated over 45 programs with a total bed capacity of approximate 5700 in Florida, Iowa, Minnesota, Rhode Island, South Dakota, Georgia, Texas, Washington, Michigan, Illinois, Louisiana, Nevada, Delaware, Maryland, Missouri, Tennessee, Puerto Rico and Virginia since Additionally, YSI has successfully operated several sex offender treatment programs as well as specialized mental health and substance abuse programs in other states. YSI s partnership with the State of Florida extends over 18 years. During this time, we have been committed to operating programs that have positively impacted the lives of the youth entrusted to our care. This partnership has resulted in YSI successfully operating low, moderate, high and maximum risk facilities for the State of Florida. Listed below are the facilities that have been opened or operated by YSI under contract with Florida DJJ during this time. Bartow Youth Training Center Pahokee Youth Development Center Blackwater STOP Camp Palm Beach Juvenile Correctional Facility Broward Girls Academy Pompano Academy Cypress Creek Juvenile Correctional Facility Polk Youth Development Center Everglades Youth Development Center Sawmill Academy for Youth Hillsborough Academy Santa Rosa Juvenile Residential Facility Joann Bridges Academy Santa Rosa Youth Academy Marion Youth Development Center St. Johns Juvenile Correctional Facility Marion Juvenile Correctional Facility St. Johns Youth Academy Okaloosa Youth Development Center Thompson Academy Our high success rate of program completions of our youth along with our low PAR and CCC events is testament to our commitment to excellence in facility operations. SAMH scores at the six Florida facilities receiving licensing site visits this past year, averaged 98.12% out of a possible 100 points. Additionally, YSI has the lowest average arrest rate (0.54 arrests per 100 beds) of all residential providers since the first quarter of FY , as evidenced by the Youth Arrest Report Chart produced in 2009 by DJJ and provided as Exhibit #1. Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 2

44 MANAGEMENT CAPABILITY Below, is a copy of a letter recently received from the parents of youth in one of our programs. Just wanted to let you know how very much your thoughtfulness was appreciated. We just wanted to thank you and the staff for everything they have done and are doing for Lil Mike. We are so glad that he has you and a staff that is really helpful. M. YSI s programs, both nationally and in Florida, have been accredited or in the process of being accredited by either CARF (Commission on Accreditation of Rehabilitation Facilities) or ACA (American Correctional Association). YSI s capability to plan, control and manage the DSOP program is evidenced by over 100 years experience of our Executive Management Committee in the juvenile justice field, the corporate and facility based management tools that have been used and refined over the past 18 years with extremely positive results. Our Executive Management Committee members are James F. Slattery, President; Woodrow Harper, Executive Vice President; Jesse E. Williams, Jr., Senior Vice President, Juvenile Operations and David Scharoun, CFO. These individuals not only average almost 30 years of juvenile justice experience but have been with YSI an average of over ten years. This committee has excelled in fulfilling its primary mission of developing and successfully implementing short and long term strategic plans and goals for the organization and providing supervision, guidance and direction every day to all corporate and facility management staff. YSI specializes in operating residential programs like DSOP. It is our only business. We provide low, moderate, high and maximum risk residential treatment programs for male & female youth with specialized programs designed specifically for their individual needs and administered in a safe and nurturing environment. The YSI s Discovery Model effectively interfaces with and supports each of the other aspects of the treatment process, including the core treatment model, which will be Cognitive Behavioral Therapy (CBT) for the sex offender treatment programming. Incorporated into the group living environment, the YSI Discovery Model allows each youth to move at his own pace through four levels of achievement, while helping determine his level of need and risk as he progresses toward discharge and providing a means to identify the concerns and strategies required for a successful, re-offense-free transition back to his home environment. The cornerstone of our ability to successfully plan, manage and control our programs is based on an accountability process which starts upon contract award. Four committees are tasked with program and contract accountability once a contract is awarded to YSI by DJJ. They are the Start-Up Committee, the facility based Contract Compliance Committee, the Clinical Services and Fidelity Oversight Committee and the Senior Management Committee which provides corporate oversight to all our facilities. The Start-Up Committee The current members include Jesse E. Williams, Jr., Sr. VP Operations (Chairperson), John Allen, Regional VP Central, David Scharoun, CFO, Chris Slattery, VP Support Services, Dorothy Xanos, VP Contract Compliance, Tuwollar Mobley, VP Training, and Program Director. This committee is a standing commitment for YSI and has overseen the successful start-up of over 50 juvenile programs with a 100% successful track record of opening on time and on budget. A comprehensive check list is used that was established and refined over many years covering 14 different areas with over 140 line items ranging from hiring and training of staff, production of policies and procedure, purchasing and installation of sophisticated electronic systems, computer systems, libraries, classrooms, medial and dental supplies and equipment, food services, to paper and pencils. A copy of this check list is provided as Exhibit #2. The Start-Up Committee works with the facility on-site Transition Team to ensure a successful opening of the program. Details regarding the Transition Team are discussed on page 10. Contract Compliance Committee is facility based and its members include the Program Director (Chairperson), Assistant Program Director-Operations, Clinical Director, Designated Health Authority or designee, HR and Business Manager. This committee meets daily during the start-up period and for the first 60 days of operations then weekly each Monday at 9:00 a.m., (DHA may participate by telephone). The agenda covers all areas of contract compliance with a monthly Facility Performance Report (See Exhibit #3) produced and sent to all Senior Management Committee members. This report is based on a compliance check list compiled from a thorough review of the contract requirements. Included in the Facility Performance Report are any flagged compliance or operational issues. A corrective action is implemented and tracked by both the Compliance and Senior Management Committees until all issues are resolved. Clinical Services & Fidelity Oversight Committee is corporate based and its members include Jesse E. Williams, Jr., Sr. VP Operations (Chairperson), Dr. John A. Hunter Ph.D., Dr. Jon McCain Ph.D. and Dr. Joanne Bliss Ph.D. Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 3

45 MANAGEMENT CAPABILITY Upon contract award, this committee will develop and design a therapeutic environment employing the CBT model that is evidenced-based or promising to meet the needs of the youth in the program and ensure all the requirements of the RFP are met or exceeded. This committee will meet weekly during the start-up period and the first 60 days of the programs operation. Following the 60 day period the committee meets monthly with all facility based Clinical Directors and the facilities Program Fidelity Committee which is discussed in more detail in section A.7.e, pg. 48. Senior Management Committee consists of the President (Chairperson), Executive VP, Sr. VP, Operations and Regional VP s. This committee meets monthly to review all Facility Performance Reports. In addition, other areas reviewed include IT, payroll, HR, staff training reports, accounting/budget and other operational items. Daily, committee members receive and review all CCC and PAR reports as well as a youth grievance summary report from each facility. Areas of Improvement The Compliance Committee Chairperson reports daily to the Regional VP who, on an as needed basis and in coordination with the Sr. VP, Operations, directs corporate support personnel to assist in addressing compliance issues and any QA deficiencies. There is an internal facility Quality Assurance team (directed by the P.D.) and a separate corporate Quality Assurance team (directed by YSI s President) which conducts scheduled and random audits. Please refer to pages #3 for further detail. Reporting Activity; There is daily contact, at a minimum of twice a day, between the Program Director and the Regional VP between 8:30 a.m. - 9:30 a.m. and 5:00 p.m. - 6:00 p.m. to discuss daily program activities and to provide guidance and support as needed. The Regional VP Central reports to the Sr. VP daily and on an as needed basis. All executive and senior management are available to facility management and staff 24 hours a day 7 days a week. We believe the success of our programs across the United States is the strongest evidence of our company s capability to plan, manage and control a residential facility like the Daytona Sex Offender Program. The basis of our success is anchored in a strong, experienced, knowledgeable, confident, and committed management team. 2a (5) YSI Organizational Structure YSI s organizational structure is best described as highly effective and efficient with ease of communication between lines of authority and designed to make well informed and timely decisions at all levels of the organization. The youth placed in DSOP are classified as high risk in need of sexual offender treatment and mental health/substance abuse services. YSI and its management team are experts in delivering these services using evidenced based or promising treatments and practices within a framework based on Restorative Justice philosophies, principles and practices. Below is our management team s line of control and their responsibilities, our corporate organization chart, and a listing of our management team members with a summary of their experience and background. Line of Control President and CEO President and CEO is responsible for the mission and direction of the corporation and administration and program management oversight. Executive VP Executive VP is responsible for the oversight with program management, service delivery, planning and contract monitoring. SR. VP/CFO SR. VP/CFO is responsible for the overall fiscal operations and planning. SR. VP Operations SR. VP Operations is responsible for overall facility operations Regional VP Regional VP s responsible for monitoring and supervision of operations and implementation. Program Director Program Director is responsible for the day-to-day management and onsite operational oversight of the facility. Program Staff Program Staff is responsible for the programs care, safety, and treatment services. Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 4

46 MANAGEMENT CAPABILITY Corporate Management and Support Staff Organizational Chart James F. Slattery President & CEO David Scharoun SR. VP & CFO Woodrow Harper Executive VP John Mentzer VP & General Counsel Chris Slattery VP, Support Services John Hunter PhD, Consultant Clinical Services Jesse E. Williams, Jr. Sr. VP, Operations G. Shane Maddox VP Information Technology Accounting Staff Dorothy Xanos VP Contract Compliance Sylvia Ledbetter Corporate Compliance Auditor Human Resources Purchasing Payroll Jon McCaine, Ph.D. VP Program Development Michael Slattery Regional VP - Midwest John Allen Regional VP - Central Jasir Diab Regional VP - South Tuwollar Mobley VP Training Dr. Bernard Medical Services Director Joanne Bliss, Ph. D Clinical Services Michelle Moody Evidence Based Intervention Specialist Igdalis Roldan- Christian, ARNP Asst. Medical Services Director Executive Management Team Members JAMES F. SLATTERY, PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) - Mr. Slattery has developed public, private and not for profit organizations dedicated to providing critical services for at-risk youth for the past 25 years. Beginning in New York City (NYC), he contracted with NYC Department of Human Services to provide residential and supportive services for families in need. In 1989, he was a co-founder of Correctional Services Corporation (CSC). While president of CSC, he established a juvenile division which included residential and aftercare programs nationwide. In 1999, under Mr. Slattery s guidance, CSC acquired Youth Services International (YSI) which became a wholly owned subsidiary. As president of YSI, Mr. Slattery headed the re-structure of the company and established an experienced management team dedicated to deliver evidenced-based programming to youth with special needs. Mr. Slattery was responsible for the finance and construction of over $200 million of new projects. He has developed over 60 facilities, overseen the company s 5,000 employees and developed a model ethics and compliance program for all employees. WOODROW HARPER, EXECUTIVE VICE PRESIDENT - Mr. Harper brings over thirty years of management experience in juvenile and criminal justice programs to the YSI team. He has served as Deputy Secretary for the Florida Department of Juvenile Justice, where he was responsible for the day-to-day operations of the agency's 5,000 employees, 200 programs, and a budget of $600 million. As the first Deputy Secretary of Juvenile Justice for the Florida Department of Juvenile Justice, Mr. Harper's responsibilities encompassed the provision of oversight for Juvenile Justice programs. Mr. Harper also served as Staff Director of the Florida Legislature's Commission of Juvenile Justice and developed juvenile justice reform legislation that assisted in reorganizing Florida's juvenile justice system. Additionally, Mr. Harper was the Director of Compliance Monitoring for Florida's Juvenile Justice and Delinquency Prevention Program. In this capacity, he developed the first comprehensive statewide compliance monitoring system, which became a model for the Federal Office of Juvenile Justice and Delinquency Prevention, as well as for other states systems. JESSE E. WILLIAMS, JR. SENIOR VICE PRESIDENT, JUVENILE OPERATIONS - Mr. Williams has over forty years of juvenile justice experience in executive direction, probation services, community-based programs, detention services, long-term commitment services, administration, and finance. In 1997, Mr. Williams was appointed by the Mayor of San Francisco to implement a local action plan for juvenile justice reforms which resulted in the successful establishment of six prevention and intervention programs in the Bay area. Mr. Williams also spearheaded a variety of additional reforms, including a large expansion of community-based programs, the establishment of genderspecific services, a decrease in the number of youth held in detention, and the inception of a detention reform effort sponsored by the Annie E. Casey Foundation known as the Juvenile Detention Alternative Initiative. Prior to this, Mr. Williams served respectively as the Deputy Commissioner of the Philadelphia Department of Human Services, Division of Juvenile Justice; Administrator of Youth Services Administration in Washington, D.C.; and Deputy Director of the Maryland Juvenile Services Administration. DAVID SCHAROUN, CPA, SENIOR VP/CHIEF FINANCIAL OFFICER - Mr. Scharoun has over 15 years experience in financial accounting and joined Correctional Services Corporation (CSC) as Corporate Comptroller in August During his tenure with CSC, David supervised all aspects of the accounting and finance function, as well as all Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 5

47 MANAGEMENT CAPABILITY periodic filings with the Securities and Exchange Commission (SEC). He served as Vice President and Controller of CSC until March 2004, when he joined Global Signal, Inc. (Global) as the Director of Financial Reporting. During his tenure with Global, he aided in completion of the SEC filings preparatory to the company making its initial public offering. David joined YSI in October 2005 in his current role as Senior Vice President and Chief Financial Officer. Corporate Management Team Members DR. JON MCCAINE Ph.D., VP PROGRAM DEVELOPMENT - Dr. Jon McCaine, brings over fifteen years experience in evaluating and treating juvenile offenders. Dr. McCaine served as the former Clinical Director for the Arizona Department of Juvenile Corrections. Dr. McCaine currently oversees the operation of fifteen residential programs across the country, providing intervention services to over 1,180 of the nation's more serious juvenile offenders. Dr. McCaine is a frequent and favorite guest speaker at universities and psychology lectures and is recognized for his "Youth and Violence: Voices from within" series, a compelling and insightful perspective on youth violence and the impact of child abuse and domestic violence on the emerging character of juvenile aggression. He is the recipient of the Attorney General's Distinguished Service Award for Family Violence Prevention and was a panel member for the CBS news special on Children and Violence. In 2002, Dr. McCaine was the recipient of the Tucson Martin Luther King, Jr. Memorial Award for his contributions to cross-cultural education, family violence education and prevention, and community service. He is an active member of the City Of Tucson/Pima County, Arizona Domestic Violence Commission. He is also a founding member of the Men's Anti-Violence Network (M.A.N) established by the Arizona Foundation of Men dedicated to stopping domestic violence by holding the abuser accountable and working on prevention efforts. M.A.N.'s focus is on changing public policy and increasing public awareness. Dr. McCaine is a recognized expert in his field and provides continuous program review of YSI facilities as well as assistance to staff. DR. JOHN A HUNTER Ph.D., CONSULTANT, CLINICAL SERVICES - Dr. Hunter is internationally recognized for his study of the etiology, assessment, and treatment of sexually abusive youth, with over 30 years of clinical experience with this population. He is currently Coordinator of Military Sexual Trauma treatment services and a clinical psychologist in the PTSD Clinic of the Southeastern Louisiana Veterans Health Care System in New Orleans, LA. He is also Clinical Associate Professor of Psychiatry and Behavioral Sciences at the Tulane University School of Medicine and has published over 50 articles or books and book chapters on the subject of youth sexual aggression and/or sexual trauma, and has been the recipient of seven federal research grants. Dr. Hunter has directed both community-based and residential treatment programs for juvenile sexual offenders and is a former member of the Board of Directors for the Association for the Treatment of Sexual Abusers (ATSA). He also served on the Kempe Center's National Task Force on Juvenile Sexual Offending, the U. of Oklahoma National Center on Sexual Behavior of Youth's National Advisory Committee, and the Center for Sex Offender Management's National Resource Group. Dr. Hunter has responsibility for designing and overseeing the implementation of the sex offender treatment model including the on-going training of professional and support staff in understanding the causes, assessment, and treatment of sexually abusive behavior in adolescent males; clinical case consultation; and the conduct of program evaluation activities. Dr. JOANNE BLISS Ph.D., CLINICAL SERVICES - Dr. Bliss has been in the mental health field for 25 years. She holds a doctorate in clinical psychology and is experienced in the areas of clinical and forensic psychology as well as substance abuse. Before joining YSI, she worked for the Department of Children and Families for ten years, serving both the chronically mentally ill and forensic populations. She has provided treatment for substance abusers and has supervised the provision of juvenile assessment and treatment for various community agencies, including Childnet and Florida Department of Juvenile Justice. Dr. Bliss is a Board Certified Founding Fellow of the American College of Advance Practice Psychologists (FACAPP), and is a Diplomat of Clinical Counseling with the American College of Certified Forensic Counselors. She is a member of the Prescribing Psychologists Register and a member of the Florida Alcohol and Drug Abuse Association. Dr. Bliss is a member in good standing with the American Psychological Association as well. She is a qualified supervisor for registered interns. JOHN ALLEN, MSW, C.C.J.A.P., REGIONAL VP CENTRAL Mr. Allen has worked in juvenile justice since the early 1980's. He began his career as an outpatient counselor with Central Florida Human Services, then served for several years as a probation officer in Bartow, Florida and was then appointed superintendent of a sixty bed combination drug treatment/moderate risk program which he operated for eight years. In 1996, Mr. Allen joined Youth Services International as the Assistant Facility Administrator of Operations for Polk Youth Development Center, a high risk, 350 bed male facility. In 1998, he was promoted to Facility Administrator and opened the Paulding Youth Detention Center for YSI in Dallas, Georgia. In 2001, Mr. Allen was promoted to Regional Director of Georgia and in 2005, was promoted to his present position of Regional Vice President, Central Region and North Florida. JASIR DIAB, REGIONAL VP SOUTH Mr. Diab joined YSI in 1997 as a Youth Worker at Pahokee YDC. Through a series of promotions, he eventually became the Quality Assurance and Accreditation Manager there. In 1999, he was promoted to Support Services Analyst at YSI s corporate office. From there, he was promoted to Program Director of Cypress Creek Juvenile Correctional Facility. He then moved on to become the Deputy Director of Secured and Detention Programs at a YSI facility in Baltimore Maryland. In 2004, Mr. Diab returned to Florida and managed the transition of Thompson Academy to YSI from another provider. After a year away from the company, Mr. Diab accepted the position of Facility Administrator at Palm Beach Juvenile Correctional Facility where he served until he was promoted to his present position in He s a certified quality assurance peer reviewer for the State of Florida. Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 6

48 MANAGEMENT CAPABILITY TUWOLLAR MOBLEY, VP TRAINING Ms. Mobley joined YSI in 1998 as a Youth Worker at JoAnn Bridges Academy. Through a series of promotions, Ms. Mobley became the Program Director of JoAnn Bridges Academy. Recently, Ms. Mobley was promoted to her present position. She is a Girl Matters Certified Trainer, Instructor Technique Workshop certified trainer; Protective Action Response certified instructor, Leadership Development instructor, and a certified quality assurance peer reviewer for the State of Florida. Ms. Mobley is responsible for overseeing training and staff development planning for YSI s Florida programs. CHRISTOPHER SLATTERY, VP SUPPORT SERVICES - Mr. Slattery has over 4 years experience in the juvenile and criminal justice arena and is presently the Vice President, Support Services. In this position, Mr. Slattery is responsible for all corporate wide purchasing, payroll services, and human resources, including employee health and welfare benefits. Prior to this Mr. Slattery was a Quality Assurance Specialist, with responsibility for QA audits of all company-operated facilities. He is a graduate of Florida State University with a Bachelor degree in Criminology. DOROTHY XANOS, VP CONTRACT COMPLIANCE - Ms Xanos has over 22 years experience with juvenile justice. Formerly with the Florida Department of Juvenile Justice, Bureau of Quality Assurance, she joined YSI in 2000 and in 2008 was promoted to her present position, where she provides corporate assistance for facility accreditation and oversees development of new business proposals. Additionally, Ms Xanos provides transition assistance to new facilities, conducts internal investigations and is a certified quality assurance peer reviewer for the State of Florida. MICHELLE MOODY, EVIDENCE BASED INTERVENTION SPECIALIST Ms. Moody is a Licensed Clinical Social Worker with 22 years of experience in the mental health and substance abuse field. She did her graduate internship at The University of Miami Mailman Center for Child Development and specializes in treating children and adolescents with trauma related disorders. Ms. Moody is trained in (EMDR) Eye Movement Desensitization and Reprocessing, (M-TREM) Male Trauma Recovery Model, and Motivational Interviewing. She was trained in Thinking for a Change by Barry Glick and Steve Swisher, and is Thinking for a Change Master Trainer. NANCY PYRAM-BERNARD, DO, DIRECTOR MEDICAL SERVICES Dr. Bernard has over ten years working in the medical field with adolescent youth. She is a staff member at Hollywood Medical Center, Kindred Hospital, Memorial Hospital West, Westside Regional Hospital, Parkway Hospital, Aventura Hospital and board certified in Family Practice/OMT. Dr. Bernard is a professional member with American Osteopathic Association, American College of Family Physician, Student National Medical Association, and National Association of Doctors. IGDALIS ROLDEN CHRISTEN, ARNP, BC, MSN, ASST. MEDICAL SERVICES DIRECTOR Ms. Christen has over 30 years working in the medical field. She has a national board certification as an advanced practice family nurse practitioner. She is an expert witness for the Broward County District Attorney s Office sexual assault. Ms. Christen is a professional member of the American Academy of Nurse Practitioners, American Nurses Association, and National Puerto Rican Nurses Organization. Her professional activities include teaching in local community churches and schools to women and youth concerning health issues. 2a (6) To this point, we have discussed YSI s corporate credentials, structures, organization and management capability. In the next section, we will cover YSI s management capability to operate the DSOP program and the delivery of the required services. YSI knows the key to any programs success is dependent on a superior facility management team. This is especially important at DSOP because of the special needs, issues and method of program delivery required for these youth. Building on our past success and experience operating similar programs, we have designed a management team and reporting structure that will deliver services which will meet or exceed all DJJ standards and contract requirements. Daytona Sexual Offender Program s Organizational Structure DSOP Organizational Chart Program Director HR Tech/Business Mgr. Clinical Director (DMHA) Assistant Program Director/Trainer Psychiatrist (Contracted) DHA (Contracted) MH Clinical Staff (2) Food Service Manager (Contracted) Maintenance Manager Group Leaders (5) Medical Services Manager Juvenile Sex Offender Therapist (1) Case Managers (2) Food Service Worker (Contracted) Youth Counselors (17) Nurse (.5) Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 7

49 DSOP Program Staff Responsibilities MANAGEMENT CAPABILITY Program Director reports to the Regional VP and will be responsible for the day-to-day management and operational oversight of the facility, serve as primary liaison to corporate program operations, Quality Assurance standards and provide recommendations for setting annual program goals. The Program Director (PD) will also serve as primary contact with the DJJ program monitor, DCF, liaison between school districts, administer a comprehensive public relations program and serve the community advisory board. The Program Director will be available on a 24 hour on-call basis. Additionally, with guidance from the corporate office, the PD will be responsible for the preparation and management of annual budgets that will ensure adequate resources for program operations. Asst. Program Director/Trainer reports to the Program Director and will supervise resident programs and directcare staff and serve as a mentor to subordinate supervisors, review facility performance against plans and standards, report deficiencies to the Program Director, suggest and oversee changes. The APD will oversee security requirements and identifies applicable local, state and federal regulations, provide input on program budgets, review and respond to program reports prepared by staff, chair unit staff meetings, provide feedback to subordinate supervisors and provides 24-hour, on-call administrative coverage. The APD will also be responsible for the COOP and act as the Emergency Disaster Plan Coordinator. Additionally, they will be responsible for overseeing and/or provide training to facility staff. Clinical Director reports to the Program Director and will be appropriately licensed as required by the RFP and be qualified in the treatment of sex offenders. He or she will serve as the Designated Mental Health Authority and will be responsible for overall day-to-day management of the clinical sex offender, mental health and substance abuse treatment program. The Clinical Director will coordinate sex offender treatment with Dr. Hunter, provide face-to-face supervision and case consultation directly to licensed and non licensed clinical staff, including review and approval of all treatment-related documents. Responsibility for regular review and implementation of the Crisis Response Plan, Emergency Service Delivery Plan, Suicide Prevention Plan and all related clinical facility operating procedures. maintain required facility licenses and certifications, ensure that policies, procedures, practices and records are in full compliance with all applicable mental health and substance abuse regulations, laws, and standards of practice, provide all required statistical and outcomes reports to the requesting agencies, and provide 24-hour clinical on-call coverage. Oversee and/or provide training to facility staff on mental health and substance abuse related matters, will provide administrative oversight to case management services and fulfill other duties as required. Mental Health Therapists reports to the Clinical Director and be responsible for assessment, planning, development and provision of clinically appropriate treatment services to a caseload of no more than ten youth assigned to their care. One of the MH therapists will be a licensed Juvenile Sex Offender therapist with three (3) years experience in the treatment of sex offenders. All clinical staff will be members of the treatment team, provide direction to non-clinical staff members working with the youth, and function as liaison to parents and guardians. They will provide individual, group and, family therapy in accordance with individualized and specific treatment plans, and oversee planning and implementation of discharge/transition plans for their assigned caseload. Case Managers reports to the Clinical Director and will be responsible for the administration of non-clinical assessment instruments such as risk and needs assessments, serve as liaison to the Juvenile Probation Officer (JPO) and DCF counselor assigned to youth on their caseload, develop and oversee implementation of performance/transition plans and performance summaries, chair treatment team meetings, and assist in discharge/transition planning. They may additionally be assigned to complete intake documentation and provide orientation training to new residents during the admission process. Case Managers will be trained in Motivational Interviewing techniques and T4C. Group Leaders will be responsible for oversight of the direct care (youth counselor) staff on the shift to which they are assigned. The duties include; conducting and documenting security, safety and sanitation inspections, development of shift assignment rosters and posting assignments for approval by the program director or assistant program director, providing recommendations for development of security, safety and disciplinary policies and procedures, provision of immediate non-clinical crisis intervention for youth, and mentoring of subordinate staff members. Additionally, he or she would serve on classification, disciplinary or other committees as assigned. Youth Counselors (non-clinical staff) reports to the Group Leader and functions as primary counselor, mentor and role model to each youth assigned to them. They are the first line of crisis intervention and identification of specialized or emergent mental health needs, and play an important role in providing information and support to youth as they progress through the program. They participate in treatment team meetings, are responsible for providing a safe, secure and clean environment within their area, facilitate unit meetings and, when trained to do so, utilize Motivational Interviewing techniques and deliver evidence-based delinquency interventions. Medical Services Manager is an RN and reports to the Program Director with responsibilities for establishing and maintaining policies and procedures for planning, developing, implementing and monitoring of all medical activities, management of facility infection control procedures and medical treatment of youth, conducting intake and ongoing nursing assessments and provision of daily sick call services. He or she will also provide in-service health related training for staff and youth, and oversee the wellness program for residents. Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 8

50 MANAGEMENT CAPABILITY Nurse reports to the Medical Services Manager and is responsible for conducting daily sick calls; examining juveniles and providing treatments or medications for minor ailments; referring serious or questionable medical problems to physician; examining all newly committed juveniles for indications of communicable disease and physical disabilities; ordering x-rays and immunizations as needed; maintaining juvenile s medical records and schedules periodic/regular examinations; and rendering first aid as required. HR Tech/Business Manager will have split reporting. HR related issues will be directed to the Program Director and financial issues directed to the Regional VP. This individual will be responsible for the day-to-day operations of the Human Resources department, including: recruitment, interviewing, selection of personnel, related correspondence, and maintaining regular contact with various recruitment sources, such as community agencies, local colleges, universities, and various human services organizations. Responsible for maintaining accurate payroll records and filing related to payroll reports. Additionally, he or she will maintain systems and controls necessary to provide accurate accounts of expenditures and budget balances for the facility. Maintenance Manager reports to the Assistant Program Director and is responsible for the development of work schedules for the maintenance department, including the establishment of priorities for the maintenance and repair of facility assets. Perform preventive maintenance and safety inspections of facility equipment, scheduled routine maintenance and repairs of the physical plant, including mechanical, electrical, HVAC, plumbing and sprinkler systems; complete testing or inspection of emergency equipment, maintain complete and accurate records of material and equipment utilization, and perform other duties as assigned. Staffing Plan Non Direct Care Staff # Days per Total Department and Position Week Weekdays Weekends Based Required FTE s General Administration 3.00 Program Director Assistant Program Director/Trainer Business Manager/HR Tech Treatment Program 6.13 Psychiatrist CONTRACTED Psychologist - CONTRACTED Clinical Director (DMHA) Juvenile Sex Offender Therapist Mental Health Clinical Staff (1:10) Case Managers (1:15) Educational / Vocational Programs Provided by School District Health Care Services 1.45 Medical Services Manager (RN) LPN Medical Doctor (DHA)-CONTRACTED Maintenance Services 1.00 Maintenance Manager SUB TOTAL for NON DIRECT CARE Direct Care staff Department and Position Week First Second Third Shift Shift Shift Shift Relief Based Required Posts Posts Posts Factor FTE s Group Living DJJ Required Ratios (1:6) (1:6) (1:10) Group Leaders Youth Counselors SUB TOTAL for DIRECT CARE TOTAL DSOP FTE s Recruitment of Quality Staff: YSI s Human Resources Department will work with the Transition Team and, going forward, the facility management team to carefully select the most highly qualified, motivated professionals and direct care staff possible and who represent the cultural diversity of the youth in the program. Upon contract award, arrangements will be made through DJJ, to conduct interviews with the existing DSOP staff to determine potential candidates. At the same time, YSI recruiters will develop a competitive and diverse applicant pool through a variety of recruitment venues including, but not limited to: Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 9

51 MANAGEMENT CAPABILITY Newspaper and print advertisements Web postings on Job posting sites (Monster, Career Builders, Craig s List, Black America Web) Job Fairs Universities and Colleges Local workforce agencies and job placement services Our internal career advancement program allows for 800+ career-minded professionals employed within the corporation to request transfers and advance their skills through promotions when YSI acquires new contracts. DSOP will follow all required standards and DJJ policies for background screening and reference checks and be able to make a job offer to a potential candidate on the same day we receive the approved background clearance. During the hiring process, the HR Department will provide the Transition Team with a daily written progress report that includes the number and source of applications received, positions applied for, interviews conducted, background screenings sent and received and job offers made and accepted. Additionally, YSI will develop and maintain a pool of fully trained on-call employees to ensure vacancies are filled quickly. Following the transition hiring phase, the HR Department will continue to assist and support the facility management team with any future personnel needs. Staff Retention: YSI takes great pride in the quality of our staff and realizes that our employees are the key to a successful program. YSI provides comparable pay rates of similar positions in the local region and offers a comprehensive benefit package for all full time employees and their dependents including but not limited to health, dental, vision, 401k, paid sick, vacation and holiday time. In addition, we have established a program to recognize employees for excellence in performance and years of service. When an employee exhibits outstanding performance at their job, they will be awarded a Notably Outstanding Work (NOW) award and the opportunity to choose a gift from the NOW Award catalog. Additionally, employee of the month, quarter, and year awards are presented with gift certificates at each facility to recognize employees who continually exceed the requirements of their position. Employees who reach five, ten, fifteen, or twenty years of service with YSI are recognized for their dedication and are presented with a plaque and can choose from a list of gifts that includes watches, laptop computers and plasma TV s. A copy of the award catalog is provided as Exhibit #4. Also, every six months, each facility hosts both an Employee Appreciation Day and Employee Family Day. Supervision & Staffing YSI will provide twenty-four hour awake supervision and staffing, 365 days a year. To ensure a physically and emotionally safe and secure environment, the facility will be properly staffed at all times. The Program Director and key personnel will develop schedules, taking into account vacancies and absences, to ensure adequate staff coverage across all shifts consistent with the provisions agreed upon by YSI and DJJ. Administrative, case management and clinical staff will be scheduled to work weekends and holidays on a rotating basis. DSOP will provide managerial, administrative and direct care personnel who are properly trained and physically able to deliver the services as specified by DJJ. As indicated in Section III. A.13. YSI s staff training is comprehensive and will exceed DJJ s requirements. DSOP will provide staff to youth ratios of: 1:6 awake, 1:10 sleep, and 1:5 off-site activities. Additionally, our staffing pattern will include a 1.70 shift relief factor that will cover the staffing requirements during weekends, holiday, sick leave, training, vacancies and other employee absences. Additionally, YSI will develop and maintain a pool of fully trained, on call employees Transition Team: Upon contract award, a transition team will be formed and led by John Allen, Regional VP Central, who has successfully started or transitioned many of YSI s Florida programs. Joining him on the team, will be Tuwollar Mobley, YSI s VP Training, Chris Slattery, VP Support Services, Dorothy Xanos, VP Contract Compliance, Igdalis Rolden-Christen Assistant Medical Services Director, Sylvia Ledbetter, Corporate Compliance Auditor and the Program Director, all experienced individuals who have successfully started/transitioned programs in the past. Our proven comprehensive management approach ensures all aspects of the program operation will be incorporated into an effective Contract Compliance Plan which is overseen by our Corporate Compliance Committee. These individuals, along with the necessary corporate staff, will assist DSOP with all necessary administrative and operational oversight by providing guidance, training, skill development and mentoring from the time of contract award to full initiation of all components of the new contract. In addition, the Senior Management Committee (CEO, CFO, Executive VP, Sr. VP Operations, and Regional VP) and the Clinical Services and Fidelity Oversight Committee will be available to provide any needed assistance to the transition team. A weekly DSOP transition meeting will be held every Monday at 10:00 am by the Senior Management Committee to monitor the progress of the transition. YSI will continue to work in partnership with the Department to meet the goals and objectives of the proposed program. We will negotiate specific completion dates with the Department upon contract award and will complete startup of revised operational components in compliance with Departmental requirements. Facility Policies and Operating Procedures: DSOP s Facility Operating Manual will adhere to DJJ policies, procedures and standards, and includes all required aspects of program operations and facility management, a copy of which will be provided to DJJ for their review. The Operations Manual is reviewed periodically and Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 10

52 MANAGEMENT CAPABILITY updated and signed by the CEO and Program Director at least annually. All DSOP departments will have a copy of the manual on hand to provide staff with a thorough How To reference guide. In addition, an electronic copy is accessible on YSI s state of the art intranet website. Documentation requirements for establishing program accountability have been fully outlined and describe the philosophy, purpose, service delivery plan, policies and procedures for the facility. Program Design: The program design and operation of DSOP will consist of multi-faceted grouping of nationally recognized evidence-based practice and trauma specific interventions. Our mission includes a firm commitment to returning youth to their communities, not just with a reduced risk of recidivism, but also as contributing members of their community and society as a whole. We accomplish this through the utilization of best practice techniques and ongoing program evaluations ensuring continuous improvement for the youth identified as requiring mental health and substance abuse services. As part of this process, the assessment of each youth s individual needs and risk of re-offense are evaluated in the broader context of cultural perspective and trauma sensitivity, as well as within a framework of restorative justice principles and practices. The programming at DSOP will provide evidence-based mental health/substance abuse and sex offender treatment, recreation therapy, gang and delinquency interventions, restorative justice training, behavior management, independent life skills, and education designed to meet each youth s individual needs while instilling Restorative Justice Values and reducing the risk of re-offense. DSOP will offer additional opportunities for self-improvement and personal growth through appropriate vocational training, education and projects in order to provide the maximum opportunity for youth to develop socially, physically, educationally and spiritually. The DSOP program delivery diagram is provided as Exhibit #5. Training & Staff Development: YSI has significant expertise and an extensive background in providing training and staff development programs and will exceed the DJJ requirements by providing hours of training (see Exhibit #8). This expertise and practice is evidenced by six out of seven YSI programs, in their most recent Quality Assurance review, receiving an Exceptional Performance rating for training. DSOP staff will be equipped with the requisite skills needed to operate the program in a manner that will, in turn, provide each youth with the skills needed to establish a successful future. The company has developed and utilizes a computerized training database and tracking system for managing staff training at all facilities. This system tracks the training curriculum and hours each employee receives red flags employees who are approaching the need for additional training and generates a report that is reviewed weekly by the Program Director and our VP Training. This database ensures all personnel are provided with the training and skills needed to meet their individual responsibilities and both the Department s and YSI s requirements. DSOP will be added to this system upon award of the contract. Additionally, training is geared towards enhancing staff skills in role modeling and mentoring. As part of the orientation and recurrent education process, staff members also receive training in ethics and expectations of conduct. Certification All Florida Staff Motivational Interviewing Certified 93 Thinking For a Change - Certified 41 Thinking For a Change Master Trainer 1 Motivational Interviewing Master Trainer 2 Girl Matters - Certified 2 Arise Certified 70 Arise Master Trainer 3 Instructional Technique Workshop (ITW) Certified 10 PAR Instructor Certified 6 PAR Instructor Master Trainer 2 CPR/First Aid Instructor Certified 4 Leadership Development Instructor Certified 5 Restorative Justice Certified 19 RPACT Certified 55 RPACT Instructor Certified 4 Peer Reviewers Certified 25 Corporate Oversight and Program Support for DSOP There are six components to YSI s corporate oversight plan: 1. Both unannounced and scheduled facility visits by an Executive Management Committee member at least quarterly. 2. Scheduled facility visits by a Clinical Services and Fidelity Committee member every quarter. Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 11

53 MANAGEMENT CAPABILITY 3. Monthly review of the Facility Performance Report by the Senior Management, Clinical Services and Fidelity and Contract Compliance Committees. 4. Quality Assurance Mock Audits, similar to the DJJ QA process, are conducted annually approximately six months before/after the actual QA conducted by DJJ. This will ensure the facility receives a full and complete audit every six months. The Senior Management Committee will identify the members of the audit team from our 25 Certified Peer Reviewers. The audit is scored and any standard receiving less than a Commendable score will result in corporate technical assistance being provided to the facility and a time frame in which to correct the deficiency. A follow-up visit will be conducted by a member of the QA team to ensure the deficiency has been corrected. 5. Daily briefing calls between the Program Director and the Regional VP; biweekly calls between the Program Director, Regional VP Central and Sr. VP; and monthly calls between the Executive Management team, Regional VP s and all Program Directors. The purpose of the calls is to discuss overall facility operations and identify actionable issues and assign responsibility for any corrective action necessary. 6. At a minimum biweekly meetings between Sr. VP and Regional VPs on each facilities operation. Reporting/Communications: YSI has developed a comprehensive and innovative reporting system that we call the Facility Performance Report, which tracks all of the facilities key performance indicators. Every month, the Program Director is required to complete the Facility Performance Report and submit it to the Regional VP, corporate HR and CFO to analyze and verify the results. The report is then disseminated to our Executive and Senior Management Committees and discussed during the monthly facility conference call. The report tracks the following information and a copy is provided as Exhibit #3: Program Disruption Incidents Youth on Psychotropic Meds Average Length of Stay Escapes/Absconds Incidents Failure to Report Incidents/PARs by Shift MH/SA Incidents Program Completions Physical Plant Safety Inspection Medical Incidents Attempted Suicides Successful Completions Complaints against Staff Incidents Unsuccessful Completions Staff Training Hours Youth Behavior Incidents Fire Equipment Inspection/Testing Vehicle Safety Inspection Med Errors Budgeted Positions Youth Arrested Baker Act Filled Positions Contraband and Searches Youth Grievances Vacant Positions - >30 days Staff Discipline Analysis Fire Drills Staff Turnover Percentage Employees Terminated Emergency Drills Average Vacancy Rate Month Workers Compensation Injuries Inappropriate Youth Contact Sanitation Inspections Injuries Offsite Medical Attention Management Networking Sessions: Monthly Directors Conference Call: A monthly conference call is held with executive and corporate staff along with the program directors to discuss the overall direction of the company as it relates to administration, operations and programming at each facility. During the call, ideas are shared between the directors and corporate personnel. Training needs are identified and scheduled and provided anytime new ideas/concepts are introduced or when needed. Various areas of programming are discussed to ensure that current and appropriate services are provided based on program type. Annual Directors Meeting: At least once a year all program directors meet with the executive and corporate staff in a goal setting meeting for the following year. Training is provided by content area experts in various areas of program administration, operations, programming and management/supervisory techniques. Directors are encouraged to network with their peers, corporate support staff and executive staff in an effort to enhance their respective facility's performance. Outside speakers, who are experts in their field, are invited to make presentations and work directly with the Directors in round table discussions. Information Systems: YSI supports all facilities with a management information system networking the corporate office with all YSI facilities. Computer workstations with shared file systems, internet service and selective network access are provided to most staff members. The management system is a repository for essential forms and information needed to carry out program operations. Additionally, an accounting system, networked with the corporate office, is maintained at each facility for inventory control, requisitions and Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 12

54 MANAGEMENT CAPABILITY purchasing, thereby ensuring an adequate supply of required products is always available, as well as to ensure invoices are paid timely to maintain the highest Dunn & Bradstreet rating. DSOP will be linked to all these systems at start-up. Community Advisory Board: YSI values its relationships with its host communities. Program administration at DSOP will work closely with community leaders through a facility advisory board and speakers panel. A primary focus of the advisory board will be to provide mentors for the youth. Program administration will work with community leaders to develop appropriate service projects and off-campus activities that augment the treatment experience for the youth in the DSOP program, as well as contribute to the establishment of Restorative Justice Values and provide a return resource to the community. Supporting Our Staff: YSI believes the best way to support our programs is to support our dedicated and hard working staff. We are always looking for ways to reward staff for their excellent performance and give them career advancement opportunities. Staff appreciation is shown daily with our NOW awards program. We give gifts to show our appreciation to staff when they are observed doing their daily duties with a real sense of dedication to the youth. Employees of the Month, Quarter and Year receive awards and gifts are issued at all our programs. Length of Services Awards (5,10,15, 20 yrs) are presented to staff who get to choose gifts ranging from watches, lap top computers and plasma TVs. (See Exhibit #4) Staff appreciation functions occur at each program for all staff every six months. Staff that shows a strong interest in career advancement are offered opportunities to attend training seminars and conference such as the Council of Juvenile Correctional Administrators, American Correctional Association, Florida Alcohol and Drug Abuse Association, National Council of Juvenile & Family Court Judges Conference and the Florida Juvenile Justice Association. We have used, with great success, the YSI Peer Review program as a vehicle for career minded staff to demonstrate their dedication to quality programming and operations. After completing this DJJ QA Peer Review Training they participate in YSI s corporate audit team program so they can see and experience all YSI programs and potentially develop advancement opportunities in our other programs they might not otherwise have considered. Internal Quality Improvement Identifying Problems and Improvement Process YSI s management team has had great success at demonstrating its commitment to continuous quality improvement with innovative programming and delivery systems which resulted in all our Florida programs receiving Commendable or Deemed status. Our Quality Improvement Process consists of 6 components: 1. Ethics and Compliance Committee includes James F. Slattery, President, Woodrow Harper, Executive VP, Jesse E. Williams, Jr., Sr. VP and David Scharoun, CFO. This committee oversees the company wide Ethics and Compliance Program, established in 1997, that effectively guides all facility and corporate staff in proper conduct with the youth, co-workers and the community. Ethic handbooks (See Exhibit #6) for staff and management are issued at the time of hire. Training occurs both preservice and in-service annually. The Executive Management Committee reviews all incident reports involving unethical conduct and assigns one of our trained investigators to conduct a through independent investigation. The findings are reported directly to the Committee who will determine the appropriate disciplinary action. 2. Corporate Contract Compliance Committee includes the President, Sr. VP and Regional VP s. They are tasked with monitoring the facility operations, quality of the services provided and overseeing our internal QA process. The Committee makes certain all necessary resources are made available (manpower and financial) to support facility operations and to quickly address operational deficiencies. Quick action is the trade mark of this experienced committee in addressing issues and ensuring communication to both YSI staff and DJJ monitors. 3. Quality Assurance Plan for DSOP provides a high level of oversight and support for its programs through performance reviews and technical assistance. An initial Corporate Quality Assurance Audit will be conducted 2 weeks after the opening of the program to ensure all elements of program accountability are fully in place. A report will be generated identifying areas needing immediate attention and corporate technical assistant will be scheduled and provided. The Program Director will establish a facility based Quality Assurance Team which meets weekly to schedule training on selected standards with staff and to implement corrective action plans for any deficiencies sited in the corporate QA reports. After the initial audit, YSI s corporate QA team will conduct follow-up on site reviews at least quarterly ensuring program integrity, fidelity and quality. A full corporate compliance audit employing the most recent DJJ QA Standards will be conducted at least annually. Both the quarter and annual audit team will include several of YSI s 25 Certified Peer Reviewers. Corporate monitoring includes technical assistance with DSOP to develop a quality improvement plan to resolve any issues of concern. Internally, a monitoring schedule is established to continually assess operational risk factors, facility maintenance, treatment processes from intake through discharge, professional Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 13

55 MANAGEMENT CAPABILITY development and employee morale. YSI will begin the process of obtaining accreditation of DSOP by the Commission for Accreditation of Rehabilitation Facilities (CARF) upon start-up. 4. Corporate Oversight and Program Support System (see pages 11-13). 5. Internal Monthly Audits of all youth records, HR and staff training records are conducted by the Facility QA Committee to ensure full contract compliance. Deficiencies are communicated to appropriate department heads with specific time frames for completion of corrective action. 6. Senior Management Committee meets monthly and uses each program s Facility Performance Report as a tool to identify any process in need of review. This report includes charts and graphs showing trends on all program operations such as: increases/decreases in youth grievances, PAR events, med errors, etc. by reviewing these reports Senior Management can easily determine areas of operations where policies, procedures and process need to be reviewed and improved prior to a significant event occurring and before a contract compliance issue develops. These six quality improvement management tools ensures the delivery of high quality services and programs that meet and exceed the reporting and monitoring requirements of DJJ. 2b. Management Capability-Department owned or leased YSI attended the mandatory site of the proposed facility (Daytona Sex Offender Program) an existing Department owned/leased facility located at 1386 Indian Lake Road, Daytona Beach, Florida A copy of the Site Visit Sign- In Sheet is located in Volume 1 Tab 1 (Technical Proposal). ). Additionally, YSI attended the non-mandatory site visit on April 14, 2011 for the building currently being utilized as the 16 bed moderate component. YSI is aware of the value of DJJ s physical assets and will comply with all requirements to ensure all building areas are well maintained. YSI will have a Maintenance Manager skilled in the maintenance of residential treatment type facilities and will be on call 24 hours a day for all physical plant emergencies. YSI will request, through DJJ, a pretransition facility walk through to evaluate the physical plant systems and infrastructure and convey to the Department any maintenance needs or concerns. Section V Mandatory Requirements (H) Based on the walk through during the mandatory site visit, YSI would propose to make the following improvements at DSOP: Repair of the magnetic door lock system, if needed or required, which will greatly enhance the safety and security of the youth and staff in the facility. Installation of Guard 1 system which will ensure the required 10 minute room checks are completed and electronically documented. Painting of the main building interior and education portables exterior to improve the appearance of the facility and increase both staff and youth morale. Kitchen equipment additions such as stove top/griddle, double convection oven and deep fryer thus allowing the food service staff to provide a greater variety and better tasting menu. If the Department has other or additional areas of improvement YSI would work with the Department to accomplish them. To provide the funding of these projects YSI, upon the start of the contract, will deposit into the major maintenance fund account an advance equivalent to the first 12 months payments. For information on the maintenance of the facility, please see section 2b above. 2c. Management Capability Options Options for Increased Units of Service YSI s has experience in successfully adding units of service as evidenced by the recent increases requested by the Department at five of our programs (St. Johns JCF, St. Johns YA, Palm Beach JCF, Thompson Academy, Broward Girls Academy). Should DJJ exercise the option of adding additional units of service by an amount not to exceed fifty percent (50%) of the base number of units, YSI will formulate a plan, for DJJ s approval to reallocate how facility space is utilized, ensuring appropriate space is available to provide housing, treatment and programming for the youth. Within thirty (30) days of the Departments notification of its intent to exercise this option, YSI will develop and provide the Department with a comprehensive, written implementation plan, similar to the start-up checklist referenced in Exhibit #2 and assign a transition team to assist with the implementation of the requested changes. Additionally, a meeting would be scheduled with the Volusia County School Board regarding the possible need for additional staffing. Prior to executing these additional units, DJJ and YSI would enter into a collective agreement for services and the program contract would be amended to reflect the changes. Recruitment of Additional Staff Increasing capacity above the base number of units could result in the need for additional staff. All YSI facilities develop and maintain a pool of fully trained, on-call employees. Depending on the DJJ s time frame, and because of our experience and size, YSI will draw from these experienced and trained staff to fulfill the increased staffing ratios within two to three days of the request. Having this depth of staffing would allow YSI Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 14

56 MANAGEMENT CAPABILITY if needed, ample time to recruit and train any additional direct care staff. In addition, YSI will have two on-call clinical professionals available which will allow us have the ability to integrate the additional youth into the program in the two to three day time frame. This will allow YSI the time to recruit additional full time clinical professionals to consistently maintain the 1:10 caseload. For additional information, please see the recruitment section on pages Options for Changes in Contract Services Recently, several of our programs were relocated (Blackwater Stop Camp to Santa Rosa YA and Santa Rosa JRF to St. Johns YA) including changes to the restrictiveness level with overlay services being increased or modified. These changes were all successfully accomplished and completed within the required time frames. DJJ has the option to modify the contract including adding or reducing services and/or program capacity, changing the restrictiveness level and/or gender of youth served in the program or location of the program during the contract term. In the event services are added, YSI understands there are many variables that can effect change on a facility's population and programming needs. YSI would work in conjunction with the contract manager to identify the need for additional staff and supplies. In the event services were reduced, an analysis would be conducted to evaluate the program model. If this resulted in a reduction in program capacity, the Regional VP would meet with the Program Director to discuss the possible decrease and transfer of staff to other YSI facilities. In the event the restrictiveness level was to increase, YSI would work in conjunction with the Department to assess and add additional security measures, program services and additional staff. Conversely, should DJJ decrease the restrictiveness, the staffing ratio would be adjusted and access to the community could be increased. YSI has successfully redefined the gender at three of our programs and has the experience to accomplish this should the Department wish to redefine the gender of youth. YSI would realign and utilize internal staff members who have experience working with a gender specific population and work in conjunction with DJJ to formulate a smooth transition. Youth Services International Response to RFP # R2107 Daytona Sex Offender Program Page 15

57 PROGRAM SERVICES I. GENERAL DESCRIPTION Youth Services International (YSI) continues with their dedication and commitment to provide successful programs that reflect positive outcomes. YSI will provide for a 30 bed adolescent boys residential program classified as high risk to public safety and in need of sex offender treatment services. The program, Daytona Sex Offender Program (DSOP) will utilize the campus located in DJJ Region 2, Northeast, Circuit 7 at 1386 Indian Lake Road, Daytona Beach, Florida, DSOP will serve thirty (30) adolescent boys, between the ages of years, providing custodial supervision 24 hours per day, 7 days per week. The anticipated length of stay will be months. Exceptions to the age requirement will be made only with the approval of the Chief of Commitment. YSI will operate DSOP in accordance with Chapter 985, Florida Statutes (F.S). YSI has contracted Dr. John A. Hunter, Ph.D., Consultant, Clinical Services internationally known for his clinical study of the etiology, assessment, and treatment of juvenile sexual aggression. He will have responsibility for overall design and implementation of YSI sex offender treatment model, including: On-going training of professional and support staff in the implementation of the sex offender treatment model, as well as to assist them in understanding the causes, assessment, and treatment of juvenile sex offenders; Resource support for the Onsite Clinical Director (DMHA); Clinical case consultation; and Program evaluation activities. Family involvement is considered a cornerstone of treatment in all YSI facilities. Family therapy will be provided to assist all family members in learning more effective coping strategies. Along with clinical assessments, each youth s needs and risk of re-offense will be reevaluated regularly utilizing nationally recognized assessment instruments that included but not limited to the Residential Positive Achievement Change Tool (RPACT). The programming YSI proposes for DSOP is designed to accomplish several major goals, including but not limited to: Focus on treatment and security issues relevant to the youth s mental health and/or substance abuse needs, legal status and provide high-quality care utilizing evidence-based and/or promising treatment and practices within a framework based upon Restorative Justice philosophies, principles, and practices; Provision of youth care, safety, and protection in an environment that fosters healthy social, emotional, intellectual, and physical development; Delivery of comprehensive on-site medical services to meet the specialized health needs of the youth; Maintain adequate staffing to provide a safe, secure and therapeutic environment; Create and maintain good working relationships with relevant community-base agencies, including the mental health, health, social service, and criminal justice systems and with the community; Provide equal opportunity and access to quality education that meets the individual needs of each youth. II. YOUTH TO BE SERVED Plan to Provide Care and Custody Services Admission Requirements and Eligibility: DSOP will comply with the services as described in the RFP and meet the requirements set forth in Rule 63-7, F.A.C. DSOP will only accept referrals for admission from the Department. For acceptance into DSOP youth will be years old who have a documented need for sex offender treatment services based on a psychosexual assessment. Placements will be accepted from all regions of the state. YSI understands that if personnel disagree with the placement of a particular youth, the admission of the youth will occur and the staff may contact the assigned commitment manager. DSOP will accept new admissions Monday through Friday between 8:00 a.m. and 5:00 p.m. with the flexibility to provide admission services during non-routine hours should the need arise. YSI understands that all admissions will be coordinated in advance with the local Commitment Manager and DJJ JPO. At the time of admission, DSOP staff will present an orientation program to the adolescent youth in accordance with 63E-7.005, Florida Administrative Code (F.A.C.). Admitting staff members will be trained in Motivational Interviewing techniques in order to effectively assess each youth s status at admission, as well as to assist the youth through the orientation process and begin their acquaintance with the YSI Discovery Model s Stages of Change, behavior management model, which is proprietary to YSI. The clinical staff will employ a series of screening and comprehensive assessment instruments, as defined in Section III A.6.a., and in accordance with Rule 63E-7, F.A.C. and the DJJ s Mental Health and Substance Abuse Services Manual (Revised 2007). All admissions and releases will be recorded in the Juvenile Justice Information System (JJIS) Bed Management System within 24 hours of admission or release. All JJIS information, including projected release dates, will be reviewed and updated at least once per week by designated staff. There will be no co-mingling of common areas such as sleeping, dining, education, any sport activity, vehicle transportation, etc. with committed youth to the Department (such as private pay youth). Intake Process, Classification and Grouping of Youth by Needs: DSOP will implement an internal classification and alert system designed to assist staff in identifying each youth s needs and risks, and to utilize that information to ensure the safety of all youth, staff and the public and facilitate the delivery of treatment. Each youth s treatment team will meet to review each new admission and assess the initial admission classification of the youth. Each team member will review the DJJ commitment packet and Commitment Positive Achievement Change Tool (CPACT) to determine the most appropriate placement and sleeping Youth Services International, Inc. 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58 PROGRAM SERVICES arrangements and to advise direct care staff of classification issues. The case manager s responsibility will be to complete the Residential Positive Achievement Change Tool (RPACT) within 21 days of the youth admission. Additionally, the team s task will be to formulate the initial performance and treatment goals to provide a baseline for each youth s performance expectations during his first 30 days in the facility. Once the youth is immersed in the program and assessments are complete, the assigned case manager and therapist will work together to update the performance and treatment plans for review with final approval by the treatment team. Additionally, being aware of the potential overwhelming nature of this process, staff members will interact with each youth on a level that allows him to feel more emotionally and physically safe, and assist in decisions regarding assignments to living areas, groups, and staff advisors. Each youth will be assigned a Primary Counselor (direct care staff) to assist and mentor the youth through the program. Youth with significant gang involvement will be evaluated utilizing the Phoenix Gang Intervention Program and will follow the guidelines in Secretary Peterman s response (#1&#2) to OPPAGA recommendations regarding evidence-based gang intervention. Internal classifications and alerts, including the following, will be discussed during the treatment team meeting and documented on the Youth Classification Sheet: The youth s information and physical characteristics including age, height, weight, distinguishing physical characteristics & general physical stature. The youth s perceived level of maturity and its effect on his needs The seriousness of his current offense whether it is against person or property Prior delinquency history and background and current involvement with DCF (if applicable) DNA testing and gang affiliation Youth s past involvement in assaultive, aggressive or violent behavior, sexual misconduct, predatory behavior, or demonstration of emotional disturbance Self-identified history of trauma Medical needs and or any type disability Youth s level of aggressiveness or suicidal tendencies upon admission Identification of youth susceptible to victimization. Sexually Violent Predator (SVP) eligibility Review and assessment of the individual management record and intake packet for perceived risks (medical, suicide, escape, public, and gang activity) Dorm and room assignment, and reasons for the assignment decision Additionally, a definitive alert system will be established as part of the classification process to notify staff when mental health, substance abuse, medical, gang affiliation or security issues exist that may affect safety and security. If a youth is identified as a suicide risk, he will be placed in protective clothing and receive daily, one-on-one counseling sessions until the crisis is resolved. If a youth is identified as an escape or security risk he will be placed in a red jumper. Any time a youth is designated as being on alert status, an information sheet detailing the alert will be placed in a binder which will be kept in an area that is easily accessible to designated staff members. This information sheet will be updated at least daily by medical, mental health, substance abuse or administrative staff and noted by direct care staff. DSOP staff, once having identified youth with special needs will document the information on the DJJ JJIS alert system. These special needs may consist of a youth placed on Suicide Risk Alert and Plan, Mental Health Alert and Plan and or Medical Alert (youth placed on Medical Grade 5 prescribed psychotropic medication). As the youth continues through the intake process, a qualified medical staff will conduct a health screening in accordance with the DJJ Health Services Manual. The qualified medical staff when assessing each youth will use the gender-specific Facility Entry Physical Health Screen form to identify any medical conditions, review their current medications, prior medical history and Summary of Medical Recommendations (if applicable). In the event of food allergies or special diet needs, the medical staff will advise food service staff in writing of required dietary limitations. This information will be placed in a binder with the youth s picture and be only accessible to the food service staff. Additionally, this will assist the qualified medical staff in anticipating any type of health need and determine whether a youth has any chronic, acute or emergency health condition requiring immediate evaluation and treatment. Once the youth has completed the intake process with the qualified medical staff, the case managers having been trained to administer the Massachusetts Youth Screening Instrument (MAYSI-2) will screen each youth in order to identify indicators of mental/emotional disturbance or distress according to Departmental requirements. Additionally, the case managers will complete the Vulnerability to Victimization and Sexually Aggressive Behavior (VSAB) form during the admission process. Regardless of the results of the MAYSI-2, YSI will exceed the requirements of the RFP by providing every youth entering the facility a full battery of clinical assessments administered by qualified mental health and substance abuse professionals. YSI will also ensure that, upon intake, each youth receives a face-to-face evaluative and diagnostic interview conducted by a qualified professional. Assessments include, but are not limited to the Juvenile Sex Offender Protocol-II (J-SOAP-II), Estimate of Risk of Adolescent Sexual Offense Recidivism (ERASOR), Child and Adolescent Needs and Strengths Sexually Development (CANS-SD), Child PDSD Symptom Scale (CPSS), Assessment of Suicide Risk (ASR), Substance Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 17

59 PROGRAM SERVICES Abuse Subtle Screening Inventory, Adolescent Version (SASSI-A2),, the Suicide Probability Scale (SPS), the Beck Depression Inventory, Third Edition (BDI-III), the Childhood Trauma Questionnaire (CTQ) and the Diagnostic Interview for Children and Adolescents, Fourth Version (DICA-IV). The DICA-IV is a nationally recognized, electronically administered and highly detailed comprehensive assessment instrument. Additional assessments will be conducted when determined necessary, based on a systematic review of available information. Upon completion of the various screenings, the assigned case manager will continue with the youth s intake. He or she will contact the parent/guardian to advise of the youth s arrival and to provide an opportunity for him to speak with his parent/guardian during the admission process. YSI s policy has always focused on the importance of family involvement while the youth is in the program and reunification with the family once the youth transitions into the community. During the initial call, the assigned case manager will provide the parent/guardian with information about the program and encourage their participation in their youth s treatment process within 24 hours of admission. As a follow-up to the initial telephone call, the assigned case manager within 48 hours of admission, will mail an admission letter and the parent handbook to the parent/guardian. Copies of the admission letter will be sent to the assigned DJJ juvenile probation officer (JPO), committing judge, aftercare provider, and (if applicable) DCF worker. Based on the initial screening process outlined above, collateral contacts, and initial interactions observation of the youth, they will be assigned to a room, advisor and programs. Risk factors that could compromise the security or safety of youth and staff will be entered into the alert system. Staff members will continually assess the level of risk represented by each youth. As staff members learn additional information about a youth, the treatment team may find it beneficial to assign another room, group, or staff advisor to ensure the safety of youth and staff members, and to meet the youth s treatment needs. At a minimum, each youth will be assessed/re-assessed: III. A.1. During the intake process prior to classification Prior to increasing a youth s privileges and freedom of movement within the facility Prior to participation in work projects or activities that involve tools or instruments that may be used as potential weapons or means of escape Prior to participation in any off-campus activity Every Days SERVICE TASKS Care and Custody Services: A.1.a. DSOP will provide for care and custody of all youth at all times. This includes proper supervision of youth during hours of program operation or service, orientation and transportation. YSI has established a structure of treatment/intervention services to address significant care and custody issues for the youth as well as to address the safety of the community. These services will be an integral part of the individualized programming for each youth and will include as follows: Orientation DSOP s staff will provide orientation, meeting the requirements of Rule 63E-7, F.A.C., on the same day as each youth s admission. Orientation will have, as a primary focus establishment of a working alliance with the youth while providing him with an understanding of the program s goals and rules. Orientation is an opportunity to ensure all youth are comfortable knowing they are in a safe and secure environment. 1.) The orientation process will include a discussion of DSOP s philosophy, goals, services and expectations. Documentation of each component will be maintained in the youth s individual management record, and will include the orientation topics, dates presented, and appropriate staff/youth signatures or initials. The orientation program will include: Welcoming the youth Introduction to DSOP staff and other youth and inform of the room assignment, as well as the assignment to a therapist, case manager, primary counselor (direct care), youth group, and treatment team. Introduction to program rules, goals, regulations, rules governing conduct, schedules and responsibilities (this information is conspicuously posted within program areas in order to allow for easy reference by youth and staff). A list of prohibited contraband items and materials. Information regarding disciplinary actions which may occur should youth violate program rules. Clarification of the program s behavior management system. Overview of program services available to youth, as well as the performance/transition planning process during which performance/transition goals are developed. DSOP s dress code and expectations relative to hygiene. Access to ongoing and emergency medical, substance abuse and mental health care including advocacy phone numbers and sick call procedures. Visitation schedule/telephone and correspondence policies and procedures Eligibility criteria for participation in off-campus activities and community access. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 18

60 PROGRAM SERVICES DSOP s grievance procedures, youth rights and how to contact the Florida Abuse Hotline. DSOP s emergency disaster plan, including procedures for fire drills and building evacuation. The physical design of the facility and which areas are off limits to youth. Projected length of stay. Review property inventory. If a language or literacy problem or physical disability exists that could lead to a youth misunderstanding the information, staff from the program, or an interpreter, will provide assistance as needed. Student Handbook The student handbook will be pre-printed in English, Spanish, Creole, and available in any language. It contains vital information about DSOP, a description of the behavior management system, how success is measured and achieved, reference numbers for the child abuse hotline, Florida Advocacy Council and DCF/SAMH Area program office and information about each youth s rights and responsibilities. Staff will reinforce the orientation information throughout DSOP to help maintain consistency and direction. The handbook will also contain information discussed during the orientation (i.e. access to medical etc.) and about the youth grievance process, ensuring access to a representative from DJJ, and that no adverse action will be taken against them for filing a grievance. Parent Handbook The parent handbook will be pre-printed in English, Spanish, Creole, and available in any language. It is a guide for the parent/guardian and contains vital information about DSOP and trauma informed care and will be sent to the parents/guardians, within 48 hours of the youth s admission, by the assigned case manager. Quality of Life and Youth Grievance Process YSI will establish the expectation that staff will treat youth with dignity and respect, and the program will provide a positive quality of life for its youth. As mentioned above, all youth will have access to an established, published grievance system which will be described in the student handbook, and will include the location of grievance forms and instructions for completion, so that youth have unimpeded access. All grievances will be addressed within 48 hours. The Program Director and the management team will review grievances on a weekly basis for patterns and trends. This process will be in conjunction with the corporate reporting system that YSI will implement at DSOP. Youth grievances will be one of the elements assessed in the Facility Performance Report. Youth Hygiene and Dress Code During the admission process, the youth will be provided climate appropriate clothing that is properly fitted, clean, in good repair and in sufficient quantities to allow for laundering. Staff and youth are uniformly attired for easy identification in accordance with Rule 63E-7.007(5) (b) 1, F.A.C. DSOP s staff will provide personal hygiene items suitable for an adolescent male population. All youth are prompted to groom themselves after strenuous activity and prior to meals, court, visitation, etc. The Designated Health Authority (DHA) will review and approve the youth personal hygiene instruction and general sanitation habits as part of the youth s health education program as discussed in Section A.4. Health Education Programming. All youth will be required to shower daily unless medically contraindicated and brush their teeth in the morning and evening and keep their finger nails clean and clipped. All youth will receive clean bed linens weekly or more frequently if required by special circumstances, towels daily and all will be laundered and sanitized in accordance with Rule 63E-7.007(4), F.A.C. Facility and Food Services/Nutrition Since few programs affect the climate of a facility more than the food service program, this element will be considered essential to the orderliness and safety of the facility. The staff will conduct their daily and weekly inspections of the food service area to include the food preparation areas, dining area, equipment, dry storage, stock rotation, and temperature checks. DSOP will ensure a sound and appealing food service program with appetizing, nutritional, well-balanced meals, meeting the requirements of Rule 63E-7, F.A.C., which are attractively presented and tailored to the preferences of the youth. Each day, youth will receive three (3) nutritious meals, with at least two being hot and a nutritious evening snack. All meals will be served at scheduled times with no more than 14 hours between the evening meal and breakfast the following day. Menus will be monitored to ensure compliance with the recommended dietary allowances and the U.S. Department of Agriculture s National School Lunch Program and will be reviewed and approved by a licensed dietician/nutritionist in accordance with Chapter 468, F.S. Additionally, menus will be developed and formulated to promote healthy eating and weight management for the youth. At YSI s programs, during meal times, staff will eat with the youth in the dining area not just as a security measure but to encourage interaction by reinforcing positive social skill development for each youth. This is an opportunity for the staff to encourage proper behavior and mealtime etiquette. Special arrangements will be made to accommodate meals for youth that must be away from the facility during regular meal times for court appearances, medical appointments, etc. Special diets will be provided for youth with medical needs or religious dietary requirements as prescribed by the treating physician, dentist or religious authority. All special diet requests will be in writing and reviewed monthly for updates. Additionally, the program will provide special event and occasion meals such as family day, holiday meals, cook outs, dorm of the week etc. Transfer, Release, and Discharge Refer to pages 29, 46 & for further detail. A.1.b. Safety and Security DSOP will comply with Rule 63E-7, F.A.C. as well as local fire and health standards. The Assistant Program Director will be designated as the Safety and Security Coordinator at DSOP to ensure compliance in the facility s safety and security. Structures and grounds will be maintained at all times in a manner that provides a safe, sanitary, and comfortable environment for youth, visitors, employees, and other individuals on site. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 19

61 PROGRAM SERVICES The maintenance supervisor will be responsible for developing work schedules which include priorities for the maintenance and repair of facility assets, a schedule of inspections, and required testing of facility and/or emergency equipment, and implementation of corrective action plans where deficiencies are noted. The maintenance supervisor will conduct regular weekly inspections and maintain a maintenance schedule for physical plant. If a deficiency is noted that represents a major compromise of facility security, immediate action will be taken. During each shift, program staff members will perform and document inspection and testing of doors, locks, bars, grills, walls, floors, vents, security screens, fire extinguishers, fire hoses, fences and gates, electronic audio/visual systems, perimeter alarms, emergency key functioning, and other security related equipment and devices. Additionally, in an effort to keep accurate ten minute checks, YSI will install a Guard 1 system to ensure ten minute checks will be completed and electronically documented in a timely manner. Maintenance reports will include a list of all buildings, equipment and components to be inspected; maintenance schedules, the method for documenting completed inspections, any discrepancies noted, and as necessary, any corrective action that was taken. Results of all inspections will be submitted to the Program Director, and will be made available to DJJ. All staff members will be trained during both pre-service and in-service on the Child Welfare Trauma-Training Toolkit as well as security and safety issues. The toolkit was designed as a resource and to teach the basic knowledge, skills, and values about working with youth who have experienced traumatic stress. This will include but not be limited to emergent traumatic memories, emergent trauma sequelae, trigger events, youth movement, maintaining logbooks, use and protocols of radios, control of facility keys, contraband control and searches, control of all types of tools, the physical count system including formal, informal and emergency counts, secure vehicles, fire, emergency and disaster procedures, use of flammable, toxic and caustic materials, and COOP plan. All staff will be trained on the OSHA requirements, Material Safety Data Sheets (MSDS) that will be located in designated places throughout the facility and available to staff. Youth at no time will be permitted to use flammable, toxic and caustic materials such as lye, insecticide etc. at DSOP. YSI will establish at DSOP, the Keep the Peace Initiative which is structured around the concept of maintaining a safe restraint free and trauma-sensitive environment. YSI believes strongly in maintaining an environment that is healthy, safe, efficient and enjoyable for both staff and youth. On a quarterly basis, DSOP will host a Keep the Peace Rally as a way of reminding the staff of the goals, celebrate the successes and possibly develop new strategies to meet the targets. During the rally the youth will be encouraged to participate by reading poems they created, showcase their dancing skills, perform skits, sing, and display their artwork all in the name of peace. Since, a safe and secure environment depends upon compliance with health and fire authority standards, dialogue will be established with the local health and fire authorities to ensure this occurs. The COOP plan will contain detailed fire and emergency protection and disaster assistance and will be reviewed, approved and updated annually. Fire and emergency procedures will include: Maintaining cooperative agreements with the local Fire Department and continued random inspections; Ensuring all fire protection equipment is located at appropriate locations throughout the facility; Implementation and documentation of fire inspections, equipment and system checks and Implementation and documentation of unscheduled fire and emergency drills. Program Administration YSI will comply with Rule 63E refer to Exhibit #7. A.1.c. Structured Activity DSOP will significantly exceed the RFP requirements by providing structured therapeutic activities during the youth s waking time as follows: 93% structured activities on weekdays (RFP requires 80%) 90% structured activities on weekends (RFP requires 80%) Description of Youths Awake Time Structured Therapeutic Activity - The schedule designed for DSOP offers ample opportunity for self-improvement and personal growth through appropriate structured therapeutic activities and services that provide an interactive learning experience in interpersonal relationship building. The schedule will be carefully adhered to and posted in several areas throughout the facility which are in regular full view of both the youth and staff members. Staff will be trained on the implementation of the schedule and various structured therapeutic activities that will include at minimum trauma informed care, gender specific and motivational interviewing training. The Program Director will provide the appropriate number of staff (1:6 ratio) planned into the schedule. YSI has designed a program providing 9 hours of sleep time per weekday and 9.5 hours of sleep time per weekend day with minor exceptions due to incentives. DSOP will provide structured activity for youth during 93% of the waking hours on weekdays and 90% on weekends exceeding the 80% requirement of the RFP. Clinical Staff, Case Managers and Primary Counselors (direct care staff) assigned to each youth will make daily contact to encourage and maintain participation in all scheduled activities. Staff members will enter ratings on each youth s evaluation form twice a day. This information is compiled into daily, weekly and monthly ratings. Individual participation will also be evaluated in treatment team meetings when considering the youth s progression to the next achievement level. Individualized treatment and performance/transition plans developed for each youth will establish a unique schedule of activities. The mandatory 300 minutes of education, including vocational services, job placement training, placement and transitional planning; as well as daily sex offender and mental health treatment Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 20

62 PROGRAM SERVICES including individual, group, and family therapies will be provided, with individual therapy sessions taking place at various points during the day, based on youth need, individual availability, classroom schedule, free time, etc. Religious/spiritual opportunities, daily recreation/leisure time activities, and rehabilitation programs are also incorporated into the schedule. Additional reward activities Level Promotion Movie and/or takeout meals (participation in Fun Friday at the end of the month) Weekly Evaluation Average Extra Telephone Call Locker of the Week Participation in Fun Friday Student of the Month (Youth in each class with the most improved school/behavioral performance) Participation in Fun Friday Room of the Week (dorm that has no graffiti and no contraband) receives the CD player for a week and participation in Fun Friday Review and Pass Discovery Model level test Dorm Recognition Party Outstanding Youth of the Month (awarded to the youth who goes above and beyond to help others)- Monthly award to be determined Fun Fridays tentatively will occur 4:15 10:00 PM Friday at the end of the month. Tracking System for Monitoring Youth Activity - All youth entering YSI facilities receive therapeutic services according to the requirements of the Mental Health/Substance Abuse Services Manual, (Revised 2007). The timeliness of service delivery for each youth will be tracked by the licensed Clinical Director, (DMHA), utilizing the Resident Service Critical Date Tracker (RSCD), a tracking instrument developed by YSI specifically for this purpose. Service activities will be documented daily and therapeutic progress documented weekly utilizing standardized documentation forms that will be placed in the youth s clinical record. These documents will be reviewed and rated monthly via a peer review system utilizing the YSI review checklist to ensure document integrity as well as adherence to a structured therapeutic activity schedule. Additional review of service planning and delivery will be conducted by the clinical director and corporate QA review teams. The following is a daily/weekly schedule typical of that which will be used at DSOP: Time Monday Tuesday Wed. Thursday Friday Time Saturday Sunday 6:00 Wake-up Wake-up Wake-up Wake-up Wake-up 7:00 Wake-up Wake-up 6:00-6:30 Hygiene Room Hygiene Room Hygiene Room Hygiene Room Hygiene Room Hygiene Room Hygiene Room 7:00 7:30 Detail Detail Detail Detail Detail Detail Detail 6:30-6:50 Breakfast Breakfast Breakfast Breakfast Breakfast 7:30 7:50 Breakfast Breakfast 6:50 7:10 School Prep School Prep School Prep School Prep School Prep 7:50-9:00 Cleaning Cleaning 7:10 8:00 Homework Homework Homework Homework Homework 9:00 10:00 Health Ed Religious Activities 8:00 9:40 School School School School School 10:00 10:10 Restroom break Restroom break Therapeutic Therapeutic 9:40 9:50 Restroom break Restroom break Restroom break Restroom break Restroom break 10:10 10:40 Activities or Activities or Individual Individual Therapy Therapy 9:50 11:35 School School School School School 10:40 11:40 Group Therapy Group Therapy 11:35-11:55 Lunch Lunch Lunch Lunch Lunch 11:40 12:00 Lunch Lunch 11:55-12:50 Group Therapy Group Therapy Group Therapy Group Therapy Group Therapy 12:00 1:20 Community Community Activity Activity 12:50-2::25 School School School School School 1:20-2:50 Family Support Family Support Group Group 2:25-2:35 Restroom break Restroom break Restroom break Restroom break Restroom break 2:50 3:00 Restroom break Restroom break 2:35-3:15 3:15-4:10 Therapeutic Activities or Individual or Family Therapy Delinquency Intervention Group Therapeutic Activities or Individual or Family Therapy Social & Life Skills Group Therapeutic Activities or Individual or Family Therapy Delinquency Intervention Group Therapeutic Activities or Individual or Family Therapy Social & Life Skills Group Therapeutic Activities or Individual or Family Therapy 3:00-4:10 Visitation Visitation Delinquency Intervention Group (BARJ) (BARJ) 4:10-5:10 Recreation Recreation 4:10-5:10 Recreation Recreation Recreation Recreation Recreation 5:10 5:30 Reading/Mail Reading/Mail 5:10 5:30 Reading/Mail Reading/Mail Reading/Mail Reading/Mail Reading/Mail 5:30 6:00 Dinner/Detail Dinner/Detail 5:30 6:00 Dinner/Detail Dinner/Detail Dinner/Detail Dinner/Detail Dinner/Detail 6:00 6:30 Social & Life Social & Life Skills Group Skills Group 6:00 6:30 Homework Homework Homework Homework Homework Phone Phone 6:30 7:00 Showers Showers Showers Showers Showers Calls/letters Calls/letters 6:30 7:30 Phone Phone Phone Phone Phone Calls/letters & Calls/letters & Homework Homework Calls/letters & Calls/letters & Calls/letters & 7:00-7:30 Religious Religious Showers Showers Just Read FI Just Read FI Just Read FI Activities Activities 7:15 10:00 Level 4 Party Personal Time Level 4 Youth Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 21

63 PROGRAM SERVICES Reflection Reflection Reflection Reflection Reflection Reflection Reflection 7:30 8:30 7:30 8:30 Grp/Snack Grp/Snack Grp/Snack Grp/Snack Grp/Snack Grp/Snack Grp/Snack 8:30-9:00 Leisure Activity Leisure Activity Leisure Activity Leisure Activity Leisure Activity 8:30-9:30 Leisure Activity Leisure Activity 8:30 9:30 9:00 Bed Time 9:30 10:00 Personal Time Level 4 Youth Bed Time Level 1-3 Youth Bed Time Level 4 Youth Personal Time Level 4 Youth Bed Time Bed Time Bed Time 9:30 Bed Time Bed Time Bed Time Level 4 Youth Bed Time Level 4 Youth Bed Time Level 4 Youth A.2. A.2.a. Case Management Services Criminogenic Risk Assessment Process YSI will exceed the requirements of this RFP, which requires assessment of criminogenic risk factors through use of the CPACT and RPACT. YSI will utilize a broad spectrum of assessment instruments for all youth including: A nationally recognized clinical assessment instrument: The Diagnostic Interview for Children and Adolescents, Fourth Version (DICA-IV). A minimum of three additional substance abuse/mental health assessment instruments: The Beck Depression Inventory, Suicide Probability Scale, and Substance Abuse Subtle Screening Inventory (adolescent version). Individualized Performance Plan Development DSOP will provide case management services that include coordination with the Department, other agency staff, and appropriate members of the community in the assessment of criminogenic risk and protective factors of each youth. Case management services will be directed by a multidisciplinary treatment team and will include: 1. Screening and Non-clinical Risk/Needs Assessments (review CPACT upon intake; RPACT completed in 21 days, which exceeds DJJ requirements and MAYSI-2 completed during the intake process) 2. In conjunction with each youth, planning and delivery of performance-based services 3. Evaluation of individual youth s criminogenic risks and needs, and preparation of Individual Performance/Transition Plans used in the C.A.S.E.S. process as described in the RPACT (completed in 28 days, which exceeds DJJ requirements outlined in Rule 63E-7, F.A.C. of 30 days) 4. Evaluation of youth s overall adjustment to the program (Performance Summary) Case managers are critical members of the multidisciplinary treatment team and serve as the treatment team leader whose role is to coordinate communication with the Department, the youth, parent(s)/guardian(s), education and clinical staff, judges, juvenile probation officers, program administrative staff, DCF (if applicable) and community organizations. The case managers, prior to the youth s admission to DSOP, will receive and review the Electronic Commitment Packet (ECP) to ensure all documentation is included and complete including the Authorization for Evaluation and Treatment (AET). If the consent documentation is missing, the case manager will contact the JPO who will send the consent documentation to the parent/guardian for signature. During the intake process, the educational staff will complete an education assessment to determine the youth s education level and placement. The case management staff will consist of two case managers who will report to the Clinical Director. Each youth will be assigned to a specific case manager prior to his admission. As each youth completes the intake and orientation process, classification, risk and needs assessments and performance/transition planning, the acquired information will be provided to each member of the treatment team. The case managers from DSOP will be trained in the use of Motivational Interviewing (MI)Techniques and T4C. Each youth will receive a battery of risk and needs assessments appropriate to their admission as described in Section II & III A.6.a. (See pages & 32-34). In order to effectively meet the needs of youth admitted to DSOP, YSI will exceed the specifications of the RFP, and all youth will additionally be evaluated upon admission using a broad spectrum of needs and strengths, mental health and substance abuse assessment instruments. Accumulated assessment data will be used to develop a comprehensive bio-psychosocial evaluation and individualized treatment plan addressing each youth s sexual offense, mental health/substance abuse treatment and medical needs. Information will be obtained directly from the youth, his JPO, family members and/or legal guardian, school personnel, program staff from previous placements, questionnaires, surveys and nonclinical assessment tools. Additional assessments will be conducted by a psychiatrist (i.e. psychiatric evaluation) on every youth within 30 days of the youth s admission regardless of the results from the varied assessments. When provided, this information will assist the treatment team in identifying and prioritizing those risk factors that predispose the youth to involvement with the legal system, as well as those strengths and protective factors that, if promoted, can help reduce criminogenic factors. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 22

64 PROGRAM SERVICES A.2.b. Matching Youth to Delinquency Interventions YSI will match youth to delinquency interventions Section III A.7, (See pages 45-48) through assessment of risk and determination of the protective factors presented by each youth. These risks and protective factors will be prioritized with the top three criminogenic needs identified in the RPACT. In prioritizing needs, the highest emphasis will be placed on assigning the youth to delinquency interventions that address those risk factors that can be reduced and support those protective factors that can be increased. The treatment team will incorporate this information, along with such factors as the youth s amenability to treatment, his capacity to respond due to mental and physical health status, cognitive abilities, exposure to trauma, age, prior history, intelligence, communication style, and level of emotional development into the development of performance/transition plan goals that produce the highest potential to reduce recidivism and increase the chances of success for each youth. With the assistance of the multidisciplinary team and the youth s input, case managers will compile information concerning vocational training, recreation, life skills development, religious interests, and delinquency history. Each youth s performance/transition plan will include: A statement of long and short-term goals to be achieved and the method for evaluating progress. Specification of daily activities, including education and recreation, to be pursued by each youth in order to achieve his individual goals. Identification of all persons responsible for implementing, or coordinating implementation of the plan. Specification of clinical services to be provided, frequency of services and measures ensuring their proper integration with the youth s ongoing program activities. This will be specifically defined in the youth s mental health/substance abuse treatment plan and maintained separately due to confidentiality requirements. Goals and preliminary plans for transition/discharge. A.2.c. Motivational Interviewing (MI) All DSOP s case management, clinical and direct care staff will be trained to utilize MI techniques in the process of working with the youth to develop performance/transition plans. Performance/transition plans take into account the readiness of youth to engage in delinquency interventions as assessed from a Stages of Change perspective. Each youth can come into the program at any one of the stages of change. It will be the task of the treatment team to determine the youth s current position and facilitate his passage through each stage, recognizing those who are diagnosed with co-occurring disorders may be in a different stage of change for each disorder. Staff will refer to the priorities established through the assessment process to determine the focus of attention. A.2.d. Benchmarking Youth s Progress Each youth s progress through DSOP will be objectively reassessed. The results will be used to update his Performance/Transition/Treatment plan on a regular basis: The RPACT will be re-administered at a minimum of every 30 days Effective completion of YSI Discovery Model workbook components and level promotion Achievement of Performance and Treatment plan goals and objectives At DSOP, each youth s treatment team will be assessing his progress through the program by using the following considerations: 1.) Achievement of Treatment and Performance Plan Goals, Achievement of Level Promotion Requirements. Treatment and performance plan goals and objectives will be written in observable, attainable and measurable terms. Achievement of these goals and objectives will serve as an indicator of the youth s progress through the program (See A.15. pages 54-56). 2.) Therapist Observation Therapists will observe youth in various settings, including individual, group and family therapy. While these observations are not purely objective, they can provide an additional indicator of progress. 3.) Pre and Post-Testing Using Domain-Specific Instruments The RPACT and other appropriate instruments will be administered to each youth at key intervals throughout his stay at DSOP. The assessments establish a baseline (pre-treatment) level of functioning in each area of therapeutic focus such as social skills, and the subsequent level of functioning (therapeutic gain) upon reaching certain accomplishments, such as achieving the next level in the program. Although the primary assessment will be the RPACT, other instruments specifically developed for measurement of needs and risks for adolescents in the serious to severe sex offender and mental health treatment population may also be employed, as necessary. 4.) Evidence That Newly Acquired Attitudes, Knowledge, and Skills are being applied to the Living Environment Each youth s treatment team members will evaluate the performance and treatment plans, education progress, and the Discovery work book assignments in order to determine the level of progress in achieving treatment goals. These achievements will be reviewed biweekly during informal and formal treatment team meetings. The Individualized Treatment Plan will be modified as needed. Additionally, the youth s DJJ JPO, parent/guardian, and DCF Counselor (if applicable) will provide input into observed changes in each youth s Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 23

65 PROGRAM SERVICES attitude or performance and obtain required consent documentation. This information will be incorporated into the performance/transition and treatment plans. A.2.e. Performance Summaries The case managers will provide notification, in writing, on a quarterly basis on the youth s progress at DSOP to the committing court, the Department JPO, DCF (when applicable), the youth s parents/guardians, and other pertinent individuals, unless otherwise ordered by the court. The youth s case manager will prepare the performance summary with input from the treatment team members. Each youth will have an opportunity to read, review and add their own personal comments to the performance summary prior to distribution to the pertinent parties. The program director will review and approve each performance summary and a transmittal letter will accompany the summary prior to the case manager sending the information to the required parties. DSOP s case managers will exceed the Department s requirements as outlined in Rule 63E-7, F.A.C., of 10 days by distributing performance summaries within five (5) working days of signing the summary to the youth, parent and/or guardian, DJJ JPO, DCF Counselor (if applicable), committing court and any other pertinent individuals. The case managers will have a tracking system to identify and ensure the performance summaries are sent at a minimum every 90 days to the required individuals unless specified otherwise by the committing judge. A.2.f. Individual Performance Plan - An individual performance/transition plan (IPP) will be developed for each youth, in accordance with the RPACT mandates and within 28 calendar days of admission, exceeding the Department s requirement as outlined in Rule 63E-7, F.A.C. of 30 days. The IPP stipulates goals each youth must achieve prior to release from DSOP in measurable and individually achievable terms, and based upon the prioritized needs that reflect the risk and protective factors identified during the initial assessment process. The IPP identifies the youth s responsibilities in accomplishing the goals, the responsibilities of staff to enable youth to complete their goals, and projected timelines for the completion of each goal. Multi disciplinary treatment team will be utilized for development and review of the IPP, as well as to make any necessary revisions. Each performance/transition plan will be reviewed, signed and dated by the youth, the treatment team, and program director. As stated above, the case managers will have a tracking system to identify and ensure the performance/transition plans are completed within the timeframe. As part of the internal QA review process, the clinical director will review with each case manager s caseload on a weekly basis their caseload. Additionally, as identified on pages 13-14, the assigned corporate QA review team will also review the case files to ensure the case managers consistently meets all the requirements of the RFP. A.3. A.3.a. Health Services Comprehensive On-Site Medical Services YSI has over 18 years experience in developing comprehensive plans for the delivery of medical services, including the establishment of accountability and rapid response systems, to meet the specialized health needs of the adolescent youth admitted to our programs. Each of these plans and systems are specifically tailored to meet or exceed the requirements set forth in the Department s Health Services Manual, Revised October 2006 with April 2010 updates and any subsequent DJJ policies or rules. These elements will include but not limited to attention to high-risk factors related to historical conditions and address the typical needs of males including basic hygiene, sexually transmitted diseases, the physical effects of domestic violence and abuse, HIV testing, obesity, and address stress management. Additionally, YSI will incorporate health education to heal the trauma, abuse and victimization that is often associated with the physical assault, abuse, natural disaster and accidents. YSI s Health Services Plan will be comprehensive, innovative and composed of the four aspects listed below. Additionally, please refer throughout section A.3. for specific and detailed information regarding YSI s comprehensive on-site medical services. Medical Staff Development Provision of Services The Pharmaceutical Management System Contract arrangements with a Physician and Psychiatrist Appointment of a Designated Health Authority will be a Board Certified physician. DHA will be responsible for the overall delivery of medical services and provide oversight for the program DHA will provide onsite services on an average of two hours weekly for the program Hiring of a full time and parttime nurse for the program Establish interagency agreements with emergency medical service providers and/or hospitals Establish the facility operating procedures based upon the DJJ Health Services manual requirements Establish Health Screening and Assessment protocols Establish sick call and emergent care protocols Establish emergency healthcare protocols Establish medical/mental Health Alert System Establish routine and follow-up healthcare services Establish protocols for the provision of dental and optical care Establish protocols for x-ray and lab services Establish protocols for parental notification of sick call services for youth Effective Performance Planning A process that requires the practitioner to work collaboratively with a youth, in an effort to define individual needs and mutually agreed upon outcomes Establish the Modified Institutional Class II B Pharmacy Permit Establish protocols for prescription medication administration ( Med pass ) Establish protocol to conduct and review med counts Establish Continuous Quality Improvement (CQI) meetings with consulting pharmacy Obtain the Clinical Laboratory Improvement Amendment Certificate (CLIA) Marilyn Van Dieten, PHD Clinical Psychologist Health Education Staff health education and training Youth health education and training Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 24

66 PROGRAM SERVICES DSOP will provide comprehensive on-site medical services to meet the needs of the youth assigned to the program. Comprehensive medical services will include diagnostic admission screenings, health appraisals, immunizations, primary episodic care service, sick call, secondary and tertiary service, provision of emergency care, access to dental and eye care and ancillary services, therapeutic diet programming, body image and self image education, pharmacy service, health education, transfer of medical information, healthcare records, bio-hazardous waste disposal, supplies and equipment, treatment protocols, environmental inspections and a health services disaster plan. As identified previously, the medical staff will be a part of the multi-disciplinary treatment team that will be conducted on a bi-weekly basis. Additionally, the psychiatrist will be included in these meetings to discuss any medication management issues, mental health/substance abuse issues, medical or mental health alerts, issues regarding DSM- IV-TR diagnoses, and security and or safety concerns. As discussed in the following sections, healthcare services includes at a minimum primary and preventive care, sick call, episodic care, acute and chronic medical treatment and follow-up. Additionally, Dr. Lisa Johnson, DJJ Chief Medical Director has provided updated information on screening for obesity in children and adolescents that was recommended by the U.S. Preventive Services Task Force (USPSTF) based on new evidence that children and adolescents can be effectively treated for obesity. The U.S. Preventive Services Task Force now recommends that clinicians screen children ages 6 to 18 years for obesity and refer them to programs to improve their weight status. YSI will establish a weight program called Chrysalis Program that will include this additional screening and the identified components: 1) Counseling for weight loss or healthy diet; 2) Counseling for physical activity or a physical activity program; and, 3) Behavioral management techniques such as goal setting and self monitoring. A.3.b. Method of Health Services Delivery YSI will deliver all services or subcontract to medical professionals who are subject to the same conditions of this contract and the Department s Health Services Manual (Revised October 2006 with April 2010 updates), Mental Health and Substance Abuse Services Manual, (Revised 2007) and subsequent policies or rules. Dr. Nancy Pyram-Bernard, DO and Igdalis Roldan-Christen, ARPN, BC, MSN, our corporate medical directors oversee and provide consultation for our medical departments in each of our facilities. Medical and clinical personnel will be on-site daily to provide the appropriate health and mental health/substance services for youth in the program. Local agreements for services will be established with the local hospital, a licensed dentist, and an eye care professional. Contracts will be established with a medical doctor, and psychiatrist to be on-site weekly to provide medical and psychiatric services. Under the supervision of the DHA, the Medical Services Manager will oversee psychiatric and medical nursing functions as established in facility policies and procedures, as well as coordinate and supervise nursing care providers as appropriate. The DHA in collaboration with other healthcare professionals (i.e. psychiatrist or designee), as well as the clinical director will consult to communicate youth s needs and make the necessary changes regarding the delivery of services. A.3.c. Operating Procedures - Facility operating procedures and healthcare protocols will be reviewed and established at DSOP by our corporate medical directors in collaboration with the program director, medical services manager and DHA. Additionally, procedure and protocols will be updated by the medical services manager under the direct supervision of the DHA at least yearly and finalized with the program director and corporate medical directors. Additionally, all healthcare records will be well organized and contain all required documents in accordance with the DJJ manuals. Medical staff will conduct monthly self-monitoring of healthcare records in order to identify and correct any deficiencies within them. All self-monitoring will be documented. Additionally, corporate QA audits will occur randomly as stated previously in the management capability section. A.3.d. Emergencies - Policies and procedures will be established at DSOP to describe staff response to medical emergencies. All staff members having direct contact with youth will be trained in the operation of Automated External Defibrillator (AED), CPR, Emergency First Aid, and epi-pen. Additionally, all staff and volunteers having direct contact with youth will be trained to call 911 in the event of a medical emergency requiring urgent medical attention. AED, knife-for-life, wire cutters, needle-nose pliers and first aid kits will be located in designated areas throughout facility. A.3.e. Service Agreements The following Staff and Ancillary Service Agreements will be established at DSOP: 1). Designated Health Authority: YSI will employ a Designated Health Authority (DHA) who is a Florida Board Certified and licensed physician trained in Pediatrics, Family Practice or Internal Medicine. The role and function of the DHA will be clearly defined by written agreement and provided to the Department and provided again in the future if a new agreement is needed as specified in the RFP. The CV/resume submitted for the proposed DHA will have an explanation as to how the required experience was obtained. The DHA will be on-site a minimum of two hours per week or more as the clinical needs of the population requires, and is responsible for providing oversight to all program health and medical services including supervision of all medical personnel and review of all off site visits (i.e. dental, eye, lab, etc.). Also, the DHA will be responsible for the overall clinical direction, policies and protocols established for the medical services provided at the facility. 2). Nursing Services - In addition to the designated health authority, DSOP will recruit a full-time Registered Nurse to serve as the Medical Services Manager and a part-time LPN, licensed in the State of Florida working under the Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 25

67 PROGRAM SERVICES supervision of the DHA and provide 60 hours of nursing coverage 7 days a week. The Medical Services Manager (RN) will work on site 40 hours per week Monday through Friday (7:30 AM to 4:00 PM) (RFP requires 40 hours per week) and oversee the psychiatric and medical nursing functions defined in DSOP policies and procedures. He or she will also provide in-service health related training for staff and youth, and function as a member of the management team through active participation in facility planning and operations. Additionally, a part-time LPN will be hired to work on site 20 hours per week Saturday through Sunday (7:00 AM to 5:00 PM) to assist in conducting daily sick calls, examining youth and providing treatments or medications for minor ailments, referring serious or questionable medical problems to the DHA, examining all newly admitted youth for indications of communicable disease and physical disabilities, ordering x-rays and immunizations as needed, maintaining youth s healthcare records and schedules periodic/regular examinations and rendering first aid as required. An on-call schedule will be developed for DSOP to provide uninterrupted on-call nursing coverage for nights and weekends. YSI will ensure there is a staff member on the facility grounds at all times who has clearly designated responsibility for accessing medical services or personnel. 3). On-Call Services The DHA and medical staff will be available by cell phone for emergencies, oversight, and medical decisions, 24 hours per day, 7 days per week. Emergency numbers will be posted in the medical clinic and master control. 4). Vacation and Absences YSI will establish an agreement with a back-up physician to ensure there is uninterrupted coverage of physician services during absences or vacations. Additionally, YSI will authorize over time and has established back-up agreements for nursing services with Maxim Healthcare Services, Inc. to provide for uninterrupted nursing services during times of illness, absence or vacation. Temp nurses will be required to undergo the required DJJ training prior to contact with the youth. 5). Disaster Preparedness YSI will develop and implement a disaster plan (also known as a COOP plan) for the facility. Additionally, all staff will be trained initially during pre-service and annually on the plan. This plan will be updated annually and include a component containing provisions to ensure there is basic medical staff coverage in the event of acts of terrorism or unexpected emergencies, natural disasters such as hurricanes, pandemic or other wide spread disease outbreak etc. The plan will outline specific medical staff duties to ensure there will be adequate medical supplies, youth prescriptions filled for 30 days, first aid kits, medical documentation portability (i.e. laptop), and ongoing treatment needs (respiratory treatment etc.). Additionally, the COOP plan will contain medical protocols for the staff to follow during the natural disaster or emergency. If this is not possible, emergency protocols will be established for accessing medical care through local medical providers (i.e. Halifax Health Medical Center, Volusia County Health Department, etc). 6). Ancillary Service Agreements: YSI will establish written contracts or agreements with appropriately licensed healthcare and mental healthcare professionals in the community to provide additional Medicaid acceptable healthcare services to residents as required to meet the unique medical and mental health/substance abuse needs of youth in the population. As previously mentioned, policies, procedures and protocols approved by the DHA will be established for accessing emergency medical services, mental health/substance abuse services, pharmaceutical, dental care, eye care, x-ray and lab services. The written protocols will include: procedures for referrals, transfer of health information to medical consultant, parent/guardian, DFC Counselor, if applicable, handling of medical consultants feedback, time frames for receiving and disseminating the information, youth transport, and follow-up care. The Medical Services Manager will be providing information to the DHA, parent/guardian and if applicable the DCF counselor of the youth s status during any type of emergency medical service. Written consents will be obtained from the appropriate individuals and the facility staff will be transporting the youth. The appropriate documentation (AET, Summary of Off-site Care Consultation Report and other consent form if applicable) will be given to the transporting staff when a youth has been referred to any medical specialized service or during an emergency type of situation. Once the youth has returned to the facility, the transporting staff will provide the Medical Services Manager with the documentation. Additionally, the Medical Services Manager will schedule follow-up visits and update the facility staff through the alert system of the youth s physical limitations. YSI will establish interagency agreements to ensure medical, mental health, substance abuse, dental, vision, pharmaceutical and support services are provided to the youth as follows: Halifax Health Medical Center; Volusia County Health Department to provide the STD/HIV and Hepatitis testing etc.; ACT Corporation Crisis Stabilization Unit; a local dentist licensed in the State of Florida to provide primary dental care and emergency dental care; a local ophthalmologist or optometrist licensed to provide eye care services, including consultation and treatment; for x-ray and lab services, pharmacy, and bio-hazard waste removal. A.3.f. Gender Responsive Services DSOP will comply and provide the necessary and appropriate genderresponsive healthcare services as set forth in the Department s requirements. Services shall include, but are not limited to: 1). Screening and Evaluation - Routine screenings and evaluations will be completed on the day of admission exceeding the DJJ requirements. Routine healthcare screenings, tests, and evaluations conducted by medical staff will comply with the policies and procedures outlined in the Department s Health Services Manual (Revised October 2006 with April 2010 updates). The Facility Entry Physical Screening form will be completed by a Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 26

68 PROGRAM SERVICES licensed medical staff member as part of the admission process. If medical personnel are not available during the admission process a trained non-medical staff member will be designated to complete the screening. Such screenings will be reviewed by a licensed nurse within twenty-four hours and documentation will be noted on the form. This screening is to determine if the youth is medically stable and clear of infectious disease or any type of medical emergency. During the admission process, a strip search will be conducted in the least invasive way to avoid and preserve the adolescent youth s dignity. This will be to identify scars, tattoos or other relevant skin markings. Medical staff will observe and document any signs of physical and/or mental health distress and non-emergent chronic conditions i.e. asthma, diabetes and any other chronic condition. The licensed nurse will notify the DHA during the admission process for all youth admitted into the program regardless of med grade there by exceeding the Department s requirements of notification for only chronic or emergent conditions. The facility nurse will complete the following routine screenings including, but not limited to: a) An assessment of each youth s Tuberculosis and immunization status upon admission, and at any subsequent point, based on risk, potential exposure to a clinical condition, or at any time ordered by the Designated Health Authority. b) Screening for sexually transmitted infections/diseases. If a youth reports signs or symptoms consistent with an STD or reports that he is sexually active, he will be referred to the DHA. All youth will be offered HIV education, testing and referral if medical treatment is indicated. c) Assessment of immunization status and administration of subsequent inoculations, as required d) Dental screening by medical staff with a referral to the dentist as necessary. e) Complete vital signs during the admission process that includes the Body Mass Index (BMI) f) Urine screen conducted upon admission, if applicable. (If a youth is identified as under the influence during the admission process, the medical staff will notify the DHA and follow the protocol for Marchman Act. g) Additional assessment of disability status (ADA) will be completed at DSOP. This information will be tracked at the corporate office on a monthly basis. 2). Comprehensive Physical Assessments YSI will ensure a gender specific comprehensive physical assessment (CPA) as required by the Health Services Manual (Revised October 2006 with April 2010 updates) is completed by an MD, DO, ARNP or PA. The medical staff will contact the DHA to advise of the youth s admission and if a youth is noted to have a medical condition. At a maximum, this assessment will be completed within 5 calendar days of admission for youth with a medical grade of 1 through 5 which exceeds the RFP requirement of 7 calendar days. If the DHA s schedule cannot meet the 5 day requirement, the nurse will contact the DHA and request for him or her to return to the facility to complete the assessment. The body mass index (BMI) will be calculated and documented for each youth as part of the comprehensive physical assessment. The DHA will review any existing comprehensive physical assessments performed within one year of admission for youth with medical grades of 2 through 5 and within 2 years for youth with a medical grade of 1. The DHA or designee will document his or her review on the existing CPA and will conduct a new CPA on every youth entering the program exceeding the RFP requirements. At a minimum, the comprehensive physical assessment will contain a thorough history and identification of acute, chronic or functional medical and dental problems, investigation of any current complaints, physical assessment of all body systems, assessment of nutritional status, assessment of growth and development, motor development and functioning, sensory motor functioning, speech, language, vision and auditory screening, assessment of oral health and oral hygiene, assessment of immunization status and determination of the need for further additional assessments if necessary. 3). Sick Call Care - YSI will exceed the RFP specifications by conducting sick call five days a week (the RFP requires four times a week) by the medical staff. The medical services manager will establish the approved corporate protocols and procedures outlining the process for youth to obtain health services, medication administration and sick call care with the collaboration of the DHA and in accordance with the DJJ Health Services Manual, (Revised 2006 with April 2010 updates). Additionally, the medical services manager will establish the approved protocols for parental notification of sick call services for youth to include notification from the medical staff regarding prescription and OTC medications. Sick call will be conducted every morning, Monday through Friday Sick call forms and boxes will be located in the living areas for maximum accessibility, so youth have access to request forms at all times. The facility s medical staff (or the assistant program director or designee when health care staff members are not present) will exceed the RFP specification by reviewing all sick call requests and contact the DHA or on-call RN within 3 hours of submission (RFP requires 4 hours) to determine urgency of need. In the event an LPN reviews the sick calls without the onsite supervision of the RN, the LPN will consult with the DHA in accordance with the DJJ Health Services Manual daily. When necessary, youth will be screened by the nurse and referred to the physician for follow-up diagnosis and treatment. Documentation will be recorded and maintained for all youth identified at sick call and will be incorporated into the youth s permanent healthcare record. All youth will have unencumbered access to regularly scheduled sick call, and will be informed during orientation of the availability of sick call care and the methods for accessing this service. Additionally, the sick call schedule will be posted throughout DSOP. If a youth has presented a sick call complaint three or more times during a two week period, an automatic referral will be made by the medical staff to the DHA or dentist, as appropriate. This referral will be tracked to ensure appropriate follow-through occurred and the youth was seen by the DHA or dentist. Also, a tracking mechanism will be established to ensure all sick call Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 27

69 PROGRAM SERVICES referrals and follow-ups are accomplished. All instances of sick call will be documented on the DJJ Sick Call Index, the chronological progress notes, and the sick call/referral log. The facility nurse will complete sick call request forms with youth using SOAP format to include, but not limited to pain scale and follow-up and referrals. Parental notification of the facility s sick call services is addressed in detail in the admission letter sent by the case manager to the parent/guardian within 48 hours of the youth s admission. 4). Episodic Care (First aid and/or emergency care) YSI will provide 24-hour episodic (first aid and emergency) care for all youth. This will include on-site emergency protocols authorized by the DHA and corporate medical consultants, basic first aid procedures and interventions, Post PAR assessments and PAR responses related to medical services, appropriate procedures for emergency transfer to a medical facility when needed and procedures to ensure that follow-up of the youth who have been transferred for medical will be conducted by licensed healthcare professionals upon their return. YSI will have an agreement in place with the local hospital to provide emergency services 24-hours a day. This agreement will include procedures to ensure the effective exchange of medical information necessary for continuity of care occurs whenever a youth is transferred to a hospital, clinic or private office for emergency medical, mental health or dental care. All staff will be certified in cardiopulmonary resuscitation (CPR), first aid and in the use of an automated external defibrillator (AED) and epi-pen. Universal precautions are observed at all times. Quarterly "mock" episodic care drills are held on each shift and critiqued. The drills will encompass at a minimum the following emergencies: cardiopulmonary arrest; unconsciousness (youth found down); choking episode; uncontrolled bleeding; seizures, sudden mental status changes; chest pain; shortness of breath; open head injury; fractures or potential fractures and suicide attempt. The facility will have current written first aid/emergency procedures in place for treating commonly encountered conditions. Staff will be trained on medical emergency procedures during their pre-service and in-service training. The emergency files will be located in a secured location for easy access of youth s personal information, contacts, AET, allergies, and chronic conditions. An on-site episodic care log will be maintained and all entries in the log are made at the time care occurs. Simultaneously, an entry will be made in the chronological progress notes of the individual healthcare record of the involved youth which conforms to all professional standards. Policies and procedures established at the facility for episodic care will include notification of the parent(s) or guardian if a youth requires off-site emergency treatment, evaluation or hospitalization. All youth will be informed during orientation of the availability of first aid/emergency care and the methods of access to these services. DSOP will maintain secure first aid kits and AED located at designated, essential points throughout the facility, as determined by the DHA and Program Director. Contents of the kits will be appropriate for DSOP. Advanced first aid equipment, laptop, and supplies will be onsite should the Program Director determine them to be essential and appropriate for a specific situation. When such equipment is present, staff will maintain proficiency in its use. 5). Treatment and Monitoring of Acute and Chronic Conditions Periodic evaluations are required for youth with certain conditions. YSI will exceed the requirements by providing evaluations every two months (RFP requires three months) depending on the length of stay and/or changes in the youth s condition. This will ensure that youth with chronic conditions, who are undergoing ongoing treatment, or who experience changes in their condition or treatment regimen will be adequately monitored and the treatment regimen is adjusted in accordance with youth s health status. The evaluations will be performed by a licensed MD, DO, ARNP, or PA. If the evaluation is conducted off-site the DJJ Summary of Off-Site Care Consultation Report form will be completed, reviewed by the DHA, and filed in the individual healthcare record. Findings of a periodic evaluation will be documented in the chronological progress notes and physician s progress note located in the individual healthcare record. Any orders will be documented on the DJJ Practitioner s Orders form and medical staff will ensure orders are received and conducted. DJJ Treatment plans and flow sheets will be completed on all youth with chronic conditions reviewed and signed by the DHA. Additionally, the medical staff will utilize the DJJ Chronic Physical Health Conditions Roster form to list the chronic youth, track, and schedule the required follow-up and periodic evaluations. If there is a significant change in the youth s condition and or change in medication, the medical staff will contact the parent/guardian and send the DJJ Parental Notification of Health-Related Care (Medication Management or General) form. 6). Immunizations The medical staff will provide routine immunization administration in accordance with the recommendations of Center for Disease Control (CDC) for adolescent youth, and as determined necessary by an MD, DO, PA, or ARNP. During the intake process, the nurse will review the medical documentation to ensure immunization records were enclosed. If immunization records are not present, the medical staff will access applicable school, health department, and parental records in order to determine outstanding immunizations. There will be an understanding that the statutory requirement of thirty days is exempted for youth in juvenile justice programs. Therefore, the parent/guardian will be contacted during the admission process and a Parental Notification of Vaccination form will be sent for consent to administer the vaccinations. Policies and procedures will be established for youth that have a religious exemption from immunizations, including verification of the exemption. New immunization data will be maintained on the DJJ immunization record located in the individual healthcare record. The medical staff will enroll the facility in the Department of Health (DOH) Florida Shots Program in order to have access to immunization records, input new immunization data, initiate a patient record in this confidential electronic DOH vaccine registry, as well as new education materials to provide health education to staff and youth. All staff and youth will be educated on H1N1 with the vaccine being available via the local health department. Additionally, DSOP Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 28

70 PROGRAM SERVICES will participate with the Vaccines for Children (VFC) program through Volusia County Health Department in order to secure annual influenza vaccines and H1N1 vaccines for the youth. 7). Transitional Healthcare Planning Licensed medical staff will make arrangements for follow-up care if youth are discharged with any medical needs or chronic healthcare conditions. During transition and exit conferences with the treatment team, the medical staff will provide recommendations and referrals if necessary for youth to receive healthcare services upon leaving the program. Upon a youth's release, healthcare records will be transferred as appropriate to receiving facilities, aftercare programs or DJJ JPOs. DJJ Health Discharge Summary Transfer Note form will be completed at the time of discharge and outline the youth s medical needs and if applicable, the youth s chronic condition. Additionally, the medical staff will educate and assist the youth and family with a better understanding of the transition from pediatric to adult healthcare services once the youth has been discharged back into the community. The parent/guardian will be provided with youth s current medication(s) upon leaving the facility. 8). Infection Control Measures The medical services manager will establish procedures and protocols necessary for the management of infectious or communicable diseases in accordance with the Department s policies, OSHA Standards and CDC guidelines. This includes methods of screening, preventing, treating, containing and reporting requirements related to infectious conditions, such as: common infectious diseases of childhood (e.g. measles, mumps, chickenpox); self-limiting, episodic contagious illnesses (e.g. common cold, flu); viral or bacterial infectious diseases; Tuberculosis; Hepatitis A, B, and C and HIV infectious diseases caused by bloodborne pathogens; Other outbreaks or epidemics caused by any other infectious agent, whether spread directly or indirectly; outbreaks of pediculosis (lice) and/or scabies; MRSA; food borne illnesses such as those caused by e. coli, bio-terrorist agents (e.g. anthrax, smallpox), and chemical exposures in the workplace. The DHA and the medical services manager will be responsible for reporting communicable disease findings to the local Health Department, as required. A comprehensive program of education and prevention will be developed and implemented for the facility, including a training curriculum for the exposure control plan (which will be updated annually), standard universal precautions, bloodborne pathogens, and a comprehensive post-exposure evaluation process. Staff members and youth will receive infection control training consisting of hand washing, universal precautions, prevention of communicable diseases, vaccinations, and CDC guidelines for infection control in the workplace. Additionally, the alert system will be updated by the medical staff to advise if a youth has been placed in isolation due to an infectious condition. 9). Diagnostic Services The medical services manager will ensure all necessary lab and diagnostic services are obtained, including, but not limited to blood work, X-Rays, EKGs, and ultrasounds and ensure timely follow-up of results and interpretations. A.3.g. Pharmaceutical Services YSI will establish an effective pharmaceutical management system, which tracks pharmaceuticals administered to a youth beginning at the time of admission and continuing through discharge or transfer. This system ensures the continuity of a youth's prescribed medication regimen and other medication needs. YSI has established a contract with a national company and will establish a contract with a local pharmacy to provide all DSOP pharmaceutical needs. These medications will be delivered and stored at the facility according to DJJ guidelines and standards. YSI will obtain the required Clinical Laboratory Improvement Amendment certificate (CLIA) and the Modified Institutional Class II B Pharmacy Permit for DSOP. The medical services manager will establish the Continuous Quality Improvement (CQI) committee and quarterly meetings will be conducted throughout the year. Also, the DHA will be responsible for the overall clinical direction, policies and protocols established for the medical services to include medication management provided at the facility. Medication policy and practices will include selection, purchasing, storage, distribution, use and safety of medication and related activities. 1). Medications Medical staff will be responsible for providing all existing or new prescription medications including, but not limited to psychotropic medications, antibiotics, narcotics, as well as over-the-counter medications relates to on-site medical care. A licensed healthcare provider will write specific prescriptions for each youth requiring them. Medical staff will ensure that all prescriptions are ordered no more than 12 hours after originally written, and procured within 24 hours. In the case of psychotropic medications, the prescriptions shall be ordered within 12 hours of receiving parental consent or a court order authorizing administration. The parental consent will be obtained by telephone, documented in the progress note. The Clinical Psychotropic Progress Note (CPPN) along with a cover letter will be sent certified mail to the parent/guardian. When such events result in a delay in administering prescribed medication, the delay is reported to the prescribing physician and DHA. Additionally, the medical services manager will establish the policy and procedures recapping the Five Rights of Medication Administration recognized by DJJ as a best practice. DSOP will include a sixth right, the rights are as follows: 1). Right Youth; 2). Right Medication; 3). Right Route; 4). Right Dosage; 5). Right Time & 6). Right to Information (about the prescription). 2). Medication Management DSOP will comply with the pharmaceutical management system requirements established by the Department and all accreditation standards, including: Coordination of medication management with the DHA and original prescribing physician. Coordination of medication management with the DMHA. Verification of prescription for medications accompanying a youth at the time of his admission. Medications that must be kept cold will be stored in a locked refrigerator. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 29

71 PROGRAM SERVICES Parental Notification and Consent requirements with respect to administering medications. Disposition of medications in circumstances where prescription validity cannot be verified. Safe and secure storage of prescribed medications, including special precautions for controlled substances. A written inventory with clear documentation of controlled substances dispensation. Safe and secure storage of over-the-counter medications. Accounting, monitoring and inventory procedures for the storage of all medications. All medical equipment classified as sharps, over-the-counter medicines, and prescriptions are inventoried perpetually at a minimum during each week and shift-to-shift. Safe and effective administration of oral prescription and/or over-the-counter medications by designated non-health staff members who have training in this function, pursuant to Rule 64B.9-14, F.A.C. Both staff and youth will initial the MAR after each med pass and document the youth s positive or negative reaction to any medication. Establish a procedure for crushed medication. Review expiration dates of OTC medications weekly during inventory to ensure that youth are not receiving expired OTC medication. Effective system of communication between healthcare professionals and staff members who have been designated to administer over-the-counter medications. Safe and effective administration of parenteral, non-ingested (subcutaneous, intradermal, intramuscular, or intravenous) medications only by licensed healthcare professionals (RNs or LPNs) who are qualified to administer such medications. Ongoing monitoring of youth receiving medications that have been classified by a healthcare professional as requiring monitoring at specified intervals. A system of placing youth on facility-wide alert ( medical alert ) when receiving a medication that is in one of the specified categories of medications which frequently have side effects or adverse reactions. Addressing the appropriate laboratory tests for specific medications and monitor for side effects. Individual instruction to youth on all prescribed medications. Staff will wear protective gloves to ensure no cross-contamination of the medicine after dispensing. Staff will not pre-pour liquid medications. Provision for continuity of medical care upon transfer to another DJJ facility. Risk management analysis through the accurate reporting and evaluation of adverse drug events (medication errors, omissions, incidents, or trends). A.3.h. Reporting Requirements The medical services manager will collect medical statistics and complete a monthly Health Services Report. The medical staff will track the number of youth who receive healthcare services by category of care and nature of complaint, as well as other pertinent information, e.g., specialist referrals, emergency transfers, hospitalizations, medications, etc. This will be compiled monthly as specified by the Department s Health Services Manual (Revised October, 2006 with April 2010 updates). He or she will be responsible to communicate issues of medical or mental health concern to the Department s Office of Health Services in a timely manner. At a minimum, the medical services manager will communicate to the Office of Health Services when a youth has been involuntarily committed to a Crisis Stabilization Unit through Baker Act procedures twice in a 7 day period or three times within a 30 day period. A.3.i. Bio-Hazardous Materials The medical services manager will be responsible for the appropriate disposal of all bio-hazardous materials in accordance with OSHA, federal and state regulations. Staff will be trained in the proper methods of handling, storage and disposal of hazardous materials. Syringes, sharps/needles are placed in a bio-hazard sharps container. A.3.j. Medical Supplies YSI will supply all medical equipment, products, supplies, or materials necessary for the performance of the current contract, and will continue to do so unless otherwise specified. A.3.k. Staff Training As part of the YSI training curricula, staff members will be trained in health-related topics that include the bolded additional subjects which exceed the RFP requirements listed below: First aid and cardiopulmonary resuscitation Use of knife-for-life and wire cutters Universal precautions and blood borne pathogens (Federal Rule CFR OSHA Standards). Basic principles of safe and effective pharmacology/dispensing of medication (Rule 64B9-14) Effects of medication Prevention of Heat Stress Updated health issues Use of the automatic external defibrillator (AED) device installed at the facility & use of epi-pen Control of infectious diseases and site specific plan Immediate access of emergency services by calling 911 Emergency evacuation procedures for youth who are on medical alert. Use of The Facility Entry Physical Health Screening form (for staff members conducting admissions). Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 30

72 PROGRAM SERVICES A.3.l. Medicaid Services If a youth is not eligible for Medicaid services, YSI will attempt to secure payment of health related expenses from the parents, legal guardians or personal insurance company. A.3.m. Routine Costs - YSI understands the Department is not responsible for the costs of routine medical, dental, or behavioral health care above the limit of the established per diem, as defined by the terms and conditions of this contract. A.3.n. Non Routine Health Services - YSI understands the Department s per diem rate covers the cost of routine health care. For non-routine health care costs and routine health care costs not paid by the per diem, YSI will attempt to secure payment of health related expenses from the youth s parents, legal guardians or personal insurance company. If the youth s parents or legal guardians are unable to pay, the youth has no personal insurance, and the youth is Medicaid eligible, YSI will obtain the provision of Medicaid allowable services through local enrolled Medicaid providers. For non-routine healthcare costs not covered by other sources that exceed $5, per youth per incident, the Department will be responsible for payment in excess of the $5, limit. In such instances, YSI will obtain prior approval from the Department and in the case of an emergency the contract manager will be notified as soon as possible following emergency services. YSI will invoice the Department for the amount in excess of the stated limit, unless costs are recouped from other sources. A.4. Health Education Programming As part of the comprehensive plan for the delivery of health services, health education will be conducted on a monthly basis by the medical staff and several community organizations. The medical services manager will establish a Health Topic of the Month selected from topics suggested by the youth. This will be posted in each classroom and dorm area on a rotating basis so that each youth will receive the benefit of all topics during their stay at DSOP. Additionally, with approval of the DHA, the Medical Services Manager will provide formal ongoing health education to the youth through collaboration with community resources in order to help them engage in preventive health practices to avoid, or at the least minimize, the need for medical services while improving their overall mental and physical status. The Medical Services Manager will employ a variety of teaching methods such as posters, pamphlets, videos, and individual teaching by healthcare personnel during health encounters to accomplish this goal. The medical staff will document health education on the Health Education Record, which is maintained in the youth s individual healthcare record. All reading material will be appropriate to the youth s reading level and whenever possible, provided in his native language. The medical staff will provide disease-specific education, education related to prescribed medications and education on any unique health-related issue that might arise. A family planning curriculum will be provided which includes effective, objective information on parenting, male condom use; abstinence etc. This information will be presented by trained individuals who have been selected by their ability to be effective in accurately presenting issues related to sexual activity and family planning to adolescents. The Medical Services Manager will take an active role in providing instruction for self-care to youth, including: Healthcare education regarding TB, HIV and AIDS; Instruction on the advantages and risks of vaccination and immunization; Information regarding the management of chronic illness and Information regarding communicable diseases and prevention methods. Health education topics will include and exceed the requirements of the RFP (Bolded topics exceed RFP Requirement). HIV/AIDS Infection, Education, Counseling, Testing Basics of Dental Hygiene and preventative dental care Emotional & Physical Development of Adolescent youth Body Image, Self-Esteem General health and wellness Infection Control Measures: basic hand washing etc., as well Hepatitis A,B, and C; immunizations as understanding hepatitis and tuberculosis Basic Personal Hygiene Family Planning: Parenting skills and pre-natal care Prevention of sexual and other physical violence Sexually Transmitted Diseases, prevention & STD education General education on prevention of Communicable Self examinations: Breast and testicular Diseases (i.e., Tuberculosis) Nutrition basics Smoking cessation, use of tobacco products, and the effects of smoking Coping with Depression, physical fitness Hypertension/Cardiac Disease Stress/Anger Management/Anxiety Reduction Eating Disorders Prevention of Accidents, Seat belt usage Diabetes Cardiovascular fitness Dermatology Alcohol and Substance Abuse Information Transitional Healthcare Planning (when applicable) for youth with chronic health problems that require arrangements to ensure continuity of care upon discharge A.5. A.5.a. OSHA Requirements All staff will comply with OSHA standards, and federal and state legislation concerning blood borne Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 31

73 PROGRAM SERVICES pathogens. A comprehensive program of education and prevention will be provided which will include the following: A A site-specific Exposure Control Plan, will be updated annually in accordance to OSHA Standard 1910 Subpart 1: 29CFR ; 29CFR ; App. A; and 29 CFR Observance of universal precautions for the control of infectious diseases by all staff members. 3. The availability of Hepatitis B immunization at no cost to employees. 4. A comprehensive post-exposure evaluation and follow-up process, including post-exposure medication (prophylaxis), following current recommendations by the CDC; monitoring for minor or major signs of disease post-exposure records as required by OSHA Standard 29CFR The Medical Services Manager will establish a protocol for the collection of blood specimens or oral swabs necessary for DNA Testing in accordance with Rule 63E-7.003(7), F.A.C. Impressions of the youth s left and right thumb prints will be obtained and attached to all DNA test requests submitted to the Florida Department of Law Enforcement (FDLE). Mental Health and Substance Abuse Services YSI will exceed the requirements of the RFP by providing a broader comprehensive array of Sex Offender Treatment and Mental Health/Substance Abuse Services: A state-of-the art evaluation process using a broad and expandable spectrum of assessment instruments. Purpose-directed therapeutic interventions for significantly gang-involved youth. Facility accreditation and certification of all clinical staff in the provision of suicide prevention and intervention services by the American Association of Suicidology. A.6.a. YSI will provide mental health and substance abuse services to each youth in accordance with the Department s Mental Health and Substance Abuse Services Manual, (Revised 2007) and applicable, Florida Statutes and Administrative Code, Departmental policies, standards, and rules. All youth admitted will be those whose primary mental health diagnosis meets the criteria for Sex Offender Treatment services as described in Attachment II of the RFP. Mental Health treatment will be provided in accordance by clinical staff qualified to do so in accordance with Chapter 397, 458, 459, 490, 491, F.S., Rule 63E-7 - F.A.C. and the DJJ Mental Health and Substance Abuse Services Manual, August, (Revised 2007), or working under the direct supervision of a professional who is so licensed. Substance abuse treatment will be provided by clinical staff qualified to do so according to the facility licensing requirements set forth in Chapter 397, Florida Statues and Rule 65D (15), F.A.C., governing the licensing of substance abuse treatment facilities; and will be licensed in accordance with chapters 397, F.S., or working under the direct supervision of a professional who is so licensed. The Clinical Director will be the Designated Mental Health Authority (DMHA) who will be licensed provide the oversight for sex offender treatment and mental health/substances abuse services at DSOP. There will be a direct line of communication between the DMHA, DHA, and information will be disseminated to the clinical staff. He or she will work closely with Dr. Hunter, the psychiatrist and the DHA to ensure the appropriate sex offender treatment and mental health/substance abuse serves are provided. Additionally, the Clinical Director will meet with the non-clinical staff at a minimum one hour and fifteen minutes weekly to provide the required face-to-face supervision (exceeds the RFP requirement of one hour weekly). 1) Mental Health and Substance Abuse Screening - will include: a). Review of the youth s commitment packet information including reports, records and any other existing documentation of previous treatment, identified mental health or co-occurring substance abuse problems, and needs or risk factors including a history of: History of significant traumatic events, abuse and or sexual victimization Inpatient or outpatient mental health/substance abuse treatment Emergency room evaluations for mental health/substance abuse issues Suicide attempt, suicide behaviors or suicide risk Self-injurious behaviors (e.g., head banging, self-mutilation, intentional self injury) Treatment w/psychotropic medication Drug/alcohol possession, use or dependence Emotional instability (e.g., depression, anxiety, mood swings, violent rage) History of criminal justice involvement Family history of mental illness b). MAYSI-2 will be administered in a private and confidential manner at the time of admission by a case manager or therapist who has successfully completed the Department s training module for this purpose. This process will be recorded electronically on the JJIS system. Regardless of outcome however a determination of critical risk factors will be made prior to the youth being unescorted or entering the general population. c). All youth will receive a full battery of assessments and clinical evaluations in order to assess current needs and risk factors, substance abuse history, personality functioning, family characteristics, trauma history, mental Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 32

74 PROGRAM SERVICES health status, and psychiatric concerns. This process will support conceptualization of the youth s mental health and substance abuse diagnoses and assist in the development of an Individualized Treatment Plan. Each youth will be continuously re-assessed throughout the course of his residential stay in support of determining his progress in treatment, potential for re-offense, discharge planning needs and readiness for discharge. Sexual Offender Treatment Service eligibility requires a DSM-IV-TR Sexual Disorder and/or diagnosis of Sexual Abuse of a Child where the focus of attention will be on the perpetrator of the abuse. Youth typically have a DSM-IV-TR Axis V Global Assessment of Functioning (GAF) Scale Score between 30 and 50. 2) Comprehensive Mental Health and Substance Abuse Evaluation During the admission process, all youth receive an initial comprehensive mental health and substance abuse evaluation completed by a licensed mental health professional called a Brief Assessment exceeding the requirements of the RFP. Additionally, each youth will receive a comprehensive mental health and substance abuse evaluation that includes a biopsychosocial assessment, evaluating further information on the youth s mental status, mental health treatment history, precipitating factors for mental illness, including family history, history of trauma, significant developmental milestones, and the Diagnostic Interview for Children and Adolescents, fourth version (DICA-IV), a nationally recognized, electronically administered assessment instrument that produces extremely thorough results. In addition, review of the RPACT, communications with the youth family/guardian, and DJJ JPO completed by the assigned therapist within 21 calendar days (exceeding the RFP requirement of 30 days). The evaluation will also include a substance abuse history, which will assess motivating factors for substance abuse, family substance use history, and insight and desire for change. A description of substance use including the youth s pattern of use, types of substances used, frequency and regularity of use and situations in which substance use most commonly occurs. DSOP will exceed the specification of this RFP by evaluating all youth using a broader spectrum of assessment instruments than those normally applied. Motivational Interviewing Techniques will be employed during the assessment process to introduce the concept of Stages of Change, which is the core of the behavior management model, and to begin the process of orienting toward problem-solving the issues that led to his admission. From these assessment elements and the Brief Assessment, the assigned therapist will develop a Comprehensive Mental Health and Substance Abuse Evaluation which will be submitted to the Clinical Director for review and signed off within 5 days (exceeding the RFP requirement of 10 days). There will be a direct line of communication between the DMHA, DHA, and information will be disseminated to the clinical staff. Instruments that are used for mental health and substance abuse evaluations at the facility are outlined in Section II pages ) Mental Health or Substance Abuse treatment - in the form of individual, group or family therapy utilizing an evidence-based or promising trauma informed care treatment model individualized to the youths specific needs will be provided by a qualified mental health or substance abuse treatment professional 7 days per week. All therapy will be conducted in a manner which maintains the fidelity of the evidence-based treatment model (CBT or other model as indicated) used at DSOP. (See Attachment II, Section A6.4-7, pages 43-44) 4) Psychopharmacological therapy and follow up treatment See Section A.3.g (pages 29-30) and Attachment II, Section A.6.1 (8) page 44. 5) Suicide Prevention Services The suicide prevention and intervention services will be established utilizing evidence-based or promising practices including, but not limited to, the Cognitive Behavioral Therapy (CBT) for Adolescent Depression. Each youth entering DSOP will receive a preliminary suicide screening through scoring of the MAYSI-2 on JJIS. However, in all cases, a Suicide Risk Assessment (SRA) including administration of the Suicide Probability Scale (SPS) and a face-to-face interview with a licensed clinician will be conducted. A Suicide Prevention Plan will be developed for DSOP, which will include an alert protocol, examination of physical area, and procedures for observation and treatment of at-risk youth, in accordance with DJJ requirements. This plan will include: Precautionary Observation youth who are considered a potential suicide risk will be placed on Precautionary Observation. The youth will participate in selected activities with other youth while being under constant supervision. Precautionary Observation does not limit the youth s activities to a confinement room nor does it restrict his to his sleeping room. The youth will remain on Precautionary Observation until he receives an assessment or follow-up assessment of suicide risk. If the assessment of suicide risk indicates the need for continued suicide precautions, the youth will be maintained on Precautionary Observation until a subsequent follow-up assessment of suicide risk conducted by a qualified mental health professional indicates that precautions may be discontinued. Youth placed on suicide precautions will be maintained on either one-to-one or constant supervision. One-to-One Supervision Youth will be supervised by one staff member who will remain within five feet of his at all times. The staff member will maintain constant visual and sound monitoring of the youth at all times. Constant Supervision Observation of the youth will be continuous and uninterrupted. The staff member must have unobstructed view and sound monitoring of the youth at all times. The physical area will be examined prior to youth placement for safety and security issues. Observation of the youth will be recorded in a Suicide Precautions Observation Log no less than every 30 minutes. When this log is completed, the form will be placed in the youth s individual healthcare record and clinical record. Additionally, YSI will seek to employ or will train at least one clinician as a certified Suicidologist, according to the standards of the American Association of Suicidology (AAS). Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 33

75 PROGRAM SERVICES YSI recognizes however, that a youth in crisis may not display the same potential for suicide as other risk groups; and that crisis response may be demonstrated instead through a heighted risk of self harm. Self harm may be defined as behavior that is not likely to be lethal, but may result in significant self injury. For this reason, DSOP staff members will receive additional training in crisis identification and intervention that includes assessment of self harm. 6). Crisis Intervention and Emergency Mental Health or Substance Abuse Care Crisis Intervention The goal of crisis intervention is to respond to a youth in crisis in the least restrictive manner possible and to protect the personal safety of the youth and others while maintaining control and safety of the facility. A crisis intervention plan will be developed for DSOP which will include: Ensuring Safety The safety of the youth and others will be the primary focus when a youth exhibits out of control or physically dangerous behaviors which require immediate attention. Procedures according to DJJ Rule 63H will include specific intervention techniques approved for use by DJJ. Child Welfare Trauma Training Tool Kit (See page 20). Notification and Alert System Policy and procedures will be developed for immediate notification of the Program Director, Clinical Director and emergency response authorities when a youth is determined to be having acute emotional or behavior problems or acute psychological distress that may pose safety and security risks. The procedures at the program will include a protocol for notification of youth s parents/guardian in the event of such a mental health crisis, as well as recording required information on the JJIS system Referral Policy and procedures will be developed and put in place for referral of a youth in crisis internally to clinical personnel or to offsite mental health facilities. Referrals may be made by staff members, or the youth may also request additional mental health treatment for a crisis event. Communication Policy and procedures will be established for keeping direct care, supervisory, administrative and mental health staff advised with regard to the youth s current status. Supervision Policy and procedures will be established for supervision of youth in crisis, including one-to-one and constant supervision, close observation, and standard supervision. Emergency Mental Health and Substance Abuse Services If there is reason to believe that a youth is dangerous to himself or to others due to mental health or substance abuse impairment, it will be the immediate duty of every staff member to secure the youth s safety, then notify emergency services, the Program Director and Clinical Director for further determination as to the level of emergency care necessary. Staff Response Policy and procedure will be established for immediate staff response to mental health or substance abuse emergencies including calling 911, obtaining medical assistance, first aid or protective action response. Notification Policy and procedure will be established to ensure designated facility personnel are notified of a mental health or substance abuse emergency. Notifications will include offsite designated personnel, parents or guardians and recording required information on the JJIS system. Communication Policy and procedure will be established for communication between direct care staff, medical staff and mental health/substance abuse professionals. Supervision Policy and procedure will be established to ensure a youth in crisis will be kept on one-to-one supervision during a mental health or substance abuse emergency until the crisis subsides or the youth is transported for offsite crisis stabilization. Authorization for Transport Policy and procedure will be established to ensure staff members contact emergency medical services when a mental health or substance abuse emergency requires emergency medical services. This protocol will include ensuring that appropriate authorization is given for transport by onsite supervisory personnel. Baker Act Policy and procedure will be established for licensed mental health staff to execute crisis stabilization (Baker Act) proceedings and for arranging transport of youth experiencing a mental health emergency to a DCF designated crisis stabilization unit or mental health receiving facility. Marchman Act Policy and procedure will be established for transporting youth who are believed to be experiencing a substance abuse emergency to a hospital or licensed detoxification facility. Documentation Policy and procedure will be established for documenting mental health and substance abuse emergencies. Training Policy, procedure and system will be established to ensure all staff members are trained in emergency response procedures. Semi-annual training will be conducted on emergency response procedures, including training in serious self-inflicted injury or extraction from suicide attempts. Mock drills will be conducted in these procedures at least twice per year A.6.b. Youth will receive leading edge evidence-based or promising mental health and substance abuse treatment programming which is gender specific, trauma-informed, reflects current research, and supports recent trends in recidivism reduction and recovery. The core treatment models selected for this purpose are Cognitive Behavioral Therapy (CBT) and Seeking Safety, (described below), which will be supplemented through the use of Motivational Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 34

76 PROGRAM SERVICES Interviewing techniques. Additional to the core models however, other evidence-based treatment components including Cannabis Youth Treatment (CYT), Prolonged Exposure Therapy for Adolescents (PE), Lifeskills Training (LST), Dialectical Behavioral Therapy (DBT), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitization and Reprogramming (EMDR) may be used for treatment of specific mental health issues. All treatment programming at DSOP will be facilitated in a therapeutic community environment which is established through the YSI Discovery Model component. T4C and Impact of Crime curricula will also be provided as a means of augmenting the therapeutic community concept, as well as to provide evidence-based criminogenic and thought redirecting educational components. The end result is a therapeutic community established with a cognitive restructuring perspective in which the youth in residence can learn and practice new ways of dealing with their personal and social issues, and in which youth s specific mental health, substance abuse and trauma related needs are identified, and specialized, gender specific treatment will be tailored to the individual problem areas. Supplemental to this, YSI will utilize the Phoenix curriculum which is an evidence-based gang intervention program, endorsed by the Florida Gang Investigation Association, based on recommendations made by OPPAGA. YSI proposes to establish a contract with Andrus Children s Centers Sanctuary Institute to provide assessment, training and implementation recommendations for use of the Sanctuary Model at DSOP. The purpose of this is to assist in training staff to recognize traumatic stress of the type that occurs when youths are exposed to traumatic events or situations; and to assist staff members in helping youths who have experienced these issues to achieve a safe environment. Since the Sanctuary Model provides guidance for creating a community that emphasizes on the varied strengths and perspective of all staff, it is anticipated that this approach will improve on treatment outcomes, increase job satisfaction, enhance staff communication, and engage the treatment team in a pro-active process toward achieving positive change for each youth. The end result of this highly multi-modal treatment approach is a therapeutic community in which each youth in residence can learn and practice new ways of dealing with their personal and social issues, and in which each youth s specific mental health, substance abuse and trauma related needs are identified and specialized, gender specific, trauma informed treatment will be tailored to their individual areas of struggle, including gang intervention. Evidence-Based or Promising Mental Health and Substance Abuse Treatment - the core model selected by YSI for the delivery of evidence-based mental health treatment services at DSOP is Cognitive Behavioral Therapy (CBT) whose evidence base is discussed more thoroughly in (1) below. Although CBT has been identified as the most effective core modality, DSOP therapists may, pursuant to approval from the Clinical Director and with appropriate training to do so, employ concurrent yet separate and distinct treatment models as indicated above in order to provide individualized and specific treatment services for diagnosed mental health disorders, trauma recovery, treatment of PTSD, recovery from sexual abuse, or co-occurring substance abuse disorders. 1. Evidence Based: Core Treatment Models: Cognitive Behavioral Therapy and Seeking Safety were selected as the core models for treatment at DSOP because they are flexible in administration and readily applicable to treatment considerations that include co-occurring mental health diagnoses of the type typically experienced by youth primarily diagnosed with moderate mental health or substance abuse disorders, are able to be individualized to the specific needs of each youth s treatment, and have the capacity to be integrated with other evidence-based treatment, thought redirection and restorative justice program elements. Cognitive Behavioral Therapy (CBT) was selected as the core model for treatment at DSOP because it is readily applicable to treatment of mental health diagnoses of the type typically experienced by youth diagnosed with moderate to serious mental health conditions, is able to be individualized to the specific needs of each youth s treatment, and has the capacity to be integrated with other evidence-based treatment, thought redirection and restorative justice program elements. CBT is recognized as effective by the National Registry of Evidence-Based Programming and Practices (NREPP). Seeking Safety Since 1992, Seeking Safety has been implemented in over 500 clinical settings and as part of statewide initiatives in Oregon, Wyoming, Connecticut, and Hawaii. Seeking Safety is a present-focused therapy to help people attain safety from trauma/ptsd and substance abuse. It is an integrated treatment (working on both PTSD and substance abuse at the same time). It has been tested with dually diagnosed women, men, and adolescent boys. Samples have included clients in outpatient and residential settings, low-income urban women, incarcerated women, and both youth and female veterans. 2. Evidence Based: Alternate Substance Abuse Treatment Models: Cannabis Youth Treatment (CYT) The component of the CYT study known as MET/CBT5 is designed for the treatment of adolescents between the ages of 12 and 18 with problems related to marijuana use, as indicated by one of the following: Meeting criteria for cannabis abuse or dependence Experiencing problems (including emotional, physical, legal, social, or academic problems) associated with marijuana use Using marijuana at least weekly for 3 months. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 35

77 PROGRAM SERVICES Although this treatment includes suggestions for addressing both drug and alcohol use, it is not designed for treating adolescents with poly-substance dependence. (Source: SAMHSA, 2008) Lifeskills Training- began in 1995 and has been evaluated in numerous scientific studies in suburban, urban, and rural settings that have been used with youth in all 50 states. This program aims to prevent alcohol, tobacco, and drug abuse and violence by targeting the major social and psychological factors that promote the initiation of substance abuse and other risky behaviors. 3. Evidence Based: Supplementary Mental Health Treatment Models: Motivational Interviewing has been studied in 29 random assignment clinical trials, 17 with alcohol and/or drug users. The three basic types of studies were MI versus no treatment control, MI versus brief intervention, and MI added to intensive treatment. 73 percent of studies found that MI was more effective than the control condition. The best evidence for effectiveness was when MI was used in conjunction with other treatment programs. Dialectical Behavior Therapy (DBT) The effectiveness of DBT has been assessed in two major trials. The first (Linehan et al, 1991) compared the effectiveness of DBT to treatment as usual. The second (Linehan et al, in press) examined the effectiveness of DBT skills training when added to standard psychotherapy. The research provides evidence for therapeutic efficacy. Despite the more intensive nature of DBT as compared to other treatments, DBT was found to be more cost effective. This is largely because of the reduction in the number of inpatient and day-treatment days received by the DBT patients. During the follow-up year, patients in the DBT group had higher Global Assessment Scores and a better work performance than patients in treatment as usual. In the first six months, DBT patients had fewer suicidal acts, lower anger scores and better self-reported social adjustment. In the final six months, DBT patients had fewer in-patient days treatment and better interviewer rated social adjustment than treatment as usual patients. DBT is also being reviewed by NREPP-SAMSHA. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) There have been several randomized controlled trials evidencing the efficacy of TF-CBT in children 3-18 years. The largest evaluation is Cohen and Deblinger s 2004 study involving 229 sexually abused and traumatized children between ages In this study, the treatment group had significantly less acting-out behavior, significantly reduced PTSD symptoms, greater improvement in depressive symptoms, greater improvement in social competence and maintained these improvements over the year after treatment ended. This program has been rated exemplary by the Office of Juvenile Justice and Delinquency Prevention. Individual risk factors include anti-social behavior and alienation/delinquent beliefs/general delinquency, involvement/drug dealing, teen parenthood, early onset of aggression and/or violence, victimization and exposure to violence, and life stressors. 4. Mental Health Treatment Models for emergent or chronic trauma, PTSD, or recovery from sexual abuse Juvenile sex offenders represent a high-risk juvenile justice population in which PTSD may play a prominent role in offending behavior and treatment outcomes (Hunter, 2010). Rates of childhood maltreatment and exposure to violence are very high particularly those associated with sexual victimization. Data across studies suggest that up to 75% percent of adolescent males with histories of sexual perpetration have a preceding history of sexual victimization (Hunter, Figueredo, Malamuth, & Becker, 2003). Nearly two-thirds of male juvenile sex offenders have histories of physical abuse, and/or have been exposed to some form of physical or sexual violence against females. Developmental trauma may contribute to both internalizing and externalizing behaviors. PTSD secondary to sexual victimization may play a direct role in the emergence of sexual behavior problems in some youth. It has been clinically observed that a number of children exhibit sexualized behavior following extensive sexual victimization experiences (Johnson, 2002; Friedrich & Luecke, 1988; Kendall-Tackett, Williams, & Finkelhor, 1993). Such youth appear highly eroticized and sexually preoccupied, and may be prone toward repetitive enactment of their victimization experience (Burton, 2003; Veneziano, Veneziano, & LeGrand, 2000; Finkelhor and Browne, 1985). The observed sexual compulsivity of such children may be linked to re-experiencing phenomena (i.e. intrusive sexual cognitions and affects). Hunter et al. (2003) found that sexual victimization by a male perpetrator increased the likelihood of subsequent sexual perpetration against a male child in adolescent sex offenders. In some cases this may be linked to trauma-induced affects or cognitions. Hall, Mathews & Pearce (1998) found that the experience of sexual arousal during the sexual victimization experience greatly increased the odds of the child subsequently engaging in aberrant sexual behavior. McMackin et al. (2002) observed that trauma-related affects served as sexual offense triggers in 85% of studied juvenile sex offenders. As an example, a sense of helplessness associated with past trauma was discovered to be a trigger of sexual offending in over one-half of the youth. For other juvenile sex offenders, untreated and chronic PTSD may indirectly contribute to their risk of reoffending and/or vastly complicate their treatment. Data show that youth with PTSD have high rates of co-morbid mood disturbances, including Major Depression and Bipolar Disorder (Shah & Mudholar, 2000; Yule, Perrin, & Smith, 1999). Patterns of substance abuse are also prevalent (Hawke, Albert, & Ford, 2008). Many times the mood disturbance of these youth is seen in the form of irritability and a low tolerance for frustration. In populations (such as juvenile sex offenders) where conduct disorder is common, youth with co-morbid PTSD and mood disturbances may be particularly prone toward the externalization of negative effects. This includes repeated acts of verbal and physical aggression, and oppositional-defiant behavior. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 36

78 PROGRAM SERVICES It has been YSI s experience that many mental health and substance abuse diagnoses encountered among youth admitted to programs similar to are trauma based. It has equally been the experience that the actual trauma issues to which these diagnoses apply sometimes emerge and are recognized during the youth s stay in the program. When that occurs, specific treatment modalities will be made available to assist in dealing with these issues. While it is not possible to generalize the necessary approach to any youth s specific treatment needs, evidence-based treatment methodologies that may be utilized include: Motivational Interviewing As described in (3) above. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) (Also described above) TF-CBT was developed to help the youth and their parents/guardians overcome the negative effects of traumatic events such as child sexual or physical abuse; traumatic loss of a loved one; domestic, school or community violence; or exposure to disasters, terrorist attacks, or war trauma. Treatment is more effective if the parents or primary caregivers are available to participate. TF-CBT components build on previously mastered skills such that they should typically be given in the following sequence: psycho education and parenting skills, relaxation and affective modulation, cognitive processing, trauma narrative and master trauma reminders, conjoint child-parent sessions and enhancement of safety and future development. Prolonged Exposure (PE) - PE is one of two forms of cognitive-behavioral therapy for PTSD endorsed and offered by the VHA. An adolescent version of the therapy has been developed (Foa, Chrestman & Gilboa-Schechtman, 2009). PE is based on emotional processing theory, which postulates that reactions to traumatic events are mediated by their cognitive interpretation (Foa & Kozak, 1985). Foa and colleagues (e.g., Foa & Riggs, 1993; Foa & Rothbaum, 1998) have proposed that two sets of dysfunctional cognitions (i.e., schemas ) underlie the development of PTSD: the world is indiscriminately dangerous and oneself (the victim) is extremely incompetent. PE aims to alter the underlying fear structures that maintain anxiety. This accomplished through in-vivo and imaginal exposure exercises, and cognitive restructuring. Hunter (2010) found that PE produced very promising results in the attenuating PTSD in adolescent male sex offenders. Case study data suggested that PE promoted strong therapeutic bonds between residents and therapist, and indirectly helped motivate youth to successfully complete residential sex offender treatment programming. A.6.c DSOP s Plan for the Provision of Mental Health/Substance Abuse Treatment Using Evidence- Based Models Step one Plan Design: As is previously stated, treatment services at DSOP incorporate a carefully selected evidence-based core treatment models. CBT is used as a core for mental health treatment as stated on page (35) and Seeking Safety as a core substance abuse treatment as stated on page (35) because their respective program structures provide sound treatment protocols that meet the criteria for co-occurring Mental Health/Substance Abuse Treatment services in that they are individually planned, medically necessary, and specific to each youth s needs. DSOP will be using Help for Adolescent Males with Sexual Behavior Problems: A Cognitive-Behavioral Treatment Program (Hunter, 2011). The therapist guide and accompanying workbook for treated youth (and their parents), was published in Oxford University Press Treatments That Work series. The treatment model is research-informed and recognized as a best practices approach to the treatment of sexually abusive adolescent males. The manuals and workbooks in this series contain step-by-step detailed procedures for assessing and treating specific problems and diagnosis. Seeking Safety: A Treatment Manual for PTSD and Substance Abuse, is a present-focused therapy to help people attain safety from trauma/ptsd and substance abuse. Seeking Safety book includes clinical guidance and client handouts; it can be done in a group or individual format and in various settings. It begun in 1992, under grant funding from the National Institute on Drug Abuse. It was developed by Lisa M. Najavits, PhD at Harvard Medical School/McLean Hospital. Step two Treatment Model Implementation: DSOP clinical staff posses the qualifications, knowledge, experience, and training to deliver the specific program element. Determining which Treatment Models are Evidence-Based or Promising Practices: Application of the term Evidence-Based or Promising with regard to treatment practices has often been a subject of some controversy. In selecting treatment programs specified for DSOP, YSI has adhered to the Department s stringent definition: Evidence-based delinquency interventions and practices, as defined by the Department are treatments and practices which have been independently evaluated and found to reduce the likelihood of recidivism or at least two criminogenic needs with a juvenile offending population. The evaluation must have used sound methodology, including, but not limited to, random assignment, use of control groups, valid and reliable measures, low attrition, and appropriate analysis. Such studies shall provide evidence of statistically significant positive effects of adequate size and duration. In addition, there must be evidence that replication by different implementation teams at different sites is possible with similar positive outcomes. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 37

79 PROGRAM SERVICES While, at this point, there is no one single accrediting body that can declare a program evidence-based, there are common features that are shared by all evidence-based practices and programming. Evidence-based practice designers use various methods (e.g. carefully summarized research, publication of research summaries, education of professionals to understand and apply research findings) to demonstrate to professionals and other decision-makers the effectiveness of the practice. Evidence-based practices have undergone internal studies that measure treatment outcomes. Evidence-based practices have undergone meta-analyses which compare their effectiveness to the outcomes achieved by one or more other, similar treatment approaches. This is usually assessed through what are known as randomized controlled trials (RCT s), which are scientific and objective ways of comparing one treatment with another treatment. Evidence-based practices are replicable, with demonstrably similar outcomes when similarly applied to a similar group. Evidence-based practices utilize standardized and well-defined fidelity measures to ensure consistent application of the practice, regardless of provider. Meta-analysis data for the evidence-based practice has been reviewed and independently verified by a third party researcher or certifying agency or endorsing body. In addition a growing amount of research in Trauma-Informed Care shows that children exposed to violence are more likely to engage in or become victims. Research shows that between 75 and 93 percent of youth entering the juvenile justice system have experienced some type of trauma. Also, research by the Journal of Child Sexual Abuse study shows that young boys engaged in sexual offenses, 95 percent reported some type of trauma exposure (Justice Policy Institute, pg 1 and 5). YSI has also put emphasis on selecting a treatment model that incorporates the standards of practice and competencies which define that focus. A model of Trauma-Informed Care: Is able to define psychological trauma. Understands the development over time of the perception of psychological trauma as a potential cause and/or complicating factor in medical or psychiatric illnesses. Prevalence and Sequelae: Is familiar with current research on the prevalence of psychological (childhood and adult) trauma in the lives of persons with serious mental health and substance abuse problems and is able to list possible sequelae of trauma (e.g. post traumatic stress disorder (PTSD), depression, generalized anxiety, self-injury, substance abuse, flashbacks, dissociation, eating disorder, revictimization, physical illness, suicide, aggression toward others). Understands feelings and responses associated with trauma and traumatizing relationships. Trauma-Informed Services: Understands key principles of trauma-informed services; ensuring physical and emotional safety; maximizing consumer choice and control; maintaining clarity of tasks and boundaries; ensuring collaboration in the sharing of power; maximizing empowerment and skill building. Avoidance of Retraumatization: Considers all consumers as potentially having a trauma history, understands how such individuals can be retraumatized and is able to interact with consumers in ways that avoid retraumatization. Personal and Professional Boundaries: Is able to maintain personal and professional boundaries in ways that are informed and sensitive to the unique needs of a person with a history of trauma. Unusual or Difficult Behaviors: Understands unusual or difficult behaviors as potential attempts to cope with trauma. Has respect for people s coping attempts and avoids rush to negative judgments. (sources: Jane B. Streit, Ph.D., Senior Psychologist, Children s Mental Health Services, FL DCF; Maine Children s Behavioral Health System of Care.) YSI has chosen not to utilize promising models which, while possibly very effective in practice, have not yet achieved all the criteria which define an evidence-based model. The following table identifies the evidence-based mental health treatment models, substance abuse treatment models, delinquency interventions and practices that have been proposed for use at DSOP, as well as their purpose and the agency that has determined or otherwise cited them to be evidence-based: Mental Health Treatment Models: Model Name: Application Evidence-Based Determining or Citation Agency & Date Cognitive Behavioral Therapy (CBT) Core Treatment Model SAMHSA Center for Mental Health Services (CMHS) / NREPP 2008 Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Treatment of posttraumatic stress and/or trauma California Evidence-based Clearinghouse for Child Welfare (CEBC) June, 2008 Prolonged Exposure Therapy for Adolescents PTSD Veterans Health Care System/SAMHSA Substance Abuse Treatment Models: Model Name: Application Evidence-Based Determining or Citation Agency & Date Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 38

80 PROGRAM SERVICES Seeking Safety Core Substance Abuse SAMHSA / NREPP October, 2006 Treatment Model Lifeskills Training (LST) Substance Abuse Prevention SAMHSA / NREPP September, 2008 Cannabis Youth Treatment (CYT) Substance Abuse SAMHSA / NREPP July, 2007 Delinquency Intervention Models: Model Name: Application Evidence-Based Determining or Citation Agency & Date The Phoenix Program for Gang Intervention (PPGI) Diversion of significantly gang-involved youth National Gang Crime Research Center (NGCRC) 2004; Florida Attorney General s Report Oct, 2007 Thinking for a Change (T4C) Redirection; Problem solving; National Institute of Corrections, 1997; State of Florida, Socialization Department of Juvenile Justice, 2004 Motivational Interviewing Techniques (MI) Redirection; Motivation to (A practice approach) Change Evidence based mental health; 7:52, (2004), et al. A.6.d. A Gender Specific, Culturally and Ethnic Background Awareness Program DSOP will actively support career development, mentoring, and cross-training between employees with diverse backgrounds. It is YSI s policy to actively encourage and model an environment accepting of individuals with trauma sensitive issues, unique treatment needs and diverse backgrounds in race, culture, and religion. While YSI utilizes a proprietary genderspecific treatment environment known as YSI Discovery Model we understand that staff may encounter obstacles when working with a culturally diverse clientele. Each youth s culture impacts their ability to adjust to residential treatment because expectations, beliefs and convictions are based on life experiences. A staff member s own values and beliefs can affect the way they interact with youth and how effective they are in counseling and supervising them. The program staff members will serve as natural examples of tolerance for the youth in residence. DSOP will: Provide trauma sensitivity and gender specific diversity awareness training with the goal of developing culturally competent staff who are trauma aware, appreciate diversity, can adapt to differences and will seek culturally specific understanding of others Adhere to a model of non-judgmental interactions with continual awareness of trauma-based trigger responses. Encourage ongoing awareness of one s own areas of bias and an understanding that each staff member must evaluate his or his own issues. Encourage openness to culturally sensitive treatment models and use culturally fair assessment instruments. Provide or arrange integrated culturally fair treatment for co-occurring mental health and substance abuse disorders. A.6.e. Designated Mental Health Authority - See page 41. Provision of Sex Offender Treatment Services (Attachment II) Juveniles account for approximately 11.3% of the arrests for forcible rape and 13.8% of all other sex offenses in the United States each year, (Unified Crime Report (FBI, 2007). While some youth can be safely and effectively treated on a community-based level, others require 24-hour residential care. YSI treatment program for juvenile sex offenders represents a best practices model that will be conducted across different modalities and integrated into all program components (Hunter, 2011). Identification and assessment of sex offenders will focus on youth risk, need and the management of risk. The intensity of services will be based on the youth s level of risk, need, motivation and other relevant factors. Services provided to sex offenders is an integral part of the YSI plan, carried out by a multidisciplinary team with the active participation of the youth and his family/guardian. Family services are an integral component of the program and include family therapy and education to parents about the causes and treatment of youth-manifest sexually abusive behavior. The implemented sex offender-specific treatment provided in the program will be modeled after that described by John A. Hunter, Ph.D. in his recently published book, Help for Adolescent Males with Sexual Behavior Problems: A Cognitive-Behavioral Treatment Program (Hunter, 2011). The therapist guide, and accompanying workbook for treated youth (and their parents), was published in Oxford University Press Treatments That Work series. To be included in this series, each treatment program must pass the highest standards of evidence available, as determined by a scientific advisory board. The manuals and workbooks in this series contain step-by-step detailed procedures for assessing and treating specific problems and diagnosis. Critical areas of intervention for sexually abusive youth will include the following: social skills enhancement, improvement of sexual impulse control and judgment, anger management, healthy masculinity, healthy sexuality, empathy enhancement, and relapse prevention. The sex offender treatment interventions will focus on reducing the likelihood of reoffending and if feasible will work towards partnership with the community-based providers to participate in the development of the youth s relapse prevention and family safety aftercare plan. DSOP will provide a facility environment that is conducive to the delivery of delinquency programming and sex offender treatment, including assessments, treatment planning, individual, and group activities specific to the youth being treated. Through qualified mental health treatment staff and effective, Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 39

81 PROGRAM SERVICES evidence-based programming, DSOP will also provide mental health services and substance abuse for youth diagnosed with one or more co-occurring mental disorder(s). Clinical records will be maintained in a HIPPA sensitive manner within a locked records storage area. Services provided to sex offenders will be reviewed and evaluated by the facility program fidelity committee and by the corporate level clinical services and fidelity oversight committee on a regular basis to ensure they meet professional and ethical practices in accordance with this Scope of Services, The Department s Mental Health and Substance Abuse Services Manual, (Revised 2007), applicable provisions of the Department s Health Services Manual, Revised October 2006, Chapter 65D.30, Florida Administrative Code and Chapter 397, Florida Statutes governing licensure of substance abuse treatment facilities, and applicable Department rules and quality assurance standards. YSI has obtained licensure for all of its Florida facilities under Chapter 397, F.S. and anticipates being granted a similar license for DSOP upon program startup. Attachment II A. Sex Offender Treatment Services (SOTS) A.1. Sex Offender Treatment Services All juvenile sex offenders will be evaluated for appropriateness of care at the residential level that includes psychiatric evaluations and completion of a battery of psychometric measures designed to assess personality functioning, psychosexual attitudes and interests, family characteristics, and peer influences. In addition, juvenile sex offender specific risk and needs assessments will be conducted. Through this evaluation process this supports diagnostic conceptualization of the youth s sexual behavior problem and identification of his specific intervention needs which provides a foundation for the development of the initial treatment plan. This evaluation process includes on-going re-assessment of risk, psychosocial and psychosexual functioning, and treatment needs. Treatment plans will be comprehensive, reflecting a holistic understanding of youths, family systems, and socio-cultural environment in which they live. The youth will participate in specialized didactic groups that add target specific knowledge and skills in the reduction of sexual offending behavior which may include daily therapeutic activities. Each youth will have a primary mental health therapist who provides individual therapy, which addresses the array of emotional and behavioral problems and ensures parents and referral agencies will be informed of the youth treatment progress and actively participate. DSOP professional staff believes the family s active participation in treatment will be conducive to the youth successful completion of the program. The family sessions will assist family members to process issues related to the youth sexual behavior and potential for re-offense, help family members understand the need for their support, and to encourage a positive alliance with the treatment staff to help motivate and maintain youth cooperation. Each youth will be assigned to a mentor who is a member of the direct care staff and work under the supervision of the individual mental health staff. The mentor observes and evaluates the youth abilities to successfully apply acquired social & self-control skills and provides assistance where needed. DSOP treatment goals include: treatment interventions that encourage each youth to make a commitment to positive life change, development in each youth of an understanding for healthy sexual relationships, to enhance each youth s capacity to empathize with others, the provision of interventions designed to improve the youth judgment and control sexual and aggressive impulses, trauma reduction, and develop a relapse prevention plan. A.2. YSI will staff the mental health department at DSOP with a licensed individual who meets the requirements to practice juvenile sex offender therapy under section or section , at a minimum, 5 days a week to supervise the sex offender treatment services at the program. Additionally, YSI has contracted Dr. John A. Hunter, Ph.D., who will have the responsibility for overall design and implementation of YSI sex offender treatment model, including: on-going training of professional and support staff in the implementation of the sex offender treatment model, as well as to assist them in understanding the causes, assessment, and treatment of juvenile sex offenders; resource support for the onsite Clinical Director (DMHA); clinical case consultation and program evaluation activities. As part of the sex offender treatment services, YSI will provide psychological services as necessary and psychiatric consultations, psychopharmacological therapy and 24-hour crisis services. Also, non-licensed mental health professionals will work under the direct supervision of the licensed Clinical Director to provide mental health and substance treatment services for juvenile sexual offenders who have co-occurring mental disorder and/or substance related disorder. A.3. Target Population A.3.1. The target population for SOTS will include youth in need for sexual offender treatment that has been documented and based upon a psychosexual assessment with DSM-IV-TR sexual disorder and/or sexual abuse of a child where the focus attention will be on the perpetrator of the abuse. A.3.2. Requirements for admission to Sex Offender Treatment Services will be as follows: The youth must have an adjudicated sex offense. An assessed DSM-IV-TR Axis IV Global Assessment of Functioning (GAF) or CGAS score less than 50 The youth is in need of an intensive level of sex offender treatment services at the time of admission. The youth may have a co-occurring mental health diagnosis and needs and/or substance related disorder but it is not the primary diagnosis. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 40

82 PROGRAM SERVICES The youth may have complex risk factors that include a deviant sexual arousal or interests, predatory behaviors, and risk of victimizing others. A.4. Clinical Staffing A.4.1. Clinical Staff Requirements 1. Designated Mental Health Authority (DMHA) A single licensed mental health professional will be designated as the DMHA at DSOP. The role and responsibility of the DMHA will be clearly written in a job description between YSI and the selected individual. This individual will also serve as Clinical Director. The Clinical Director will be an individual selected on the basis of possessing a minimum of five (5) years experience in mental health service delivery, at least three (3) of which will have been in the administration of residential mental health or similar programs and meets the requirements to practice juvenile sex offender therapy. He or she will be an individual appropriately licensed by the State of Florida under Chapter 490 or 491, under Section or , F.S. There will be a direct line of communication between the DMHA, DHA, and information will be disseminated to the clinical staff. He or she and will provide daily oversight to the clinical program and staff. 2. Juvenile Sex Offender Therapist A Florida licensed mental health professional that meets the requirements to practice juvenile sex offender therapy under section or section , will be on site at least 5 days per week and will be responsible for supervision of the sex offender treatment. 3. Therapists DSOP will employ a highly skilled and properly credentialed group of experienced clinicians that meet or exceed the qualifications stated in Attachment II of the RFP. Therapists will be retained on the basis of possessing at least a Master s Degree in a human services related field and at least one year experience working with youth with serious emotional disturbance or substance abuse problems. It is not YSI s policy to employ Bachelor s degree level counselors unless the individual possesses extensive experience in a similar program. All non-licensed clinical staff will work under the direct supervision of a licensed clinician, and will receive face-to-face supervision in accordance with the definitions set forth in the DJJ Mental Health and Substance Abuse Services Manual. 4. Each therapist will be assigned a caseload no larger than 10 youths. This ratio will ensure the therapist s have time to focus on a more intensive individualized treatment service to the youth. Group therapy sessions will not exceed ten (10) participants for groups whose purpose is to treat mental health disorders and fifteen (15) participants for groups whose purpose is to treat youth for substance abuse disorders. All group therapy will be conducted in a manner which maintains the fidelity of the evidence-based treatment model being utilized. 5. Psychiatrist A licensed psychiatrist will be on site, at a minimum, bi-weekly to provide psychiatric services, and will be available 24 hours a day for consultation services. 6. Psychologist Contract arrangements will be established with a locally available licensed psychologist to provide psychological evaluations as necessary. A.5. Clinical Staff Qualifications The Juvenile Sex Offender Therapist will be a Florida licensed mental health professional that meets the requirements to practice juvenile sex offender therapy under Chapter 490 or 491 and Rule 64B F.A.C., or Rule 64B F.A.C., who is full time and on site at least 5 days of the week, 40 hours per week to provide and supervise sex offender treatment services. The Clinical Director will be a Licensed Mental Health Professional that meets the requirements under chapter 458, 459, 490, 491, or (23), F.S., that is on-site at least 5 days of the week, will review the work of all clinical staff members and will meet face-to-face with the non-licensed clinical staff member at least one hour and fifteen minutes per week. He or she will ensure all licensed and non-licensed clinical staff members working under his or her direct supervision are performing services which they are qualified to perform, based on education, training and experience. All non-licensed clinical staff will meet or exceed the qualifications stated in Attachment II in the RFP. Therapists will be retained on the basis of being appropriately trained clinicians possessing at least a Bachelor s Degree in a human services related field and at least two years experience working with youth with serious emotional disturbance or substance abuse problems. However, YSI will seek to employ only individuals possessing a Master s degree in an appropriate human services related field and at least one year experience as defined above. All non-licensed clinical staff members will work under the direct supervision of the Licensed Clinical Director or other designated licensed mental health professional. Direct Supervision means that the licensed mental health professional will meet face-to-face with the non-licensed clinical staff member at least one hour and fifteen minutes per week, in either a group or individual setting, for the purpose of overseeing and directing the substance abuse/mental health treatment services that the non-licensed person is providing within the facility. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 41

83 PROGRAM SERVICES Clinical staff will be on-site seven days a week. Substance abuse services, including substance abuse education, will be provided by a qualified professional licensed under chapter 458, 459, 490 or 491, Florida Statutes, until such time as DSOP becomes licensed under with Rule 65D (15) Florida Administrative Code. A.6. Clinical Services A.6.1. The Sex Offender Treatment Services (SOTS) at DSOP will provide the following services: Clinical Service Components: 1. Comprehensive Sex Offender Assessment and Evaluation All juvenile sex offenders will be evaluated by qualified mental health staff using Motivational Interviewing techniques for appropriateness for care at the residential level that includes psychiatric evaluations and completion of a battery of psychometric measures designed to assess personality functioning, psychosexual attitudes and interests, family characteristics, and peer influences. In addition, juvenile sex offender specific risk and needs assessments will be conducted using ERASOR, J-SOAP-II, and Child and Adolescent Strengths and Needs Sexual Development (CANS-SD). The youth will be evaluated from both a historical perspective and current status utilizing various resources including court documents, parent and/or /family interviews and clinical interviews, and observable behaviors to establish a baseline for the youth treatment which will be submitted to the Clinical Director for review and signature approval within 5 days exceeding the requirements of the RFP and will be completed within 21 calendar days from the youth s admission. Motivational Interviewing techniques will be applied to the evaluation process. DSOP will exceed the specification of this RFP by evaluating all youth using a broader spectrum of assessment instruments than those normally applied, as described on pages 17-18, Section II. Following comprehensive assessment, the treatment focus will be on the following factors; risk to reoffend and motivation to change. 2. Individualized Sex Offender Treatment Planning Each youth entering the facility will receive a brief assessment administered face-to-face by a licensed mental health professional on the day of admission. From that assessment, an initial treatment plan, outlining assessment and treatment methods which will be used during the first 30 days, during the assessment phase of treatment, will be developed and completed on the first day the youth is at the DSOP. Upon completion, the youth s treatment team will use the information obtained in the evaluative process, as well as from the risk and needs assessments, to make treatment recommendations. The assigned clinician will then work with each youth to develop an individualized and specific sex offender treatment plan, completed within 30 days. Treatment planning will take into consideration: a) Bio-Psychosocial Assessment Administered as part of the Comprehensive Sex Offender Evaluation, this assessment will provide an overview of the youth s adjustment to many domains including social relationships with family members and friends, leisure and recreational activities, work and education, financial matters, legal involvement and spirituality. This will provide the clinician with detailed information from several different sources, as to his history, developmental milestones, family experiences, learning problems and possible traumatic or abuse events. b) Psychiatric Illness Information compiled will include the mental health diagnosis, characteristic symptoms, and medication as well as the youth s understanding of their illness and its treatment. This component of the assessment will summarize the information most critical to developing a treatment plan that addresses both mental illness and substance use. c) Physical Health and Safety Individuals who severe mental illness and abuse substances may also suffer from a range of health problems such as infectious diseases and risky sexual behavior in exchange for drugs or money. Research indicates that individuals with dual disorders are substantially more at risk for such infectious diseases as Hepatitis B and C, sexually transmitted diseases and HIV. Because of this, assessments will include consideration of these factors. d) Individualized Transition/Aftercare Planning The clinical staff at DSOP will begin contingency planning for discharge and transition at admission. At least 3 months prior to the youth s release DSOP treatment team, in collaboration with the required parties, will finalize a formal aftercare plan. A typical transition/aftercare plan will include: Preparing youth for progressively increased responsibility and freedom in the community. Facilitating youth-community interaction and involvement. Working with youth and targeted community support systems (e.g. schools, family) on strategies needed for constructive interaction and the youth s successful community adjustment. Identification and development of new resources and supports where needed. Creating links with a wide range of service providers to meet the multiple and varied needs of each youth through creating and sustaining relationships with key organizations in the youth s community Clear expectations for supervision, restrictions youth responsibilities and rules of the home, and potential consequences for failing to meet established expectations will be discussed and agreed upon. High-risk circumstances that will challenge the family s capacity to succeed will be anticipated and coping strategies Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 42

84 PROGRAM SERVICES introduced to handle these circumstances. Additionally treatment team members will compile information concerning vocational training, recreation, life skills development, religious interests, and behavioral concerns. Each youth s individualized treatment plan will include: A statement of long and short-term goals to be achieved and the method for evaluating progress. Identification of therapeutic and/or specialized services that will be provided, including modality, frequency of services, and measureable and attainable outcomes (goals). Goals and preliminary plans for discharge and aftercare. Identification of all persons responsible for implementing or coordinating implementation of the plan. 3. Individualized Behavior Modification/Behavior Therapy Based on principles of learning, staff members will utilize strategies outlined in the YSI Discovery Model to help youth learn new and more effective skills for improving health, self-care, and self-regulation; anticipate, prepare for, manage stress; behave more effectively in social situations; and minimize or cope with unpleasant thoughts and feelings Mental health services are utilized for sex offender specific treatment, in the form of individual, group or family therapy will be provided to each youth 7 days per week. Group therapy sessions will not exceed 10 participants with mental health diagnoses and not exceed 15 participants with substance abuse diagnoses. All therapies will be conducted by a mental health clinical staff person, using Motivational Interviewing techniques, Cognitive Behavioral Therapy, and provided in a manner which maintains the fidelity of the evidence-based treatment model being employed. Individual Therapy/Counseling Each youth will receive one-to-one counseling provided by a qualified mental health professional. The focus of one-to-one counseling is to relieve symptoms of serious emotional disturbance as identified on the individual treatment plan, and to confront denial mechanisms that interfere with treatment. Group Therapy refers to therapeutic services, usually delivered through use of a curriculum that is a component of an evidence-based treatment model, that are provided by a clinician to several youth at the same time. Group therapy sessions at DSOP will not exceed (10) ten participants for group whose purpose is to address mental health treatment and fifteen (15) participants for group whose purpose is to address substance abuse treatment, and will be provided 7 days per week, as deemed appropriate to the youths individual needs and identified on his treatment plan. All group therapy will be conducted in a manner which maintains the fidelity of the evidence-based treatment model. Family Therapy Family counseling focuses on involving the family in treatment and helping them to support abstinence and reinforce positive behaviors, as well as improve family functioning in areas that have been affected or damaged by the youth s actions, to understand the nature and characteristics of the youth s mental health problem; and to learn more effective coping strategies for dealing with it. The youth s therapist will engage and involve the family in the treatment process at the earliest opportunity. Therapy will include assisting the family in developing coping strategies for addressing potential problem behavior or relapse after discharge. Daily Therapeutic Activities Psychosocial skills training will be used to help youths improve various aspects of their social functioning such as initiating and maintaining conversations, expressing affection, making friends, asserting themselves, and managing conflicts. Skills training procedures will focus on teaching new skills and engaging youths in extensive practice of skills resulting in the participants over-learning the skills to the point where they become automatic. Supportive Counseling While supportive counseling is not specifically therapy, it can be provided to help youth discuss feelings relating to substance abuse, trauma or mental illness. It can also help them to identify their personal strengths, and redevelop feelings of self-worth. Informal meetings using Motivational Interviewing Techniques can be employed by the supportive counselor as a means of empathizing with the youth while moving the dialogue toward developing clear and simple plans for appropriate behavioral changes. When issues are emotion focused and cannot be changed, the counselor will help the youth to recognize this and suggest some helpful coping strategies. Below is a sample of a seven (7) day sex offender treatment schedule. Monday Tuesday Wed. Thursday Friday Saturday Sunday Group Therapy Topic: Sexual Impulse Control and Judgment Group Therapy Topic: Anger Management Group Therapy Topic: Healthy Sexuality Group Therapy Topic: Relapse Prevention Group Therapy Topic: Healthy Masculinity Group Therapy Topic: PTSD: Taking Back Your Power Group Therapy Topic: When Substance Controls You Workbook: Help for Adolescent Males with Sexual Behavior Problems Workbook: Help for Adolescent Males with Sexual Behavior Problems Workbook: Help for Adolescent Males with Sexual Behavior Problems Workbook: Help for Adolescent Males with Sexual Behavior Problems Workbook: Help for Adolescent Males with Sexual Behavior Problems Workbook: Seeking Safety Workbook: Seeking Safety Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 43

85 PROGRAM SERVICES Therapeutic Activities or Individual or Family Therapy Topic: Using above workbook Therapeutic Activities or Individual or Family Therapy Topic: Using above workbook Therapeutic Activities or Individual or Family Therapy Topic: Using above workbook Therapeutic Activities or Individual or Family Therapy Topic: Using above workbook Therapeutic Activities or Individual or Family Therapy Topic: Using above workbook Family Support Group Topic: Anger and the Family Family Support Group Topic: Dealing with Feelings 8. Psychiatric Services - YSI has extensive experience in providing psychopharmacological treatment to youth in our facilities. DSOP will contract with a psychiatrist who is certified in the treatment of adolescent psychiatric disorders to prescribe psychopharmacological interventions when necessary to augment the treatment process. All youth will receive an initial psychiatric assessment. From that assessment, treatment recommendations, which may include psychotropic medications, will be provided to the treatment team, where, with appropriate parental consent, they will be incorporated into treatment and performance plan development. DSOP will provide on-site psychiatric services at least bi-weekly, with a 24-hour on-call system in place for psychiatric emergencies. Services will include psychiatric assessment and medication management. The psychiatrist will participate in treatment team meetings and treatment planning whenever necessary. 9. Suicide Prevention Services Each youth will be screened for risk of suicide upon entering DSOP through scoring of the MAYSI-2 on JJIS. However, because of the nature of this program, a Suicide Risk Assessment will be conducted for every youth. (See Section III A.6.a.(5) pages 33-34). DSOP will also develop a comprehensive Suicide Prevention Plan, which will include protocol and procedures for observation and treatment of at-risk youth. 10. Crisis Intervention Services - DSOP will have a comprehensive written crisis intervention plan which includes short-term therapeutic processes for the rapid resolution of acute psychological distress or an acute emotional or behavioral problem. Staff members will be trained in crisis intervention techniques and use a variety of treatment strategies in response to a youth crisis including: Crisis Counseling will focus on identifying the specific event(s) precipitating the crisis, alleviating the specific distressing symptoms, and restoring the youth to an appropriate level of functioning. Although symptoms may subside quickly, continued crisis counseling, will be provided in order to prevent the return of a crisis state. Environmental Intervention will be specifically outlined by a qualified professional and includes techniques such as more time out of his room for a depressed, withdrawn youth so they may have maximum contact with staff and peers. The Program Director and Clinical Director must both authorize an environmental intervention in response to crisis. Additionally, staff will be trained to use each crisis situation as an opportunity for the work on the youth s treatment plan. In the early stages of treatment, staff can use a crisis situation to identify social factors that may contribute to the crisis and help youth become more engaged in their treatment. As each youth becomes more engaged in treatment, staff members can use a crisis situation to help make the connection between the crisis and his substance abuse issues. As each youth becomes active in his treatment, staff members will use crises situations to help the youth develop skills for self-management of crisis and to develop an awareness of what precipitates them in order to prevent future crisis events Hour Response Capability with Access to Acute Care Setting DSOP will have a written plan outlining mental health and substance abuse emergency response procedures. Essential components are as follows: Immediate staff response Notification of designated on-site facility personnel Communication between direct care staff, clinicians and medical staff Authorization of transport for emergency mental health or substance abuse services Transportation procedures for emergency mental health treatment or substance abuse treatment Documentation of the mental health emergency Review of mental health emergency procedures DSOP will ensure 24-hour response capability with access to acute care settings and mental health and substance abuse emergency management services. If Baker Act procedures become necessary, Act Corporation, Emergency Services-Pinegrove Crisis Center, 1150 Red John Drive, Daytona Beach, fl , is the designated DCF contracted Florida Baker Act Receiving Facility. A.6.2. Required Components DSOP programming components will include providing Comprehensive Mental Health and Substance Abuse Evaluations or Updated Evaluations completed by a licensed mental health professional, that is a systematic and dynamic process, Psychological evaluations and consultation services contract arrangements will be established Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 44

86 PROGRAM SERVICES with a locally available licensed psychologist to provide psychological evaluations as necessary, Substance Abuse Services for youth with Occurring Substance-Related Disorders will be provided by a licensed service provider as specified in Rule 65D (15) condition (a) or (b), or a qualified professional licensed under Chapter 458, 459, 490 or 491, Florida Statutes, as specified in Rule 65D (15), condition (c) or (d). Non-licensed substance abuse clinical staff members will provide substance abuse services at DSOP only after the facility has achieved licensure under chapter 397, Florida Statutes. All non-licensed substance abuse clinical staff members will hold at least a Bachelor s degree from an accredited university or college with a major in psychology, social work, counseling or related human services field and meet the training requirements provided in Rule 65D-30 Florida Administrative Code. Family counseling will be provided for the families of each youth at least once per month. Because traditional face-to-face family involvement is often difficult for a variety of reasons (i.e., distance from the facility, limited financial resources or limited transportation), DSOP will offer telephonic family services. Additionally, clinical staff will maintain a flexible schedule to be available at times when families are able to participate (i.e., after work or on weekends) and a Therapeutic environment tailored to sex offender treatment that is supported and implemented across the program components. A.7 Delinquency Programming YSI utilizes an innovative and comprehensive four-level accomplishment-based system of achievement known as YSI Strategic Model which provides youth with growing steps through: Directed Study Worksheet Completion Establishment and Maintenance of Expected Social and Behavioral Norms Increasing Privilege and Responsibility through Four Levels of Achievement A.7.a. YSI will provide evidence-based delinquency interventions at the facility which will be delivered within a framework of sound Restorative Justice Philosophies, principles and practices, and which is designed to reduce the influence of at least three or more specific risk factors related to each youth s potential for re-offending behavior. YSI will utilize three structured support systems to augment the treatment program of the young men admitted to DSOP: Thinking for a Change (T4C), the Department s Impact of Crime curriculum and YSI s proprietary behavior management system, YSI Discovery Model. YSI Discovery Model is proprietary to YSI and will be used at the program to provide a level-based behavior management and achievement system which establishes social norms and appropriate behavior for community living. T4C is an evidence-based thought redirection group application of approximately eleven (11) weeks duration, but which can be extended with elective components. Since T4C is conducted as a closed group, youth awaiting admission to a new group, will attend a combined schedule comprised of the Impact of Crime curriculum and social rehabilitation education. Staff members providing these services will be specifically trained in the delivery of these curricula. Additional restorative justice elements, such as guest speakers, etc will also be provided. The behavioral component of the YSI Discovery Model will address the needs of adolescent youth by integrating relational-cultural theory, resiliency practices, and skills training into a format that is designed to increase positive connection, personal and collective strengths and competence. YSI Discovery Model is constructed around the understanding that a youth s connection with others is a central organizing feature in their psychological makeup, and that the quality of these connections is a factor in determining the overall psychological health, self-image and ability to form functional relationships while reducing delinquent behaviors and increasing protective factors. YSI Discovery Model also provides the basis for a four-level system of achievement through directed study, worksheet completion and accomplishment of behavioral norms. A daily evaluation process for assessing each youth s ability to meet the expected norms for their level, respond to intervention and accept redirection is maintained throughout their stay at the program. Daily and weekly evaluations are used by the treatment team to assess their progress on the development of individual skills designated by resiliency research to be related to future success and to provide a guideline for promotion as they progress through the program. On a monthly basis, this data is aggregated and forwarded to Dr. Jon McCaine, Vice President of Program Development, for analysis. The data is then further discussed in a monthly conference between Dr. McCaine, the Clinical Director and Program Director. The monthly average is reviewed by the corporate executive staff. An annual program performance report is generated on all facilities performance. Implementation Plan for Delinquency Intervention Programming 1. Goals and Objectives for the delinquency intervention programming at DSOP are: Fostering respect for self and others and a commitment to the cessation of violence as a means of resolving interpersonal conflict in each youth. Improving each youth s judgment and ability to control addictive behaviors and antisocial impulses. Improving each youth s risk ability to successfully manage anger and other challenging emotional states, by enhancing assertiveness and conflict resolution skills. Enhancing each youth s capacity to empathize with others. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 45

87 PROGRAM SERVICES Developing in each youth an understanding of the antecedents of his addictive and antisocial behavior, including the chain of thoughts, feelings, and events that lead to his actions. 2. The timeline for implementation of delinquency intervention programming is as follows: Within 3 weeks of YSI assuming operations at DSOP, the incoming Clinical Director, case management staff and direct care supervisory personnel will meet with the youth to explain the philosophy, behavioral expectations, directed study requirements and level system achievement of YSI Discovery Model. Residents will receive student handbooks and be given the opportunity to ask questions about the model, transition, etc. Youth will be reassured that they will not go backwards in the transition process, but that it will occur as a process, particularly during the first 30 days after YSI assumes operation of DSOP. Individual clinical and case management records of each youth who will remain in residence throughout the transition will then be reviewed. A representative of clinical and case management services will meet with the resident, to discuss his individual program transition, including any new performance or treatment plan goals. Prior to assuming operations, all new or transferring direct care, clinical and case management staff members will be trained in YSI Discovery Model principles and be able to articulate its tenets. Prior to assuming operations, all new staff members will be trained in Motivational Interviewing Techniques. Prior to assuming operations, specific direct care staff members will be selected and trained in providing T4C and Impact of Crime programming. A.7.b. Family Involvement DSOP will utilize evidence-based delinquency intervention programming that is cognitive-behavioral in scope. Youth will be matched to specific delinquency interventions based on the results of the CPACT, mental health/substance abuse assessments, and RPACT as outlined in the assessment component of this proposal. YSI will continue to evaluate newly recognized and promising evidence based programs and may at times adjust programming around systems best suited to this population and which can be most effectively delivered within a framework of sound Restorative Justice philosophies, principles, and practices. YSI will exceed the requirements of the RFP by taking an innovative and comprehensive pro-active approach to family treatment. YSI will ensure a very high level of engagement and ongoing family involvement through: Regular, ongoing Family Therapy provided to all youth Family Involvement in Case Management Family Involvement in Delinquency Interventions and Behavior Management Expectations Family Involvement in the Youth s Transition and Discharge YSI views family involvement as one of the most crucial yet challenging aspects of working with youth with substance abuse issues, mental health disorders; and believes that family involvement plays a critical role in the prospects for long-term reduction of recidivism for at risk youth. Risk factors for adolescents presenting with these issues include family characteristics such as parental disengagement and inattention in relation to their children, parental abuse, family conflict, generational patterns of incarceration and arrest, poverty, single-parent households, and a poorly educated head of household. YSI understands that many parents have basic problems of their own (housing, food, transportation, medical care, safety, drug addiction or legal problems) that limit their involvement in their child s treatment. One of the case manager s primary responsibilities at DSOP will be assigned to the task of establishing networks of community agencies and services to help families resolve these issues, and will work with the youth and his assigned therapist and case manager to engage his family in the treatment process. The youth s therapist and case manager, will be responsible for maintaining regular, ongoing contact with the family members to seek active participation in developing the performance plan, mental health/substance abuse treatment plan, family sessions and treatment team meetings, unless such involvement or contact has been expressively forbidden by the supervising court and/or is contrary to the Department s recommendations. Additionally, referrals may be made to provide the parent(s) or guardian(s) with the resources needed to learn effective parenting skills including communication, setting limits, providing structure, and consistency. Parents or guardians will also be provided with a Trauma Information Pamphlet for Parents. The case managers and therapists will keep families informed of proposed treatments and involved in their youth s progress between family therapy sessions and monthly conferences. A monthly survey will be conducted with families. This allows the families to provide additional input into the youth s needs. All services will meet the requirements of Rule 63E-7, F.A.C. Family therapy will be provided for the families for each youth at least once a month. Because traditional, face-to-face family involvement is often difficult for a variety of reasons (i.e., distance from the facility, limited financial resources or limited transportation), DSOP will offer telephonic family services. Additionally, clinical staff will maintain a flexible schedule to be available at times when families are able to participate (i.e., after work or on weekends). Transition & Discharge Transition and discharge planning begins at admission. As a youth is progressing towards his final two months, the clinical and case management staff at DSOP will conduct a meeting with the family to finalize plans and connections with the community service agencies that will facilitate the youth s transition from residential treatment back into the community, ensure continued treatment of substance abuse and mental health issues through outpatient services, connect the family with appropriate community supports, maintain abstinence from alcohol and other drugs, increase the pro-social behavior of the youth, and lower the risk of recidivism. Family participation in mental health/substance abuse treatment will primarily be through regular contact with the assigned Youth Services International, Inc. 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88 PROGRAM SERVICES therapist and case manager, and through ongoing active participation in family therapy and treatment team meetings. Every attempt will be made to actively engage each youth s family in the treatment process, unless such involvement or contact has been expressly forbidden by the supervising court and/or is contrary to the Department s recommendations. A.7.c. Delinquency Intervention Model As stated previously, YSI Discovery Model is proprietary to YSI and will be used at DSOP to provide a level-based behavior management and achievement system which establishes social norms and appropriate behavior for community living. Delinquency Intervention differs from Mental Health/Substance Abuse treatment in several ways. The foremost of these is programming is not based on a specific individual diagnosis, but provides educational experiences in socialization, crisis management and alternative behaviors that are beneficial to all. Additionally, although the clinical staff offers guidance and input into service delivery, delinquency interventions are not clinical in scope, but will be delivered at a mentor level by trained direct care staff members who are assisted by clinical staff and overseen by the clinical director. The programs selected for delinquency intervention programming at DSOP are described below: Motivational Interviewing Motivational interviewing is also used as a component of Mental Health/Substance Abuse treatment. In this context, however, it is a method for working with those who do not consider their behavior a problem and express little or no interest in changing it. Motivational Interviewing is a set of therapeutic strategies to help youth understand, in their own terms, the impact their behavior has on their lives. Motivational Interviewing does not require clinical training or an advanced degree, and can be used in the individual relationship between youth counselors or case managers and youth assigned to their care. Thinking for a Change This curriculum is constructed around 22 lessons, which may be delivered incrementally. It also has the capacity to be extended indefinitely by adding elective material to the basic skills that are taught. T4C is a problem-solving program enhanced by cognitive restructuring and social skills interventions. The primary need areas that are addressed are cognitive skills and criminal attitudes. Each of the concepts is presented systemically, providing interactive experiences in cognitive skills methods, ways to identify cognitive objectives, and introduction of a systematic approach to identifying thinking, beliefs, attitudes, and values. The Phoenix Gang Prevention and Intervention Program and New Freedom Resources (hereafter, Phoenix/New Freedom Resources) was selected based upon it being endorsed by FGIA and based on OPPAGA recommendations. This program is flexible and supports a curriculum of up to 600 hours of intervention, (Source: A.R. Phoenix Resources, October 2008). The Phoenix/New Freedom Program is a curriculum-based approach to building a practical self-efficacy with which delinquent youth, including gang members, can learn and practice the skills needed to resist risk factors, enhance protective factors, and construct productive, satisfying lives. Other clinical evidenced based programming see Section III A.6.b. pages A.7.d. Evidence Bases for Delinquency Interventions and Practices Evidence bases for Motivational Interviewing To date Motivational Interviewing has been studied in 29 random assignment clinical trials. The outcome of these studies was that 73 percent found MI to be more effective than the control condition. However, the best evidence for effectiveness was found in cases where MI was used in conjunction with other treatment programs. Evidence bases for Thinking for a Change Since 1997, T4C has trained thousands of correctional staff to facilitate offender groups, and interest in adopting the evidence-based cognitive behavior program continues to grow. It was developed by the National Institute of Corrections specifically to have a problem-solving component, embellished by both cognitive restructuring and social skills intervention, and to be appropriate for a wide-range of offender groups. It has been implemented in all phases of juvenile and adult criminal justice systems. It has been studied and evaluated by many departments of corrections across the country. Evidence bases for The Phoenix Gang Prevention and Intervention Program and New Freedom Resources Phoenix/New Freedom Resources programs have been implemented in over 40 states, many of which received OJJDP funds for implementation. The objective is to reduce recidivism. This resource builds on motivational enhancement techniques (MET), through introducing the program to new residents to reduce resistance, build student participation, and guide the process of change. The entire program curriculum is based on cognitivebehavioral (CBT), MET, risk factors management, relapse prevention, and social learning treatment concepts. A.7.e. YSI has established definitive quality assurance procedures for maintaining fidelity to the original design of all evidence-based delinquency interventions. Delinquency interventions will be monitored through: An internal process will be established at DSOP through a Program Fidelity Committee (facility level) The Committee will establish a regular peer review, student surveys and feedback process Use of Master Trainer Program Evaluators to conduct Corporate QA site monitoring (corporate level) Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 47

89 PROGRAM SERVICES Periodic Monitoring from the DJJ Program Office As determined by program design, YSI will measure and evaluate program fidelity for each of the evidence-based modalities utilized at DSOP through the Program Fidelity Committee and the corporate Clinical Services and Fidelity Oversight Committee. One way program fidelity will be monitored is through the use of checklists developed for programs in use, which will be completed by the therapists and will be reviewed through direct supervision and spot checks of sessions by clinical staff and supervisors. Most evidence-based programs also include a checklist for participants. Additionally, an exit interview questionnaire will be completed by the youth and parent/guardian upon leaving the facility to provide information on improving the models. It will be the responsibility of the Clinical Director to monitor periodically all evidence based programming as necessary to ensure adherence to the original design. In most instances, this will involve application of the fidelity measures currently in use for the program components being utilized. These include: CBT Incorporates a protocol for evaluating the fidelity of the program to its original design. The Clinical Director will periodically request evaluation of the program. Motivational Interviewing: The Motivational Interviewing Skills Code (MISC) is the original behavioral coding system that provides comprehensive information about the process of Motivational Interviewing. It can be used in training, as a quality check or to investigate process variables. The MISC examines interviewer behaviors, as well as client change and commitment language. Thinking for a Change: Incorporates into instructor Master trainer training a protocol for evaluating fidelity of the program to its original design. The Clinical Director will periodically request program evaluation. Behavioral Component of YSI Discovery Model: On a weekly basis, evaluation summaries are forwarded to Dr. Jon McCaine, Vice President of Program Development, for analysis. Findings and trends are discussed in a monthly conference between Dr. McCaine, the Clinical Director and Program Director. Additional steps that may be taken to ensure fidelity of evidence-based programs include: Use of treatment/program manuals that detail both the content and delivery style of the intervention. Provision of intensive training and practice for staff. Provision of close supervision by knowledgeable supervisors. Development of peer support networks in which providers can share tips and strategies. Provision of regular feedback to staff for continuous fidelity monitoring Provision of recognition or incentives for effective implementation. If the Program Fidelity Committee or Clinical Services and Fidelity Oversight Committee the determines fidelity has become compromised and improvements are needed, the Clinical Director will prepare a Program Improvement Plan for review by both Committees, and will then oversee its implementation and evaluate the outcomes through a process of reassessing the original fidelity measures. A.8. Educational Services A.8.a. YSI will coordinate educational services through the Volusia County School District or their education contractor in accordance with section , F.S. Additionally, YSI will coordinate with Volusia County School District s representative on the utilization of additional classroom space located in the 16 bed building. A.8.b. YSI will notify the school district of its response to the Department consistent with the requirements of section , F.S., Cooperative Development of Educational Facilities in Juvenile Justice Programs. A.8.c. YSI will comply with the School Board Cooperative Agreement between the Department and the School Board of Volusia County with provisions as specified by section , F.S. DSOP will provide educational services consistent with all state requirements. Upon contract award YSI s educational services will focus on the youth individual needs, strengths, and achievements toward obtaining a high school diploma or GED. Education plans will be individualized to meet each the education goals and objectives of each youth s performance/transition plan. The education plans will consist of AIP or ESOL plans, 504 plans, individual academic plans (IAP) or individual education plans (IEP) specifically developed to identify the youth s educational needs while at DSOP. The education goals for academic success consist of reading, writing and mathematics, vocational, behavioral and social goals. Progress will be discussed during treatment team meetings. Quarterly performance summaries identifying the youth s progress while at the program will be provided to the appropriate individuals. All academic programming will be provided at the youth s grade level by certified educational staff. All youth who have passed the age of compulsory school attendance, but have not received a high school diploma or its equivalent, will also be required to participate in the educational program unless they have filed a formal notice of intent to terminate school enrollment and taken the general educational development (GED) test to obtain a diploma. YSI will work with Volusia County School District to ensure their classrooms are equipped with the most recent technology and will ensure students have access to Florida Virtual School courses. YSI will partner with Volusia County School District to pursue funding for the Youth Investment Awards from The Florida Juvenile Justice Youth Services International, Inc. 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90 PROGRAM SERVICES Foundation Scholarship. This supplemental funding will contribute to education or employability assistance, equipment, supplies, etc. A.8.d. YSI will work with the Volusia County School District to ensure educational services are integrated into the overall living environment and behavioral management and reward system. Education staff will also be included in the bi-weekly multidisciplinary informal and formal treatment team meeting. Additionally, during treatment team meetings, a member of the education team will provide a report on the youth s academic process. Therefore, the youth has an on-going academic performance assessment that occurs during the informal and formal treatment team meetings. School personnel and administrative staff will meet to establish an education schedule that ensures the required 300 minutes of educational courses will be provided in accordance with DOE requirements. A.8.e. YSI will ensure youth have access to appropriate reading material by maintaining a diverse media center external to the education program. Reading levels will be assessed via the Reading Program. All students will be provided the framework to be able to read and comprehend at a level appropriate to their ability using resources from the Just Read Florida program. YSI in collaboration with the education department will create a Book Club for the youth to enhance their reading skills and receive extra credit. Additionally, once a youth has reached Level 3 status and is eligible for a field trip, a risk assessment will be completed. Once a week, DSOP staff will take several youth to the local library to obtain some books to read. A.8.f. All educational staff will be qualified and competent. YSI s intent will be to provide teachers with 40 hours of training in YSI s philosophy, treatment approaches, CPR, first aid, infection control, suicide and crisis prevention, gang awareness, restorative justice, episodic care, behavior management system, and other treatment components, as well as in facility safety and security procedures. YSI will ensure the required ratios of direct care staff members are assigned to each classroom in accordance with Rule 63E-7, F.A.C. The youth counselors involved in the education process will take lead from the teacher to provide proper supervision and control in the classroom. If a classroom is temporarily unavailable, YSI will provide flexibility through combining classrooms or utilizing another area to ensure disruption to the educational process is minimized. DSOP will encourage the youth s family to attend any type of educational event i.e. ceremonies, graduations etc. A.9. Pre-Vocational and Vocational Services A.9.a. YSI will coordinate with the school district to provide traditional and non-traditional prevocational and vocational services with community resources that are integrated into each youth s treatment planning process and goals. Each youth will be assessed using a vocational aptitude test i.e. Choices. The test is an entrance profile that will identify each youth s interest for a specific vocational area. During their first treatment team meeting, each youth s specific vocational area will be discussed and integrated into their individual education plan (IEP) and performance/transition plan. Each youth will have specific goals and objectives to complete the required vocational training during their stay at the program. Vocational competencies are those recognized as being required for entry level employment in the trade areas. These will be reviewed and revised as necessary to keep programs current with changes in technology, products and trade practices. YSI will work closely with local school-to-work efforts to ensure coordination between facility, state and area post secondary programs. YSI s program director will reach out to the local law enforcement to collaborate on another vocational project by refurbishing bicycles. This project will engage in establishing another community connection to assist and provide for families and their young children. As previously mentioned, DSOP will work closely with Habitat for Humanity as another community resource to engage the youth in learning a specific vocational trade. Additionally, a horticulture program will be established at DSOP to provide the youth with another vocational trade. YSI will establish a culinary program for the youth. The goal behind the culinary program is to teach the youth all aspects of small business operations. The youth would be responsible for, prep work, food preparation, serving meals, and clean-up. In addition, youth will be responsible for food and supply orders, inventory management, vendor relations, customer relations, health codes and compliance, simple accounting, scheduling and bookwork. The culinary program will allow the youth to obtain a food handler s permit upon completion from the program. A.9.b. Workforce Development Funding YSI will strive to utilize workforce development funding to enhance vocational training certification by providing vocational education in accordance with Florida State Statute Title XVI Education, Chapter 239 Vocational, Adult, and Community Education, Part II Vocational Education. The following describes the vocational education continuum that is utilized: Comprehensive Assessment ; Placement Decisions (consistent with assessment data); Employment Preparation (career awareness, employability and life management skills, etc.); and Aftercare (for youth leaving the facility to bridge the level of employment preparation to continued education, training, work experience, and assisting in job placement) A.10. Job Training Placement DSOP will assist youth in developing job training and placement activities to ensure an orderly transition into the workplace and acceptance of a work ethic. These activities will include: Occupational Research Through assessments, questionnaires and surveys youth learn what their likes and dislikes are and what skills they possess. They then have the opportunity to research occupations by: discovering the wide Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 49

91 PROGRAM SERVICES range of work opportunities available, learning about careers that others with similar backgrounds have pursued, finding out the specific job description and requirements for a particular job and detecting work-related trends. Job Placement The job placement goal will be to provide youth with skills to help them enter the workforce. DSOP staff will assist youth to make career plans, write resumes and cover letters, prepare for interviews, and deal with problems that are barriers to employment. Staff will also assist youth to obtain the required paperwork and documents to gain employment A.11. Self-Sufficiency Planning A.11.1 For those youth who may be residing on their own upon release, staff members use an educational module designed to teach youth basic life skills for independent living. These skills enable them to cope with day-to-day problems they encounter. In addition, the treatment team will work with the youth to update their performance/transition plan for independent living. The plan includes: Finding appropriate housing. Developing a home maintenance plan Developing home management activities i.e. grocery shopping, apply for jobs etc. Finding appropriate employment. Developing a budget. DSOP staff members endeavor to maintain a network of agencies within the community in which the youth will reside to ensure he has access to mental health and substance abuse treatment, educational and vocational opportunities. Social rehabilitation group training will provide an educational curriculum designed to teach youth basic life skills for independent living. These skills will enable the youth to cope with day-to-day problems encountered in work, family, social and leisure time situations. This curriculum contains sections on assessing readiness for independence, responsibility, community resource awareness and personal awareness. Specific topics will include discussion of: Personal Financial Responsibility Becoming a responsible consumer is an essential element of successful adjustment to living on one s own - handling money and banking are treated as being among the most difficult among the problems the youth will encounter. Common problems including impulse buying beyond the limit of one s budget, problems remembering to pay bills on time, trouble organizing and reconciling check books. Tendencies to make errors in calculations, trouble reading store signs and problems with basic spelling and math are addressed, as are consumer skills and money management including the following: Budgets; Fixed expenses; Flexible expenses; Sample budget; Maintaining a checking account; and Financial planning developing savings goals. Employability - Work abilities, readiness and preferences; Job search and acquisition, i.e., developing a resume, filling out job applications, preparing for job interviews, being interviewed, interview follow-up activities; Keeping a job, rules of the workplace and Personal hygiene. Education/Vocation/Career - Staff also will work with community agencies in the communities the youth will be returning to ensure continued treatment, education and employment opportunities are available for a smooth transition back to the home environment. A.12. Discharge Policy and Transition Services DSOP staff will begin contingency planning for discharge and transition immediately upon a youth s admission taking into consideration the individual needs, characteristics, and risks in accordance with Rule 63E, F.A.C. (See pages 29 #7 & 47 Transitions and Discharges for additional information). This begins with a review of accompanying documentation, including the CPACT and administration of the RPACT and other mental health/substance abuse assessments. DSOP case managers and treatment team members will develop individualized performance/transition plans, based upon reassessments of each youth utilizing the CPACT, RPACT, and other appropriate risk, needs, characteristics, mental health/substance abuse assessments, such as the ERASOR within 28 days of the youth s admission. Emergency treatment team meetings and continuous reassessment of needs and risk of each youth presents a continuing picture of accomplishments and ongoing concerns at each stage of the program, which serve as a framework for final discharge and transition planning, including recommendations for aftercare support. Discharge/transition files will be conducted by facility peer reviewers. If any, performance improvement initiatives will be developed by the facility management team. The transition conference summary will be developed in collaboration with the assigned case manager, assigned therapist, administrative department, education department, medical department, youth, parent or guardian, DCF (if applicable), the JPO, community contacts, other partners and, if appropriate, his conditional release program within 60 or 90 days of the youth s release in person or via telephone. Additionally, the individualized performance/transition plans are updated periodically to reflect the youth s completion of tasks. The staff will continually support and encourage family involvement at all levels of treatment, including visits, phone calls, and family therapy. Additionally, the staff will solicit support from other significant adults if parents are not willing or able. Youth will be encouraged and supported as they take steps toward successful independent living. These supports will include information on community resource groups, temporary housing opportunities, life and job skills training, and counseling. The staff will contact local service agencies in order to provide specific life skills Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 50

92 PROGRAM SERVICES classes, such as Values and Goals, Nutrition, Financial and Resource Management; Employment, Family Self Sufficiency, Housing Choices, Housing Care, and the bills that come with living on one s own. When a youth leaves DSOP, the assigned case manager will provide the youth and parent/guardian with an exit survey. A.13. Staff Training A.13.a. & b. Staff Training Plan YSI will exceed the training requirements specified by the RFP and by Rule 63H, F.A.C. YSI s training program is comprehensive, innovative, web based, monitored and thorough. YSI is committed to advancement and promotion of staff through training and personal development. YSI maintains a Leadership Development Program (not required by the RFP) YSI provides additional training All staff at the program will receive training hours (RFP/Rule 63H requirements 120 hours) YSI provides 40 hours of annual training (Rule 63H requires 24 hours.) YSI recognizes the vital importance of staff training as a critical piece of operating a successful program. YSI is committed to enhancing the development and growth of all its personnel. The following summary demonstrates how YSI exceeds the training requirements set forth by Rule 63H, Health Services Manual (2006), and quality assurance standards. All staff training will be conducted in accordance with Departmental requirements, Chapters 63H-1 & 63H-2, F.A.C., and any subsequent changes. Each full-time and part-time employee will receive a minimum of hrs of pre-service and on-the-job training. 120 hours of which will be completed within 30 days. The remaining 76.5 hours will be completed within 90 days exceeding the 180 day requirement. Also, this training will include PAR certification and all required training as specified in the RFP. Each employee will be required to complete a skill & competency based test prior to continuation of employment. In addition, YSI will provide 40 hours of annual in-service training exceeding the training requirements of 24 hours set forth in Rule 63H. Additional staff training is conducted and monitored on a continuous basis to ensure a safe and effective treatment program. Teachers, volunteers and mentors will receive 40 hours of orientation training, and be accompanied by YSI staff while working with the youth. YSI will have all staff trained in the 16 bed building ensuring staff will have no contact with youth prior to the completion of pre-service training, in accordance with DJJ guidelines. This space will be further utilized as the area to conduct most in-service training(s) in order to prevent disruption to daily programmatic activities. Exhibit #8 summarizes the training outline chart and required training identified in the RFP for the proposed contract. The facility s training plan will be reviewed and updated at least annually by the Program Director and approved by the Department prior to implementation. Upon contract award, a training plan will be submitted for approval to the DJJ Staff Development and Training Department. YSI has developed and utilizes a computerized training database and tracking system for managing staff training at all facilities. This system tracks the training curriculum and hours each employee receives red flags employees who are approaching the need for additional training and generates a report that is reviewed weekly by the Program Director and our VP Training. This database ensures all personnel are provided with the training and skills needed to meet their individual responsibilities and both the Department s and YSI s requirements. DSOP will be added to this system upon award of the contract. YSI is committed to developing its supervisors to increase quality of care and performance of direct care staff. YSI has five (5) DJJ certified instructors in Florida that have completed the DJJ Leadership Development Course. The Program Director and all Supervisors at the program will complete the DJJ Leadership Development Course prior to or within one hundred and twenty (120) days of being appointed to a supervisory position over direct care staff. The certification course is a mandatory requirement of the company but not a requirement of private providers contracted by DJJ. Additionally, the Program Director and facility nurse will select individuals for medication administration training. The medication administration training will be reviewed and approved by the DHA and in accordance with the DJJ Health Services Manual (2006 with April 2010 updates). A.14. Living Environment The Program Director will establish and encourage a Community Advisory Board which will assist DSOP staff in recruiting mentors and volunteers. DSOP s Community Advisory Board will reflect the community through diversity in race, gender, and levels of community leadership. The Board will include community partners, such as members of the local school board, law enforcement, the judiciary, and local businesses who can facilitate open communication, joint planning and community involvement. The Program Director will invite the local Juvenile Justice Council to send a representative to participate in Board activities. The Program Director will develop a partnership with local victim rights services agencies to familiarize them with the facility and its mission as well as the facility s Impact of Crime classes. The DSOP staff will continue to actively engage pro-social support for youth in their communities for positive reinforcement of direct pro-social behaviors. YSI will establish a Youth Advisory Board for DSOP that will provide input into programming of services, with an overarching goal of providing better choices for the youth for a better outcome. DSOP will offer alternatives by Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 51

93 PROGRAM SERVICES recruiting individuals from community groups to serve as youth mentors and collaborative partners to provide opportunities for participation in activities that facilitate pro-social relationships. Additionally, the Program Director will build relationships with local companies that sponsor volunteer programs for employees in order to recruit mentors, tutors and volunteers who, because of a special talent or expertise, can provide special programs such as art classes and intramural sports programs. YSI will ensure all staff members that have contact with victim service agencies or victims are trained in victim sensitivity, victim readiness and victim de-briefing. All volunteers will be screened according to the DJJ Statewide Procedure on Background Screening for Employees, Providers, Volunteers and Interns, revised July All volunteers are appropriately trained for their assignments in accordance with Department policy. A.14.a. DSOP will promote mentoring, positive role modeling, positive one-on-one and small group interactions and interventions to ensure the following: 1) Input from Youth YSI Discovery Model allows the youth to have an active voice in the daily living process and their treatment. Youth will be encouraged to participate in the campus environment, program design, implementation and evaluation. As stated above, the Program Director will establish a Youth Advisory Board that will represent the student population with their suggestions and feedback. Additionally, youth input will be obtained through participation in: Town hall meetings to celebrate achievement, give voice to community, and address issues with the treatment team members. Any specific concerns that are brought up in the town hall meetings will be forwarded to the management team for responses to improvements and concerns expressed by the youth. There will be designated elected peers that will represent the Youth Advisory Board as mentioned above. Youth will participate in scheduled surveys that address issues directly affecting their program such as case management, education, medical services, mental health/substance abuse services, food service, religious services and recreational activities etc. The results will be evaluated for any trends & addressed accordingly. Youth will be given the opportunity to learn and practice leadership skills, presentation skills. 2) Effective Communication The program director will conduct a weekly management meeting and monthly staff meeting to evaluate the services, operational procedures and to make adjustments that could impact the facility. This information will be disseminated to staff and youth either individually or in group settings. The management team will adhere to an open communication practice for staff and youth that can communicate verbally and in writing any facility issues. Additionally, youth have the grievance process that allows for the youths needs to be heard and addressed which is an acceptable means of airing complaints. The Youth Advisory Board also provides the youth with an acceptable means of communication to the management team. 3) Opportunities to Develop Relationships DSOP s staff will provide opportunities for youth to develop relationships of trust and interdependence with other people already present in their lives. This will be encouraged through visitation and communication with family members as well as relationships with volunteers from various community and religious groups. The staff will encourage relationships with family members by inviting them to participate in treatment planning, family counseling and special social events, such as family picnics and sporting events. The mentoring program will provide youth with opportunities that promote effective communication and listening techniques. Youth will be encouraged to conduct emotionally safe, comforting, challenging and nurturing conversations within these on-going relationships. In addition, all staff members will be trained to promote mentoring, practice positive role modeling and participate in positive one-on-one and small group interactions. 4). Cultural Diversity and Identification YSI fully acknowledges a youth s knowledge of, and experience with, racism, sexism, victimization, and dependency. These sensitive issues are especially prominent among youth and are addressed in all facets of programs and services provided throughout the youth s stay at the facility. YSI is sensitive to the issue of cultural diversity. We recognize that the complexity of diversity impacts both the staff and the youth population. Thus, DSOP staff will continue to promote cultural diversity and identification in every aspect of operations and management, from staff training to youth programs. To ensure staff members are sensitive to these issues, each employee will continue to receive additional training in this critical area. YSI will provide a block of instruction entitled Valuing Workforce Diversity as part of its Ethics, Compliance and Professionalism curriculum. The population of the program is anticipated to represent the ethnic and racial diversity of society at large. Youth will be encouraged to explore their own cultural biases and the ways problems and solutions vary among cultures. 5). Promotion of Positive Identity The staff will promote positive male identity, self esteem, self-respect and respect for others throughout the program. Assigned staff from the facility will provide classes in healthy masculinity as an integral part of the program. Focusing on the enhancement of pro-social skills throughout treatment enables each boy to form more positive peer and staff relations. 6). Opportunities to Create Positive Changes As previously stated, YSI encourages active community involvement and the development of Community Advisory Boards. On numerous occasions, YSI s youth have proven beneficial to the community through their participation in charity projects. YSI will continue to encourage the community to include the youth in community projects which can be completed without leaving the facility. Just as importantly, the community often has something of value to offer troubled youth, such as mentoring or religious Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 52

94 PROGRAM SERVICES counseling. Often, lecturers are invited from the local area to speak on topics as diverse as art, history, safety, or environmentalism. We want our youth to recognize and respect the meaningful contribution each community member makes and to benefit from the positive role modeling presented by concerned, caring citizens. The Community Advisory Board benefits the facility and community by: Developing the public s awareness of the mission of the contracting authority and the facility Establishing an actual network of community contacts and supports; Coordinating facility operations with local law enforcement activities; Assessing the impact the facility has on the community. YSI is committed to reducing recidivism while protecting the public interest. Our active support of community involvement serves as one of our most valuable tools in achieving this goal. It is the intention of YSI that youth in our programs will come to realize they do not exist within a vacuum and that every action they take affects the world around them, for better or worse. Without the example of concerned and caring citizens from the community, meaningful change cannot be realized. Therefore, staff from the facility will strive at all times to build a foundation of trust and mutual respect between the surrounding community and the youth in our care. 7). Visitation, Correspondence and Telephone Access YSI believes that regular visitation, correspondence, and telephone access is essential to effective communication. Each of these policies will be explained to each youth during orientation and included in the student handbook. Additionally these policies will be posted where the youth, staff members and visitors may readily see them. Family involvement and family therapy is utilized as an opportunity to reinforce independent, pro-social family functioning. The additional space of the 16 bed building will allow for the private visitation of families to continue the emphasis of family reunification. A personal letter outlining the program s information will be sent to parents and guardians, which includes a copy of DSOP s visitation rules and parent handbook within 48 hours by the assigned case manager. The visitation area will be located in the multi-purpose room and will be repainted with colors and murals chosen by the youth. In addition, YSI will create an outdoor picnic/visitation area to be used in addition to the multi-purpose room, weather permitting. YSI will ensure all visitation areas provide the most comfortable setting for the youth and guests. YSI will provide additional staff to supervise the visitation or special events to ensure the safety and security of the youth and their visitors. Staff will follow DSOP s policy and procedures to ensure only visitors on the authorized visitation list will be allowed access to the facility. Prior to entering the secure area of the facility, the staff will follow security procedures and address any possible security and escape concerns. Each visitor will be required to present proper ID and be screened for contraband and weapons. Visitation areas will be searched both before and after for contraband and other safety/security issues. DSOP s staff will host family related activity days quarterly, located in the 16 bed building such as family dinners for holidays, ice cream socials, talent shows, etc. Family day will encourage the youth s family members to participate with the youth s treatment and provides for additional interaction with administrative staff, therapists, case managers and any other staff. A comment box will be placed in the visitation area to allow parents/guardians to provide their feedback on their visitation experience. YSI will place no limitation on the volume of mail a youth may receive except where there is clear and convincing evidence of a threat to public safety or facility order and security. Within such guidelines, youth are encouraged to correspond with family and friends. YSI views writing and receiving letters as an important avenue for maintaining contact with the youth s community, working toward educational and vocational goals, and motivating self-improvement. Assistance and support is provided to youth that lack the ability to write letters. Additionally, letter writing is an integral part of the educational program. The staff will provide youth with telephone access for personal and program-related communications. Onsite telephone facilities will be accessible to all youth to allow them to make and receive private telephone calls, if applicable. All telephone procedures will be in accordance with any restrictions imposed through a youth s adjudication and with DJJ regulations. 8). Trained Volunteers, Mentors and Members from the Community As appropriate, DSOP will use trained volunteers, mentors, parents, and other members from the community to interact with and share experiences with the youth. These individuals will be properly screened before having access to the youth and will always be supervised when interacting with them. A.15. Behavioral Management System A.15.a YSI s proprietary behavior management system known as YSI Discovery Model is a gender responsive strength-based achievement driven system utilizing a cognitive-behavioral theory approach and four levels of achievement, from admission to discharge. Personal progress is tracked through a daily evaluation process of the development of resiliency related personal skills in interpersonal relationships and critical thinking. The purpose of the daily evaluation, however, is not simply to change behavior but to change how a youth makes decisions for what behavior to engage in. On a daily basis, the system teaches and evaluates seven areas of decision-making which research has defined as critical to long-term success. The goal is to assist the youth in developing the ability to resolve conflicts with others and to make effective decisions about personal priorities. The system also incorporates a weekly summary report and a series of rewards and sanctions for behaviors that lie outside the structure of normal daily activities. When incorporated at DSOP, the system will be fully defined in terms of expectations for each youth. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 53

95 PROGRAM SERVICES General expectations for rewards and sanctions will be published in the student handbook. Individualized expectations will be incorporated into each youth s individual performance/transition and treatment planning. Level promotions will be accomplished through completion of workbook assignments and through incorporating learned skills into daily conduct. It is expected that a youth will progress through all four levels of achievement prior to discharge. However, specific discharge criteria will be most closely related to the ongoing assessment of each youth s needs and risk of re-offense. The level system incorporated into YSI Discovery Model recognizes and corresponds with the Prochaska Stages of Change model, with each level corresponding to a degree of learning and achievement. The level system is not a tool for managing behavior. It is an assessment of the youth s progress in addressing the problems in his life that brought him to the program. Each level corresponds to a theme of learning. The four levels address: a) Level 1: Patterns of Past Decision Making: How has the youth conducted his life up to this point b) Level 2: The Impact of Past Decisions: What happened and who was effected by the youth s previous actions c) Level 3: The Alternatives to Past Decisions: What can be done differently to be successful in situations where there previously were problems. d) Level 4: Future Success: Anticipation of future problems and methods to avoid, cope with or escape them. Positive Behavior Reinforcement System YSI has a well developed and comprehensive reward system which will be used at the program, which: Exceeds the requirements of the RFP with a 5:1 rewards to sanction ratio (RFP requires 4:1) Motivational factor is an integral part of the behavior management and tracking systems Is Individually evaluated on the merit of the behavior Encourages willingness to accept redirection Is designed to increase the likelihood of continued use of new skills YSI Discovery Model behavior management system is based on a set of behavior norms. The system incorporates a reward ratio of five possible rewards to each one possible sanction. Rewards include approval, praise, compliments, special privileges and recognition that are designed to increase the likelihood of continued use of new skills. Rewards and Sanctions DSOP will be incorporating motivational factors into our rewards and sanctions. Rewards will be given to each youth that show signs of positive behavior. This is measured through each youth s daily evaluations, level promotions, incident reports, education performance, performance and/or treatment plan progress, and treatment team reviews. Sanctions are similarly given to each youth who demonstrate challenging or oppositional behavior through daily evaluations, incident and PAR reports, etc. Following is a representation of rewards and sanctions that will be used at DSOP. Each youth s behaviors will be individually evaluated on their own merit, and will never involve demotion or loss of level. Under no circumstances will group sanctions occur. Possible Rewards Level Promotion Movie and/or take out meals (participation in Fun Friday at the end of the month Canteen Youth with no incident reports for the week (held weekly) Weekly Evaluation Average Extra Telephone Call Locker of the Week Participation in Fun Friday Student of the week certificate youth in each class with most improved school performance Student of the Month (Youth in each class with the most improved school/behavioral performance) Participation in Fun Friday Dorm of the Week (dorm that has no graffiti and no contraband) receives the CD player for a week and participate in Fun Friday Dorm of the month video game control for a week Review and Pass the YSI Strategic Model level test Dorm Recognition Party Outstanding Youth of the Month (awarded to the youth who goes above and beyond to help others)- Monthly award to be determined Celebration when entire facility goes a week without any PAR or incident reports (facility wide party) Possible Sanctions Minor Infraction one or two appropriate objectives added to the of the youth s performance plan. Examples include but are not limited to; horse playing, fighting, out of area, use of foul language, celebration non compliance before verbal warning, and contraband (items within the facility). Major Infraction two or three appropriate objectives added to the youth s performance/transition plan. Legal recourse shall also be applied as deemed appropriate. Examples include but are not limited to; assault on Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 54

96 PROGRAM SERVICES staff/youth, non-compliance after verbal warning, contraband (material from outside facility, self-mutilation or tattooing, and attempted escape. Process for Monitoring Staff and Youth s Daily Activities YSI utilizes an innovative, comprehensive and well established system for monitoring daily practice, staff and youth consistency and compliance with treatment and behavior management philosophies through use of: Provision of intensive training and practice for staff. Provision of close monitoring of youth s activities Provision of close supervision by knowledgeable supervisors An inter-corporate peer support and consultation network through which tips and strategies are shared Provision of regular feedback to staff for continuous fidelity monitoring Provision of recognition or incentives for effective implementation YSI Discovery Model also utilizes a Fidelity Measurement System. Case managers will be assigned responsibility for reviewing evaluations and behavioral reports daily and reporting findings to the treatment team members. Each youth's evaluations, number and type of rewards, incident reports or sanctions will then be compiled and provided to a designated program evaluation assistant, who will ensure that the data is included in each resident's summary. This data will also be included in an aggregate report submitted weekly to Vice President of Program Development, Dr. Jon McCaine. These evaluation summaries will then be analyzed in comparison to expected adolescent norms. Findings and trends will then be discussed in a monthly conference call between Dr. McCaine, the Clinical Director and Program Director. Dr. McCaine will also prepare an annual report for the YSI executive management team. A.15.b By taking into account motivational factors that are individualized and by teaching youth new skills and providing positive reinforcement for skills as they are used, YSI Discovery Model will: Assist in assessing and reassessing the youth s motivational factors Complement the performance planning system. Acknowledge and provide immediate positive reinforcement, as well as on-going feedback and an opportunity to respond to behavioral situations. Be clearly defined, in writing, in the youth orientation information. Be fully incorporated into the training curriculum for staff, subcontractors, and volunteers. Ensure input from teachers is sought and incorporated into the behavioral management system. Establish norms for behavior through rewarding pro-social behaviors, teaching youth alternatives to disruptive and maladaptive behaviors and encouragement to use new behaviors. Allow youth to progress through higher levels of skill as they complete the program. Ensure that consequences or sanctions imposed by staff members will be administered on an individual basis. Youth Evaluations Practice: In practice, daily evaluations at DSOP will provide a basis for tracking each youth s progress through the program, and offer clear, effective and immediate feedback on his behavior. Staff members will enter ratings on each youth s evaluation form twice a day. These will be compiled into daily, weekly, and monthly ratings. The ratings will then be used to measure each youth s progress toward the next level of achievement and guide the treatment team in establishing more effective individual performance goals, treatment objectives and rationale for promotion to the next level of achievement. Behavioral Interventions In accordance with Departmental guidelines (Rule 63E-7.009, Administrative Code), behavioral interventions will be employed at the program to confront unacceptable will occur in seven stages. These are: 1.) The Friendly Non-Verbal - the staff member gives a friendly non-verbal gesture, typically with eyes, hands, or head; 2.) The Concerned Non-Verbal - more stern and forceful facial gestures, finger pointing, hand gestures or other non-verbal signals to identify and re-direct negative behavior; 3.) The Helpful Verbal - vocal communication of concern with behavior in a cordial manner; 4.) Concerned Verbal - The youth is informed that his actions are becoming a major concern through use of stronger voice levels, facial expressions, or other gestures; 5.) Request for Staff and/or Youth Support - when the concerned verbal is ignored by the youth, verbal support is requested of other staff members or youths; 6.) Staff Intervention The youth is removed from the group temporarily (preferably fifteen minutes or less) in order for him to regain control over threatening, aggressive or non-compliant behavior; and, in cases where there has been no response, 7.) Physical Restraint Conducted only by staff trained to do so, physical restraint may occur when a youth is attempting to hurt himself and/or others, destroy property, attempt to escape or incite a disturbance. In circumstances in which problematic behavior is serious and/or persisting, an Intensive Supervision and Support (ISS) Plan will be developed to address a) motivating factors that may be sustaining the behavior b) positive reinforcement of desired positive behavioral alternatives c) loss of earned privileges/rewards pending correction of problem behavior. The dual approach of setting limits on problematic behavior and simultaneous coaching and rewarding positive change sets an atmosphere that insures program safety and ongoing youth support in attaining success remain a priority even under challenging condition. It will the responsibility of all staff members to Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 55

97 PROGRAM SERVICES constructively observe the policies and procedures that support the behavior management system, however, the ultimate success of any youth in the therapeutic community lies with the redirection efforts of direct care staff, assigned primary counselors, the youth s case manager and clinical staff. Crisis Prevention Preparation and Planning YSI believes crisis prevention begins at the level closest to the youth and the direct care staff. Crisis prevention preparation and planning at DSOP will involve thorough and ongoing training in identification of the early stages of a developing crisis. Possible crises he may experience and those staff who are readily available to provide help will be discussed with each youth during the orientation process. YSI recognizes that as a youth progresses through therapy, individual issues, particularly responses to traumatic memories, may become more apparent, and conceivably could result in emotional or behavioral crises. When identified, such issues will be integrated into individualized treatment and performance goals. When a potential for crisis is identified, the youth will be placed on alert status and the clinical department or on-call clinician will be immediately consulted. Youth who have a history of crisis, are considered as having a high potential for crisis, who have diagnosed trauma-related sequelae, or who selfreport as being fearful of having a crisis will work with their assigned therapist to develop an effective safety plan. In circumstances in which it is anticipated a youth will be challenged emotionally by past memories and either current or impending events, an Intensive Supervision and Support Plan (ISS) will be developed to address his needs inclusive of trauma based memories from the past, distressing reactions from critical events in the present (i.e. family crisis and medical emergencies, etc.) or anticipated emotional challenges in the future (i.e. transition to community placement, foster/adoptive home or group home placement interviews), YSI will prepare and plan with youth of crisis prevention to clearly identify an intervention by providing a safe, non-violent, trauma sensitive and supportive community environment in which crises can be averted through early identification or modulated and brought rapidly and safely to resolution by: Thorough and ongoing staff training in trauma sensitivity, trauma reactions, early signs of crisis and methods of crisis intervention Thorough broad spectrum assessment of each youth s history and potential for crisis Intensified therapeutic interventions provided through individual supportive counseling sessions Individualized safety plans developed by clinical staff and implemented throughout all programming Staff utilization of the Child Welfare Trauma Tool Kit Effective and comprehensive alert system and alert status reporting throughout all shifts A.15.c The behavior management system that will be in place at DSOP is described in Sections A.15.a and A.15.b above and is fully manualized. All clinical, case management, program and direct care staff will be trained in its use, using a standard curriculum and workbooks prepared by the Vice President of Program Development. The training is incorporated into our pre-service training curriculum in accordance with Rule 63H, FAC. Ongoing training for all staff, education and volunteers will be provided on a monthly basis through departmental or campus-wide meetings. A.15.d Educational staff will have full access to the training, manuals and other educational materials as described above. A.15.e Upon assuming operation of the program, YSI will develop a transition plan with the current provider to phase out the current behavior management system and phase in the YSI Discovery Model. Youth who have completed a significant portion of the current program will complete the program using the current provider s behavior management system. The cut-off level of completion will be determined with the current provider based on similarities and differences between the two programs. A.16. Religious/Spiritual Opportunities A.16.a. YSI believes in the importance of recognizing and nurturing spirituality, exploration of individual and group belief systems and societal responsibilities. DSOP will provide opportunities for youth to develop relationships of trust and interdependence with other role-model figures already present in their lives (such as friends, relatives, church members, etc.). Additionally, through the mentoring program, trained volunteers, mentors and other members from the community interact with and share positive experiences with each youth. A.16.b. Access to religious programs at DSOP will provide youth of all faith groups with reasonable and equitable opportunities to voluntarily pursue religious beliefs and practices at least three times a week. Religious services will be offered on Tuesday, Thursday and Sunday as reflected on DSOP s daily activity schedule located on pages 21-22, Section III A.1.c. Adjustments will be made as necessary to accommodate other religious observances not included in the daily activity schedule. YSI at a minimum will provide a 1:6 ratio during these activities to ensure the safety and security of the youth. YSI recognizes that the spiritual and religious needs of youth in residential facilities are as multi-dimensional as their cultural and religious experiences. Since some residents are victims of physical and sexual abuse, parental substance abuse and poverty, building trust is a significant issue. Further issues involve youth who are parents and must worry about loss of parental rights and lack of visitation and contact. A chaplaincy program will be in place as a means of presenting secure, trusting role models that encourage disclosure, discovery and healing, mentoring, time for personal reflections, cultural traditions, rituals and discussions about life, guidance, values, morals Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 56

98 PROGRAM SERVICES and ethics. Pastoral care is provided in order to assist youth in rebuilding a positive self-identity and in exploring roles and responsibilities to their family and community. DSOP will provide a full complement of religious services and activities through full-time staff, the chaplaincy program and a consortium of volunteer ministers and lay persons. YSI is particularly dedicated to providing each youth the opportunity to develop their spirituality and inner strength. The Program Director will actively seek out representatives of faith groups in the community to provide specific religious services. YSI ensures that all religious services program standards exceed the requirements of the Religious Freedom Restoration Act. Program Objectives: A.17. To provide religious resources that will be equitably distributed for the benefit of all youth, who choose to participate. To encourage youth to explore their resources for growth and change. To ensure religious rights of people of all faiths will be protected within limits of the secure and orderly running of the facility. To provide participation for religious programs that will be strictly voluntary; constructive alternative activities will be scheduled for youth who choose not to participate in religious programs. To ensure pastoral care will be available to all youth and staff members. To ensure expertise on matters of religion in the residential environment will be available for staff. Recreational and Leisure Time Activities A.17.a. Input on the various activities including recreation will be provided through the Youth Advisory Board. DSOP will provide recreational activities that will be challenging, meaningful and encourage positive interaction and participation amongst the youth. The program will be designed to engage youth in a relaxed, but structured interaction. The Program Director will assign Restorative Justice Coordinator who will coordinate all the recreational and leisure activities at DSOP. The Program Director, Restorative Justice Coordinator, and with input from the Youth Advisory Board will develop a structured recreational and leisure plan for the facility, which will be finalized and approved by the Program Director. The plan will be reviewed monthly and updated frequently. Activities which correspond with the interest levels of the youth as well as with their ability levels will be planned throughout the week. Participation in sports, arts, volunteer and mentor activities and a variety of extracurricular programs affords opportunities to end isolation, develop new skills, explore interests, relax, develop self-confidence, make friendships, feel creative, and replace self-destructive behavior with positive, life-affirming experiences. YSI s experience has demonstrated that many teenage youth enter the program unprepared for the physical and mental rigors required. It will be program s goal to prepare and equip each youth for successful entry into the workforce through training provided by this comprehensive recreation program. This is accomplished through physical fitness activities and structured physical education classes, which are provided seven days per week. Aerobic exercises, strength, and flexibility are emphasized through active workouts. Individual fitness is charted and followed using the national standard of The President s Council on Physical Fitness Test. Large muscle activities, leisure games and other recreation activities both indoor and outdoor will be provided a minimum of one hour daily and reflect their interests, ages, and emotional, mental or physical abilities. The schedule of recreation and leisure activities is located on pages A.18. Restorative Justice Philosophy, Restorative Programming and Plan A.18.a. YSI will promote Restorative Justice through a variety of service-learning tools, techniques, service projects and Impact of Crime training classes. The Restorative Justice Coordinator/Trainer will coordinate the Impact of Crime training to staff and implement an Impact of Crime Program (See Exhibit #8 for training outline chart). The program provides opportunities to repair the harm to people and relationships caused by crime. It reflects the restorative justice philosophy as follows: The program will hold the youth accountable. The program will offer the youth opportunities for competency development by providing service projects through community agencies. The program will partner with community stakeholders through service projects that benefit the community. The program will protect the public through supervision of projects. A.18.b. As previously stated, a Youth Advisory Board will be established at DSOP. Youth will have the opportunity to be actively involved and give input, participate in decisions, practice leadership roles, use restorative conflict resolution strategies, and contribute to the community through the projects they choose and the planning process for achieving a positive end to the project. A.18.c. The Restorative Justice program will facilitate development of skills valued by others through learning about the community, the purpose of community service, and identifying the benefits of community service to their own communities. Also, these skills will assist the youth to function in society in a meaningful, positive way. The program will encourage the youth to become stronger in character, remorseful and empathetic; become more connected to the Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 57

99 PROGRAM SERVICES community and recognize his potential to be a positive member. Youth will be given opportunities to practice to belong, lead, mentor, contribute, and make meaningful choices. As previously mentioned, Habitat for Humanity, a civic group will be one of the community projects introduced at DSOP. A.18.d. DSOP will utilize the Department s Impact of Crime: Addressing the Harm to Victims and the Community Curriculum. Team Leaders providing this program will receive both initial and recurring training in their application. They will be responsible to coordinate and implement the program at the facility (See page for activity schedule). The intent of Impact of Crime curriculum is to assist youth in accepting responsibility for the harm they have caused by their criminal actions and reduce the risk of future criminal activity; educate youth on the impact of crime on victims, their families and communities, increase youths awareness, empathy and accountability for their actions; provide a safe and healthy forum for crime victims to share their experiences with youth in a manner that is restorative; and provide direction for youth in developing methods to restore their victims, families and communities both inside and outside the residential commitment facilities. As part of the process of learning about crime as a community problem, through recreation and developing community projects, DSOP s staff will bring in speakers from the community, including individuals who have been victims of crime. Addressing the issues of crime with community members provides youth with a means of accepting responsibility for the harm they have caused; educates them on the impact of crime; provides a safe forum for victims to share their experiences; provides guidance to the youth as to how they may restore relationships with their victims, families and communities; and instill in them a sense of community belonging and responsibility. A.18.e. All aspects of the facility s programming will reflect Restorative Justice philosophies. This includes the performance and treatment planning process, competency development, involvement in meaningful community service, restitution, conflict resolution, victim and community involvement. The behavior management system at the program incorporates two levels which specifically target Restorative Justice Issues: Level Two focuses on The Impact of Past Decisions. This level of the program is intended to help develop a clear understanding of the destructive impact past behavior has had on others and create internal tension as the youth becomes aware of the conflict between the desire to have a positive self-image and recognizing the amount of harm to others that has been caused in attempting to achieve it. Level Four focuses on Future Success. At this level, the youth learns how to maintain a perspective that will ensure ongoing success upon leaving the structured environment of the program. At this point, each youth will have the responsibility to teach what he has learned, as well as role model success strategies to newer peers who are still struggling with old thinking and behavior patterns. At the same time, he will be guided through the process of identifying possible high-risk situations that may present themselves outside the program and assisted in developing strategies for avoiding, coping with, or extricating himself from such situations. A.19. Community Involvement Opportunities All adolescent youth in the facility will have the opportunity to participate in community service activities whether they are conducted on-site or in the community. As youth progress through the program, they may earn opportunities for community involvement outside of the facility. DSOP will offer a variety of service-learning tools, techniques, and project ideas designed to help juvenile justice practitioners introduce learning into community service. Students who address real community needs with a service-learning project develop critical-thinking and problem-solving skills; gain a deeper understanding of how to promote constructive change; form meaningful, working relationships with people outside their peer and cohort groups; develop a deeper understanding of the causes and effects of community problems; gain a sense of their own effectiveness; and recognize the need for them to be involved. DSOP will adhere to Department requirements for off-site activities in accordance with the Rule 63E-7, F.A.C. in selecting youth who may be eligible to go into the community. A.20. Transportation Services YSI will provide program related transportation services for each youth including, but not limited to: Transportation from the detention center to the program; Emergency transportation; Counseling appointments with community agencies; Education related field trips; Medical/dental appointments; Work site/community service projects; Transportation to and from home visits as needed, and Release/discharges - YSI understands the requirements as listed in this section of the RFP and will comply accordingly. DSOP will either transport youth to court appearances in accordance with Department requirements. DSOP s staff only transports youth in approved vehicles that meet Department safety requirements and with the appropriate ratio of 1:5. All staff transporting youth will have valid driver s licenses. All vehicles shall be maintained in accordance with Department policy, including but not limited to standard oil changes, annual safety inspections, and additional service needs. All vehicles will be equipped with the proper number of safety restraints, emergency roadside kit, fire extinguisher, knife for life, first aid kits, window punch, and air bag deflation device. All vehicles will be equipped with a cell phone for communication between the facility and transporting staff. All staff are required to utilize the transportation log for documenting purposes. DSOP will be responsible for all facility-to-facility transfers if the facility is in the same region. If the facility is in a different region, DSOP s staff will contact the nearest detention center to make arrangements to deliver the youth to Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 58

100 PROGRAM SERVICES the detention center, where the Department will then deliver the youth to the receiving detention center for the receiving facility to pick up. DSOP s staff understands that if a youth is in secure detention pending transfer then the Department will transport the youth to the receiving facility regardless of region and location. YSI will be responsible for all transportation requiring evacuation of youth, including evacuation outside of the catchment area. Youth will only be evacuated to Department approved evacuation sites. In a collaborative effort, DSOP s staff, along with the JPO and Parent/Guardian, will coordinate transportation arrangements for the youth s release from the facility. When all other means for transportation home for the youth have been exhausted, DSOP s staff understands that the JPO can access the Statewide Transportation Offender Program (STOP) for assistance in transporting the youth home. In the event that a youth s family is unable to pick up their child, upon release, transportation will be provided to take the youth home, at no cost to the family. IV. LIMIT OF SERVICES DSOP will provide for mental health and substance services in accordance with the Department s Mental Health and Substance Abuse Services Manual and all updates. Youth at DSOP will have access to necessary and appropriate mental health and substance abuse services both on-site and off-site, provided by qualified mental health and substance abuse professionals or service provider(s) in accordance with Chapter 394, F.S., ad/or Chapter 397, F.S., and as specified in Rule 65D (15), F.A.C. V. STAFFING/PERSONNEL A. Level of Service DSOP will serve a total of 30 adolescent boys, between the ages of years, providing 24 hours of awake supervision every day of the year. The program will provide proper supervision at all times, as well as transportation, and orientation of youth. The Program Director will work with key personnel and involved employees to develop schedules that ensure adequate staff coverage across all shifts consistent with the provisions agreed upon by YSI and DJJ. DSOP will furnish all managerial, administrative and direct care personnel to deliver the services as specified by the Department. DSOP will be staffed with properly trained personnel who are physically able to perform their duties. DSOP will provide the appropriate staff-client ratios: 1:6 awake, 1:10 sleep, and 1:5 off-site activities in order to accommodate immediate response to emergencies, active supervision and suitable and timely response to the everyday needs of youth while maintaining safety and security within the facility. B. Professional Qualifications/Licensure For all mental heath and substance abuse providers and health services, YSI agrees to comply with all applicable rules, statutes, and licensing standards regarding professional qualifications as stated in the RFP, pursuant to applicable law in the State of Florida. Certifications and licenses will be available to the Department on-site or upon request prior to the execution of a new contract. C. Allowable Staff Changes YSI understands that the following positions will be considered essential to successfully complying with this contract. No later than 48 hours after the removal, substitution, or change in status of any essential staff member, the Program Director will submit to the contract manager a detailed written explanation for the action, a plan to ensure contractual services are provided and, if appropriate, a timeline by which the position will be permanently filled. Essential positions include: Program Director, Clinical Director/Designated Mental Health Authority, Designated Health Authority and nursing staff. YSI understands the importance of providing all staff with a safe, positive, and efficient working environment, and further recognizes that staff working in a residential treatment environment will encounter many challenges to personal safety and a variety of stressors. Removing and limiting stress in the work environment whenever possible benefits everyone through increased productivity, reduction of interpersonal problems, prevention of accidents/incidents, potentially reduces sick days and stress related illnesses; and reduces the possibility of job burnout. YSI will work diligently to support its employees in creating and maintaining a positive work environment. DSOP will offer a comprehensive benefit package to all full-time employees. Minimizing employee turnover will be a goal at the program. This will be accomplished through the implementation of an effective employee relations program. VI. SERVICE LOCATION Services for DSOP will be provided in a Department owned or leased building in Circuit 7 in the Northeast Residential Region located at 1386 Indian Lake Road, Daytona Beach, Florida YSI will provide evidence-based treatment services and practices to serve a 30 bed adolescent male program, between the ages of 13-18, with sex offender treatment services, twenty-four (24) hours per day, seven (7) days per week. YSI shall notify the Contract Manager in writing a minimum of 10 days prior to making any changes at the corporate office that will affect the Department s ability to contact our company by telephone, facsimile, or mail. However, the service location shall not change unless approved by the Department. YSI understands the requirements as listed in this section of the RFP and will comply accordingly. VII. DELIVERABLES A. Detail of a Service Unit Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 59

101 PROGRAM SERVICES A.1. Filled Beds YSI understands a filled bed is defined as a bed that is occupied by a youth and that in some cases when a youth is absent from the facility the Department considers the bed to be filled. It is understood that the Department will pay either program for the filled bed rate in cases when the youth is participating in an approved program activity; approved home or work visits, other approved travel; transports to court appearances and placed in Detention not to exceed 48 hours. Additionally, if a youth was placed in a medical or mental health program that is gone less than 5 days the bed shall be considered a filled bed rate. YSI understands for medical or mental health placements that exceed 5 days, the Program Director will notify the Commitment Manager Supervisor in the region. A.2. Unfilled and Available Beds YSI understands an unfilled bed is defined as a bed that is not occupied by a youth due to a release from the facility and is not vacant due to the Department s decision to suspend admissions due to safety/security issues or concerns. YSI will ensure that the contracted beds are continuously available throughout the term of the contract. A bed is available only if youth could receive all services described in the contract with 48 hours notice. YSI will be responsible to notify the Department when contract beds are not available. YSI understands the requirements of Section A.2.a through A.2.f in the RFP and will comply accordingly. B. Reports YSI will comply with the reporting requirements specified in the RFP. YSI understands that any payment due under the terms of the contract may be withheld until the program complies with the requirements of the contract, including information due from YSI as the Provider. YSI understands the Delivery of Deliverables and reports shall not be construed to mean acceptance of those deliverables and reports. YSI understands the Department reserves the right to reject deliverables and reports as incomplete, inadequate, or unacceptable. The Contract Manager will approve or reject deliverables and reports. VIII. PERFORMANCE MEASURES A. Program Measures DSOP will use effective methods to measure and capture performance data for each youth while maintaining the mutually agreed upon continuity of service outlined in the Scope of Services and other contractual service requirements described in the contract. Consistent with the requirements set forth by the Department, the program will report PB2 data elements with direct entry into the Department s Juvenile Justice Information System (JJIS) web site. DSOP will comply with current reporting requirements pertaining to PB2 measures that include reporting to the Office of the Inspector General for youth escapes, youth-on-staff and youth-on-youth batteries. Throughout the term of the contract, DSOP will document compliance with process and evaluation measures including recidivism studies and other program assessments. This information will be made available to the Department upon request. YSI will also provide program and performance data to the Department for evaluations, studies, and assessments of programs and program service delivery. YSI understands that the Department will conduct PB2 outcome evaluations and recidivism studies, concentrating on the re-offending and re-adjudication of juveniles who complete the program. YSI understands that this data may be used to rate the effectiveness of the facility program and may impact future funding. B. Outcome Evaluation YSI understands the Department will conduct outcome evaluations, recidivism studies and other program assessments as stated in the RFP. C. Pre-Operational Review YSI understands that prior to the company continuing operation of the program after contract renewal the Department may conduct a Pre-Operational Review. The Pre-Operational Review should take place approximately 30 days prior to the beginning of operations based on the contract renewal for the program to ensure the company is ready to continue service delivery and programmatic operations. If the Department determines that the findings of the Pre-Operational Review indicate deficiencies that merit delaying the opening of the program, contract actions may be taken or payment of operational funds may be delayed pending corrective action. Youth Services International, Inc. Response to RFP #R2107 Daytona Sex Offender Program Page 60

102 Exhibit #1 - Number of Youth Arrested While in a Commitment Program Chart Arrests Per 100 Beds in Residential Programs FY FY Provider 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr 1st Qtr 2nd Qtr 6 Qtr Avg Youth Services International Twin Oaks Gulf Coast Treatment Centers, Inc. (Psychiatric Solutions Inc.) State Operated G4S Youth Services Bay Point Schools Three Springs Henry & Rilla White Foundation AMI Kids Eckerd Youth Alternatives North Amercian Family Institute Universal Health Services San Antonio Boys Village Stewart Marchman Center for Drug Free Living Global Youth Services Outward Bound Gateway Community Services Vision Quest Harbor Behavioral Health Care Miami River of Life N/A N/A N/A Pschotherapeutics N/A N/A N/A Sarasota Family YMCA N/A N/A N/A N/A Statewide Data produced by DJJ in 2009 Page 1

103 Area of Emphasis and Action Steps EXHIBIT #2 START-UP CHART Due Date Completion Date Comments Initial Action Plan Execute Contract Meet with Incumbent Provider and DJJ Officials On-site at program. Meet with Existing Program Management/Provider to discuss Transition Plans and Strategies to Ensure a Smooth Transition Meet with Existing Representatives from Each Department Conduct Walk-through Inspection/Identify Life/Safety Issues Establish Work Space for Transition Team Schedule Meeting with Local County Sheriff Establish weekly conference call schedule with DJJ Bi-Weekly Establish weekly conference call schedule with YSI (Internal) Bi-Weekly Establish Facility Management Team Establish communication with existing youth/families Maintain Current Behavior Motivation System; begin transition to YSI Strategic Model Basic Orientation Meeting with Staff Basic Orientation Letters and Schedule of Meetings mailed to Parents/Guardians Basic Orientation Letters and Schedule of Meeting mailed to Community Advisory Board Members Basic Orientation Meeting with Youth Basic Orientation Meetings for Parents/Guardians Basic Orientation Meeting for Community Advisory Board Grand Re-Opening for the Program Administration Develop and distribute Facility Operating Procedures Develop and distribute site specific forms (YSI and DJJ) Update organizational charts Secure appropriate insurances and licenses Address company philosophy and program vision with staff Establish Administrative Duty Officer roster/schedule/duties Establish employee benefits and pay scales Update Youth and Parent Handbooks Page 1

104 EXHIBIT #2 START-UP CHART Area of Emphasis and Action Steps Establish YSI (Internal) Quality Assurance systems Develop and maintain a Student Advisory Committee Support Services Establish contacts with current vendors/contractors (DHA, Psychiatrist, etc.) Identify/Execute contracts with vendors/contractors (DHA, Psychiatrist, Psychologist, Ophthalmologist, Dentist, Hospital, Baker Act Facility, Mobile X-Ray, Pharmacy, Food Service, Volusia County School Board, etc.) Establish contract with local pest/vermin control Develop community relations/recruit Advisory Board Establish connection with local law enforcement Establish communication with local school district Contact faith-based community Develop YSI staff and youth file formats Request current computer/equipment Inventory and assess computer needs Establish JJIS YSI Program Description and Census Establish JJIS Access for YSI Employees Human Resources Recruit staff (Initial effort) Interview/Screen staff and complete Drug Testing of potential candidates Submit Background Screenings (Initial) Reference check with all personnel Conduct employee physicals Make initial job offers / second job fair Build (initial) and maintain HR Files Accounting Services Set up budget and fiscal reporting systems Set up Major Maintenance Account Coordinate with Incumbent Provider for Transfer of Juvenile Welfare Fund Establish payroll system Setup Purchase Order system (Solomon) Setup credit/charge accounts (Wal-Mart, Home Depot, petty cash, etc.) Warehouse Inquire/obtain inventory of current supplies Order appropriate resident clothing, hygiene and supplies Order office supplies Due Date Completion Date Comments Page 2

105 Area of Emphasis and Action Steps Establish/maintain appropriate inventory levels/tracking system for supplies Order office furniture Order resident furniture (beds, dayroom, etc.) Order staff uniforms Order copier with scan and capabilities Order post machine with scale Order necessary office equipment - Computers, Monitors and Printers - Fax machines, phones, cell phones Order security equipment/supplies - two-way radios - metal detectors, mechanical restraints, knife for life, wire cutters - room check system ( Guard 1 ) - upgrade/replace CCTV system Establish Temp Storage/Delivery Point Educational Services Meet with the county schools Director of Education Meet with education department staff to discuss classroom management strategies EXHIBIT #2 START-UP CHART Meet with the county schools Superintendent to review the existing DJJ/County Cooperative Agreement Establish and maintain contacts with community services Screen youth to determine vocational needs Case Management Begin comprehensive individual management record review process Establish Treatment Team schedule Provide youth/parent orientation and program service overview Introduce youth to Behavior Motivation system Establish visitation, phone, mail procedures/notify youth Establish group schedules for Delinquency Programming Training Obtain copies of Training Documentation from current providers Evaluate current training needs Develop and Implement Annual Training Plan Provide training on the Behavior Motivation System Due Date Completion Date Comments Page 3

106 EXHIBIT #2 START-UP CHART Area of Emphasis and Action Steps Provide training on Fire Safety equipment, plan and COOP Provide delinquency intervention training to applicable staff (M.I., T4C, etc.) Provide Evidence-Based Mental Health and Substance Abuse Treatment Model training for applicable staff Maintain certifications as required by the program (PAR, etc.) Maintain annual training requirements/documentation on LMS/YSI training database Provide overview training w/education staff (i.e. behavior mgmt, security, incident reporting, etc.) Health Services Begin comprehensive individual healthcare record review process Complete current inventory of supplies/equipment/medication Order supplies/equipment/medication Obtain licenses, permits as required by policy or law (CLIA, Class II B Pharmacy, Infectious/hazardous waste etc.) Establish Alert System and notification of staff Establish emergency procedures Assemble, inventory and maintain required First Aid kits Establish a training plan for youth on health-related issues Special Medical Needs Currency of Health and Physicals Establish Agreement w/county Health Depart. for HIV & STD Testing, Counseling & Education Development of Medical Alert Information for Internal Alert System Convert Youth Health Records to DJJ System Medical Program Orientation to Youth Mental Health/Substance Abuse Services Establish 24 hour on call schedule Apply for DCF licensure for Substance Abuse services, if applicable Begin comprehensive clinical file review process Screen facility residents for critical MH/suicide issues Review/revise Suicide Prevention/Crisis Intervention/Emergency plans Establish supervision schedule by licensed MH Professional Establish group schedule for MH/SA groups Meet with psychiatrist and psychologist Mental health and substance abuse orientation to youth Due Date Completion Date Comments Page 4

107 Area of Emphasis and Action Steps Order curriculums for evidence-based treatments Review youth on psychotropic medications Food Services Complete inventory of food and supplies Ensure disaster supply inventory Maintain food-related alert system for youth Maintain licenses/permits as required by policy or law Inventory/Assess operability of kitchen equipment Physical Plant/Maintenance Review/update Current Condition Building Assessment (conducted by DJJ) Conduct Final Physical Plant Condition Building Assessment Walk Thru Complete inventory of supplies and equipment Assess condition of facility vehicles Obtain documentation and observe fire equipment and generators for operability Establish preventative maintenance plan Establish and post fire safety plan Develop and maintain a work order system Obtain Occupational License Care and Custody Develop and implement COOP Plan Develop Emergency Response Team/Tree Establish security/communications procedures and systems Establish transportation procedures Develop and maintain facility activity schedule Initiate Behavior Motivation System Develop structured recreation/leisure activity schedule Develop Escape Plan and train appropriate staff Conduct security risk level of facility youth EXHIBIT #2 START-UP CHART Due Date Completion Date Comments Page 5

108 Daytona Sex Offender Program Facility Performance Report For Year Summary Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr Totals Total PAR's Total Reportable Incidents Total Program/Medical/MH/SA Total Safety & Security Level of Risk High (Red) PAR's # PAR Used Without Takedown # PAR With Takedown # PAR Resulting use of Mechanical Restraints Reportable Incidents # Accident, Building Emergency, or System Malfunction # Discovery of Illegal or Controlled Drugs, Alcohol, Firearms, or Other Weapons # Contraband # Food Boycott # Disturbance # Hostage Situation # Incidents Involving Visitors # Natural or Environmental Disaster # Media Attention # Loss or Theft of Department Vehicles, Equipment, or Youth Property # Threatened Use or Discovery of an Explosive Device # Vehicle Traffic Crash # Absconds # Attempted Escapes # Contagious Diseases # Employee Death # PAR Restraint, Youth or Staff Injury # Youth Injury # Youth Medical Illness # Youth Self-Inflicted Injury # Youth Suicide Attempts # Complaints Against Staff Incidents # Health or Mental Health/Substance Abuse Services Complaint # Other Agency Investigations for Abuse/Neglect Reported to DCF # Use of Intoxicating Substances # Threats by Staff # Youth Behavior Incidents for Battery # Youth Behavior Incidents for Felony Activity or Incidents Involving Youths on Community Supervision # Youth Behavior Incidents for Felony Arrests of Youth for Violations Committed While in Custody # Youth Behavior Incidents for Youth on Youth Sexual Contact Program/Medical/MH/SA Please Input data # Med Errors 0 # Baker Act 0 # Grievances 0 Safety & Security # Missed Fire Drills # Missed Mock Emergency Drills # Missed Sanitation Inspections # Missed Qrtly Fire Equip Inspection & Testing # Missed Contraband and Searches # Missed Physical Plant Safety and Security # Missed Vehicle Safety and Inspection YSI, Inc. Jan 2011

109 Daytona Sex Offender Program Facility Performance Report For Year Personnel Data # Budgeted Positions (FTE's) # Filled Positions # Vacant Positions > 30 days Vacancy Rate on last day of Month Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr Please Input Data Employee Disciplinary Action Involuntary Termination Suspension Other Disciplinary Actions # Escapes Reports # Failure to Report # Facility CCC Calls # Outside CCC Calls Program Completions # Successful # Unsuccessful # PARs Occurred on a Shift Please Input Data 1st 2nd 3rd # Reportable Incidents Occurred on a Shift Please Input Data 1st 2nd 3rd Monthly Rating Report Projected Average Actual Projected Rate of Restraints Efficiency Rating Promotion Rating Please Input Data Monthly Rating Reference Range Projected Average (Youth movement and capacity of Good 2.75 to 4.00 Average 2.45 to 2.65 Intervention 2.00 to 2.40 population for degrees of youth leadership and focus) W/Tmt Team Actual Projected (Youth response to staff guidance Good >2.00 Consistent 2.00 Poor <2.00 and interventions) Rate of Restraints (Measure overall tension Acceptable <10% of population Intervention >10% of population in the program) Efficiency Rating (Measure youth promotions with Excellent 0 to.10 Good/Average.10 to.30 Inconsistency.30 to.40 Severe Problems >.40 staff daily evaluations) Promotion Rating (Movement thru program, based Below <20.00 Average High >20.00 on youth gaining level promotions - 1 out of 5) YSI, Inc. Jan 2011

110 Daytona Sex Offender Program Facility Performance Report For Year Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr Total Number of Pars Total Number of Reportable Incidents ` Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 Pars Apr-11 May- 11 Jun-11 Jul-11 Aug- 11 Sep- 11 Oct-11 Nov- 11 Dec- 11 Jan-12 Incidents Feb- 12 Mar- 12 Apr-12 PARs During Shift Reportable Incidents During Shift st Shift 2nd Shfit 3rd Shift Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 0 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 1st Shift 2nd Shfit 3rd Shift YSI, Inc. Jan 2011

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136 The Daytona Sex Offender Program Treatment Delivery Structure Youth entering DSOP Youth s Family Motivational Interviewing Techniques Intake Assessment Process Sex Offender Specific Needs and Risks (J-SOAP-II, ERASOR, CANS-SD, CPSS, et.al.) Suicide and Crisis Assessments Mental Health/Substance Abuse Discharge/Transition/Reunification Plan Development Performance Planning Treatment Planning Trauma Sensitive Performance Planning Behavior Management and Social Skills Gender-Specific, Safety Based and Culturally Sensitive Community Restorative Justice Value Development Sex Offender Specific Mental Health Substance Abuse Family & Support Medical Psychiatric Recovery Discharge Aftercare Ongoing Family Involvement Performance Services Treatment Services Trained Counselor: Thinking For A Change Motivational Interviewing Therapist: Trauma Recovery Direct Care Staff: Behavior Management Community Life Best Practices Approach MHSA Manual Evidence-based Practice Models Primary Therapist Sex offender specific Individual, Group and Family Therapies CBT models Psychiatrist Psychiatric Treatment Nursing Staff Medical Care YSI Inc. 2009

137 YOUTH SERVICE INTERNATIONAL ETHICS AND COMPLIANCE PROGRAM (Employees) YSI EMPLOYEE MANUAL FOR PROFESSIONAL EXCELLENCE

138 TABLE OF CONTENTS Introduction James F. Slattery CEO & President SECTION I MISSION, PHILOSOPHY, GOALS Paragraph Page Mission A Philosophy B Goals C SECTION II ETHICS AND COMPLIANCE Paragraph Page Policy Statement General Provisions of Employee Code of Ethics Approval Requirements Employee Code of Conduct Training Grievance Procedure Ethics Violation Reporting Compliance Audits Mandatory Reports and Files Summarized Codes A B C D E F H I J K Appendix A 2

139 INTRODUCTION This manual was developed to ensure that Youth Services International (YSI) employees fully understand YSI s Mission, Philosophy, Goals and adhere to our high standards of ethical conduct. YSI is a leader in the Juvenile services industry. We must set the example of professionalism in all areas of operations. We want to ensure that all company personnel maintain honesty and professionalism, comply with all pertinent laws and regulations and provide the highest quality juvenile services. We must ensure that every employee is provided ethics training and adheres to the highest ethical standards. YSI s Ethics Officer will oversee the Ethics and Compliance Program. Employees must report any violations in the Code to their supervisor. Employees should use the chain of command to report violations however, if necessary, everyone in the company has direct access to the Corporate Ethics Officer at the Corporate Headquarters. The Ethics Officer will investigate violations of the Code and recommend appropriate corrective action. In addition to the detailed provisions of the Code of Ethics, YSI has established an Employee Code of conduct containing six articles that all employees are expected to memorize, and strictly follow. All employees being considered for promotion must be able to demonstrate their knowledge of and compliance with the Code. Periodic on site audits of each YSI Facility will be conducted by our Corporate Audit Team. Corporate Audits will ensure compliance with contract specifications and all pertinent laws and regulations. Also, selected employees will be required to demonstrate their knowledge of the Code of Conduct to the Corporate Audit Team Members. Let us continue to work together to maintain YSI s reputation of excellence while adhering to the highest standards of professional ethical conduct. James F Slattery CEO & President 3

140 SECTION I Mission, Philosophy, Goals A. MISSION Manage and operate safe, humane, and secure youth facilities that protect the public and provide youth with training, education and treatment programs designed to reduce recidivism. B. PHILOSOPHY Youth Service International is fully committed to operating safe and secure juvenile/youth facilities that provide meaningful rehabilitation opportunities for all youth. All YSI facilities are staffed with a team of highly trained professionals who adopt a firm but fair correctional philosophy. Each team builds a strong correctional environment that is based on humane treatment and the mutual respect of staff and youth. YSI believes that there is an interdependency between security and programs. YSI s approach to managing youth focuses on decreasing antisocial behavior and developing responsible social and work skills. YSI creates environments for both staff and youth that are totally free of harassment and discrimination. YSI employees are required to adhere to a strict code of ethics and serve as positive role models to youth and co-workers. YSI recognizes the importance of establishing excellent community relations and building partnerships in the community in order to accomplish the corporate mission. C. GOALS THE HIGHEST STANDARDS OF CONTRACT COMPLIANCE It is the goal of YSI to maintain the highest standard of contract compliance. YSI will conduct regular audits of all its facilities to ensure that all requirements of the contracts are met and that standards set by YSI and the American Correctional Association are maintained. YSI will ensure compliance with government regulations and all Federal, state and local laws. Effective juvenile youth management at all levels of the corporate structure will ensure contract compliance. STRICT ADHERENCE TO YSI S CODE OF ETHICS YSI is fully committed to conducting its business lawfully and ethically. As YSI s reputation is the sum of the reputations of its employees, it is critically important that all employees meet the highest standards of legal and ethical conduct. All YSI employees must comply with all Federal, state and local laws and government regulations. The YSI Code of Ethics establishes an impeccable standard as regard to proper actions, attitudes, and language used in conducting our daily activities. The Code establishes an ethics standard that is designed to protect against any impropriety or even the appearance of impropriety by a YSI employee. 4

141 STRONG YOUTH ENVIRONMENT A strong youth environment is the standard in all facilities. Each facility will be accredited by the American Correctional Association. The emphasis must be on humane treatment and maintaining excellent interpersonal relations. Respect must be clearly displayed by both staff and youth. Staff members must posses a genuine concern for youth security, safety, and well being. The staff must ensure that youth rights are protected. A strong youth environment means a firm but fair staff who achieve the highest standards of juvenile youth excellence. A WELL TRAINED STAFF A well trained staff is the best means to ensure the safety and well being of staff and youth. Staff members must be prepared to handle a multitude of situations daily. They must always be alert and prepared to properly react to all emergencies. They must always maintain self-control even under the most severe provocation. They must interact well with youth and always provide safe and humane treatment. Employees will be trained on the Code of Ethics and Compliance Program. Employees must know what is expected of them and how to accomplish all duties and responsibilities. Facility leadership must ensure that meaningful training is conducted on a regular basis. THE HIGHEST LEVEL OF SECURITY AWARENESS A high level of security awareness is the key to preventing escapes, disturbances or injuries. Facility leadership must constantly keep emphasis on security to avoid complacency and ensure total custody and control of youth. Training, supervision and sound juvenile/youth management are vital to good security. All facilities must have effective security programs to include physical security, emergency procedures, and youth disciplinary process. Effective security programs ensure the safety of the public, staff and youth. A POSITIVE WORK ENVIRONMENT It is the goal of YSI to develop positive working environments in all facilities free of discrimination and harassment. Positive environments reward those who perform above standards and provide, counsel and direct those needing improvement. All facilities must be established as drug free environments and employees must follow YSI Code of Ethics and Compliance Policy. Leaders must be accessible to their subordinates. All employees must be aware of the YSI grievance process and their right to voice their complaint without fear or threat of reprisal. EFFECTIVE YOUTH PROGRAMS YSI is fully committed to returning youth to their communities with a lower risk of reoffending. All youth in YSI facilities will have the opportunity to improve physically, mentally, and spiritually. YSI will offer self improvement opportunities by conducting appropriate training, education and treatment programs. YSI will focus on decreasing antisocial behavior and developing responsible social and work skills. 5

142 EFFECTIVE YOUTH SUPPORT SERVICES Effective support services will be established in all YSI facilities. YSI recognizes that effective services have a positive impact on youth attitudes and behaviors. YSI will provide professional medical, food and laundry services to insure the well being of all youth. A CLEAN, SAFE AND ORDERLY PHYSICAL PLANT YSI considers it very important to maintain an extraordinary high level of cleanliness in all facilities. Clean facilities contribute to strong youth environments. Facility Administrators will personally conduct regular inspections to ensure YSI cleanliness standards are constantly maintained. Strong emphasis will be placed on ensuring that effective maintenance is accomplished on all equipment and that sound fire and safety procedures are routinely practiced in all facilities. EFFICIENT AND EFFECTIVE USE OF RESOURCES YSI will efficiently manage its resources to enable YSI to offer the highest quality correctional services. People are our most important resource. They must feel that they are part of the YSI team. Supervisors at all levels must encourage creativity and be open to suggestions for improvement. YSI leadership must demonstrate fiscal and logistical responsibility. All furniture and equipment will be maintained in good order and regularly inventoried. All YSI facilities will strictly adhere to an operating budget and emphasize sound resource management by all personnel. EXCELLENT COMMUNITY RELATIONS YSI will make a positive contribution in each community where facilities are located. Each facility will interact with community leaders to develop community service projects. Each facility will make a regular commitment to the community to accomplish projects that will make the community a better place to live and work. It is important for YSI to establish partnerships with the local communities to effectively accomplish our corporate mission. 6

143 SECTION II ETHICS AND COMPLIANCE PROGRAM A. POLICY STATEMENT YSI will operate in accordance with a strict Corporate Ethics and Compliance Program. YSI will ensure that the Company s directors, management, employees and contractors maintain the business integrity required of a participant in publicly funded programs and that the delivery of services is in compliance with all laws and regulations applicable to such programs. B. GENERAL YSI is fully committed to conducting its business lawfully and ethically. Every YSI employee is required to understand and comply fully with all provisions of the Code of Ethics. Decisions regarding requests for interpretation of, or exception to the Code will only be made by the President. The President may refer the matter to the Corporate Counsel. The decision by the Corporate Counsel is final. An employee who violates any provision of the Code will be subject to disciplinary action. As YSI s reputation is the sum of the reputations of its employees, it is critically important that all employees meet the highest standards of legal and ethical conduct. Strict adherence to the Ethics and Compliance Program will safeguard YSI s tradition of strong moral, ethical and social standards of conduct. Any questions as to the propriety of a particular situation should be submitted in writing to the Corporate Ethics Officer. C. PROVISIONS OF CODE OF ETHICS FOR EMPLOYEES All provisions of Code of Ethics are listed in YSI Policies; Employee Standards of Conduct; Employee Relationships with youth, former youth and close associates and family members of former youth; Professional Ethics; Sexual Harassment; Drug Free Workplace. UNETHICAL CONDUCT E101 Employees shall not commit or allow any act or omission that jeopardizes security, health, safety and/or welfare of youth, staff and/or visitors. Employees shall be responsive to youth needs. PROHIBITED SECURITY ITEMS E102 Employees are prohibited from bringing a weapon and/or other items considered security equipment on to facility property without written authorization to do so from the organizational unit and supervising corporate office. 7

144 VERBAL ABUSE E103 Employees shall protect youth from verbal abuse. Verbal abuse is defined as profanity, demeaning or indecent language, ethnic or other discriminatory connotations directed toward youth. PHYSICAL ABUSE E104 Employees shall protect youth from physical abuse and/or excessive or unnecessary use of force. Acceptable conditions and procedures for use of force are provided in YSI Policy. YOUTH RIGHTS E105 Employees shall protect youth against violations of youth rights. EMPLOYEE PUNCTUALITY/ACCURATE TIME CARD REPORTING E106 Employees shall report to work on time and accurately record time worked. Employees who must be absent from work shall notify the person designated by the organizational unit head a minimum of two hours prior to the time scheduled to report for work. EMPLOYEE THEFT E107 Employees shall not commit or allow the theft of property from YSI, youth, staff, visitors or contracting authority. EMPLOYEE ALERTNESS E108 While on duty, employees shall remain alert, aware of and responsive to their surroundings (i.e. their post and area of responsibility). Employees shall not sleep while on duty. RELEASE OF INFORMATION E109 Employees shall protect against the unauthorized use and/or release of YSI, contracting agency and/or youth information, records, and/or documents. Authorization procedures for using and/or releasing such information, records or documents are described but not limited to those presented in YSI Policy. REPORTING UNETHICAL CONDUCT E110 Employees shall report, upon discovery, to their supervisor any unethical conduct and/or violations of policy and procedures that may jeopardize organizational unit security, the health, safety and/or welfare of youth, staff and/or visitors, as well as any acts that appear to be unresponsive to youth needs. DRUG FREE ENVIRONMENT E111 Employee shall report to work free from the influence of drugs or alcohol, and shall not possess or distribute drugs alcohol or other controlled substances while on YSI premises. An employee taking prescribed medication shall notify his/her 8

145 supervisor. A written physician s statement may be required to verify the effect of the medication on the employee s ability to perform assigned duties. OPERATION WITH INVESTIGATIONS E112 Employees shall cooperate with investigations conducted by YSI, the contracting agency and/or public law enforcement officials. FALSIFICATION OF RECORDS E113 Employees shall not commit or allow the falsification, alteration and/or destruction of documents, records, logbooks. NEGATIVE BEHAVIOR/UNPROFESSIONAL CONDUCT E114 Employees shall not display negative behavior or unprofessional conduct that could reflect negatively on the employee, YSI and/or the contracting agency. Employees shall conduct themselves in such a manner so as to avoid convictions or law violations. ABUSE OF LEAVE E115 Employees shall not abuse leave benefits, as specified in Corporate Policy. CONTACT WITH NEWS MEDIA E116 Employee contact with the news media shall be limited to those circumstances authorized in YSI Policy. THREATS AND USE OF OBSCENE LANGUAGE E117 Employees shall refrain from the use of inappropriate, abuse and/or obscene language, and shall neither threaten nor coerce any person for any reason. (3-3) USE OF PROPERTY E118 Employees shall protect YSI property from unauthorized use, abuse and/or waste. DRIVING YSI VEHICLES E119 Employees, when operating YSI vehicles, shall refrain from driving practices that could result in traffic convictions. OBEDIENCE TO SUPERVISORS E120 Employees shall follow supervisory instructions and/or directions. ADHERENCE TO POLICY E121 Employees shall adhere to written policies and procedures. EMPLOYEE OVERTIME E122 Employees shall work overtime as required. APPROPRIATE DRESS 9

146 E123 Employees shall adhere to the standards of appropriate dress per Employee Handbook. USE OF EMPLOYMENT E124 Employees shall not use his/her employment, official positions or associations with the company to secure privileges or advantages in the community or to effect separate financial gain. PROTECTION OF CONFIDENTIAL INFORMATION E125 Employees shall guard against release of confidential information regarding youth and the company. The youth s record, offense, personal history, or private affairs are for official use only. Employees shall seek to obtain such information only as needed for the performance of official duties, and shall not discuss such information except as required in the performance of official duties. COOPERATION WITH GOVERNMENT OFFICIALS E126 Employees shall cooperate fully with federal, state and local legislative bodies. Legislative requests for information about programs and services offered by YSI shall be responded to promptly. USE OF EMPLOYMENT TO PROMOTE POLITICAL INTERESTS E127 Employees shall not use his/her employment, positions or associations with the company to promote partisan political interest. E128 Employees may run for political office and may support/campaign for a selected issue or candidate unless such activities infer an official company position on the issue or candidate. Employees shall not use the work site or duty hours for partisan political activity. Buttons, banners, posters of a partisan political nature may not be displayed on facility premises by staff members except on personal vehicles. ASSOCIATION WITH YOUTH AND THEIR FAMILIES E129 Employee association with youth, family members of youth or close associates of youth shall be limited to those times when the employee is performing duties directly related to company business. FAVORTISM TOWARDS YOUTH E130 Employees will not display favoritism or preferential treatment towards youth or group of youth. YOUTH EMPOWERMENT E131 Employees will not place youth in positions of authority over other youth. GIVING OF GIFTS E132 Employees will not give gifts or do special favors for youth, their families or close associates. 10

147 ACCEPTANCE OF GIFTS E133 Employees will not accept any personal gift, favor or service from youth, their families or close associates. RELATIONSHIPS WITH YOUTH AND THEIR FAMILIES E134 Employees will not enter any business relationship with youth, their families or close associates. E135 Employees will not buy any items and/or services from or for youth, former youth, their families or close associates. E136 Employees will not have contact with youth, former youth, their families or close associates other than incidental contact. Employee contact with former youth, their families or close associates shall be limited to those persons with whom the employee was acquainted with prior to the youth s entry into the facility or program. MANDATORY REPORTING OF PREVIOUS KNOWLEDGE OF YOUTH E137 Employees must report to their supervisor if the facility or program receives an youth or program participant who is known to the employee. The employee must furnish the information and the nature of the relationship to the supervisor. SEXUAL HARASSMENT E138 Employees will not sexually harass or condone sexual harassment with or against any person. DISCRIMINATION/HARASSMENT E139 Employees will not discriminate against or harass any youth, employee or member of the public on the basis of race, color, religion, age, national origin, sex, handicap or any other characteristic protected by the state and Federal employment discrimination laws. D. EMPLOYEE CODE OF CONDUCT Employees violating any article of code will be subject to disciplinary action, up and including termination. ARTICLES 1. I will always be professional and strictly follow YSI s high standards of ethics and conduct. 2. I will earn the respect of both the youth and my fellow employees by always being a positive role model. 3. I will maintain proficiency in all my assigned duties and respond properly to all routine and emergency situations. 4. I will protect the rights of all those under my authority and ensure their safety, 11

148 security and well being. 5. I will refrain from the use of abusive language or actions and will neither threaten nor harass any person for any reason. I will maintain self-control even under the most severe provocation. 6. I will never abuse my position of trust nor engage in behavior that could reflect negatively on YSI or the contracting agency. E. TRAINING It is mandatory that every employee receives pre-service and in-service Ethics and Compliance training. Every new employee will be issued an Ethics and Compliance Manual and be trained on the Code of Ethics as part of their pre-service orientation training. Annually, Facility Administrators will ensure all employees receive the following Ethics Training: YSI s Mission, Philosophy, and Goals Provisions of the Code of Ethics Employee Code of Conduct Protection of Youth Rights Cultural and Ethnic Sensitivity Interpersonal Communication Skills Anger Management Employee grievance procedures Youth grievance procedures Sexual Harassment Equal Opportunity/Treatment Emergency Procedures Use of Force F. GRIEVANCE PROCEDURE Employees may address complaints or disputes related to their employment by using the established process as listed in YSI Policy 3-18, Employee Grievance Procedure. Employees should handle all complaints by first attempting to resolve their issue with their supervisor. Employees should utilize the chain of command to resolve all grievances. Employees may use the formal grievance process to resolve matters that cannot or have not been addressed informally in accordance with YSI Policy There will be no retaliation on any employee for submitting a grievance. G. ETHICS VIOLATION REPORTING 12

149 All employees are required to report known violations of the Ethics Code to their supervisor. The utilization of the chain of command is important in the investigation and disposition of all violations. If the alleged ethics violation involves someone in the Chain of Command or if for some reason the employee feels that he/she cannot use the Chain of Command, ethics violations my be reported in writing directly to the Senior Vice President at the corporate office. When reporting, give the specific code violation and as many facts that can be established e.g., who, what, when, where, why. Depending on the nature and circumstance of the alleged violation, the Senior Vice President may ask a staff member in the Chain of Command to conduct an investigation into the allegation and provide the results for review. The Senior Vice President may choose to travel to the appropriate location and personally conduct an on-site investigation. The goal is to conduct timely and thorough investigations of all alleged ethics violations and implement immediate corrective action as appropriate. H. COMPLIANCE AUDITS All YSI Facilities will receive a Corporate Audit a minimum of once per year. An Audit Report will be provided to the facility within 30 days after the completion of the audit. The facility will inform the Corporate Headquarters about the corrective action taken on all deficiencies identified in the Audit. Within 90 days after receipt of corrective action at the Corporate Headquarters, a follow-up Audit will be conducted to determine if appropriate corrective action has been implemented. Sensing sessions will be conducted by Audit Team members to determine morale and the correctional climate in the facility. The Audit Team will also determine the staff s knowledge of the employee Code of Conduct. Audit Team Members will spend time assisting and teaching facility staff members. The Senior Vice President will provide the President/CEO a complete annual report detailing the results of all audits and ethics violations. L. MANDATORY REPORTS AND FILES 1. Documentation of Ethics and Compliance Training for new and current employees will be maintained on file and subject to review during Corporate Audits. 2. All employees are required to sign an ethics verification statement which will be maintained in each individual employee personnel file and checked by Corporate Audit Teams. All employees will verify the following: 13

150 He/She has been issued an Ethics and Compliance Manual He/She has read, understands and will comply with the provisions of the Code of Ethics and Code of Conduct. He/She has received an Ethics and Compliance Orientation covering YSI s Mission, Philosophy, Goals and the high standards of ethical conduct that YSI expects of every employee. 3. Facilities will retain file copies of all ethics investigations for five years. Final results of all ethics investigations will be entered on the form titled Final Report of Alleged Ethics Violation and maintained in the facility for five years. A copy of the form will be forwarded to Senior Vice Prsident. 4. Facilities will maintain an Ethics Log on file for five years. The Ethics Log will contain the following information: Ethics Case Number (Assigned by facility-chronological order) Date (Date of violation discovered or reported) Ethics Code Number (Use number as listed in Code of Ethics) Nature of Violation (Brief summary of ethics violation) Staff Member(s) involved (Person who allegedly committed violation) Disposition (Substantiated or Unsubstantiated) 5. Each month, facilities will submit a summary report of ethic violations containing information in the Ethics Log to the Corporate Office. This report will be part of the regular Facility Monthly Report. 14

151 APPENDIX A SUMMARIZED EMPLOYEE ETHICS CODE E101 Unethical Conduct E102 Prohibited Security Items E103 Verbal Abuse E104 Physical Abuse E105 Youth Rights E106 Employee Punctuality/Accurate Time Card Reporting E107 Employee Theft E108 Employee Alertness E109 Release of Information E110 Reporting Unethical Conduct E111 Drug Free Environment E112 Cooperation with Investigations E113 Falsification of Records E114 Negative Behavior/Unprofessional Conduct E115 Abuse of Leave E116 Contact With News Media E117 Threats and Use of Obscene Language E118 Use of Property E119 Driving YSI Vehicles E120 Obedience to Supervisors E121 Adherence to Policy E122 Employee Overtime E123 Appropriate Dress E124 Use of Employment E125 Protection of Confidential Information E126 Cooperation with Government Officials E127/128 Use of Employment to Promote Political Interests E129 Association with Youth and Their Families E130 Favoritism Towards Youth E131 Youth Empowerment E132 Giving of Gifts E133 Acceptance of Gifts E134/135/136 Relationships with Youth and their Families E137 Mandatory Reporting of Previous Knowledge of Youth E138 Sexual Harassment E139 Discrimination / Harassment 15

152 YOUTH SERVICE INTERNATIONAL ETHICS AND COMPLIANCE PROGRAM (Management)

153 TABLE OF CONTENTS Introduction James F. Slattery CEO & President SECTION I MISSION, PHILOSOPHY, GOALS Paragraph Page Mission Philosophy Goals A B C SECTION II ETHICS AND COMPLIANCE Paragraph Page Policy Statement General Provisions of Employee Code of Ethics Provisions of Management Code of Ethics Approval Requirements Employee Code of Conduct Management Code of Conduct Training Grievance Procedure Ethics Violation Reporting Compliance Audits Mandatory Reports and Files Summarized Codes A B C D E F G H I J K L Appendix A 2

154 INTRODUCTION The purpose of the Ethics and Compliance Program is to ensure that YSI s management, employees and contractors maintain the business integrity required of a participant in publicly funded programs and that the delivery of services is in compliance with the laws and regulations applicable to such programs, YSI is a leader in the correctional services industry and must set the example of professionalism in all areas of operation. YSI wants to ensure that all company personnel maintain honesty and professionalism while providing the highest quality juvenile youth services. Management personnel must strictly adhere to the Code of Ethics. Any doubt whatsoever as to the propriety of a particular situation, whether or not it is described within this Code, should be referred to Corporate Ethics Officer. The Ethics Officer will oversee the Ethics and Compliance Program. Let us continue to work together to maintain YSI s reputation of juvenile youth excellence while safeguarding YSI s tradition of strong moral and ethical conduct. James F Slattery CEO & President 3

155 SECTION I Mission, Philosophy, Goals A. MISSION Manage and operate safe, humane, and secure youth facilities that protect the public and provide youth with training, education and treatment programs designed to reduce recidivism. B. PHILOSOPHY Youth Service International is fully committed to operating safe and secure correctional facilities that provide meaningful rehabilitation opportunities for all youth. All YSI facilities are staffed with a team of highly trained professionals who adopt a firm but fair correctional philosophy. Each team builds a strong correctional environment that is based on humane treatment and the mutual respect of staff and youth. YSI believes that there is an interdependency between security and programs. YSI s approach to managing youth focuses on decreasing antisocial behavior and developing responsible social and work skills. YSI creates environments for both staff and youth that are totally free of harassment and discrimination. YSI employees are required to adhere to a strict code of ethics and serve as positive role models to youth and co-workers. YSI recognizes the importance of establishing excellent community relations and building partnerships in the community in order to accomplish the corporate mission. C. GOALS THE HIGHEST STANDARDS OF CONTRACT COMPLIANCE It is the goal of YSI to maintain the highest standard of contract compliance. YSI will conduct regular audits of all its facilities to ensure that all requirements of the contracts are met and that standards set by YSI and the American Correctional Association are maintained. YSI will ensure compliance with government regulations and all Federal, state and local laws. Effective juvenile youth management at all levels of the corporate structure will ensure contract compliance. STRICT ADHERENCE TO YSI S CODE OF ETHICS YSI is fully committed to conducting its business lawfully and ethically. As YSI s reputation is the sum of the reputations of its employees, it is critically important that all employees meet the highest standards of legal and ethical conduct. All YSI employees must comply with all Federal, state and local laws and government regulations. The YSI Code of Ethics establishes an impeccable standard as regard to proper actions, attitudes, and language used in conducting our daily activities. The 4

156 Code establishes an ethics standard that is designed to protect against any impropriety or even the appearance of impropriety by a YSI employee. STRONG YOUTH ENVIRONMENT A strong youth environment is the standard in all facilities. Each facility will be accredited by the American Correctional Association. The emphasis must be on humane treatment and maintaining excellent interpersonal relations. Respect must be clearly displayed by both staff and youth. Staff members must posses a genuine concern for youth security, safety, and well being. The staff must ensure that youth rights are protected. A strong youth environment means a firm but fair staff who achieve the highest standards of juvenile youth excellence. A WELL TRAINED STAFF A well trained staff is the best means to ensure the safety and well being of staff and youth. Staff members must be prepared to handle a multitude of situations daily. They must always be alert and prepared to properly react to all emergencies. They must always maintain self-control even under the most severe provocation. They must interact well with youth and always provide safe and humane treatment. Employees will be trained on the Code of Ethics and Compliance Program. Employees must know what is expected of them and how to accomplish all duties and responsibilities. Facility leadership must ensure that meaningful training is conducted on a regular basis. THE HIGHEST LEVEL OF SECURITY AWARENESS A high level of security awareness is the key to preventing escapes, disturbances or injuries. Facility leadership must constantly keep emphasis on security to avoid complacency and ensure total custody and control of youth. Training, supervision and sound juvenile/youth management are vital to good security. All facilities must have effective security programs to include physical security, emergency procedures, and youth disciplinary process. Effective security programs ensure the safety of the public, staff and youth. A POSITIVE WORK ENVIRONMENT It is the goal of YSI to develop positive working environments in all facilities free of discrimination and harassment. Positive environments reward those who perform above standards and provide, counsel and direct those needing improvement. All facilities must be established as drug free environments and employees must follow YSI Code of Ethics and Compliance Policy. Leaders must be accessible to their subordinates. All employees must be aware of the YSI grievance process and their right to voice their complaint without fear or threat of reprisal. EFFECTIVE YOUTH PROGRAMS YSI is fully committed to returning youth to their communities with a lower risk of reoffending. All youth in YSI facilities will have the opportunity to improve physically, mentally, and spiritually. YSI will offer self improvement opportunities by conducting appropriate training, education and treatment programs. YSI will focus on decreasing antisocial behavior and developing responsible social and work skills. 5

157 EFFECTIVE YOUTH SUPPORT SERVICES Effective support services will be established in all YSI facilities. YSI recognizes that effective services have a positive impact on youth attitudes and behaviors. YSI will provide professional medical, food and laundry services to insure the well being of all youth. A CLEAN, SAFE AND ORDERLY PHYSICAL PLANT YSI considers it very important to maintain an extraordinary high level of cleanliness in all facilities. Clean facilities contribute to strong youth environments. Facility Administrators will personally conduct regular inspections to ensure YSI cleanliness standards are constantly maintained. Strong emphasis will be placed on ensuring that effective maintenance is accomplished on all equipment and that sound fire and safety procedures are routinely practiced in all facilities. EFFICIENT AND EFFECTIVE USE OF RESOURCES YSI will efficiently manage its resources to enable YSI to offer the highest quality correctional services. People are our most important resource. They must feel that they are part of the YSI team. Supervisors at all levels must encourage creativity and be open to suggestions for improvement. YSI leadership must demonstrate fiscal and logistical responsibility. All furniture and equipment will be maintained in good order and regularly inventoried. All YSI facilities will strictly adhere to an operating budget and emphasize sound resource management by all personnel. EXCELLENT COMMUNITY RELATIONS YSI will make a positive contribution in each community where facilities are located. Each facility will interact with community leaders to develop community service projects. Each facility will make a regular commitment to the community to accomplish projects that will make the community a better place to live and work. It is important for YSI to establish partnerships with the local communities to effectively accomplish our corporate mission. 6

158 SECTION II ETHICS AND COMPLIANCE PROGRAM A. POLICY STATEMENT YSI will operate in accordance with a strict Corporate Ethics and Compliance Program. YSI will ensure that the Company s directors, management, employees and contractors maintain the business integrity required of a participant in publicly funded programs and that the delivery of services is in compliance with all laws and regulations applicable to such programs. B. GENERAL YSI is fully committed to conducting its business lawfully and ethically. Every YSI employee is required to understand and comply fully with all provisions of the Code of Ethics. Decisions regarding requests for interpretation of, or exception to the Code will only be made by the President. The President may refer the matter to the Corporate Counsel. The decision by the Corporate Counsel is final. An employee who violates any provision of the Code will be subject to disciplinary action. As YSI s reputation is the sum of the reputations of its employees, it is critically important that all employees meet the highest standards of legal and ethical conduct. Strict adherence to the Ethics and Compliance Program will safeguard YSI s tradition of strong moral, ethical and social standards of conduct. Any questions as to the propriety of a particular situation should be submitted in writing to the Corporate Ethics Officer. C. PROVISIONS OF CODE OF ETHICS FOR EMPLOYEES All provisions of Code of Ethics are listed in YSI Policies; Employee Standards of Conduct; Employee Relationships with youth, former youth and close associates and family members of former youth; Professional Ethics; Sexual Harassment; Drug Free Workplace. UNETHICAL CONDUCT E101 Employees shall not commit or allow any act or omission that jeopardizes security, health, safety and/or welfare of youth, staff and/or visitors. Employees shall be responsive to youth needs. PROHIBITED SECURITY ITEMS E102 Employees are prohibited from bringing a weapon and/or other items considered security equipment on to facility property without written authorization to do so from the organizational unit and supervising corporate office. 7

159 VERBAL ABUSE E103 Employees shall protect youth from verbal abuse. Verbal abuse is defined as profanity, demeaning or indecent language, ethnic or other discriminatory connotations directed toward youth. PHYSICAL ABUSE E104 Employees shall protect youth from physical abuse and/or excessive or unnecessary use of force. Acceptable conditions and procedures for use of force are provided in YSI Policy. YOUTH RIGHTS E105 Employees shall protect youth against violations of youth rights. EMPLOYEE PUNCTUALITY/ACCURATE TIME CARD REPORTING E106 Employees shall report to work on time and accurately record time worked. Employees who must be absent from work shall notify the person designated by the organizational unit head a minimum of two hours prior to the time scheduled to report for work. EMPLOYEE THEFT E107 Employees shall not commit or allow the theft of property from YSI, youth, staff, visitors or contracting authority. EMPLOYEE ALERTNESS E108 While on duty, employees shall remain alert, aware of and responsive to their surroundings (i.e. their post and area of responsibility). Employees shall not sleep while on duty. RELEASE OF INFORMATION E109 Employees shall protect against the unauthorized use and/or release of YSI, contracting agency and/or youth information, records, and/or documents. Authorization procedures for using and/or releasing such information, records or documents are described but not limited to those presented in YSI Policy. REPORTING UNETHICAL CONDUCT E110 Employees shall report, upon discovery, to their supervisor any unethical conduct and/or violations of policy and procedures that may jeopardize organizational unit security, the health, safety and/or welfare of youth, staff and/or visitors, as well as any acts that appear to be unresponsive to youth needs. DRUG FREE ENVIRONMENT E111 Employee shall report to work free from the influence of drugs or alcohol, and shall not possess or distribute drugs alcohol or other controlled substances while on YSI premises. An employee taking prescribed medication shall notify his/her supervisor. A written physician s statement may be required to verify the effect of the medication on the employee s ability to perform assigned duties. 8

160 OPERATION WITH INVESTIGATIONS E112 Employees shall cooperate with investigations conducted by YSI, the contracting agency and/or public law enforcement officials. FALSIFICATION OF RECORDS E113 Employees shall not commit or allow the falsification, alteration and/or destruction of documents, records, logbooks. NEGATIVE BEHAVIOR/UNPROFESSIONAL CONDUCT E114 Employees shall not display negative behavior or unprofessional conduct that could reflect negatively on the employee, YSI and/or the contracting agency. Employees shall conduct themselves in such a manner so as to avoid convictions or law violations. ABUSE OF LEAVE E115 Employees shall not abuse leave benefits, as specified in Corporate Policy. CONTACT WITH NEWS MEDIA E116 Employee contact with the news media shall be limited to those circumstances authorized in YSI Policy. THREATS AND USE OF OBSCENE LANGUAGE E117 Employees shall refrain from the use of inappropriate, abuse and/or obscene language, and shall neither threaten nor coerce any person for any reason. (3-3) USE OF PROPERTY E118 Employees shall protect YSI property from unauthorized use, abuse and/or waste. DRIVING YSI VEHICLES E119 Employees, when operating YSI vehicles, shall refrain from driving practices that could result in traffic convictions. OBEDIENCE TO SUPERVISORS E120 Employees shall follow supervisory instructions and/or directions. ADHERENCE TO POLICY E121 Employees shall adhere to written policies and procedures. EMPLOYEE OVERTIME E122 Employees shall work overtime as required. APPROPRIATE DRESS E123 Employees shall adhere to the standards of appropriate dress per Employee Handbook. USE OF EMPLOYMENT 9

161 E124 Employees shall not use his/her employment, official positions or associations with the company to secure privileges or advantages in the community or to effect separate financial gain. PROTECTION OF CONFIDENTIAL INFORMATION E125 Employees shall guard against release of confidential information regarding youth and the company. The youth s record, offense, personal history, or private affairs are for official use only. Employees shall seek to obtain such information only as needed for the performance of official duties, and shall not discuss such information except as required in the performance of official duties. COOPERATION WITH GOVERNMENT OFFICIALS E126 Employees shall cooperate fully with federal, state and local legislative bodies. Legislative requests for information about programs and services offered by YSI shall be responded to promptly. USE OF EMPLOYMENT TO PROMOTE POLITICAL INTERESTS E127 Employees shall not use his/her employment, positions or associations with the company to promote partisan political interest. E128 Employees may run for political office and may support/campaign for a selected issue or candidate unless such activities infer an official company position on the issue or candidate. Employees shall not use the work site or duty hours for partisan political activity. Buttons, banners, posters of a partisan political nature may not be displayed on facility premises by staff members except on personal vehicles. ASSOCIATION WITH YOUTH AND THEIR FAMILIES E129 Employee association with youth, family members of youth or close associates of youth shall be limited to those times when the employee is performing duties directly related to company business. FAVORTISM TOWARDS YOUTH E130 Employees will not display favoritism or preferential treatment towards youth or group of youth. YOUTH EMPOWERMENT E131 Employees will not place youth in positions of authority over other youth. GIVING OF GIFTS E132 Employees will not give gifts or do special favors for youth, their families or close associates. ACCEPTANCE OF GIFTS E133 Employees will not accept any personal gift, favor or service from youth, their families or close associates. RELATIONSHIPS WITH YOUTH AND THEIR FAMILIES 10

162 E134 Employees will not enter any business relationship with youth, their families or close associates. E135 Employees will not buy any items and/or services from or for youth, former youth, their families or close associates. E136 Employees will not have contact with youth, former youth, their families or close associates other than incidental contact. Employee contact with former youth, their families or close associates shall be limited to those persons with whom the employee was acquainted with prior to the youth s entry into the facility or program. MANDATORY REPORTING OF PREVIOUS KNOWLEDGE OF YOUTH E137 Employees must report to their supervisor if the facility or program receives an youth or program participant who is known to the employee. The employee must furnish the information and the nature of the relationship to the supervisor. SEXUAL HARASSMENT E138 Employees will not sexually harass or condone sexual harassment with or against any person. DISCRIMINATION/HARASSMENT E139 Employees will not discriminate against or harass any youth, employee or member of the public on the basis of race, color, religion, age, national origin, sex, handicap or any other characteristic protected by the state and Federal employment discrimination laws. D. PROVISIONS OF CODE OF ETHICS FOR MANAGEMENT DEALING HONESTLY WITH CONTRACTING AGENCIES, GOVERNMENT OFFICIALS, YOUTH AND THEIR REPRESENTATIVES, AND MEMBERS OF THE PUBLIC QUALITY OF SERVICE M201 YSI is committed to providing services that meet all contractual obligations and YSI s quality standards. CONTRACT NEGOTIATION M202 YSI has an affirmative duty to disclose current, accurate and complete cost and pricing data where such data are required under appropriate federal and state law or regulations. Employees involved in the pricing of contract proposals or the negotiation of a contract must ensure the accuracy, completeness and currency of all data generated and given to supervisors and other employees and all representations 11

163 made to clients and suppliers, both government and commercial. The submission to a governmental client of a representation, quotation, statement or certification that is false, incomplete or misleading can result in civil and/or criminal liability for YSI, the involved employee and any supervisors who condone such a practice. YSI shall ensure that, when required, billing programs accurately calculates the appropriate acquisition cost as required by Government programs. Compensation paid for contractual services from any subcontractor or provider goods and services will be at fair market value. COMPETITIVE ANALYSES M203 In conducting market analyses, YSI employees should not accept or use information known to be proprietary to one of our competitors. Supervisors must ensure that a competitor s proprietary information is not improperly obtained or used in any improper fashion. ANTITRUST ISSUES M204 Antitrust laws apply to all commercial and Federal domestic (and some foreign) transactions by YSI, and they are designed to ensure that competition exists and to preserve the free enterprise system. As this is a highly complex area, and this policy cannot cover all situation in which antitrust laws may apply, employees should take special care in this area, and promptly refer any questions to the Corporate Ethics Officer, who will consult legal counsel as required. Antitrust issues that an employee may encounter are in the areas of pricing, boycotts, and trade association activity. Examples of actions that violate the antitrust law and which must not be engaged under any circumstances are: Entering into or negotiating an agreement with one or more competitors to: a) fix prices at any level or to fix other terms and conditions of sale; b) allocate customers or markets; c) fix levels of production or production quotas; or d) boycott a supplier or customer. Engaging in any form of bid rigging or complementary or collusive bidding. Entering into or negotiating an agreement with a customer to fix a resale price. Employees, therefore, should refrain from any discussion of pricing schemes, company costs or market division with competitors. Any questions concerning conduct of this nature, including the disclosure of cost and price data through trade associations, should be addressed in the first instance to the Senior Vice President. FALSE CLAIMS ISSUES M205 Federal and state law generally prohibits the filing of false claims or soliciting or receiving kickbacks from vendors or service providers. Because this is a highly complex area of the law, this policy cannot list all situations in which such might apply. Therefore, employees must take special care in this area, and promptly refer any questions to Senior Vice President, who may refer the question to legal counsel, if appropriate. 12

164 Examples of the type of actions that could violate the false claims and anti-kickback laws include: Filing a claim for services that were not rendered at all or were not rendered as described on the claim form; Filing a claim for services that were rendered, but were unnecessary or beyond the scope of the governing contract; Submitting a claim containing information you know to be false; or Offering or receiving anything of value to induce someone to purchase a YSI service or to supply a good or service to YSI. HIRING OF FEDERAL AND STATE EMPLOYEES M206 Complex rules govern YSI s recruitment and employment of government employees into private industry. YSI employees must obtain prior clearance from the Senior Vice President to discuss possible employment with, make offers to, or hire (as an employee or consultant) any current or former government employees (military or civilian). RESPECT IN DEALING WITH LEGAL REPRESENTATIVE OF YOUTH M207 Consistent with the terms of YSI s service contracts and governing requirements of law and regulations, YSI employees shall not interfere with detainees and prisoners in their authorized contact with their legal representatives. YSI employees should treat these representatives with respect and, to the extent that these representatives have complaints about access to their clients, such complaints should be directed to appropriate supervisory personnel for response. INTEGRITY IN DEALING WITH PUBLIC OFFICES AND THE PUBLIC M208 As a public contractor, YSI is committed to the highest standards of service both to the officials of the agencies with which YSI contracts and to the public at large. Responses to inquires from governmental agencies, from private citizens and from the media may be made only by those individuals specifically pre-authorized by YSI to do so. MAKING POLITICAL CONTRIBUTIONS M209 Employees may not contribute or donate YSI funds, products, services or other resources to any political causes, party, or candidate without the advance written approval of the President. (Employees may make voluntary personal contribution to any lawful political causes, parties or candidates as long as the individual does not represent that such contributions come from YSI and as long as the individual does not obtain the money for these contributions from YSI for the sole purpose of making such a contribution). PROVIDING BUSINESS COURTESIES TO CUSTOMERS OR VENDORS M210 YSI s success in the market place results from providing superior services at competitive prices. YSI does not seek to gain an improper advantage by offering business courtesies such as entertainment, meals, transportation or lodging to a customer, a source of customer referrals or a vendor. Employees should never offer 13

165 any type of business courtesy to a customer, source of customers or a vendor for the purpose of obtaining favorable treatment or advantage. To avoid even the appearance of impropriety, employees must not provide any customer, source of customers or vendor with gifts or promotional items (e.g., pens or calendars) of more than nominal value. Except for additional restrictions which apply in the federal or state government area and are noted below, employees may pay for reasonable meal, refreshment and/or entertainment expenses for customers and suppliers that are incurred only occasionally, are not requested or solicited by the recipient, and are not intended to or likely to affect the recipient s business decisions with respect to YSI. An employee may provide or pay travel or lodging expenses of a customer, source of customers, or vendor only with the advance approval of the corporate office responsible for its unit or group, or a designee, and the additional approval of the President if the travel or lodging is not for a directly business-related purpose. GOVERNMENT CUSTOMERS M211 Employees may not provide or pay for any meal, refreshment, entertainment, travel or lodging expenses for government employees without the prior approval of the President. State, local and foreign governmental bodies may also have restrictions on the provision of business courtesies, including meals and refreshment. YSI employees doing business with such government bodies are expected to know and respect all such restrictions. ACCURATE BOOKS AND ACCOUNTS M212 All YSI payments and other transactions must be properly authorized by management and be accurately and completely recorded on YSI s books and records in accordance with generally accepted accounting principles and established corporate accounting policies. No false, incomplete or unrecorded corporate funds shall be established for any purpose, nor shall YSI funds be placed in any personal or non-corporate account. All corporate assets must be properly protected, and asset records must be regularly compared, with actual assets with proper action taken to reconcile any variances. AVOIDING ABUSES OF TRUST M213 YSI expects its employees to avoid engaging in any activity that might interfere or appear to interfere with the independent exercise of the employee s judgment in situations where the employees personal interests might detract from or conflict with YSI s best interest of its customers and suppliers. CONFLICT OF INTEREST M214 No YSI employee may have any employment, consulting, or other business relationship with a competitor, customer or supplier, or invest in any competitor, customer or supplier (except for moderate holdings of publicly traded securities) unless advance written permission is granted by the Senior Vice President. Permission is also required before an individual may invest in any privately held 14

166 company or entity that performs services for YSI or that employs providers who may refer clients to YSI. Outside employment may constitute a conflict of interest if it places an employee in the position of appearing to represent YSI, involves services substantially similar to those YSI provides or is considering making available, or lessens the efficiency, alertness or productivity normally expected of employees on their jobs. All outside employment that raises any questions in this regard must be disclosed to YSI and approved in advance by the Senior Vice President. INSIDER TRADING M215 No YSI employee shall trade in the securities of any company or buy or sell any property or assets, on the basis of non-public information acquired through employment at YSI, whether such information comes from YSI or from another company with which YSI has a confidential relationship. ACCEPTANCE OF BUSINESS COURTESIES M216 Never accept anything of value from someone doing business with YSI or someone whose services are subject to YSI s review if the gratuity is offered or appears to be offered in exchange for any type of favorable treatment or advantage. To avoid even the appearance of impropriety, do not accept any gifts or promotional items of more than nominal value. Gifts received which are valued in excess of $50 must be reported to the Senior Vice President. An employee may accept meals, drinks or entertainment only if such courtesies are unsolicited, infrequently provided and reasonable in amount. Such courtesies must also be directly connected with business discussions, unless an exception is approved by a supervisor. Do not accept reimbursement for lodging or travel expenses or free lodging or travel without the express written approval of the corporate office. SAFEGUARDING YSI RESTRICTED INFORMATION M217 It is YSI s policy to control closely the dissemination of the company s proprietary information. Except as specifically authorized by management pursuant to established policy and procedure, do not disclose to any outside party, any nonpublic business, financial, personnel, commercial or technological information, plans or data acquired during employment at YSI. During the term of employment at YSI, an employee should disseminate these types of information only to individuals having a need to know and protect these types of information from access by unauthorized personnel. Upon termination of employment, an individual may not copy, take or retain any documents containing YSI restricted information. The prohibition against disclosing YSI restricted information extends beyond the period of employment as long as the information is not in the public domain. An individual s agreement to continue to protect the confidentiality of such information after the term of employment ends is considered an important part of the person s obligations to YSI. CONFIDENTIAL INFORMATION 15

167 M218 Management strictly safeguards all confidential information with which they are entrusted and must never discuss such information outside the normal and necessary course of YSI s business. In particular, all management must protect the confidentiality of all custodial records. In addition, management has an obligation to respect and protect the confidential nature of records regarding drug abuse, alcoholism or alcohol abuse or other personal information of other employees. GOVERNMENT PROPRIETARY AND SOURCE SELECTION INFORMATION M219 YSI does not solicit nor will it receive any sensitive proprietary internal government information, including budgetary or program information of source selection information, before it is available through normal process. E. APPROVAL REQUIREMENTS (President) The following actions require approval in writing from the President prior to being accomplished by YSI employees: Discussing possible employment with, making offers to, or hiring (as an employee or consultant) any current or former government employee (military or civilian). Contributing or donating YSI funds, products, services or other resources to any political cause, party, or candidate. Providing or paying travel or lodging expenses of a customer, source of customers or vendor if the travel or lodging is not for a direct business related purpose. Providing any meal, refreshment, entertainment, travel or lodging expenses for government employees. Obtaining employment, consulting, or other business relationships with a competitor, customer or supplier or invest in any competitor, customer or supplier (except for moderate holdings of publicly traded securities). Investing in any privately held company or entity that performs services for YSI or employs providers who may refer clients to YSI. Obtaining outside employment that raises any question about conflict of interest. It may be a conflict of interest if it places an employee in the position of appearing to represent YSI, involves services substantially similar to those YSI provides or is considering making available, or lessens the efficiency, alertness or productivity normally expected of employees on their jobs. F. EMPLOYEE CODE OF CONDUCT ARTICLES 1. I will always be professional and strictly follow YSI s high standards of ethics and conduct. 16

168 2. I will earn the respect of both the youth and my fellow employees by always being a positive role model. 3. I will maintain proficiency in all my assigned duties and respond properly to all routine and emergency situations. 4. I will protect the rights of all those under my authority and ensure their safety, security and well being. 5. I will refrain from the use of abusive language or actions and will neither threaten nor harass any person for any reason. I will maintain self-control even under the most severe provocation. 6. I will never abuse my position of trust nor engage in behavior that could reflect negatively on YSI or the contracting agency. G. MANAGEMENT CODE OF CONDUCT ARTICLES 1. I will deal honestly and ethically with all clients, agencies, government officials, youth, detainees and their representatives and the general public. 2. I will effectively and efficiently manage the company s resources and ensure that all YSI expenditures are properly authorized and accurately recorded. 3. I will avoid all abuses of trusts while conducting YSI business and will obtain approval when in doubt concerning the propriety of my actions. 4. I will ensure that employee, youth and detainee rights are protected and facilities operated in accordance with all applicable laws, regulations and contracts specifications. 5. I will ensure strict compliance with the YSI Code of Ethics and all violations are reported. 6. I will strive for excellence in building a reputation of honesty while providing superior correctional services. 7. H. TRAINING It is mandatory that every employee receives pre-service and in-service Ethics and Compliance training. Every new employee will be issued an Ethics and Compliance Manual and be trained on the Code of Ethics as part of their pre-service orientation training. Annually, Facility Administrators will ensure all employees receive the following Ethics Training: YSI s Mission, Philosophy, and Goals Provisions of the Code of Ethics Employee Code of Conduct Protection of Youth Rights Cultural and Ethnic Sensitivity Interpersonal Communication Skills Anger Management 17

169 Employee grievance procedures Youth grievance procedures Sexual Harassment Equal Opportunity/Treatment Emergency Procedures Use of Force I. GRIEVANCE PROCEDURE Employees may address complaints or disputes related to their employment by using the established process as listed in YSI Policy 3-18, Employee Grievance Procedure. Employees should handle all complaints by first attempting to resolve their issue with their supervisor. Employees should utilize the chain of command to resolve all grievances. Employees may use the formal grievance process to resolve matters that cannot or have not been addressed informally in accordance with YSI Policy There will be no retaliation on any employee for submitting a grievance. J. ETHICS VIOLATION REPORTING All employees are required to report known violations of the Ethics Code to their supervisor. The utilization of the chain of command is important in the investigation and disposition of all violations. If the alleged ethics violation involves someone in the Chain of Command or if for some reason the employee feels that he/she cannot use the Chain of Command, ethics violations my be reported in writing directly to the Senior Vice President at the corporate office. When reporting, give the specific code violation and as many facts that can be established e.g., who, what, when, where, why. Send the information to the following address: Youth Services International Attn: Senior Vice President 1819 Main St Suite 1000 Sarasota FL Depending on the nature and circumstance of the alleged violation, the Senior Vice President may ask a staff member in the Chain of Command to conduct an investigation into the allegation and provide the results for review. The Senior Vice President may choose to travel to the appropriate location and personally conduct an on-site investigation. The goal is to conduct timely and thorough investigations of all alleged ethics violations and implement immediate corrective action as appropriate. 18

170 K. COMPLIANCE AUDITS All YSI Facilities will receive a Corporate Audit a minimum of once per year. An Audit Report will be provided to the facility within 30 days after the completion of the audit. The facility will inform the Corporate Headquarters about the corrective action taken on all deficiencies identified in the Audit. Within 90 days after receipt of corrective action at the Corporate Headquarters, a follow-up Audit will be conducted to determine if appropriate corrective action has been implemented. Sensing sessions will be conducted by Audit Team members to determine morale and the correctional climate in the facility. The Audit Team will also determine the staff s knowledge of the employee Code of Conduct. Audit Team Members will spend time assisting and teaching facility staff members. The Senior Vice President will provide the President/CEO a complete annual report detailing the results of all audits and ethics violations. L. MANDATORY REPORTS AND FILES 1. Documentation of Ethics and Compliance Training for new and current employees will be maintained on file and subject to review during Corporate Audits. 2. All employees are required to sign an ethics verification statement which will be maintained in each individual employee personnel file and checked by Corporate Audit Teams. All employees will verify the following: He/She has been issued an Ethics and Compliance Manual He/She has read, understands and will comply with the provisions of the Code of Ethics and Code of Conduct. He/She has received an Ethics and Compliance Orientation covering YSI s Mission, Philosophy, Goals and the high standards of ethical conduct that YSI expects of every employee. 3. Facilities will retain file copies of all ethics investigations for five years. Final results of all ethics investigations will be entered on the form titled Final Report of Alleged Ethics Violation and maintained in the facility for five years. A copy of the form will be forwarded to Senior Vice Prsident. 4. Facilities will maintain an Ethics Log on file for five years. The Ethics Log will contain the following information: Ethics Case Number (Assigned by facility-chronological order) Date (Date of violation discovered or reported) 19

171 Ethics Code Number (Use number as listed in Code of Ethics) Nature of Violation (Brief summary of ethics violation) Staff Member(s) involved (Person who allegedly committed violation) Disposition (Substantiated or Unsubstantiated) 5. Each month, facilities will submit a summary report of ethic violations containing information in the Ethics Log to the Corporate Office. This report will be part of the regular Facility Monthly Report. APPENDIX A SUMMARIZED EMPLOYEE ETHICS CODE E101 E102 E103 E104 E105 E106 E107 E108 Unethical Conduct Prohibited Security Items Verbal Abuse Physical Abuse Youth Rights Employee Punctuality/Accurate Time Card Reporting Employee Theft Employee Alertness 20

172 E109 Release of Information E110 Reporting Unethical Conduct E111 Drug Free Environment E112 Cooperation with Investigations E113 Falsification of Records E114 Negative Behavior/Unprofessional Conduct E115 Abuse of Leave E116 Contact With News Media E117 Threats and Use of Obscene Language E118 Use of Property E119 Driving YSI Vehicles E120 Obedience to Supervisors E121 Adherence to Policy E122 Employee Overtime E123 Appropriate Dress E124 Use of Employment E125 Protection of Confidential Information E126 Cooperation with Government Officials E127/128 Use of Employment to Promote Political Interests E129 Association with Youth and Their Families E130 Favoritism Towards Youth E131 Youth Empowerment E132 Giving of Gifts E133 Acceptance of Gifts E134/135/136 Relationships with Youth and their Families E137 Mandatory Reporting of Previous Knowledge of Youth E138 Sexual Harassment E139 Discrimination / Harassment SUMMARIZED MANAGEMENT ETHICS CODE M201 M202 M203 M205 M206 M207 M208 M209 M210 M211 M212 Quality of Service Contract Negotiation Competitive Analyses False Claims Issues Hiring of Federal and State Employees Respect in Dealing with Legal Representatives of Youth Integrity in Dealing with Public Offices and the Public Making Political Contributions Providing Business Courtesies to Customers or Vendors Government Customers Accurate Books and Accounts 21

173 M213 M214 M215 M216 M217 M218 M219 Avoiding Abuses of Trust Conflict of Interest Insider Trading Acceptance of Business Courtesies Safeguarding YSI Restricted Information Confidential Information Government Proprietary and Source Selection Information 22

174 63E Program Administration. (1) A residential commitment program director shall be accountable for the daily operation of the program, as well as ongoing program planning and evaluation to ensure safety, security, and effectiveness of services provided to youth. (2) A residential commitment program s mission statement shall be consistent with the department s mission and principles of the restorative justice philosophy. (3) A residential commitment program s written description shall, at a minimum, address the following: (a) The program s delinquency intervention strategy and, if specialized services are provided, the treatment model; (b) Services the program provides; and (c) The program s service delivery system. (4) A residential commitment program director shall ensure provisions for staffing that, at a minimum, address the following: (a) Level 2 pre-employment screening requirements pursuant to Chapter 435 and Section (5), F.S.; (b) Staff retention planning that includes steps to minimize turnover and improve employee morale; (c) Maintenance of an organizational chart that reflects spans of control and lines of authority and specifies the job title, and the primary function if not inherent in the job title, of each program staff and overlay service provider; (d) Staffing schedules that ensure coverage across shifts and a system for accessing additional staff coverage as needed; (e) Position descriptions that specify required qualifications, job functions or duties, and performance standards; (f) A system for evaluating staff at least annually based on established performance standards; (g) Systems of communication to keep staff informed and give them opportunities for providing input and feedback pertaining to operation of the program; (h) A dress code for staff that promotes professionalism, safety, and positive role modeling for youth; and (i) A code of conduct for staff that clearly communicates expectations for ethical and professional behavior, including the expectation for staff to interact with youth in a manner that promotes their emotional and physical safety. (5) A residential commitment program shall establish a system for fiscal management and control. (6) A residential commitment program shall report as follows: (a) Incident reporting to the department s Central Communications Center; (b) Reporting of Protective Action Response (PAR) incidents or use of mechanical restraints pursuant to Chapter 63H-1, F.A.C.; (c) Reporting required for state-operated programs and programs operated by nonprofit contracted providers to participate in the USDA National School Lunch and Breakfast Program; and (d) Posting of abuse reporting phone numbers throughout the facility and unhindered access for staff and youth to report abuse to the Department of Children and Family Services central abuse hotline addressed in Chapter 39, F.S., or if the allegedly abused youth is 18 years or older, the department s Central Communication Center. For purposes of this rule, unhindered access means the program shall allow youth and staff to make the decision to report allegations of abuse without obtaining permission. The program shall provide youth with timely telephone access to report allegations of abuse without intimidation or reprisal. However, if the youth requests telephone access during a scheduled structured activity, the program shall provide access as soon as that activity concludes. (7) A residential program director shall establish a system to monitor the program s bed capacity and the length of stay of youth in placement to ensure all youth are progressing through the program and to target potential problems with any youth s planned release. (8) A residential commitment program shall update information in the department s Juvenile Justice Information System (JJIS) as follows: (a) Updates to the Bed Management System to include: 1. Any youth admission, transfer, release or discharge within 24 hours of the event; and 2. Placement of any youth on inactive status within 48 hours of an escape or admission to a juvenile detention center or jail; and (b) Updates in the Residential Services Monitoring System (RSMS). (9) A residential program shall notify the department s designated regional commitment manager if a youth is placed in a medical or mental health facility for longer than five days. (10) A residential program shall be reviewed, audited, or investigated as follows:

175 (a) The department shall conduct performance reviews of each residential commitment program at least annually. These reviews shall determine the program s compliance with the provisions of this rule chapter and, if applicable, the terms and conditions of the provider s contract with the department. (b) Pursuant to Section , F.S., the department shall conduct quality assurance reviews of residential commitment programs. Standards and indicators used for this purpose shall be based on provisions of this rule chapter. (c) The program shall cooperate with any review or investigation coordinated or conducted by the department s Office of the Inspector General pursuant to Section , F.S. (d) In cases where federal funds are involved, audits may be conducted according to federal requirements. (11) A residential commitment program director shall build partnerships and collaborate with juvenile justice stakeholders in the community. (a) The program shall establish a community support group or advisory board that meets at least quarterly. The program director shall solicit active involvement of interested community partners including, but not limited to representatives from law enforcement, the judiciary, the school board or district, the business community, and the faith community. In addition, the program director shall recruit a victim, victim advocate, or other victim services community representative and a parent whose child was previously, rather than currently, involved in the juvenile justice system. (b) The program shall collaborate with the school district to ensure the delivery of quality educational services consistent with the cooperative agreement between the school district and the department pursuant to Section , F.S. (c) The program shall develop a facility operating procedure that identifies criteria for law enforcement involvement at the facility. (d) A residential commitment program may involve community volunteers, including mentors for youth, consistent with background screening requirements pursuant to Section , F.S. The program shall provide supervision as deemed necessary to ensure the volunteer is providing services in a manner that meets the expectations of the program and ensures the emotional and physical safety of its youth. (12) A residential commitment program shall include information obtained from youth and parent surveys as well as reports published annually by the department in their program planning and assessment process. (13) A residential commitment program shall maintain a chronological record of events as they occur or, if an event disrupts the safety and security of the program, as soon as is practicable after order has been restored. (a) The program shall document the following events, incidents and activities in a central logbook maintained at master control, living unit logbooks, or both. 1. Emergency situations; 2. Incidents, including the use of mechanical restraints; 3. Special instructions for supervision and monitoring of youth; 4. Population counts at the beginning and end of each shift and any other population counts conducted during a shift; 5. Perimeter security checks and other security checks conducted by direct care staff; 6. Transports away from the facility, including the names of staff and youth involved and the destination; 7. Requests by law enforcement to access any youth; 8. Removal of any youth from the mainstream population, such as when a youth is placed on room restriction or controlled observation. 9. Admissions and releases, including the name, date and time of anticipated arrival or departure, and mode of transportation; and 10. Information relating to escape or attempted escape incidents. (b) Each logbook shall be a bound book with numbered pages. Every entry in a logbook shall be considered a permanent record; therefore, under no circumstances shall any logbook entry be obliterated or removed. An error in an entry shall be struck through with a single line and initialed by the person correcting the error. (c) At a minimum, each logbook entry shall include the date and time of the event, the names of staff and youth involved, a brief description of the event, the name and signature of the person making the entry, and the date and time of the entry. (d) The program shall use one of the following methods to ensure that each direct care staff person, including each supervisor, is briefed when coming on duty:

176 1. Living Unit Logbook Review. If the program maintains a logbook at each living unit, each incoming staff shall review entries made during the previous two shifts in the logbook maintained in the living unit to which he or she is assigned. The staff shall document his or her review in the logbook, including the date, time and signature. 2. Shift Report Review. If the program does not maintain a logbook at each living unit, the program shall summarize in a shift report the events, incidents, and activities documented in the program s central logbook as required pursuant to subparagraphs 63E (12)(a)1.-10., F.A.C. A program supervisor shall verbally brief incoming staff about the contents of the shift report or incoming staff shall review the shift report. Each incoming staff shall sign and date the shift report for the previous shift to document that he or she has reviewed or been verbally briefed about its contents. A copy of the shift report shall be maintained at each living unit for at least 48 hours. (14) A residential commitment program shall establish a records management system that addresses all records maintained by the program including, but not limited to, administrative files, personnel records, fiscal and accounting records, property inventories, and records pertaining to youth. (a) The program shall maintain an official youth case record for each youth that is comprised of two separate files as follows: 1. An individual healthcare record that contains the youth s medical, mental health, and substance abuse related information; and 2. An individual management record that contains other pertinent information about the youth. The record s file tab shall provide the youth s legal name, DJJ identification number, date of birth, county of residence, and committing offense. The youth s JJIS face sheet and any JJIS special alerts shall be attached or filed in close proximity to the file tab. An individual management record shall be organized in the following separate sections: a. Legal Information; b. Demographic and Chronological Information; c. Correspondence; d. Case Management and Treatment Team Activities; and e. Miscellaneous. (b) The program shall clearly label each official youth case record, individual management record, and individual healthcare record as confidential. All official youth case records shall be secured in a locked file cabinet or a locked room. The program shall clearly identify any file cabinet used to store official youth case records as confidential. (c) Each residential commitment program shall comply with the records and confidential information provisions pursuant to Section , F.S. (d) The program shall transfer youth records when a youth is released, discharged, transferred to another residential commitment program, or placed in a juvenile detention center. Transfer of youth records shall be handled as follows: 1. Within five working days of a youth s release or discharge, the program shall transfer the complete official youth case record to the departmental staff or contracted provider assigned to provide the youth s post-residential services. The program shall transfer the original record unless, due to federal auditing requirements, the program is required to retain any original documents. In this case, the program shall replace the originals required on site with complete copies. 2. The program shall ensure that the complete official youth case record accompanies a youth transferred to another residential commitment program. The transferring program shall send the original record unless, due to federal auditing requirements, the program is required to retain any original documents. In this case, the program shall replace the originals required on site with complete copies. 3. If a youth residing in a residential commitment program is placed in a juvenile detention center, the program shall ensure that the youth s complete individual healthcare record, either the original record or a copy, accompanies the youth when transported. If the youth is subsequently returned to the residential program, the detention center shall return the complete record at the time the youth is transported back to the program. (15) A residential commitment program director shall immediately contact the department s regional residential director or designee to report the death of any youth residing in the program. The program director shall provide information as needed to enable the department to notify the youth s parents or legal guardian. Rulemaking Authority FS. Law Implemented (3)(a) FS. History New , Amended , ,

177 YOUTH SERVICES INTERNATIONAL, INC. DAYTONA SEX OFFENDER PROGRAM TRAINING OUTLINE CHART TRAINING TOPICS Pre- Service Annual In- Service Training Hours 3 NA YSI DJJ Goals Mission Statement, and DJJ: the organization DJJ Mission DJJ: the organization (CORE) Daytona Sex Offender Program (DSOP) Mission and Philosophies DSOP Goals YSI Mission, Program Philosophy, Program Culture Behavior Management & Modification System, (Positive Reinforcement 4 2 Techniques and Strategies) DSOP Treatment Model Programmatic Documentation Verbal and Non- Verbal Communication Communication Skills Stages of Change Theory-Discovery Model Risk factors for delinquency and their treatment Youths Rights Mental Health & Substance Abuse Services Managing Youth with Mental Health/ Substance Abuse Issues Emotional and Behavioral Development of Children & Adolescents Motivational Interviewing (MI)Techniques overview Physical development and common health issues of adolescent youth. Use of the Facility Entry Physical Health Screening Form (for staff members conducting admissions). Adolescent Behavior Male Juvenile Population, Living Environment and 2 NA Program Treatment Standards (CORE) DSOP Rules /Personnel Policies & Job Responsibilities 1 NA Confidentiality (HIPAA), Reporting Child Abuse 1.5 NA Incident Reporting/Grievance procedure 1 NA Staff Stress Management 1 NA Introduction to safety and security issues 1 NA Safety, Security, and Supervision (CORE) 2 2 Youth Supervision Radio Communication Room Checks Contraband Search Key Control Vehicle Safety and Security Logbook Entries Youth & Vehicle Search Escape Prevention & Detection Protocol Activities & Movement Tool and Sensitive Item Contract Status Control Inappropriate Supervision Grounds/Campus Supervision in School Youth Counts Transports Hospital Stays Prevention of Heat Stress Physical Incident Reporting Plant Safety and Security Child Abuse Reporting Emergency Procedures to include: Emergency evacuation procedures Youth with medical alert system Episodic/Emergency care Continuity of Operations Plan, 911 Hurricane Preparedness Riot Prevention Immediate access to emergency, medical, mental health, and substance abuse services 2 2 Page 1 of 4

178 YOUTH SERVICES INTERNATIONAL, INC. DAYTONA SEX OFFENDER PROGRAM TRAINING OUTLINE CHART Location, use of Automated External Defibrillator & epi-pen Other Health Services Manual related training Operation of Fire Equipment Fire Emergency Procedures Red flag issues and employee standards of conduct, including legal 2 NA consequences or noncompliance with facility procedures (CORE) Representing DJJ in Ethical Manner. (Ethics within the correctional 4 4 environment, including the proper maintenance of documents and recorded materials relating to security issues.) Professionalism and Ethics (Standards of Conduct) (CORE) Human Cultural Diversity (CORE) 4 1 Sexual Harassment (CORE) 1 1 Suicide Awareness & Prevention (CORE) 6 6 Crisis Intervention & Implementation Supervision of Precautionary Observation Clients Identifying Warning Signs Suicide Response Kits Processes and Procedures Intervention Techniques Documentation Use of knife for life and wire cutters TOTAL Gang Awareness Training (CORE) 1 1 For staff conducting intake, the Facility Entry Physical Health Screening 2 NA form and administration of the MAYSI-2; the PACT (includes RPACT overview & certification separate see page 4) and other required intake process & procedures. Medical Authorization Release Forms Documentation of Medical/ Mental Health/ Safety & Security Alerts Universal Precautions/Infection Control and Blood borne Pathogens, such 2 1 training to meet Federal Rule CFR (OSHA Standard) (CORE) Communication Skills - Learning to Interact positively and appropriately with youth through effective communication and relationship skills 1 NA Restorative Justice Programming including the Impact of Crime Curriculum 1 NA ADA 1 1 Improving SA/MH services including risk factors and triggers relating to 4 NA homicidal risk and prevention. (CORE) Gender responsive services for adolescent delinquent youth including risk factors and triggers: PTSD Victimization & History of Victimization Exploitation Domestic Violence Trauma Recovery Issues 6 NA Substance Abuse Relationships Sexuality Self Exploration Spirituality Behavior Modification with Boys Co-Occurring Disorders Boys Physical Development and Health Issues Page 2 of 4

179 YOUTH SERVICES INTERNATIONAL, INC. DAYTONA SEX OFFENDER PROGRAM TRAINING OUTLINE CHART Eating Disorders The Functioning Brain High Risk Behavior Social Support Systems Safety Issues Career Vocational Youth/Parent/Employee Handbook 1 NA Child Welfare Training Toolkit 16 NA Basic Principles of Safe & Effective Pharmacology/Dispensing Medication/Effects of Medication/Medical Alerts/Allergy List 1 NA CPR/First Aid/AED 7 7 TOTAL PAR Training (as required by Rule Chapter 63H-1) Introduction & Overview Understanding Youth Behavior Stress and Conflict Basic Human Needs Stress and Stressors Maslow s Hierarchy of Needs Adolescent Stress Effects of Trauma Warning Signs of Stress Predicting Behavior Stress and Conflict Crisis Development Model P.A.R. Rule Stress Management P.A.R. Verbal Intervention and Definition of P.A.R. The P.A.R. Rule Non- Verbal Communication P.A.R. Escalation Matrix De- Escalation P.A.R. Verbal Interventions Florida State Law on Use of Force P.A.R. Verbal Techniques P.A.R. Verbal Interventions Physical Interventions / Mechanical and Non- Verbal Restraints Communication The Y.E.S. Model P.A.R. Recovery Discussion The R.I.D.E.S. Model Purpose of Recovery The S.T.A.R. Decision Tree Discussion Mechanical Restraints Goals of Recovery Discussion Recovery Discussion Steps Physical Interventions Techniques and Search Procedures Stance and Movement Countermoves: Blocks, Escapes, Releases Team Approach Touch and Control Techniques Takedown Techniques Returning Control Using Restraint Devices: Cuffing and Uncuffing Search Techniques TOTAL 40 8 OJT (Job Specific Training) 32 NA TOTAL T4C 32 8 Motivational Interviewing (MI) 14 4 TOTAL 46 GRAND TOTAL Page 3 of 4

180 YOUTH SERVICES INTERNATIONAL, INC. DAYTONA SEX OFFENDER PROGRAM TRAINING OUTLINE CHART Additional training requirements will consist of: All supervisors will be trained in the Leadership Development Curriculum which is an additional 40 hours to be completed within 180 days of employment. All case managers, therapists and clinical director will be trained for RPACT which is an additional 16 hours to be completed within 30 days of employment. Additionally, the case managers will be trained in Thinking for a Change which is an additional 32 hours to be completed within 60 days of employment. MONTHLY BI- ANNUAL ANNUAL IN-SERVICE TRAINING PAR Refresher; CPR / First Aid/ Automatic External Defibrillator (AED) Re- Certification; Crisis Intervention & Implementation, Effective Communication Skills; Conflict Resolution; Facility Operating Procedures, Suicide Prevention (2 hrs); Knife for Life; Behavior Management; Gang Awareness; Emergency MH/SA Plan w/ mock role- plays; Precautionary Observation; Emergency Procedures; Fire Safety & Prevention; Confidentiality; Verbal Deescalation; Professionalism and Ethics; Sexual Harassment; Infection Control/Episodic Care; Disaster Preparedness / COOP; Riots; Balanced and Restorative Justice/Impact of Crime; Cultural Diversity; Page 4 of 4