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Agenda 05/13/2013 Item #16D 55/14/2013 16.D.5. EXECUTIVE SUMMARY Recommendation to approve an after - the -fact grant application for a 3 year FY2013 -2014 U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration ( SAMHSA) grant for expansion of Drug Court programs (Fiscal Impact $835,370 over 3 years). OBJECTIVE: Expand the Drug Court program in Collier County. CONSIDERATIONS: The U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration has recently announced a grant opportunity to expand the substance abuse treatment capacity in adult, juvenile and family drug courts. The purpose of the program is to expand and /or enhance substance abuse treatment services in existing adult, juvenile and family "problem solving" courts (in the case of Collier County the focus would be on .Adult Drug Court Discretionary Grant Program) which uses the treatment drug court model in order to provide alcohol and drug treatment (including recovery support services supporting substance abuse treatment, screening, assessment, case management and program coordination) to defendants /offenders. The David Lawrence Center approached Housing, Human and Veteran Services (HHVS) on March 26, 2013 requesting that HHVS partner with its organization to apply for the SAMHSA grant. The application submission deadline was April 19, 2013. Due to the short notice from David Lawrence, staff was unable to meet the agenda processing deadlines for BCC approval in advance of the application due date. CMA 5330 authorizes the County Manager to approve the submittal of grant applications with subsequent BCC action at the next available Board meeting to ratify the approval as "after the fact." Expectations of this grant are to provide a coordinated, multi- system approach designed to combine the sanctioning power of treatment drug courts with effective treatment services to break the cycle of criminal behavior, alcohol and /or drug use and incarceration or other penalties. The focus will be to serve high risk/high need populations diagnosed with substance dependence or addiction to alcohol /other drugs and identified as needing immediate treatment. If awarded, the grant would provide funding in the amount of $289,494 in year 1, $268,805 in year 2 and $277, 071 in _year 3 for a 3 -year total of $835,370. No snatch for this grant is required. The program, if funded, will continue to enhance the collaboration of the Drug Court Team including Judge Martin, the David Lawrence Center, Court Administration, the State's Attorney, Public Defender's Office and the Sheriffs Office. Collier County will serve as the fiscal agent and the Housing, Human and Veteran Services Department will manage the grant. If the grant is awarded, the grant agreement and associated subrecipient award will be brought to the Board of County Commissioners at a later date for approval and signature. As fiscal agent of the grant, Collier County will be responsible for ensuring compliance with the programmatic and financial reporting requirements of the U.S. Department of Health and Human Services SAMHSA grant. The sub award contract will include requirements for the contractor to provide information as needed for these reports. The award will include the need to create a sole source subrecipient award contract with the David Lawrence Center. David Lawrence Center is the only comprehensive publicly funded substance abuse agency in Collier County. They are the only treatment provider with the Drug Court Team. Sole source justification is included in the grant proposal. Packet Page -2813- 5/14/2013 16.D.5. The grant proposal includes funding requests for: • Case management/court program coordination • Improved participant drug testing • Participant incentives for compliance • Recovery support services supporting substance abuse treatment FISCAL IMPACT: If the grant is awarded, Federal funds from U.S. Department of Health and Human Services in the amount of $835,370 over 3 years will be appropriated into Human Services Grant Fund 707 via Budget Amendment at the time of Board acceptance of the grant. No match funds are involved in this grant. LEGAL CONSIDERATIONS: The Board will have the opportunity to accept or reject the funds if the grant is approved. Accordingly, this Office has no issue with respect to the legal sufficiency of this request, which is appropriate for Board action. This is item requires a majority vote for Board approval. - JBW GROWTH MANAGEMENT IMPACT: There is no growth management impact due to this request. RECOMMENDATION: Approve an after - the -fact grant application for a 3 year FY2013 -2014 U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) for expansion of Drug Court programs (Fiscal Impact $835,370 over 3 years). Prepared By: Elly Soto McKuen, Operations Analyst; Housing Human and Veteran Services Packet Page -2814- 5/14/2013 16.D.5. COLLIER COUNTY Board of County Commissioners Item Number: 16.16.D.16.D.5. Item Summary: Recommendation to approve an after - the -fact grant application for a 3 year FY2013 -2014 U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) grant for expansion of Drug Court programs (Fiscal Impact $835,370 over 3 years). Meeting Date: 5/14/2013 Prepared By Name: McKuenElly Title: Grant Support Specialist, Housing, Human & Veteran 3/29/2013 9:37:34 AM Approved By Name: SonntagKristi Date: 4/22/2013 3:08:04 PM Name: GrantKimberley Title: Interim Director, HHVS Date: 4/23/2013 7:28:43 PM Name: AlonsoHailey Title: Operations Analyst, Public Service Division Date: 4/24/2013 1:35:58 PM Name: MesaNancy Title: Accountant,Housing, Human & Veteran Services Date: 4/25/2013 2:18:31 PM Name: LarsenKathleen Date: 4/25/2013 4:22:38 PM Name: Joshua Thomas Title: Grants Support Specialist, Date: 4/26/2013 9:50:17 AM Packet Page -2815- Name: CarnellSteve Title: Director - Purchasing /General Services,Purchasing Date: 4/30/2013 9:10:42 AM Name: WhiteJennifer Title: Assistant County Attomey,County Attorney Date: 4/30/2013 10:23:19 AM Name: KlatzkowJeff Title: County Attorney Date: 4/30/2013 2:39:25 PM Name: StanleyTherese Title: Management/Budget Analyst, Senior,Office of Manage Date: 5/2/2013 11:29:11 AM Name: FinnEd Title: Senior Budget Analyst, OMB Date: 5/6/2013 9:51:21 AM Name: OchsLeo Title: County Manager Date: 5/6/2013 4:18:49 PM Packet Page -2816- 5/14/2013 16.D.5. TO: FROM Co le-r County (Mce of Management & Budget Leo Ochs, County Manager Joshua Thomas, Grants Support Specialist DATE: April 18, 2013 5/14/2013 16.D.5. Grant Application Reviewed and Approved t C,oun Manager, i County Manager 40 15 After -the -Fact Approval by the BCC is requin at the May 14.2013 BCC meeting. SUBJECT: County Manager review and approval of a Substance Abuse and Mental Health Services Administration Grant sponsored by The US Department of Health and Human Services in the amount of $835,370 The Department of Housing, Human, and Veteran Services (HHVS) is applying for a Substance Abuse and Mental Health Services Grant in order to expand substance abuse treatment capacity in Adult, Juvenile, and Family Drug Court. On March 26, 2013, the David Lawrence Center (DLC) approached HHVS requesting that they partner with the DLC in order to apply for the grant. The purpose of the grant program is to expand and/or enhance substance abuse substance abuse treatment services in existing adult, juvenile, and family "problem solving" courts which uses the treatment drug court model in order to provide alcohol and drug treatment to defendants /offenders. Collier County currently has an Adult Drug Court Program and this new opportunity would allow for the expansion of the existing program. The existing Drug Court program funded through the Department of Justice is in the 3rd year of a 3 year grant, so future funding is currently uncertain should the County and the DLC wish to continue the program. The grant application is due on April 19. Due to the short notice from the David Lawrence Center; staff was unable to meet the normal deadlines for BCC approval. Therefore, we are requesting your approval for the Office of Management and Budget to submit the attached grant application through www.grants.gov followed by after the fact approval by the Board of County Commissioners at the May 14, 2013 BCC meeting. When you have reviewed the attached application, please sign in the box above and call me for pickup at 239 - 252 -8989. Thank you, and please let me know if you have any questions regarding this request. 3299 Tamiami Trail East, Suite 201 - Naples, Florida 34112 - 5746.239- 252 -8973 • FAX 239- 252 -8828 Packet Page -2817- 5/14/2013 16.D.5. A ` GRANTS.GOV- Grant Application Package Opportunity Title: Grants to Expand Substance Abuse Treatment Capacity In Offering Agency: Substance Abuse & Mental Health Services Adminis, CFDA Number: CFDA Description: Opportunity Number: Competition ID: Opportunity Open Date: Opportunity Close Date: Agency Contact: 93.243 Substance Abuse and Mental Health Services Projects of TI -13 -005 02/21/2013 04/19/2013 Kenneth Robertson 1 Choke Cherry Road Room 5 -1001. Rockville, Maryland 20857 240- 276 -1621 4cn 1, hY. This opportunity is only open to organizations, applicants who are submitting grant applications on behalf of a company, state, local or tribal government, academia, or other type of organization. ' Application Filing Name: Collier county Adult Drug Court upuonai uocuments Faith Based EEO Survey Other Attachments Form Move Form to Complete Move Form to Delete financiatory uocuments for submission Application for Federal Assistance (SF -424) Project /Performance Site Location(s) Project Narrative Attachment Form HHS Checklist (08 -2007) Disclosure of Lobbying Activities (SF -LLL) Budget Narrative Attachment Form Budget Information for Non- Construction Program Move Form to Optional Documents for Submission Submission List Move Form to Delete itlS�Cl]CtlD�tS Enter a name for the application in the Application Filing Name field. This application can be completed in its entirety offline; however, you will need to login to the Grants,gov website during the submission process. You can save your application at any time by clicking the "Save" button at the top of your screen. The "Save & Submit" button will not be functional until all required data fields in the application are completed and you clicked on the "Check Package for Errors" button and confirmed all data required data fields are completed. OOpen and complete all of the documents listed in the "Mandatory Documents" box. Complete the SF-424 form first. 2: - It is recommended that the SF -424 form be the first form completed for the application package. Data entered on the SF-424 will populate data fields in other mandatory and optional forms and the user cannot enter data in these fields. - The forms listed in the "Mandatory Documents" box and "Optional Documents" may be predefined forms, such as SF -424, forms where a document needs to be attached, such as the Project Narrative or a combination of both. "Mandatory Documents" are required for this application. "Optional Documents" can be used to provide additional support for this application or may be required for specific types of grant activity. Reference the application package instructions for more information regarding "Optional Documents ". - To open and complete a form, simply click on the form's name to select the item and then click on the => button. This will move the document to the appropriate "Documents for Submission" box and the form will be automatically added to your application package. To view the form, scroll down the screen or select the form name and dick on the "Open Form" button to begin completing the required data fields. To remove a form/document from the "Documents for Submission" box, click the document name to select it, and then click the <= button. This will return the form /document to the "Mandatory Documents" or "Optional Documents" box. - All documents listed in the "Mandatory Documents" box must be moved to the "Mandatory Documents for Submission" box. When you open a required form, the fields which must be completed are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a field, you will receive an error message. OClick the "Save & Submit" button to submit your application to Grants.gov. 3 - Once you have property completea all required documents and attached any required or optional documentation, save the completed application by clicking on the "Save" button. - Click on the "Check Package for Errors" button to ensure that you have completed all required data fields. Correct any errors or it none are found, save the application package. The "Save & Submit" button will become active; click on the "Save & Submit" button to begin the application submission process. You will be taken to the applicant login page to enter your Grants.gov usemame and password. Follow all onscreen instructions for submission. Packet Page -2818- CA 5/14/2013 16.D.5. OMB Number: 4040 -DO04 Expiration Date: 0 313 112 01 2 Application for Federal Assistance SF-424 ' 1. Type of Submission: 0 Preapplication Application 7 Changed /Corrected Application ' 2. Type of Application: If Revision, select appropriate letter(s): QX New Continuation Other (Specify): Revision ' 3. Date Received: 4. Applicant Identifier: o4119=13 Collier County 5a. Federal Entity Identifier 5b. Federal Award Identifier: 13-005 State State Use Only: 6. Date Received by State: 7. State Application Identifier: 8. APPLICANT INFORMATION: a. Legal Name', Collier County Board of County Commissioners ` b. Employer/Taxpayer Identification Number (EINITIN): ' c. Organizational DUNS: F0769977900000 55 6000558 d. Address: "Streetl: 3299 Tamiami Trail East Slreet2: Suite 202 ' City Naples CountylParish'. lCollier `State: FL: Florida Province' `Country: USA: UNITED STATES ' Zip I Postal Code: 34112 -5746 e. Organizational Unit: Department Name: Division Name: Public Services Housing, Human and veterans Sr f. Name and contact information of person to be contacted on matters Involving this application: Prefix: ' First Name: Kimberley Middle Name: ` Last Name Grant Suffix: Title: Interim Director Organizational Affiliation: Collier County ' Telephone Number: 239- 252 -8442 1 Fax Number: 'Email: kimberleygrant @colliergov.net Packet Page -2819- Cq 5/14/2013 16.D.5. Application for Federal Assistance SF-424 • 9. Type of Applicant 1: Select Applicant Type: IB: County Government Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type. ' Other (specify): • 10. Name of Federal Agency: Substance Abuse & Mental Health Services Adminis. 11. Catalog of Federal Domestic Assistance Number: 93.243 CFDA Title: Substance Abuse and Mental Health Services_Projects of Regional and National Significance • 12. Funding Opportunity Number: TT -13 -005 ' Title: Grants to Expand Substance Abuse Treatment Capacity in Adult, Juvenile, and Family Drug Courts; (Short Title: SAMHSA Treatment Drug Courts) 13. Competition Identification Number: Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): +odd Attachment Ueltc AiiscFt77 Viev� f�ft,aci�meii(`:: .15. Descriptive Title of Applicant's Project: Expansion and Enhancement of Collier County Adult Treatment Drug Court Attach supporting documents as specified in agency instructions. Add Aftachme I Delete Attachments I I View Attachments ` Packet Page -2820- (CAD 5/14/2013 16.D.5. Application for Federal Assistance SF-424 16. Congressional Districts Of: a. Applicant FL -oi4 b. Program/Project FL -014 Attach an additional list of Program /Project Congressional Districts if needed. Additional congressional District.docx AdciErt dtrrient Delete'AttaChmeJli View Attachment ; 17. Proposed Project: a. Start Date: 10/01/2013 ' b. End Date: 09/30/2016 18. Estimated Funding {$): • a. Federal 835,370 .001 • b. Applicant o. oo • c. State 0,001 • d. Local 0. 00 • e. Other 0.00 • I. Program Income 0.00 'g.TOTAL 635,370.00 ' 19. Is Application Subject to Review By State Under Executive Order 12372 Process? El a. This application was made available to the State under the Executive Order 12372 Process for review on �] Q b. Program is subject to E.O. 12372 but has not been selected by the State for review. 0 c. Program is not covered by E.O. 12372. " 20. Is the Applicant Delinquent On Any Federal Debt? (if "Yes," provide explanation in attachment.) Yes FX� No If "Yes ", provide explanation and attach Add jAttachmenr ;; fletrte <ltt�rhmerit Vir >G� A9tachm ni 21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances" and agree to comply with any resulting terms If 1 accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) R "I AGREE " The list of certifications and assurances. or an internel site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. ' First Name: Leo Middle Name: . Last Name: Ochs suffix. `Title: County Manager Telephone Number: 239 252 -8383 1 Fax Number: *Email: LeoOchs@colliergov.net rsignature of Authorized Representative: IT herese Stanley *Date Signed: 04/1912013 Packet Page -2821- �- 5/14/2013 16.D.5. UMt3 Numoer: 4U4U-UV I Project/Performance Site Location(s) Expiration Date: 08131/2011 Project/Performance Site Primary Location I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. Organization Name: Collier County Board of County Commissioners DUNS Number: 0769977900000 ' Streetl: 3339 Tamiami Trail East Street2: Suite 211 `City, Naples County: Collier `State: IFL: Florida Province: `Country: USA: UNITED STATES ZIP / Postal Code: 34112-5746 ` Project/ Performance Site Congressional District: FL -014 Project/Performance Site Location 1 i am submitting an application as an individual, and not on behalf of a company, stale, local or tribal government, academia, or other type of organization. Organization Name: David Lawrence Center DUNS Number: 0965807820000 `Streetl: 6075 Bathey Lane Street2: ' City: Naples County: Collier State: FL: Florida Province: `Country: USA: UNITED STATES "ZIP / Postal Code: 34116 -7536 " Project/ Performance Site Congressional District: FL -014 Additional Locations) I I I Sdrt Qachii e IUicid FtttaCh i nt Packet Page -2822- DAC 5/14/2013 16.D.5. Project Narrative File(s) * Mandatory Project Narrative File Filename: Collier County FL Project Narative File BNF.pdf miariC.,in y Pro' � t t iarrativ file; petete:Mandatury.Project- Narrative fffe View Mandatory Prgject Nari3ilVe Fife; 11 To add more Project Narrative File attachments, please use the attachment buttons below. Add Optimal Project Narrative File t1 Ic tr> Ujac3 nnl rn�,c c r . ta. *a aT l # t# "9 :1N l�{JilOrt 51 fqIrdq mauu� rile` Packet Page -2823- 5/14/2013 16.D.5. HHS- 5161 -1 Expiration Date: 8/31/2010 CHECKLIST NOTE TO APPLICANT: This form must be completed and submitted with the original of your application. Be sure to complete each page of this form. Check the appropriate boxes and provide the information requested. This form should be attached as the last pages of the signed original of the application. AOW Type of Application: O New [] Noncompeting Continuation E] Competing Continuation Supplemental ` PART A: The following checklist is provided to assure that proper signatures, assurances, and certifications have been submitted. included NOT Applicable 1. Proper Signature and Date on the SF 424 (FACE PAGE) ................... Q 2. If your organization currently has on file with HHS the following assurances, please identify which have been filed by indicating the date of such filing on the line provided. (All four have been consolidated into a single form, HHS 690) Civil Rights Assurance (45 CFR 80) ............ ............................... Assurance Concerning the Handicapped (45 CFR 84) ................. Assurance Concerning Sex Discrimination (45 CFR 86) .............. (� Assurance Conceming Age Discrimination (45 CFR 90 & 45 CFR 91) ............ ............................... 3. Human Subjects Certification, when applicable (45 CFR 46) ...... ............................... ❑X PART B: This part is provided to assure that pertinent information has been addressed and included in the application. YES NOT Applicable 1. Has a Public Health System Impact Statement for the proposed program/project been completed and distributed Q F1 as required? .................. 2. Has the appropriate box been checked on the SF -424 (FACE PAGE) regarding intergovernmental review under Q E.O. 12372 ? (45 CFR Part 100) ............... 3. Has the entire proposed project period been identified on the SF -424 (FACE PAGE) ? .................. QX 4. Have biographical sketch(es) with job description(s) been provided, when required ? .............. 5. Has the 'Budget Information" page, SF -424A (Non- Construction Programs) or SF -424C (Construction Programs), FRI been completed and included? ............................ 6. Has the 12 month narrative budget justification been provided? ....................... ............................... FE 7 7. Has the budget for the entire proposed project period with sufficient detail been provided? ................... Q 7 8. For a Supplemental application, does the narrative budget justification address only the additional funds requested? El 0 9. For Competing Continuation and Supplemental applications, has a progress report been included? F-1 Q PART C: In the spaces provided below, please provide the requested information, Business Official to be notified if an award is to be made Prefix: First Name: xim6erl.y Middle Name: Last Name: Grant Suffix: Title: lInterim Director Organization: Collier County Housing, Human veteran Services Streetl: 3339 Tamiami Trail East Streetl: Suite 211 City: Naples State: FL: Florida ZIP / Postal Code: 34112 ZIP / Postal Code4: 5361 E -mail Address: kimberleygrant ®colliergov.net Telephone Number: 239 - 252 -8422 Fax Number. Program Director /Project Director/Principal Investigator designated to direct the proposed project or program. Prefix: I � First Name: lGeralyn Middle Name: Last Name: noletti Suffix: Title: Director community Services Organization: David Lawrence Center Streetl: 6075 Bathey Lane Stree12: City: INaples State: FL: Florida ZIP / Postal Code: 34116 ZIP /Postal Code4: OW E -mail Address: kimberleygrantecolliergov.net Telephone Number: 239 - 252 -8442 Fax Number: HHS Checklist (08 -2007) Packet Page -2824- sa',At. 5/14/2013 16.D.5. HHS- 5161 -1 (0812007) PART D: A private, nonprofit organization must include evidence of its nonprofit status with the application. Any of the following is acceptable evidence. Check the appropriate box or complete the "Previously Filed" section, whichever is applicable. (a) A reference to the organization's listing in the Intemal Revenue Service's (IRS) most recent list of tax - exempt organizations described in section 501(c)(3) of the IRS Code. (b) A copy of a currently valid Internal Revenue Service Tax exemption certificate. (c) A statement from a State taxing body, State Attorney General, or other appropriate State official certifying that the applicant organization has a nonprofit status and that none of the net earnings accrue to any private shareholders or individuals. (d) A certified copy of the organization's certificate of incorporation or similar document if it clearly establishes the no -nprofit status of the organization. (e) Any of the above proof for a State or national parent organization, and a statement signed by the parent organization that the applicant organization is a local nonprofit affiliate. If an applicant has evidence of current nonprofit status on file with an agency of HHS, it will not be necessary to file similar papers again, but the place and date of filing must be indicated. Previously Filed with: (Agency) INVENTIONS on (Date) If this is an application for continued support, include: (1) the report of inventions conceived or reduced to practice required by the terms and conditions of the grant; or (2) a list of inventions already reported, or (3) a negative certification. EXECUTIVE ORDER 12372 Effective September 30, 1983, Executive Order 12372 (Intergovernmental Review of Federal Programs) directed OMB to abolish OMB Circular A -95 and establish a new process for consulting with State and local elected officials on proposed Federal financial assistance. The Department of Health and Human Services implemented the Executive Order through regulations at 45 CFR Part 100 (Inter - governmental Review of Department of Health and Human Services Programs and Activities). The objectives of the Executive Order are to (1) increase State flexibility to design a consultation process and select the programs it wishes to review, (2) increase the ability of State and local elected officials to influence Federal decisions and (3) compel Federal officials to be responsive to State concems, or explain the reasons. Department's programs that are subject to the provisions of Executive Order 12372. Information regarding HHS programs subject to Executive Order 12372 is also available from the appropriate awarding office. States participating in this program establish State Single Points of Contact (SPOCs) to coordinate and manage the review and comment on proposed Federal financial assistance. Applicants should contact the Governor's office for information regarding the SPOC, programs selected for review, and the consultation (review) process designed by their State. Applicants are to certify on the face page of the SF -424 (attached) whether the request is for a program covered under Executive Order 12372 and, where appropriate, whether the State has been given an opportunity to comment. The regulations at 45 CFR Part 100 were published in the Federal Register on June 24, 1983, along with a notice identifying the BY SIGNING THE FACE PAGE OF THIS APPLICATION, THE APPLICANT ORGANIZATION CERTIFIES THAT THE STATEMENTS IN THIS APPLICATION ARE TRUE, COMPLETE, AND ACCURATE TO THE BEST OF THE SIGNER'S KNOWLEDGE, AND THE ORGANIZATION ACCEPTS THE OBLIGATION TO COMPLY WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' TERMS AND CONDITIONS IF AN AWARD IS MADE AS A RESULT OF THE APPLICATION, THE SIGNER IS ALSO AWARE THAT ANY FALSE, FICTITIOUS, OR FRAUDULENT STATEMENTS OR CLAIMS MAY SUBJECT THE SIGNER TO CRIMINAL, CIVIL, OR ADMINISTRATIVE PENALTIES. THE FOLLOWING ASSURANCES /CERTIFICATIONS ARE MADE AND VERIFIED BY THE SIGNATURE OF THE OFFICIAL SIGNING FOR THE APPLICANT ORGANIZATION ON THE FACE PAGE OF THE APPLICATION: Civil Rights — Title VI of the Civil Rights Act of 1964 (P.L. 88 -352), as amended, and all the requirements imposed by or pursuant to the HHS regulation (45 CFR part 80). Handicapped Individuals — Section 504 of the Rehabilitation Act of 1973 (P.L. 93 -112), as amended, and all requirements imposed by or pursuant to the HHS regulation (45 CFR part 84). Sex Discrimination — Title IX of the Educational Amendments of 1972 (P.L. 92 -318), as amended, and all requirements imposed by or pursuant to the HHS regulation (45 CFR part 86). Age Discrimination — The Age Discrimination Act of 1975 (P.L. 94 -135), as amended, and all requirements imposed by or pursuant to the HHS regulation (45 CFR part 91). Debarment and Suspension — Title 2 CFR part 376. Certification Regarding Drug -Free Workplace Requirements — Title 45 CFR part 82. Certification Regarding Lobbying — Title 32, United States Code, Section 1352 and all requirements imposed by or pursuant to the HHS regulation (45 CFR part 93). Environmental Tobacco Smoke — Public Law 103 -227. Program Fraud Civil Remedies Act (PFCRA) Packet Page -2825- HHS Checklist (08 -2007) 5/14/2013 16.D.5. DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 0348 -0046 1. ` Type of Federal Action: 2. * Status of Federal Action: 3. * Report Type: a. contract a. bkNolferlapplication a. initial filing . b. grant b. Initial award b. material change Cr cooperative agreement El c. post -award d loan e. loan guarantee 11 f. loan insurance 4. Name and Address of Reporting Entity: Prime a SubAwaNae Tier if known Name collier county Board of county Commissioners Street f Street 2 3299 Tamiami Trail east Suite 202 city Zip Naples Stela FL: Florida 34112 -5746 Congressional District, it known: 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: 'Name Collier County Board of County Covunissionera 'Street i 3299 Tamiami Trail Bast Street 2 Suite 202 • City Naples Stare Zip FL: Florida 34112 -5746 Congressional District, if known: FL -19 6. * Federal Department/Agency; 7. * Federal Program Name /Description: HtiS Isubs Abuse and Mental Health Services_Projects of Regional and National Significance CFDA Number, if applicable: 93.243 8. Federal Action Number, ifknown: 9. Award Amount, ifknown* $ 10. a. Name and Address of Lobbying Registrant: Prefix 'First Name Middle Name Amanada Last Name Suffix wood ' Street f Street 2 1130 Connecticut Avenue Suite 100 ' City Washington Stale DC: District of Columbia Zip 20036 b. Individual Performing Services (including address if dtlferent from No. 10a) Prefix 'First Name Amanda Middle Name 'fast Name wood Suffix u 'Street 7 Street 2 1130 Connecticut Avenue 'City Washington State DC: Di. 1,11: of Columbia zip 20036 1 , Information requested through this form is authorized by Idle 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semiannually and will be available for public inspection Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ' Signature: Therese Stanley *Name: Prefix 'First Name Middle Name r.eo 'Last Name Suffix Oc hs Title: County Managcr Telephone No.: 239 252 8383 Date: 04/19/2013 e r$, •c .•.,` . f h+ $ t 4a- .�^,+3- t ---`" .y'��'�a�"t a 'tor -,�. M,,: ed8J3Eli&19'by ��arwrc�x a4y S r PH Authorized for Local Reproduction st+aJad Form - LLL IRov.7.87) Packet Page -2826- -''�a 5/14/2013 16.D.5. Budget Narrative File(s) * Mandatory Budget Narrative Filename: ollier County FL Budget Narative File PNF.pdf Delete Mandatory Budget Narrativ View Mandatory Budget Narrative.; To add more Budget Narrative attachments, please use the attachment buttons below. Ad.d Optional Budget Narrative l)rl zc i�;,i.ioci< i 13udi ;r i N rrati ✓: \.rc;v� Qpt�iii�,i 33ilri3et Narrat ie Packet Page -2827- (D ! 00 O N tr c7 a o N 4) Eo C Z o O n w N E 0 L- a. c 0 U 3 L a U c 0 z z 0 Q. 0 LL {Z f w V ❑ m �r I� CQC C f- w c� 0 m a z 0 U W U) 5/14/2013 16.D.5. Packet Page -2828- 01 N � a C o � Q N � 'V N E Li U_ `m g c O � a 4ai A U N d . /rte_ 0 o a 0 O v r O � Q m m N I @ a; m N m w v O [0 � `m a 'O 4) C O z O 3 v Z W 49. N i 41 ^!U V .� U. to w d n V) U. C LL 0 Z d u+ .A O o 0 o � a a m d U v W Qf LL 40 69 0) U C m m LL `m � A O a E O"z R m io E a U O N Q � a N E Uaa u F Packet Page -2828- 01 N � a C o � Q N � 'V N E Li U_ `m g c O � a 4ai A U N d . /rte_ Co W_ w O (7 w a U F— w Q a m z O F U W 5/14/2013 16.D.5. Packet Page -2829- �a r rn fa � a � N Q O � r N Q V E � O U LL � v (U m m c r O N V a� a U m IU a` C a w V O a m io 0 J a M v N O a 0 0 vn 0 0 M v 0 0 H m 0 0 o r 0 0 m N 0 0 v v 0 0 v v i0 h ri fn ~ ry N N F- M VI, to to v U L w s» U Q Z O U � m {y M us LL U` o a Z i Ca�7 j L N M 49 iR p p p o In O o .i O O o O o N O O o O 0 v 0 v U v ti N N r O p Li O en Q N N N Y p �i 40 L to to O E N m y N w y a3 N O O ++ t CD � m C + U t m ` . 01 U c y m E m ` w o w c Q2 .Q 7E. v 0 _j 0 C = s ° ` c U d IL '` LL � t- o• w ° m o U ° U O c E ` m R a w ai ,.: as c _ Ae m o O a` Packet Page -2829- �a r rn fa � a � N Q O � r N Q V E � O U LL � v (U m m c r O N V a� a U m IU a` C a w V O a m io 0 J a M v N O a 5/14/2013 16.D.5. N Cn � � N � O ` Q � a m E o LL Packet Page -2830- (J a � m c p (6 N .Q aa, .n N N IL C O V O 'C O R U O J 0 m H 0 w Q ` Of O 7 o o O �i � J L d r M r M d H N N L O F 7 LL � L U L O O o i 0 N O U r N r W o W 4 N i' :E y Cf 1- w O QO ro O R 0 44 w 44 ° tn. Z H M L M LL O 0 i ro n ° t to n W Q LL C N r N C7 Z W d CO v w c N U O W U LLJ m LL CU Q W Z N► H? LL Vi d} L U O w o 0 0 0 0 O o w ° Q U M M Q L!J o m o Z J v ,a W r r Z y o N W,n Q CL I- O h L N V eV tV Q r Z a m Z s LLI OLL LL Z _ U�r erl 0 O Z O ) Z a o ° o ° W LL LL F- f- M a LL O O N N y m N m N UJ U LU a w Q D m E u, E L O a �r E' W a` L r ►+ 0 r t6 i U tb M r W Ol tD r �G GI y C _ y C _ y d C as m O O 0 O dl at 3 L a E E+ .yi w t y Q a U_ �c w O m o O O m d LL Z ►- o OD eT eN- �M.. r b r tC r 1� r eD r en r O N r N ey N N Cn � � N � O ` Q � a m E o LL Packet Page -2830- (J a � m c p (6 N .Q aa, .n N N IL C O V O 'C O R U O J 0 m H 0 w Q ` Of 7 U �i L d d H Packet Page -2830- (J a � m c p (6 N .Q aa, .n N N IL C O V O 'C O R U O J 0 m H 0 w Q ` Of 5/14/2013 16.D.5. ABSTRACT The Collier County Florida, Adult Felony Drug Court Enhancement project is a coordinated, multi- system approach that combines substance abuse treatment with a specialized court docket. The project will serve 180 adults with substance dependence or addictions charged with a non- violent felony, and who are in need of treatment. The project total costs of $835,370 include implementation of evidence -based therapies targeting criminal thinking and effects of trauma. The Collier County Drug Court is dedicated to Changing and saving lives through honesty, personal responsibility, and recovery. The Drug Court focuses on the adult offender, aged 18 and over, and provides a post - adjudication, court supervised, comprehensive treatment program. The program improves participant's lives by reuniting them with their families and helping them to become productive members of society. The Drug Court, which has been in operation since 2000, is a collaborative effort of the State's Attorney's Office, the Public Defender's Office, the Department of Corrections, State Probation, the Drug Court Judge, and the David Lawrence Center, the local comprehensive substance abuse and mental health services agency. Project goals include: Goal I Reduce local public health and societal cost of substance abuse and dependence Objective: Expand court services by increasing the capacity from 40 to 60 participants at any given time. Goal 2: Improve the probability of successful rehabilitation of participants. Objective: Conduct Moral Reconation Therapy sessions lx/week throughout the project for each participant. Objective: Provide smoking cessation groups 1 x /week for participants who use tobacco. Objective: Complete drug testing at least once per week throughout the project for each participant. Goal 3: Reduce health impact of violence and trauma among participants Objective: Drug Court treatment staff is trained in Seeking Safety Evidence Based Practice by Year 2, month one. Objective: By Year 2, month two, the trauma - specific treatment approach, Seeking Safety, is provided for participants as indicated in individual assessment. Goal 4: Build sustainable system of care for individuals needing treatment drug court services Objective: Team members attend SAMHSA trainings /meetings and update policies. Objective: Complete process and outcome evaluations by the end of year two. Packet Page - 2831 - \ J 5/14/2013 16.D.5. TABLE OF CONTENTS Section Pa a Number:: 1. Project Narrative 3 Section A: Po elation of Focus and Statement of Need 3 Section B: Proposed Evidence -Based Service /Practices 8 Section C:Pro osed Implementation Approach 14 Section D: Staff and Organizational Experience 25 Section E: Data Collection and Performance Measurement 29 Section F: Eiectronic Health Record Technology 32 Budget Justification 33 11. Supporting Documentation Section G: Literature Citations 42 Section H: Biographical Sketches and Position Descriptions 44 Section I: Confidentiality and SAMHSA Participant Protection/Human Subjects 69 2 Packet Page -2832- ,``' 5/14/2013 16.D.5. PROTECT NARRATIVE Section A• Population of Focus and Statement.of`Need Provide a comprehensive demographic profile of your population of focus in terms of race, ethnicity, federally recognized tribe, language, gender, age, socioeconomic characteristics, sexual identity (sexual orientation, gender identity) and other relevant factors, such as literacy. I have been struck by what I call the greening of drug court. A decade ago, my father's (Judge Lawrence Martin) drug court involved people in their 30's, 40's and 50's who were addicted primarily to alcohol and /or cocaine. These men and women had generally experienced some level of relative success in their adult lives, having obtained jobs, spouses, families, and homes. However, drugs and /or alcohol had eventually robbed them of those successes, and if they were lucky, they got a second chance to regain them through drug court. Our typical drug court participant today is years younger, with a few in their late teens, most in their 20's and early 30's. Most have been addicted their entire adult lives, since they were teens, and even pre- teens. Most have never had more than an unskilled job, haven't had much formal education, haven't ever had a health)) relationship (though they may have spouses and /or kids), haven't had their own home or any real asset to fall back on, and have generally relied either on family members or criminality to make it this far in life. In short, they've really never felt like they had anything to lose, and they've never known what it's like to walk in the world as a law - abiding and honest citizen. " Honorable Janeice Martin, Collier County Adult Drug Court Judge The Mission of the Collier County (FL) Adult Felony Drug Court is dedicated to Changing and saving lives through honesty, personal responsibility and recovery. The Drug Court focuses on the adult offender, aged 18 and over, charged with non - violent felony drug- related charges. The program is a post - adjudication, court supervised, comprehensive treatment program. The program teaches substance abusers how to get off drugs and alcohol, to stay in recovery, and to stop committing crimes and returning to jail. The Drug Court improves participant's lives by reuniting them with their families and helping them to become productive members of society. The program, which has been in operation since 2000, is a collaborative effort of the State's Attorney's Office, the Public Defender's Office, the Department of Corrections, Probation, the Drug Court Judge, and the David Lawrence Center, the local comprehensive substance abuse and mental health services agency. Discuss the relationship of your population of focus, including sub populations, to the overall population in your geographic catchment area and identify sub - population disparities, if any, relating to access /use%utcomes of your provided services citing relevant data. Demonstrate an understanding of these populations consistent with the purpose of your program and intent of the RFA. Program data. Drug Court data has been collected consistently electronically since late 2006 and is depicted in Table 1. The offenses leading to admission to Drug Court were for drug versus alcohol charges. Among the current and recent participants, the primary drugs of choice are Packet Page -2833- 'r'� 5/14/2013 16.D.5. opiates, cocaine, and marijuana. Although alcohol was not involved in the criminal charge, participants frequently cited alcohol as a second drug of choice. The age range for participants includes a larger portion of those under 25 years old than the rest of the community. Capacity Total Graduates Termin Success Race. Gender. Age Served ated Rate Range /% (no re. arrest 40 183 90 93 Grad 63% 93.2% W 32% F 18-24-55% Terns 65% 6.8% B 68% M 24-44-40% 2% Hisp 44-60-5% Fable 1. Collier County Drug Court Data. October 2006 -March 2012 Describe the nature of the problem, including service gaps, and document the extent of the need (i.e., current prevalence rates or incidence data) for the population(s) of focus based on data. Identify the source of the data. Documentation of need may come from a variety of qualitative and quantitative sources. In the past few years, recidivism rates for persons who moved on /graduated from the Collier County drug court have risen. In fact, participants who have moved on are now being rearrested at a slightly higher rate (37 %) than terminated persons (35 %). The Drug Court team points to the lower age, higher instance of trauma - related disorders, and greater functional deficits as likely reasons for the upward trend in recidivism. The graduates were successful at sobriety /abstinence but still not capable of malting it in the world as law abiding citizens. "Trauma plays a significant role in the vast majority of our participants' addictions. I fear this role is often so significant that working a recovery program that does not incorporate trauma-specific therapy may be pointless, or even counter productive. For many participants, getting sober may expose years -old issues that can actually take them to greater depths than the drugs or alcohol did. If we are not set up to treat these issues just as aggressively as we are treating the addiction, we could be moving the participants in the wrong direction and literally setting them up for failure ". Judge Martin State and National Data. Research demonstrates the pervasive detrimental effects of Alcohol and Drug Use (AAD) on the health of both individuals and communities. Bohs, Piekalkiewicz, & Fontaine (2009) estimated the cost of AAD in Florida across a one year span. Among their findings: A confluence of factors exacerbates AAD in Florida: ➢ Spatial location ➢ Tourist hotspot ➢ "Gateway to the Americas" ➢ Research suggests that entertainment cities have a thriving culture of alcohol use, abuse and drug use. 4 Packet Page - 2834 - , 5/14/2013 16.D.5. Drug attributable health conditions result in an estimated $103,427,447 in hospital charges and work loss cost. This translates to 2 hospitalizations every hour consequent to drug use. $11,807 spent every hour due to hospital charges resultant of drug use. Incarceration costs and victim costs were also estimated for drug attributable crimes. Incarceration costs totaled: $1,118,762,980. Victim costs totaled $1,277,857,330. Total annual drug attributable fatalities due to toxicity were obtained from the Florida Medical Examiner's Report. ➢ Approximately $20,181,462,681 is lost due to drug toxicity. ➢ Over $10 billion of this is for deaths caused by prescription opioids. Twelve deaths occur every day due to drug use. Approximately half of these deaths occur solely due to prescription opioids. The study recommendations: High costs of societal consequences ➢ Approach AAD through a public health framework. ➢ Formulate macro level policies that reduce overall access to alcohol and drugs. ➢ Invest in prevention and treatment programs. ➢ Link prevention and treatment programs to other health & safety programs. Alcohol and drug abuse and the related injury, illness, crime, and other related adverse events cost the state of Florida more than $43 billion a year — approximately one third of the state's entire budget. (Florida Alcohol & Drug Abuse Association, www.fadaa.ora) The Florida Drug Control Strategy (Office of the Governor, 2009) identifies drug courts as the "crown jewel" of the strategy's treatment component. They are cost effective investments made by a collaboration of all three branches of government and the private sector that reduce crime, restore families, and perhaps most importantly, save lives. Drug courts are considered necessity in Florida. Unfortunately, drug courts have only been able to serve a small percentage of those in need. (Florida Drug Control Strategy). This is largely due to financial constraints. Nationally, only one cent of every health care dollar goes toward addiction. The Department of Children and Families estimates that more than 1.3 million Floridians, or 9 percent of the state population, need substance abuse treatment, although only about 112,000 are actually receiving that help. Collier County fares even worse than some other areas of the state. Local Data. Located in Southwest Florida, Collier is the largest county in the state with 2,025 square miles. The population estimate in 2010 was 321,520 most of which is concentrated along the Gulf Coast. Bus transportation is limited within the metropolitan area and even more so in the outlying areas. A sharp contrast in population characteristics exists between the city of Naples, on the Gulf Coast, and Immokalee, a largely migrant farm worker community located inland. Naples is often cited as having more millionaires per capita than most other places in the United States. In Immokalee, 38.5% of residents are at or below the poverty level. In Naples, the poverty level is 5.3 %. Collier County overall has a high number of uninsured adults at 35 % compared to Packet Page -2835- 5/14/2013 16.D.5. the state population of 27% (US Census, 2010). Substance abuse problems in the county are great. For example: • Collier has the 4th highest heavy /binge drinking rate among adults in Florida, almost twice the rate of Miami✓Dade County (Florida CHARTS). • Alcohol is the 3rd leading cause of death in Collier County behind tobacco and poor health habits (Collier County Health Department, 2011). Race Population Total Population Drug Court Particii ants 2066-10121. All Races 321,520 White 183,852 71% 93% Black 13,270 5% 7% Hispanic 56,742 22% 2% American Indian 440 0% 0% Asian 2,655 1% 0% Other 1,914 1% 0% E ante z. uouner Lounty Fopulation % for Adults Compared to Collier Drug Court Participants Disparities between general population and Drug Court. The Drug Court participant population does not approximate that of the general Collier County population. Since 2007, the Collier County Sheriff's Office (CCSO) has an agreement with Immigration and Customs Enforcement (ICE). The program, known as 287(g), created federal -local partnerships that allow local deputies to enforce immigration laws. The ICE agreement has been cited locally as a primary factor that (unintentionally) limits the number of Hispanic persons who participate in the local Drug Court. The program deports illegal immigrants, mostly Hispanic. The deportation affects not only violent offenders, but also individuals who have committed minor infractions such as possession of a controlled substance. As of September of 2012, roughly 4,300 unauthorized immigrants were processed for removal. Drug Overdose. Over the past seven years, Collier County has averaged nearly one death from accidental overdose EACH WEEK (Collier County Medical Examiner, 2013) For a quiet community that is largely focused on tourism and retirement amenities, that's an extremely high rate.: "One of our current Drug Court participants literally died on the table from an overdose, but was revived. He pled into Drug Court shortly thereafter and is doing great with us. He has been clean ever since the incident. I also know several of our people have lost friends and family to overdose. We have lost Drug Court participants to overdose — one right after 1 took over in the fall of 2011. Another overdosed after graduation several years ago. Overdose is a constant reality, for us, really. The drug problem in the Collier County community is acute, and deserves an intensive, treatment -based response. " Honorable Janice Martin, Presiding Collier County Drug Court Judge. Tobacco Use. Currently, 70% of Collier County Drug Court participants smoke cigarettes. We now know that nicotine is powerfully addictive and that cigarette smoking is the greatest Packet Page -2836- !` 4 5/14/2013 16.D.5. preventable cause of premature death in the United States. In fact, cigarette smoking accounts for 1 out of 5 U.S. deaths, 87% of lung cancer deaths, and at least 30% of all cancer deaths each year. We also know that persons who quit smoking before age 50 reduce by half their risk of dying in the next 15 years. Results of 3 decades ofNIH- supported research have informed high - impact public health education campaigns, which have inspired dramatic reductions in cigarette use (see figure) and in smoking - related disease and death, saving the lives of millions of Americans in the last 30 years. (National Institutes of Health, Tobacco Fact Sheet, 2010 www.dru abuse.aov) Tobacco cessation promotion is a responsibility of a Drug Court treatment program in which the vast majority of participants smoke. Collier County Drug Court will incorporate tobacco cessation groups as part of its treatment regime. Affordable Dental, Medical, and Psychological Services. According to the current Drug Court case manager, in most instances, newer drug court participants are not employed and do not have the funds to provide for basic medical and dental care. The female participants are in desperate need of a gynecological examination, as most of them haven't had one in many years and most have suffered from amenorrhea during the recent past while they were using alcohol and other drugs. In addition, many have co- occurring diagnoses and need psychological evaluations and subsequent care. David Lawrence Center helps with this by following a sliding fee scale, but sometimes the cost is still too great. Also, affording prescribed medications are frequently a great burden for our participants as only one or two of them have health insurance. Current options include the Collier County Neighborhood Health Clinic for those employed with proof of income and the Collier County Health Department for those unemployed, or employed, which requires proof of income Hepatitis B, C and HIV Risk. Nearly 50% of current Collier County Drug Court participants are past IV users. This heightens the possibility of Hepatitis C risk tremendously. The Centers for Disease Control (CDC) states that "Hepatitis C is a liver disease that results from infection with the Hepatitis C virus. For some people, the disease can cause serious health problems including liver damage, cirrhosis, and even death. Hepatitis C is a leading cause of liver cancer and the leading reason for liver transplants ". Oftentimes individuals who have used and shared needles in their past are at high risk for contracting Hepatitis C as this is one of the ways that one may contract the virus. If more people are treated for Hepatitis C, they are more likely to eliminate the virus from their body. The CDC reports that "the numbers of people who will develop serious health problems and die from Hepatitis C are expected to rise rapidly in the coming years. Early diagnosis and treatment can help prevent liver damage, cirrhosis, and even liver cancer." They also report a particular risk, for unknown reasons, to persons born between the years of 1945 through 1965 (Baby Boomers). Therefore, it is important to the more senior participants of the local Drug Court to be tested, as well. There are four baby boomers currently enrolled in the Drug Court. Combined with the IV users, 50% of Drug Court participants are high risk for Hepatitis C. Drug Court enhancement is a priority for local stakeholders including members of the Collier County Public Safety Coordinating Council. In 2009, the Council convened a new group, the Criminal Justice, Mental Health and Substance Abuse Advisory Council (CJMHSA) to begin the process of creating a local strategic plan specifically for diversion programs, including Drug Court. The group used the Sequential Intercept Mapping process (GAINS Center) to define the Packet Page -2837- 5/14/2013 16.D.5. current system and target specific areas for improved diversion activities. In the meantime, the enhancement activities proposed below will help to fill some obvious gaps in the local Drug Court operations. The Drug Court must continue to grow and evolve in order to meet the needs of the participants and the community. Section B: Proposed ::Evidence =Based Service /Practice:(25 points) Describe the purpose of the proposed project, including its goals and objectives. These must relate to the intent of the RFA and performance measures you ident f,, in Section E; Data Collection and Performance Measurement, Purpose: The purpose of the Collier County Drug Court Enhancement and Expansion project is to improve the ability of the Court to build a sustainable and effective system of care for individuals needing its services. Goal 1: Reduce local public health and societal cost of substance abuse and dependence Objective: Expand court services by increasing the capacity from 40 to 60 participants at any given time. Goal 2: Improve the probability of successful rehabilitation of participants. Objective: Conduct Moral Reconation Therapy sessions Ix/week throughout the project for each participant. Objective: Provide smoking cessation groups ix/week for participants who use tobacco. Objective: Complete drug testing at least once per week throughout the project for each participant. Goal 3: Reduce health impact of violence and trauma among participants Objective: Drug Court treatment staff is trained in Seeking Safety Evidence Based Practice by Year 2, month one. Objective; By Year 2, month two, the trauma - specific treatment approach, Seeking Safety, is provided for participants as indicated in individual assessment. Goal 4: Build sustainable system of care for individuals needing treatment drug court services Objective: Team members attend SAMHSA. and local drug court trainings /meetings and update policies and practices by the end of the grant period. Objective: Complete process and outcome evaluations by the end of year three. Describe the Evidence -Based Practice (EBP) that will be used and justify its use for your population of focus, your proposed program, and the intent of this RFA. Describe how the proposed practice will address the following issues in the population(s) offocus, while retaining fidelity to the chosen practice: demographics (race, ethnicity, religion, gender, age geography, and socioeconomic status; language and literacy; sexual identity (sexual orientation, gender identity); and disability. Explain how your choice of an EBP will help you address disparities in subpopulations. Describe any modifications that will be made, the reasons the modifications are necessary, and the implications of these modifications to the fidelity of the EBP. Evidence Based Practices (EBP) Research consistently demonstrates that providing treatment to individuals in the criminal justice system decreases future drug use and criminal behavior while improving social functioning 8 Packet Page -2838- - =1 5/14/2013 16.D.5. (National Institute of Drug Abuse (2009). The use of evidence -based treatment options reduce needs for prison beds, save money for state and local taxpayers and contribute to lower crime rates (Drake, Aos, & Miller, 2009). The Collier County Drug Court will continue to provide several evidence based practices it currently employs, and will enhance its operations with two additional evidence base practices. Each is described below. 1. Motivational Interviewing (MI) is a goal - directed, client - centered counseling style for eliciting behavioral change by helping clients to explore and resolve ambivalence. The operational assumption in MI is that ambivalent attitudes or lack of resolve is the primary obstacle to behavioral change, so that the examination and resolution of ambivalence becomes its key goal. MI has been applied to a wide range of problem behaviors related to alcohol and substance abuse as well as health promotion, medical treatment adherence, and mental health issues. Although many variations in technique exist, the MI counseling style generally includes the following elements: ➢ Establishing rapport with the client and listening reflectively. Asking open -ended questions to explore the client's own motivations for change. Affirming the client's change- related statements and efforts. Eliciting recognition of the gap between current behavior and desired life goals. ➢ Asking permission before providing information or advice. Responding to resistance without direct confrontation. (Resistance is used as a feedback signal to the therapist to adjust the approach.) Encouraging the client's self - efficacy for change. v Developing an action plan to which the client is willing to commit. A multisite effectiveness study (Carroll, et al, 2010) examined use of cocaine and opiates in the past 30 days using an abbreviated version of the Addiction Severity Index (ASI). The ASI provides composite scores for seven domains: medical, legal, employment, drug, alcohol, family, and psychological functioning. Radio Immune Assay (RIA) analysis of hair samples was used to verify self - reported drug use. MI recipients were more likely to be abstinent from cocaine and heroin b months after the intervention than those assigned to usual care. National Registry of Evidence Based Programs and Practices (NREPP) lists the following populations for which MI is proven effective: Adults, male and female, urban and suburban and Asian, Black, Hispanic and White race /ethnicity. (SAMHSA NREPP, 2013 www.nrepp.samhsa.gov) David Lawrence Center's Community Services program staff, including Drug Court staff, is trained in Motivational Interviewing. The Drug Court case manager and clinician currently employ MI and will continue to do so for the current project. 2. Moral Reconation Therapy (MRT) is a systematic treatment strategy that seeks to decrease recidivism among juvenile and adult criminal offenders by increasing moral reasoning. Its cognitive - behavioral approach combines elements from a variety of psychological traditions to progressively address ego, social, moral, and positive behavioral growth. MRT takes the form of group and individual counseling using structured group exercises and prescribed homework 9 i Packet Page - 2839 - ' ;r 5/14/2013 16.D.5. assignments. Participants meet in groups once or twice weekly and can complete all steps of the MRT program in a minimum of 3 to 6 months. The concept of Evidence -Based Practices rests upon proving the effectiveness of an approach by showing significantly lower recidivism in treated versus non - treated offenders (Little, Robinson, Burnette, & Swan, 2010). MRT has been shown to reduce recidivism, and is an effective intervention for the local drug court. A study of a similar program, the Thurston County Drug Court of nonviolent, substance - abusing adult felons examined the use of MRT among participants. Male and female clients who participated in MRT were rearrested for any offense at a rate of 20 %, compared with 45.3% for a matched, non - treated control group (p < .001). Further, the arrest rate for felony drug offenses was significantly lower for the clients who participated in MRT than for those in the control group (7% vs. 16 %; p < .001). Additionally, graduates of the program were compared with clients who had been exposed to some amount of the intervention but were terminated from their programs. Graduates had significantly fewer re- arrests than their counterparts who did not successfully complete the program. (Byrnes, Kirchner & Heckert, 2007). MRT has been specifically proven effective with females. Schlarb (2009) addressed the gap in the literature in identifying what works for the female offender population. The quasi - experimental study compared the effectiveness of MRT in reducing the risk of recidivism in both males and females. The risk of recidivism was measured by analyzing pre and post risk assessment scores on the LSl -R. Nine of the 10 LSI -R subcomponents (accommodations, alcohol /drug problems, attitudes /orientation, companions, education/employment, emotional /personal, family /marital, financial, and leisure /recreation) had reductions in risk of recidivism, with criminal history the only subcomponent that did not. This result is logical since history cannot be changed but only increased by additional offenses. It is especially important to consider the emotional/ personal or psychological needs of women. The study suggests that reductions in recidivism can be enhanced to a greater extent if gender specific components are an integral part of the intervention. The Collier County Drug Court will provide gender specific enhancements for maximum impact. MRT was first implemented in drug courts in the early 1990s, essentially at the beginning of the modern drug court movement. MRT is a SAMHSA NREPP registered program. Nearly 100 drug courts currently employ MRT as their primary treatment. In drug courts, MRT is either incorporated into the drug treatment elements provided by contracted professionals or by probation staff. MRT groups, in which participants present their MRT homework assigned in each MRT step, are typically held once a week. The number of participants in each MRT group associated with drug courts varies between 4 to 15. An MRT- trained facilitator conducts each group meeting according to guidelines outlined in the training. Adult clients in the program each have an MRT workbook. All MRT groups are open - ended. This means that new clients can enter a group at any time and be incorporated into the program -- essential for Drug Court, Because MRT is objective and every MRT group operates in the same manner, any trained MRT facilitator is able to step in to any MRT group when necessary and continue the group without problems. Every MRT program in drug courts that has collected outcome data has reported significantly lower recidivism and high completion rates. A large amount of data has been 10 Packet Page - 2840 - ' 5/14/2013 16.D.5. collected on drug court implementations of MRT including drug courts that specialized in methamphetamine cases. A Spanish version of the workbook is available along with both Spanish and English versions of the book on tape for participants with poor reading skills. MRT Return on Investment. Bohs, Piekalkiewicz, & Fontaine (2009) studied the Alcohol and other Drug (AAD) costs in Florida. They found that for every 100 MRT treated, 19 of them will not be rearrested for any offense. Without MRT less than seven will not be rearrested. If the basic materials cost for 100 offenders is approximately $2,500, the expenditure is well worth the costs of keeping 21 additional offenders out of prison and 12 offenders arrest -free for a 20+ year period. MRT has been shown to improve outcomes related to crime and social functioning. NREPP lists the following populations for which MRT is proven effective: Adolescents, young adults and adults; males and females, and Black, White, unspecified race and non U.S. population. The setting listed is correctional. (SAMHSA NREPP, 2013. www.nrepp.samhsa.gov) Implementation of MRT is an evidence -based treatment enhancement for the Collier County Drug Court. All participants of the Drug Court will receive MRT group and/or individual treatment. It will be provided in an outpatient setting with offenders as opposed to a correctional one. 3. Seeking Safety. Trauma - specific interventions are designed specifically to address the consequences of trauma in the individual and to facilitate healing. Treatment programs generally recognize the following: ➢ The survivor's need to be respected, informed, connected, and hopeful regarding their own recovery ➢ The interrelation between trauma and symptoms of trauma (e.g., substance abuse, eating disorders, depression, and anxiety) ➢ The need to work in a collaborative way with survivors, family and friends of the survivor, and other human services agencies in a manner that will empower survivors and consumers. Seeking Safety is trauma - specific intervention, a `present - focused' (i.e. not revisiting the trauma - producing event) treatment for clients with a history of trauma and substance abuse. The treatment was designed for flexible use: group or individual format, male and female clients, and a variety of settings (e.g., outpatient, inpatient, residential). Seeking Safety focuses on coping skills and psycho- education and has five key principles: ➢ Safety as the overarching goal (helping clients attain safety in their relationships, thinking, behavior, and emotions) ➢ Integrated treatment (working on both posttraumatic stress disorder (PTSD) and substance abuse at the same time); ➢ Focus on ideals to counteract the loss of ideals in both PTSD and substance abuse; ➢ Four content areas: cognitive, behavioral, interpersonal, and case management ➢ Attention to clinician processes 11 Packet Page -2841- 5/14/2013 16.D.5. Seeking Safety treatment recognizes that the individual with both PTSD and drug /alcohol use problems is at risk for a number of negative outcomes, such as bad relationships, the experience of another traumatic event, or even death. Therefore, its top priority is improving the person's safety, and all skills are geared towards this focus. Seeking Safety was integrated into eight substance abuse programs in the Tampa Bay area of Florida. Data were collected on a sample of 99 women (Young, et. al., 2004). The sample was 46% Caucasian, 38% African American, 9% Hispanic, and 3% other. Significant improvements were documented after an average of 3.5 months on the Brief Symptom Inventory (BSI) and Trauma Symptom Checklist. Of the 31 women with PTSD at intake, only 8 met criteria for PTSD at the end of treatment. These results encourage the use of Seeking Safety with women in the context of substance abuse treatment. In another study, Zlotnick, Johnson & Najavits (2009) compared Seeking Safety (SS) plus treatment -as -usual (TAU) to TAU - alone in 49 incarcerated women with substance use disorder (SUD) and posttraumatic stress disorder. Seeking Safety consisted of a voluntary group treatment during incarceration and individual treatment after prison release. Both conditions showed significant improvements from intake to later time points on key domains (PTSD, SUD, psychopathology, and legal problems) outcomes across time. SS demonstrated continued improvement on psychopathology at 3 and 6 months, whereas TAU did not. A greater number of SS sessions were associated with greater improvement on PTSD and drug use. Six months after release from prison, 53% of the women in both conditions reported a remission in PTSD. Seeking safety has been shown to improve outcomes for substance abuse, trauma - related symptoms, psychopathology, and treatment retention. NREPP lists the following populations for which Seeking Safety is proven effective: Adolescents, young adults, and adults; males and females; American Indian, Asian, Black /African American, Hispanic /Latino, White, and race unspecified. Settings are inpatient, residential and outpatient. (SAMHSA NREPP, 2013 www. nrepp.samhsa.gov) The Collier County Drug Court will implement and integrate Seeking Safety evidence based practice into its treatment phases for all participants who may benefit from the intervention based on individual assessment. The EBP addresses disparities among female participants, the majority of whom are affected by past trauma. No adverse affects, concerns or unintended consequences were identified by the developers of any of the above programs. No modifications will be made to any of the EBP's listed. Screening and Program Admission Screening/LSI -R. The Level of Services Inventory - Revised (LSI -R) is a 54 item rating scale that measures static factors related to an individual's risk of committing a new crime and identifies dynamic areas of risk and need that may be addressed through programming. Areas evaluated by the LSI -R include criminal history, leisure / recreation, education / employment, associates, finances, substance abuse, family /marital status, emotional /personal well - being, housing, and attitude. The LSI -R may be administered at intake to aid in security classification and programming decisions. The instrument is also commonly used to determine and modify levels of community supervision. Research on the validity of the LSI -R indicates that certain 12 Packet Page -2842- J j 5/14/2013 16.D.5. items and sub - scales are more closely correlated with recidivism than others, in part because inter -rater reliability can be difficult to achieve on many of its items. Among the sub- scales, one study found that the general risk/need score correlated highly with general recidivism. It also predicted recidivism among subgroups of people convicted of sexual offenses, domestic violence, and people with mental health problems. The specific risk/need scale produced a slightly higher correlation with violent recidivism. The LSI -R requires 30 -45 minutes to complete. The Collier County Drug Court currently uses the LSI -R to screen potential Drug Court participants, and will continue to do so throughout the project. Program Admission. Program admission to the Collier County Drug Court currently occurs according to the following processes: 1. The Court Coordinator identifies Potential Participants via in reach and broad screening throughout the local _jail. OR Potential Participant (Potential Participant) notifies, or is notified, about Drug Court through their private attorney or Public Defender. The Potential Participant then makes decision to consider Drug Court, and the Potential Participant's attorney /Public Defender makes a request to the State Attorney Office to be considered for Drug Court 2. If the State's Attorney Office decides Potential Participant meets the legal criteria for Drug Court, they advise Treatment and ask Potential Participant and their attorney /Public Defender to attend a Drug Court Session. At this session: ➢ The Judge inquires of Potential Participant what their interest is in Drug Court ➢ The Public Defender provides Potential Participant with the Drug Court Handbook (English, Spanish version) ➢ The Treatment provider makes an appointment to go to the jail, or arranges to meet at DLC for screening. 3. DLC treatment staff meets with Potential Participant and administers the LSI -R to determine their risk/needs level. Staff also completes DLC screening form, which gathers basic data about the Potential Participant, Using Motivational Interviewing techniques, treatment staff answers all questions from Potential Participant and explains the Drug Court program in more detail, and verifies that Potential Participant has read and understands the Handbook. 4. DLC treatment staff then communicates recommendation and findings, of the Potential Participant, to the Drug Court Team. The Drug Court Team then makes decision as to whether or not to accept the Potential Participant into the Drug Court program. 5. If the Potential Participant is accepted, their attorney /Public Defender is advised by the State Attorney Office and then the Potential Participant is scheduled to plea in to begin their Drug Court journey. Then the Potential Participant pleads into Drug Court during a regular Drug Court session. 13 Packet Page - 2843 - 5/14/2013 16.D.5. Section C: Proposed Implementation Approach Describe how achievement of the goals will produce meaningful and relevant results for your community (e.g., increase access, availability, prevention, outreach, pre - services, treatment, and/or intervention) and support SAMHSA's goals for the program. Incarceration of drug offenders costs $20,000 and $50,000 a year per person In contrast, drug court costs $2,000 and $4,000 a year per person Drug Courts save Florida $18,000 and $46,000 a year per person Estimated savings produced by Drug Court by serving 60 per year $1,260,000 to $3,220,000 per year Table 3, Estimated Cost Savings by Drug Court, National Association of Drug Court Professionals Unquestionably, Drug Courts are a good financial investment for local jurisdictions, including Collier. Benefits that Drug Court brings to the local society include reduction in criminal behavior, improved workforce, improved social functioning of participants, reduction in the spread of substance abuse - related disease, and reduced medical costs. Jail costs will be reduced due to shortened stay due to Drug Court admission as well as decreased recidivism. The Collier County jail cost (2012} was roughly $120 for 24 hours. The average jail time served by Drug Court participants prior to program entry was 92 days, $11,040 per just one individual. That does not take into account other losses. That same individual was not productive in a job, and experienced lost relationships with their family and friends. Many of the Drug Court participants are parents. Jail time may have seriously impacted their child's life as well. The Collier County Drug Court program is a post - adjudication, court supervised, substance abuse treatment program. Drug Court improves participant's lives by treating the addiction, reuniting people with their families, and helping them to become productive members of society. The program, which has been in operation since 1999, is a collaborative effort of the Drug Court Team. The original team, some of whom are still members today, participated in Drug Court Planning Initiative trainings in 1998 and in 2001. Core members of the team include the State Attorney's Office, the Public Defender's Office, Department of Corrections, the Drug Court Judge, and the David Lawrence Center, the local comprehensive substance abuse and mental health services provider. Indicate whether your proposed project will expand drug court services, enhance drug.court services, or do both. Describe how the proposed service or practice will be implemented The current project includes implementation of two evidence -based treatment practices: Moral Reconation Therapy and Seeking Safety; and continuation of Motivational Interviewing. Estimated numbers of specifically proven to work with criminal justice involved substance abusers and those with past trauma persons served per enhancement service are shown in Table 7 on page 23. 14 Packet Page -2844 - 5/14/2013 16.D.5. The primary enhancement to the Collier County Drug Court is the addition of specialized, individual or group therapy. Moral Reconation Therapy (MRT) and Seeking Safety (SS) programs will be integrated into the treatment phases described further below in Table 6. Implementation will entail staff training on both programs as well as training in Motivational Interviewing internally through DLC for new project staff. MRT training has been available by qualified MRT trainers locally. At least one time per year, training is provided at a substance abuse treatment facility in a nearby Fort Myers. Grant funds will assist with training for the new therapist. Seeking Safety training is provided via DVD. The Project Director, therapists, Court Coordinator and Case Manager will all attend the SS training. The enhanced Drug Court therapy curriculum provides a rich array of group and individual therapy options which allows for customization of treatment plans to meet individual needs, such as gender - specific, trauma, smoking cessation or anger management. The treatment curriculum is provided in Table 4. Phase Thera eutic Curricula Orientation Minimum of 3 months 3 groups /wk Case Management Post Acute Withdrawal Symptoms PAWS Physical and emotional health and how their addiction affected each area Disease concept theory Importance of a recovery group andsponsorship. Stages of Chan e Introduction to relapse prevention/ completion of individual relapse prevention plan Specific issues related to gender Smoking Cessation Phase I 2 groups /wk 1 -2 individual /wk Case Management MRT (Group and Individual Thinking for Change (group) Seeking, Safe (Trauma-specific) Update relapse prevention plan Spirituality Boundaries Participants present drug history to group members Smoking Cessation Phase II 2 groups /wk 1 -2 Individuals /wk All Curricula in Phase I Definition/understanding of 12 Steps Anger management Phase III 1 group /week 0 -2 individuals /wk Case Management All curricula in Phase I Emotional Sobriety Phase IV Non Treatment. Individuals may choose to continue with therapy via referral Table 4. Therapy Curricula by Drug Court Phase 15 Packet Page -2845- ` %' 5/14/2013 16.D.5. Drug Court Positions and Functions Court Coordination. The Court Coordinator prepares the weekly docket and emails it to team members. The position is responsible for preparing and organizing participant status and meeting sheets. This is the primary person responsible for data entry in the Florida Drug Court Software and documentation of court and staffing notes. Case ManagementlRecovery support services. The Drug Court Case Manager gathers psychosocial information on recovery support needs of the participant. The resulting service plan includes individualized supports that each person may need in order to be successful, both while in Drug Court and by maintaining a drug -free lifestyle in the Iong -term. Recovery supports may include peer mentors, housing, education, vocational training, childcare, social supports and religious /spiritual connections. The David Lawrence Center (DLC) supports an Alumni Association for participants who have successfully completed treatment. Each month, the Association hosts 12 -step recovery meetings and participates in various recovery- oriented volunteer projects in the community. Describe how he proposed services) or practice(s); to be implemented will address the impact of violence and. trauma by integrating;trauma- ;informed approaches;delivered to clients You, must also address how the required key.dements.af the treatment drugcourt model you have chosen (see Appendix M Appendix O - Components /Elements of Drug .Court Models) are included in your.program design. If a particular, key element /characteristic of the..Treatment Drug Court model is missing, you mustprovide a justification for not including it: David Lawrence Center (DLC) follows the key principles of a trauma informed approach in the following ways: I . Governance and leadership: DLC supports and invests in sustaining a trauma - informed approach; there is an identified point of responsibility within the organization to lead and oversee this work. That person is the Project Director for the current proposed project. 2. Policy: DLC maintains a written policy establishing a trauma - informed approach as an important part of the organizational mission. 3. Engagement and involvement of people in recovery, trauma survivors, consumers, and family members in service: these groups have significant involvement, voice, and meaningful choice at all levels and in all areas of organizational functioning. For example, people in recovery sit on the Criminal Justice, Mental Health & Substance Abuse Planning Council. 4. Cross sector collaboration: there is significant Iocal collaboration between adult and children's services, prevention and treatment, different health and human service sectors, education, legal, child welfare, criminal justice, peer support and community -based organizations representing the diversity of populations served, and military and veterans systems. 5. Services and interventions: all services and interventions, including screening and assessment, are based on the best available empirical evidence, are culturally appropriate, and reflect principles of a trauma - informed approach; a trusted and effective referral system is in place; and trauma- specific services /interventions are acceptable, effective, and available for individuals and families seeking services. 16 Packet Page -2846- 5/14/2013 16.D.5. 6. Training and workforce development: training on trauma and how to respond to it is available for all staff at hire and throughout employment; the DLC HR system incorporates trauma - informed principles in hiring, supervision, staff evaluation. 7. Organizational and community multiagency protocols: DLC's organizational procedures and cross agency protocols reflect trauma - informed principles, including collaborations with other agencies including the Collier County Sheriff, NAMI, and schools. 8. Quality assurance: DLC, along with the project evaluator, will implement ongoing assessment, tracking, and monitoring of effective use of evidence -based trauma specific interventions. 9. Financing: Financing structures are designed to support a trauma - informed approach (e.g. staff training, appropriate facilities) and evidence -based trauma- specific services. 10. Evaluation: Measures used to evaluate service or program effectiveness reflects an understanding of trauma. I I . Physical environment of the organization: DLC ensures that the physical environment promotes a sense of safety. Ten Key Components To meet the specific, identified needs of Drug Court participants, the majority of whom have experienced trauma, the Collier County Drug Court Enhancement project will also provide the evidence based trauma - specific program, Seeking Safety. Both of the Drug Court therapists and the Project Director /Clinical Supervisor will receive training in the curricula. The Drug Court treatment plans will include Seeking Safety as an intervention, in both group and individual formats, for participants with identified trauma histories. Ten Key Components of Drug Courts and Relation to Collier County Drug Court Collier County's Drug Court is legislatively compelled to follow the elements listed in "Defining Drug Courts: The Key Components," U.S. Department of Justice, Bureau of Justice Assistance (1997). In order to be recognized as a drug court in Florida, the 10 Key Components must be adhered to at a minimum, pursuant to section 397.334, Florida Statutes (2001). These standards were adopted in I999 by the Supreme Court Steering Committee on Treatment -Based Drug Courts. Key Component # 1: Drug courts integrate alcohol and other drug treatment services with justice system case processing. The current operations of the Drug Court include collaborative, ongoing planning, weekly Drug Court Team meetings, and active and individualized judicial responses. The structure of the court involves a special court docket in which only drug court cases are heard at the same time and day each week. During the first drug court appearance, the defendant, the State's Attorney, the Public Defender and the Drug Court Judge collectively sign a Drug Court Contract that states that the defendant agrees to enter a plea of `no contest' with a suspended sentence. Upon successful completion of the Drug Court, the defendant/Drug Court participant may withdraw the previously entered plea and the State's Attorney dismisses the charges. Table 5 depicts the interwoven treatment and court processes by phase. 17 Packet Page - 2847 -` 5/14/2013 16.D.5. Phase Length Drug Test Court Counselling Recovery - Support Group Orientation 3 months I /week Weekly Group 3 /week 90 meetings /90 Intake, minimum days Assessment & Treatment I: Ongoing 3 months 1 /week Weekly Group 2 /week 6 /week Mo 4 Treatment/Relapse minimum Individual 1 -2 5 /week Mo 5,6 Prevention I1: Ongoing 3 months 1/weelc 2xJweek Group 1- 4 /week Treatment/Relapse minimum 2 /week Prevention Individual 1 -2 III: Recovery 3 months I /week Every Group 1- 2 /week Maintenance: minimum other 2 /week Daily Living week Skills Individual 1 -2 IV: Achievement, 3 months O:Negativ Every Group 1 /week 5 /week Graduation, e tests other Mentoring past 15 week months J aoic .). comer county Hautt Drug Court Phases Key Component # 2: Using a non adversarial approach, prosecution and defense counsel promote public safety while protecting participants' due process rights. The members of the Drug Court Team meet each week immediately prior to the Drug Court proceedings to discuss individual participants' progress and review any new admissions. The Drug Court Judge is very involved with each individual's treatment, offering encouragement and praise for forward progression. She also requires participants to join her in community recovery -based activities. The Judge joins participants in such activities as a 5K run for charity, and candlelight vigils to support recovery events. Key Component # 3: Eligible participants are identified early and promptly placed in tite drug court program. Referrals to the Drug Court come from the State Attorney's Office, Public Defender's Office, private attorneys, treatment providers, family members and the Department of Corrections. Once referred, Defendants participate in a substance abuse screening by the Court Coordinator and an assessment with a David Lawrence Center therapist/Certified Addictions Professional (CAP) to confirm that they are appropriate for the program. The assessment explores the extent to which chemical dependency is a major factor in the person's life, the motivation to change, and the capacity to follow through with rules and sanctions of the Court. The assessor applies American Society of Addictions Medicine (ASAM) criteria to determine the level of treatment best suited to the individual's needs. The State Attorney's Office reviews the screening recommendations, along with the booking report and criminal history record, and makes the final determination for acceptance into the program. Exclusionary criteria at this point 18 Packet Page -2848- �H 5/14/2013 16.D.5. may include a DUI charge, habitual offender status, or drug trafficking charges. Current operations of the Ding Court do not adequately address this component. Screening often does not take place for four to six weeks after arrest because the treatment agency screeners typically wait until the State's Attorney identifies a potential participant. Once screened, admission to the Drug Court takes approximately two weeks. The addition of a Court Coordinator addresses this gap. The Coordinator is responsible for ensuring that screening and admission to Drug Court occurs as immediately as possible after arrest. The Court Coordinator position is pivotal to all phases of drug court from screening through aftercare. Key Component # 4: Drug courts provide access to a continuum of alcohol, drug, and other related treatment and rehabilitation services. The proposed Case Manager position is critical to improving the Drug Court's responsiveness to this component. The Case Manager will provide direct referral to all of the David Lawrence Center programs including deter, residential, and psychiatric care. Also, by adding an additional Therapist, the overall treatment capacity of the Drug Court will increase. Treatment staff will be able to provide additional individual, family and group therapy. Many of the participants have complex issues and need assistance securing resources, such as primary health care, that require assistance throughout treatment phases and into aftercare. The Case Manager will assist with these as well. Each of the treatment phases includes case management activities. Each phase also includes ongoing review of the treatment plan, recreation, fellowship /volunteer activities, and monthly reporting to the probation officer. Key Component # S: Abstinence is monitored by frequent alcohol and other drug testing. Drug testing is provided by the substance abuse counseling staff twice a month at group therapy sessions. Participants are randomly selected for the urine drug tests, and lab analysis is completed as tests are done. Results of the drug tests are communicated to the Drug Court Team each week at which time sanctions are discussed for any relapse issues. Drug testing in the form of `rapid tests' may also occur on the day of court if requested by the Judge or Team members. Drug testing is managed according to very stringent protocols, and occurs randomly, once or twice a week. The Drug Court process relies on participant fees to cover some of the costs of the drug testing, and these requirements are already a burden to many recipients, the majority of whom are unemployed. Frequent drug testing is essential to monitor treatment progress for the court, and to provide immediate, objective feedback to assist in an effective treatment relationship. Key Component # 6: A coordinated strategy governs drug court responses to participant's compliance. The Drug Court Team meets once a week, and discusses each participant's compliance with treatment. The team responds swiftly to non - compliance with sanctions, and provides praise, encouragement, or reduced requirements as rewards for positive movement. Failure to comply with the Drug Court program may lead to one or more of the following sanctions: increased drug testing, court appearances, counseling or 12 -step meetings; writing an essay on a Drug Court - related topic; return to an earlier phase of treatment; community service; commitment to residential treatment; added special conditions of probation; or incarceration. Praise from the Judge and other Team members have been very effective intrinsic incentives, as are participation in group community volunteer activities, and "moving on" (i.e. graduation) ceremonies. The ceremonies honor the commitment of participants and are well attended by the Drug Court team and other local dignitaries. The current project requests enhancement funds for 19 Packet Page - 2849 - f'', 5/14/2013 16.D.5. some small but important compliance rewards, as determined by the Drug Court Team, Providing therapeutically and behaviorally effective rewards is expected to positively influence treatment retention and therefore improve program success. Key Component # 7: Ongoing judicial interaction with each drug court participant is essential. Each person admitted to Drug Court is required to attend court appearances for direct judicial supervision weekly, or every other week, depending on the phase. The Judge reviews reports on each participant regarding progress in treatment, including abstinence from drugs and alcohol. Drug Court sessions are held face -to -face each week with the judge acting as a team leader. Judge .Martin, who is nurturing as well as demanding with participants, is actively involved with each person's progress. The ability to provide token rewards through enhancement funds will positively affect the local response to this component. Key Component # 8: Monitoring and evaluation measure the achievement of program goals and gauge effectiveness. Though an evaluation is underway now through the Bureau of Justice Assistance grant, to date there has not been a formal, written evaluation of the program. The Drug Court team reviews local data each week at Drug Court meetings. Florida's recent implementation of the Drug Court Case Management software will greatly improve the local ability to evaluate data on the program's effectiveness. Sustainability and growth of the Drug Court will depend largely on the ability to demonstrate clear outcomes and focused direction to a variety of funders and other stakeholders. Therefore, another proposed enhancement is to conduct a local, semi - independent evaluation of the Drug Court program. Key Component # 9: Continuing interdisciplinary education promotes effective drug court planning, implementation, and operations. In the initial planning and implementation stages, local Drug Court Team members observed several other courts in Florida and around the nation. The current members attend at least one conference related to drug courts each year, and some are members of the Florida Association of Drug Court Professionals. Last year, the Drug Court Team attended BJA's "Operation Tune -up Training" to learn practical application of the latest research and best practice techniques. The training resulted in modifications to the local policies and illuminated the need for increased treatment for participants. Together, training and evaluation will lead to further improved practices, better outcomes, sustainability, and growth of the program. Key Component # 10: Forging partnerships among drug courts, public agencies, and community -based organizations generate local support and enhances drug court program effectiveness. One of the main goals of the Collier Criminal Justice & Behavioral Health Advisory Council (CJBHAC) is to enhance cross - systems collaboration and partnership among its members. CJBHAC meets monthly and its membership includes all the traditional Public Safety Coordinating Council members (law enforcement, court administration, public defenders, State's Attorney) but adds other essential partners including people in recovery, homeless/housing providers, and faith based organizations. Table 6 contains details of the project timeline. 20 Packet Page -2850- 5/14/2013 16.D.5. TIMELINE, KEY TASKS, RESPONSIBILITIES MILESTONES Year l, Year 2 Yea.r.3 Project Milestones/Tasks Person(s) Responsible Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Execute Contact with treatment provider CCHHVS Hire and Orient New and Staff CCHHVS; DLC Execute Contract with Evaluator CCHHVS I Training on Moral Reconation Therapy DLC Project Director, DLC Therapist new. hire v -T Training on Seeking Safety DLC Project Director, 2 therapists Weekly Drug Court Team Meetings Drug Court Team v v v v v v v v v v v Monthly Drug Court Business meetings Drug Court Team v v v v v v v v v v v v Weekly Drug Court Drug Court Team v v v v v v v v v v v GPRA Performance Measures Collection and Entry Court Coordinator; Evaluator v v v v v v v v v v v Criminal Justice, Mental Health & Substance Abuse Planning Council CCHHVS/ Project Director v v v v v v v v v v v v Drug Court meeting in Washington D.C. Project Director, Judge, Grant Coordinator v v v Screening and Admission Court Coordinator, Drug Court Team, Therapist v v v v v v v 1001 VO v v Treatment: Weekly DLC Therapist v v v v v v v v V'I v v v Smoking Cessation: Weekly DLC Staff v v v v v v V v v v v Case Management: Weekly DLC Case Manager v v v v v v V v v v v v Project Evaluation Quarterly and Annual Reports Project Evaluator v v v v v v v v v v v Final Project Evaluation Project Evaluator v i ame o. rroject i imeime Screen and assess clients for the presence of co- occurring mental and substance use disorders and use the information obtained from the screening and assessment to develop appropriate treatment approaches for the persons identified as having such co- occurring disorders. Identify, recruit and retain the population(s) of focus. Using your knowledge of the language, beliefs, norms, values and socioeconomic factors of the population(s) of focus, discuss how the proposed approach addresses these issues in outreaching, engaging and delivering programs to this population, e.g., collaborating with community gatekeepers. Ensure the input of clients. The Criminal Justice Mental Health & Substance Abuse Planning Council has several members who identify themselves as in recovery. In addition, the Drug 21 Packet Page - 2851 -?I 5/14/2013 16.D.5. Court proceedings themselves offer many opportunities for participants to provide input into the planning of Drug Court modifications. The project evaluation will include interviews with current and past participants to get input in what worked and what did not. Other organizations that will participate in the proposed project. (Please See Letters Attachment 1, Part IV). Everglades Area Health Education Center, Inc. ( EAHEC). Part of Florida's "Tobacco Free Florida" campaign since 2008, the EAHEC has provided tobacco cessation classes for adults throughout a ten county service area including Collier County. EAHEC currently provides these services to the Crossroads adult substance abuse residential program at the David Lawrence Center. As part of the Enhancement project, EAHEC will provide these cessation services to participants in the SAMHSA Treatment Drug Court Program. The EAHEC uses two tobacco cessation curricula. The first, "Quit Smoking Now" is a six hour group cessation class normally conducted in one hour per week sessions. The second, "Tools to Quit" consists of one two hour group cessation class. The EAHEC will provide training to DLC staff, who will provide ongoing groups. They will also supply all necessary class materials. Collier County Health Department. The local Health Department provides free HIV, HEP B and C testing each week. The Drug Court Case Manager will complete a referral form for participants who are at risk. The Health Department will complete and return results. Court Administration: Judiciary. Judge Janeice Martin has presided over the Drug Court for two years and has committed to do so indefinitely. Office of the Public Defender (PD), State Attorney's Office (SAO). Each of these agencies assigns an individual to work with the Drug Court. The PD and SAO have a policy to rotate attorneys through various assignments, including the Drug Court State Probation. The State places Drug Court participants on two years' offender probation, requiring compliance with certain terms and conditions. Each participant is assigned a probation officer who may make unannounced home visits and order random drug screens. Describe your_ plan to continue the. project after Ae funding period ends. Ilso, describe how program continuity will be. maintained when there is change MI. e operational eniironment (e,g., staff turnover, change Jn project leadership, change in judaciah:oversight) to ensure stability overtime. Collier County has operated its Drug Court for over 13 years. The majority of that time, from 2000 -2010 there were no dedicated funding sources to support its operations. Each participating agency - -Court Administration, Public Defender's Office, State Attorney's Office, State Probation, and David Lawrence Center — provided support through whatever means it had to make the Court successful. Because the community is dedicated to the program, the same will occur when the current proposed project ends. The treatment portion of Drug Court may become easier to fund in the near future due to the federal healthcare Affordable Care Act. Many more Floridians will likely get coverage through an alternative to Medicaid expansion and through 22 Packet Page -2852- ", 5/14/2013 16.D.5. subsidized private insurance. So, the vast majority of Drug Court participants who now cannot afford treatment will be covered by insurance to pay for those costs. Over the past 13 years, the Drug Court has continually gone through changes in staff, project leadership, and judicial oversight. Luckily, these changes do not occur at the same time. So, the culture and operational structures of the Drug Court maintain while the new team member assimilates. Judge Martin has proclaimed her allegiance to the Drug Court and has support to remain in her role as Drug Court Judge indefinitely. Enhancement Services/ Year 1 Year 2 Year 3 Totals Outcome Moral Reconation Therapy (MRT) 60 60 60 180 /Reduced Recidivism Seeking Safety ( -80 %)/ 50 50 50 150 Reduction in PTSD /anxiet Motivational Interviewing/ 60 60 60 120 Retention in treatment Court Coordination/ 60 60 60 180 Reduced time in jail before admission Case Management/ 60 60 60 180 Obtain housing, employment, benefits Table 7 Estimated number of clients receiving each enhancement service per year Per Unit Cost Total Protect Cost - 20% Data/Performance Assessment = $835,370- (.20) $668.296 Unduplicated number served 180 = $3,712 / Unit Cost 23 Packet Page -2853- �,; 5/14/2013 16.D.5. Without the benefit of Drug Court in reducing time in jail, defendants with non violent drug related offenses would likely remain in jail for one year. The cost to the local community to not provide Drug Court for one offender - -at a cost of $120 for 24 hours, and serving a year sentence- - would be $43,800 compared to $3,710 for Drug Court. That adds up to a great amount of financial savings to the community. Add an additional 79 Drug Court participants and the potential dollar savings are enormous. Cost benefits of providing interventions that are proven to be effective in reducing the effects of drug addiction and trauma will not only reduce financial burden of addictions to the community. It will provide effective treatment and supports to ensure the 180 Drug Court participants become productive members of the local society. The project evaluator will provide ongoing analysis and formal written quarterly reports to the Drug Court Team and the Criminal Justice, Mental Health and Substance Abuse Planning Council. These groups will collectively analyze the findings in these reports, along with any emerging best practice information, to modify the Drug Court policies and procedures. Also, the analysis will include options for additional funding to further expand or enhance the court as needed to maintain optimal services for participants and the community. Describe how you will utilize 3rd party and other revenue realized from the provision of substance abuse treatment services to the extent possible and use SAMHSA grant funds only, for services to individuals who are ineligible for public health insurance programs, individuals for whom coverage has been formally determined to be unaffordable, or for services that are not sufficiently covered by an individual's health insurance plan. Based on historic data, a minimal number of participants will have Third Party insurance or Medicaid coverage to assist with the therapy costs, resulting in a minimal amount of collections. The Program charges participants a nominal fee for Drug Testing, and these fees will be used to offset the costs of the tests themselves. Only the Net Drug Test Costs will be charged to the Grant. Any other fees collected will be used to offset unrealized program costs Describe how you will.facilitate the health insurance application and enrollment process for eligible uninsured clients. The Drug Court Case Manager will have specific knowledge of and linkage to Medicaid and other healthcare insurance eligibility, information, and enrollment procedures. The Case Manager will ensure that each Drug Court participant is enrolled in each benefit program for which they are eligible and as soon as possible. To better ensure coordination between the criminal justice and community -based substance abuse treatment systems, applications must include a letter from the State Substance Abuse Agency (SSA) Please see Attachment 4 Letter from the Florida State Substance Abuse Agency (SSA). Section D: Staff and Organizational Experience Discuss the capability and experience of the applicant organization and other participating organizations with similar projects and populations. Demonstrate that the applicant 24 Packet Page -2854- cc 5/14/2013 16.D.5. organization and other participating organizations have linkages to the population(s) offocus and ties to grassroots /community -based organizations that are rooted in the culture(s) and language(s) of the population(s) of focus. Organizational Experience Collier County Housing, Human and Veteran's Services and the contracted Drug Court treatment provider, David Lawrence Center each have deep roots in the community serving persons in the criminal justice system and those with substance abuse problems or addictions. Grantee: Collier County Board of County Commissioners (BoCC) and Housing, Human and Veteran Services (CCHHVS). The Board of County Commissioners Chair presides over the Public Safety Coordinating Council which initiated the Drug Court and Mental Health Court projects. The PSCC is a legislatively mandated, collaborative group of agencies, including DLC, that provide a local safety net of services. CCHHVS, a department of the BoCC, is an experienced grantee in criminal justice and behavioral health programs. The CCHHVS is currently a recipient of the Bureau of Justice Assistance Drug Court Enhancement grant. The two year grant ends in September 2013 and provided non - treatment enhancements including case management and drug testing. CCHHVS is also grantee for the Florida Department of Children & Families' Criminal Justice Mental Health & Substance Abuse Reintegration grant. The project funded under this grant provides reintegration case management team called the Forensic Intensive Reintegration Support Team (FIRST). This project is just entering its third year of operations. CCHHVS currently complies with all terms and conditions of its current federal grants including those from HUD. Treatment Provider. David Lawrence Center is the Southwest Florida- based, not- for - profit provider of behavioral health solutions dedicated to inspiring and creating life- dhanging wellness for every individual. DLC provides comprehensive mental health. and substance abuse services, including inpatient, outpatient, residential and community based prevention and treatment services. Evidence -based programs include supported employment, supported housing, and homeless services through the Project in Transition from Homelessness (PATH). DLC's organization follows the trauma informed care principles. Forensic services department includes Drug Court, Mental Health Court, community -based competency restoration and a community reintegration program (FIRST) described below. David Lawrence Center provided more than 30,000 individuals with mental health and substance abuse services in 2011/2012. People served include adults with serious mental illness, children with severe emotional disturbance, and children and adults who are drug users or at risk of abusing drugs. David Lawrence Center is a Tobacco Free Campus. David Lawrence Center is accredited by the .loint Commission on Accreditation of Healthcare Organizations (JCAHO) and is licensed by the Florida Department of Children and Families and the Agency for Healthcare Administration. The Center has decades of experience administering millions of dollars in annual federal, state, and local government grants and contracts. The Center maintains an exemplary record of meeting or exceeding expectations of each of its grantor and contractor organizations. In addition, David Lawrence Center is a highly fiscally competent and secure organization. In fiscal year 2011/2012, the Center had total revenues of 25 Packet Page -2855- 5/14/2013 16.D.5. over $17 million, total assets at approximately $8 million, and generally maintains a cash balance between $2 to $3 million. The David Lawrence Center is licensed by the State of Florida to provide substance abuse services and uses ASAM criteria to determine the level of need and type of treatment service that each participant may need. Treatment may include medication management, detoxification or a substance abuse residential program, Crossroads, if indicated. Crossroads provides integrated wellness services for residents through its Access 2 Wellness program. Collaborative Criminal Justice, Mental Health and Substance Abuse ( CHMHSA) Projects. Along with the Drug Court, there are several other local collaborative CHMHSA projects: CIT. Spearheaded by NAMI of Collier County and DLC, the Collier County Crisis Intervention Team (CIT) training has been extremely successful. CIT includes training on how to avert potential crises among persons with mental illness and /or substance abuse problems and divert people to community -based solutions rather than jail. Over 500 local law enforcement officers have completed the training, along with probation, jail staff, park rangers and others. Recently, NAMI began offering a similar curriculum for court- related personnel including judges, State's Attorneys and Public Defenders. FIRST. The Collier County FIRST (Forensic Intensive Reintegration Support Team) program provides intensive community reintegration assistance to adult arrestees with serious mental illnesses and co- occurring substance abuse problems. Team members provide intensive case management, counseling, supported housing, supported employment and peer support services. The goals of FIRST are to help participants attain permanent, stable housing, improve social connectedness and reduce recidivism. Mental Health Court. David Lawrence Center provides case management and treatment for the Collier County Mental Health Court. The program started in 2007 and is presided over by Judge Janeice Martin, who also currently presides over the Drug Court. Mental Health Court. The program is supported in part by contracted State of Florida mental health funding. Criminal Justice Mental Health & Substance Abuse Planning Council (CJMHSAPQ. Convened by the Public Safety Coordinating Council in 2009, the CJMHSAPC completed a Sequential Intercept Model map. The mapping process created the basis for a strategic plan for Collier County. The plan identified enhancement and expansion of the Adult Drug Court as one of its primary goals. Staffing Provide a complete list of staff positions for the project, including the Project Director, which is identified as key personnel, showing the role of each and their level of effort and qualifications. Position Name Qualifications . ;Level of ;.Effort Grant Coordinator Geoffrey Ma on BA, Drug Court grant mgt experience .15 Grants Manager Kristi Sonntag BA, Drug Court grant m9t experience .10 Accountant To Be Experience with federal grants .10 Determined 26 Packet Page - 2856 - ; 5/14/2013 16.D.5. Grant Support Specialist To be hired Experience with federal grants .10 Accounting Supervisor Bendisa Marku Experience with federal grants .10 Accounting Tech Anna Prada Experience with federal grants .05 Contracted Project Director Geri Poletti Licensed Clinical Social Worker .10 Project Supervisor Katie Burrows Certification in MRT, knowledge of Drug Court processes .25 Therapist Damon Walker Licensed Marriage & Family Therapist, Certification in MRT 1.0 Therapist To be hired Licensed MH Professional 1.0 Court Coordinator Cynthia Shannon BA; Experienced Drug Court Case M mt, data collection 1.0 Case Manager To be hired BA/BS; Experienced in Addictions 1.0 Support Staff To be hired HS; Computer/data entry proficient .50 Independent Project Evaluator TBD PhD level. Experience in Drug Court evaluation .05 Table 8. Project Staffing Levels and Qualifications. Key Staff Demonstrated Experience and Qualifications Describe how key staff have demonstrated experience and qualifications to serve the population(s) of focus and are familiar with their culture(s) and language(s), County Grant Coordinator and Manager. Mr. Geoffrey Magon will act as the Grant Manager for the grant. He will be assisted by a Grant Support Specialist (GSS). The Collier County Housing, Human and Veteran Services Department (HHVS) is actively recruiting this position. The hiring process is following Collier County's policies and procedures and maintains compliance with applicable federal guidelines. The GSS will provide project support, financial review and oversight of the program, while Mr. Magon provides administration and compliance of the program. Mr. Magon will be responsible for the accuracy of grant reporting, communication between court administration and the mental health provider and submit performance measures reports to ensure all rules and regulations are strictly enforced. Mr. Magon has a B.A. in Socio- Economics from the University of Illinois and 3 years of experience with grant management. Mr. Magon currently administers 2 drug court programs, a federal program through the Department of Justice (DOJ) Adult Drug Court Discretionary Grant Program and the other through the State of Florida Department of Children and Families (DCF), Criminal Justice Mental Health and Substance Abuse Program. Mr. Magon is familiar with stipulations and requirements of federal grants. Kristi Sonntag, Grants Manager for HHVS supervises Mr. Magon and the GSS. Ms. Sonntag will coordinate the day -to -day operation of the SAMHSA grant. She will oversee compliance with the grant requirements while ensuring that all timelines and budgets are met and stay on track for the duration of the 3 -year grant. Ms. Sonntag has 17 years experience in contract management, 16 of those years with the State of Florida Department of Children and Families. As the Grants Manager, Ms. Sonntag is currently responsible for approximately $35 million in a variety of 27 Packet Page -2857- 5/14/2013 16.D.5. local, state and federal programs including HUD Community Development Block Grant (CDBG), HOME, State Housing Initiative Partnership (SHIP), and Disaster Recovery Initiative, Department of Justice -Safe Haven's Visitation Program and the Florida Department of Elder Affairs The three (3) accounting positions will oversee all fiscal aspects of the grant funds in cooperation with the Collier County Clerk of Court, including grant payment requests and disbursements, contractual payments and draw -downs of funds from SAMHSA. They will also ensure compliance with all other legal requirements of the grant and audit requirements. Project Director The Project Director is a licensed mental health professional (LCSW) with experience in recovery oriented services and evidence based treatments for substance abuse. She will provide clinical supervision for the project; oversee the project implementation, screening and admissions, data collection, and treatment provision. The Project Director ensures overall coordination of fiscal and programmatic reporting to the County and acts as the primary point of contact for the County grant staff and the Drug Court Team Project Supervisor. The Project Supervisor is the David Lawrence Center Forensic Program Supervisor. She provides direct/non clinical supervision and coordination of therapists, Court Coordinator, Case Manager, and Support Specialist. The Supervisor attends all Drug Court team meetings. Therapists. The current Drug Court Therapist, Damon Walker, has an undergraduate degree in Criminal Justice and Masters in Marriage and Family Therapy. He has experience in forensic programs and providing substance abuse and co- occurring disorders treatment in individual and group settings. Importantly, Mr. Walker is trained in, and has experience providing Moral Reconation Therapy in a criminal justice setting. DLC will recruit a second therapist to provide diversity on the treatment team. That would include a female therapist who has expertise in treatment of trauma survivors. A bilingual candidate will be preferred to work with the occasional Drug Court participant whose primary language is Spanish. Court Coordinator. The Court Coordinator will provide in reach into the jail, screening as many prospects for the Drug Court as possible. She will prepare weekly docket and emails to coordinate information to team members, and will prepare and organize participant status and meeting sheets. The Court Coordinator will be responsible for data entry in the Florida Drug Court Case Management Software and documentation of court proceedings and staffing. She will also collect Client Satisfaction Surveys to ensure consumer input into Drug Court processes. Case Manager. DLC will recruit a candidate that compliments the composition of the rest of the team. The person will have experience linking persons in recovery to services needed for success in a drug free, productive life in the community. Provides linkage to housing, employment, and recovery oriented services in the community. Assists participants with applications for benefits including Medicaid and private insurance. The Case Manager also attends all Drug Court team meetings. The candidate will be bilingual in English and Spanish to ensure persons whose primary language is Spanish have equal access to all services. 28 Packet Page -2858 - 5/14/2013 16.D.5. Staff and Cultural Diversity. David Lawrence Center staff members who have direct contact with Drug Court participants include both males and females, and include both Black and White racial backgrounds. All of the current staff members have years of experience working with criminal justice, mental health and substance abuse populations in the Collier County community. Section E. Data_Collectiion ancl:Performance Measures Document your ability to collect and report on the required performance measures as specified in Section 1 -2.2 of this RFA. Describe your plan far data collection, management, analysis and reporting. Speck and juste any additional measures or instruments you plan to use for your grant project. As a requirement of its contract for substance abuse and mental health prevention and treatment through the Florida Department of Children & Families Substance Abuse & Mental Health program, DLC collects a multitude of outcome measures data. DLC submits outcome measurement data into the state's electronic data warehouse monthly and has done so since the system was implemented in the 1990's. The outcome measures DLC submits for substance abuse treatment currently include an employment measure: `days worked for pay'; an abstinence measure: `past 28 day use'; and numbers served. These correspond to three of the SAMHSA required performance measures. GPRA. To ensure continuity and an understanding of the importance of data collection and reporting for the project, Drug Court team members will all be required to attend SAMHSA's training on GPRA data collection as offered. In addition, the team will distribute hard copies of training materials to all team members for easy reference. GPRA measures include: substance abuse, criminal activity, mental and physical health, family and living conditions, education/employment status and social connectedness. To establish an initial baseline, the Court. Coordinator will collect GPRA data face -to -face for each currently enrolled client within one week of obtaining a contract with CCHHVS. Using unique client identification (ID) numbers GPRA data will then be collected for each Drug Court participant as soon as possible after intake, six months after initial data collection, and at discharge. Follow up GPRA will be collected on as many clients as possible, including those who `moved on' and those who were terminated. Data Collection. The Court Coordinator from David Lawrence Center will be the primary person responsible for collecting and reporting data. The Court Coordinator will use the CSAT GPRA Client Outcome Measures tool, the Florida Drug Court Case Management software to collect the data. This will occur via a face -to -face interview at 1) intake, 2) six months post intake, and 3) at discharge, i.e. `Moving On'. DLC will conduct six month follow up interviews with a minimum of 80% of drug court graduates, or 96 of the 120 served over the course of 3 years. Clinical data will be collected and stored in the DLC Electronic Health Record. Number of individuals served. Collier County's Drug Court maintains a database of Drug Court participants with detailed data on individuals including date arrested, screened, admitted, and discharged along with violations of probation and arrests. DLC also maintains detailed data in via the Florida Drug Court Case Management System. 29 Packet Page -2859- 5/14/2013 16.D.5. Abstinence from Substance Abuse. The Drug Court team currently collects and tracks both the percent of positive drug tests and the period of longest continuous sobriety for each participant while in the drug court. Weekly drug tests, and additional random tests, identify instances of drug use among participants as soon as possible after use. The current project will also gather baseline data and track reduction in past 30 day tobacco use. Employment and Housing Stability Upon admission to the Drug Court, DLC completes a biopsychosocial for each participant detailing strengths and needs including housing, employment and related resources. The Drug Court Case Manager keeps detailed records regarding each individual's status, needs and preferences with regard to housing and employment. This includes information about referrals to DLC's supported housing and supported employment services for Drug Court participants who need additional support. Criminal.lustice Involvement. The Drug Court member from the State Probation Office tracks arrests of Drug Court current and past participants. The information is maintained in the Drug Court Overall Report that is provided to team members weekly. Social Connectedness. David Lawrence Center's (DLC) biopsychosocial assessment, service plan and treatment plan focus on personal strengths. The person's culture is always taken into consideration when developing the social needs and preferences. Many people choose to complete their own Wellness Recovery Action Plan (WRAP) which provides many insights into the personal preferences of the individual. A copy of the WRAP is uploaded into the individual's EHR at DLC. Data Driven Quality Improvement Describe the data- driven quality improvement process by which sub population disparities in accessluseloutcomes will be tracked, assessed, and reduced. The Drug Court Team reviews and analyzes data collected by the Court Coordinator or Case Manager at weekly team meetings. Minutes are taken and reviewed at subsequent meetings to track progress on planned activities. The Project Evaluator will provide aggregate reports detailing trends and outliers among program participant data along with a compilation of related research that may illuminate potential solutions to identified problems. Reducing Disparities. The Drug Court team may not have direct control over the presence of Hispanic participants due to the ICE issue. However, the Criminal Justice, Mental Health & Substance Abuse Planning Council is currently aware of working on solutions to this dilemma. Describe your plan for conducting the local performance assessment as specified in Section 1 -2.3 of this RFA and document your ability to conduct the assessment. Performance Evaluation The purpose of the evaluation is to assist the local drug court team and stakeholders to determine future direction for growth and to provide concrete information to potential funders for sustainability of the drug court operations in Collier County, Process Evaluation. The process evaluation provides answers to questions about the operation of the drug court. Some questions will come directly from the drug court team. The process 30 Packet Page -2860 - 5/14/2013 16.D.5. evaluation will compare the current operations of the drug court with best practices literature. The following elements, common to all process evaluations, will be included. Program Goals, The evaluation will measure the extent to which is meeting its goals and objectives as stated in the grant application, including the following: Target Population. This section of the evaluation will look at eligibility requirements and the extent to which actual admissions followed the intended criteria. What are barriers to reaching the target population ?? How well does the drug court population reflect the target population? Why do some applicants reject drug court? How does the current drug court population reflect the arrestee population in the county? What are the barriers that prevent access Drug Court? Substance Abuse Treatment. This section will compare information obtained from a sample of screening documents about drug use prior to arrest, including incidence of drug use, addiction severity, and drugs of choice. The information will be compared to assessments at or near completion of treatment. Adherence to the evidence based practices Moral Reconation Therapy and Seeking Safety will be reviewed and analyzed. Treatment plans will provide additional information about effectiveness of substance abuse treatment for participants. Phase Advancement and Graduation. The evaluation will use the drug court guidelines to provide a baseline for the requirements for advancement from each treatment phase and determine whether there are any patterns for client advancement or failure to advance. Who graduates and who does not? Court Processes. The activities of the court process will be documented including treatment phases, sanctions, incentives, graduation, drug testing, case management, community supervision, and recovery supports. Are the processes following the intended flow and intensity? Are interventions individualized? How many court appearances did each client have compared to how many they should have had? What sorts of sanctions and incentives were given? Drug Testing. Factors such as type of test and scheduled versus punitive will be noted in the evaluation. Questions include: How many drug tests were positive /negative? Sobriety. The factors examined will include both the percent of positive drug tests and the period of longest continuous sobriety for each participant while in the drug court. Units of Service. What type of services and number of units of each do participants receive, including treatment and ancillary services? Which ones are seen as most valuable to participants? To the drug court team? What is the cost of the treatment program per participant based on costs per unit of service? Are there funding barriers to needed services (e.g. residential care)? Outcome Evaluation The outcome evaluation will provide comparative data on recidivism (i.e. rearrested on new charges) rates for the participants who completed the program one year post graduation. In addition, recidivism rates for those who entered the program and did not complete it, and a comparison population with similar demographic characteristics will be compared to those of program graduates. What are the characteristics of rearrested versus those who were not? 31 Packet Page -2861- �� 5/14/2013 16.D.5. The drug court team will use the information from the process and outcome evaluations combined with information learned at through trainings to adjust the court policies and procedures to conform to the latest best practices. Project team member agencies will share evaluation information with a variant of current and potential funders, as well as other stakeholders, including current and potential participants. Section F: Electronic Health Record (EHR) Technology, (5 points) Ifyou currently have an existing EHR system, identify the EHR system that you, or the primary provider of clinical services associated with the grant (i.e., the grantee, sub- awardee or sub - contractor that is expected to deliver clinical services to the most patients during the term of the grant), have adopted to manage client -level clinical information for your proposed project. David Lawrence Center has implemented an Electronic Health Record using Credible Behavioral Healthcare software. Credible is a Meaningful Use certified vendor, providing a fully integrated clinical, billing, scheduling, mobile, ePrescription and eLabs functionality. Using innovative technology, Credible has overcome challenges related to timeliness, accuracy, and dissemination of client data. This software will provide staff the ability to access and update data real -time through simplified data entry processes. This allows for a reduction in the amount of time clinicians spend on paperwork, and permits clinicians to focus on providing exceptional client care. Additionally, the clinical module in this EHR software allows clinical staff to: ➢ Document, review, and approve services ➢ Conduct clinical assessments, intakes and other critical documentation ➢ View critical client information in a user friendly format ➢ Seamlessly view documentation, Treatment Plans, and demographic data ➢ Eliminate duplication ➢ Maintain up to date client information ➢ Support interactive documentation with the client See Attachment b for a copy of the EHR vendor contract 32 Packet Page -2862- �l "t 5/14/2013 16.D.5. Collier County Adult Drug Court Expansion and Enhancement Budget Limitations: Infrastucture: no more thanl5% NO COSTS Development: no more 15% of the total grant award, if necessary NO COSTS HIV rapid testing, no more than 5% NO COSTS Viral Hepatitis (B and C) testing, no more than $5,000 NO COSTS MAT medication no more than 20% NO COSTS Data collection, performance measurement $12,000 PERSONNEL. This budget category refers to employees of the applying agency whose work is tied to the application. All proposed salaries are in compliance with the Collier County pay scales and are reasonable for the region, expertise, and education of the staffing position. SALARY Federal Request Position Name Annual:Salary/Rate Level host of Effort Grant Coordinator Geoffrey $51,618 15% $ 7,743 Grants Manager Kristi Sonntag $71,524 10% $ 7,152 To Be Accountant Determined $49,210 10% $ 4,921 Grant Support Specialist -Job Bank To be hired $35,068 10% $ 3,507 Accounting Bendisa Supervisor Marku $55,795 10% $ 5,580 Accounting Technician Ana Parada $36,831 5% $ 1,842 Total $30,745 Narrative Justification: Mr. Magon will act as the Grant Manager for the grant. He will be assisted by a Grant Support Specialist (GSS). The Collier County Housing, Human and Veteran Services Department (HHVS) is actively recruiting this position. The hiring process is following Collier County's policies and procedures and maintains compliance with applicable federal guidelines. The GSS will provide project support, financial review and oversight of the program, while Mr. Magon provides administration and compliance of the program. Mr. Magon will be responsible for the accuracy of grant reporting, communication between court administration and the mental health provider and submit performance measures reports to ensure all rules and regulations are strictly enforced. In addition, Collier County's Office of Budget and Management has a dedicated office and staff to oversee single audit compliance of all grants awarded to the County and hand -in -hand with HHVS to implement standard countywide protocols and internal controls. 33 Packet Page -2863- 5/14/2013 16.D.5. Collier County Adult Drug Court Expansion and Enhancement Mr. Magon has a B.A. in Socio- Economics from the University of Illinois and 3 years of experience with grant management. Mr. Magon currently administers 2 drug court programs, a federal program through the Department of Justice (DOJ) Adult Drug Court Discretionary Grant Program and the other through the State of Florida Department of Children and Families (DCF), Criminal Justice Mental Health and Substance Abuse Program. Mr. Magon is familiar with stipulations and requirements of federal grants. He has experience working with the U.S. Department of Housing and Urban Development. In past years, he has been responsible for $13 million in disaster funds and currently responsible for $13 million in Neighborhood Stabilization Program (NSP) funds. Kristi Sonntag, Grants Manager for Collier County Housing, Human and Veteran Services (HHVS) supervises Mr. Magon and the GSS. Ms. Sonntag will coordinate the day -to -day operation of the SAMHSA grant. She will oversee compliance with the grant requirements while ensuring that all timelines and budgets are met and stay on track for the duration of the 3 -year grant. Ms. Sonntag has 17 years experience in contract management, 16 of those years with the State of Florida Department of Children and Families. As the Grants Manager with HHVS, Ms. Sonntag is currently responsible for approximately $35 million in a variety of local, state and federal programs including HUD Community Development Block Grant (CDBG), HOME, State Housing Initiative Partnership (SHIP), Disaster Recovery Initiative, Department of Justice -Safe Haven's Visitation Program and the Florida Department of Elder Affairs to name but some of the grants. The three (3) accounting positions will oversee all fiscal aspects of the grant funds in cooperation with the Collier County Cleric of Court; including grant payment requests and disbursements, contractual payments and drawdowns from federal agencies as applicable. They will also ensure compliance with all other legal requirements of the grant and audit requirements. Federal Request: $30,745 FRINGE BENEFITS This budget category covers all fringe benefits provided to full -and part time paid staff members as outlined below. Federal Request 34 Packet Page -2864- Insurance:. % Of 0:0765 °10 .0671%::: Tiime O,if027% char ed .. Position .. Wage FICA Retiremen #. Health . Li host Grant Coordinator $ 7,743 $592 $ 520 $ 2081 $ 21 $ 3214 Grants Manager $ 7,152 $547 $ 480 $ 1387 $ 19 $ 2433 Accountant $ 4,921 $376 1$268 $ 330 $ 1387 $ 13 $ 2106 Grant Support $ 3,507 $ 235 $ 503 34 Packet Page -2864- 5/14/2013 16.D.5. Collier County Adult Drug Court Expansion and Enhancement Specialist-Job Bank Location Item Rate Cost Program Director and Accounting Supervisor $ 5,580 $427 $ 374 $ 1387 $ 15 $ 2203 Accounting Technician $ 1,842 $141 $ 124 $ 694 $ 5 $ 964 Total xl $11,422 iNarraLrve jusitilcation: t.oiner t -ounty euaget instruction manual identifies social security and Medicare (FICA) costs to be calculated at a rate of 0.0765% (0.0145% for Medicare and 0.0620% for social security) of each employee's salary. Full time employees are eligible for health insurance. The County's contribution consists of 3 components: Health - $13,100, Dental - $ 490 and Disability $280 for a total of $13,870 each year. The grant's share of the health benefits are based on the percentage of time each employee will allocate to the grant. Life Insurance is also available to full time employees and calculated at 0.0027 %. Benefit rates are standard for all employees and coincides with acceptable IRS standards. Federal Request $ 11,423 TRAVEL Pur ose of Travel Location Item Rate Cost Program Director and Program: Coordinator ' Annual Grantee Meeting Washington DC Airfare $800 Round Trip $800 xl Hotel $226 per night x $678 3 nights x] j Per Diem $48.25 per day x $193 Meals 4 travel days X I Auto Rental $200 for travel $200 days with unlimited miles Total $1,871 Narrative Justification: Travel to Washington DC is required by the SAMHSA grant each year for an annual grantee meeting. This meeting includes sending 3 members of the drug court team to the 3 -day grantee meeting. The above flight cost was based on a typical flight from Southwest Florida Regional Airport (RSW) in Fort Myers, Florida to Washington, DC. We used 3 different internet sites (Expedia, Kayak and Travelocity) to compare air fares and car rental rates. Air fares averaged $800 and car rental with unlimited mileage was about $200 per week. Depending on the time of the year of the conference we used a median cost of $226 per night for a hotel stay. According to the U.S. General Services Administration (GSA) the daily per diem is $53.25. Collier County policies and procedures daily per diem will reimburse $48.25 per day (minus the incidental expenses of $5). TRAVEL Federal Request: $ 1,871 35 rte\ Packet Page - 2865 -� 5/14/2013 16.D.5. Collier County Adult Drug Court Expansion and Enhancement SUPPLIES Materials costing less than $5,000 per unit and often having one time use. Federal Request Item Rate Goal /4b'ective# Cost General office supplies 3 Written Quotes Above $I OK to $50K $ 500 Equipment 2 laptop computers with docking $ 3,660 stations, printer 4 monitors with wire /connectors /keyboard /mouse Total $ 4,160 Narrative Justification: General office supplies will cover pencils, pens, computer paper, copy costs, etc. in order to operate the program. The computer equipment will provide a work station for the Grant Support Specialist -Job Bank position to assist in the implementation and tracking of the SAMHSA program. The laptop computers are needed to track grant expenditures, progress, records, reports and financial payment requests and will interface with the mental health provider, the court administration system and the County's system. The funding for these laptops will be 100% federal funded. Federal Request: $ 4,160 CONTRACTUAL: ` All purchasing for services and goods shall be made by purchase order or by a written contract and in conformity with the thresholds of Collier county Purchasing Policy. Dollar Range Quotes Under $3K 1 Written Quote Above $3K to $1 OK 3 Written Quotes Above $I OK to $50K 3 Written Quotes Above $50K Request for Proposal (RFP) Invitation for Bid (IFB) Narrative Justification The contract with a qualified local evaluator is necessary to assist with the GPRA measure data analysis and assistance toward accomplishing the goals and objectives of the grant. This line item is necessary to pay for an outside, experienced professional to take care of this scope of the grant local evaluation. The selected evaluator will be required to create or secure survey /evaluation tools, oversee data collection, and work with the Project Director to ensure all data are collected according to protocol. The Evaluator will ensure all data collected and entered for GPRA measures is accurate and according to SAMHSA regulation. Fidelity monitoring for MRT and Trauma - informed Care will also be a requirement of this position. The evaluator will fulfill this by providing quarterly formative evaluation reports and by conducting site observations with recommendations for program improvement. 36 Packet Page -2866- 5/14/2013 16.D.5. Collier County Adult Drug Court Expansion and Enhancement Item ::Rate Cost 1. Project Evaluation 1 x Fee $12,000 TOTAL $ 12,000 l.'GU GI 4J IV?Zq UCJI: M 1L,U UU CONTRACTUAL 2. Treatment Provider: David Lawrence Center SALARY Position 'Na. me Annual Level of Cost Sa}a'ry effort ; (I)Project Director Geri Polleti $82,400 .05 $4,120 $46,350 .25 (2) Project Supervisor Katie Burrows $11,588 (3)Therapist Damon $45,000 1.0 $45,000 (4)Therapist TBD $45,000 1.0 $45,000 (5) Court Coordinator Cindy Shannon $35,000 1.0 $35,000 (6)Case Mgr TBD $32,000 1.0 $32,000 (7 ) Support Specialist TBD $28,000 .50 $14,000 Total Salaries $ 186,708 Narrative Justification: (1) Project Director. The Project Director is a licensed mental health professional (LCS W) with experience in recovery oriented systems of care. She will provide clinical supervision for the project, oversee the project implementation, screening and admissions, data collection, and treatment provision. The Project Director ensures overall coordination of fiscal and programmatic reporting to the County and acts as the primary point of contact for the County grant staff and the Drug Court Team. (2) Project Supervisor. Direct/non clinical supervision and coordination of therapists, Court Coordinator, Case Manager, and Support Specialist. Attends all Drug Court team meetings. (3) Therapists, Two full time therapist positions will provide various group and individual evidence based treatment as described in the Project Narrative. Therapists attend all Drug Court Team meetings. (4) Court Coordinator. The Court Coordinator is responsible for identifying and screening potential participants for the Drug Court. The Coordinator manages day -to -day scheduling, coordinates referrals, ensures data entry including GPRA measures and Case Management software entries, and maintains the participant registry, compiles reports. The Court Coordinator attends all Drug Court Team meetings. (5) Case Manager. Provides linkage to housing, employment, and recovery oriented services in the community. Assists participants with applications for benefits including Medicaid and private insurance. The Case Manager also attends all Drug Court team meetings. 37 Packet Page -2867- } 5/14/2013 16.D.5. Collier County Adult Drug Court Expansion and Enhancement (6) Support Specialist. Provides scheduling assistance, attends to phone and on site appointments, documents meetings, assists with data entry. rrinne Benetits Narrative Justification: Fringe amounts are included only for FICA/Medicare combined at 0.0765% (0.0145% for Medicare and 0.0620% for social security) and for Health Insurance costs. The amounts are according to the DLC personnel policies and are included only for full time employees /project staff. Travel Pur. ose of Travel::, lE,ocation item` 7 659/( :: Cos# Program Director and Program tooidinatbr Position Wa a FICAlMedicare Heaith s Cost Therapist $1,600 $45,000 $3,442 $300.95 $3743 Hotel $226 per night x $1,356 Therapist $45,000 $3,442 $300.95 $ 3,743 Per Diem $48.25 per day x $386 Court Coordinator 4 travel da s $35,000 $2,678 $300.95 $2,979 $200 for travel days with Case Mgr 1 32,000 $2,448 $300.95 $2,749 Total Collier County 1 $12,010 1 $1,204 $13,214 Narrative Justification: Fringe amounts are included only for FICA/Medicare combined at 0.0765% (0.0145% for Medicare and 0.0620% for social security) and for Health Insurance costs. The amounts are according to the DLC personnel policies and are included only for full time employees /project staff. Travel Pur. ose of Travel::, lE,ocation item` Rate Cos# Program Director and Program tooidinatbr Annual Grantee Meeting Washington DC Airfare $800 Round Trip $1,600 x2 Hotel $226 per night x $1,356 3 nights x2 Per Diem $48.25 per day x $386 Meals 4 travel da s Auto Rental $200 for travel days with $200 unlimited miles Local Travel Collier County 2,600 miles .435 /mile $1,131 Total Travel $4,673 38 Packet Page -2868- (cam' 5/14/2013 16.D.5. Collier County Adult Drug Court Expansion and Enhancement Supplies Item and Justification Unit _ost/rate 11ium ber Cost 1. Moral Reconation Thera (AIR T) $186,708 Workbooks. Cost listed on developer's website. $25 100 $2,500 Training: local training (at SWFAS) by qualified MRT trainer $2,000 1 $2,000 2. LSI -R Screening Tool $241,295 LSIR Complete Kit 25 units per kit. Cost listed on developer's website $275 each 3 (75) $825 3. Seeking Safety Set (4) training videos Client Workbooks English/Sp $325 1 $325 $55 ea, 50 English, 20 Spanish 70 $3,850 4. Computers 1 1pad @ $ 600 to complete mobile screenings 3 computer for new hires $1200 each $4,200 5. Participant Incentives Motivational, therapeutic tangible rewards for client progress and compliance e.g. Journals, posters. $1,000 6. Drug Tests As ordered by Court; to include but not limited to: urine and ETC tests. $10,000 Supplies Total $24,700 Summary Contractual 1. Project Evaluation $12,000 2. David Lawrence Center Salary $186,708 Fringe $13,214 Travel $4,673 Supplies $24,700 Total DLC Contract $229,295 Total Contractual $241,295 Federal Request: $241,295 39 Packet Page -2869- 5/14/2013 16.D.5. Collier County Adult Drug Court Expansion and Enhancement Construction N/A Other No other funds are requested or needed. Total Direct Costs $289,494 Federal Request: $289,494 Non - Federal Match: $0 Total Indirect Costs Federal Request: $0 Non - Federal Match: $0 Total Project Costs: $289,494 Federal Request: $289,494 Non - Federal Match: $0 BMW aumma Category Federal Request Non- Federal Mach Total Personnel $30,745 $0 $30,745 Fringe Benefits $11,423 $0 $11,423 Travel $1,871 $0 $1,871 Equipment $0 $0 $0 Materials and Supplies $4,160 $0 $4,160 Contractual $241,295 $0 $241,295 Construction $0 $0 $0 Other $0 $0 $0 Total Direct Costs $289,494 $0 $289,494 Indirect Costs $0 $0 $0 Total Project Costs $289,494 1 $0 $289,494 Awk 40 Packet Page -2870- 5/14/2013 16.D.5. Collier County Adult Drug Court Expansion and Enhancement Calculation of Future Budget Periods Based on the First 12 -Month Budget Category Year 1 Year 2 �'ear.3 Total Project Costs Personnel $30,745 $17,583 $17,583 $ 65,911 Fringe $11,423 $6,956 $ 6,956 $25,335 Travel $1,871 $1,871 $1,871 $5.613 E ui ment $0 $0 $0 $0 Supplies $4,1.60 $0 $0 $4,160 Contractual $241,295 $242,395 $250,661 $734,351 Other $0 $0 $0 $0 Total Direct Costs $289,494 $268,805 $277,071 $835,370 Indirect Costs $0 $0 1 $0 $0 Total Project Costs $289,494 $268,805 $277,071 1 $835,370 41 Packet Page -2871- ' ,;j 5/14/2013 16.D.5. Section G: Literature Citations American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4t" ed., text rev.). Washington DC: American Psychiatric Press. Andrews, D. A. & Bonta, J. (2010). The Psychology of criminal conduct (5a' Edition). New Providence, NJ: LexisNexis Baler, R. D. & Volkow, N. D. (2006). Drug Addiction: The neurobiology of disrupted self - control. Trends in Molecular Medicine, 12, 559 -566. Belenko, S. (2006). Assessing released inmates for substance abuse related service needs. Crime and Delinquency, 52, 94 -113. Bohs, R. Piekalkiewicz, E, & Fontaine, M. (2009). AAD Costs in Florida Alcohol and Drug Abuse Association. Carroll, K. M., Ball, S. A., Nich, C., Martino, S., Frankforter, T. L., Farentinos, C., et al. (2006). Motivational interviewing to improve treatment engagement and outcome in individuals seeking treatment for substance abuse: A multisite effectiveness study. Drug and Alcohol Dependence, 81(3), 301-312. Chandler, R. K., Fletcher, B. W. & Volkow, N. D. (2009). Treating drug abuse and addiction in the criminal justice system: Improving public health and safety. Journal of the American Medical Association, 301, 183 -190. Centers for Disease Control and Prevention. Recommendations for identification and public health management of persons with chronic hepatitis b virus infection. MMWR 2008; 57(No. RR -8): 1 -39. http: / /www.cdc.gov /mmwr /preview /mmwrhtmi /rr5708al.htm Centers for Disease Control and Prevention. Recommendations for prevention and control of hepatitis c virus (HCV) infection and HCV - related chronic disease. MMWR 1998; 57(No. RR -19): 1 -20. http://www.cdc.gov/hepatitisiliCV/GuidelinesC.htm Daekis, C. & O'Brien, C. (2005). Neurobiology of addition: Treatment and public policy ramifications. Nature Neuroscience, 8, 1431 -1436 De Leon, G., Melnick, G. & Cleland, C. M. (2008). Client matching: A severity - treatment intensity paradigm. Journal ofAddictive Diseases, 27(3), 1 -15. De Leon, G., Melnick, G., & Cleland, C. M. (2010). Matching to sufficient treatment: Some characteristics of undertreated (mismatched) clients. Journal ofAddictive Diseases, 29(1), 59 -67, 42 Packet Page -2872- 5/14/2013 16.D.5. DeMatteo, D. S., Marlowe, D. B., Festinger, D. S. & Arabia. P. L. (2009). Outcome trajectories in drug court: Do all participants have serious drug problems? Criminal Justice and Behavior, 36, 354 -368. Goldstein, R. Z., Craig, A. D., Becha.ra, A., Garavan, H., Childress, A. R., Paulus, M. P. & Volkow, N. D. (2009). The neurocircuitry of impaired insight in drug addiction. Cell, 13, 372 -380. Little, G.L., Robinson, K.D., Burnette, K.D., & Swan, E.S. (2010). Twenty -year recidivism results for MRT- reated offenders (2010). Cognitive Behavioral Treatment Review, 19, 1 National Center on Addiction and Substance Abuse. (2010). Behind bars II: Substance abuse and America's prison population. New York: Author. National Institute of Drug Abuse (2009). Treating Offenders with Drug Problems: Integrating Public Health and Public Safety. NIDA Topics in Brief, March 2009. Simpson, D. D. & Knight, K. (Eds.) (2007). Special Journal Issue: Offender needs and functioning assessments. Criminal Justice and Behavior, 34(9). Smith, P., Gendreau P. & Swartz K. (2009). Validating the principles of effective intervention: A systematic review of the contributions of meta- analysis in the field of corrections. Victims & Offenders, 4, 148 -169. Substance Abuse & Mental Health Services Administration (SAMHSA) Center for Trauma Informed Care http://www.samhsa.gov/nctic/t-raui-na.asp Wilson, D.B., Bouffard, L.A. & Mackenzie, D.L. (2005). A Quantitative Review of Structured, Group - Oriented, Cognitive- Behavioral Programs for Offenders Criminal Justice and Behavior 32, 172, DOI: 10.1177/0093854804272889 Young, M.S., Hills, H.A., Rugs, D., Peters, R., Moore, K. Woods - Brown, L., & Pape, L. (2004), Integrating Seeking Safety into substance abuse treatment programs. Paper presented at the 112 Annual Meeting of the American Psychological Association, Honolulu, HI. Zlotniek C, Johnson J, Najavits LM. (2009). Randomized controlled pilot study of cognitive - behavioral therapy in a sample of incarcerated women with substance use disorder and PTSD. Behavior Therapy, 40(4) :325 -36. 43 Packet Page - 2873 - ;rli 5/14/2013 16.D.5. Class Code: 53100 Pay Grade: 20 COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: GRANTS COORDINATOR PURPOSE OF CLASSIFICATION The purpose of this classification is to secure and administer grant programs within a division including the Housing and Urban Development (HUD) Community Development Block Grant (CDBG) programs and transportation related grant programs such as Metropolitan Planning Organization (MPO) grants, Federal Transit Authority grants, stormwater grants and Joint Participation grants. Provides technical and grant writing assistance as needed. Oversees implementation of grants, monitors grant activity timeliness and oversees preparation of regular progress updates and financial/statistical reporting. Ensures that all aspects of financial management, procurement of various contractors /consultants, scheduling of public hearings, record keeping for auditing purposes, preparing work plans for construction projects, and developing various reviews, executive summaries, resolutions, participating party agreements, and budget amendments are completed according to schedule. ESSENTIAL FUNCTIONS The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned. Develops and prepares all required reports needed for implementation of grant programs on the state and federal level, to include budget preparation, research, word processing, data entry, copying, mailing,. and filing; attends neighborhood/ community meetings; conducts or attends interdepartmental meetings regarding identifying community needs, implementing activities, and identifying funding needs; prepares materials for Board of County Commissioners authorization, such as executive summaries, resolutions, participating party agreements, and budget amendments. Assists in the administration and implementation of each grant related activity; works with the Purchasing Department on requests for proposals for design/engineering and contractor; assists in the selection of contractors; holds pre - construction conference to review state and federal regulations; obtains wage decision and interviews workers on job site; certifies payrolls; approves invoices and submits for payment to contractor; amends work plans as necessary; works with participating parties; tracks expenditures Implements the County's purchasing procedures as they apply to grants; gathers formal and informal quotes; inputs data in computer for purchase requisition or purchase order; receives invoices and processes payments; files all materials; submits requests for funds using the grantor's payment system, Provides assistance, advice, support, and guidance to applicants and recipients of grants. Assists in the preparation of the Consolidated Plan, an extensive document detailing the needs of the community and projects intended to provide relief to low income persons or provide economic development; prepares annual Action Plan; prepares detailed maps of census data for each project area, as well as gathers and compiles data, Researches and gathers population estimates, demographic data, traffic data, wage rates, affordable housing units, etc.; tracks trends and analyzes data used in planning. Page I Lest Revised; November 2005 44 Packet Page -2874- tt''1 5/14/2013 16.D.5. Collier County, Florida *Grants Coordinator 53100 Reads professional journals, federal regulations, notices of funding, correspondence, and other documentation to stay abreast of industry standards and trends, Represents the County on coalitions and on steering and planning committees; attends meetings and workshops to maintain currency with latest regulations. Coordinates activities with the cities of Naples and Marco Island due to participating party agreements; ensures all necessary supporting documents are filed at the County office for grantor monitoring and auditing purposes. Operates a computer, printer, calculator, copier, facsimile machine, scanner, telephone, postage machine, automobile, or other equipment as necessary to complete essential functions, to include the use of word processing, spreadsheet, database, or other system software. ADDITIONAL FUNCTIONS Answers phones; makes copies; handles all aspects of purchasing for grants programs; answers citizen requests for information; mails requested information. Makes travel arrangements; prepares travel forms for reimbursement of expenses, Performs other related duties as required. In the event of a declared state of emergency, employees in this classification may be called to work during days or hours other than those for which they are regularly scheduled. MINIMUM QUALIFICATIONS Bachelor's degree in Business Administration, Public Administration, Construction, Finance, Economics, or closely related field; two years of experience working with grant agencies, community organizations and low income neighborhoods and/or implementing federal and state grant programs subject to numerous regulations; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Must possess and maintain a valid Florida Driver's License with any applicable endorsements and maintain eligibility requirements and endorsement(s) to drive a County vehicle as provided in CMA 5805. Fingerprinting required. PERFORMANCE APTITUDES Data Utilization: Requires the ability to evaluate, audit, deduce, and/or assess data using established criteria. Includes exercising discretion in determining actual or probable consequences and in referencing such evaluation to identify and select alternatives, Human Interaction: Requires the ability to apply principles of persuasion and/or influence over others in coordinating activities of a project, program, or designated area of responsibility. Enuipment, Machinery, Toois and Materials Utilization: Requires the ability to operate, maneuver and /or control the actions of equipment, machinery, tools; and/or materials used in performing essential functions. Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, advisory and/or design data and information, Page 2 Last Revised: November 2005 1:1*1 Packet Page -2875- �1 5/14/2013 16.D.5. Collier County, Florida -Grants Coordinator 53100 Mathernatieal Aptitude: Requires the ability to perform addition, subtraction, multiplication and division; ability to calculate decimals and percentages; may include ability to perform mathematical operations with fractions; may include ability to compute discount, interest, profit and loss, ratio and proportion; may include ability to calculate surface areas, volumes, weights, and measures. Functional Reasonine: Requires the ability to apply principles of rational systems; to interpret instructions furnished in written, oral, diagrammatic, or schedule form; and to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives. Situational Reasoning: Requires the ability to exercise judgment, decisiveness and creativity in situations involving the evaluation of information against sensory, judgmental, or subjective criteria, as opposed to that which is clearly measurable or verifiable. Leadership: Customer Service: Financial Accountability: ADA COMPLIANCE Physical Ability: Tasks require the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and/or pulling of objects and materials of light weight (5 -10 pounds). Tasks may involve extended periods of time at a keyboard or work station, Sensory Requirements: Some tasks require the ability to perceive and discriminate colors or shades of colors, sounds, and visual cues or signals, Some tasks require the ability to communicate orally. Environmental Factors: Performance of essential functions may require exposure to adverse environmental conditions, such as temperature extremes or traffic hazards. Collier County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer, Page 3 Last Revised: November 2005 !ll Packet Page -2876- 5/14/2013 16.D.5. Class Code: 53118 Pay Grade: 22 COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: MANAGER - FEDERAL /STATE GRANTS OPERATIONS PURPOSE OF CLASSIFICATION The purpose of this classification is to create and develop various operational strategies, plans and policies required to effectively manage, direct and implement the federal and state grant programs including: Community Development Block Grant (CDBG), HOME Investment Partnerships Program (HOME), Emergency Shelter Grant (ESG), Fair Housing Program, State Housing Initiatives Program (SHIP), Small Cities Grant (SCG), and the federal and state competitive Continuum of Care (CoC) grants for the County. Manages the operations of these programs in order to provide permanent and transitional housing development, housing rehabilitation, acquisition, home ownership, tenant based rental assistance, neighborhood revitalization, energy conservation, infrastructure improvements, homelessness, community improvement plans, fair housing issues, economic development and public services included but not limited to youth programs and job training. Functions as a technical resource to a variety of federal/state grant programs monitors compliance with the federal /state rules and regulations. Implements Five -Year Consolidated Plan, Annual Action Plans and amendments to the Consolidated Plans; develops, oversees and implements policies and procedures for all programs' operations and internal fiscal tracking systems including budgeting, single -audit requirements and the Integrated Disbursement Information System (IDIS) federal tracking system; and provides technical assistance to senior management, other County departments, housing developers, a variety of social service agencies, organization executive directors, staff project coordinators, city officials and the general public. Interfaces with various federal /state agencies and national organizations such as the U.S. Department of Housing and Urban Development (HUD), U.S. Department of Agriculture (USDA), U.S. Department of Energy (DOE), Environmental Protection Agency (EPA), Florida Housing Coalition (FHC), State of Florida Department of Community Affairs (DCA), National Association of County Community and Economic Development (NACEED), National Association of Counties (NACO), National Association of Housing and Redevelopment Officials (NAHRO) etc., on various plans, programs and issues. ESSENTIAL FUNCTIONS The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the woric is similar, related, or a logical assignment for this classification. Other duties may be required and assigned, Supervises, directs, trains, mentors and evaluates assigned staff; addresses employee concerns and problems; directs work, assigns tasks, counsels, disciplines, and completes KRAs and performance appraisals. Recruits and selects staff. Monitors workflow; develops and implements policies and procedures; reviews and evaluates work products, methods and procedures. Assists in the preparation of Collier County's Five -Year Consolidated Plan necessary to receive CDBG, HOME, PSG fiends, including the Annual Action Plan. Reviews information to ensure that it is accurate and clearly delineates the proposed activities /projects. Presents plans to the Board of County Commissioners, division administrator, senior management, general public, media and social groups, Page .1 Last Revised: June, 2 ©04 47 Packet Page -2877- 5/14/2013 16.D.5. Collier County, Florida • Manager — Federal/State Grants Operations Code: 53118 Ensures that the County is in compliance with all Federal, state and local laws, regulations and guidelines regarding CDBG, HOME, ESG, SHIP, SCG and CoC programs. Interprets laws, regulations and guidelines as they pertain to these programs. Develops and implements internal operating procedures and policies. Implements and oversees CDBG, HOME, ESG, SHIP, SCG and CoC operations to ensure that activities comply with federal and state regulations including the County's subrecipient agreements with social service agencies, participating agencies, county departments and private developers. Develops eligible and achievable projects to be incorporated in Consolidated Plan through 'information obtained by a needs assessment, analysis, planning studies and public input in compliance with local, state and federal rules, regulations and statues, Administers and implements the operational components of programs identified in the Collier County's Consolidated Plan — both Five -Year Plan and One -Year Action Plan. Review and amend the Consolidated Plan as necessary. Develops and administers the fund operational budgets, Forecasts the funds needed for staffing, programs, equipment, and special projects. Monitors and approves expenditures. Interacts with HUD officials on all programmatic matters regarding the implementation of federal programs. Communicates issues to assigned regional HUD representative and Washington, DC officials (i.e. Lead Based Paint, Uniform Relocation Act (URA), Fair Housing, Americans with Disabilities Act, Migrant Farm Workers, homelessness, transitional housing, rental housing and/or subsidies, affordable housing, down- payment assistance, home ownership counseling, community improvement plans, needs assessments, performance and out come measurements, infimstructure, public facilities and economic development), As "Lead Agency" of the annual CoC grant application submissions to HUD and the state of Florida on behalf of Collier County Hunger and Homeless Coalition, serves as manager for service delivery and operations through various social service organizations by monitoring and auditing of programs. Reviews and approves requested funding disbursements from staff. Interfaces with HUD's Integrated Data Information System (IDIS) to review cash management activities. Compiles and reviews data from subrecipient monthly reports for IDIS and transmits to the internal schedule of expenditures for tracking by fiscal representative. Reviews reports and compares to schedule of activity to monitor progress and identify potential delays. Communicates with the County's Budget and Finance Departments on various budget and expenditure matters and issues. Oversees and reviews the preparation and submission of required reports (Quarterly Cash Reports, Quarterly Labor Reports, Section 3 Reports, Fair Housing Analysis of Impediments document, various IDIS reports to be included in the Consolidated Annual performance and Evaluation ° Report (CAPER), Environmental Reports and Minority Business Enterprise Reports) to HUD. Provides effective and efficient technical assistance, support and guidance to applicants and subrecipients regarding grant administration, operations and implementation. Ensures that the necessary information to comply with various regulations is disbursed. Prioritizes actions and ensures that projects move forward to comply with HUD timelines. Develops, maintains and monitors operating procedures for alt grant programs and revises as necessary. Represents the County and programs by making presentations to local civic associations, social groups, special interest groups, media, peer groups and general public. Acts as liaison to assigned partnerships. Cultivates the development of public — private partnerships to leverage public funding with private funding. Page 2 Last Revised: June, 2004 48 Packet Page -2878- 5/14/2013 16.D.5. Collier County, Florida -Manager — Federal /State Grants Operations Code: 53118 Makes program presentations to the Board of County Commissioners, division administrator, senior management, county attorney and other county departments. Prepares, develops, and evaluates highly technical studies related to CDBG, HOME, ESG, Fair Housing, SHIP and SCG programs. Coordinates and provides technical assistance to social service and not for profit agencies to build organizational capacity to plan effectively for their community development activities. Establishes procedural systems that depict the deliverables required from the community liaison that are designed to facilitate interaction and solicit participation at the grass roots level of targeted neighborhood development. Processes feedback frorn community liaison regarding neighborhood concerns and issues for development of community improvement plans. Supervises the community liaison(s) to ensure continual representation of communities in program development/administration /process. Drafts and proposes ordinances, resolutions, amendments, reports, programs, subrecipient agreements, participating parties agreements, and executive summaries for approval by the Board of County Commissioners. Oversees and coordarates the work of sub recipients; monitors scope of work, reviews cost estimates and audits and approves invoices submitted by sub recipients for compliance with scope of work. Develops and manages various timelines for the mandated tasks. Provides oversight to ensure the quality of accomplishments. Interprets and complies with federal, state and local laws and regulations regarding programs, Resolves the findings federal and state audits. Creates documents or systems to ensure compliance. Reviews and evaluates CDBG, HOME, ESG and SHIP applications to determine eligibility and Consolidated Plan compliance. Negotiates and designs documents such as participating parties agreements and sub - recipient contracts with municipalities, non- profit agencies and private organizations, Drafts and amends subrecipient agreements for projects as necessary, Attends various technical trainings provided by federal and state departments on the administration of CDBG, HOME, ESG, Fair Housing, SHIP and CoC programs in order to maintain skills and stay current with changing requirements. Schedules and conducts public hearings regarding CDBG, HOME, ESG programs Conducts subrecipient technical training workshops pertaining to application process, eligible activities, procurement, labor laws and regulations, environmental requirements, monitoring, financial records, etc. Organizes and participates in Fair Housing activities including raising the awareness to inform citizens of their rights under the law including neighborhood meetings and communication with HUD, Collier County Housing Authority, landlords, financial institutions and media. Implements and administers the Down Payment Assistance Program which contains very specific federal components with complex operational and administrative requirements. Compares program financial spreadsheets with County's CAFR system and HUD's IRIS to ensure that revenues and expenditures are correct. Page 3 49 Packet Page -2879- Last Revised: ,June, 2004 5/14/2013 16.D.5. Collier County, Florida • Manager — Federal/State Grants Operations Code: 53118 Reviews project status for timeliness and compliance with federal and state funding sources and sub - recipient agreements. Develops and implements the Single Family Rehabilitation Program. Ensures that all required federal and state regulatory items are incorporated into the funding integration to maximize housing quality impact. Develops policies and operational components - outreach, intake, contractor qualification, bidding and contract award procedures, payment processing, work monitoring and final inspections - in accordance with federal regulatory requirements such as energy conservation code, lead based paint procedure and materials standards specifications, Advises Citizen Advisory Task Force Committee concerning CBDG, HOME and ESG programs, procedures and regulatory requirements, Serves as the liaison for the County with U.S. Department of Housing and Urban Development and with the State of Florida Office on Homelessness including participating on various local and national committees. Researches various grants to leverage CDBG, HOME, ESG, CoC, SHIP and private funding programstactivities. Creates and coordinates special projects and activities related to federal and state programs. Ensures citizen participation in the development, implementation and evaluation of federal and state programs. Serves on various community committees. Provides assistance, advice, support, and guidance to applicants and recipients of CDBG, HOME, ESG, CoC, SCG and SH I P grants. Reads professional journals, federal regulations, notices of funding, correspondence, and other documentation to stay abreast of industry standards and trends. Communicates with the cities of Naples and Marco Island due to participating party agreements. Operates a computer, printer, calculator, copier, facsimile machine, scanner, telephone, postage machine, automobile, or other equipment as necessary to complete essential functions, to include the use of word processing, spreadsheet, database, or other system software, ADDITIONAL FUNCTIONS Answers phones; makes copies; handles all aspects of purchasing; answers citizen requests for affordable housing information; mails requested information, Makes travel arrangements; prepares travel forms for reimbursement of expenses. Performs other related duties as required. In the event of a declared state of emergency, employees in this classification may be called to work during days or hours other than those for which they are regularly scheduled. Page 4 Last Revised: June, 2004 50 Packet Page - 2880 -�� 5/14/2013 16.D.5. Collier County, Florida • Manager— Federal /State Crants Operations Code 53118 MINIMUM QUALIFICATIONS Bachelor's degree in Business Administration, Public Administration, Urban Planning or closely related field; three years of experience working with community organizations, low income neighborhoods, and/or implementation of CDBG, HOME, ESG, SCG, SHIP and CoC programs and/or other federal programs and regulations; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Must possess and maintain a valid Florida Driver's License with any applicable endorsements and maintain eligibility requirements and endorsement(s) to drive a County vehicle as provided in CMA 5805. Demonstrated ability to effectively supervise and motivate assigned staff members. Fingerprinting required. PERFORMANCE APTITUDES Data Utilization: Requires the ability to evaluate, audit, deduce, and /or assess data using established criteria. Includes exercising discretion in determining actual or probable consequences and in referencing such evaluation to identify and select alternatives. Human Interaction; Requires the ability to apply principles of persuasion and /or influence over others in coordinating activities of a project, program, or designated area of responsibility. 1Juuipment, Machinery Tools and Materials Utilization: Requires the ability to operate, maneuver and/or control the actions of equipment, machinery, tools, and/or materials used in performing essential functions. Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, advisory and /or design data and information. Mathematical Antitudc: Requires the ability to perform addition, subtraction, multiplication and division; ability to calculate decimals and percentages; may include ability to perform mathematical operations with fractions; may include ability to compute discount, interest, profit and loss, ratio and proportion.; may include ability to calculate surface areas, volumes, weights, and measures, Functional Reasoning: Requires the ability to apply principles of rational systems; to interpret instructions furnished in written, oral, diagrammatic, or schedule form; and to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives. Situational Reasoning: Requires the ability to exercise judgment, decisiveness and creativity in situations involving the evaluation of information against sensory, judgmental, or subjective criteria, as opposed to that which is clearly measurable or verifiable. Leadership: Requires ability to provide support and guidance to assigned staff and social service providers to build organization capacity, Customer Service: Requires ability to assist various social service agencies by providing on -going technical assistance and guidance to utilize full extent of CDBG program. Financial Accountability: Requires ability to perform various financial functions including budget forecasting, Request for Proposals, draw down of CDBG funds via HUD's IDIS and Single -Audit requirements. ADA COMPLIANCE Physical Ability: Tasks require the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and /or pulling of objects and materials of light weight (5 -10 pounds), Tasks may involve extended periods of time at a keyboard or workstation. Page 5 Last Revised: June, 2004 51 r Packet Page -2881- E';:; 5/14/2013 16.D.5. Collier County, Florida • Manager — Federal /State Grants Operations Code: 53118 Sensory Requirements: Some tasks require the ability to perceive and discriminate colors or shades of colors, sounds, and visual cues or signals. Some tasks require the ability to communicate orally, Environmental Factors: Performance of essential functions may require exposure to adverse, enviromnental conditions, such as temperature extremes or traffic hazards. Collier County is an Equal Opporluni0i Employer, In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. Page G 52 Packet Page -2882- 5/14/2013 16.D.5. Class Code: 53111 Pay Grade: 15 COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: GRANTS SUPPORT SPECIALIST PURPOSE OF CLASSIFICATION Provides project administrative support for the operation of grant programs within an assigned department/division in the County. Prepares various state and federal government mandated reports. Maintains files for grants programs including requests for payments. ESSENTIAL FUNCTIONS The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification, Other duties may be required and assigned. Maintains files for grants programs including recipient information; bid process information and request for payments. Ensures that programs remain in compliance by preparing state and federal mandated reports including research & compilation of data/information, data entry, copying, mailing & filing, May administer grant program specific to the department /division. Establishes and maintains data in applicable financial and reporting systems, Inputs data from subrecipients, vendors, fiscal staff, other department employees and grant agencies into the systems and translates to an internal schedule of expenditures for tracking /monitoring by fiscal personnel, Provides assistance and advice to subrecipients /vendors on their specific projects regarding invoicing, documentation of form preparation and contract/grant compliance. Ensures that subrecipients /vendors have the necessary information to comply with various regulations. Reads and ensures compliance monitoring with Federal, state and local laws and regulations regarding specific grants program requirements. Attends various training sessions presented by state and federal agencies to maintain skills. Attends and participates in workshops, trainings, fairs, community meetings and public hearings as requested. Prepares assigned portions of subrecipient/vendor technical training such as invoicing, documentation of form preparation, contract compliance and compliance requirements. Establishes and maintains automated and manual records and files, Completes time sheets /records for payroll purposes and /or for billable hours, Page 1 Last Revised: August, 2004 53 Packet Page -2883- 5/14/2013 16.D.5. Collier County, Florida • Grants Support Specialist Code: 53111 Provides assistance and information to internal and external callers and visitors regarding the department, its programs and services and the administrative support functions, Ensures that all program complaints are referred to the appropriate staff member or agency. Refers callers /visitors to appropriate stair as needed, Performs special projects as assigned. May make travel arrangements, prepare per diem requests and /or prepare out of county travel forms. Operates a personal computer, telephones, copiers and other general office equipment as necessary to complete essential functions, to include the use of word processing, spreadsheet, database, or other systern software, ADDITIONAL FUNCTIONS Perfonns other related duties as required. In the event of a declared state of emergency, employees in this classification may be called to work during days or hours other than those for which they are regularly scheduled. MINIMUM QUALIFICATIONS Associate degree with coursework in business administration, public administration, finance, or closely related field; supplemented by 1 -2 years working in community organizations and/or in the implementation of state and federal grant programs; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Fingerprinting required. PERFORMANCE APTITUDES Data Utilization: Requires the ability to review, classify, categorize, prioritize, and /or analyze data. includes exercising discretion in determining data classification, and in referencing such analysis to established standards for the purpose of recognizing actual or probable interactive effects and relationships, Human Interaction: Requires the ability to provide guidance, assistance, and /or interpretation to others regarding the application of procedures and standards to specific situations. Enuipment, Machinery, Tools, and Materials Utilization: Requires the ability to operate, maneuver and /or control the actions of equipment, machhrery, tools, and/or materials used in perforating essential functions. Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, and /or advisory data and information. Mathematical Aptitude: Requires the ability to perform addition, subtraction, multiplication, and division; the ability to calculate decimals and percentages; the ability to utilize principles of fractions; and the ability to interpret graphs. Functional Reasoning: Requires the ability to apply principles of rational systems; to interpret instructions furnished in written, oral, diagrammatic, or schedule form; and to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives, Page 2 Last devised: August, 2004 54 Packet Page -2884- 5/14/2013 16.D.5. Collier County, Florida * Grants Support Specialist Code: 53111 Situational Reasonin : Requires the ability to exercise judgment, decisiveness and creativity in situations involving evaluation of information against measurable or verifiable criteria. Leadership: Customer Service: Financial Accountability ADA COMPLIANCE Physical Ability: Tasks require the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and /or pulling of objects and materials of light weight (5 -10 pounds). Tasks may involve extended periods of tune at a keyboard or workstation. Sensory Requirements: Some tasks require the ability to perceive and discriminate sounds and visual cues or signals. Some tasks require the ability to communicate orally. Environmental Factors: Essential functions are regularly performed without exposure to adverse environmental conditions. Collier County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer, Page 3 Last Revised: August, 2004 55 Packet Page -2885- 5/14/2013 16.D.5. Class Code: 15510 AOW Pay Grade: 19 1--A, COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: ACCOUNTANT PURPOSE OF CLASSIFICATION The purpose of this classification is to perform professional and technical accounting and financial duties for a County Department, Work involves preparing grant applications, financial reports and budget documents; and performing department accounts payable, accounts receivable and payroll functions. ESSENTIAL FUNCTIONS The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned. Performs a variety of accounting duties pertaining to application for and administration of awarded grants, Prepares grant applications and grant amendments. Reviews contracts for grants awarded to the department. Prepares and implements schedule for grant administrative monitoring; maintains grant administration check lists; determines unit costs for grant services; prepares grant schedules, profiles, and subsidy vouchers; and prepares reports addressing grant funding, utilization, status, etc. Reconciles account receivables to grant agreements. Performs a variety of accounting duties pertaining to the preparation, maintenance and administration of the Department budget, Analyzes historical costs and projects future financial needs. Prepares the annual budget for the department, Administers the approved budget; monitors expenditures; prepares budget reports; and prepares budget amendments as necessary. Performs Department accounts receivable functions. Prepares accounts receivable invoices; prepares billings for client services; receives and reconciles payments; assigns payments to proper cost center; verifies posting of receivables; maintains accounts receivable records; and prepares bank deposits, Performs department accounts payable functions, Prepares purchase order requests; prepares invoices for payment authorization; assigns expenditures to proper cost center and submits to Finance department; verifies positing o expenditures. Maintains accounts payable ledger and records. Enters and maintains automated and manual accounting records, Performs data entry for accounting operations and verifies accuracy. Reconciles General ledger accounts, Prepares a variety of financial and accounting records and reports including revenue and expenditure reports, executive summaries, aging reports, etc. Performs special projects, analysis and reports related to the financial condition and accounting records of the department. Advises department staff on record keeping and accounting issues, policies and procedures and responds to requests for information and /or assistance. Assists with the annual audit by an outside firm; researches and provides infonmation and documentation to auditors. Maintains inventory records of department equipment, materials and supplies, orders office supplies as necessary, 0 DMG- MAXIMUS, INC, Page I Last Revised: July, 2001 56 Packet Page - 2886 - '.ir; 5/14/2013 16.D.5. Collier County, Florida • Accountant 15510 Tracks and consolidate s data in preparation for department performance measures. Establishes and maintains department accounting policies and procedures. Operates a personal computer, telephones, copiers and other general office equipment as necessary to complete essential functions, to include the use of word processing, spreadsheet, database, or other system software, ADDITIONAL FUNCTIONS Perfonns general clerical work in support of assigned duties, including answering telephones, assisting customers, copying and filing documents, etc. Prepare authorization requests for facilities repair and maintenance. Maintains Department OSHA reporting information and submits to risk management. Perfonns other related duties as required. In the event of a declared state of emergency, employees in this classification may be called to work during work days or hours other than those for which they are regularly scheduled. MINIMUM QUALIFICATIONS Bachelor's degree in accounting, finance or a related field; supplemented by one year of experience performing budgeting, accounting and financial reporting work; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Fingerprinting required. PERFORMANCE APTITUDES Data Utilization: Requires the ability to evaluate, audit, deduce, and/or assess data using established criteria. Includes exercising discretion in determining actual or probable consequences and in referencing such evaluation to identify and select alternatives, Human Interaction: Requires the ability to apply principles of persuasion and/or influence over others in coordinating activities of a project, program, or designated area of responsibility. Equipment, Machinery. Tools and Materials Utilization: Requires the ability to operate, maneuver and/or control the actions of equipment, machinery, tools, and/or materials used in performing essential functions, Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, advisory and /or design data and information. Mathematical Aptitude: Requires the ability to perform addition, subtraction, multiplication and division; ability to calculate decimals and percentages; may include ability to perform mathematical operations with fractions; may include ability to compute discount, interest, and ratios; may include ability to calculate surface areas, volumes, weights, and measures, Functional Reasoning: Requires the ability to apply principles of influence systems, such as motivation, incentive, and leadership, and to exercise independent judgment to apply facts and principles for developing approaches and techniques to resolve problems, 0 DMG- MAXIMUS, INC. Page 2 Last Revised: July, 2001 57 Packet Page -2887- << ;, 5/14/2013 16.D.5. Collier County, Florida • Accountant 15510 Situational Ressonin : Requires the ability to exercise judgment, decisiveness and creativity in situations involving the evaluation of information against sensory, judgmental, or subjective criteria, as opposed to that which is clearly measurable or verifiable. Leadersh in: Customer Service: Financial Accountability: ADA COMPLIANCE Physical Ability; Tasks require the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and/or pulling of objects and materials of light weight (5 -10 pounds). Tasks may involve extended periods of time at a keyboard or work station. Sensory Reaufrements: Some tasks require the ability to perceive and discriminate sounds and visual cues or signals, Some tasks require the ability to conununicate orally. Environmental Factors: Essential functions are regularly perfonned without exposure to adverse environmental conditions. Collier County is an Equal Opportunity Employer, In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. © DMG- MAXIMUS, INC. Page 3 Last Revised: July, 2001 58 Packet Page -2888- 5/14/2013 16.D.5. Class Code: 91050 Pay Grade: 22 COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: SUPERVISOR - ACCOUNTING PURPOSE OF CLASSIFICATION The purpose of this classification is to supervise staff and assigned fiscal operations in a Division. Work involves assigning and supervising the work of fiscal staff; reviewing fiscal and accounting procedures; providing a variety of technical reports pertaining to assigned accounting/financial operations; and providing information and assistance to division managers and staff regarding accounting and financial activities. ESSENTIAL FUNCTIONS The following duties are normal for this position. The omission of specific statements of the duties dots not exclude them from the classification if the work is similar, related, Other duties may be required and assigned, or a logical assignment for this classification. Supervises the operations, activities and services of a Division's Fiscal Section, Establishes and implements department accounting policies and procedures; and plans and organizes the work of the section. Supervises staff performing technical accounting work; Performs a variety of administrative duties associated with supervising staff to include hiring, assigning work; providing guidance and direction; coordinating staff training and development; reviewing work products and evaluation performance. Oversees all account receivable and/or accounts payable transactions, Authorizes disbursements, and reviews and approves payment vouchers and requisitions for Division purchases, Prepares a variety of financial and accounting reports, including detailed reports on activities and project states, budget reports, monthly financial reports, capital expenditure reports, executive summaries, etc, Performs a variety of accounting duties pertaining to the preparation, maintenance and administration of the Department budget. Prepares the budget estimates and/or capital projects budgets. Administers the approved purchasing and operating/capital budgets; monitors expenditures, revenues and transfers of funds; and prepares budget amendments as necessary. Prepares and process all carry forward funds and related documents for capital projects. Serves as advisor to department director and /or managers regarding fiscal activities, budget services, purchasing and finance matters, Makes recommendations on fiscal operations; confers with other County departments regarding financial and accounting systems, Develops and maintains varied accounting and fiscal databases which support department financial activities; enters and updates data and ensures accuracy; researches and retrieves data from databases upon request. Develops a portfolio of monthly and quarterly management reports (financial and performance based) and performance metrics in order to provide timely and accurate analytical information to management for setting goals and improving divisional performance. Assigns work orders and maintains annual contracts for a variety of procured services. Reviews capital contracts and ensures payments are being submitted to vendors in accordance with contract requirements. Maintains contribution © DNIG- MAXIMUS, INC, Page 1 Last Revised: July, 2001 59 Packet Page -2889- 5/14/2013 16.D.5. Collier County, Florida • Supervisor - Accounting g agreements and serves as liaison for the division to the County Attorney and Community Development Departments as assigned. Drafts ordinance revisions, resolutions and executive summaries as required to maintain currency of existing ordinances; receives input for County Attorney's office and incorporates as appropriate. Supervises the preparation of the payroll and assists with processing as needed. Operates a personal computer, telephones, copiers and other general office equipment as necessary to complete essential functions, to include the use of word processing, spreadsheet, database, or other system software. ADDITIONAL FUNCTIONS Performs general clerical work in support of assigned duties, including answering telephones, assisting customers, copying and filing documents, etc. Performs other related duties as required. In (lie event of a declared state of emergency, employees in this classification may be called to work during days or hours other than those for which they are regularly scheduled, MINIMUM QUALIFICATIONS Bachelor's degree in accounting, finance or a related field; supplemented by three years of experience performing budgeting, accounting and financial reporting work; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Fingerprinting required, PERFORMANCE APTITUDES Data Utilization: Requires the ability to evaluate, audit, deduce, and/or assess data using established criteria. Includes exercising discretion in determining actual or probable consequences and in referencing such evaluation to identify and select alternatives. Human Interaction: Requires the ability to perform in a supervisory capacity over subordinate staff.. Equipment, Machinery, Tools, and Materials Utilization: Requires the ability to operate, maneuver and /or control the actions of equipment, machinery, tools, and /or materials used in performing essential functions. Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, advisory and/or design data and information. Mathematical Aptitude: Requires the ability to perform addition, subtraction, multiplication and division; ability to calculate decimals and percentages; may include ability to perform mathematical operations with fractions; may include ability to compute discount, interest, and ratios; may include ability to calculate surface areas, volumes, weights, and measures. Functional Reasonine: Requires the ability to apply principles of influence systems, such as motivation, incentive, and leadership, and to exercise independent judgment to apply facts and principles for developing approaches and techniques to resolve.problems. DMG- MAXIMUS, INC. Page 2 Last Revised: July, 2003 60 Packet Page - 2890 - 'q(. 5/14/2013 16.D.5. Collier County, Florida • Supervisor - Accounting Situational I2easonin : Requires the ability to exercise judgment, decisiveness and creativity in situations involving the evaluation of information against sensory, judgmental, or subjective criteria, as opposed to that which is clearly measurable or verifiable. ADA COMPLIANCE Physical Ability: Tasks require the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and/or pulling of objects and materials of light weight (5 -10 pounds). Tasks may involve extended periods of time at a keyboard or workstation. Sensory Requirements: Some tasks require the ability to perceive and discriminate sounds and visual cues or signals. Some tasks require the ability to communicate orally. Environmental Factors: Essential functions are regularly performed without exposure to adverse environmental conditions. Collier County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. © DMG- MAXIMUS, INC. Page 3 Last Revised: July, 2003 61 Packet Page -2891- 91050 5/14/2013 16.D.5. Class Code: 91060 AWW Pay Grade: 16 COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: ACCOUNTING TECHNICIAN PURPOSE OF CLASSIFICATION The purpose of this classification is to perform specialized accounting and administrative work for an assigned accounting function such as grants administration or lease trtanagement; and to perform general accounting and fiscal work for other department accounting functions, Work involves receiving, preparing and processing financial documents; performing accounts payable and /or receivables work; reconciling accounting transactions; maintaining and balancing accounting ledgers; creating and maintaining accounting databases and automated files; and preparing records, reports and summaries regarding assigned fiscal operations. ESSENTIAL FUNCTIONS The following duties arc normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned. Plans and implements daily operational tasks for assigned specialized accounting function such as grants administration or lease management; also performs general accounting and fiscal work for other department accounting functions. Establishes effective working relationships with internal and external parties and provides information and assistance regarding program policies and procedures. Receives, and processes financial documents for assigned accounting functions (Le, purchase order requisitions, invoices, etc.); reviews documents; ensures accuracy; completes with appropriate information such as account codes, assigning vendor numbers, etc, Enters information into automated financial information systems and submits for processing, Prepares and processes documents for assigned accounting functions (i.e. invoices/bills for services County services, receipts for incoming payments and revenues, etc.) ensures accuracy, completeness, appropriate coding, etc. Accepts and posts payments for assigned programs /functions. Prepares receipts for same. Monitors accounting activities and compares with established budgets and/or projections. Prepares reports of accounting activities such as grant reporting summaries, reports of budget deviations, revenue and sales reports, revenues and expenditures reports, etc. Establishes and maintains accounting information in the automated financial information systems; posts information and performs data entry for accounting transactions; maintains automated files and databases; processes data to produce accounting documents. Retrieves data for reports and/or records. Reconciles accounting transactions and documentation, bank statements and the general ledger for assigned accounts and/or accounting functions. Maintains running balances on assigned accounts. Operates a personal computer, telephones, copiers and other general office equipment as necessary to complete essential functions, to include the use of word processing, spreadsheet, database, or other system software. © DMG- MAXIMUS, INC. Page 1 Last Revised: July, 2001 62 Packet Page -2892- 5/14/2013 16.D.5. C011ier County, Florida • Accounting Technician 91060 ADDITIONAL FUNCTIONS Performs other related duties as required. In the event of a declared state of emergency, employees in this classification may be called to work during days or hours other than those for which they are regularly scheduled, MINIMUM QUALIFICATIONS Associate's degree with course work emphasis in accounting, business or a related field; supplemented by one year of accounting and fiscal experience; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Fingerprinting required. PERFORMANCE APTITUDES Data Utilization: Requires the ability to review, classify, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in referencing such analysis to established standards for the purpose of recognizing actual or probable interactive effects and relationships. Human Interaction: Requires the ability to provide guidance, assistance, and /or interpretation to others regarding the application of procedures and standards to specific situations. Equipment, Machinery Tools and Materials Utilization: Requires the ability to operate, maneuver and /or control the actions of equipment, machinery, tools, and/or materials used in performing essential functions. Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, and /or advisory data and information. Mathematical Aptitude: Rtequires the ability to perform addition, subtraction, multiplication and division; ability to calculate decimals and percentages; may include ability to perform mathematical operations with fractions; may include ability to compute discount, interest, and ratios; may include ability to calculate surface areas, volumes, weights, and measures. Functional Reasonin : Requires the ability to apply principles of rational systems; to interpret instructions furnished in written, oral, diagrammatic, or schedule form; and to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives, Situational Reasoning: Requires the ability to exercise judgment, decisiveness and creativity in situations involving evaluation of information against measurable or verifiable criteria. Leadership: Customer Service: Financial Accountability: ADA COMPLIANCE Physical Ability: Tasks require the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and /or pulling of objects and materials of light weight (5 -10 pounds). Tasks may involve extended periods of time at a keyboard or work station, © DMG- MAXIMUS, INC, page 2 Last Revised: July, 2001 63 Packet Page - 2893 -�' 5/14/2013 16.D.5. Collier County, Florida • Accounting Technician 91060 Sensory Reuuirements; Some tasks require the ability to perceive and discriminate sounds and visual cues or signals. Some tasks require the ability to communicate orally. Environmental Factors: Essential functions are regularly performed without exposure to adverse environmental conditions. Collier County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. © DMC- MAXIMUS, INC. Page 3 Last Revised: July, 2001 64 Packet Page -2894- 5/14/2013 16.D.5. Section I: Confidentially and SAMHSA Participant Protection/Human Subjects Confidentiality and Participant Protection Protect Clients and Staff from Potential Risks Identify and describe any foreseeable physical, medical, psychological, social and legal risks or potential adverse effects as a result of the project itself or any data collection. The Collier County Drug Court admissions criteria ensure that the program serves the target population of offenders who are most in need of its services and at greatest risk for future relapse and crime. The greatest foreseeable needs are criminogenic needs, or clinical disorders or functional and physical impairments that, if treated, substantially reduce the likelihood of continued engagement in crime (Andrews & Bonta, 2010). The most criminogenic needs among offenders include substance dependence (also known as addiction), major psychiatric disorders, brain injury, or a lack of basic employment or daily living skills (Belenko, 2006, Simpson & Knight, 2007). Failing to address and protect these serious deficits leaves the individual vulnerable to repeated failures and continued involvement in crime, whereas effectively addressing them is associated with improved functioning and the avoidance of crime (Smith et aI., 2009). Describe the procedures you will follow to minimize or protect participants against potential risks, including risks to confidentiality. It is unwarranted to assume that simply because an individual was arrested for a drug offense, he or she must be dependent on drugs and in need of formal substance abuse treatment. At least half of drug - involved offenders abuse alcohol, cigarettes or other drugs but are not dependent (National Center on Addiction and Substance Abuse, 2010; Faze] et al., 2006; DeMatteo et al., 2009). They may repeatedly ingest these substances under circumstances that are potentially dangerous to themselves and others, but their use usage is still largely under voluntary control. For such individuals, alternative treatment programs, such as smoking cessation programs, which do not rely on formal substance abuse treatment to achieve their desired aims, may be preferable to drug courts. The current project includes smoking cessation groups. Individuals who are dependent on drugs, alcohol or habitual smokers commonly suffer from cravings to use the substance, and may experience painful or uncomfortable withdrawal symptoms when they attempt to become abstinent (American Psychiatric Association, 2000). It is now understood that these symptoms often reflect a form of neurological or neurochemical damage to the brain (Baler & Volkow, 2006; Dackis & O Brien, 2005; Goldstein et al., 2009). Formal treatment is required for such individuals to succeed in drug court settings. In order to protect participants, the Collier County Drug Court program is efficient in the assessment of clinical diagnosis. The assessment of prognostic risk and criminogenic need is completed (assisted by the LSI -R) before the requirements of the program are determined in order to have successful outcomes with participants. The Collier County Drug Court maintains a privacy policy for all participants consistent with Florida Law and HIPPA provisions. In response to these policies and procedures that have been developed to guard each participant's confidentiality, participants each sign a waiver authorizing M Packet Page -2895- 5/14/2013 16.D.5. the transfer of information among all participating Drug Court agencies. An identification number is assigned to each participant that will be used in all research and evaluation activities to safeguard privacy. A copy of the confidentiality policy is provided to each participant along with the Drug Court Handbook upon intake. Identify plans to provide guidance and assistance in the event there are adverse effects to participants. In some cases, medication or residential treatment will also be needed, at least during the early phases of treatment for addicted individuals. Without treatment first, those individuals were associated with significantly poorer outcomes. It is for this reason that the drug court requires participants to complete an intensive regimen of substance abuse treatment and other indicated rehabilitation services. A comprehensive array of substance abuse treatment options is available at the David Lawrence Center including detoxification and Crossroads residential programs, both of which are accessible and prioritized for Drug Court participants. Where appropriate, describe alternative treatments and procedures that may be beneficial to the participants. David Lawrence Center collaborates with Florida AHEC Network. The Florida Area Health Education Centers Network is an extensive, statewide Network of five AHEC Program offices affiliated with the College of Medicine at Florida State University, NOVA Southeastern University, University of Florida, University of Miami and University of South Florida and ten not - for - profit community based centers. The statewide Network is dedicated to improving the health of rural and other medically underserved populations, particularly through the treatment of tobacco dependency. All 67 counties are served in Florida with the overall goal of implementing the AHEC Tobacco Training and Cessation Program known as the IQUIT program. The program's goal is to strengthen the capacity of Florida's healthcare system to deliver effective evidence -based tobacco use treatment, and prevention services throughout the state. The program is founded upon the Centers for Disease Control and Prevention (CDC) Best Practices for Comprehensive. Tobacco control programs. Additionally, concrete social services can provide ancillary support such as: education /literacy, life skill training, employment and /or training, housing, physical and mental service in a community based setting. These are available to Drug Court participants via the Case Manager and through coordinated referrals. Fair Selection of Participants Describe the populations of focus for the proposed project. The Collier County Drug Court serves an adult population, eighteen years and older regardless of gender and racial /ethnic background, including homeless adults, pregnant women and participants who have medical, physical or mental Iimitations, including HIV /AIDS. Felony and repeated misdemeanor criminals on probation, parole or awaiting incarceration will also be served. 70 } Packet Page -2896 - c 5/14/2013 16.D.5. Explain the reason for including or excluding these groups According to what is generally known as the "Risk Principal ", drug courts have been shown to produce the greatest benefits for offenders who have relatively more severe antisocial backgrounds or treatment - resistant histories (Andrews & Bonta, 2010; Taxman & Marlowe, 2006). Referred to as high risk offenders, these individuals tend to have a relatively poorer prognosis for success in standard rehabilitation programs and typically require more concentrated and sustained interventions to dislodge their entrenched, negative behavioral patterns. Research reveals that it is these high risk offenders who are most in need of the intensive supervision services embodied in the ten components of drug courts. (Lowenkamp et al., 2005; Fielding et al., 2002; Marlowe et al., 2006, 2007; Festinger et al., 2002). There is also evidence that offenders with violence histories performed as well or better, than nonviolent . offenders in drug courts (Carey et al., 2008; Saum & Hiller, 2008; Saum et al., 2001). Explain how you will recruit and select participants. The current approach for recruitment is to administer a structured or semi - structured interview that is congruent with the diagnostic criteria contained in the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM is the official diagnostic classification system for substance use disorders and psychiatric disorders in the United States. The Level of Service Risk Inventory-Screening version is also employed for participant selection to determine criminogenic risks and needs. The Drug Court team then reviews results to make admission decisions. The two sets of assessment results are combined so that each participant can be assigned to the appropriate level of both treatment and supervision. Referrals for Drug Court are generally received by the Public Defender's Office, State Attorney's Office, or jail personnel. Systems improvements are currently underway to facilitate early identification and referral via Pre Trial Services. Criminal justice and Mental Health workers may also refer an individual to be considered for Drug Court. Assessments of prognostic risk and criminogenic need may be performed by different evaluators or agencies. For example, the probation department might perform the risk assessment and the clinical treatment program might assign the clinical diagnosis. Absence of Coercion Explain i(participation in the project is voluntary or required, Part of the success of drug courts in retaining participants is believed to stem from the legal coercion entailed by the threat of incarceration for failing. Some amounts of legal coercion within drug courts can produce incrementally better outcomes provided that: (1) Information (degree to which program rules and consequences of noncompliance were clearly communicated to participants); (2) Monitoring (degree to which compliance was closely monitored through regular progress reports to the court and other means); (3) Enforcement (degree to which noncompliant participants could expect to be rapidly caught, brought back to court, and face consistent consequences); and (4) Severity (length of the resulting jail or prison sentence or 71 Packet Page -2897- i 5/14/2013 16.D.5. other consequences.) Further, this research suggests that legal coercion becomes more effective when coupled with clear communications by the justice system authorities that reinforce participants' impression that failure will illicit adverse consequences. The individual will still retain the right to refuse services or "volunteer" for the program. Rewards and how to incentivize Rewards are effective when they are tangible and applied frequently throughout the drug court participation process. Collier County Drug Court provides small, tangible tokens of reward (abstinence poster, key chain, journal, etc) for significant compliance as it is considered a best practice. Praise from the Judge and other Drug Court team members appear to be the best incentive for local Drug Court participants. Data Collection Identify front whom you will collect data 1. Court and the DLC treatment provider will communicate regularly, including frequent exchanges of timely and accurate information, about the participant's overall program performance. 2. Prosecutors and defense counsel will help design screening, eligibility, and case processing policies and procedures to guarantee that due process rights and public safety needs are served. 3. The Court will be immediately notified when a participant has tested positive, has failed to submit to alcohol or drug testing, has submitted someone else's sample, or has adulterated a sample. 4. The treatment provider, the judge, and other program staff communicate frequently and regularly to ensure timely reporting of participant progress and noncompliance and to enable the court to respond immediately. 5. Management, monitoring, and evaluation processes begin with initial planning. As part of the comprehensive planning process, drug court leaders and senior managers will establish specific and measurable goals that define the parameters of data collection and information management. 6. Monitoring and management data will be assembled in useful formats for regular review by program leaders and managers. The Criminal Justice, Mental Health & Substance Abuse Advisory Council provides guidance and direction to the drug court program Identify what type of specimens will be used and monitored and protect the safety of participants if needed. All active participants of Drug Court must undergo a urinalysis weekly or at random as recommended or ordered by the court. Every sample will be tested for marijuana, cocaine, amphetamines, LSD, opiates (including morphine and heroin), barbiturates, PCP, and ecstasy drugs. Specific requests for certain drugs such as steroids can be requested. There are several 72 Packet Page -2898- �i , 5/14/2013 16.D.5. protections built in to the system to ensure accurate results. First, individuals will initial the label on their bottles. The boxes will be boxed into batches, and the test administrator will begin a chain of custody document for each batch. This is now a legal document where everybody who has something to do with that sample signs it — whether it be the observer who watched the person collect the sample, the person who puts it in to the box or the person who takes it out of the box. The chain of custody requirement will continue in the lab as well. See Attachment 2 Data Collection InstrumentslTnterview Protocols Privacy and Confidentiality Explain how you will ensure privacy and confidentiality. Include who will collect data and haw it will be collected. Senior managers at DLC oversee program staff and will follow the SAMHSA policies on Privacy and Confidentiality. Specifically, data will only be used; ➢ To provide proper diagnosis and treatment ➢ With the individual's knowledge and consent ➢ To allow for reimbursement of services ➢ As a basis for reported required health information ➢ Court or criminal justice related documents Clinical records containing personal health and criminal related documents are stored in the electronic databases for which only authorized personnel have access. Information technology security measures are in place to ensure integrity of the information at all times. Data collection instruments Screening and assessment instruments and evaluation tools include those recommended for implementing evidence based performance outcomes for the Drug Court participant. Specific, qualified, program staff complete assessments and collaborate with professionals providing evaluations through the court system or other agencies. This process is accomplished through direct client interview and with the full and informed consent of the participant. Where data will be stored, Who will or will not have access to information Drug Court cases, which may contain criminal and clinical records along with personal health information, are stored in electronic data bases for which only authorized personnel have access. Information technology security measures are in place to ensure the integrity of the information at all times. Only federally and state screened personnel specifically working in the Drug Court Program will have access to information. The court and criminal justice system will be provided access if requested and as needed. How the identity of participants will be kept private Hard copy, case management client files, and computerized print outs will be stored in coded locking file cabinets and kept in an office that is also locked. No client specific information is 73 Packet Page - 2899 - (�� 5/14/2013 16.D.5. posted for public display. Client specific information that is not required for audit or statute retention will be shredded. All Drug Court staff maintains the confidentiality of alcohol and drug abuse client records according to the provisions of Title 42 of the Code of Federal Regulations, Part II. Adequate Consent Procedures List what information will be given to people who participate in the program, etc. Participants in Drug Court receive information regarding the Health Insurance Portability and Accountability Act (HIPPA). Participants will be provided a specific Notice of Privacy Practices, which is available in Spanish and Creole languages, or may be read aloud if needed. A signed copy of the review of the participant's rights to privacy and confidentiality will be stored in their secure file. The participating individual will maintain a copy for themselves. Information on Court etiquette and compliance guidelines for their presence and behavior in the courtroom will be given to each participant. Participation is voluntary Recipients of Drug Court program services are often mandated by the Court to participate as a consequence of their criminality and substance abuse offenses. However, potential participants are fully informed of the benefits and risks associated with services and are encouraged to make a voluntary decision, without threat of coercion, to receive or reject any service offered by the program. A release of information is explained to the client and the client's signature is obtained in order to share information with other agencies in coordinating and development of the participant's services. Information is not released without the participant's express consent. Right to leave the project at any time without problems The Drug Court will convey clearly, frequently, and specifically to participants exactly what will happen if they graduate (case dismissal or other legal benefits) and what will happen if they leave the program or fail (how much jail time they will have to serve); and will clearly convey the nature of the court's monitoring and enforcement efforts to detect and address noncompliance outside the courtroom and in the community. Possible risks from participation in the project No foreseeable risks or adverse effects are anticipated in the Drug Court program itself, or with regard to data collected for the project. The Center of Court Innovation has found limited literature that indicates that negative, stigmatizing in -court interactions can adversely affect subsequent performance. It is best if intermediate judicial sanctions for non- compliance be administered with care. MRT, MI, and Seeking Safety. According to the NREPP, no adverse effects, concerns, or unintended consequences were identified by any of the developers. Plans to protect clients from these risks 74 Packet Page -2900 - 5/14/2013 16.D.5. Drug Court sanctions are most effective when applied consistently and fairly. Participants are more likely to respond positively if they believe justice system authorities have treated them fairly and with respect making it more likely for them to comply to program objectives. Process for obtaining consent, eic... . The Drug Court program will serve adults ranging from the age of 18 to 60. Participants receive consent forms regarding program services and will be fully informed of the benefits and risks associated with the program. If the program poses potential physical, medical, psychological, legal, social or other risks to the individual, a written informed consent will always be obtained. Consent forms are written in Spanish, English, Creole, and will be read aloud for those who cannot read. The Drug Court project through David Lawrence Center, offers orientation training sessions on Privacy, HIPPA, Informed Consent and limits to confidentiality to all staff. Bi- lingual, licensed human service professionals will be preferred in the hiring process for the development of a diversified treatment team. Consent forms will be discussed verbally with each potential participant and a member of the treatment team so they are fully aware of the conditions, benefits and potential risks with their involvement with the program. A copy of the consent form will be given to the individual and a copy will be retained in the individual's secured file. All individuals participating in the Drug Court program will be required to sign Consent forms. If changes are made to the Consent form, a new one must be presented to the participant for an informed signature. See Attachment III, "Sample of Consent Forms" including releases of information and confidential and privacy forms. 75 Packet Page -2901- ��, 5/14/2013 16.D.5. (1) Experienced, Licensed Mental Health /Substance Abuse Treatment Provider Organization: David Lawrence Center 6075 Bathey Lane Naples, FL 34116 www.davidlawrencecenter.org 239 - 354 -1425 (2) List of all direct substance abuse treatment service provider organizations that have agreed to participate in the proposed project: David Lawrence Center 6075 Bathey Lane Naples, FL 34116 www.davidlawrencecenter.org 239 -354 -1425 (3) The Statement of Assurance (provided in Appendix D of this announcement) signed by the authorized representative of the applicant organization identified on the face page of the application, assures SAMHSA that all listed providers meet the 2 -year experience requirement, are appropriately licensed, accredited, and certified, and that if the application is within the funding range for an award, the applicant will send the GPO the required documentation within the specified time. (4) Letters of commitment and support: Attached ATTACHEMENTI Packet Page -2902- look 5/14/2013 16.D.5. STATEMENT OF ASSURANCE As the authorized representative of Collier County, (Florida) Board of County Commissioner, I assure SAMHSA that all participating service provider organizations listed in this application meet the two -year experience requirement and applicable licensing, accreditation, and certification requirements. If this application is within the funding range for a grant award, we will provide the SAMIISA Government Project Officer (GPO) with the following documents. I understand that if this documentation is not received by the GPO within the specified tirnefi-ame, the application will be removed from consideration for an award and the funds will be provided to another applicant meeting these requirements. • A letter of commitment frorn every mental health /substance abuse treatment service provider organization listed in Attachment I of the application that specifies the nature of the participation and the service(s) that will be provided; • A letter of commitment that the drug court(s) involved in the application is currently or will be operational on or before October 1, 2013; • Official documentation that all mental health /substance abuse treatment provider organizations participating in the project have been providing relevant services for a minimum of 2 years prior to the date of the application in the area(s) in which services are to be provided. Official documents must definitely establish that the organization has provided relevant services for the last 2 years; and • Official documentation that all mental health /substance abuse treatment provider organizations: 1) comply with all local (city, county) and state requirements for licensing, accreditation and certification; OR 2) official documentation from the appropriate agency of tile applicable state, county, other governmental unit that licensing, accreditation, and certification requirements do not exist. 1 (Official documentation is a copy of each service provider organization's license, accreditation, and certification. Documentation of accreditation will not be accepted in lieu of pan organization's license. A statement, by, (y letter; frorn, tire. applicant organization or frorn a'provider organization attesting to compliance with licensing, accreditation and certification or that no licensing, accreditation, certification requirements exist does not constitute adequate documentation.) • For tribes and tribal organizations only, official documentation that all participating mental health/substance abuse treatment provider organizations: 1) comply with all applicable tribal requirements for licensing, accreditation, and certifications; OR 2) documentation frorn the tribe or other tribal governmental unit that licensing, accreditation, and certification requirements do not exist. Sig'jlitture of Author' Rep sentative Dam` 1 Tribes and tribal organizations are exempt from these requirements. ATTACHEMENT4 77 Packet Page - 2903 - %` 'f V..PA/2jq'E 1_ o State of Florida n Department of Children and Families RfNAND ry MYRYAMILIES.COM April 9, 2013 Kenneth Robertson Center for Substance Abuse Treatment Substance Abuse & Mental Health Services Administration 1 Choke Cherry Road Rockville, MD 20857 Dear Mr. Robertson: Re: CFDA # 93.243 SAMHSA Treatment Drug Courts 5/14/2013 16.D.5. Rick Scott Governor David E. Wilkins Secretary The Florida Department of Children & Families' Substance Abuse Program Office provides oversight of Florida's local substance abuse prevention and treatment, including Adult Treatment Drug Courts, We currently license and provide funding to the David Lawrence Center, the designated treatment provider for the Collier County Adult Drug Court. Our office strongly supports the use of effective Drug Courts to assist people with treatment and recovery services and promote a better quality of life in our communities. The local Drug Court has been in existence for over 12 years and has relied on state funding for. just a fraction of the costs, demonstrating local commitment to the Drug Court. The Collier County Board of County Commissioners proposal both increases the number of persons served by the Drug Court and enhances treatment by adding individualized evidence based treatment and supports for participants. The proposed enhancements to Collier County's Drug Court conform to the framework of Florida's Strategy of Substance Abuse Treatment to: ➢ Develop and implement effective treatment strategies Y Improve outcomes and the quality of services Promote systems approaches that enhance integration Provide sufficient capacity for the most vulnerable clients. We appreciate SAMHSA's strong commitment to and support of Florida's Drug Courts. Sincerely, � -6 �_,3 R.S. Whisenhunt, Directo-- r Substance Abuse and Mental Health Program Office 1317 Winewood Boulevard, Tallahassee, Florida 32399 -0700 Mission: Protect the Vulnerable, Promote Strong and Economically Sell - Sufficient Families, and Advance Personal and Family Recovery and Resiliency ATTACHEMENT 1 Packet Page -2904- 5/14/2013 16.D.5. DAVID PAWRENCE_ April 13,2013 Restoring ter Rebuilding Lives Mr. Kenneth Robertson Center for Substance Abuse Treatment SAMHSA 1 Choke Cherry Road Rockville, MD 20857 Dear Mr. Roberts, i am writing to provide my commitment to Collier County's SAMHSA Grant to Expand Substance Abuse Treatment Capacity in the Collier County Adult Drug Court. During the past 22 months, i have been the Collier County Adult Drug Court's Case Manager being employed by the David Lawrence Center. During the past 22 months, not only has this Adult Drug Court Team provided incredible leadership and consistency to participants, but also reinforced that the Adult Drug Court Program is a coveted program to be involved in. My commitment to the Collier County Adult Drug Court is shown everyday in the way I help the participants grow into their new lives. Should we be fortunate to receive this Grant to Expand Substance Abuse Treatment Capacity, I would move into the Court Coordinator position and work hard to expand the current Adult Drug Court. One of these expansion methods would be by helping potential participants become more aware of our program and provide timely screenings of these potential participants, i would also work with the Collier County Sheriff's Department in helping raise awareness to incarcerated individuals that Adult Drug Court program may be available to them. The local project will enhance the Collier County Adult Drug Court by adding evidence based practice, Moral Reconation Therapy, adding wellness / smoking cessation groups, and providing referrals for Hepatitis testing and treatment. Thank you for your consideration. Sincerely, �1,, CynA -a Shannon Case Manager DAVID LAWRENCE CENTER & .FOUNDATION 6075 Golden Gate Parkway, Naples, Florida 34116 • voice (239) 455 -8500 fax (239) 455 -6561 • �vww.david Packet Page -2905- ~ „\ 5/14/2013 16.D.5. DAVID EAWRENCE Res toeing 6' Rebuilding Lives April 8, 2013 Mr. Kenneth Robertson Center for Substance Abuse Treatment SA M HSA 1 Choke Cherry Road Rockville, MD 20857 Dear Mr. Robertson, I am writing to provide my commitment to Collier County's SAMHSA Grant to Expand Substance Abuse Treatment Capacity in the Collier County Adult Drug Court, i started as a Clinician II for Collier County Adult Drug Court on February 25, 2013. During the past couple of months, I have had the pleasure of working an extremely dedicated team of individuals that is very refreshing to experience coming from past mental health agencies where the commitment wasn't as consistent. The Collier County Drug Court Team has agreed upon on handbook that went in effect in January 2013. The new handbook allows the clinical team to make appropriate recommendations to better assist the clients in meeting their goals. I am willing to continue to explore any form of treatment that will better serve the clients that we are working with which will include Trauma based therapy, MRT( Moral Reconation therapy),and DBT solution focused therapy. If we are awarded the grant, I am willing to provide 100% of my 13 years of clinical mental health and substance abuse experience and expertise to ensure that we have the necessary skills needed to meet each of the client's needs. I truly want to continue to expand the program to serve a population that desperately needs treatment instead of incarceration. The local project will enhance the Collier County Adult Drug Court by allowing us to implement more evidence based practice, Moral Reconation, Therapy; DBT Sol ution focused therapy, and Trauma Informed Care. We will also be able to add Wellness and smoking cessation groups and provide referrals for Hepatitis testing and treatment if appropriate. Additional staff would allow us to serve larger population and decrease the length of incarceration because we would be able to screen participants sooner and have them enrolled in the program. i have seen how successfully Treatment Courts can be to the individual, their families and the community. It is a pleasure to observe a person who comes into the program broken and emerges as a productive member of society. Respectfully submitted, �Xlkier, IMFT Drug Court Clinician II DAVID LAWRENCE CENTER FU UN1)A'I'10N 6075 Guldco Garr Parkway, Naples, Florida 34116 • voice (239) 455 -8500 fax (239) 455 -6561 - ivww.dav r�� rrEs�fr�rg Packet Page -2906- STATE OF FLORIDA TWENTIETH .JUDICIAL CIRCUIT CHARLOTTE, COLLIER, GLADES, HENDRY AND LEE COUNTIES April 17, 2013 JAY B. ROSMAN CHIEF JUDGE Kenneth Robertson Center for Substance Abuse Treatment SAMHSA 1 Choke Cherry Road Rockville, MD 20857 Dear Mr, Robertson: 5/14/2013 16.D.5. TELEPHONE (239) 533- 9154 On behalf of the judges of the Twentieth Judicial Circuit, I am writing to confirm our ongoing support for the efforts of the Collier County Drug Court, Specifically, I write today to offer our support for the application to SAMHSA for a grant that would enable the significant enhancement of treatment services available to participants in the Collier County Drug Court. The power of drug courts to instill accountability, facilitate recovery, reduce recidivism, and improve public safety is beyond question. As drug courts proliferate around the county and we learn more about their strengths and limitations, it is appropriate that their core theories will evolve. While I feel that our Collier County Drug Court has done an excellent Job of maximizing its efficacy with the resources available to it, I agree that additional treatment resources will be crucial in allowing our court to keep up with national evidence -based best practices so that its efficacy is continually improved. We are pleased to have a judge in Judge Martin who has committed to serving the Drug Court indefinitely. Her colleagues also demonstrate their commitment actively, by regularly helping to cover any other duties that might sometimes conflict with her obligation to Drug Court. This commitment to service and collegiality is a source of great pride for our judges, and I am confident in pledging the continued support of the judges of the Twentieth Circuit for the Collier County Drug Court. Sincerely, _ 1 �JaY r_,_2snr man, 1� / Chief Judge, 20" Judicial Circuit LEE COUNTY JUSTICE CENTER, 1700 MONROE STREET, FORT MYERS, FLORIDA. 3390r4TTACHEMENT 1 Packet Page -2907- ;, 5/14/2013 16.D.5. April 15, 2013 Mr. Kenneth Robertson Center for Substance Abuse Treatment SAM H SA 1 Choke Cherry Road Rockville, MD 20857 Dear Mr. Robertson, Please accept this letter of commitment as the Program Director to the Collier County's SAMHSA Grant to Expand Substance Abuse Treatment Capacity in the Collier County Adult Drug Court. I have served as the Clinical Director of the Collier County Adult Drug Court since April 2012. 1 have been impressed with the effectiveness of the collaborative partnerships of the multi- agency and multi- disciplinary team. I am excited at the possibility of the expansion which will allow the opportunity to increase the numbers served as well as enhancing the program with the implementation of the evidence based practice of Moral Reconation Therapy and Seeking Safety. We will also be able to add wellness and smoking cessation groups and provide referrals for Hepatitis testing and treatment, if appropriate. Additional staff would also allow us to decrease the length of incarceration because we would be able to screen and enroll participants sooner. As a professional and citizen, I am pleased with the successful outcomes of the existing program and I am very hopeful that the expansion would facilitate greater success. Respectfully submitted, Geralyn Poletti LCSW Clinical Director of Children's Outpatient and Community Services w ATTACHEMENT1 Packet Page - 2908 - X".. q 5/14/2013 16.D.5. DAVID LAWRENCE CENTER Mental Health d1' Substance Abuse Services April S, 2013 Mr. Kenneth Robertson Center for Substance Abuse Treatment SAM HSA 1 Choke Cherry Road Rockville, MD 20857 Dear Mr, Robertson, I am writing to provide my commitment to Collier County's SAMHSA Grant to Expand Substance Abuse Treatment Capacity in the Collier County Adult Drug Court. I started supervising Collier County Adult Drug Court in April 2012, During the past year, I have had the pleasure of working an extremely dedicated team of individuals. The Collier County Drug Court Team has agreed upon on handbook that went in effect in January 2013. The new handbook allows the clinical team to make appropriate recommendations that will assist the clients in meeting their goals. I am willing to continue to explore any form of treatment that will better serve the clients that we are working with, I currently meet with the Drug Court staff a minimum of once a week to conduct case staffings but they are aware that I am available to assist them at any time. If we are awarded the grant, I am willing to train new clinicians to ensure that they have the necessary skills needed to meet each of the client's needs, I truly want to continue to expand the program to serve a population that desperately needs treatment instead of incarceration. The local project will enhance the Collier County Adult Drug Court by allowing us to implement more evidence based practice, Moral Reconation Therapy and Trauma Informed Care. We will also be able to add Wellness and smoking cessation groups and provide referrals for Hepatitis testing and treatment if appropriate. Additional staff would allow us to serve larger population and decrease the length of incarceration because we would be able to screen participants sooner and have them enrolled in the program. I have seen how successfully Treatment Courts can be to the individual, their families and the community. It is a pleasure to observe a person who comes into the program broken and emerges as a productive member of society. Respect Ily submitted, Helen Kathryn Burrows Clinical Supervisor of Forensic Services DAVID LAWRENCE CENTER AT HORSESHOE DRIVE 2906 South Horseshoe Drive, Naples, Florida ,34104 - voice (239) 643 -6101 fax (239) 643 -7278 • www.davil%T- �6P-- HENWT -r1or8 Packet Page -2909- `,',aU KATHLEEN A. SMITH PUBLIC DEFENDER Law Offices Of The ,. Public Defender Twentieth Judicial Circuit of Florida Lee, Collier, Charlotte, Hendry & Glades Counties April 10, 2013 Kenneth Robertson Center for Substance Abuse Treatment SAMHSA 1 Choke Cherry Road Rockville, MD 20857 Dear Mr. Robertson: 5/14/2013 16.D.5.- Lee County - Fort Myers (Main Offrd'o)``,_: (239)533 -2911 Fax: (239) 485 -2525 1700 Monroe Street Post office Drawer 1980 Fort Myers, FL 33902 -19BO Lee County - Cape Coral oflroe (239) 533,7051 Fax: (239) 533 -7061 Leo County Government Building 1039 Srs 9" Place, 2^" Floor Post Office Box 151327 Cape Coral, FL 33915 -1327 On behalf of the Office of the Public Defender, Twentieth Judicial Circuit, I am writing to pledge our continued support of the Collier County Drug Court. Equally important, I want to express our Agency's support of the application to SAMKSA for a grant that would significantly impact the level and quality of treatment services that can be provided to those who participate in the Drug Court program. Having witnessed the positive impact the program has had on the lives of its participants and the favorable impact the program's successes have had on the surrounding communities, I am impressed with what the dedicated members of the Drug Court team have been able to accomplish with the limited resources available to them. At the same time, I recognize the importance of providing additional treatment resources if we are to maintain national evidence -based best practices and foster continued growth and success within our Drug Court program. Sincere) , The Honorable Kathleen Smith Public Defender, 20 "' Judicial Circuit ATTACHEMENT 1 Packet Page -2910- REPRESENTING: CHARLOTTE COLLIER GLADES HENDRY LEE April 11, 2013 Mr, Kenneth Robertson Center for Substance Abuse Treatment SAMHSA 1 Choke Cherry Road Rockville, Maryland 20857 Stephen B. Russell State Attorney IN RE; SAMHSA Grant to Expand Substance Abuse Treatment Capacity Dear Mr. Robertson; 5/14/2013 16.D.5. OFFICE OF THE STATE ATTORNEY Twentieth Judicial Circuit of Florida 3315 E, Tamiarni Trail Suite 602 Naples, FL 34112 Telephone (239) 252 -8470 FAX (239) 252 -8357 www.sao.cf is20, oiq The Office of the State Attorney for the 20th Judicial Circuit of Florida (SAO) offers its commitment to Collier County's SAMHSA Grant application to Expand Substance Abuse Treatment Capacity for the Collier County Adult Drug Court, Collier County's Adult Drug Court is integral to the process by which criminal courts ensure accountability for defendants and the protection of the community, The SAO has been the dedicated gatekeeper for this Court since its inception many years ago. An opportunity to significantly enhance treatment services available to-4U Participants will ensure its continued success as nationally recognized evidence -based best practices are applied and perfected, The SAO continues to offer its strong support for an effective and difference- making Collier County Adult Drug Court. rs, Richard J, iltecdit °— Assistant St e Attorney Head of the ollier County Office ATTACHEMENT1 Packet Page - 2911 - :,; 5/14/2013 16.D.5. Drug Court SCREENING FOR SERVICES NAME: SCREENING DATE: ADDRESS: PHONE: CELL: SSN: DOB: YRS. OLD: PREVIOUS DLC CI..IENT? YES NO UNKNOWN IF YES, UNIT(S) DATE(S) CLIENT # Previous (non -DLC) TX: Current Legal Charges: Past Charges: AA? Yes/ No Sponsor? Yes /No Last Attended? Why did you stop? Drug(s) of Choice: Frequency Amount How Long Attended? Last Use Age of first use Past Hx of drug use: What led you to start using? Support System: Family History of Addiction (who ?): Single Married Divorced # Of Children & ages: Separated Widowed Living With /Conditions ?: How Long? Financial Condition: Medical/Mental Issues/Meds: Last Worked: 3/1/2010 ATTACHMENT Packet Page -2912- so r LOE: Mental Health: Past Treatment /Medications: Method of Transportation: Current Symptoms /Medications: Physical Health: Other Comments: 5/14/2013 16.D.5. Status of D.L Has client reviewed the handbook? YES NO Does client agree that they are capable of complying with all aspects of the program? YES NO If accepted into the program and released what is their housing plan: ALL RELEASES OF INFORMATION SIGNED? YES NO APPROPRIATE FOR Drug Court? YES/NO REASON /COMMENTS: Screener Name/Date 3/1/2010 ATTACHMENT Packet Page -2913- 5/14/2013 16.D.5. LINKS to STANDARDIZED DATA COLLECTION INSTRUMENTS INTERVIEW PROTOCOLS: 1. ASAM http : / /www.asam.orglpublications/ patient - placement- criteda /ppc -2r 2. LSIR,http:il www.mhs.com/product.aspx ?qr -saf &prod= lsi -r &id= overview 3/1/2010 ATTACHMENT 2 Packet Page -2914- 5/14/2013 16.D.5. David Lawrence Center CONSENT FORM SCOPE OF DAVID LAWRENCE CENTER SERVICES The role of any David Lawrence Center provider is to provide an assessment of mental health and substance abuse needs and provide treatment recommendations and subsequent treatment. However, these services do not include evaluations for t he ur ose of rendering opinions relating to child custody, visitation, or placement decisions. CONSENT FOR ASSESSMENT AND TREATMENT: I hereby authorize the DAVID Initial Below LAWRENCE CENTER to assess my needs, provide services and /or administer treatment as deemed necessary and appropriate. I understand that I have the right to receive clear and reasonable information and explanation by my primary treatment provider, nurse, clinician /therapist, and /or physician of: • The diagnosis and /or preliminary diagnosis as applicable; • The nature and purpose of a proposed treatment or procedure; • The risks and benefits of a proposed treatment or procedure; • Alternatives including not receiving treatment; • The risks and benefits of the alternative treatment or procedure; and • The risks and benefits of not receiving or undergoing a treatment or procedure. I have received information on Advanced Directives /Living Wills and have received and reviewed a copy of the Customer Handbook, which includes but is not limited to information about Client Grievance Procedures, Client's Rights, Abuse Reporting procedures, infection control standards, patient safety guidelines, confidentiality, and exceptions to confidentiality. I have been oriented to DAVID LAWRENCE CENTER programs rules and regulations. I understand that my records are protected under the Health Insurance Portability & Accountability Act (HIPAA), Federal Confidentiality Regulations (42.CFR.Part 2), and Florida Law. It is also the practice of David Lawrence Center providers to coordinate care and treatment with your Primary Healthcare provider whenever medication services are provided. CONSENT FOR FOLLOW -UP: The David Lawrence Center is committed to providing the very best care for clients. Fallowing your discharge from this agency, information via phone contact or in writing may be requested by agency staff in regard to the quality of services that we provided to you. In the event you are unavailable, you agree to give permission for the person(s) named below to answer questions on your behalf. I hereby authorize DAVID LAWRENCE CENTER to contact me (or the person named below) in order to obtain information about my progress following treatment. The consent for follow -up is valid for 18 months following discharge unless cancelled by me prior to that time. Name: Address: Relationship to Client: Phone #: Initial I do not wish to rovide any follow up information CONSENT FOR URINALYSIS (for substance abuse Programs only): i hereby agree, upon request, to provide urine samples to the David Lawrence Center for analysis by an independent laboratory. I understand that the results of the urinalysis may be utilized as follows: 1. To determine use of alcohol or drugs. 2. To monitor my progress toward my treatment objectives 3. For diagnostic purposes. 4. As a condition of employment, probation, parole and /or attendance in school. I understand that urinalysis results which indicate non - compliance with DAVID LAWRENCE CENTER program rules could result in termination of services. If I am court- ordered to provide urine samples, I may refuse; however, I understand that I will be totally responsible for the consequences of this action. Results of urinalysis will be released only in compliance with state and federal re ulations. I am certifying that I am of legal age and understand that this Consent is valid for 365 days except the Consent for Follow -up which expires 18 months following discharge. My consent indicates that I understand the Information, which has been explained to me in simple language and have had the opportunity to ask questions. I also understand I have the right to revoke, and /or withdraw consent either verbally and /or In writing at any time. I, therefore, provide informed consent and authorize treatment /services as indicated above on this form. gent Signature: Consenting Authority's Signature: Staff / Witness Signature: Client Name D.11 10 1nT 101nA• I)(nc• '2(n0. Alin. 4 14 4 All \A qn.n Packet Page - 2915 -- Date:— Date.— Date:_ Client ID ATTACHMENT „`l'A R 1ti�E o State of Florida s Department of Children and Families ANP C {cv MY 1; LFAM 11.1 ES.CON{ April 9, 2013 Kenneth Robertson Center for Substance Abuse Treatment Substance Abuse & Mental Health Services Administration 1 Choke Cherry Road Rockville, MD 20857 Dear Mr. Robertson: Re: CFDA # 93.243 SAMHSA Treatment Drug Courts 5/14/2013 16.D.5. Rick Scott Governor David E. Wilkins Secretary The Florida Department of Children & Families' Substance Abuse Program Office provides oversight of Florida's local substance abuse prevention and treatment, including Adult Treatment Drug Courts, We currently license and provide funding to the David Lawrence Center, the designated treatment provider for the Collier County Adult Drug Court. Our office strongly supports the use of effective Drug Courts to assist people with treatment and recovery services and promote a better quality of life in our communities. The local Drug Court has been in existence for over 12 years and has relied on state funding for just a fraction of the costs, demonstrating local commitment to the Drug Court. The Collier County Board of County Commissioners proposal both increases the number of persons served by the Drug Court and enhances treatment by adding individualized evidence based treatment and supports for participants. The proposed enhancements to Collier County's Drug Court conform to the framework of Florida's Strategy of Substance Abuse Treatment to: v Develop and implement effective treatment strategies Y Improve outcomes and the quality of services ➢ Promote systems approaches that enhance integration Y Provide sufficient capacity for the most vulnerable clients. We appreciate SAMHSA's strong commitment to and support of Florida's Drug Courts. Sincerely, R.S. Whisenhunt, Director Substance Abuse and Mental Health Program Office 1317 Winewood Boulevard, Tallahassee, Florida 32399 -0700 Mission: Protect the Vulnerable, Promote Strong and Economically Self- Sufficient Families, and Advance Personal and Family Recovery and Resiliency ATTACHMENT 4 Packet Page -2916- ; 5/14/2013 16.D.5. FREE 20- .MINUTE RAPID HIV AND HEPA'i l a t5 STD SCREENING DAYS 2013 Collier Coung7 Health De . artinernt Counselin r and Testing Clinic Hours 8 am — 11 am 1 pm — 4pm *No appointments on these days. Walk -ins ONL'1,. You will be seen in the order of your arrival, as time pen-nits. Please arrive within these times or you will not be seen.* ID REQUIRED February 6 & 7 National Black HIV /AIDS Awareness Day Feb.7th National Condom Week March 13 & 14 National Church Week of Prayer National Native HILT /AIDS Awareness Dag March 20th National Women & Girls HnT /AIDS Awareness Day March 10th April 17 & 18 STD Awareness Month May 15 & 16 Hepatitis Awareness Month Hispanic Hepatitis Awareness Day May 151h National Hepatitis Testing Day May 19dt June 26 & 27 National HIV'festing Day June 27th Men's Health Month J my 24 & 25 World Hepatitis Day July 2811' September 25 & 26 National H1V /AIDS and Aging Awareness Day Sept 18th National Gay Men's HIV /AIDS Awareness Day Sept 27th October. 16 & 17 National Latino AIDS Awareness Day Oct.151h Liver Awareness Month December 4 & 5 World AIDS Day Dec Pt The information above is subject to change. For verification, please call the Collier County Health Department at 239 - 252 - 8593. 3339 East Tatniami Trail, Building H, Suite 151, Naples, FL. ATTACHMENT 5 Packet Page -2917- 5/14/2013 16.D.5. David Lawrence Center Referral Form for HIV /Hepatitis Testing Referring Clinician - Date of referral - Client name- D.O.B.- Test requested Date of test Results. Collier County Health Department employee signature- Reviewed results with client- Recommendations if appropriate- ATTACHMENTS Packet Page -2918- " ` "' 12- 03- 12 ;02 :45 rrom: To: 812407443086 5/14/201316.D.5. Contract p: Credible Wireless, Inc. BUSINESS SERVICES AGREEMENT COVED PAGE The Attachttd doddhImnts describe tho relationship batwean Credible Wireless, Inc, ("Crodibla`) acid the Customot identified bolow ("Customer") (000 of Cradfble and Customer, 9 "ParPA, The Cocuments attached to this cover peg.$ v4y carW&I of the auslness Services Agreement Terms and Concittlons, whlch describe and set forth the general 10901 terms governing the relationship and one {1) or moro addenda descent T and setting forth detail about that relationship ( "A #ponds'), depending upon the paNcular service(a) to be pMvided to Customer tco0ectfvaly, the "Agreement"). This Agreement includes this Cover Page, rho Business Sewlew Agnament Terms anK all Schedules And /or Addenda that era attaohed and that are executed by both P"Os. This Agreement, inoluding -at affaohmertts,.will become effective. when thin oover page Is oxetutoo by authorized representatives of both Prattles (thp "EfteoUve Dote "). NamalCustomer, David Lawrenco Mental Health Center, Inc, Address, 6675 Bathey Lane Naples, FL 3411 S -5636 Billing Contact: Title: 4� Phone; j Fax: G3t� -So {"7 EmaU Address: FOR INTERNAL CREDIBLE USE Contract it: Principal Contact Patten: Scott Ceitemayor Title: CFO Phone: 289. 364.1424 Fax: 239354 -14667 smell Addrow scottgodicrnhc.0orh W O HIPAA Busfnass Associate AddonduM 0 Source Code FatrowAddendum The Parties have caused their duly authorized represontatives Wexecute this Agreement as of the dates sat forth below. CUSTOMER: Davld Lawrento Motttal Health Center, Inc. By (Signature): i�` .!x Name (Printed): Scott dbilemeyer Titter CFO Effective Date: CRIEDIELE WIREt,E,SS, INC. By (Signatural: Namo (Printed): Matthew M_ Dorman--- - Title: CEO EHeotivc. Dote: Credl6t� Wireless inr Beth1 otar Urive Sui1.375 esda. MMO I � Tel; 3D1 .6$24506 Packet Page -2919- ATTACHMENT 12 -03 -12 ;02,45 ;From; Ta.812407443086 ; 5/14/2013 16.D.5. 081.10'/11v1,1 10 ATTACHMENT 6 Packet Page -2920- Contract Ix: Crediblds option, destroy (and thereafter certify such destruction in Escrowed Sotirao Coda. The provisions of Seoiions 2.5, 2.6, 3 writing) all tangible embodiments, in whole or in part, of any and this 4.4 will survive the iorminallon of 1114 Addendum, Escrowed Source Code remaining in Customer's poSsession or control After termination of this Addendum, Credible may refrain from further escrow of the Escrowed Sovrce Coda, end may require thRt Escrow Agent to return to Credible or destroy such The Parties agree to the aboro terms and have executed thin Addendum as of tho data(o) set forth below. CUSTOMER- David Lawrence Mental health Center, Inc. CREDIBLE WIRELESS, INC. By (S(gnature): V.1. Hy (SiOnaturo): _ Name (Printod)t Scott Geltemoyor_„ Name (Printed), Matlhow M. Dorman Tittle: CFO Title: Ciao Effeotivo Cato: Effective Dater 081.10'/11v1,1 10 ATTACHMENT 6 Packet Page -2920- 12-03- 12;02:45 ;From: To:812407443088 5/14/201316.D.5. Contract Ill 9. Records. Credible agrees to make relevant Intemai practices, books, end records, including policies and procedures refeting to the use and disclosure or Protected Health information (coltectivoty, "Records,), availably in accordance with secuon 10(b) of this Addendum. Credible may requim confidential treatmenl of all such Records. 10, Accounting, Audits, and Inspection (a) Credible will keep an accounting of all dlsolosvnts, outside its normal course of business, of Protected Raclin kmformatlon (the "DlsWrr osre Accounting) on an ongoing oasis and maintain the Disciosura Accounting for a period of at least six (6) years, At a minlmurn, the Disclosure Accounting wilt contain (i) the date of the disclosure; 01) the name of this ontky or person who recetvad ProtaUad Haaith Information and, If known, the 00ress of such entity or person; (iii) a brief description of Protected Health information disclosed; and (1v) a brief statement of the purpose or the disclosure that reasonably informs the Individual at the bask for the disciostua; or in lieu of such statement a copy of tiro sub)oct's written authorization or request ror d18e1051im pursuant to the any Rootil Lion, Credible W11 provide the DisdMre Accounting to Customer or a sub)eet Individunt within sixty (60) days of receiving a written request from such Customer or aubJvot Individual. (b) Subject to compliance wlIh Credible's soCOfity reg11114 isn'14, the Secretary andlor Customer, or their respective authorized agents or contractors, may, at their oxpense, ummina Credible's facilities, systems, and Records related to Protected Health Information, as may be required to determine that Credible is in compliance with the Regulations and this Addendum, if it Is determined that Credible Is in violation of the Regulations orthis Adddndurn, Credible shall promptly remedy any such violation and uhali certify the name in writing, 11. Obligations of Customer, Customer will (1) provide Credible with the, notice of privacy praeN000 thst Customer produces in accordance with 45 CI"R 164.020, as well as any changes to such Milos promptly after such changes are made; (11) provide Credible with any changer. in, or revocation of, permission by an individual to use or disclose Protorded Heaalth Infomlauon, If such changes affect Credlbbe's permitted or required uses and disclosures; (M) notify Credible, of any restriction on the use or disclosure of protected Health Information that Customer has agreed to In vii aitidan%e tvlth 45 CFR 104,522; and (iv) not request drodibie to use or diroloee Proteated Health Information In any manner that would not be permissible under or violate any Regulation it done by Customer, 12. Term and Termination. The term of this Addendum shall be effective as of the date of execution of this Addendum by both Parties and shall continuo unfk terminated as pnovfded harsh, provided that the Obilgations of the parties with respect to Protected Health information under this Addendum may continue after such termination as provided to $colon 1861). Upon either Credible's or Customer's itnowledge 01 a material( breach of this addendum by the other Party, Credible or Customer, as applicable, may: (1) If the breach is Curable, provide the breaching Party thirty (30) days to cure the broach at the end of which period if the breach remains uncured, the non - breaching P#rty may terminate this Addendur and the Agreement Immediately upon written notice to the breaching Party; or (F) If cure and tersninatlon are, not feasible; the non - &646hing Party may report the violation to the -Secretary, m3. Effect of Termination, Upon termination of INS Addendum for any reason. Credible, at its option, will either (i) return, delete, purge and destroy, all Protected Health Information in CredlbWs possession in any form, or 01) IF Credible determines that such return or destruction Is not feasible. Crcdlbls will continue to restrict such Protected Health information in oempilancs with this Addendum. 14. Effect on Agreentont, This Addendum Is intended to supplement, and not replaca, the Agreement: however, if there Is any confilot or Inconsistency between the terms of this Addendum and [he terms of the Agreement with respect to Protected Health Information, the terms of this Addendum ehaii proven, 1l5. Def1rJti5ft8. As UZsd in this Addendum, the f0flOWI g capitalized terms Will have the meanings specified below: a) "Broach" shell have the owne meaning as the term "broach" In 45 CFR Soc ton 164,402. b) "Elactroala protcatad health lnformnrron" or " Elcrfronfc PW' shall have the same meaning as the term ' "electronic proteoted health information" In 45 CFR Socuon 160,103, but limited to Protected Health informstion tandorthe Addendum. C) "lrxfrvlduar" ahalE have the soma meaning as tho torn "individual" In 45 OPR $ection 160.103 and shall Include a Person Who qu #rifles as a Personal representative in accordance with 45 CPR Section 164.502tp). d) " Proleoted Health fni'ormtratlon" or "PHI' shall have the sarnsr meaning as the tam "protected health information" in 45 CFR Section 1134.103, but limited to the proteoted health Information received from,_ortr3nsmitted•on behalf, of, Customer by Credible. e) "Regulation Compliance DOW, shall m>man, In each caso,tho date by which compliance Is rotiulrod underthe applicable Regulation, f) "Secretary' shall mean the Secretary of the Department of Health and Human Services or his or her designcc. g) "Security lnaident" shalt mean any use or disclosure Ot Protected Health Information of which Credible becomes aware that is not permitted by this Addendum. h) "tlrf3tovradprtyfAOratl Health Jniot "are" shall havo the some meaning as the term "vneocurod protected health information" in 45 CFR Section 164,402, but limited to Prawtod Health Infatnmatlon undertho Addendum. By their authorized signatures below, the Parties Indloate theiracceptanca of the terms and conditions contained in this Addendum, and the, Parties 09100 to bo legally bound by such terms and conditions. CUST MER, David Lawrence MOM01�Health Center, Inc, CREDIBLE WIRELES$, INC, By (Signptare): --X1. /f/ r!..•f' ��'"�cr� lay Ognature)' �� . �''� -� •... Nano (Printed): Scott Gottemoyor Title; CFO _ Effective Date: CBHOT11 v1.1 Mama (Printed): Matthew M, Dorman Tire. CEO Effective Data: 12 AT7ACHMENT6 Packet Page -2921- = ` 5/14/2013 16.D.5. i Letter Of Intent: Enterprise December 2, 2012 Scott Geltemeyer CFO David Lawrence Mental Health Center, Inc. 6075 Bathey Lane Naples, Florida 34116 Dear Mr. Geltemeyer: Credible Wireless, Inc. (Credible) is pleased to submit this Letter of intent (LOI). The following pages provide a description of Credible's implementation services and all of Credible's software modules. Exhibit A: Credible Enterprise Agency Specific Pricing Guidelines and Hour Allocations and Exhibit B: Credible Enterprise Agency Specific Letter of Intent Modifications collectively detail Agency requirements and Credible's commitments, Credible's Software as a Service (SaaS) solution provides secure, proven., easy to use software while our growing customer base delivers added value through networking and shared best practices. Credible appreciates the time that David Lawrence Mental Health Center, Inc, has spent discussing the benefits of a Credible software. By deploying Credible Behavioral Healthcare Software, the Agency will receive the following benefits: 1. Fully integrated software, including Mobile, Electronic Prescription, eLabs, Wiley Treatment Libraries, and Business Intelligence modules, if purchased. 2. Easy to use interface with straightforward and legible screens, role based security, and online help tools. 3. 141PAA compliant operations, data access, and security. 4. Four (4) annual software feature releases for the life of the contract at no additional cost. 5. Secure hosting and Disaster Recovery services. a. Enterprise level piimaiy and secondary sites with 24 hour, 7 days a week, 365 days a year monitoring, full equipment redundancy, and state of the art hardware and software. b. Server rooms secured with biometric thumbprint readers and monitored by security cameras. c. Built -in redundancy for all power and cooling systems. 6. Meaningful Use Certification: Credible is ONC -ATCB certified as a complete EHR as of June 1, 2011 by the Certification Commission for Health Information Technology (CCHIT). By this agreement, Credible commits to maintain its continued Meaningful Use certification. Confidential & Proprietary December 2, 2012 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleinc.com Credible Enterprise Packet Page -2922- Page ji ATTACHMENT6 5/14/2013 16.D.5. Credible's CMS EHR Certification fD is 30000001TQK9EAC, verifiable at .h ttp_ / /\vww. h ealthit.lihs_gov,. Agency receives best in class billing services, which currently handles over $750,000,000 million dollars in Medicaid, Medicare, and 3rd Party claims, Powerful standard and ad -hoc reporting tools for Billing and Service, Client, Employee, and Ledger data. 9. Increased productivity and reduction in staff paperwork through elimination of duplicate data entry and paper -based documentation inefficiencies. 10. Increased accuracy and timeliness of data with real -time reporting. 11. Simplified and fully integrated documentation, reporting, scheduling, and billing. 12. Client Portal with secure, Agency managed access to specific data points by Agency's clients, consumers, or patients. 13. Provider Portal with simplified and secure data transfer amongst Credible Partners, as well as from Agency referral sources and business partners, regardless of whether or not they are on the Credible platform. 14. Credible's Library with detailed feature information, configuration instructions, and full presentations on major modules and features. In addition, the Library includes Credible Best Practices for clinical, intake, billing, reconciliation, and other critical Agency processes. 15. Credible's Training Department which is dedicated to enhancing Agency's staff knowledge, experience, and optimization of Agency's return on investment in Credible. 16. Credible's Mobile module - the industry's most reliable and versatile mobile application allowing Agency staff to document wherever and whenever they provide services. Working in either connected or disconnected modes, Credible Mobile is available for iPads "'M, iPhoneTM, and Credible recommended Android enabled devices, laptops, netbooks, and tablet PCs, Confidential & Proprietary December 2, 2012 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleine.eom Page 12 Credible Enterprise ATTACHMENT 6 Packet Page -2923- 5/14/2013 16.D.5. I. Configuration, Implementation, Transition, and. Training A. Configuration and Training for the following modules and features are included: 1. Client & Employee data management 2. Security Matrix 3. Scheduling 4. Home Page 5. Reports Security Matrix 6. Standard Reporting 7. Advanced Search Reporting and Custom Ad -Hoc Reporting 8. Notifications, Triggers, and Messaging 9. Credible eRx & eLabs (if applicable) 10. Physician's Orders (if applicable) B. Implementation and Project Management 1, Project Management: An Implementation Manager is assigned to drive the Agency's implementation and Training. This individual leads weekly calls and both web -based and in person tralnings, as outlined below. Agency will benefit from Credible's experience in successfully taking over 50 Agencies live in the past 12 months. 2. Data Conversion:. a. Credible provides for the import of numerous data points: i. Client Demographic Information — Data imported into the Client profile, Client extended, or episode screens. 11. Client Insurance iii. Client Authorizations iv. Client's Program and Team Assignments V, Employee Demographic Information - Data imported into the Employee profrle and credentials screens. vi. Client Employee Relationships vii. Employee Program and Team, Assignments viii. Diagnosis ix. Client Balances b. Medications - Imported medications will present in Credible as 3`6 Party prescribed medications. For these medications to be fully integrated with allergies, contraindications, and the drug/drug interactions, they must be input into the software Credible will train Agency staff on the importing process, but it is the Agency's responsiblilty to create and process the imports. c. The Agency's import files must be in a'.csv' format. The Agency is 100% responsible for data, data integrity, and "clean" data. 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleinc.com Confidential & Proprietary Page 13 December 2, 2Q l2 Credible Enterprise ATTACHMENT S Packet Page -2924- 5/14/2013 16.D.5. d. Erroneous imports performed by Agency staff not following Credible's training and/or Credible's Best Practices resulting in additional fees charged to "remove" erroneous imports. e. Contacts, Family data, Geo Areas, External Providers, Schedules, Service - based. data, and Liability data are considered "Advanced Importing." Credible provides limited training on "Advanced Importing." Should Credible perform "Advanced Importing, "additional charges apply. f. If Agency staff should import into other tables (not Iisted above), Credible's Technical Team may need to be involved and additional charges apply. 3. Pre- "Go Live" Report Customization As a SaaS, Credible provides extensive reporting capabilities and our Partner Agencies do not require additional reporting functionality. However, if the Agency requests internal Agency - specific reports, additional charges apply. Agency may submit request to Credible's Feature Release Queue; these requests may or may not be added to the software, 4. Post "Go Live " Customization:. After the Agency is "Live" on Credible for sixty (60) days, Senior Management may request additional features. These features may be charged to the Agency if Agency- specific or they may be added to CnAible's Feature Release Queue. Credible does its best to address the requests of all its Partners in fixture update releases; however, Credible is unable to guarantee that requests made are added to the software. C. Project Management and Training Meetings I. Kickoff and Discovery Megangs a. One (1) "kick -off' call within four (4) weeks of executing LOI. b. One (1) onsite "Discovery" meeting lasting two (2) to three (3) days will occur no sooner than four (4) weeks after the initial kick -off call. This meeting will include Credible Administrative training — configure, adminster, and manage the Credible site for Agency use.. 2. Proiect Management Meetings Confidential & Proprietary December 2, 2012 a. Weekly project management calls to review configuration and implementation status, as well as to address questions arising from the training process. b. Meeting expectations: i. All parties, including Credible staff, must be present within five (5) minutes of scheduled time. Beyond five (5) minutes Credible and /or Partner may reschedule the call.; however, Credible or Agency wait tune will be deducted or added from Agency's Implementation hours as the situation dictates. ii. All calls and a -mails conducted with a manner of professionalism and decorum. 10411 Motor City Drive, Suite 375 Bethesda, MD 26817 www.credibleinc.com Credible Enterprise Packet Page -2925- Page 4 ATTACHMENT 3. .Training 5/14/2013 16.D.5. a- Online training, includes Client, Employee, Scheduling, Billing and Billing Configuration, eRx, eLabs, Visit Admire tools, and Advanced Search. b. Two (2) to three (3) days of onsite training prior to "GoLive ", which consists of two (2) days of Clinical Training and one (1) day of Billing training (if Billing module purchased). c. One (1) reconciliation webeast lasting two (2) hours. This Reconciliation training follows the Agency's receipt of an Explanation. of Benefits (EOB) and/or 835 file for services billed from Credible. Agency must bill within five (5) weeks of "Going Live ", in order for Credible's service hours for reconciliation to faI I into the allotted transition hours. d. Credible has Training Consultants available for additional trailing sessions. However, if the Agency secures the services of an outside Consultant, the Agency assumes all responsibility for adequately trained Agency staff and consultants. D. .Online Project 1Manazement and Access L. Credible provides the Agency with secure hosting, as well as a secure domain .within twenty -one (21) days of the kick -off call. 2. Following the initial project call, Credible provides a website referred to as . "GoLive" to manage the Agency's implementation process. This enables both the Agency and Credible to have real time, online access to easily view and manage all steps, tasks, deliverables, questions, forms, and reports related to a successful Implementation. 3. Following the initial project call, all written communication must go through the "GoLive" system. Credible's implementation process solely employs the use of this project management tool. E. .Transition to Credible 1. During the transition from Implementation to actually being "Live" with documentation and billing, Credible provides additional support services.. Commencing thirty (30) days prior to "Go Live ", Credible's Transition professionals, begin working with the Agency's project staff and Credible's Implementation team. During the first sixty (60) days of being "Live ", Credible waives up to sixteen (16) weekly hours above the Agency's contracted service hours. Confidential & Proprietary December 2, 2012 a. Additional Training: Additional onsite or web -based training for Clinical, Billing, Form Building, Security Matrix, GL Export, Configuration, and other focus areas available. Additional fees apply. 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleinc.com Credible Enterprise Packet Page -2926- Page 15 ATTACHMENT 5/14/2013 16.D.5. C� LE It. Credible Billing Module A. The Credible Billing module provides for electronic submission for: Medicaid, Medicare, and Third Party services; Payer Configuration; Rate /Service determination; Rolling/Summing/Combining rules; Authorization Management; as well as other billing related functionality. Credible's Billing Configuration screen Must be completed by Agency staff, in collaboration with Credible's Implementation Team, B. Billing Module Project Management: This includes all configuration training needs for Payer Configuration, Billing Matrix Setup, Authorization Management, Rate Configuration, electronic submission of 837 tiles, CMS 1500 capabilities, and the electronic postings of 835's. C. The Agency is responsible for gathering all of the necessary requested data. Agency staff interacts with the payer(s) to gather the required billing and payer data. Payer configuration and testing takes between thirty (30) and one hundred and twenty (120) days. D. Credible works with the Agency to provide a specific Revenue /GL export to the Agency's accounting software. While Credible is not an accounting package, Credible does manage Accounts Receivable and provides for a batchable export to the Agency's General Ledger. The Revenue Code Matrix inside of Credible's Billing Configuration screen must be completed by Agency staff in collaboration with Credible's Implementation Team. This requires focused, dedicated hours fi•om Agency's Senior Billing and Finance personnel. E. Credible provides one (1) day of onsite Billing training prior to actual "GoLive" date. Final Billing training held concurrent with other Credible training. F. Credible assists with configuring and testing the Agency's ten (10) largest Payers measured by the percentage of the Agency's revenue. Credible requires the Agency Billing staff to configure and test the additional payers. Any Payer not listed in Exhibit C may result in additional hours and /or charges. G. Credible strongly encourages direct billing. Credible provides for clearing house submissions. If Credible is charged a clearing house transaction expense, it is passed along to the Agency with a 15% markup. . H. Configuration of State specific 270/271 functionality is included in the Billing module configuration. U1. Credible Mobile Documentations Module A. The Mobile module allows for secure, HIPAA compliant data to be captured on iPadTm, iPhoneTm, Credible recommended Android enabled devices, netbooks, laptops, and/or tablet PCs in a connected or disconnected mode. B. Credible trains Agency staff for end user support, including loading, configuring and troubleshooting the mobile software on multiple devices, C. Software and training materials for the Mobile module provided in Credible's Library domain. D. All Agency required hardware purchased directly by the Agency, Credible provides specific recommendations. Confidential & Proprietary December 2, 20I2 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleinc.com Page 16 Credible Enterprise ATTACHMENT Packet Page -2927- 5/14/2013 16.D.5. E. Training of Agency support staff completed concurrent with other Credible onsite or online training. IV. Credible Form Builder Module A, Training for the Agency's staff to develop, deploy, edit, and manage all forms. 1. Current library of available forms, including Progress Notes, Evaluations, Intakes, Discharges, etc. Usage of the Library infers the Agency shares its forms for the life of the agreement. A fee of $25,000 is due if the Agency chooses to use the Library, yet later declares a form to be "Confidential and Proprietary," which excludes it from Library distribution. B, Unlimited Agency driven modifications to active forms. C. Training for up to six. (6) Agency staff. D. Fully documented user interface. E. Only active forms are counted for invoicing purposes. a. An active form is a form that is associated with a visit type active in the billing matrix. V. Credible Business Intelligence (BI) Advanced Reporting A. Credible BI provides the Agency with a fully configurable reporting tool with the ability to create custom reports, dashboards, and graphical reporting functionality. B. Prior to activation of the .BI module, Credible requires a minimum of two (2) Agency staff to be trained on Credible BI. There are trainings held twice a year, in conjunction with multiple agencies and occurs at or near a Credible corporate facility. C. BI Training fees are billed to the Agency at Credible's cost- per - attendee. Agency is responsible for attendee travel, lodging, and meal costs. VI. Credible eRx A. Credible eRx provides electronic prescription capability. Fully integrated into Credible Behavioral Health Enterprise software, Credible eRx allows the Agency's licensed prescribers to electronically document all prescriptions while providing paper or electronic scripts. Credible eRx is Surescripts certified; Credible eRx provides for: I . Fully integrated drug database 2. Reduced medication errors 3. Monographs, Contraindications, Drug/Drug interactions, Drug /Allergy interactions 4. Generic equivalents, recommended dosage, and prescriber favorites 5. Electronic submission to pharmacies 7. Enhanced Credible eRx Services include: a. X12N 005010X92A1 Eligibility transactions (270/271) b. Prescription History (RXI-MQ /RXHRES) 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleinc.com Confidential & Proprietary Page 17 December 2, 2012 Credible Enterprise ATTACHMENT 6 Packet Page -2928- 5/14/2013 16.D.5. c. NCPDP Formulary and Benefit Load version 1,0 B. Disclaimer 1. Information presented through Credible eRx with regard to formularies, eligibility, and medication history is data provided and transmitted by various Pharmacy Benefit Management (PBNJ) entities, Credible cannot assure the accuracy of this data. 2. The Agency is responsible for obtaining Release of Information for each client prior to activating the "PBM Medication History' functionality. VII. Credible eLabs A. With Credible eLabs, Agency personnel may electronically order lab tests, print lab test orders, and electronically receive the results. 1. Facilitates the rapid, secure, web -based exchange of lab test results. 2. Uses Logical Observation Identifiers Names and Codes (LOINC) as provided and one- to-one mapping without the need for maintaining exact lab test names. 3. Reduces communication errors. 4. Provides physicians /clinicians with 24/'7 access. B. Activation of eLabs takes one (1) to twelve (I2) weeks following "GoI.,ive." C. Disclaimer 1. If a lab the Agency uses is not currently "Live" with Credible's eLabs' technology partner, additional charges apply or this module will not be activated and all associated fees refunded. 2. Credible eLabs is restricted to labs that are willing to participate. 3. Agency's lab delays may result in the delay of implementation of this module, and are out of Credible's control. VIII. Wiley Treatment Planning A. Credible has licensed the online version of Wiley Treatment Planners from John Wiley & Sons, Inc. providing an array of treatment planning components (Behavioral Definitions, Long Term Goals, Short Term Objectives, Therapeutic Interventions, and Possible DSM -IV Diagnoses) for encountered behavioral problems. IX. Credible's Miscellaneous Services A. eFax and Visit Print Templates I. Credible provides the capability to electronically fax Client Visit Details and Templates to other entities. Fax cover sheets are included in this functionality. Configuration is required. Additional fees apply. Conridentiai & Proprietary December 2, 2012 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www,credibteinc.com Page 18 Credible Enterprise ATTACHMENT 6 Packet Page -2929- 5/14/2013 16.D.5. B. Credible's Appointment Reminders Functionality via E -mail and Texting 1. Credible provides full outbound texting functionality for appointment reminders. The source phone number is provided by Credible. Additional fees apply for texting. 2. No additional fees apply for e -mail appointment reminders. X. Secure Hosting and Disaster Recovery Services A. Credible is responsible for all hardware, software, and networlc costs at a secure hosting facility. Agency retains all ownership rights to Agency data. Credible retains all ownership rights to the software and hardware. Secure data hosting, offsite data storage, server management and all server based software licenses are provided by Credible. B. Server rooms secured with three (3) factor authentication, including biometric readers and monitored by security cameras. C. Built -in redundancy for servers and all power and cooling systems. D. Enterprise level primary and secondary sites with 24 hour, 7 days a weelc, 365 days a year monitoring, full equipment redundancy, and state of the art hardware and software. E. Disaster Recovery (DR) services are provided at a separate facility, geographically independent of the prime host facility, Basic DR includes access to Agency data within 8 hours of a disaster that incapacitates Credible's primary hosting facility. Enhanced Disaster Recovery service levels are available by contract. F. Credible provides for twelve (12) GB of storage for attachments. Agency is charged for any overage. Video and audio files may not be attached without a separate contract addendum. G. Secure hosting fees will begin three months after the Agency's kick -off call. XI. Software Escrow A. As a SaaS provider, Credible conforms to industry best practices by placing Credible's source code with a professional software escrow company. After each Release, Credible updates the escrowed software. XII. Monthly Non - Exclusive License Fees A, A User is defined as any individual designated by the Agency with a Username and Password. The Agency is responsible for managing Active and Inactive users. Users are counted during the last week of the month for invoicing purposes. B. Access to all feature releases and upgrades for the life of the contract. C. Complimentary Feature Release webeasts. D. Two (2) hours of monthly support, including e-mail and live help. Any support time resulting from an error or bug in the software not charged to the customer. Hours do not carry over from month to month. Additional support time available for a fee. Confidential & Proprietary December 2, 20 L2 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleinc.00m Credible Enterprise Packet Page -2930- Page 19 ATTACHMENT 6 5/14/2013 16.D.5. 12 -03 -12 ;02.45 ;Front To:812407443086 f� if I� ��* � it �. � '•�^wrn X111. General Terms A. Contract length is five (5) yoars. All fees will increase 2.5% annually beginning the 30`i' month after "GoLive ", B. Payment Schedule: 1. 75% due on signing of Letter of intent. 2. 15% due sixty (60) days after signing. 3. 10% due upon fiat "Gd- Give.,, 4. 80% of all upfront fees are non - refundable. 5. All invoices are duo upon receipt, C. Attachments to this Letter of intent are expressly made a part of this agre0mant, and include: 1. Exhibit A: Credible Enterprise Agency Spegr1c. Pricing Guidelines 2, Exhibit 8: Credible Enterprise Agency Specific Letter of Intent Mod f cations to Letter oflntent 3. Exhibit C: Credible GurrenlEdectaonio Payens Picase indicate acceptance of this Letter of Intent by signing below and returning a fully executed copy, Matt j,cW ioinijjdh Dote Chief Executive Ofricer Credible Wireless, Inc. 10411 Motor City Drive, Suite 375 Bothesda, MD 20817 Attachments- Scott G e � � — y Date CFO David Lawrence Mental Health Center, 111c. 5075 Bathey Lane Naples, Florida 34116 1. Exhibit, A: Credible Enterprive Agca17cy Spec fc pricing Guidelines and Hours, Allocallol7 2. Exhibit B: Credi6k, EnJ erprky(, Agency SOecifeLenw -of intent Modifeaiions 3, Exhibit Q Credille CurrentElectrotric payers Confidentiol & Proprictuty December 2, 2012 10411 Motor City Drive, Suite 371 Uthada, MD 20817 www.orodib[cinc.com Credible Enterprise Packet Page -2931- Page i 10 ATTACHMENT 5/14/2013 16.D.5. r Exhibit A: Credible Enterprise Agency Specific Pricing Guidelines and Houurs Allocation *Pricing Tables valid through December 31, 2012* One Time Module Pricing One Time Purehned Hours Credible Discount to Agency Fees Configuration, Implementation, Transition, & $70,000 Yes 180 Training Billing Module $60,000 Yes 80 Credible Standard; Agency agrees to use Credible's current functionality and not request any custom reports, processes or features. All Yes -30 data is accessible through Credible BI which allows you to $0 build custom reports and dashboards. By selecting Credible Standard, the Agency w111 have: Mobile Documentation Module $25,000 Yes 3 FornlBudder Module I . Economy - 1- 50 Forms $75,000 Yes 2. Company - 51 - 200 Forms 16 3. Enterprise - Unlimited Credible Business Iufelligence7(B1) Advanced $52,000 Reporting Module Yes 0 Credible eRx $10,000 Yes 3 Credible eLabs $10,000 Yes 2 Wiley Treatment Planning $0 I No 0 Software 'Esdrow $850 Required 0 A' itional Con €figuration Customisation Additional customization hours are available at rates of $0 No 0 $125.00 /hour for account management and $210.00 /how for software dcvotopnunt Additional Training $0 No 0 Total One -nate Fees and Hours $302,850 255 Credible Discount to Agency S94,250 Agency Grand Total $208,600- Confidential & Proprietary December 2, 2012 10411 Motor City Drive, Suite 3 ?5 Bethesda, MD 20817 www.credibleinc.mm Credible Enterprise Packet Page -2932- Page j I 1 ATTACHMENT 6 5/14/2013 16.D.5. Confidential & Proprietary Decembet 2, 2012 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleine.win Credible Enterprise Packet Page -2933- Page 112 ATTACHMENT Billed R11.1ed Monthly & Annual. Recurring Licenses Fees Purchased Monthly Annual Tees Fees Credible Behavioral Healthcare Software Monthly User Fees Number or Users Per Month Price 1 -100 $3,100 101 -200 $5,100 201 -400 $7,100 Yes $5,104 N/A 401 - 750 $8,600 751 -1,500 $10,500 1,501 -2,500 $12,500 1. Part Time Staff are billed at 33% of a full user. _... 2. A Inc _ss, res oilsible_for de- activatiu .users in !t timel _manner. Additional Monthly Account Management Support 1, Increase in monthly support by four (4) hours, including e-mail. and No $G N/A live help. Billing Module Yes N/A $4,000 Mobile D'ocumentationi Module YeS N/A $3,750 Fora Builder. Module Level #of Active Training Hours Annual Fees Forms Economy 1.50 4 $3,750 Yes N/A $11,250 Company 51 -200 8 $7,500 interprise Unlimited 16 $t 1,250 Credible Business Intelligence (BI) Advanced Reporting Module Number of Users Per Month Price 1 -5 $650 Yes $650 N/A Additional blocks of 5 $500 1. Unlimited viewers are allowed. Confidential & Proprietary Decembet 2, 2012 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleine.win Credible Enterprise Packet Page -2933- Page 112 ATTACHMENT 5/14/2013 16.D.5. L Told Agency Mostthly & Annual Fees $6;750:. 1 _ $32,050 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleinacom Confidential & Proprietary Page 113 December 2, 2012 Credible Enterprise ATTACHMENT Packet Page - 2934 - ``'? Billed Billed. Monthly & Annual Recurring LicensesiFees Purchased. Mond ly AnnuaC Fees Fees Credible eRx - Based on Prescribers Prescriber Pricing Number of Users Annuui Price Per User 1-4 5600 5 -10 $400 11 > $325 Prescription Pricing Yes N/A $3,600 Type Fee Electronic Prescription 50100 Electronic to Fax Prescription $0.125 Paper Script $0.05 Paper Schedule 11 through V $0.00 Fax Schedule lI through V S0.1.25 1. Agency is responsible for de- activating Prescribers in a timely manner, Credible e -Labs - Based on Prescribers Prescriber Pricing Number of Users Annual Price Per User N/A $3,600 Yes 14 $600 S40C r l 1 $325 Wiley Treatment Planning Tiers Number of Users Monthly Fee Per User Tier l 1 -100 $12.00 NO Tier 2 101-200' 58.00 $0 N/A Tier 201 -300 $6.00 Tier 4 301.400 $5.00 Tier 5 401 > $4.00 ePax Agency charged $0.125 per outbound fax transaction annually. E -mail. and Texting Y69 N/A $fl Agency charged at $0.02 per outbound e- maflheat transaction annually. (Included) Enterprise Level Secure Hosting & Disaster Recovery Services Credible provides for up to twelve (I2) GB of storage. Agency charged at S 10 /GB for any Required $1,000 N/A overage. Software Escrow Required- N/A $8.50 Told Agency Mostthly & Annual Fees $6;750:. 1 _ $32,050 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.credibleinacom Confidential & Proprietary Page 113 December 2, 2012 Credible Enterprise ATTACHMENT Packet Page - 2934 - ``'? 5/14/2013 16.D.5. %.-,REDIBLE Exhibit B; Credible Enterprise Agency Specific Letter of Intent Modifications Credible and Agency agree that any language found in Exhibit B shall supersede all inconsistent language contained in. the Letter of Intent. A. Special Payment Terms: L Once 50% of the One -Time fee is received, the Agency's kick -off call is scheduled. 2. The balance of the One -Time fee is paid in eighteen (18) monthly payments beginning the month after signing the LOI. 3. Credible is not ehdfgirig any spedial finariding fees fof these terms. 4. Unpaid invoices over fifteen (15) days result in suspension of Implementation and/or suspension of existing services. a. Resuming Implem.eniion or existing services after suspension requires a $ �� ee, in addition to payment of all outstanding invoices. B. Selection of Credible Standard I. Agency agrees to use Credible's current functionality and not request any custom reports, processes, or features. All. data is accessible through Credible BI allowing Agency the ability to build custom reports and dashboards. 2. In addition the following clanges apply: a. Two (2) on -sites vs, three (3) on -sites b. Project management meetings conducted via webcast and telecom c. Reduction in Configuration, Implementation, Transition, and Training hours from one hundred and eight (180) to one hundred .fifty (15 0) hours 10411 Motor City Drive, Suite 375 Bethesda, MD 20817 www.crediblcinc,com Confidential & Proprietary Pagel 14 December 2, 2012 Credible Enterprise ATTACHMENT6 Packet Page -2935- _''�