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Agenda 01/13/2015 Item #16D14 1/13/2015 16.D.14. E�TIYT.SiTtVIMARY Recommendation to approve Fourth Amendment to the agreement with the David Lawrence Mental Health Center, Inc. for mental health and substance abuse services tol conform to the most recently approved Agency for Healthcare Administration Low Income Pool Program. OBJECTIVE,: To provide mental health and substance abuse services to the Collier County community. CONSIDERATION: On December 11, 2012, the Board approved a contract with the David Lawrence Center Mental Health, Inc. The contract with David Lawrence Center is part of the Low Income Pool (LIP) arrangement with the Agency for Healthcare Administration, Naples Community Hospital, and Physicians Regional Medical Center, an update to which was approved by the Board on September 23, 2014 (Agenda item 16D23). Section 394.76, Florida Statutes, requires Collier County to participate in the funding of alcohol and mental health services. The current contract allows for three one-year renewals, and this is the third contract renewal with an effective date of October 1, 2014 through September 30, 2015. This amendment provides for total compensation of$149,566 through the LIP arrangement to support three Program Areas: 1) Adult Mental Health, 2) Adult Substance Abuse, and 3) Children's Mental Health. The following changes are being made to align with overarching changes in the LIP agreement previously approved by the Board. 1. Exhibit 1, Payment Request, is amended to require invoice submission annually rather than quarterly. 2. Exhibit 1A,Unit Report, is added. 3. Exhibit 3A,Performance Outcome Report FY 13/14,is deleted and replaced with Performance Outcome Report FY 14/15. 4. Exhibit 5A,Program Area Unit Cost for FY 13/14, is deleted and replaced with Program Area Unit Cost for FY 14/15. 5. Article III, contract language is changed from"quarterly reimbursement basis to Naples Community Hospital"to "one annual payment and unit reporting for each quarter." FISCAL IMPACT: In accordance with the LIP agreement update previously approved the Board, the total funds DLC will receive for the mandated services are $1,385,040. Under this amendment, the County will submit one payment of$149,566 to Naples Community Hospital, who in turn will pay DLC. The remainder of the payments in the amount of$1,235,474 will be made by Physicians Regional Hospital directly to DLC. Funds for the County commitment are budgeted in the appropriate cost center in the Community and Human Services allocation of the General Fund (001). GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this Executive Summary. /"1 LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority vote for Board approval. -JAB Packet Page-1670- 1/13/2015 16.D.14. RECOMMENDATION: That the Board of County Commissioners approves Fourth Amendment to the agreement with the David Lawrence Mental Health Center, Inc. for mental health.sod stance abuse services to conform to the most recently approved AHCA/Low Income Pool program. Prepared by: Leslie Hayes, Grants Coordinator, Community and Human Services Packet Page-1671- 1/13/2015 16.D.14. COLLIER COUNTY Board of County Commissioners Item Number: 16.16.D.16.D.14. Item Summary: Recommendation to approve Amendment Number 4 to the agreement with the David Lawrence Mental Health Center, Inc. for mental health and substance abuse services to conform with the most recently approved AHCA/Low Income Pool program. Meeting Date: 1/13/2015 Prepared By Name: HayesLeslie Title: VALUE MISSING 11/25/2014 1:58:53 PM Submitted by Title: VALUE MISSING Name: HayesLeslie 11/25/2014 1:58:54 PM Approved By Name: GrantKimberley Title: Director-Housing,Human and Veteran S, Community &Human Services Date: 12/16/2014 9:24:32 AM Name: TownsendAmanda Title: Director-Operations Support, Public Services Division Date: 12/16/2014 3:20:22 PM Name: SonntagKristi Title:Manager-Federal/State Grants Operation, Community&Human Services Date: 12/17/2014 8:30:07 AM Name: AlonsoHailey Title: Operations Analyst,Public Services Division Date: 12/17/2014 4:57:48 PM Packet Page-1672- 1/13/2015 16.D.14. Name: Bendisa Marku Title: Supervisor-Accounting, Community&Human Services Date: 12/19/2014 12:10:14 PM Name: RobinsonErica Title: Accountant, Senior,Grants Management Office Date: 12/19/2014 4:27:46 PM Name: CarnellSteve Title: Administrator-Public Services, Public Services Division Date: 12/22/2014 3:48:37 PM Name: BelpedioJennifer Title: Assistant County Attorney, CAO General Services Date: 12/22/2014 3:49:09 PM Name: KlatzkowJeff Title: County Attorney, Date: 1/2/2015 8:23:18 AM Name: StanleyTherese Title: Manager-Grants Compliance, Grants Management Office Date: 1/5/2015 1:39:58 PM Name: KlatzkowJeff Title: County Attorney, Date: 1/6/2015 8:52:47 AM Name: DurhamTim Title: Executive Manager of Corp Business Ops, Date: 1/6/2015 9:20:46 AM Packet Page -1673- 1/13/2015 16.D.14. FOURTH AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND DAVID LAWRENCE MENTAL HEALTH CENTER, INC. This Amendment, is entered into this day of , 2014, by and between David Lawrence Mental Health Center, Inc. a private not-for-profit corporation existing under the laws of the State of Florida, herein after referred to as David Lawrence Center and Collier County, Florida, herein after to be referred to as "COUNTY," collectively stated as the "Parties." WHEREAS, on December 11, 2012, the County entered into an agreement with David Lawrence Center to provide substance abuse and mental health services to Collier County residents (hereinafter referred to as the"Agreement"); and WHEREAS, the Parties desire to amend the Agreement by modifying the language in Article III, Compensation and Reports, Article IV Audits, Monitoring and Records, and Exhibits 1, 1A, 3A and 5A. WHEREAS, this Agreement is funded by local funds matched with Federal funds as provided in the October 23, 2012 Letter of Agreement between COUNTY and Agency for Healthcare Care Administration that allows County participation in an intergovernmental transfer program. NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree to amend the Agreement as follows: 1. All references to Housing, Human and Veteran Services (HHVS) shall be replaced by Community and Human Services (CHS) throughout the agreement. 2. Amend Article III Compensation and Reports, A. Contract Payment, B. Deferred Payments and C. Contract Deliverables: ARTICLE III COMPENSATION AND REPORTS A. Contract Payment Once invoiced by the DAVID LAWRENCE CENTER and validated, the COUNTY will submit payments one payment on a quarterly reimbursenient oasts in the first quarter of each county fiscal year to on a quarterly reimbursement basis to the County's community hcvlth partner Naples Community Hospital for $149,566.00 for Mental Health and Substance Abuse services units delivered in accordance with Exhibit 5 and 5A. The DAVID LAWRENCE CENTER agrees to accept as full compensation the total annual amount not to exceed 5.14-541-2.00700 $149,566.00 from Naples Community Hospital as committed to by the County and total compensation through the Dor,rn 1 �� N Packet Page-1674- (S) 1/13/2015 16.D.14. matching program of $4,385,01-8O8. Payments will be authe ' work completed and/or .)crviccs for units delivered during the term of the contract as stated in ARTICLE II: TERM OF CONTRACT and prior to the payment request date. Documentation of eligible expenses units will be provided as stated in Article III C. Contract Deliverables. Payment is subject to the provisions of Article III B Deferred Payment/Return of Funds and Article IX, Suspension/Termination. All requests for payment shall be submitted in accordance with Exhibit 1 and be accompanied by the required supporting documentation as outlined in the payment/deliverable performance table below. Funding is contingent upon the availability of funds. SALES TAX. The DAVID LAWRENCE CENTER shall pay all sales, consumer, use and other similar taxes associated with the Work or portions thereof, which are applicable during the performance of the work. All payments are contingent upon the payment/deliverable performance table below: Quarter 1 $149,566.00 Performance data Due Date: October 1- Exhibit 1 Exhibit 3A and Unit January 30,2015 December 31 Data Exhibit 1A Quarter 2 N/A Performance data Due Date: January 1- March Exhibit 3A and April 30,2015 30 Unit Data Exhibit 1A Quarter 3 April N/A Performance data. Due Date: 1 - June 30 Exhibit 3A and July 30,2015 Unit Data Exhibit 1A Quarter 4 July N/A Performance data Due Date: 1 - September Exhibit 3A and October 30,2015 30 Unit Data Exhibit 1A The County has agreed to purchase the units cervices) listed in Article I. For it service at the fixed unit rate, as detailed in Exhibit S. Packet Page-1675- 41:0 1/13/2015 16.D.14. Approved Minimum Unit By- Bir Unit Program Area Program Area Category and AHCk Tet-a-l-Pfetram-Afear ar Wig k}ieeatienk Adult Mental (a) Emergency $563,000 $1,030,000 Health Services 2,803 units (b)Medical Services $363,000 (c)Immokaiee Medical $25,000 (d)Immokalee $887899 Outpatient Adult Substance (a) Detox $1-00,000 $230,090 Abuse 921 units (b) Outpatient $60,000 (c)Drug Court $70,000 Children's Mental (a) Medical $58,010 $116,010 Health 314 units (b) Urgent Care $58,000 Modifications to Article I may only be made if approved in advance by the Grant Coordinator, Unit shifts among program areas shall not be more than 10% and does not signify a change in scope. Fund shifts that exceed 10% of a program area shall only be made with board approval, B. Deferred Payment/Return of Funds The COUNTY may defer payment to the /DAVID f AWRENCE CENTER Naples Community Hospital and Physician's Regional Hospital paid on behalf of DAVID LAWRENCE CENTER for noncompliance with contract deliverables or program requirements. If, as a result of monitoring or audit, units of service provided are not properly documented, a payment may be deferred. If units are found to be unallowable, no future payments will be made until the full amount of overpayment is remitted to the COUNTY or a repayment agreement Packet Page-1676- 1/13/2015 16.D.14. is accepted by the COUNTY. If the monitoring or audit occurs after the term of this contract, the DAVID LAWRENCE CENTER will be required to remit funds to the COUNTY in accordance with the repayment conditions below. The DAVID LAWRENCE CENTER agrees to return to the COUNTY any overpayments due to funds disallowed pursuant to the terms of this Contract and/or COUNTY, State or Federal requirements. The DAVID LAWRENCE CENTER will be required to reimburse the COUNTY for any acts of non-compliance resulting in disallowed costs or fines. C. Contract Deliverables 1. Required Reports (checked boxes are applicable) Q EXHIBIT 1- Payment Request - Due: t4' The first quarter of the County Fiscal year by the 30th of the following month. The first quarter Ati payments will be reimbursement for e er3scs/scrviccs units and quarter two-four shall be $0 invoices accompanied by performance and unit report for units rendered during the contract term. •-= - - • '- -''� `• in the Contract Closeout Sectien (Article III 2 D).•Copies of supporting unit documentation is are required as part of the Quarterly Payment Request for review before payment will be Lade authorized by -- - -- - - - --• - Community and Human Services. Reimbursement for eligible units .eEpe eses Authorization will be made after review and authorization of a correct and complete Exhibit 1 and all required performance and unit data documentation :. != • ---`- Eligible units expcnsca are defined as uncompensated expenses/services units delivered during the term of the contract and paid prior to final payment request due date as indicated in the Contract Closeout Section (Article III 2 D). - • _ - -. - . . . - - - 'ce logs, other fundcr invoices, expenditure -spreadsheets or other original documor atien, as well as a ce- y-ef t-he AVID LAWR-ENCE CENTER check issued with authorized signature. Two sided -copies of back up ARTICLE IV AUDITS, MONITORING, AND RECORDS A. Monitoring The DAVID LAWRENCE CENTER agrees to permit persons duly authorized by the COUNTY to inspect all records, papers, documents, facility's goods and services of the DAVID LAWRENCE CENTER and/or interview any clients and employees of the DAVID LAWRENCE CENTER to be assured of service delivery and performance of the terms and conditions of this contract to the Packet Page -1677- 1/13/2015 16.D.14. extent permitted by the law after giving the DAVID LAWRENCE CENTER reasonable notice. The monitoring is a limited scope review of the contract and agency management and does not relieve the DAVID LAWRENCE CENTER of its obligation to manage in accordance with applicable rules and sound management practices. Following such monitoring the COUNTY will deliver to the DAVID LAWRENCE CENTER a written report regarding the manner in which services are being provided. The DAVID LAWRENCE CENTER will be requested to respond and rectify all noted deficiencies within the specified period of time indicated in the monitoring report or provide the COUNTY with a reasonable and acceptable justification for not correcting the noted shortcomings. The DAVID LAWRENCE CENTER'S failure to correct or justify the deficiencies within the time specified by the COUNTY may result in the withholding of payments, being deemed in breach or default, or termination of this Contract. The County will conduct an annual financial and programmatic review. The Provider agrees that Community and Human Services Department will carry out no less than one (1) annual on-site monitoring visit and evaluation activities as determined necessary. At the County's discretion, a desk top review of the activities may be conducted in lieu of an on-site visit. The continuation of this Agreement is dependent upon satisfactory evaluations. The Provider shall, upon the request of Community and Human Services Department, submit information and status reports required by Community and Human Services Department to enable Community and Human Services Department to evaluate said progress and to allow for completion of reports required. The Provider shall allow Community and Human Services Department to monitor the Provider on site. Such site visits may be scheduled or unscheduled as determined by Community and Human Services Department. The County will monitor the performance of the Provider based on performance standards as stated with all other applicable federal, state and local laws, regulations, and policies governing the funds provided under this contract. Substandard performance as determined by the County will constitute noncompliance with this Agreement. If corrective action is not taken by the Provider within a reasonable period of time after being notified by the County, contract suspension or termination procedures will be initiated. Provider agrees to provide the County's internal auditor(s) access to all records related to performance measures under this agreement. * * * 3. Amend Exhibit 1, Payment request, Attached. 4. Add Exhibit 1A, Unit Report, Attached 5. Add Exhibit 3A, Performance Outcome Report, Attached. 6. Add Exhibit 5A, Program Area Unit Cost for Fiscal Year 2014-2015, Attached. - ----- Page S -- --..___._ - W Packet Page -1678- 1/13/2015 16.D.14. 7. All other terms and conditions of the Agreement remain in full force and effect. This Amendment merges any prior written and oral understanding and agreements, if any, between the parties with respect to the matters set forth herein, DAVID LAWRENCE CENTER: BOARD OF COUNTY COlviN/SSIONERS OF COLLIER COUNTY, FLORIDA By: Scott Burgess Name (pr'rit) By: ( *gnalture o iorized officer) TOM HENNING, CHAIRMAN Chief Executive Officer Title Date December 17,2014 Date Approved for form and legality: Jennifer A. Belpedio A I I EST: Assistant County Attorney DWIGHT E. BROCK, CLERK \‘. By: , DEPUTY CLERK Page 6 Packet Page -1679- 1/13/2015 16.D 14 EXHIBIT I PAYMENT REQUEST Line Item Contract t, ..n i• .r,... _ .. Coneant* Agency Coed Lawrence Center cTP•' ' ' a,tra,tr..yf.ayh htalingAddress: I:aNto:COMMA Wand Hunan SeraOea Expenderred for period: Pbnne: ATTH:Laalie Heiea _i_'_ • ! FM: pr,,.e•+s,2 -.. '9 Check appwpnste Ur. E-msA: FAX.: __Register Reimbursement E.1rig,lss ,F{ayea4Iiw0l2oynel _Final fterbursewest Fr al Pay*nent Report/reds*bythe twentieth calendar dayatwr Iha end or the rowing period. C P'' '.n c..n,.,..r.^4.- I).TotaI Paid F `6i11et�eeaiSiE•M,i;lfe•;fa.NS`i ::f:::: :'::8 tllsuutt}]l:;j, oLpdacmas4 Expenditures for Reporting Period it` ,iLl(C=3S�1i' is i S i i i i if c"i i.'i i v'i'i i i2'�':`,'i?i'i i i i i' :'.v;.;:!•...r-• is - s L�"a1••, #fiti H S - •BFItL21:ft•1BS:Tk G6:Af3Gl$,•;,,,,,,,,,,, :::::.::�;:.::•.,•..,�:• S s _ f P re 'io-• ilyegerpg telwc.i ne iffy drat tie•norkard.•or aerrtoes provdea ar ---FOR COLLIERCOUHTY USE ONLY- reported in Exhibit I.are for anmmpensir5 e>•y_asesianlh,and have teen By sighting below,I certify thattothe best of my coup lead anZ+or dehisce/lo the lust of niyknowled}e. I bather atilt that knowledge and abilities,[te work andror cervices payment has bean made in sa»rdar ce waived applicable armies,tegutadors provided have been Inspected m ondored or reviewed and approve/County welted. I undws tma thet know i illy providing False and appear to be In compile nos with all applicable mfonnaton opal/mutt ib tiw P all5r,and treseWtien. skal,aec innhllith em and anncenead Cnnnty rmlriII Skjnattrt O Der Aodtorde WHORE Official: APPROVEDAl OIX4T: a 01111 Anmrtnid: DATE APPROVED: -_.... __-____ --- Page? Packet Page-1680- 1/13/2015 16.D.14. DAVID LAWRENCE CENTER Reporting Period: October 1,2013-September 30,2014 DEMOGRAPHICS OF CLIENTS SERVED Exhibit IA UNDUPLICATED CLIENT Adult Mental Adult/Substance Child/Mental Child/Adolesc. CHARACTERISTICS Health Abuse Health Substance Abuse Total 5328 1816 2191 324 AGE^ ROL4Y-t M1� a_r 5 and Under -._,., .r.4�ar 1... i ` r. 87' 0 6•12years 5 -:4 .- . ' t 4' 881 7 13-17 years ,.. 3 1223 317 18-30 years 1487' 886 l x . 3 I-50 years 2017 676; _ }:�; mn 51-61 years 1060 181 62 and over 757 73 r ;`,; .:, Not Collected 7 0 0 0 TOTAL 5328 1816 2191 324 GENDER ... .:'e :. r. ,,.. .. Male 2411 1078 1300 239 Female 2889 736 886 85 Not Collected 28 2 5 0 TOTAL 5328 1816 2191 324 - American Indian or Alaska Native 2 1 12 I I 0 Asian - 28 5 II I Black or African American - 349 88 190 45 Native Hawaiian or Pacific Islander 20 3. 9 2 While 4156, 1 527 1442 206 Multi-Racial 670 176 513 69 Other 0 0 0 0 Not Collected 84 5 - 15 I TOTAL 5328, 1816 2191 324 Hisnanic or Latino 1277 373 948 131 Not Hispanic or Latino 3967 1438, 1228 192 _ Not Collected 84 5 15 1 TOTAL 5328 1816 2191 324 G I.RRSIDENCE AT-RFT RRAi- ;' Goodland 34140,34145,34146* 102 37 44 17 lmmokalee 34142,34143 262 80 261 27 Lely 34113 * 233 93 87 24 Marco Island 34140,34145(*included Goodland) :" Naples 34102,34103,34104,34105,34112 1245 383 404 72 Naples Manor 34113(4 included Lely) Naples Park 34108* 162 45 53 14 Orangetree 34120 342 115 196 33 Pelican Bay 34108(*included Naples Park) Pelican Ridge 34108(*included Naples Park) . Plantation Island 34139,34141 4 5 3 0 Vineyards 34116,34119 835 285 434 59 Out of County 526 214 259 8, Other County Not Incudcd Above 1136, 359 429 70 Not Collected 58 7 12 0 Homeless 423 193 9 0 TOTAL 5328 1816 2191 324 ...__._-._.___—_ _--._._..------ -- Page 8 --- — —._ I-, Packet Page-1681- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Provider Name: David Lawrence Center Program: Adult Mental ,. •lth Crisis u •rt mer.enc Services Section 1 ONLYto be completed at time of contract execution. Section 2 to be completed quarterly for full term of the contract due October 31,2015 for time period 10/01/14-9/30115 SECTION ONE To Be Completed and returned with contract OUTCOME# 1:, Adult Mental Health Crisis Supnort/Emereencv Services 1. Outcome Statement including#or%: 350 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Mental Health Crisis Support/Emergency Services programs. 2, List the Activities or Services provided by this program. Adult Mental Health Crisis Support and Emergency Services provides triage and admission services that includes Clinical Assessments, Psychiatric Evaluations and crisis intervention for individuals or adults who in crisis. Many assessments are completed within the scope of the Baker Act. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics qfpersons served. END OF SECTION ONE --- Page 9 _ { Packet Page-1682- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Mental Health Crisis Support/Emergencv Services. SECTION TWO Reporting Period: Contract year—October 1,2014—.September 30,2015 Due: QUARTERLY . Can be submitted by mail, email or fax OUTCOME 141: Adult Mental Health Crisis Support/Emergency Services I. Outcome Statement including #or%: 350 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Mental Health Crisis Support/Emergency services programs. 2. From data collected during the term of the contract, provide the following information,: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a '/z page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. r•. Page- Packet Packet Page-1683- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Mental Health Medical Services Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed quarterly for full term of the contract due October 31, 2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME #2: Adult Mental Health Medical Services 1. Outcome Statement including# or%: 500 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Mental Health Medical Services program. 2. List the Activities or Services provided by this program.Adult Mental Health Medical Services include Psychiatric Evaluations and Medication Management for persons who are experiencing mental health problems ranging from acute to more long term treatment for a persistent mental illness. Services also include nursing services in addition to coordination with primary care physician. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome., Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. 1 END OF SECTION ONE ---^_------_ ----- _____—._ Page Packet Page -1684 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Mental Health Medical Services, SECTION TWO Reporting Period: Contract year—October 1,2014—September 30,2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME#2: Adult Mental Health Medical Services 1. Outcome Statement including#or %: 500 distinct individuals that do not have Medicaid, Medicare or other funding sources t+'ill be served each quarter in Adult Mental Health programs. 2. From data collected during the term of the contract,provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a '/z page narrative explanation, This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process, Page -- �_----- _ ------- ------.---- Packet Page -1685-- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Mental Health Comorehensiv$ Community Service Team Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed quarterly for full terns of the contract due October 31, 2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME #3: Adult Community Programs 1, Outcome Statement including#or%: Ladistinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Mental Comprehensive Community Service Team programs. 2. List the Activities or Services provided by this program. Adult Community Service are community based mental health programs that include Case Management (care coordination, linking and advocating for clients experiencing serious mental health disorders), Supported employment, and Forensic Services for individuals within the legal system who have been found incompetent to proceed or not guilty by insanity to proceed due to their mental condition. Adult community services promote a recovery lifestyle that maximizes individual's ability for independent functioning in the least restrictive setting based on their ability and individualized need. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. END OF SECTION ONE -- — — -- --- — Page Packet Page 1686 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Mental Health Comprehensive Community Service Team SECTION TWO Reporting Period: Contract year—October 1,2014—September 30, 2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME # 3: Adult Community Programs 1. Outcome Statement including # or%: J50 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Community programs. 2. From data collected during the term of the contract, provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a ''/z page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page Packet Page-1687- -- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Mental Health Outpatient Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed quarterly for full term of the contract due October 31,2015 for time period 10/01/14-9/30115 SECTION ONE To Be Completed and returned with contract OUTCOME#4: Adult Mental Health Outpatient 1, Outcome Statement including#or%: •200 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Mental Health Outpatient program. 2, List the Activities or Services provided by this program. Adult Mental Health Mental Health Outpatient Services include individual, group and family therapy according to clinical recommendations based on the �-o Assessment and Treatment Planning Process. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. END OF SECTION ONE Page Packet Page -1688- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program;Adult Mental Health Outpatient SECTION TWO Reporting Period: Contract year—October 1,2014—September 30, 2015 Due: QUARTERLY Can be submitted by mail,email or fax OUTCOME 4 4: Adult Mental Health Outpatient 1. Outcome Statement including# or%: 2911distincl individuals that do not have Medicaid, Medicare or other f funding sources will be served each quarter in Adult Mental Health Outpatient program. 2. From data collected during the term of the contract, provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a 4 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page __-.-------___.-.- -— -- Packet Page-1689- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Mental_Health Crisis Stabilization Unit/CSU, Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed quarterly for full term of the contract due October 31,2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME# : Adult Mental Health Crisis Stabilization Unit/CSU 1. Outcome Statement including# or%: Ladistinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in the Adult Mental Health Crisis Stabilization Unit/CSU program. 2. List the Activities or Services provided by this program. Adult Mental Health Programs include the Crisis Stabilization Unit that provides short term, inpatient crisis stabilization and support for individuals or adults who are either at risk of harming themselves or others due to a mental health crisis. David Lawrence Center manages the only Baker Act receiving facility for Collier County. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics ofpersons served. END OF SECTION ONE I Page - -- - Packet Page -1690-_�� 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Mental Health Crisis Stabilization Unit i CSU. SECTION TWO Reporting Period: Contract year-October 1, 2014-September 30, 2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME# 5: Adult Mental Health Crisis Stabilization Unit/CSU 1. Outcome Statement including#or%: 150 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in the Adult Mental Health Crisis Stabilization Unit/ CSU program. 2. From data collected during the term of the contract,provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO 1 Agencies are welcome to submit a %2 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page - — ___ — — — — - Packet Page-1691-- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Provider Name: David Lawrence Center Program: Adult Mental Health I Crijiz,Stabilization Unit/CSU Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed for full term of the contract due October 31,2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME#6: Crisis Stabilization Unit L Outcome Statement including%: 85% or more of individuals discharged from the Crisis Stabilization Unit (CSU) will not be readmitted during the 30 days following discharge. 2. List the Activities or Services provided by this program. The Adult Crisis Stabilization Unit provides short term, inpatient crisis stabilization and support for persons who are either at risk of harming themselves or others due to a mental health crisis. The CSU is the only Baker Act receiving facility for Collier County. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome, Outcome information is tracked via electronic medical record database and presented quarterly via internal reports capturing numbers and percentages of people re-admitted within 30 days. END OF SECTION ONE Page Packet Page-1692- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program: Adult Mental Health I Crisis Stabilization Unit I CSU .m. SECTION TWO Reporting Period: Contract year—October 1,2014—September 30,2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME#6: Crisis Stabilization Unit 1. Outcome Statement including%: 85% or more of individuals discharged from the Crisis Stabilization Unit (CSU) will not be readmitted during the 30 days following discharge. 2. From data collected during the term of the contract, provide the following information: A. How many unduplicated clients did the CSU admit during the specified time period? B. How many unduplicated clients were measured for this outcome during the time period? C. If answers A and B are different, explain why(sampling, outcome population definition, etc.)? D. How many of the unduplicated clients from B achieved the outcome during the time period? E. Outcome percentage (D divided by B): END OF SECTION TWO Agencies are welcome to submit a 1/4 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page -- -- - - ---- - ,� Packet Page -1693- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Provider Name: David Lawrence Center Program: Adult Substance Abuse Outpatient Section 1 ONLI'to be completed at time of contract execution. Section 2 to be completed quarterly for full term of the contract due October 31,2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME #7: Adult Substance Abuse Outpatient 1. Outcome Statement including#or%: 120 distinct individuals that do not have Medicai4 Medicare or other funding sources will be served each quarter in Adult Substance Abuse Outpatient programs. 2. List the Activities or Services provided by this program.Adult Substance Abuse Outpatient Services include 'dividual, group and family therapy according to clinical recommendations based on the Assessment id Treatment Planning Process. Outpatient Services also include the Drug Court program and Intensive Outpatient Service program. Different levels of group therapy are available based on the intensity of the substance abuse or dependency. Treatment focuses on helping the individual accept his/her addiction and support the individual in establishing a recovery lifestyle. The Drug Court program diverts offenders with substance abuse and drug related criminal activity from the criminal justice system by offering them an opportunity to proactively deal with their dependence rather than face punitive alternatives. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. L END OF SECTION ONE ,J Page _ -- —– Packet Page-1694- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Provider Name: David Lawrence Center Program: Adult.Substance Abuse Outpatient • SECTION TWO. Reporting Period: Contract year--October I,2014—September 30,2015 Due: QUARTERLY Can be submitted by mail, email or fax OUTCOME# 7: Adult Substance Abuse Outpatient 1. Outcome Statement including# or%: 120 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Substance Abuse programs. 2. From data collected during the term of the contract,provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a 4 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page — �— Packet Page -1695- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Substance Abuse Detox Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed quarterly for full term of the contract due October 31, 2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME#8: Adult Substance Abuse Detox 1. -Outcome Statement including# or%: 80 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in the Adult Substance Abuse Detox program. 2. List the Activities or Services provided by t:hisprogram. Adult Substance Abuse Programs include the Detox program which is a voluntary, medically- managed program for individuals who are in need of detoxification services. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. END OF SECTION ONE Page __—__ -------- —� — Packet Page -1696- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Substance Abuse Detox SECTION TWO Reporting Period: Contract year—October 1, 2014 —September 30, 2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME#8: Adult Substance Abuse Detox 1. Outcome Statement including# or%: 80 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in.the Adult Substance Abuse Detox program. 2, From data collected during the term of the contract, provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a 1/2 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page Packet Page -1697- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Substance Abuse Residential Level 1 Section I ONLY to be completed at time of contract execution. Section 2 to be completed quarterly for full term of the contract due October 31, 2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME#9: Adult Substance Abuse Residential Level I. 1. Outcome Statement including#or%: Z.distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in the Adult Substance Abuse residential program. 2. • I " , .; :� ,_ _ ,► •c , , i , , ,• , .r: A. Adult Substance Abuse Programs include the Residential Program, Crossroads, which is a licensed Level I residential facility. Services are structured and individualized with focus on therapeutic rehabilitation provided to those suffering from alcohol or chemical dependency that need residential level of care. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. END OF SECTION ONE - Page — 'l �__ _ Packet Page-1698- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Substance Abuse Residential Level I SECTION TWO . ,. . Reporting Period: Contract year—October 1,2014—September 30, 2015 Due.: QUARTERLY • Can be submitted by mail, email or fax OUTCOME##9: Adult Substance Abuse Residential Level T 1. Outcome Statement including#or%: 25 distinct individuals that do not have Medicaid, Medicare or other.funding sources will be served each quarter in the Adult Substance Abuse residential program. 2. From data collected during the term of the contract, provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a %2 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page Packet Page -1699-^— 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Substance Abuse Crisis S Wort/ meraency is Section 1 ONLYto be completed at time of contract execution. Section 2 to be completed for full term of the contract due October 31,2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME# 10; Adult Substance Abuse Crisis Supnort/Emergency Services 1. Outcome Statement including#or%: ,Jdistinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Substance Abuse Crisis Support/ Emergency Service programs. 2. List the Activities or Services provided by this program. Adult Substance Abuse Programs include Crisis Support and Emergency Services that provide triage and admission services. These services include Clinical Assessments and crisis intervention for adults who present initially for substance abuse services or are in crisis relating to substance use. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served END OF SECTION ONE 1 Page Packet Page-1700- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Substance Abuse Crisis Support I Emergency Services SECTION TWO Reporting Period: Contract year—October 1,2014-September 30, 2015 Due: QUARTERLY Can be submitted by mail, email or fax OUTCOME# 10: Adult Substance Abuse Crisis Support/Emergency Services 1. Outcome Statement including#or%: 100 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Substance Abuse Crisis Support/ Emergency Services programs. 2. From data collected during the term of the contract, provide the following information: 1. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a ''/2 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. -- ---– – - — Page —-- - ___ — Packet Page -1701- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Adult Substance Abuse Case Manaagement Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed for full term of the contract due October 31, 2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME # 11: Adult Substance Abuse Case Management 1. Outcome Statement including#or%: SD distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Substance Abuse Case Management Services. 2. List the Activities or Services provided by this program.Adult Substance Abuse Programs include Case Management Services which are outreach, screening, referral, linking and monitoring services provides to those families and children that are at risk due to substance us. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. END OF SECTION ONE Page Packet Page -1702- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program: Adult Substance Abuse Case Management SECTION TWO Reporting Period: Contract year—October 1,2014—.September 30, 2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME# 11: Adult Substance Abuse Case Management 1. Outcome Statement including# or%: 50 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Adult Substance Abuse Case Management Services. 2. From data collected during the term of the contract, provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a V2 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. ti'}4 r Pags Packet Page-1703- ___ --------_—_-___--- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Provider Name: David Lawrence Center Program: Childrens Mental Health Medical Services Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed for full term of the contract due October 31,2015. for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME# 12: Childress Mental Medical Health Medical Services I. Outcome Statement including#or%: 2Ldistinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Children's Mental Health Medical Services, 2, List the Activities or Services provided by this program. Childress Mental Health Programs include Children's Medical Services that include Psychiatric Evaluations and Medication Management for children who are experiencing mental health problems ranging from acute to more long term treatment for a persistent mental illness. Services also include nursing services in addition to coordination with primary care physician. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome informationn is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served END OF SECTION ONE Page Packet Page -1704- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Provider Name: David Lawrence Center Program: Childrens Mental Health Medical Services, SECTION TWO Reporting Period: Contract year—October 1,2014—September 30, 2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME# 12: Childrens Mental Health Medical Services. 1. Outcome Statement including#or°A°: 25 distinct individuals that do not have_Medicaid, Medicare or other funding sources will be served each quarter in Children's Mental Health Medical Services. 2. From data collected during the term of the contract, provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a AZ page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page Packet Page -1705-.._...—_ 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Children's Mental Health Crisis Support i Emergency Services Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed for full term of the contract due October 31,2915 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME# 13: Children's Mental Crisis Support/Emergency Services I. Outcome Statement including# or%: ,distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Children's Mental Health Crisis Support/Emergency Services programs. 2. List the Activities or Services provided by this program. Children's Mental Health Programs include Children's Crisis Support and Emergency Services that provide triage and admission services including Clinical Assessments, Psychiatric Evaluations and crisis intervention for children who in crisis. Many assessments are completed within the scope of the Baker Act. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics ofpersons served. END OF SECTION ONE Page Packet Page -1706- 1/13/2015 16:D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program: Children's Mental Health Crisis SuoDOrt 1 Emergency Service SECTION TWO Reporting Period: Contract year—October 1,2014--September 30, 2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME# 13: Children's Mental Heal h Crisis Su ort f Emer.encv Services 1. Outcome Statement including 1 or%:35 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Children's Mental Health Crisis Support/ Emergency Services programs. 2. From data collected during the term of the contract, provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO 1 Agencies are welcome to submit a 1/4 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. r-� Page Packet Page -1707-_____ 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program: Children's Community Programs, Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed for full term of the contract due October 31, 2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME# l4: Children's Comrnunitv_Programs 1. Outcome Statement including#or%: 25 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Children's Community programs. 2. List the Activities or Services provided by this program, Children's Community Programs are mental health ,cervices consisting of Case Management (care coordination, linking and advocating for clients eriencing serious mental health disorders), and community based services provided in the home, at school and other locations in the community. Children's Community Services promote family involvement in the Child's treatment and recovery. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. END OF SECTION ONE Page Packet Page-1708- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Children's Community Programs SECTION TWO Reporting Period: Contract year-October 1, 2014-September 30,2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME# 14; Children's Community Programs 1. Outcome Statement including# or%: 25 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Children's Community Programs, 2. From data collected during the term of the contract, provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a .4 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page ----- _.- --__ . _..___- __ Packet Page-1709- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Children's Mental Health Outpatient Section 1 ONLY to be completed at time of contract execution, Section 2 to be completed for full term of the contract due October 31, 2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME# 15:, Children's Mental Health Outpatient 1. Outcome Statement including#or%: ILdistinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Children's Mental Health Outpatient program. 2. List the Activities or Services provided by this program. Children's Mental Health Programs include Children's Mental Health Outpatient Services that provide individual, group and family therapy -according to clinical recommendations based on the Assessment and Treatment Planning Process. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. END OF SECTION ONE Page ---- ---___ �� ---�-- Packet Page-1710- — 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Provider Name: David Lawrence Center Program: Children's Mental Health Outpatient SECTION TWO Reporting Period: Contract year—October 1, 2014— September 30, 2015 Due : QUARTERLY Can be submitted by mail, email or fax OUTCOME# 15: Children's Mental Health Outpatient 1. Outcome Statement including#or%: 30 distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Children's Mental Health Outpatient program. 2, From data collected during the term of the contract,provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? END OF SECTION TWO Agencies are welcome to submit a V2 page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. Page Packet Page -1711- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program:Children's Mental Health Crisis Stabilization 'CSU, Section 1 ONLY to be completed at time of contract execution. Section 2 to be completed for full term of the contract due October 31, 2015 for time period 10/01/14-9/30/15 SECTION ONE To Be Completed and returned with contract OUTCOME# 16:. Children's Mental Health Crisis Stabilization /CSU I. Outcome Statement including#or%: Edistinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Children's Mental Health Crisis Stabilization /CSU program, 2. List the Activities or Services provided by this program. Children's Mental Health Programs include the Crisis Stabilization Unit that provides short term, inpatient crisis stabilization and support for children who are either at risk of harming themselves or others due to a mental health crisis. David Lawrence Center manages the only Baker Act receiving facility for Collier County. 3. How is outcome measured? List the tools/approaches/methods used to track or measure this outcome. Outcome information is tracked via electronic medical record and presented quarterly via internal reports capturing numbers and characteristics of persons served. END OF SECTION ONE Page -.�— Packet Page-1712- 1/13/2015 16.D.14. Exhibit 3A PERFORMANCE OUTCOME REPORT Program: Children's Mental Health Crisis Stabilization/CSU SECTION TWO Reporting Period: Contract year—October 1,2014—September 30, 2015 Due: QUARTERLY Can be submitted by mail, email or fax OUTCOME# 16: Children's Mental Health Crisis Stabilization /CSU, 1. Outcome Statement including# or%: B distinct individuals that do not have Medicaid, Medicare or other funding sources will be served each quarter in Children's Mental Health Crisis Stabilization / CSU program. 2. From data collected during the term of the contract, provide the following information: A. How many unduplicated clients were served and were measured for this outcome during the time period? L_ END OF SECTION TWO Agencies are welcome to submit a Yz page narrative explanation. This could include explanation regarding your actual versus target percentage and any comments about the outcome results or the outcome process. 40 Packet Page-1713- 1/13/2015 16.D.14. Exhibit 5A update for 2014-2015 DAVID LAWRENCE MENTAL HEALTH CENTER, INC. For all programs Collier County purchases services and assists with the costs that are in addition to funding by Central Florida Behavioral Health Network (CFBHN), the managing entity for substance abuse and mental health funding for the Florida Department of Children and Families. • ADULT MENTAL HEALTH Pro' ram Areas: .'('/'.�.^' r►_�1ci5 S�Ip�7oxt/Eitter�eracy �YI;Y�C��.::. L tFJ + x - � _: 1) DLC Projected Cost to provide a unit of service = $42.71 2) DLC county Unit Rate = $42.71 3) State Maximum Rate = $42.71 4) CFBHN Contract Rate = $42.71 5) Hours, days, location of operation:, 24 hours a day / 7 days a week 6075 Bathey Lane Naples, Florida 6) Activities/Services provided Services include Crisis Assessment, Risk Assessment, Crisis Intervention, Crisis Support referral for Urgent Care Services or other appropriate service(s) within or outside the agency, and/or referral for Admission to an appropriate Acute Care Unit. The Emergency Services Assessment team works collaboratively with the Acute Care team, where ongoing clinical triage/assessment occurs off hours and on weekends. 7) Target population: Adults experiencing acute and serious mental health or substance abuse problems. 1) DLC Projected Cost to provide a unit of service = $370.69 2) DLC county Unit Rate = $370.69 3) State Maximum Rate = $369.55 4) CFBHN Contract Rate = $369.55 5) Hours, days, location of operation: 8:00-5:00 Monday thru Thursday; 8:00-3:00 Friday 6075 Bathey Lane Naples, Florida 6) Activities/Services provided: Psychiatric evaluation, medication management and nursing services. 7) Target Population: Adults experiencing mental health problems or severe and persistent mental illness. 41 Packet Page-1714- 1/13/2015 16.D.14. #3 _A►duJf Target d case Management _. i_ _,:...£.ti_- i 1) DLC Projected Cost to provide a unit of service = $76.64 2) DLC county Unit Rate = $76.64 3) State Maximum Rate = $63.21 4) CFBHN Contract Rate = $63.21 5) Hours, days, location of operation: 8:00-5:00 Monday thru Friday 2806 S. Horseshoe Dr. Naples, Florida 6) Activities/Services provided: Provides an array of services to individuals in their natural environment, which range from assessing one's living arrangements and mental status to accompanying an individual to psychiatric, social service, and other appointments. Additionally, an Adult Case Manager will plan and coordinate an individual's discharge from all inpatient treatment facilities by linking the individual with recommended services and basic needs to ensure successful transition into the community at large. The Case Managers will ensure continuity of care via regular and ongoing communication with other service providers, family members, and other natural supports with regard to the served individual's needs and progress. Case Managers make comprehensive efforts to facilitate clients in achieving an optimal level of independence by linking them to internal and community resources. Case Managers assist the individual to identify their needs on a holistic basis and seek to link them to all potentially beneficial resources. 7) Target population: Adults experiencing mental health problems. 1) DLC Projected Cost to provide a unit of service = $76.64 2) DLC county Unit Rate = $76.64 3) State Maximum Rate = $63.21 4) CFBHN Contract Rate = $63.21 5) Hours, days, location of operation: 8:00-5:00 Monday thru Friday 2806 S. Horseshoe Dr. Naples, Florida 6) Activities/Services provided: Forensics is a service provided to consumers within the legal system who have been found incompetent to proceed or not guilty by reason of insanity due to their mental condition but who have been charged with a felony. They receive advocacy, support, monitoring, technical assistance and facilitation of movement through the criminal justice system. 7) Target population: Adults experiencing mental health problems. 42 Packet Page-1715- 1/13/2015 16.D.14. #S-1.1-ehtai:Heai D rt � '�� :V - r° . � �. .,.,. -, r w*.... _.- . th.,C U.a-. . _. .. � -..... 3 ter . .._ 1) DLC Projected Cost to provide a unit of service = $76.64 2) DLC county Unit Rate = $76.64 3) State Maximum Rate = $63.21 4) CFBHN Contract Rate = $63.21 5) Hours, days, location of operation: 8:00-5:00 Monday thru Friday 2806 S. Horseshoe Dr. Naples, Florida 6) Activities/Services provided: Mental Health Court Program represents an effort to increase cooperation between the criminal justice system and the mental health treatment system. The intent of the program is to assist select defendants struggling with a mental illness who have committed a non-violent crime with numerous services in order for the person to become stable. Referrals may originate from legal services, family members, or community providers that have concerns regarding the individual mental health status. 7) Target population: Adults experiencing mental health problems. 4t.5:-..$1,1 Orted PEmphymerit '.,, , . z 1) DLC Projected Cost to provide a unit of service = $71.14 2) DLC county Unit Rate = $71.14 3) State Maximum Rate = $51.99 4) CFBHN Contract Rate = $51.99 5) Hours, days, location of operation: 8:00-5:00 Monday thru Friday 2806 S. Horseshoe Dr. Naples, Florida 6) Activities/Services provided: These services, offered to adults 18 years or older, provide resources to assist clients with entering the workforce and maintaining strong employment relationships. On the job assistance is included in these services along with unlimited ongoing support. 7) Target population: Adults experiencing mental health problems. #J rifiiid kieWiS ttance iikT1 6:11 o1i iii:02Hometdsness 1011/:- ._ 1) DLC Projected Cost to provide a unit of service = $76.64 2) DLC county Unit Rate = $76.64 3) State Maximum Rate = $63.21 4) CFBHN Contract Rate = $63.21 5) Hours, days, location of operation: 8:00-5:00 Monday thru Friday 2806 S. Horseshoe Dr. Naples, Florida 43 Packet Page-1716- 1/13/2015 16.D.14. 6) Activities/Services provided: Project for Assistance in Transition from Homelessness (PATH) is a Homeless Outreach program designed to identify homeless individuals in the community and link them to appropriate services such as housing, medical, substance abuse and mental health services. Case management, supported living, housing and vocational services are provided as needed. 7) Target population: Adults experiencing mental health problems. • *A Adu t__t0.a4.t fW4ifi ft)u j atien't. ` 'gg ... n,, ....,. .... , .. . 4 ,W... ..; 1) DLC Projected Cost to provide a unit of service = $93.82 2) DLC county Unit Rate = $93.82 3) State Maximum Rate = $91.09 • 4) CFBHN Contract Rate = $91.09 5) Hours, days, location of operation: 8:00-6:00 Monday-Thursday; 8:00-3:00 Friday 6075 Bathey Lane Naples, Florida 6) Activities/services provided: Outpatient Services include integrated mental health and co-occurring services following a brief treatment model of intervention. Services include individual, marital, family, and group counseling services; educational components within the provision of treatment services; treatment planning; linking and referral services; and clinical care management. Counseling groups are created based on assessed client needs and demand. 7) Target population: Adult individuals experiencing primary mental health problems. . 7Adutt Mer tali.t :ealth=PGrisi O Sitabjijzation,KO ` 4 ' - ' `: 1) DLC Projected Cost to provide a unit of service = $380.56 2) DLC county Unit Rate = $380.56 3) State Maximum Rate = $291.24 4) CFBHN Contract Rate = $380.72 5) Hours, days, location of operation: 24 hours day/ 7 days a week 6075 Bathey Lane Naples 6) Activities/services provided: Short term crisis stabilization and support for individuals who are either at risk of harming themselves or others due to a mental health crisis. Individuals may receive voluntary or involuntary services within the scope of the Florida Baker Act. David Lawrence Center is the only Baker Act receiving facility in Collier County. 7) Target population: Adults experiencing acute and serious mental health problems. 44 Packet Page-1717- 1/13/2015 16.D.14. . 3 trisRS stabilizatioitPer, ex to a . 11iire._igiff .a;rate a 11 is sifike ,.,;= No Rates • ADULT SUBSTANCE ABUSE Program Areas: (.# .t Ad apt S.ufista i6ecAbii;ielOtitii ttent ,, t, ;;,< ,„ ,:.= L :A 1) DLC Projected Cost to provide a unit of service = $93.82 2) DLC county Unit Rate = $93.82 3) State Maximum Rate = $91.09 4) CFBHN Contract Rate = $91.09 5) Hours, days, location of operation: 8:00-6:00 Monday-Thursday; 8:00-3:00 Friday 6075 Bathey Lane Naples, Florida 6) Activities/services provided: Outpatient Services include integrated substance abuse and co-occurring services following a brief treatment model of intervention. Services include individual, marital, family, and group counseling services; educational components within the provision of treatment services; treatment planning; linking and referral services; and clinical care management. Counseling groups are created based on assessed client needs and demand. Each client's length of stay is determined by individual need and the appropriateness of the intervention 7) Target population: Adult individuals experiencing primary substance abuse or dependency problems t� P!{u iyi 4y',�Lra,1 lIZ .. < y �, Y. k t +: 0t : i - `� ,113 #OX_..,..,._ -_.-.._ . ,::; _._. .._.:: ... .:.. .....<.._ -,. 1) DLC Projected Cost to provide a unit of service = $249.79 2) DLC county Unit Rate = $249.79 3) State Maximum Rate = $204.94 4) CFBHN Contract Rate = $204.94 5) Hours, days, location of operation: 24 hours a day/ 7 days a week 6075 Bathey Lane Naples, Florida 6) Activities/services provided: Medically managed detoxification program. 7) Target population: Adults presenting with symptoms of alcohol or substance withdrawal or signs that withdrawal syndrome is imminent. 1) DLC Projected Cost to provide a unit of service = $229.69 2) DLC county Unit Rate = $229.69 45 Packet Page-1718- 1/13/201516.D.14. 3) State maximum Rate = $241.10 4) CFHBN Contract Rate = $229.69 5) Hours, days, location of operation: 24 hours a day/ 7 days a week 6075 Bathey Lane Naples, Florida 6) Activities/Services provided: Services are structured and individualized with focus on therapeutic rehabilitation provided to those suffering from alcohol or chemical dependency that need residential level of care. 7) Target population: Adult individuals experiencing substance abuse or dependency problems that need residential care. 43,4; Cris:is-Sapporo hirer .6-0.SerY ke:§U. ...:yEag_= aVag " R 1) DLC Projected Cost to provide a unit of service = $42.71 2) DLC county Unit Rate = $42.71 3) State Maximum Rate = $42.71 4) CFBHN Contract Rate = $42.71 5) Hours, days, location of operation: 24 hours a day / 7 days a week 6075 Bathey Lane Naples, Florida 6) Activities/Services: Evaluations, assessments or crisis intervention counseling for individuals in crisis. Individuals may receive voluntary or involuntary services within .-. the scope of the Florida Baker Act. David Lawrence Center is the only Baker Act receiving facility in Collier County. 7) Target Population: Adults experiencing acute and serious mental health or substance abuse problems. #i$7Cae Manag±am;erit i ,. - 1) DLC Projected Cost to provide a unit of service = $76.64 2) DLC county Unit Rate = $76.64 3) State maximum Rate = $63.21 4) CFBHN Contract Rate = $63.21 5) Hours, days, location of operation: 8:00-5:00 Monday thru Thursday; 8:00-3:00 Friday All locations 6) Activities/Services provided: Services which are outreach, screening, referral, linking and monitoring services provided to those families and children that are at risk due to substance abuse. 7) Target Population: Adult individuals experiencing substance abuse or dependency problems. 46 Packet Page-1719- 1/13/2015 16.D.14. • CHILDREN'S MENTAL in Program Areas: 10 thifitre ii$4dial'Bervices a._:r A _ ... 1) DLC Projected Cost to provide a unit of service = $370.69 2) DLC county Unit Rate = $370.69 3) State Maximum Rate = $369.55 4) CFBHN Contract Rate = $369.55 5) Hours, days, location of operation: 8:00-5:00 Monday thru Thursday; 8:00-3:00 Friday 6075 Bathey Lane Naples, Florida 6) Activities/Services provided: Community based programs that include Case Management (care coordination, linking and advocating for clients experiencing serious mental health disorders), and community based services provided in the home, at school and other locations in the community. Children's Community Services promote family involvement in the Child's treatment and recovery. 7) Target population: Children experiencing mental health problems. #.�7,�r�5is�iLpport�finerger��:y,.Seruices;` .�,t„, , 1) DLC Projected Cost to provide a unit of service = $42.71 2) DLC county Unit Rate = $42.71 3) State Maximum Rate = $42.71 4) CFBHN Contract Rate = $42.71 5) Hours, days, location of operation: 24 hours a day / 7 days a week 6075 Bathey Lane Naples, Florida 6) Activities/Services provided: Services include Crisis Assessment, Risk Assessment, Crisis Intervention, Crisis Support referral for Urgent Care Services or other appropriate service(s) within or outside the agency, and/or referral for Admission to an appropriate Acute Care Unit. The Emergency Services Assessment team works collaboratively with the Acute Care team, where ongoing clinical triage/assessment occurs off hours and on weekends. 7) Target population: Children experiencing acute and serious mental health or substance abuse problems. #1$`-.Therap. u �c Behavioral O;i .S�t&Servtces;(TBit?;SS� :l 1) DLC Projected Cost to provide a unit of service = $102.75 2) DLC county Unit Rate = $102.75 3) State Maximum Rate = $70.20 47 ( ) Packet Page-1720- 1/13/2015 16.D.14. 4) CFBHN Contract Rate = $70.20 5) Hours, days, location of operation: 8:00-5:00 Monday thru Thursday; 8:00-3:00 Friday 2806 S. Horseshoe Dr. Naples, Florida 6) Activities/Services provided: Provides individualized therapeutic services to children and adolescents in community settings including: home, daycare, school, and work with the goal of strengthening family systems and increasing protective factors resulting in youth living at home and living successfully in their community. The child must meet specific criteria based on the Community Behavioral On-site Coverage and Limitations Handbook and/or as specified in the Center's Utilization Management Program. Youth may be at risk for residential placement or in the process of being stepped down from a residential program. 7) Target population: Children experiencing mental health problems. 1) DLC Projected Cost to provide a unit of service = $76.64 2) DLC county Unit Rate = $76.64 3) State Maximum Rate = $63.21 4) CFBHN Contract Rate = $63.21 5) Hours, days, location of operation: 8:00-5:00 Monday thru Thursday; 8:00-3:00 Friday 2806 S. Horseshoe Dr. Naples, Florida 6) Activities/Services provided: Services consist of an assessment aimed at identifying an individual's complex needs, advocating and coordinating access to various service systems; monitoring and evaluating service delivery to ensure the unique needs of the individual are met; and coordinating the various service and system components to optimize individual functioning. 7) Target population: Children experiencing mental health problems. 144-20_400d i':.6ii-S IijiL ai Mealth 3:iitiiitierit 1) DLC Projected Cost to provide a unit of service = $93.82 2) DLC county Unit Rate = $93.82 3) State Maximum Rate = $91.09 4) CFBHN Contract Rate = $91.09 5) Hours, days, location of operation: 8:00-5:00 Monday & Thursday; 8:00-7:00 Tuesday & Wednesday; 8:00-3:00 Friday 6075 Bathey Lane Naples, Florida 6) Activities/services provided: Outpatient Services include integrated mental health and co-occurring following a brief treatment model of intervention. Services include individual, family, and group counseling services; educational components within the provision of treatment services; treatment planning; linking and referral services; and clinical care management. 48 k0' 't Packet Page -1721- 1/13/2015 16.D.14. 7) Target population: Individuals experiencing primary mental health problems and/or a combination of mental health and substance abuse or dependency problems. 1) DLC Projected Cost to provide a unit of service = $380.56 2) DLC county Unit Rate = $380.56 3) State Maximum Rate = $291.24 4) CFBHN Contract Rate = $380.72 5) Hours, days, location of operation: 24 hours day/ 7 days a week 6075 Bathey Lane Naples 6) Activities/Services provided: Short term crisis stabilization and support for individuals who are either at risk of harming themselves or others due to a mental health crisis. Individuals may receive voluntary or involuntary services within the scope of the Florida Baker Act. David Lawrence Center is the only Baker Act receiving facility in Collier County. 7) Target population: Children experiencing acute and serious mental health problems. 49 Packet Page -1722-