Backup Documents 06/23/2015 Item #16D10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL i 61310
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
I. Peggy Hager Community and Human tA'°11s
Services
2. County Attorney Office County Attorney Office
3. BCC Office Board of County
Commissioners v (c,\Z-4-S
4. Minutes and Records Clerk of Court's Office mi)
Pliq 51 IS rapth
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Rachel Brandho st, Grant Coordinator, Phone Number 239-252-42301
Contact/ Department Community a d Human Services //
Agenda Date Item was 6/23/20151 Agenda Item Number 16D10
Approved by the BCC
Type of Document Second Amendment to CCSO, Second Number of Original 2/2 CCSO Amendment
Attached Amendment to DLC, DCF Amendment Documents Attached 3/3 DLC Amendment
#0003,CJMHSA Amended Application 4/4 DCF Amendment
#003
3/3 CJMHSA Amended
Application
PO number or account
number if document is N/A
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's riginal signature? RB
2. Does the document need to be sent to another agency or adds tonal signatures? If yes, RB
provide the Contact Information(Name; Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be RB
signed by the Chairman, with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's RB
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the RB
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's RB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip RB
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 6/23/15 and all changes made during the RB
meeting have been incorporated in the attached document. The County Attorney's , ,,
Office has reviewed the changes, if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC, all changes directed by the BCC have been made, and the document is ready for e
Chairman's signature. u .
I. Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16010 _
Instructions
1) Second Amendment to Agreement between BCC and CCSO:
Please send one original Chairman signed Agreement to:
Marien Ruiz, MPA
Grants Coordinator
Collier County Sheriff's Office
3319 E. Tamiami Trail
Naples, FL 34112
Please send one original Chairman signed Agreement to:
Rachel Brandhorst
e RSVP Project Director Criminal Justice Grant Coordinator
v Collier County Government l Community and Human Services
3339 E. Tamiami Trail, Bldg. H, Suite 211
Naples, FL 34112
2) Second Amendment to Agreement between BCC and David Lawrence Center:
Please send one original Chairman signed Agreement to:
Scott Burgess
j 6075 Bathey Lane
Naples, FL 34116
Please send one original Chairman signed Agreement to:
Rachel Brandhorst
RSVP Project Director t Criminal Justice Grant Coordinator
Collier County Government l Community and Human Services
3339 E. Tamiami Trail, Bldg. H, Suite 211
Naples, FL 34112
3) DCF Amendment#0003
Please send two original Chairman signed Agreements to:
iJennifer Benghuzzi
Contract Manger, Business Operations Unit
Department of Children and Families
lilyOffice of Substance Abuse and Mental Health
5 1317 Winewood Blvd., Bldg. 6, Room 232
Tallahassee, FL 32399-0700
1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
Please send one original signedAgreement Chairman A reement to: 16 0 10
Rachel Brandhorst
RSVP Project Director I Criminal Justice Grant Coordinator
Collier County Government I Community and Human Services
3339 E. Tamiami Trail, Bldg. H, Suite 211
Naples, FL 34112
4) CJMHSA Amended Application
Please send one original Chairman signed Agreement to:
Jennifer Benghuzzi
Contract Manger, Business Operations Unit
/ Florida Department of Children and Families
Office of Substance Abuse and Mental Health
1317 Winewood Blvd., Bldg. 6, Room 232
Tallahassee, FL 32399-0700
Please send one original Chairman signed Agreement to:
/ Rachel Brandhorst
RSVP Project Director I Criminal Justice Grant Coordinator
Collier County Government I Community and Human Services
\ 3339 E. Tamiami Trail, Bldg. H, Suite 211
Naples, FL 34112
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16 0 10
MEMORANDUM
Date: June 30, 2015
To: Rachel Brandhorst, Grants Coordinator
Housing, Human &Veteran Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Amendment #3 to DCF Grant Agreement #LHZ46
Attached for your records is as noted below of each agreement referenced above,
(Item #16D10) approved by Board of County Commissioners on Tuesday, June 23,
2015.
CJMHSA — Amendment#2 w/Collier County Sheriffs Office (copy)
CJMHSA— Amendment#2 w/David Lawrence Center (original)
LHZ46 — Amendment #3 w/FL Dept. of Children & Families (copy)
(mailed to DCF/Jennifer Benghuzzi for final signature)
CJMHSA — Amended Grant Application —DCF (original)
If you have any questions, please contact me at 252-7240.
Thank you.
Attachments
16010
MEMORANDUM
Date: June 30, 2015
To: Marien Ruiz, Grant Coordinator
Collier County Sheriff's Office
From: Martha Vergara, Deputy Clerk
Board Minutes & Records Department
Re: Second Amendment to Agreement CJMHSA-002
Attached for your records is an original of the document referenced above Item #16D10)
approved by the Board of County Commissioner's during their meeting held on Tuesday,
June 23, 2015.
An original will be held in the Board Minutes and Record's Department for the Official
Record.
If you have any questions please call me at 252-7240.
Thank you.
Attachment (2)
16010
SECOND AMENDMENT TO AGREEMENT CJMHSA-002 BETWEEN
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
COLLIER COUNTY SHERIFF'S OFFICE
This Amendment, is entered into this a2 rok day of ,�,,,�� 2015,
by and between Collier County Sheriff's Office, herein after referred tbr as Subrecipient and
Collier County Board of County Commissioners, Florida, herein after to be referred to as
"COUNTY," collectively stated as the "Parties."
WHEREAS, on June 10, 2014, the County and Subrecipient entered into an agreement
for Subrecipient to provide "FIRST grant services" to Collier County residents (hereinafter
referred to as the "Agreement"); and
WHEREAS, the Parties desire to modify the Agreement to reflect a contract change;
revise the department name; add additional funding, add Board directed Corrective Action
language; remove Exhibit A1-7 and A1-8, reflect a staffing change to add .65 Reintegration
Specialist position by Collier County Sheriff's Office; add Exhibit C-2.3.7 and modify Exhibit C-
2.4.1.1 to reflect the requirement of quarterly source documentation increase the required match
amount, replace Exhibit G and G-1, modify Exhibit F-3 and F-7 and add grantor required State
and Federal Laws, Rules and Regulations, Exhibit I.
NOW, THEREFORE, in consideration of foregoing Recitals, and other good and
valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged,
the Parties agree to modify the Agreement as follows:
Words Underlined are added
1. Paragraph 1. CONTRACT DOCUMENT
This contract is composed of Sections 1 through 38 hereof, as well as Exhibits A-# A-I and any
exhibits referenced in said attachments, together with any documents incorporated by
reference, which contain all the terms and conditions agreed upon by both parties.
2. Paragraph 5. THE CONTRACT SUM
The County shall pay Subrecipient for the performance of this Contract a maximum amount of
- -- - - - - -- a-- -- - -- ! Four
Hundred Five Thousand Five Hundred Ninety Four and Thirty six Cents ($405,594.36) , based
on the cost set forth in the Subrecipients budget Exhibit F. The County's performance and
obligation to pay under this Contract is contingent upon the County's contract with the
Department of Children and Families Contract and annual appropriation by the Legislature and
the Board of County Commissioners.
3. All references throughout the agreement to Housing, Human and Veteran Services
(HHVS) shall now read Community and Human Services (CHS).
4. Paragraph 39. CORRECTIVE ACTION, is hereby added as follows:
Corrective action plans may be required for noncompliance, nonperformance, or
unacceptable performance under this contract. Penalties may be imposed for failures to
implement or to make acceptable progress on such corrective action plans.
1 6 0 10
In order to effectively enforce Resolution No. 2013-228 Community and Human Services
(CHS) has adopted an escalation policy to ensure continued compliance by Subrecipients,
Developers, or any entity receiving grant funds from CHS. CHS's policy for escalation for non-
compliance is as follows:
1. Initial non-compliance may result in Findings or Concerns being issued to the entity
and will require a corrective action plan be submitted to the Division within 15 days
following the monitoring visit.
o Any pay requests that have been submitted to the Division for payment will be
held until the corrective action plan has been submitted.
o CHS will be available to provide Technical Assistance (TA) to the entity as
needed in order to correct the non-compliance issue.
2. If in the case an Entity fails to submit the corrective action plan in a timely manner to
the Department, the Department may require a portion of the awarded grant amount
be returned to the Department.
o The County may require upwards of five percent (5%) of the CJMHSA amount
reimbursed be returned to the Department, at the discretion of the Board of
County Commissioners.
o The entity may be considered in violation of Resolution No. 2013-228
3. If in the case an Entity continues to fail to correct the outstanding issue or repeats an
issue that was previously corrected, and has been informed by the Department of
their substantial non-compliance by certified mail; the Department may require a
portion of the awarded grant amount or the amount of the CJMHSA investment be
returned to the Department.
o The Department may require upwards of ten percent (10%) of the acquisition
amount be returned to the Department, at the discretion of the Board of County
Commissioners.
o The entity will be considered in violation of Resolution No. 2013-228
4. If in the case after repeated notification the Entity continues to be substantially non-
compliant, the Department may recommend the contract or award be terminated.
The Department will make a recommendation to the Board of County
Commissioners to immediately terminate the agreement or contract. The Entity
will be required to repay all funds disbursed by the County for project that was
terminated.
o The entity will be considered in violation of Resolution No. 2013-228
If in the case the Entity has multiple agreements with the Department and is found to be
non-compliant, the above sanctions may be imposed across all awards at the Director's
discretion.
(.9
1 6 0 10
5. Exhibit A shall be amended and all remaining paragraphs shall be renumbered sequentially
following the deletion of paragraphs A1-7 and A1-8.
6. Exhibit A, paragraph A1-7 is hereby deleted:
shall be purchased from Prison Rehabilitative Industries and Diversified Enterprises,
Inc., (PRIDE) identified under Chapter 946, F.S., in the same manner and under the
procedures set forth in subsections 946.515(2) and (4), F.S. For purposes of this
Contract, the Subrecipient shall be deemed to be substituted for the County insofar as
dealings with PRIDE. This clause is not applicable to subcontractors unles., otherwise
A
A . -• _ • - *-
obtained by contacting PRIDE, (800) 643 8459
7. Exhibit A, paragraph A1-8 is hereby deleted:
• •_ - -
accordance with the provisions of sections 403.7065, F.S.
8. Exhibit B, paragraph B-8 Contract Limits.
B-1.1 The total funds awarded under this Contract shall not exceed $333,123.00
$405,594.36 over the lifetime of this Contract.
B-1.2 The total funds awarded for each program year under this Contract shall not
exceed
B.1.2.1 $ 111,041.00 $135,198.12 in program year 1;
B.1.2.2 $135,198.12 in program year 2; and
B.1.2.3 $ 111,041.00 $135,198.12 in program year 3.
9. Exhibit C- paragraph 2.1.1.1 is hereby amended as follows:
FIRST team staff to include:
C-2.1.1.1.1 2.0 Discharge Planners
C-2.1.1.1.1.1 .65 FTE Reintegration Specialists
10. Exhbit C- paragraph 2.3.7 through 2.3.7.9 is hereby added:
C-2.3.7 The Grantee shall maintain the following source documentation for the tasks
specified in Section C-1 and C-2. Source documentation shall be provided to the County as
an attachment to the Quarterly Program Status Report submissions.
1 6010
C-2.3.7.1 Grant staff rosters and training attendance logs.
C-2.3.7.2 Copy of the grant staff job descriptions and copies of the training
attendance logs.
C-2.3.7.3 Copy of CIT training attendance logs
C-2.3.7.4 Copy of the monthly client logs.
C-2.3.7.5 Copy of CCSO's contract with Corizon or designated medical service
provider.
C-2.3.7.6 Copy of Corizon or designated medical service provider monthly client
logs, which shall include the client ID number, assessment date, enrollment date
and a CIT trained officers' referral code.
C-2.3.7.7 Copy of monthly staffing and client logs to document staff to client ratio.
C-2.3.7.8 Sample of the treatment planning tool.
C-2.3.7.9 Copy of program process and policies, and operating tools.
11. Exhibit C-2.4.1.1 is hereby amended to read:
Quarterly Program Status Report. In addition to the required source documentation outlined in
Exhibit C-2.3.7, a detailed report of the services and activities performed in the previous three
months and the progress of the program in meeting the performance measures, goals,
objectives, and tasks described in the Subrecipient's application and as specified in this contract
in section D.4. and E.1. The County will provide the template needed to file this report.
12. Exhibit F, Method of Payment is hereby modified as follows:
F-3 Modifications to the "Budget and Scope" may only be made if approved in advance.
Budgeted fund shifts between budget categories and line items shall not be more than 10% and
does not signify a change in scope. Fund shifts that exceed 10% of budget category or line item
shall only be made with board approval.
Program Period Activity Amount
Personnel $109,541.00 I
Program Year 1 $133,698.12
Supplies $1,500.00
Personnel $109,511.00
Program Year 2 1_ $133,698.12
Supplies ; $1,500.00
I
Personnel $109,541.00 I
Program Year 3 I $133,698.12
Supplies $1,500.00
TOTAL CONTRACT $333,123.00
$405,594.36 J.
160 10
13. F-7 The Subrecipient shall provide match funds in accordance with the schedule in the table
below:
Program Period Amount
Program Year 1 $136,659.91
$168,754.86
Program Year 2 $136,659.91
$168,754.86
Program Year 3 $136,659.91
$168,754.86
MATCH TOTAL $409,979.73
$506,264.58
14. Exhibit G, Request for Payment, is hereby deleted and replaced with the attached.
15. Exhibit G-1, Match, is hereby added as attached.
16. Exhibit I, State and Federal Laws, Rules and Regulations, is hereby added in its entirety
as attached.
Gv
1 6 0 10
IN WITNESS WHEREOF, the Parties have executed this Amendment, on the date and year first
above written.
Collier County Sheriff's Office
Approved for , al .
foB
. i s kciency. y:
if
4 acto, 3's 1.3 . Title:
ATTEST: _. COLLIER COUNTY BOARD OF COUNTY
DWIGH . :ROCK, c.;LERK COMMISSIONERS
,est as to Chi . :1,- :far-.K
By: (,(t-
Tim Nance, CHAIRMAN
signature only.
Approval for form and legality:
a,R - &I.—4 .--
Jennifer A. Belpeato
Assistant County Attorney t , 0\
OY \fa'
7 ?")
el
160 10,
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16010
EXHIBIT I -STATE AND FEDERAL LAWS, RULES,AND REGULATIONS
The provider and its subcontractors shall comply with all applicable state and federal laws, rules and regulations,as
amended from time to time,that affect the subject areas of the contract. Authorities include but are not limited to the
following:
A2-1 Federal Authority
Mental Health
42 U.S.C.ss. 300x, et, seq.
Substance Abuse Prevention and Treatment Block Grant(SAPTBG)
42 U.S.C.ss. 300x-21 et. seq.
45 C.F.R. pt. 96
Restrictions on expenditures of SAPTBG
45 C.F.R.s. 96.135
Substance Abuse-Confidentiality
42 C.F.R., pt. 2
Health Insurance Portability and Accountability Act(HIPAA)
45 C.F.R. pt. 164
Social Security Income for the Aged, Blind and Disabled
20 C.F.R. pt. 416
Endorsement and Payment of Checks Drawn on the United States Treasury
31 C.F.R. pt.240
Temporary Assistance to Needy Families (TANF)
42 U.S.C.ss.601, et.seq.
45 C.F.R., pt. 260
Projects for Assistance in Transition from Homelessness(PATH)
42 U.S. C. s. 290cc-21 et. seq.
42 C.F.R., pt. 54
Americans with Disabilities Act of 1990
42 U.S. C.ss. 12101 ef. seq.
A2-2 FLORIDA STATUTES
Child Welfare and Community Based Care
Ch.39, F.S., Proceedings Relating to Children
Ch. 119, F.S., Public Records
Ch.402, F.S., Health and Human Services; Miscellaneous Provisions
Ch. 435, F.S., Employment Screening
Ch.490, F.S., Psychological Services
1 6010
Ch.491, F.S., Clinical, Counseling and Psychotherapy services
Ch. 1002, ES., Student and Parental Rights and Educational Choices
Substance Abuse and Mental Health Services
Ch. 381, F.S., Public Health General Provisions
Ch. 386, F.S., Particular Conditions Affecting Public Health
Ch.395, F.S., Hospital Licensing and Regulation
Ch. 394, F.S., Mental Health
Ch.397, ES., Substance Abuse Services
Ch.400, F.S., Nursing Home and Related Health Care Facilities
Ch.414, F.S., Family Self Sufficiency
Ch.435, F.S., Employment Screening
Ch.458, F.S., Medical Practice
Ch.459, F.S.,Osteopathic Medicine
Ch.464, F.S., Nursing
Ch.465, F.S., Pharmacy
Ch.490, F.S., Psychological Services
Ch.491, F.S.,Clinical, Counseling and Psychotherapy Services
Ch.499, F.S., Drug, Cosmetic and Household Products
Ch. 553, F.S., Building Construction Standards
Ch.893, F.S., Drug Abuse Prevention and Control
S.409,906(8), F.S.,Optional Medicaid—Community Mental Health Services
Developmental Disabilities
Ch. 393, F.S., Developmental Disabilities
Adult Protective Services
Ch.415, F.S.,Adult Protective Services
Forensics
Ch. 916, FS., Mentally Deficient and Mentally III Defendants.
Ch. 985, F.S., Juvenile Justice; Interstate Compact on Juveniles
S. 985.19, F.S., Incompetency in Juvenile Delinquency Cases
S. 985.24, F.S., Interstate Compact on Juveniles; Use of detention; prohibitions.
State Administrative Procedures and Services
Ch. 120, F.S.,Administrative Procedures Act
Ch, 287, F.S., Procurement of Personal Property and Services
Ch. 815, F.S., Computer-Related Crimes
Ch.817, F.S., Fraudulent Practices
U
1 6 0 10
S. 112.061, F.S., Per diem and Travel Expenses
S. 112.3185, F.S.,Additional Standards for State Agency Employees
S. 215.422, F.S., Payments,Warrants&Invoices; Processing Times
S. 216.181(16)(b), F.S.,Advanced funds invested in interest bearing accounts
A2-3 FLORIDA ADMINISTRATIVE CODE(RULES)
Child Welfare and Community Based Care
Ch.65C-12, F.A.C., Emergency Shelter Care
Ch.65C-13, F.A.C., Substitute Care of Children
Ch.650-14, F.A.C., Group Care
Ch.65C-15, F.A.C., Child Placing Agencies
Substance Abuse and Mental Health Services
Ch. 65C-12, F.A.C., Emergency Shelter Care
Ch. 65D-30, F.A.C., Substance Abuse Services Office
Ch. 65E-4, F.A.C., Community Mental Health Regulation
Ch. 65E-5, F.A.C., Mental Health Act Regulation
Ch. 65E-10, F.A.C., Psychotic and Emotionally Disturbed Children Purchase of Residential
Services Rules
Ch.65E-12, F.A.C., Public Mental Health, Crisis Stabilization Units,Short Term Residential
Treatment Programs
Ch.65E-14, F.A.C., Community Substance Abuse and Mental Health Services-Financial Rules
Ch.65E-15, F.A.C.,Continuity of Care Case Management
Ch.65E-20, F.A.C., Forensic Client Services Act Regulation
Ch. 65E-26, F.A.G., Substance Abuse and Mental Health Priority Populations and Services
Financial Penalties
Ch. 65-29, F.A.C.Penalties on Service Providers
Reduction or withholding of funds
Ch. 65-29.001, F.A.C., Financial Penalties for a Provider's Failure to Comply with a Requirement for
Corrective Action
A2.4 MISCELLANEOUS
Department of Children and Families Operating Procedures
CFOP 155-10, Services for Children with Mental Health&Any Co-occurring Substance Abuse
Treatment Needs In Out of Home Care Placements
CFOP 215-6, Incident Reporting and Client Risk Prevention
Federal Cost Principles
OMB Circular A-21,Cost Principles for Educational Institutions
OMB Circular A-87,Cost Principles for State, Local and Indian Tribal Governments
CC
1 6010
OMB Circular A-102,Grants and Cooperative Agreements with State and Local Governments
OMB Circular A-122, Cost Principles for Non-profit Organizations
Audits
OMB Circular A-133,Audits of States, Local Governments and Non-Profit Organizations
Ch. 215.97, F.S. , Florida Single Audit Act
Comptrollers Memorandum#03(1999-2000): Florida Single Audit Act Implementation
Financial Assistance
Comptrollers Memorandum#04(2005-2006): Compliance Requirements for Agreements
Administrative Requirements
45 C.F.R., pt.74-Uniform Administration Requirements for Awards and Subawards to Institutions
of Higher Education, Hospitals,other Non-Profit Organizations and Other Commercial
Organizations
45 C.F.R., pt.92-Uniform Administration Requirements(State and Local Governments)1
OMB Circular A110, Uniform Administrative Requirements for Grants and Other Agreements
Data Collection and Reporting Requirements
S. 397.321(3)(c), F.S., Data collection&dissemination system
S. 394.74(3)(e), F.S., Data Submission
S.394.77, F.S., Uniform management information,accounting,and reporting systems for
providers.
S.394.9082, F.S., Behavioral health managing entities
PAM 155-2, Mental Health and Substance Abuse Data Measurement Handbook
16010
MEMORANDUM
Date: June 30, 2015
To: Scott Burgess, Chief Executive Officer
David Lawrence Center
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: 2"d Amendment to the CJMHSA-001 between Collier County and the
David Lawrence Mental Health Center, Inc.
Attached is an original of the agreement referenced above, (Item #16D10) approved
by the Board of County Commissioners on Tuesday, June 23, 2015.
The original agreement has been kept by the Minutes and Records Department as part of the
Board's Official Record.
If I can be of any further assistance, please feel to call me at 252-7240.
Thank you.
Attachment
1 6 0 10
SECOND AMENDMENT TO AGREEMENT CJMHSA-001 BETWEEN
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
DAVID LAWRENCE MENTAL HEALTH CENTER, INC.
This Amendment, is entered into this 3 rot. day of , 2015,
by and between David Lawrence Mental Health Center, Inc. herein after referred to as
Subrecipient and Collier County Board of County Commissioners, Florida, herein after to be
referred to as "COUNTY," collectively stated as the "Parties."
WHEREAS, on June 10, 2014, the County and Subrecipient entered into an agreement
for Subrecipient to provide "FIRST grant services" to Collier County residents (hereinafter
referred to as the "Agreement"); and
WHEREAS, the Parties desire to modify the Agreement to revise the division name; add
Board directed Corrective Action language, remove Exhibit A1-7 and A1-8, modify Exhibit C-
2.1.1.1, add Exhibit C-2.3.7 and modify Exhibit C-2.4.1.1 to reflect the requirement of quarterly
source documentation, replace Exhibit G and G-1, modify Exhibit F-3 and F-7 and add grantor
required State and Federal Laws, Rules and Regulations, Exhibit I.
NOW, THEREFORE, in consideration of foregoing Recitals, and other good and
valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged,
the Parties agree to modify the Agreement as follows:
1. All references throughout the agreement to Housing, Human and Veteran Services
(HHVS) shall now read Community and Human Services (CHS).
2. Paragraph 39. CORRECTIVE ACTION, is hereby added as follows:
Corrective action plans may be required for noncompliance, nonperformance, or
unacceptable performance under this contract. Penalties may be imposed for failures to
implement or to make acceptable progress on such corrective action plans.
In order to effectively enforce Resolution No. 2013-228 Community and Human Services
(CHS) has adopted an escalation policy to ensure continued compliance by Subrecipients,
Developers, or any entity receiving grant funds from CHS. CHS's policy for escalation for non-
compliance is as follows:
1. Initial non-compliance may result in Findings or Concerns being issued to the entity
and will require a corrective action plan be submitted to the Division within 15 days
following the monitoring visit.
o Any pay requests that have been submitted to the Division for payment will be
held until the corrective action plan has been submitted.
o CHS will be available to provide Technical Assistance (TA) to the entity as
needed in order to correct the non-compliance issue.
CA
1 6 0 10
2. If in the case an Entity fails to submit the corrective action plan in a timely manner to
the Division, the Division may require a portion of the awarded grant amount be
returned to the Division.
o The County may require upwards of five percent (5%) of the amount disbursed t
be returned to the Division at the discretion of the Board of County
Commissioners.
o The entity may be considered in violation of Resolution No. 2013-228
3. If in the case an Entity continues to fail to correct the outstanding issue or repeats an
issue that was previously corrected, and has been informed by the Division of their
substantial non-compliance by certified mail; the Division may require a portion of the
awarded grant amount or the amount of the CJMHSA investment, be returned to the
Division.
o The Division may require upwards of ten percent (10%) of the acquisition amount
be returned to the Division, at the discretion of the Board of County
Commissioners.
o The entity will be considered in violation of Resolution No. 2013-228
4. If in the case after repeated notification the Entity continues to be substantially non-
compliant, the Division may recommend the contract or award be terminated.
o The Division will make a recommendation to the Board of County Commissioners
to immediately terminate the agreement or contract. The Entity will be required to
repay all funds disbursed by the County for project that was terminated. The
entity will be considered in violation of Resolution No. 2013-228
If in the case the Entity has multiple agreements with the Division and is found to be non-
compliant, the above sanctions may be imposed across all awards at the Director's discretion.
3. Exhibit A shall be amended and all remaining paragraphs shall be renumbered sequentially
following the deletion of paragraphs A1-7 and A1-8.
4. Exhibit A, paragraph Al-7 is hereby deleted:
procedures set forth in subsections 946.51-5(2) and (1), F.S. For purposes of this
---• --- -- • - - ---- -- - - - - _ . "1" _ _ . _-
■p ■ _Se •.
5. Exhibit A, paragraph A1-8 is hereby deleted:
CAQ'
16010
materials, which are the subject of or arc rcquircd to carry out this Contract, in
6. Exhibit C-paragraph 2.1.1.1 is hereby amended as follows:
FIRST team staff to include:
C-2.1.1.1.1 1.0 FTE Case Manager;
C-2.1.1.1.2 0.5 .28 FTE Master's Level Mental Health Counselor; and
C-2.1.1.1.3 1.0 FTE Supportive Living, Employment and Life Skills Coach.
7. Exhibit C-paragraph 2.3.7 is hereby added to read:
C-2.3.7 The Grantee shall maintain the following source documentation for the tasks
specified in Section C-1 and C-2. Source documentation shall be provided to Collier County
as an attachment to the Quarterly Program Status Report submissions.
C-2.3.7.1 Grant staff rosters and training attendance loos.
C-2.3.7.2 Copy of the FIRST Team members' iob descriptions and copies of the
training attendance logs.
C-2.3.7.3 Copy of the monthly client logs.
C-2.3.7.4 Copy of the monthly client loos, which shall include the client ID
number, assessment date, enrollment date and a CIT trained officers' referral
code.
C-2.3.7.5 Sample of the FIRST Team intake log.
C-2.3.7.6 Copy of monthly staffing and client logs to document staff to client ratio.
C-2.3.7.7 Sample of the treatment planning tool.
C-2.3.7.8 Copy of program process and policies, and operating tools.
8. Exhibit C-2.4.1.1 is hereby amended to read:
Quarterly Program Status Report. In addition to the required source documentation outlined in
Exhibit C-2.3.7, a detailed report of the services and activities performed in the previous three
months and the progress of the program in meeting the performance measures, goals,
objectives, and tasks described in the Subrecipient's application and as specified in this contract
in section D.4. and E.1. The County will provide the template needed to file this report.
9. Exhibit F, Method of Payment is hereby modified as follows:
F-3 Modifications to the "Budget and Scope" may only be made if approved in advance.
Budgeted fund shifts between budget categories and line items shall not be more than 10% and
does not signify a change in scope. Fund shifts that exceed 10% of budget category or line item
shall only be made with board approval.
CAO
1 6010
Program Activity Amount
Period.........
Personnel $73,305.60
$79,830.40
Program ._Travel J $6,408.00
Year 1 Equipment j $2,000.00
Incidental $20,000.00
Expenses_ $13,475.20
Program $12,000.00
Evaluator
Personnel $73,305.60
$79,830.40
Program __.__.__...._._..._..._..---...._.._..._.......__ _......._._.._._._.._ ......__.... ........------
Year 2
_.._Travel._...__.... ! –$6,408.00.._..__._'
Incidental $30,000.00
—._._._.__.. Expenses–__._._...__$23,475.20_
Program $12,000.00
Evaluator
Personnel $73,305.60
$79,830.40
Program ---..__................_...---.._._..__..__.....___
Year 3 Travel J $6,408.00
Incidental $40,000:-00
Expenses $33,475.20
Program $12,000.00
Evaluator
CONTRACT TOTAL $ 367,140.80
10. Exhibit F-7 is here by modified as follows:
r ..
Program Amount
Period
Program Year $120,688.71
1 $110,688.74
Program Year $110,688.74
� 2
Program Year $100,688.71
3 $110,688.74
MATCH TOTAL $ 332,066.22
11. Exhibit G, Request for Payment, is hereby deleted and replaced with the attached.
Au)
16010
12. Exhibit G-1, Match, is hereby added as attached.
13. Exhibit I, State and Federal Laws, Rules and Regulations is hereby added as attached
�Ail
16010
IN WITNESS WHEREOF, the Parties have executed this Amendment, on the date and year first
above written.
David Lawrence Mental Health Center, Inc.
By: CX �
Title:
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
ATTEST: "
DWIGHT E :ROCK;. ERK
By.
Tim Nance, CHAIRMAN
D C
7.y
Attest as to'Chairman'
signature only.
Approval for form and legality:
Jennifer A. Belpedio p 5 1a 1'
1-5
Assistant County Attorney d
160100, 0
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16 0 10
EXHIBIT I-STATE AND FEDERAL LAWS, RULES,AND REGULATIONS
The provider and its subcontractors shall comply with all applicable state and federal laws, rules and regulations, as
amended from time to time,that affect the subject areas of the contract. Authorities include but are not limited to the
following:
A2-1 Federal Authority
Mental Health
42 U.S.C.ss. 300x, et, seq.
Substance Abuse Prevention and Treatment Block Grant(SAPTBG)
42 U.S.C. ss. 300x-21 et.seq.
45 C.F.R. pt.96
Restrictions on expenditures of SAPTBG
45 C.F.R.s. 96.135
Substance Abuse-Confidentiality
42 C.F.R., pt.2
Health Insurance Portability and Accountability Act(HIPAA)
45 C.F.R. pt. 164
Social Security Income for the Aged, Blind and Disabled
20 C.F.R. pt.416
Endorsement and Payment of Checks Drawn on the United States Treasury
31 C.F.R. pt.240
Temporary Assistance to Needy Families(TANF)
42 U.S.C.ss. 601,of.seq.
45 C.F.R., pt. 260
Projects for Assistance in Transition from Homelessness(PATH)
42 U.S. C.s. 290cc-21 et.seq.
42 C.F.R., pt. 54
Americans with Disabilities Act of 1990
42 U.S.C. ss. 12101 et. seq.
A2-2 FLORIDA STATUTES
Child Welfare and Community Based Care
Ch.39, F.S., Proceedings Relating to Children
Ch. 119, F.S., Public Records
Ch.402, F.S., Health and Human Services; Miscellaneous Provisions
Ch.435, F.S., Employment Screening
Ch.490, F.S., Psychological Services
0 v
1 6 0 10
Ch.491, F.S., Clinical, Counseling and Psychotherapy services
Ch. 1002, F.S., Student and Parental Rights and Educational Choices
Substance Abuse and Mental Health Services
Ch. 381, F.S., Public Health General Provisions
Ch. 386, F.S., Particular Conditions Affecting Public Health
Ch.395, F.S., Hospital Licensing and Regulation
Ch. 394, F.S., Mental Health
Ch.397, F.S., Substance Abuse Services
Ch. 400, F.S.; Nursing Home and Related Health Care Facilities
Ch.414, F.S., Family Self Sufficiency
Ch.435, F.S., Employment Screening
Ch.458, F.S., Medical Practice
Ch.459, F.S.,Osteopathic Medicine
Ch.464, F.S., Nursing
Ch.465, F.S., Pharmacy
Ch.490, F.S., Psychological Services
Ch.491, F.S., Clinical, Counseling and Psychotherapy Services
Ch.499, F.S., Drug, Cosmetic and Household Products
Ch. 553, F,S., Building Construction Standards
Ch. 893, F.S., Drug Abuse Prevention and Control
S.409.906(8), F.S., Optional Medicaid—Community Mental Health Services
Developmental Disabilities
Ch. 393, F.S., Developmental Disabilities
Adult Protective Services
Ch.415, F.S.,Adult Protective Services
Forensics
Ch.916, F.S., Mentally Deficient and Mentally III Defendants.
Ch. 985, F.S.,Juvenile Justice; Interstate Compact on Juveniles
S. 985.19, F.S., Incompetency in Juvenile Delinquency Cases
S.985.24, F.S., Interstate Compact on Juveniles; Use of detention; prohibitions.
State Administrative Procedures and Services
Ch. 120, F.S.,Administrative Procedures Act
Ch.287, F.S., Procurement of Personal Property and Services
Ch.815, F.S.,Computer-Related Crimes
Ch.817, F.S., Fraudulent Practices
1 6 0 10
S. 112.061, F.S., Per diem and Travel Expenses
S. 112,3185, F.S.,Additional Standards for State Agency Employees
S. 215.422, F.S., Payments,Warrants &Invoices; Processing Times
S. 216.181(16)(b), F.S.,Advanced funds invested in interest bearing accounts
A2-3 FLORIDA ADMINISTRATIVE CODE(RULES)
Child Welfare and Community Based Care
Ch. 65C-12, F.A.C., Emergency Shelter Care
Ch. 65C-13, F.A.C., Substitute Care of Children
Ch. 65C-14, F.A.C.,Group Care
Ch.65C-15, F.A.C., Child Placing Agencies
Substance Abuse and Mental Health Services
Ch.65C-12, F.A.C., Emergency Shelter Care
Ch.65D-30, F.A.C., Substance Abuse Services Office
Ch.65E-4, F.A.C., Community Mental Health Regulation
Ch.65E-5, F.A.C., Mental Health Act Regulation
Ch.65E-10, F.A.C., Psychotic and Emotionally Disturbed Children Purchase of Residential
Services Rules
Ch.65E-12, F.A.C., Public Mental Health, Crisis Stabilization Units, Short Term Residential
Treatment Programs
Ch.65E-14, F.A.C.,Community Substance Abuse and Mental Health Services-Financial Rules
Ch. 65E-15, F.A.C., Continuity of Care Case Management
Ch.65E-20, F.A.C., Forensic Client Services Act Regulation
Ch. 65E-26, F.A.C., Substance Abuse and Mental Health Priority Populations and Services
Financial Penalties
Ch. 65-29, F.A.C.Penalties on Service Providers
Reduction or withholding of funds
Ch.65-29.001, F.A.C., Financial Penalties for a Provider's Failure to Comply with a Requirement for
Corrective Action
A2-4 MISCELLANEOUS
Department of Children and Families Operating Procedures
CFOP 155-10, Services for Children with Mental Health&Any Co-occurring Substance Abuse
Treatment Needs In Out of Home Care Placements
CFOP 215-6, Incident Reporting and Client Risk Prevention
Federal Cost Principles
OMB Circular A-21, Cost Principles for Educational Institutions
OMB Circular A-87, Cost Principles for State, Local and Indian Tribal Governments
0
16010
0MB Circular A-102, Grants and Cooperative Agreements with State and Local Governments
0MB Circular A-122, Cost Principles for Non-profit Organizations
Audits
0MB Circular A-133,Audits of States, Local Governments and Non-Profit Organizations
Ch. 215.97, F.S. , Florida Single Audit Act
Comptrollers Memorandum#03(1999-2000): Florida Single Audit Act Implementation
Financial Assistance
Comptrollers Memorandum#04(2005-2006): Compliance Requirements for Agreements
Administrative Requirements
45 C.F.R., pt.74-Uniform Administration Requirements for Awards and Subawards to Institutions
of Higher Education, Hospitals,other Non-Profit Organizations and Other Commercial
Organizations
45 C.F.R., pt. 92-Uniform Administration Requirements (State and Local Governments)1
0MB Circular A110, Uniform Administrative Requirements for Grants and Other Agreements
Data Collection and Reporting Requirements
S. 397.321(3)(c), F.S., Data collection&dissemination system
S. 394.74(3)(e), F.S., Data Submission
S.394.77, F.S., Uniform management information, accounting,and reporting systems for
providers.
S.394.9082, F.S., Behavioral health managing entities
PAM 155-2, Mental Health and Substance Abuse Data Measurement Handbook
_ _ _ 1 6 0 10
County of Collier
CLERK OF THE CIRCt[IT COURT
COLLIER COUNTYOURTIVIOUSE
3315 TAMIAMI TRL E STE 102 Dwight E. Brock-d'erk of circuit Court
P.O. BOX 413044
NAPLES, FL 34112-5324 NAPLES, FL 34101-3044
Clerk of Courts • Comptroller • Audit. . Cistodian of County Funds
June 30, 2015
Florida Dept. of Children & Families
Attn: Jennifer Benghuzzi, Contract Manager
Office of Substance Abuse & Mental Health
1317 Winewood Blvd, Bldg. 6, Room 232
Tallahassee, FL 32399-0700
Re: Amendment #3 to Agreement #LHZ46 between Florida Department of
Children & Families and Collier County
Transmitted herewith are four (4) originals of the agreement referenced above for
your approval and signature, as approved by the Collier County Board of County
Commissioners of Collier County, Florida on Tuesday, June 23, 2015, during
Regular Session.
Please forward a fully executed original agreement, an envelope has been
included for your convienence. If you have any questions feel free to call our
office any time (239) 252-7240.
Very truly yours,
DWIGHT E. BROCK, CLERK
"-"\M -_
Martha Vergara, Deputy ' lerk
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com
16010
LHZ46 Amendment#0003
May 15,2015
THIS AMENDMENT, entered into between the State of Florida, Department of Children and
Families, hereinafter referred to as the "Department," and Collier County Board of County
Commissioners, hereinafter referred to as the "Grantee," amends Grant Agreement # LHZ46.
This amendment provides the new e-mail addresses for the Department's Grant Manager and
Single Audit Unit, deletes the National Alliance for the Mentally III of Collier County (NAMI) as a
subcontractor for this Grant; revises staffing; adds required source documentation specific to
each activity associated with the Service Tasks and Performance Measures to accompany the
Quarterly Program Status Reports; amends the Performance Measures for Acceptance of
Deliverables; and adds a clarifying methodology to the Performance Measures for Acceptance
of Deliverables.
1. Page 1, CF Integrated Contract 2014, Section 1.3, c. is hereby amended to read:
c. The name, address, telephone number and e-mail address of the Grant Manager for the
Department for this Grant Agreement are:
Name: Jennifer Benghuzzi
Address: 1317 Winewood Blvd.
Building 6, Room 232
City: Tallahassee State: FL Zip Code:
32399
Phone: (850) 717-7348
ext:
e-
mail: Jennifer.Benflfamilies.com
2. Page 22, Sections B-1 and B-2 are hereby amended to read:
B-1 Scope of Service. This is a three-year Grant Agreement, pursuant to the Criminal
Justice, Mental Health and Substance Abuse Reinvestment Grant established under
authority of sections 394.656 through 394.6591, F.S. Under this Grant Agreement the
Grantee shall partner with the David Lawrence Center (DLC) and the Collier County Sheriff's
Office (CCSO) to operate a Centralized Assessment Center (CAC) and provide services by
a Forensic Reintegration Support Team (FIRST), a coordinated jail reintegration team for
arrestees with mental illness and substance abuse problems designed to decrease the
likelihood of re-arrest.
B-2 The Grantee shall conduct all activities supported by this Grant Agreement in
accordance with:
B-2.1 The Grantee's application, dated November 26, 2013, in response to the
Department's Request for Applications - Grant#LHZ02 - Amended, dated October
2013; and
B-2.2 Addendum 1 to the Grantee's application, dated May 7, 2015.
B-2.3 The Grantee's application, the Addendum, and the Department's Request for
Applications are hereby incorporated by reference and shall be maintained in the
1
16010
LHZ46 Amendment#0003
May 15,2015
Grantee's and the Department's official files. The terms of the Grantee's application
may not be changed without specific advance written approval by the Department.
3. Page 24, Section C-1.1.3 is hereby amended to read:
C-1.1.3 Hire and train relevant staff for adult services or self-help recovery-oriented
supports; and
4. Page 25, Section C-2.1.1 is hereby amended to read:
C-2.1.1 The following full-time equivalent (FTE) staff of the Collier County Community and
Human Services Department supported by this Grant Agreement:
C-2.1.1.1 Grants Program Coordinator responsible for oversight and reporting on
all Grantee and sub-recipient partner agency activities supported by the terms of
this Grant Agreement; not to exceed 0.15 FTE hours;
C-2.1.1.2 Lead Accountant not to exceed 0.15 FTE hours; and
C-2.1.1.3 Operations Coordinator not to exceed 0.02 FTE hours.
5. Page 25, Section C-2.1.2 is hereby amended to read:
C-2.1.2 The following subcontract or sub-grantee staff supported by this Grant Agreement
through the David Lawrence Center:
C-2.1.2.1 FIRST team staff to include:
C-2.1.2.1.1 1.0 FTE Case Manager;
C-2.1.2.1.2 A minimum of 0.28 FTE Master's Level Mental Health
Counselor; and
C-2.1.2.1.3 1.0 FTE Supportive Living, Employment and Life Skills
Coach.
6. Page 25, Section C-2.1.3 is hereby amended to read:
C-2.1.3 The following subcontract or sub-grantee staff supported by this Grant Agreement
through the Collier County Sheriff's Office:
C-2.1.3.1 2.0 FTE Discharge Planners;
C-2.1.3.2 0.15 FTE Reintegration Specialists #1;
C-2.1.3.3 0.15 FTE Reintegration Specialists #2;
C-2.1.3.4 0.15 FTE Reintegration Specialists #3; and
C-2.1.3.5 0.20 FTE Reintegration Specialists #4.
7. Page 25, Section C-2.1.4 is hereby deleted.
8. Page 25, Section C-2.2.1 is hereby amended to read:
C-2.2.1 Subject to the provisions of Section 4 of the Standard Contract, the Grantee shall
subcontract with or issue a sub-grant agreement to Collier County Community and Human
2
16010
LHZ46 Amendment#0003
May 15,2015
Services, Collier County Sheriff's Office, and David Lawrence Center for the provision of
services under this Grant Agreement, as detailed in the Grantee's application.
9. Page 26, Section C-2.3.7 is hereby added to read:
C-2.3.7 The Grantee shall maintain the following source documentation for the tasks
specified in Section C-1. Source documentation shall be provided to the Department as an
attachment to the Quarterly Program Status Report submissions.
C-2.3.7.1 For tasks C-1.1.1 and C-1.1.2, a copy of the executed MOUs.
C-2.3.7.2 For task C-1.1.3, grant staff rosters and training attendance logs.
C-2.3.7.3 For task C-1.1.4, Planning Council meeting agenda and minutes.
C-2.3.7.4 For task C-1.2.1, a copy of CIT training attendance logs
C-2.3.7.5 For task C-1.2.2, a copy of the FIRST Team members'job descriptions
and copies of the training attendance logs.
C-2.3.7.6 For task C-1.3.1, a copy of the monthly client logs.
C-2.3.7.7 For task C-1.3.2, a copy of CCSO's contract with Corizon or designee.
C-2.3.7.8 For task C-1.3.3.1, a copy of the monthly client logs, which shall include
the client ID number, assessment date, enrollment date and a CIT trained officers'
referral code.
C-2.3.7.9 For task C-1.3.3.2, a sample of the FIRST Team intake log.
C-2.3.7.10 For task C-1.3.3.3, a copy of monthly staffing and client logs to
document staff to client ratio.
C-2.3.7.11 For task C-1.3.3.4, a sample of the treatment planning tool.
C-2.3.7.12 For task C-1.3.4, a copy of the Strategic Plan (including revised
strategic plans) and annual Planning Council meeting agendas and minutes.
C-2.3.7.13 For task C-1.4.1.1, C-1.4.1.2, and C-1.4.1.3, a copy of program process
and policies, and operating tools.
10. Page 26, Section C-2.3.8 is hereby added to read:
C-2.3.8 The Grantee shall maintain the following source documentation for the
Performance Measures specified in Section E-1. Source documentation shall be provided
to the Department to accompany the Quarterly Program Status Report submissions.
C-2.4.8.1 For Performance Measure E-1.1 through E-1.4, a copy of DLC's
monthly and quarterly reports documenting the qualitative performance measures.
11. Page 26, Section C-2.4.1.1, is hereby amended to read:
C-2.4.1.1 Quarterly Program Status Report. A detailed report of the services and
activities performed in the previous three months and the progress of the program in
meeting the Performance Measures, goals, objectives, and tasks described in the Grantee's
3
l jl
16 0 10
LHZ46 Amendment#0003
May 15, 2015
application. The report must be submitted in hard copy. The Department will provide the
template needed to file this report. In additions, the Grantee shall include as an attachment
to the report, the source documentation specified in Section C-2.3.7 and C-2.3.8 of the
Grant Agreement.
12. Page 29, Section D-4.1, is hereby amended to read:
D-4.1 During the first program year, satisfactory progress toward Service Target D-2.1 and
D.2 shall be demonstrated by:
D-4.1.1 100% completion of tasks C-1.1.1, C-1.1.2 and C-1.1.3 during the first quarter
of the program year; and
D-4.1.2 Services under task C-1.1.4, provided to, at a minimum;
0-4.1.2.1. 20% of the program year target by the end of the second quarter;
D-4.1.2.2. 60% of the program year target by the end of the third quarter; and
D-4.1.2.3. 80% of the program year target by the end of the fourth quarter.
13. Page 29, Section D-4.2, is hereby amended to read:
D-4.2 During the second and third program years, satisfactory progress toward Service
Target D-2.1 and D-2 shall be demonstrated by services under task C-1.1.4 provided to, at a
minimum:
D-4.2.1 20% of the program year's target by the end of the first quarter;
D-4.2.2 40% of the program year's target by the end of the second quarter;
D-4.2.3 60% of the program year's target by the end of the third quarter; and
D-4.2.4 80% of the program year's target by the end of the fourth quarter.
14. Page 30, Section D-4.2, is hereby amended to read:
D-4.3 Satisfactory progress toward Service Targets D-2.3 shall be demonstrated, at a
minimum, by training services provided to:
D-4.3.1 A minimum of 50% of each program year's targets by the end of the second
quarter of each program year; and
D-4.3.2 A minimum of 100% of each program year's targets by the end of the fourth
quarter of each program year.
15. Page 30, Section D-4.4, is hereby renumbered as Section D-4.5 and a new Section D-
4.4 is hereby added to read:
D-4.4 To calculate the Grantee's compliance with the performance measures established in
Sections D-4.1 through D-4.3, the Department shall apply the percentages specified above,
rounded down to the nearest whole integer.
4
16010
LHZ46 Amendment#0003
May 15,2015
16. Page 34, Attachment I, Part III, Section B is hereby amended to read:
B. Department of Children and Families
(1 electronic copy and management letter, if issued)
Office of the Inspector General
Single Audit Unit
Building 5, Room 237
1317 Winewood Boulevard
Tallahassee, FL 32399-0700
Email address: Single.Audit(a�myflfamilies.com
This amendment shall begin on May 15, 2015, or the date on which the amendment has been
signed by both parties, whichever is later.
All provisions in the Grant Agreement and any attachments thereto in conflict with this
amendment shall be and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the
level specified in the Grant Agreement.
This amendment and all its attachments are hereby made a part of the Grant Agreement.
IN WITNESS THEREOF, the parties hereto have caused this five (5) page amendment to be
executed by their officials thereunto duly authorized.
GRANTEE: FLORIDA DEPARTMENT OF CHILDREN •:A•11.•b:
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS FAMILIES
SIGNED / SIGNED
BY: ( cti BY:
NAME: 1 i wN / J A iJ( 5.. NAME: Ute Gazioch
TITLE: Ci-A7'%1 2M A 'J TITLE: Director of Substance Abuse and Mental
Health
DATE: G 123 I is
DATE:
FEDERAL ID NUMBER: 59-6000558
Al'TE$'
DWIGHT i AocK cut
Approved as to form and legality L •
Br- IP* 1116,•:e-
�� Attest as to Chai i
Assistant CountyA ey : 3 O\ �;T''g
Signature only
5
16D 1p 4
4`QP pE I ART 4,
Rick Scott
° o State of Florida Governor
� rn
Department of Children and Families
Mike Carroll
neo � Interim Secretary
RFN AND FP
MYFLFAMILIES.COM
July 8, 2015
Martha Vergara, Deputy Clerk
Collier County Clerk of Circuit Court
Attn: Board's Minutes and Records
3299 Tamiami Trail E.
Naples, FL 34112
Re: Grant Agreement #LHZ46—Executed Amendment #0003
Dear Ms. Vergara:
Enclosed are three original copies of executed Amendment #0003 for the Collier County
Criminal Justice, Mental Health and Substance Abuse (CJMHSA) Reinvestment Grant
Agreement.
If you have any questions, please call me at (850) 717-4348.
Respectfully,
(_),3.54,Ap_mbe
Jennifer Benghuzzi
Grant Manager
cc: Contract File
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
___ _
,„
16D ,
Coi: y 9f Co Tier
CLERK OF THE C)RC IT COURT
COLLIER COUNTOUR OUSE
3315 TAMIAMI TRL E STE 102 Dwight E. Brock-Zerk of Ctircuit Court
P.O.BOX 413044
NAPLES,FL 34112-5324 NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Audito ., Custodian of County Funds
�
June 30, 2015
Florida Dept. of Children & Families
Attn: Jennifer Benghuzzi, Contract Manager
Office of Substance Abuse & Mental Health
1317 Winewood Blvd, Bldg. 6, Room 232
Tallahassee, FL 32399-0700
Re: Amendment #3 to Agreement #LHZ46 between Florida Department of
Children &Families and Collier County
Transmitted herewith are four (4) originals of the agreement referenced above for
your approval and signature, as approved by the Collier County Board of County
Commissioners of Collier County, Florida on Tuesday, June 23, 2015, during
Regular Session.
Please forward a fully executed original agreement, an envelope has been
included for your convienence. If you have any questions feel free to call our
office any time (239) 252-7240.
Very truly yours,
DWIGHT E. BROCK, CLERK
r...)S`Valuk.,- , ,,
Martha Vergara, Deputt ' lerk
Enclosure
Phone- (239) 252-2646 Fax- (239)252-2755
Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com
1 6 0 10
MEMORANDUM
Date: July 14, 2015
To: Rachel Brandhorst, Grants Coordinator
Housing, Human &Veteran Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Amendment #3 to DCF Grant Agreement #LHZ46
Attached for your records two (2) fully executed agreements referenced above, (Item
#16D10) approved by Board of County Commissioners on Tuesday, June 23, 2015.
CJMHSA — Amendment #2 w/Collier County Sheriff's Office (copy)
CJMHSA — Amendment #2 w/David Lawrence Center (original)
LHZ46 Amendment#3 w/FL Dept. of Children & Families (copy)
(mailed to DCF/Jennifer Benghuzzi for final signature)was returned fully executed.
CJMHSA — Amended Grant Application— DCF (original)
If you have any questions, please contact me at 252-7240.
Thank you.
Attachments
16010
LHZ46 Amendment#0003
May 15,2015
THIS AMENDMENT, entered into between the State of Florida, Department of Children and
Families, hereinafter referred to as the "Department," and Collier County Board of County
Commissioners, hereinafter referred to as the "Grantee," amends Grant Agreement# LHZ46.
This amendment provides the new e-mail addresses for the Department's Grant Manager and
Single Audit Unit, deletes the National Alliance for the Mentally III of Collier County (NAMI) as a
subcontractor for this Grant; revises staffing; adds required source documentation specific to
each activity associated with the Service Tasks and Performance Measures to accompany the
Quarterly Program Status Reports; amends the Performance Measures for Acceptance of
Deliverables; and adds a clarifying methodology to the Performance Measures for Acceptance
of Deliverables.
1. Page 1, CF Integrated Contract 2014, Section 1.3, c. is hereby amended to read:
c. The name, address, telephone number and e-mail address of the Grant Manager for the
Department for this Grant Agreement are:
Name: Jennifer Benghuzzi
Address: 1317 Winewood Blvd.
Building 6, Room 232
City: Tallahassee State: FL Zip Code:
32399
Phone: (850) 717-7348
ext:
e-
mail: Jen nifergo nghuzzi c� myfifamilies.com
2. Page 22, Sections B-1 and B-2 are hereby amended to read:
B-1 Scope of Service. This is a three-year Grant Agreement, pursuant to the Criminal
Justice, Mental Health and Substance Abuse Reinvestment Grant established under
authority of sections 394.656 through 394.6591, F.S. Under this Grant Agreement the
Grantee shall partner with the David Lawrence Center (DLC) and the Collier County Sheriff's
Office (CCSO) to operate a Centralized Assessment Center (CAC) and provide services by
a Forensic Reintegration Support Team (FIRST), a coordinated jail reintegration team for
arrestees with mental illness and substance abuse problems designed to decrease the
likelihood of re-arrest.
B-2 The Grantee shall conduct all activities supported by this Grant Agreement in
accordance with:
B-2.1 The Grantee's application, dated November 26, 2013, in response to the
Department's Request for Applications - Grant#LHZ02 -Amended, dated October
2013; and
B-2.2 Addendum 1 to the Grantee's application, dated May 7, 2015.
B-2.3 The Grantee's application, the Addendum, and the Department's Request for
Applications are hereby incorporated by reference and shall be maintained in the
1
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LHZ46 Amendment#0003
May 15,2015
Grantee's and the Department's official files. The terms of the Grantee's application
may not be changed without specific advance written approval by the Department.
3. Page 24, Section C-1.1.3 is hereby amended to read:
C-1.1.3 Hire and train relevant staff for adult services or self-help recovery-oriented
supports; and
4. Page 25, Section C-2.1.1 is hereby amended to read:
C-2.1.1 The following full-time equivalent (FTE) staff of the Collier County Community and
Human Services Department supported by this Grant Agreement:
C-2.1.1.1 Grants Program Coordinator responsible for oversight and reporting on
all Grantee and sub-recipient partner agency activities supported by the terms of
this Grant Agreement; not to exceed 0.15 FTE hours;
C-2.1.1.2 Lead Accountant not to exceed 0.15 FTE hours; and
C-2.1.1.3 Operations Coordinator not to exceed 0.02 FTE hours.
5. Page 25, Section C-2.1.2 is hereby amended to read:
C-2.1.2 The following subcontract or sub-grantee staff supported by this Grant Agreement
through the David Lawrence Center:
C-2.1.2.1 FIRST team staff to include:
C-2.1.2.1.1 1.0 FTE Case Manager;
C-2.1.2.1.2 A minimum of 0.28 FTE Master's Level Mental Health
Counselor; and
C-2.1.2.1.3 1.0 FTE Supportive Living, Employment and Life Skills
Coach.
6. Page 25, Section C-2.1.3 is hereby amended to read:
C-2.1.3 The following subcontract or sub-grantee staff supported by this Grant Agreement
through the Collier County Sheriff's Office:
C-2.1.3.1 2.0 FTE Discharge Planners;
C-2.1.3.2 0.15 FTE Reintegration Specialists #1;
C-2.1.3.3 0.15 FTE Reintegration Specialists #2;
C-2.1.3.4 0.15 FTE Reintegration Specialists #3; and
C-2.1.3.5 0.20 FTE Reintegration Specialists #4.
7. Page 25, Section C-2.1.4 is hereby deleted.
8. Page 25, Section C-2.2.1 is hereby amended to read:
C-2.2.1 Subject to the provisions of Section 4 of the Standard Contract, the Grantee shall
subcontract with or issue a sub-grant agreement to Collier County Community and Human
2
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LHZ46 Amendment#0003
May 15,2015
Services, Collier County Sheriff's Office, and David Lawrence Center for the provision of
services under this Grant Agreement, as detailed in the Grantee's application.
9. Page 26, Section C-2.3.7 is hereby added to read:
C-2.3.7 The Grantee shall maintain the following source documentation for the tasks
specified in Section C-1. Source documentation shall be provided to the Department as an
attachment to the Quarterly Program Status Report submissions.
C-2.3.7.1 For tasks C-1.1.1 and C-1.1.2, a copy of the executed MOUs.
C-2.3.7.2 For task C-1.1.3, grant staff rosters and training attendance logs.
C-2.3.7.3 For task C-1.1.4, Planning Council meeting agenda and minutes.
C-2.3.7.4 For task C-1.2.1, a copy of CIT training attendance logs
C-2.3.7.5 For task C-1.2.2, a copy of the FIRST Team members'job descriptions
and copies of the training attendance logs.
C-2.3.7.6 For task C-1.3.1, a copy of the monthly client logs.
C-2.3.7.7 For task C-1.3.2, a copy of CCSO's contract with Corizon or designee.
C-2.3.7.8 For task C-1.3.3.1, a copy of the monthly client logs, which shall include
the client ID number, assessment date, enrollment date and a CIT trained officers'
referral code.
C-2.3.7.9 For task C-1.3.3.2, a sample of the FIRST Team intake log.
C-2.3.7.10 For task C-1.3.3.3, a copy of monthly staffing and client logs to
document staff to client ratio.
C-2.3.7.11 For task C-1.3.3.4, a sample of the treatment planning tool.
C-2.3.7.12 For task C-1.3.4, a copy of the Strategic Plan (including revised
strategic plans) and annual Planning Council meeting agendas and minutes.
C-2.3.7.13 For task C-1.4.1.1, C-1.4.1.2, and C-1.4.1.3, a copy of program process
and policies, and operating tools.
10. Page 26, Section C-2.3.8 is hereby added to read:
C-2.3.8 The Grantee shall maintain the following source documentation for the
Performance Measures specified in Section E-1. Source documentation shall be provided
to the Department to accompany the Quarterly Program Status Report submissions.
C-2.4.8.1 For Performance Measure E-1.1 through E-1.4, a copy of DLC's
monthly and quarterly reports documenting the qualitative performance measures.
11. Page 26, Section C-2.4.1.1, is hereby amended to read:
C-2.4.1.1 Quarterly Program Status Report. A detailed report of the services and
activities performed in the previous three months and the progress of the program in
meeting the Performance Measures, goals, objectives, and tasks described in the Grantee's
3
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LHZ46 Amendment#0003
May 15,2015
application. The report must be submitted in hard copy. The Department will provide the
template needed to file this report. In additions, the Grantee shall include as an attachment
to the report, the source documentation specified in Section C-2.3.7 and C-2.3.8 of the
Grant Agreement.
12. Page 29, Section D-4.1, is hereby amended to read:
D-4.1 During the first program year, satisfactory progress toward Service Target D-2.1 and
D.2 shall be demonstrated by:
D-4.1.1 100% completion of tasks C-1.1.1, C-1.1.2 and C-1.1.3 during the first quarter
of the program year; and
D-4.1.2 Services under task C-1.1.4, provided to, at a minimum;
0-4.1.2.1. 20% of the program year target by the end of the second quarter;
D-4.1.2.2. 60% of the program year target by the end of the third quarter; and
D-4.1.2.3. 80% of the program year target by the end of the fourth quarter.
13. Page 29, Section D-4.2, is hereby amended to read:
D-4.2 During the second and third program years, satisfactory progress toward Service
Target D-2.1 and D-2 shall be demonstrated by services under task C-1.1.4 provided to, at a
minimum:
D-4.2.1 20% of the program year's target by the end of the first quarter;
D-4.2.2 40% of the program year's target by the end of the second quarter;
D-4.2.3 60% of the program year's target by the end of the third quarter; and
D-4.2.4 80% of the program year's target by the end of the fourth quarter.
14. Page 30, Section D-4.2, is hereby amended to read:
D-4.3 Satisfactory progress toward Service Targets D-2.3 shall be demonstrated, at a
minimum, by training services provided to:
D-4.3.1 A minimum of 50% of each program year's targets by the end of the second
quarter of each program year; and
D-4.3.2 A minimum of 100% of each program year's targets by the end of the fourth
quarter of each program year.
15. Page 30, Section D-4.4, is hereby renumbered as Section D-4.5 and a new Section D-
4.4 is hereby added to read:
D-4.4 To calculate the Grantee's compliance with the performance measures established in
Sections D-4.1 through D-4.3, the Department shall apply the percentages specified above,
rounded down to the nearest whole integer.
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LHZ46 Amendment#0003
May 15,2015
16. Page 34, Attachment I, Part HI, Section B is hereby amended to read:
B. Department of Children and Families
(1 electronic copy and management letter, if issued)
Office of the Inspector General
Single Audit Unit
Building 5, Room 237
1317 Winewood Boulevard
Tallahassee, FL 32399-0700
Email address: Single.Audit(a�myflfamilies.com
This amendment shall begin on May 15, 2015, or the date on which the amendment has been
signed by both parties, whichever is later.
All provisions in the Grant Agreement and any attachments thereto in conflict with this
amendment shall be and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the
level specified in the Grant Agreement.
This amendment and all its attachments are hereby made a part of the Grant Agreement.
IN WITNESS THEREOF, the parties hereto have caused this five (5) page amendment to be
executed by their officials thereunto duly authorized.
GRANTEE: FLORIDA DEPARTMENT OF CHILDREN AND
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS FAMILIES
SIGNED SIGNED
BY: (4u,
�-t— BY: G-��b
U
NAME: T w\ kJ.A(J C NAME: Ute Gazioch
TITLE: C ?12M 3 'J TITLE: Director of Substance Abuse and Mental
Health
DATE: 123 IS DATE: Dq—'D4—'a01
FEDERAL ID NUMBER: 59-6000558
ATTE$T
DWIGHT t
. ShoCK Clerk
Approved as to form and legality
sr Ahmo -1.
Attest as to Chai
Assistant County A°LAI-Siey 0\ $
�5. 6 signature only.
s
16010
Coi-nty of Collier
CLERK OF THE C1RCtIT COURT
COLLIER COUNTY OURAOUSE
3315 TAAIIAMI TRL E STE 102 Dwight E. Brock -dkerk of Circuit Court
P.O. BOX 413044
NAPLES, FL 34112-5324 NAPLES, FL 34101-3044
Clerk of Courts • Comptroller • Audit Custodian of County Funds
June 30, 2015
Florida Dept. of Children & Families
Attn: Jennifer Benghuzzi, Contract Manager
Office of Substance Abuse & Mental Health
1317 Winewood Blvd, Bldg. 6, Room 232
Tallahassee, FL 32399-0700
Re: CJMHSA Amended Application — Collier First
Transmitted herewith are one (1) original of the grant application referenced
above for your records, as approved by the Collier County Board of County
Commissioners of Collier County, Florida on Tuesday, June 23, 2015, during
Regular Session.
If you have any questions feel free to call our office any time (239) 252-7240.
Very truly yours,
DWIGHT E. BROCK, CLERK
n\tit3licTh
V
Martha Vergara, D p y Crerk
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email- CollierClerk(cIcollierclerk.com
1 6 0 10
Collier FIRST
Collier County Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant
Cover Page
PROPOSAL INFORMATION
Project Title Collier Forensic Intensive Reintegration Support Team (FIRST)
County or Counties Collier
GRANT POINT OF CONTACT
Contact Name: Kimberley Grant
Department Collier County Housing, Human and Veteran Services Collier
County Community and Human Services
Address Line 1: 3339 E. Tamiami Trail
Address Line 2: Suite 211
City: Naples State: FL Zip: 34112
Email: KimberlevGrant(a,Colliergov.net
Phone: (239) 252- Fax: (239) 252-
6287 3046
ADDITIONAL CONTACTS
Contact Name (if any): Kristi Sonntag
Organization: Collier County Housing, Human and Veteran Services Collier
County Community and Human Services
Address Line 1: 3339 E. Tamiami Trail
Address Line 2: Suite 211
City: Naples State: FL Zip: 34112
Email: KristiSonntagAColliergov.net
Phone: (239) 252- Fax: (239) 252-
2486 304 6037
FUNDING REQUEST AND MATCHING FUNDS
Total Amount of Grant Funds Requested: $ 846,676 $ 853,316.71
Total Matching Funds (Provided by applicant and project $ 860,507
I partners): $863,751.07$862,337.99
Total Project Cost(Add amounts in 1 and 2): $1,707,183
$1,717,067.78$1,715,654.70
C I RTIFYING OFFICIAL
Certifying Official's Signature
Certifying Official's Narne(printed): Tim Nance
Title: Chairman
ATTEST: Approved as to form and legality
1GHT . -OCK, elatriC
By, ' aS t0 l r tm 04.
�� 1 e
�_ ayeAcsistant County ey O
signature only.,1
1 6 0 10
Collier FIRST
Date:
STATEMENT OF MANDATORY ASSURANCES
Infrastructure: The applicant shall possess equipment and Internet access 16-c)
necessary to participate fully in this solicitation. Initial
Site Visits: The applicant will cooperate fully with the Department in I itiaall
coordinating site visits, if desired by the Department.
Non-discrimination: The applicant agrees that no person will, on the basis of
race, color, national origin, creed or religion be excluded from participation in,
be refused the benefits of, or be otherwise subjected to discrimination pursuant
to the Act governing these funds or any project, program, activity, or sub-grant
supported by the requirements of, (a) Title VI of the Civil Rights Act of 1964
which prohibits discrimination on the basis of race, color or national origin; (b) Initial
Title IX of the Education Amendments of 1972, as amended which prohibits
discrimination the basis of sex; (c) Section 504 of the Rehabilitation Act of
1973, as amended which prohibits discrimination in employment or any
program or activity that receives or benefits from federal financial assistance on
the basis of handicaps; (d) Age Discrimination Act 1975, as amended which
prohibits discrimination on the basis of age, (e) Equal Employment Opportunity
Program (EEOP) must meets the requirements of 28 CFR 42.301.
Lobbying: The applicant is prohibited by Title 31, USC, Section 1352, entitled
"Limitation on use of appropriated funds to influence certain Federal
contracting and financial transactions," from using Federal funds for lobbying initial
the Executive or Legislative Branches of the federal government in connection
with a specific grant or cooperative agreement. Section 1352 also requires that
each person who requests or receives a Federal grant or cooperative agreement
must disclose lobbying undertaken with non-Federal funds if grants and/or
cooperative agreements exceed $100,000 in total costs (45 CFR Part 93).
Drug-Free Workplace Requirements: The applicant agrees that it will, or will
continue to, provide a drug-free workplace in accordance with 45 CFR Part 76. nitial
Smoke-Free Workplace Requirements: Public Law 103-227, Part C-
Environmental Tobacco Smoke, also known as the Pro-Children Act of
1994 (Act), requires that smoking not be permitted in any portion of any
indoor facility owned or leased or contracted for by an entity and used
routinely or regularly for the provision of health, day care, education, or '7
library projects to children under the age of 18, if the projects are funded by Initial
Federal programs either directly or through State or local governments, by
Federal grant, contract, loan, or loan guarantee. The law does not apply to
children's projects provided in private residences, facilities funded solely by
Medicare or Medicaid funds, and portions of facilities used for inpatient
drug or alcohol treatment. Failure to comply with the provisions of the law
may result in the imposition of a civil monetary penalty of up to $1,000 per
day and/or the imposition of an administrative compliance order on the
responsible entity.
2
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Collier FIRST
responsible entity.
--r1L'-
Compliance and Performance: The applicant understands that grant funds in
Years 2 and 3 are contingent upon compliance with the requirements of this
grant program and demonstration of performance towards completing the nitial
grant key activities and meeting the grant objectives, as well as availability
of funds.
Certification of Non-supplanting: The applicant certifies that funds awarded 1/
under this solicitation will not be used for programs currently being paid for by Initial
other funds or programs where the funding has been committed.
Submission of Data: The applicant agrees to provide data and other information //
requested by the Criminal Justice, Mental Health, and Substance Abuse Ir[itiial
Technical Assistance Center at the Florida Mental Health Institute to enable the
Center to perform the statutory duties established in the authorizing legislation.
Submission of Reports: The applicant agrees to submit semi-annual progress 'i .
reports and an annual fiscal report, signed by the County Administrator, to the Initial
Department.
By signing and submitting this agreement, the Applicant certifies that it will comply with
all the abov
Zitents.
tj
-4" L
Applicant ignature Date
'
Tim Nance, Chairman
Title
r°`al°:? 1
0,• iCel`i' E. :- .►PK, Mirk Approved as to form and legality
l�,, r► � ' CAA
- Attestas tc ,, , `' Assistant County - .rney c4A '`\
,'signatur . \
3
Collier FIRST 16010
PROJECT NARRATIVE
Figure 1. Statement of the Problem
Located in Southwest Florida, Collier is the largest county(land-wise) in the state with 2,025
square miles. The population estimate in 2012 was 332,427, most of which is concentrated along
the Gulf Coast. Naples is the only incorporated city in the County with a population of 20,976.
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, 44% of residents are at or below the poverty level, while in Naples, the poverty level
is 7.4%. Collier County overall has a high number of uninsured adults at 35 % compared to the
state population of 27% (US Census Estimates, 2012). The jail population demographics do not
mirror those of the general population in the County. Table 1 includes the 2012 demographics of
both Collier County and Collier County jail.
Collier County Jail
Collier County June 2012
All Races 332,427 1,012
White 65% 35%
Black 7% 15%
Hispanic/Latino 26% 50%
American Indian .5% 0%
Asian 1.2% 0%
Other 1% 0%
Gender
Male 49.4% 86%
Female 50.6% 14%
Table 1. Collier County Population U.S. Census Estimates 2012; http://jail-
information.findthedata.org/1/112/Collier-County
Current population of the Collier County jail and contributing factors that affect population
trends. Collier County has just one jail facility with a capacity of 1,308, providing minimum,
medium and maximum security levels of custody. The jail population has remained relatively flat
since 2011, while the percentage of female inmates decreased from 20%to 14%. Table 2 shows
the average daily census of inmates over the past two years.
4
Collier FIRST 16010
Date July 2011 December 2011 June 2012 May 2013
#Inmates 894 931 1012 916
Table 2. Number of incarcerated individuals. (Collier County Jail, May 2013)
As depicted in Table 1, the demographic makeup of the jail is quite different than that of the
local community. Due in part to the large number of migrant workers in the County, Collier
County Sheriff's Office has been working with immigration officials to address the
overrepresentation of the illegal immigrant population in the jail. In 2011, Collier County
received funding from Customs Enforcement (ICE) for housing 425 eligible identified illegal
immigrants for 41,399 days, of approximately $3.75 per day for each inmate in the jail. The
Collier Sheriff's Office is also partly reimbursed by ICE for housing illegal immigrants through a
287g program.
Percentage of persons in jail with mental illness,substance use disorder, or co-occurring
mental health and substance use disorders. Nationally, approximately 5 percent of adults in
are considered to have a"serious"mental illness; a mental disorder that significantly interferes
with some aspect of an individual's daily functioning. According to Substance Abuse &Mental
Health Services, 16 percent of the population in prisons or jails at any given time has a mental
illness, and almost 75 percent of incarcerated adults have co-occurring mental health and
substance abuse disorders.'
Collier County Sheriff's Office contracts with Corizon as its jail healthcare provider. According
to Corizon's health professional encounter data, there are, on average, 300 persons at any given
time with mental health needs in the Collier County jail (24%). Of those, an average of 100
(12%) are under a psychiatrist's care for treatment of a serious mental illnesses. Costs to house
persons with mental illnesses in jail tend to average three times as much as costs for a non-
mentally ill inmate. The one-month cost of housing a person with mental illness in jail has been
calculated at over $8,000 in some instances. These costs are largely incurred due to increased
one-to-one staffing needs (LPN, RN, OT)to maintain safety.
Veterans. Since July of 2012, the jail has gathered data on incarcerated veterans. From July 1,
2011 to June 9, 2013, in just under one year, the jail housed 288 veterans. During that time, the
Collier County Mental Health Court added a special docket to include a focus on the special
needs of veterans, including post-traumatic stress disorders (PTSD).
System Mapping and Strategic Plan. Beginning in 2010,the Collier Criminal Justice, Mental
Health& Substance Abuse (CJMHSA) Planning Council conducted its strategic planning
workshop. The Florida Criminal Justice, Mental Health and Substance Abuse Technical
Assistance Center at Florida Mental Health Institute (FMHI) facilitated the two-day planning
session. The goals were to: 1) Develop a comprehensive picture of how people with mental
illnesses and co-occurring disorders flow through the Collier County criminal justice system
along five intercept points using the Sequential Intercept Model (Figure 1) as a conceptual model
for organizing and targeting interventions; 2) Identify gaps, resources, and barriers in the existing
1 National Association of Mental Health Planning and AdvisoryCouncils.Jail Diversion Strategies for Persons with
Serious Mental Illness.Rockville,MD: Center for Mental Health Services, Substance Abuse and Mental Health
Services Administration,2005.
5
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Collier FIRST
Collier County system; and 3) Develop the strategic action plan to address the criminal justice
diversion and treatment needs of the target population. The Planning Council completed review
of the strategic plan during the summer of 2011 and again in the summer of 2012. The following
are the Planning Council's guiding principles:
Vision: Collier County citizens with serious mental illnesses and substance use disorders receive
effective community-based treatment and supports to avoid unnecessary jail admissions.
Mission: The mission of the Collier County Criminal Justice, Mental Health& Substance Abuse
Planning Council is to implement coordinated and effective services for people with mental
health and substance abuse problems who have contact with the criminal justice system.
Values
> Treatment, not jail
> Earliest possible intervention/intercept
> Effective treatment
> Minimal use of coercion or sanctions
> Recovery is possible
> Full community integration
> Natural and peer supports
> Consumer empowerment
Sequential Intercept Model. The CJMHSAPC uses the Sequential Intercept Model (GAINS
Center) 2to guide the community mapping and strategic planning. The model identifies five
primary points at which individuals with mental illnesses and substance abuse problems may
come into contact with the criminal justice system and where there may be opportunities for
diversion. These include:
Intercept 1: Law Enforcement and Emergency Services
Intercept 2: Initial Detention/Initial Court Hearings
Intercept 3: Jails/Courts
Intercept 4: Re-Entry
Intercept 5: Community Corrections/Community Support
2 Sequential Intercept Model.Source:http://gainscenter.samhsa.gov
6
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Collier FIRST
1ntefrapt 1 Inttrccpt 2 lntercapt 3 Intercept 4 Ictarcept:S
E l Initial ictentinn t—entry
,E71,4 t initial court .. .. si.e.
a.o r r'i 1:4i e r �.
neanngs
911 CS.
o
I -
m aa.
I
Figure 1. Sequential Intercept Model.Source:Izttp://Rainscenter.samhsa.krov
Target population and priority as a community concern. The local Planning Council chose to
target the adult population for CJMHSA Reinvestment grant for several reasons. The first reason
was the overrepresentation in numbers and costs of adults with mental illnesses in the jail.
Secondly, partnerships necessary to implement programs for adults were already forged through
the implementation and operation of mental health court and drug court. Thirdly, Crisis
Intervention Team (CIT)-trained officers cite a greater need of services for adults. And finally,
an existing Centralized Coordination project facilitates mental health screening, access and
treatment of youth via Health Under Guided Systems (HUGS). The HUGS program is funded
by the Naples Children & Education Foundation(NCEF). HUGS is a collaboration of NAMI of
Collier County, DLC, Collier County Sheriff's Office, Youth Haven, Collier County Public
Schools, and Southwest Florida Healthcare Network.
Why the target population is at risk of re-entering the criminal justice system. People with
mental illnesses and co-occurring substance use disorders have complex and challenging needs.
Inmates with mental illness were 2.5 times more likely to have experienced homelessness in the
year prior to arrest than inmates not diagnosed with mental illness. Nearly half of the inmates
with mental illness in jail were incarcerated for committing a nonviolent crime. Inmates with
mental illness tend to serve longer sentences than inmates without mental illness; they are on
average three times as likely to serve their maximum sentence.i3
Compounding the problem, many people with mental illnesses also have no health insurance and
cannot or do not access community mental health services. In Collier County, 30%of the population
is uninsured, among highest percentages in the state of Florida.4 Over 70%of those incarcerated in
the Collier County jail do not have any type of insurance at the time of their arrest, and female
inmates comprise the majority of the incarcerated who are uninsured.
Over the past two years, the Collier County Forensic Intensive Reintegration Support Team
(FIRST) has provided services to persons with mental illnesses re-entering the community from
s The Criminal Justice and Mental Health Consensus Project. (2002).Jails and mental illness.[Fact Sheet].
www.consensusproject.org/infocenter/factsheets/fact_jails
4www.countyhealthrankings.org/app/florida/2013/measure/factors/85/map
7
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Collier FIRST
jail. Among the 300+persons screened for admission to the team, there was an average of six
previous arrests per person. The number of previous arrests for individuals screened was as high
as 50, and several had 30 or more previous arrests. The reasons for their current arrest were
widely varied, but most were non-violent in nature, including drug-related charges, theft,
trespassing, and violation of probation. In the past, their complex and serious mental health and
substance abuse problems were complicated even further by a lack of basic personal and
community resources and supports, making it difficult to make it in the community. The FIRST
team has been able to help stop this cycle of re-arrest by providing essential treatment, housing,
employment, benefits and social supports. Over 90% of participants have not been re-arrested.
Diagnosed with Bipolar Disorder and co-occurring substance abuse problems, Jonathon had a
history of nine arrests prior to joining the FIRST team in June of 2011. The FIRST team worked
for months to obtain disability benefits for him through the SSI/SSD Outreach, Advocacy and
Support (SOAR)process. While doing so, the team provided supportive housing, rental
assistance through FIRST enhancement funds,peer supports, and supported employment. Within
a year, he became employed full time, was able to go off of Social Security, and was linked to a
church where he receives social supports. Jonathon cites the FIRST team for assisting him with
sobriety and helping him to become a better husband to his wife and father to his daughter.
The number of individuals who were admitted to a forensic state mental health
treatment facility in the past year and projected impact this grant would have on reducing
admissions in the next three years. According to the David Lawrence Center's Forensic Case
Manager,there have been five new Forensic State Hospital admissions from Collier County in
the past 11 months. The current proposal is expected to slightly impact that number,possibly
facilitating only one or two fewer admissions,though the estimated decrease would be 20%to
40%. The importance of state hospital diversion has been a major issue locally for the past
decade. Resources are now available to avert forensic admissions including a community-based
competency restoration program and a mental health court. Many previous forensic hospital
admissions were for those persons found Incompetent to Proceed with legal processes after a
felony arrest. The state forensic institution was the only place for them to receive competency
restoration, which is now available in the community. As a result,the persons admitted to the
forensic institution recently were those few who were deemed not capable of being safely housed
in the community.
Local Resources for the Target Population. There are several features of the current systems for
adults in Collier County that are particularly noteworthy. These include but are not limited to:
> Immersion in Crisis Intervention Teams (CIT) 100%trained
> National Alliance on Mental Illnesses (NAMI) Collier and consumer involvement
> Mental Health Court and Drug Court
> Judicial leadership: Same Judge for both specialty courts
> Interagency relationships
> Integrated, co-occurring capable provider(David Lawrence Center)
> Collaborative pursuit of multiple grants: BJA, DCF, SAMHSA
> In Jail substance abuse treatment services: Project Recovery
> Forensic Intensive Reintegration Support Team (FIRST)
8 �,
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Collier FIRST
> SOAR(SSI/SSD Outreach, Advocacy, and Recovery)
> Support from broad community—Homeless services/shelters
> NAMI consumer run Drop In Center
*- Certified Peer Recovery Specialists( CPRS)
➢ Mental Health and Drug Courts
Project Stakeholders and Partners:Planning Council
NAME Agency/Affiliation
Sheriff Kevin Rambosk Collier County Sheriff's Office*
Chief Chris Roberts: Co Chair Collier County Sheriffs Office
David Schimmel: Co Chair Scott
Burgess David Lawrence Center, CEO*
Honorable Janeice Martin Mental Health Court and Drug Court Judge*
Michael Sheffield Collier County Administration*
Collier County Housing, Human&Veteran Services
Kim Grant or Designee Collier County Community and Human Services
Dan Cavenaugh Private Law Firm
Domenico Lucarelli Private Law Firm
Richard Montecalvo State Attorney's Office*
Sara Miller State Attorney's Office/MH Court
Amanda Stokes Public Defender's Office/MH Court*
Sgt. Brandon Barley Collier County Sheriff/Corrections
Bill Gonsalves Naples Police Department*
Marien Ruiz Collier County Sheriff/Grants
Marcia Eckloff Corizon Health Services Administrator
Jay Freshwater DOC Probation*
Charles Crews Collier County Court Administration*
Tina Gelpi Florida Gulf Coast University
Katie Burrows David Lawrence Center/Forensic Supervisor
Pamela Baker NAMI of Collier County: Evaluation
Kathryn Hunter NAMI of Collier County: Executive Director
Ron Stanford NAMI/DLC CSU/Peer Specialist*
Eileen Streight NAMI/FIRST Peer Specialist*
Kathy Ray Family Member/Advocate*
Debra Mahr Angela Fischer Collier Hunger& Homeless Coalition*
Table 3 Collier County Criminal Justice, Mental Health& Substance Abuse Planning Council.
*Meets Florida statutory requirements.
Gaps and Weaknesses by Sequential Intercept. The following gaps and weaknesses were
identified in a review of the system map for Collier County:
Intercept 1:Law Enforcement and Emergency Services.
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Collier FIRST 16 D 10
➢ Initial access to mental health and substance abuse services can take up to 3 weeks
➢ Limited to no pre-booking diversion options for CIT officers
Intercept 2: Initial Detention/Court Hearings
➢ In jail screening for MH/SA problems is limited to one part-time Corizon staff
➢ Need for additional in jail specialized medical/behavioral health beds.
Intercept 3:Jails and Courts
➢ Limited Pre-Trial Services
Intercept 4: Community Reentry
➢ FIRST is the only reintegration service for MHSA, and serves less than 40 individuals
Intercept 5: Community Corrections/Community Support
➢ The one local FACT team is at its 100 participant capacity
➢ Affordable housing
➢ Adequate transportation
Filling Gaps and Addressing Weaknesses. CJMHSA Reinvestment grant funds will help Collier
County to fill critical system gaps at both the `front end' (Intercept 1) and the 'back end'
(Intercept 4 and 5). At Intercept 1,the CCSO CIT officers and DLC provide pre-booking
diversion at the Centralized Assessment Center. At Intercept 4, the FIRST team provides in jail
screening and discharge planning. At Intercept 5, FIRST provides an intensive forensic case
management team. In each instance, Reinvestment grant funds provide leverage for local funding
B. Project Design and Implementation
The Collier County partners will provide three primary projects for adults with mental illnesses,
substance use disorders, or co-occurring mental health and substance use disorders. Target
populations include both those at risk of involvement in the criminal justice system as well as
arrestees. Interventions for each population are discussed below.
1.At Risk Population: CIT and Community-Based Screening/Centralized Assessment Center
Pre-booking diversion seeks to divert the individual from booking and arrest altogether. The
focus is on early diversion to treatment in order to address the root cause of the criminal
behavior, eliminating virtually all subsequent contacts with the criminal system. The Collier
FIRST project will facilitate criminal justice diversion by implementing a Centralized
Assessment Center (CAC). The CAC will provide direct linkage for the CIT officers and to the
FIRST as a community-based alternative to arrest, incarceration, and/or forensic hospitalization.
David Lawrence Center(DLC) is the de facto Centralized Receiving Facility in Collier. DLC
provides the only designated Baker Act Receiving Facility/Crisis Stabilization Unit and the only
detox unit in the county, and as such, all acute care admissions currently occur at a single site.
David Lawrence Center will open a Centralized Assessment Center(CAC), located at the DLC
main campus. The CAC changes the way, and reduces the timeframe, in which individuals with
mental health and substance abuse problems gain access to care.
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Collier FIRST
The CAC will follow the promising practices of centralized appointment scheduling. The
centralized system allows counselors to focus on seeing clients instead of scheduling, making
phone calls, and other logistical tasks. Shared electronic calendars will help to facilitate the
process. The CAC workflow will handle all walk-ins, call-ins and referrals to the David
Lawrence Center in a timely manner. Facilitating swift and appropriate referrals,the CAC staff
members will be highly skilled in DLC programs, DLC staff expertise and local community
resources. The CAC's resourceful and knowledgeable behavioral healthcare professionals will
gather information, make initial clinical decisions and schedule a first appointment within three
days of first contact. Program staff includes:
> Three paraprofessional (Bachelor's level with experience)triage clinicians
> Practice manager who oversees three support staff
> Switchboard operator
> Six Master's level assessors
> A Service Director who manages the overall program
An important element of the program is a `state of the art' Call Center. Through the Call Center,
DLC' CAC staff will assure all calls are answered within three rings, twenty-four hours a day,
seven days a week. Doing so ensures that callers gain swift access to needed mental health and
substance abuse services.
The CAC will use a process for information gathering after which 90% of required paperwork is
completed (eventually electronically) prior to the first appointment. This allows clinicians to
spend all of their time providing face-to-face treatment and intervention.
2.Arrestees: In Jail Screening/LSI-R and LS/CMI. The FIRST team currently uses the Level of
Service Inventory-Revised (LSI-R) scales, 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 attitudes.
The Level of Service Case Management Inventory (LS/CMI) is the "fourth generation"revision
of the LSI-R that assesses offender risk, needs, and responsivity (RNR) to inform case planning
via a built-in case management system. The LS/CMI refined and combined content of the LSI-R
into 8 factors, represented by 43 items in the first section of the tool. LS/CMI is administered
through a structured interview between the interviewer and offender, with the recommendation
that supporting documentation be collected from family members, employers, case files, drug
tests, and other relevant sources as needed.
The Collier County jail provides four Reintegration Specialists , totaling .65 FTE , to conduct
interviews using the LSI-R to screen potential FIRST participants all current inmates, and will
begin use of the LS/CMI throughout the enhancement/expansion project. LS/CMI will provide
s Andrews, D&Bonta,J. (2004). Level of Service Inventory-Revised
11
Collier FIRST 16 010
valid, reliable risk assessment information to assist the FIRST team, Courts and CCSO to
determine criminogenic needs, to assist with discharge planning, and to predict potential for
violence, recidivism and probation violations. If an inmate is identified as having either a mental
illness or a substance abuse history, CCSO will refer those inmates to the FIRST Reintegration
Specialists assigned to Corizon. The use of four (.65 FTE) Reintegration Specialists will allow
CCSO to interview a larger jail population than what is currently serviced. Additionally, CCSO
will refer inmates with a substance abuse history to the Project Recovery Program(PRP)
provided at the Jail through Corizon. Staff will also receive Crisis Intervention Training to learn
strategies for safety defusing situations involving_mental illness or developmental disability. In
addition staff will be offered SOAR training to aid persons in the benefit process upon discharge,
if applicable.
3.Arrestees:In Jail Substance Abuse Treatment. The Project Recovery Program(PRP)
provides substance abuse treatment in jail for identified individuals and allows for early release
of program graduates, and providing overall cost savings for the jail. PRP is a longstanding
program, with funding provided entirely via the Collier County Sheriff's Office. A portion of the
PRP funding is provided as match to the CJMHSA grant.
4.Arrestees:Reintegration: Forensic Intensive Reintegration Support Team. Intensive
community reentry/reintegration services are provided through an enhanced Forensic Intensive
Reintegration Support Team (FIRST). FIRST provides reintegration services via a Forensic
Intensive Case Management model, including individual and group therapy, supported housing,
supported employment, peer supports, and access to benefits via SOAR.
The current proposal provides an enhancement to the existing FIRST by adding adults with
substance abuse problems to the population of persons eligible for the participation. FIRST
enrollment for the current program is limited to those with serious mental illnesses and those
with serious mental illnesses and co-occurring substance use disorders. For the expansion, the
program capacity will increase from 45 to 60 at any given time, with an expected average length
of stay of six to twelve months. The projected number served by the program over 36 months is
240 individuals.
The enhanced version of FIRST also adds a dedicated, DLC-based Basic Living Skills Coach
who will be trained in providing both Supported Housing and Supported Employment evidence
based practices as discussed below.
Evidence-Based Practices and Promising Practices
Collier FIRST combines the use of several evidence-based and promising practices including:
1) Transition Planning. Collier FIRST will use the APIC (Assess, Plan, Identify, and
Coordinate)model, a best practice approach to community re- entry for inmates with co-
occurring disorders as the basis for transition planning from jail to the community. Following the
model, the FIRST team will assess the person's clinical and social needs, and public safety risks;
plan for the treatment and services required to address the person's needs; identify required
programs responsible for post-release services; and coordinate the transition plan to ensure
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Collier FIRST 16 010
implementation and avoid gaps in care. The Level of Service Case Management Inventory
(LS/CMI), used by the Reintegration Specialists will provide valid, reliable risk assessment
information to assist the FIRST team and courts to determine criminogenic needs,to predict
potential for violent recidivism and probation violations, and to direct community case
management activities. The use of four(.65 FTE) Reintegration Specialists will enable CCSO to
interview a larger jail population than what is currently served.
2) Forensic Intensive Case Management(FICM). The FIRST follows an intensive case
management model. In the FICM model, individuals receive supports of an interdisciplinary,
community-based team with a low staff to participant ratio of 1:20 or lower6.
3) Supported Housing. SAMHSA's Supported Housing Toolkit will direct the FIRST efforts to
provide supported housing services for program participants. Principles include: flexible,
individualized recovery support services; community integration through affordable, scattered
site housing; choice of housing based on individual needs and preferences; and peer supports.
4) Supported Employment. FIRST will follow the SAMHSA evidence based Supported
Employment Toolkits to guide efforts to help participants choose, get, and keep competitive
employment.
5)Disability Benefits. SOAR, (SSI/SSDI Outreach, Assessment and Recovery) is a best practice
model aimed at facilitating attainment of disability benefits for people with serious mental
illnesses. FIRST staff is trained in the practice, and will employ SOAR practices for all eligible
participants, with the goal of obtaining benefits for 80% of them.
6)Peer Support. Peer support is a best practice and an essential component of recovery
recovery supports including linkage to support groups and the-1AMI based, consumer run Sarah
Ann Drop In Center.
7) Motivational Interviewing (MI). All FIRST staff members are trained in motivational
interviewing techniques. MI techniques help to engage and retain participants in treatment,
supports self-efficacy, and uses shared decision-making to identify goals.
8) Evidence Based Therapies. The FIRST therapist provides specialized group or individual
counseling to meet the diverse and complex needs of the population, including trauma informed
treatment, cognitive behavior therapy for co-occurring substance abuse and mental health
problems, and Moral Reconation Therapy (MRT) MRT is a systematic cognitive behavioral
treatment strategy that seeks to decrease recidivism among criminal offenders by increasing
moral reasoning. MRT has been shown to reduce recidivism. MRT graduates had significantly
fewer re-arrests than their counterparts who did not successfully complete the program9.
6 National GAINS Center
7 SAMHSA Publications SMA08-4365
8 SAMHSA Publications SMA10-4510
9Byrnes,Kirchner&Heckert,2007.
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Collier FIRST
Key Activities and Responsible Agency. Each of the Centralized Coordination Projects includes
collaboration of several local partners to complete activities under the grant. These activities are
listed below for each partner agency:
Collier County Housing, Human & Veteran Services (CCHVS)Collier County Community and
Human Services (CHS) is the primary contracted entity with DCF, and is responsible for
ensuring all partners adhere to the DCF MOU. CCHVS CHS will execute contracts with each
partner for services described below, and will provide general oversight and grant payments in
accordance with applicable OMB Circulars A-87 and A-122, including the upcoming OMB
`Super Circular'.
The David Lawrence Center (DLC)provides a full range of mental health and substance abuse
(MHSA) services in Collier County accessible to program participants. DLC will implement a
Centralized Assessment Center (CAC)that will improve access to mental health screening and
assessment for CIT officers, families and individuals in need. The CAC will also help to divert
individuals from jail and into MHSA services through the FIRST team. The diverted individuals
may include those who would otherwise have entered a forensic institution.
DLC also conducts activities for the FIRST team, including case management, mental health
counseling, employment and living skills coaching, and clinical supervision for integrated mental
health and substance abuse services. The FIRST program is incorporated under the DLC
Forensic program umbrella, which includes mental health court, drug court, forensic case
management and a community-based competency restoration program. With advance notice,
DLC will facilitate scheduling outpatient psychiatric appointments for participants within one
day of discharge from the jail. The case manager will assist with SOAR application processes,
and will ensure linkage to primary care and medical follow up for each participant. All of the
DLC programs are available to FIRST participants who, in case of any wait lists, will have
priority. DLC will bill Medicaid, Medicare, and the state contract for community-based
treatment costs for individuals when possible. The intensive case management model includes
`enhancement funds' which help pay for items that are necessary to facilitate community
integration, including housing,transportation and medications.
NAMI of Collier County - - •: -• - . - . - . . . .., . .. - , . : - . -
and assistance with access to community resources. The Pcer Specialist trained in SOAR,
housing, education/employment,the NAMI Sar , ` - . •- - - - , • •- • • -- -
-
greups—NAMI will continue to facilitate a 40-hour CIT training four times per year.
Collier County Sheriff's Office (CCSO). CCSO will provide law enforcement strategies by
training 100% of its officers in CIT, including patrol, corrections, and 911/dispatch deputies. CIT
training takes place every other month four times per year in the NAMI of Collier County
training room, with no more than 20 attendees at each. CCSO will also subcontract with Corizon
14
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Collier FIRST
for in jail screening. CCSO will also provide substance abuse treatment strategies by continuing
its Project Recovery program in the jail. In addition, CCSO will provide four
(.65FTE)Reintegration Specialists to conduct interviews and screening on all current inmates.
This will be an improved and enhanced continuum to address a larger jail population to be
referred to the FIRST program. The goal is to interview every inmate. If during the interview,the
inmate reports having been diagnosed with a mental illness/disorder or that they have a history of
substance abuse, they will be referred to Corizon for a full screening to determine their eligibility
for the FIRST Program. All inmates who have a history of substance abuse are referred to
Project Recovery.
Corizon will employ two Discharge Planners to facilitate screening, assessment, and referral of
jail inmates to the FIRST program and/or Project Recovery. Corizon will screen jail inmates with
a release date 30 days out and move them throughout the jail. For any inmate reporting a history
with mental health and/or substance abuse issues, a referral would be made to Corizon regardless
of how long they will be in jail, even if not sentenced. Using the Corizon Receiving Screening
Form, and complete the Level of Service Inventory Revised (LSI-R)risk assessment. Corizon
will also take the lead in assertive and focused discharge planning through use of the APIC
model. Each of these, will guide FIRST activities and help facilitate access to an array of
individualized community services and supports to support optimal reintegration into the
community.
Florida Mental Health Institute. The CJMHSA Reinvestment Grant Technical Assistance Center
(TAC) will continue to work with the local planning council providing guidance on strategic
planning and evaluation.
Ancillary Social Services: A number of social service agencies will also provide supports for
participants through referral and coordination of FIRST members. These include but are not
limited to: the Agency for Persons with Disabilities; St. Matthews House; Salvation Army;
Collier Hunger& Homeless Coalition; - - . . : - .. - - .. - ' -- Collier
County Community and Human Services; Vocational Rehabilitation; Department of Children &
Families' ACCESS Florida(food stamps, Medicaid); Collier Housing Authority(rent and
utilities assistance); and various faith- based supports and food pantries.
Goals/Outcomes
• Treatment access and retention
• Attainment of permanent, stable housing
• Increased employability
• Improved social connectedness
• Reduction in crime/recidivism/use of forensic institutions
Objectives
• Expand the FIRST(Centralized Coordination Project)team to serve up to 60 persons at a
given time and over the course of the three-year project.
• Enhance the FIRST program to permit admission of persons with substance abuse as a
primary issue along with those with serious mental illnesses.
• Decrease access time for assessment/treatment at CAC from up to 3 weeks to one day.
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Collier FIRST
• Maintain a FIRST: staff to participant ratio of 1:20 or lower.
• Obtain disability benefits for 80% eligible participants within one year of application.
• Provide evidence-based practices according to the model as demonstrated by% degree of
adherence on fidelity scales.
• 52 CCSO Deputies will be CIT trained annually. (2,080 hours of training)
• Evaluation team completes process and outcome evaluations annually.
C. Capability and Experience
Collaborative Projects. The key project partners have a proven history of collaboratively
developing and managing criminal justice diversion programs in Collier County. These include
an adult mental health court in operation since 2007; adult felony drug court active since 2000;
and Crisis Intervention Team (CIT)training since 2005. The local CIT initiative, spearheaded by
NAMI Collier, is a central component of diversion activity in Collier County. The goal is to train
100% of all law enforcement, including state and county probation officers, to effectively
respond to incidents involving people with mental illnesses. Over 320 individuals have been
trained to date, with an additional 52 officers to be trained in upcoming year.
The CJMHSA Planning Council and subcommittees will facilitate improved coordination of the
current criminal justice, mental health and substance abuse programs and provide direction for
future development and sustainability. Council member input is essential to ensure the programs
are meeting the needs and expectations at both the policy-making and service delivery levels.
The Council, (see Table 3) meets quarterly, and will continue to complete an annual strategic
plan review and revision. The Planning Council has established an MOU with all participating
agencies to guide its activities.
Agency Resources, Experience, and Commitment
- - :, - •• . • . • • - . • _ • ' • . - - . Collier County Community
and Human Services (CHS) a department division of the Collier County Board of County
Commissioners (BCC) is an experienced grantee for criminal justice and behavioral health
programs. CCHHVS CHS is a current grantee for the Florida DCF Criminal Justice Mental
Health& Substance Abuse Reintegration grant, for the Forensic Intensive Reintegration Support
Team (FIRST)program. The program is in its third year of operations and will terminate in
February 2014. The CCHHVS CHS is currently a recipient of the Bureau of Justice Assistance
Drug Court Enhancement grant. The two-year grant, ending in September 2013,provides case
management and drug testing for the local drug court. CCHHVS CHS currently complies with
all terms and conditions of its current state and federal grants including those from HUD and the
Florida Department of Elder Affairs.
Substance Abuse& Mental Health Organization 1:David Lawrence Center(DLC). Treatment
Provider. David Lawrence Center(DLC) has provided behavioral health solutions in Collier
County for forty-five years. DLC is the sole local provider of 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
16
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Collier FIRST
(PATH). DLC's organization follows the trauma informed care principles. Forensic services
department includes Drug Court, Mental Health Court, community-based competency restoration
and the FIRST program. Each of these programs incorporates the use of Moral Reconation
Therapy, specifically targeting reduction in criminal thoughts and behaviors among participants.
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 Joint 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
over $17 million, total assets at approximately $8 million, and generally maintains a cash balance
between $2 to $3 million.
Substance Abuse& Mental Health Organization 2:NAMI of Collier County is the County's
leader in mental health advocacy. and employment of peer specialists.NAMI has contracts with
Central Florida Behavioral Health Network, DCF SAMH's Managing Entity for Outreach, a peer
run Drop In Center, and one of the state's two Self-Directed Care programs. NAMI spearheads
the local CIT training that takes place four times per year. Recently NAMI Collier was chosen to
by the DCF SAMH headquarters office to provide statewide behavioral health training. Through
this contract,NAMI Collier operates the CLEAR program, Connecting Leadership, Education,
Advocacy, and Recovery. CLEAR offers a statewide access to care information and referral line,
training on leadership skills, family, consumer and caregiver support training, and training for
peer specialists to assist DCF and Managing Entities with critical incident reviews, monitoring
providers' adherence to evidence based practices and consumer satisfaction reviews. NAMI of
Collier County's Board of Directors is committed to continuation of the CIT and-FAST
programs as two as one of their of primary goals.
Substance Abuse & Mental Health Organization 3: Corizon. There are four full time substance
abuse counselors currently working in the Collier County Jail. They provide services under the
Project Recovery Program (PRP). PRP is licensed by the Florida Department of Children and
Families for outpatient substance abuse treatment. PRP is a group therapy experience that is
comprised of 48 male and 10 female inmates. They reside in a therapeutic community and live
and work together for forty- five to ninety days while learning recovery skills. The program is
administered within the Collier County Jail in Naples through Corizon. PRP is a jail diversion
program permitting some participants' early release upon successful completion. Inmates are
frequently given sentences offering reduced time for success in the program. They may be
offered 30, 60, and even 90 days suspended from their sentence. Additionally,many inmates are
even offered the balance of their sentence suspended upon completion of the program, and many
are released within hours after their graduation ceremonies.
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Collier FIRST
Reintegration Specialists will work block by block and use the LSI-R to conduct these
interviews. Early identification and determination of inmate eligibility will enable services to be
arranged for the inmate upon their release from the jail. CCSO will also work with community
partners to meet basic needs such as: education, housing, employment, medical and mental
health services, transportation, food and clothing. All of the services offered through the FIRST
program aim to increase public safety, reduce jail costs, decrease the number of re-arrests and
increase access to mental health and substance abuse services for adults with a mental illness,
substance abuse disorder, or a co-occurring mental health and substance abuse disorder.
Key Personnel Roles and Level of Effort. Table 4 includes a summary of staff positions by
agency, including level of efforts and estimated costs. Please see attachments for detailed
position descriptions and resumes containing detailed qualifications of staff. (*Agency liaison to
the Criminal Justice, Mental Health & Substance Abuse Planning Council).
Agency Position (Level of Effort) Activities Cost
Collier County Grant Coordinator(.10)* Grant Oversight $104,816
Housing, Lead Accountant (.10) $78,574.37
Human& Accounting Tech (.0525)
Veteran
Services Collier
County
Community
and Human
Services
Collier County 1)Screener/ 1-2) Jail-Based screening $713,968
Sheriff's Discharge Planner (2.0)* referral, APIC, LSIR risk $911,858.94
Office/Corizon 2) Supervisor/Program Eval assessment.
(.175) 3) Grant Coordination
3) Grant Manager (.05) 4) Conduct interviews and
4) Reintegration Specialist provide referrals
(.65)
David 1) Case Manager (1.0)* 1-4) FIRST: SOAR, 6637
Lawrence 2) MH Counselor (.50)* psychiatric and primary care $699,207.02
Center 3) Living/Employment Coach referral, competency
(1.0) restoration, housing,
4) FIRST Supervisor (.30)* employment. Group, family
5) CAC (1.0) counseling.
Clinician/Evaluation* 5) Centralized Assessments
6) Accountant (.10) 6) Grant Coordination
7)Program Evaluator (.12)*
NAMI of 1) Certified Peer Recovery 1 2) CPRS Recovery $ 195,192
Collier County Specialist(1.0)* supports, supported $26,014.37
2) CPRS Supervision(.15) housing orted
3) Program Evaluator (.12)* employment, SOAR.
3) Program Evaluation
18 CA
16D1O
Collier FIRST
5) CAC (1.0) counseling.
Clinician/Evaluation* 5) Centralized Assessments
6)Accountant (.10) 6) Grant Coordination
7) Program Evaluator(.12)*
NAMI of 1) Certified Peer Recovery 1 2) CPRS Recovery $ 195,192
Collier County Specialist (1.0)* supports, supported
2) CPRS Supervision(.15) housing orted
3) Program Evaluator(.12)* employment, SOAR.
3)Program Evaluation
Table 4. Project Staff and Subcontractors
Collaboration Structure and Successful Project Implementation. The members of the Planning
Council, including each of the agencies discussed above, has demonstrated its long-term
commitment to the project. This commitment is demonstrated through completion of an
interagency Memorandum of Understanding (MOU), participation in the CJMHSA Planning
Council, and through its ongoing operations of several local centralized coordination projects:
CIT, Mental Health Court, Drug Court, FIRST, HUGS. Additionally, the partners have
committed to providing 100%match, including cash match in excess of the required amounts.
Role of consumers. NAMI of Collier County is an integral partner in all aspects of the local
project. NAMI employs consumers or family members in over 90% of its positions. NAMI
operates a consumer-run drop in center, Florida Self-Directed Care, and NAMI takes the local
lead in providing 40-hour CIT training four times per year. Through NAMI, the FIRST program
employs a Certified Peer Recovery Specialist(CPRS). NAMI's CPRS staff participates in the
• _ •• - - - ••• - - ' - e •= •. -. . CJMHSA Planning Council
meetings. Several other consumers and some additional CPRS attend the Planning Council,
provides regular and direct feedback on the project to each of the partner organizations.
Consumer participation and input is essential to continuous quality improvement of the FIRST
program.
D.Evaluation and Sustainability
Evaluation and Data Collection. In keeping with the CJMHSA grant priority for Centralized
Coordination Projects, the program evaluation is conducted by a team of individuals from each
of the partner agencies. Pamela Baker, EdD of NAMI will provide the primary evaluation
function, along with evaluation team members from David Lawrence Center, Corizon, and the
Collier County Sheriffs Office. CCHHVS CHS will provide overall oversight of the quality of
the evaluation reporting. The evaluation team will develop a plan for data collection and
analysis, including stakeholder input, within the first quarter.
Corizon will maintain all past LS-CMI results as well as maintaining and reporting on data from
the new LS/CMI screening results. The David Lawrence Center has fully implemented an
electronic medical record within which all FIRST participant data will be entered. The Case
Manager and Counselor will enter program data and all FIRST team members will compile data
submissions as needed for grant reporting to the HHVS CHS Grant Coordinator. The data will
also be reported into the State of Florida DCF SAMH data management system as required by
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Collier FIRST
contract with DCF Managing Entity, Central Florida Behavioral Healthcare Network. David
Lawrence Center has a long-standing, proven record of effectively managing SAMH data input
and meeting state outcome measures.
The internal collaborative evaluation will include a process evaluation to examine the extent to
which the project was implemented according to the proposed elements including
implementation timeframes, agency involvement and staffing/qualifications. The outcome
evaluation will examine the extent to which the goals and objectives and performance measures
were met, including the extent to which recovery-oriented behavioral health services, such as
supported housing and peer supports, have increased through the FIRST team. The process and
outcome evaluations will each use qualitative data such as participant and partner surveys, along
with the qualitative objective and performance measure data. Semi-annual progress reports and
annual fiscal reports will be completed by the contracted agencies, approved by the Planning
Council and submitted to DCF by the CCHHVS CHS Grant Coordinator. Table 5 depicts the
core set of performance measures to be achieved by end of year 2 of the program.
CJMHSA Performance Measure #/ %
1. Percentage reduction of re-arrests among Program participants in 50%
the adult criminal justice systems.
2. Target number of individuals to be served by the Program by end FIRST: 180
of Year 2. CAC: 2,000
3. Number of law enforcement officers trained in the Crisis
Intervention Team model. 52 trained
4. Percentage of Program participants that receive increased access
to services in comprehensive recovery based mental health and/or 100%
substance abuse treatment services that are community based.
5. Percentage change from admission to re-entry into the community 80%
of Program participants who reside in a stable housing environment.
6. Target number of admissions to forensic state mental health 4 persons
treatment hospitals among the target populations who met the
criteria for forensic state mental health hospital admissions.
7. Percentage increase of Program participants linked to social 80% of eligible
security benefits through SOAR-trained FIRST team members.
8. Impact of proposed efforts to increase public safety and the —$2,834,496/Year
percentage of cost avoidance or reduced spending in the criminal See Cost Benefit Analysis
justice system(i.e. law enforcement, courts,jail bed days). below
Table 5. Collier County Performance Measures Targets
20 r-,,
Collier FIRST
16D10
Cost/Benefit Analysis
Project Recovery Program. According to CCSO the average cost of housing an inmate in the
Collier County Jail with current population figures is roughly$112.00 per day. The total number
of days that successful graduates of PRP had suspended from their sentences in 2011 was 9,708.
The total number of days multiplied by the daily cost (9,708 X$112.00) equaled a savings to the
Collier County Sheriff's Office of$1,087,2961°. The savings to the Collier County Sheriff's
Office would naturally be passed down to the citizens of Collier County through utilization of
the annual budget.
Central Assessment Center and CIT. CCSO patrol officers (100% are CIT trained) will have a
direct means of diverting individuals from arrest with the implementation of the CAC. If the
CAC diverts 20% of persons accessing its services away from incarceration and into community
based programs, it will possibly divert 400 persons over the course of the 3 year CJMHSA
project based on an estimated 2,000 served at the CAC over 3 years. Given the average daily cost
of an inmate in jail of$112, and using a conservative average length of stay of 90 days,the CAC
pre-booking diversions alone could provide a potential savings in jail costs to the local
community of$4,032,000 over 3 years, or$1,344,000 per year.
Forensic Intensive Case Management(FICM). The use of the intensive case management
model with separate evidence-based components, including APIC model, Moral Reconation
Therapy, Supported Housing, Supported Employment, has been shown to reduce recidivism in
adults with mental illness and substance abuse problems". The rate of reduction can vary but a
50%reduction in recidivism is a conservative estimate given the chronicity of participants' arrest
histories. If 50% of the proposed 240 served over three years, or 120 people are not rearrested,
given an average jail stay of 90 days and cost of$112/day, the three-year savings would be
$1,209,600, or$403,200 per year. This is using the lowest cost, not considering additional one-
to-one staff time that is often required.
Sustainability
The message from the brief cost-benefit analysis above is clear. Projects that divert people with
mental illnesses and substance abuse problems are not only highly cost effective; they can save
communities millions each year. Communicating these savings to all stakeholders will ensure
broad support for and investment in each of the programs.
The Collier County CJMHSA Strategic Plan will be revised to include an in-depth 3-year
funding and sustainability plan for all of the current and proposed local diversion programs by
the end of year one of the grant. The use of evidence-based practices and an evaluation
demonstrating evidence of effectiveness will each impart marketability of the program to future
funders and secure support from stakeholders.
10 Corizon(2012).The Project Recovery Program:Intensive Substance Abuse Treatment for Incarcerated Clients.
"GAINS Center. Gainscenter.samhsa.gov
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Collier FIRST 16 0 10
Many of the services provided by the team are eligible costs under other funding sources
including Medicaid and state mental health contracts. Positive, documented outcomes of the
grant will provide agency partners with compelling justification to modify existing programs and
redirect resources to support the FIRST model or a similar program. While the partners will
aggressively pursue funding from state and federal sources, the importance of continued local
support cannot be understated. The Collier FIRST project partners have prioritized local funding
for justice and mental health collaboration/diversion programs for many years, and have done so
with very little state or federal assistance, demonstrating a likelihood of continuing to do so in
the future
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