REQUEST FOR PROPOSALS #2021-96

FOR

OUTPATIENT SEX OFFENDER TREATMENT SERVICES

BOARD OF COUNTY COMMISSIONERS

TOOTIE SMITH, Chair

SONYA FISCHER, Commissioner PAUL SAVAS, Commissioner

MARK SHULL, Commissioner MARTHA SCHRADER, Commissioner

Gary Schmidt

County Administrator

Thomas Candelario

Contract Analyst

PROPOSAL CLOSING DATE, TIME AND LOCATION

DATE: December 2, 2021

TIME: 2:00 PM, Pacific Time

PLACE: Procurement@clackamas.us mailto:Procurement@clackamas.us

RFP 2021-96 Outpatient Sex Offender Treatment Services Page ii

SCHEDULE

Request for Proposals Issued…….................................................. November 4, 2021

Protest of Specifications Deadline..................................................November 15, 2021, 5:00 PM, Pacific Time

Deadline to Submit Clarifying Questions....................................... November 22, 2021, 5:00 PM, Pacific Time

Request for Proposals Closing Date and Time……....................... December 2, 2021, 2:00 PM, Pacific Time

Deadline to Submit Protest of Award............................................. Seven (7) days from the Intent to Award

Anticipated Contract Start Date……..............................................January 2022

TABLE OF CONTENTS

Page

Section 1 – Notice of Request for Proposals

Section 2 – Instructions to Proposers

Section 3 – Scope of Work

Section 4 – Evaluation and Selection Criteria

Section 5 – Proposal Content

Proposal Certification Form

Attachment 1 – Application for Approved Sex Offender Treatment Provider

Appendix A – Guidelines for Sex Offender Assessment and Treatment

Appendix B - Intake Assessment Guideline

Appendix C – Oregon Sex Offender Treatment Progress Report

Appendix D – Safety Plan Request Form

SECTION 1

NOTICE OF REQUEST FOR PROPOSALS

Notice is hereby given that Clackamas County through its Board of County Commissioners will receive sealed Proposals per specifications until 2:00 PM, December 2, 2021 (“Closing”), to provide Outpatient Sex Offender Treatment Services. No Proposals will be received or considered after that time.

RFP Documents can be downloaded from the state of Oregon procurement website (“OregonBuys”) at the following address https://oregonbuys.gov/bso/view/login/login.xhtml, Document No. S-C01010-00001154

Prospective Proposers will need to sign in to download the information and that information will be accumulated for a Plan Holder's List. Prospective Proposers are responsible for obtaining any Addenda, clarifying questions, and Notices of Award from OregonBuys. Sealed Proposals are to be emailed to Clackamas County Procurement Services at procurement@clackamas.us.

Contact Information Procurement Process and Technical Questions: Thomas Candelario email:

tcandelario@clackamas.us

The Board of County Commissioners reserves the right to reject any and all Proposals not in compliance with all prescribed public bidding procedures and requirements, and may reject for good cause any and all Proposals upon the finding that it is in the public interest to do so and to waive any and all informalities in the public interest. In the award of the contract, the Board of County Commissioners will consider the element of time, will accept the Proposal or Proposals which in their estimation will best serve the interests of Clackamas County and will reserve the right to award the contract to the contractor who’s Proposal shall be best for the public good.

Clackamas County encourages proposals from Minority, Women, Veteran and Emerging Small Businesses.

https://oregonbuys.gov/bso/view/login/login.xhtml mailto:procurement@clackamas.us mailto:tcandelario@clackamas.us

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SECTION 2

INSTRUCTIONS TO PROPOSERS

Clackamas County (“County”) reserves the right to reject any and all Proposals received as a result of this RFP. County Local Contract Review Board Rules (“LCRB”) govern the procurement process for the County.

2.1 Modification or Withdrawal of Proposal: Any Proposal may be modified or withdrawn at any time prior to the Closing deadline, provided that a written request is received by the County Procurement Division Director, prior to the Closing. The withdrawal of a Proposal will not prejudice the right of a Proposer to submit a new Proposal.

2.2 Requests for Clarification and Requests for Change: Proposers may submit questions regarding the specifications of the RFP. Questions must be received in writing on or before 5:00 p.m. (Pacific Time), on the date indicated in the Schedule, at the Procurement Division address as listed in Section 1 of this RFP.

Requests for changes must include the reason for the change and any proposed changes to the requirements.

The purpose of this requirement is to permit County to correct, prior to the opening of Proposals, RFP terms or technical requirements that may be unlawful, improvident or which unjustifiably restrict competition.

County will consider all requested changes and, if appropriate, amend the RFP. No oral or written instructions or information concerning this RFP from County managers, employees or agents to prospective Proposers shall bind County unless included in an Addendum to the RFP.

2.3 Protests of the RFP/Specifications: Protests must be in accordance with LCRB C-047-0730.

Protests of Specifications must be received in writing on or before 5:00 p.m. (Pacific Time), on the date indicated in the Schedule, or within three (3) business days of issuance of any addendum, at the Procurement Division address listed in Section 1 of this RFP. Protests may not be faxed. Protests of the RFP specifications must include the reason for the protest and any proposed changes to the requirements.

2.4 Addenda: If any part of this RFP is changed, an addendum will be provided to Proposers that have provided an address to the Procurement Division for this procurement. It shall be Proposers responsibility to regularly check OregonBuys for any notices, published addenda, or response to clarifying questions.

2.5 Submission of Proposals: Proposals must be submitted in accordance with Section 5. All Proposals shall be legibly written in ink or typed and comply in all regards with the requirements of this RFP. Proposals that include orders or qualifications may be rejected as irregular. All Proposals must include a signature that affirms the Proposer’s intent to be bound by the Proposal (may be on cover letter, on the Proposal, or the Proposal Certification Form) shall be signed. If a Proposal is submitted by a firm or partnership, the name and address of the firm or partnership shall be shown, together with the names and addresses of the members. If the Proposal is submitted by a corporation, it shall be signed in the name of such corporation by an official who is authorized to bind the contractor. The Proposals will be considered by the County to be submitted in confidence and are not subject to public disclosure until the notice of intent to award has been issued.

No late Proposals will be accepted. Proposals submitted after the Closing will be considered late and will be returned unopened. Proposals may not be submitted by telephone or fax.

2.6 Post-Selection Review and Protest of Award: County will name the apparent successful Proposer in a Notice of Intent to Award published on OregonBuys. Identification of the apparent successful Proposer is procedural only and creates no right of the named Proposer to award of the contract. Competing Proposers shall be given seven (7) calendar days from the date on the Notice of Intent to Award to review the file at the Procurement Division office and file a written protest of award, pursuant to LCRB C-047-0740. Any award protest must be in writing and must be delivered by hand-delivery or mail to the address for the Procurement Division as listed in Section 1 of this RFP.

Only actual Proposers may protest if they believe they have been adversely affected because the Proposer would be eligible to be awarded the contract in the event the protest is successful. The basis of the written protest must

RFP 2021-96 Outpatient Sex Offender Treatment Services Page 3 be in accordance with ORS 279B.410 and shall specify the grounds upon which the protest is based. In order to be an adversely affected Proposer with a right to submit a written protest, a Proposer must be next in line for award, i.e. the protester must claim that all higher rated Proposers are ineligible for award because they are non-responsive or non-responsible.

County will consider any protests received and:

a. reject all protests and proceed with final evaluation of, and any allowed contract language negotiation with, the apparent successful Proposer and, pending the satisfactory outcome of this final evaluation and negotiation, enter into a contract with the named Proposer; OR

b. sustain a meritorious protest(s) and reject the apparent successful Proposer as nonresponsive, if such Proposer is unable to demonstrate that its Proposal complied with all material requirements of the solicitation and Oregon public procurement law; thereafter, County may name a new apparent successful Proposer; OR

c. reject all Proposals and cancel the procurement.

2.7 Acceptance of Contractual Requirements: Failure of the selected Proposer to execute a contract and deliver required insurance certificates within ten (10) calendar days after notification of an award may result in cancellation of the award. This time period may be extended at the option of County.

2.8 Public Records: Proposals are deemed confidential until the “Notice of Intent to Award” letter is issued.

This RFP and one copy of each original Proposal received in response to it, together with copies of all documents pertaining to the award of a contract, will be kept and made a part of a file or record which will be open to public inspection. If a Proposal contains any information that is considered a TRADE SECRET under ORS 192.345(2), SUCH INFORMATION MUST BE LISTED ON A SEPARATE SHEET CAPABLE OF SEPARATION

FROM THE REMAINING PROPOSAL AND MUST BE CLEARLY MARKED WITH THE

FOLLOWING LEGEND:

“This information constitutes a trade secret under ORS 192.345(2), and shall not be disclosed except in accordance with the Oregon Public Records Law, ORS Chapter 192.”

The Oregon Public Records Law exempts from disclosure only bona fide trade secrets, and the exemption from disclosure applies only “unless the public interest requires disclosure in the particular instance” (ORS 192.345).

Therefore, non-disclosure of documents, or any portion of a document submitted as part of a Proposal, may depend upon official or judicial determinations made pursuant to the Public Records Law.

2.9 Investigation of References: County reserves the right to investigate all references in addition to those supplied references and investigate past performance of any Proposer with respect to its successful performance of similar services, its compliance with specifications and contractual obligations, its completion or delivery of a project on schedule, its lawful payment of subcontractors and workers, and any other factor relevant to this RFP. County may postpone the award or the execution of the contract after the announcement of the apparent successful Proposer in order to complete its investigation.

2.10 RFP Proposal Preparation Costs and Other Costs: Proposer costs of developing the Proposal, cost of attendance at an interview (if requested by County), or any other costs are entirely the responsibility of the Proposer, and will not be reimbursed in any manner by County.

2.11 Clarification and Clarity: County reserves the right to seek clarification of each Proposal, or to make an award without further discussion of Proposals received. Therefore, it is important that each Proposal be submitted initially in the most complete, clear, and favorable manner possible.

2.12 Right to Reject Proposals: County reserves the right to reject any or all Proposals or to withdraw any item from the award, if such rejection or withdrawal would be in the public interest, as determined by County.

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2.13 Cancellation: County reserves the right to cancel or postpone this RFP at any time or to award no contract.

2.14 Proposal Terms: All Proposals, including any price quotations, will be valid and firm through a period of one hundred and eighty (180) calendar days following the Closing date. County may require an extension of this firm offer period. Proposers will be required to agree to the longer time frame in order to be further considered in the procurement process.

2.15 Oral Presentations: At County’s sole option, Proposers may be required to give an oral presentation of their Proposals to County, a process which would provide an opportunity for the Proposer to clarify or elaborate on the Proposal but will in no material way change Proposer’s original Proposal. If the evaluating committee requests presentations, the Procurement Division will schedule the time and location for said presentation. Any costs of participating in such presentations will be borne solely by Proposer and will not be reimbursed by County. Note: Oral presentations are at the discretion of the evaluating committee and may not be conducted;

therefore, written Proposals should be complete.

2.16 Usage: It is the intention of County to utilize the services of the successful Proposer(s) to provide services as outlined in the below Scope of Work.

2.17 Review for Responsiveness: Upon receipt of all Proposals, the Procurement Division or designee will determine the responsiveness of all Proposals before submitting them to the evaluation committee. If a Proposal is incomplete or non-responsive in significant part or in whole, it will be rejected and will not be submitted to the evaluation committee. County reserves the right to determine if an inadvertent error is solely clerical or is a minor informality which may be waived, and then to determine if an error is grounds for disqualifying a Proposal. The Proposer’s contact person identified on the Proposal will be notified, identifying the reason(s) the Proposal is non-responsive. One copy of the Proposal will be archived and all others discarded.

2.18 RFP Incorporated into Contract: This RFP will become part of the Contract between County and the selected contractor(s). The contractor(s) will be bound to perform according to the terms of this RFP, their Proposal(s), and the terms of the Sample Contract.

2.19 Communication Blackout Period: Except as called for in this RFP, Proposers may not communicate with members of the Evaluation Committee or other County employees or representatives about the RFP during the procurement process until the apparent successful Proposer is selected, and all protests, if any, have been resolved. Communication in violation of this restriction may result in rejection of a Proposer.

2.20 Prohibition on Commissions and Subcontractors: County will contract directly with persons/entities capable of performing the requirements of this RFP. Contractors must be represented directly.

Participation by brokers or commissioned agents will not be allowed during the Proposal process. Contractor shall not use subcontractors to perform the Work unless specifically pre-authorized in writing to do so by the County. Contractor represents that any employees assigned to perform the Work, and any authorized subcontractors performing the Work, are fully qualified to perform the tasks assigned to them, and shall perform the Work in a competent and professional manner. Contractor shall not be permitted to add on any fee or charge for subcontractor Work. Contractor shall provide, if requested, any documents relating to subcontractor’s qualifications to perform required Work.

2.21 Ownership of Proposals: All Proposals in response to this RFP are the sole property of County, and subject to the provisions of ORS 192.410-192.505 (Public Records Act).

2.22 Clerical Errors in Awards: County reserves the right to correct inaccurate awards resulting from its clerical errors.

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2.23 Rejection of Qualified Proposals: Proposals may be rejected in whole or in part if they attempt to limit or modify any of the terms, conditions, or specifications of the RFP or the Sample Contract.

2.24 Collusion: By responding, the Proposer states that the Proposal is not made in connection with any competing Proposer submitting a separate response to the RFP, and is in all aspects fair and without collusion or fraud. Proposer also certifies that no officer, agent, elected official, or employee of County has a pecuniary interest in this Proposal.

2.25 Evaluation Committee: Proposals will be evaluated by a committee consisting of representatives from County and potentially external representatives. County reserves the right to modify the Evaluation Committee make-up in its sole discretion.

2.26 Commencement of Work: The contractor shall commence no work until all insurance requirements have been met, the Protest of Awards deadline has been passed, any protest have been decided, a contract has been fully executed, and a Notice to Proceed has been issued by County.

2.27 Best and Final Offer: County may request best and final offers from those Proposers determined by County to be reasonably viable for contract award. However, County reserves the right to award a contract on the basis of initial Proposal received. Therefore, each Proposal should contain the Proposer’s best terms from a price and technical standpoint. Following evaluation of the best and final offers, County may select for final contract negotiations/execution the offers that are most advantageous to County, considering cost and the evaluation criteria in this RFP.

2.28 Nondiscrimination: The successful Proposer agrees that, in performing the work called for by this RFP and in securing and supplying materials, contractor will not discriminate against any person on the basis of race, color, religious creed, political ideas, sex, age, marital status, sexual orientation, gender identity, veteran status, physical or mental handicap, national origin or ancestry, or any other class protected by applicable law.

2.29 Intergovernmental Cooperative Procurement Statement: Pursuant to ORS 279A and LCRB, other public agencies shall have the ability to purchase the awarded goods and services from the awarded contractor(s) under terms and conditions of the resultant contract. Any such purchases shall be between the contractor and the participating public agency and shall not impact the contactor’s obligation to the County.

Any estimated purchase volumes listed herein do not include other public agencies and County makes no guarantee as to their participation. Any Proposer, by written notification included with their Proposal, may decline to extend the prices and terms of this solicitation to any and/or all other public agencies. County grants to any and all public serving governmental agencies, authorization to purchase equivalent services or products described herein at the same submitted unit bid price, but only with the consent of the contractor awarded the contract by the County.

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SECTION 3

SCOPE OF WORK

3.1. INTRODUCTION

Clackamas County is seeking Proposals from vendors to provide Outpatient Sex Offender Treatment Services.

Please direct all Technical/Specifications or Procurement Process Questions to the indicated representative referenced in the Notice of Request for Proposals and note the communication restriction outlined in Section 2.19.

3.2 BACKGROUND

Clackamas County Community Corrections (CCCC) is seeking qualified proposers to provide outpatient Sex Offender Treatment Services. The County intends to award a Contract to more than one Contractor.

Sex offender treatment is provided to offenders who have been convicted of a sexual offense or who have a criminal history that contains sexually motivated crimes and treatment is required as a condition of supervision. Note: For the purpose of this Request for Proposals (RFP), an offender is defined as a person released to Clackamas County Community Corrections and on probation, parole or post-prison supervision.

In the majority of cases, the offender will pay for their own treatment; however, for offenders who are unable to pay for these services, CCCC subsidizes treatment until such time as the offender is able to self-pay, either fully or partially. There are a small number of individuals who will never have the financial ability or means to pay for treatment. In these cases, CCCC will fully subsidize services throughout their treatment episode.

Proposers may qualify to provide sex offender services in any one of or combination of the following categories:

General Services - This would consist of a comprehensive treatment regimen, which includes an intake assessment group and/or individual sessions, ongoing assessment of risk/need, aftercare programming and may include specialized services (as needed).

Specialized Services - This would include services specific to the treatment needs and/or behavioral/criminality characteristics of the client, which include:

1. Objective Sexual Arousal/Interest Assessment (e.g., Penile Plethysmograph, Abel Assessment of Sexual Interest)

2. Arousal Reconditioning

3. Pharmacological Intervention/Medication Management

4. Specialized Offender Groups or Programs

• Mental Retardation/Developmentally Disabled

• Mentally Ill

• Females

• Non-English Speaking

• Young Adults

• Hands-off offenses/ Pornography

• Psychopathic/Highly Criminal

• Gender/Sexual Identity Issues

• Chaperone Programming

• Family Reunification

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• Victim Services

• DV/SO (co-occurring)

The basic service delivery requirement is that all service proposers must be prepared to offer their services to a variety of clients in a culturally, gender and age/development appropriate manner.

The County reserves the right to add to, subtract from, or eliminate any service element. The County reserves the right to negotiate the payment method and rate for services rendered. Regardless of the method of payment, in all cases, County appropriation for payment is only available for those individuals who do not have other means of self-payment.

CCCC is the agency responsible for providing an array of supervision, sanctions, and services to over 2,400 adult offenders sentenced to probation or released from custody on parole or post-prison supervision and residing in Clackamas County. Of these, approximately 350 are supervised as sex offenders.

Upon release from a correctional facility or custody, an offender who is identified as a sex offender is assigned to a Sex Offender Specialist Parole/Probation Officer (SO/PPO). Presently, these cases are divided between 4 SO/PPOs.

The department recognizes the significant risk these offenders pose to public safety, particularly offenders who are identified as predatory and Sexually Violent Dangerous Offenders (SVDO). The Department has developed a variety of strategies to ensure public safety and reductions of criminal activity are effectively addressed. They include:

• Implementing validated and evidenced-based instruments to more accurately determine the offenders risk and need to include Static and Dynamic risk factors;

• Monitoring the offenders activities through direct contacts with the offender as well as collateral contacts with family, friends, employers and others who have knowledge of the offender’s activities;

• Polygraph testing;

• Applying swift and sure sanctions in response to behavior that violates supervision conditions;

• Requiring evaluations and assessments for appropriate treatment placement; and

• Placing individuals in treatment that best matches the needs of the offender, emphasizes a cognitive-behavioral approach, incorporates evidenced-based services (i.e., and provides frequent monitoring of their progress throughout the treatment episode).

Some of these approaches will be addressed by community providers. Therefore, CCCC is committed to developing a more collaborative and connected relationship with treatment and service providers to ensure the department’s ultimate objectives (i.e., public safety and reduction of criminal activity) are achieved.

CCCC is also committed to providing quality evidence-based treatment services to sexual offenders on community supervision in a fiscally responsible manner. Research indicates that treatment should target an individual’s risk, need and responsivity (R-N-R) issues, as well as individual factors related to risk for re-offense. As such, Contracting for treatment services will be based on each individuals identified R-N-R needs to ensure the client receives the necessary treatment while balancing the fiscal limitations inherent within the current economic situation. This may include a full array of treatment services generally

RFP 2021-96 Outpatient Sex Offender Treatment Services Page 8 offered through a treatment program, specialized services targeting specific areas of R-N-R and/or psycho-educational programming only.

This procurement process is being undertaken to qualify and award contracts to Proposers whose treatment program and services best align with the treatment expectations and outcomes that are specifically identified in the RFP.

3.3. SCOPE OF WORK

SCOPE:

CCCC requires that programs and clinicians adhere to and follow the standards set forth in the Clackamas County Guidelines for Sex Offender Treatment & Assessment (Appendix A), as well as the standards of the Oregon Sex Offender Treatment Board (SOTB) and the Association for the Treatment of Sexual Abusers (ATSA) Practice Standards and Guidelines.

Specifically, the treatment services sought through this RFP should be consistent with evidence-based practice for sexual offenders, which include treatment interventions that target sexual arousal issues (deviant and non-deviant); emotional self-regulation; social relationships/social supports; personal risk factors/re-offense prevention; life skills; special needs (e.g., mental retardation, developmental disabilities, mental illness); and special issues (e.g., special supervision conditions, family reunification).

The target population receiving services through this RFP is indigent male and female offenders who are on active supervision in Clackamas County (i.e., probation, post-prison supervision, parole) and who have been identified as a sex offender for whom treatment is required as a condition of supervision. It is anticipated that a client’s financial status may change over the course of treatment; therefore, CCCC staff will periodically assess the client’s level of indigence and need for subsidization.

The overall profile of sex offenders is diverse and varied in its composition. The Department's Sex Offender Specialists are now encountering the following behavioral characteristics in the clients they are supervising:

• Clients with co-occurring disorders and diagnoses, such as substance abuse, psychiatric or mental health conditions, personality disorders and developmental disabilities;

• Clients who lack financial resources;

• Clients who are young, have a limited history of sexual misconduct and/or have committed less severe sexual offenses;

• Clients who are considered high profile and high risk (e.g. predatory sex offenders, pedophilic offenders, violent rapists, SVDO);

• Clients who present serious problems with deviant arousal, impulse control and/or require community notification;

• Clients who have committed other serious criminal or violent offenses;

• Clients who exhibit a high level of psychopathic traits;

• Clients who are ethnic minorities, non-English speaking and/or require culturally specific services;

• Clients who require gender specific treatment services;

• Clients who have served lengthy periods of institutional living; and

• Clients whose behavior is being managed through pharmacological interventions.

SERVICE DELIVERY:

The treatment provider will deliver all services in a culturally, developmentally, and gender appropriate manner.

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CULTURAL COMPETENCY:

The treatment provider will work cooperatively with the County to assess the cultural competency of the treatment provider’s services. As appropriate, the treatment provider will send representatives to training sponsored by the County and will develop any corrective actions required by the County to address cultural concerns.

SYSTEM COLLABORATION:

The County supports a containment approach to the management of sexual offenders, which involves ongoing and consistent communication between members of an offender’s management team (i.e., PPO, treatment provider, polygraph examiner, other involved professionals). As an integrated approached to treatment is expected, the treatment provider will make every effort to establish and maintain cooperative/collaborative working relations with other agencies to ensure client services are integrated (e.g., polygraph, aversion/arousal, hormone therapy, etc.).

TRAINING:

The treatment provider will participate in training sessions, when available, with relevant CCCC staff and community service providers. The purpose and focus of the training sessions will be, at a minimum, to review best practice research regarding sex offender treatment and treatment effectiveness, coordination of and access to auxiliary social services, and enhancements to supervision and case management.

ETHICS:

The treatment provider will adhere to the Professional Code of Ethics published by the Association for the Treatment of Sexual Abusers (ATSA), as well as any licensure ethical codes. Any allegations of unethical practices will be reported immediately to the CCCC Sex Offender Program Manager.

REFERRALS:

Referrals for subsidized treatment require prior approval of the Sex Offender Program Manager. Referrals without the prior approval of the Program Manager are not authorized for payment by the County.

After the offender is referred for treatment, the treatment provider will receive a referral packet from the SO/PPO, which will include a STATIC-99R risk assessment and other available documents (i.e., Pre- Sentence Investigation (PSI) reports, police reports, psychological evaluations, STABLE/ACUTE-2007).

The SO/PPO will complete a Release of Information with the client for the treatment provider prior to sending the referral material. The treatment provider will notify the SO/PPO within two working days after the first scheduled client appointment identifying any of the following conditions: admitted to or denied treatment; placed on or dropped from a waiting list; intake assessment in progress; and/or failed to appear for the intake interview.

RELEASE OF INFORMATION:

Contractor shall obtain a signed release of information consent form for all clients enrolled in services permitting the treatment provider to disclose information to all criminal justice agencies that have a direct professional interest in the client (e.g., Judiciary, District Attorney’s Office, etc.) The release will also allow the treatment provider to obtain information from relevant criminal justice agencies that can assist the treatment provider in the client’s program process. Failure to sign such a release will immediately disqualify clients from services.

INTAKE ASSESSMENT:

Contractor shall complete an intake assessment which meets the requirements outlined within the Intake Assessment Guidelines (See Appendix B) The completed intake assessment report (including Stable coding sheet and TX Plan) will be sent to the SO/PPO within 30 business days following completion of the client intake process.

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ORIENTATION:

Following the intake assessment process, Contractor shall conduct an orientation interview and provide a program introduction to each referred client, which will include written and oral information about:

• Program rules and policies;

• Expectation of active participation in services, consistent attendance, program components, and cooperation with program rules;

• Criteria for program completion or discharge, including the circumstances in which a client would face immediate discharge;

• Aftercare requirements;

• The fee policy clearly outlining prices for group, individual treatment, special services, and no shows as well as the procedure to be followed if a client account is in arrears;

• All applicable releases of information; and

• Other needed forms (ie mandatory child abuse reporting law, complaint procedure, etc.)

ATTENDANCE:

Contractor shall update the supervising SO/PPO regarding client attendance. Contractor shall notify the SO/PPO about any unexplained and/or unexcused absences within 24-hours of the absence. Absences which exceed 20 percent of regularly scheduled sessions in any 60-day period may result in suspension from treatment. Suspensions may result in sanctions and/or return to treatment.

CLIENT PAYMENT RESPONSIBILITY/ACCOUNTABILITY:

Contractor and SO/PPO will encourage clients to be responsible for payment. Unless otherwise agreed by the management team, Contractor shall not allow a client’s bill to exceed $200. Once the client’s bill exceeds $200, Contractor shall immediately notify the SO/PPO and they will jointly work with the client to develop a payment plan to resolve the debt. The SO/PPO will require the client to provide weekly verification of payment on the payment plan and potentially require additional employment to cover the cost of treatment. Failure to pay reasonable fees will be viewed as a violation of the treatment contract and may result in suspension from treatment, with referral back to the SO/PPO for possible sanctions.

GROUP SESSIONS:

Group therapy sessions will be conducted a minimum of one time per week at no less than one and a half hours in duration. Groups shall not exceed 12 members, with the exception of individuals attending intermittently for aftercare programming. Specialized psycho-educational groups (e.g., dating skills, victimology, orientation, etc.) may exceed 12 members.

Placement in group sessions should be based on individualized assessment, gender, criminal typology and risk/need. Separate groups should be considered for statutory rapists, lower risk/need offenders, high risk/need offenders and psychopathic offenders. Clients with mental illness, mental retardation and/or developmental disabilities should be treated in their own specialized groups.

INDIVIDUAL SESSIONS:

The need for individual treatment will be determined by Contractor and should be based on a client’s treatment need(s) which may require discussion outside a group setting. This may include clients who are in denial, clients who are in crisis, and clients who have difficulty with comprehension, memory or who are otherwise falling behind the other group members.

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TREATMENT PLAN/TREATMENT GOALS/PROGRESS REVIEW:

Contractor will develop an individualized treatment plan which addresses the criminogenic needs and risk of the client identified within the intake assessment, as well as the goals outlined within the Clackamas County Sex Offender Treatment Progress Report. The treatment plan will specify the activities and process to achieve the identified objectives, and will be reviewed and updated every 90 days.

The Treatment Plan should, at a minimum, address the following topics:

1. Sexual arousal, as determined by objective assessment (including deviant and non-deviant);

2. Emotional/Self-regulation (including anger, stress, anxiety management and impulse control);

3. Social relationships and social support (including family and collateral support; social and dating skills);

4. Personal risk factors/Re-offense prevention (including level of denial; key risk factors related to situations, contacts with individuals, behaviors and emotional states; offense cycle triggers);

5. Life skills (including perspective taking/empathy; problem solving; use of leisure time;

money management; employment/job training; and living situation);

6. Special needs (including developmental disabilities; mental illness; physical disability;

medical illness; medications [medical and/or psychotropic]; substance abuse/addictions);

7. Special issues (including potential for family reunification needs, special supervision conditions); and

8. Key areas for PPO monitoring (describe critical areas for monitoring based on the offender assessment and include the need for safety plans).

9. Goals achieved during the previous 90 days and goals for the next 90 days.

Treatment goals will include, but are not limited to:

1. Diminish arousal/attraction to sexually deviant behavior, replace with appropriate alternatives and acquire an appropriate level of sexual knowledge;

2. Develop internal controls consistent with a healthy and offense-free lifestyle;

3. Identify and diminish pro-offending attitudes. Create and maintain contacts and activities that promote pro-social attitudes and behaviors. Develop skills in forming and maintaining healthy, age appropriate relationships;

4. Understand personal risk factors and develop relapse prevention strategies to avoid at-risk behaviors and recidivism;

5. Learn life skills and create a living and work situation that fosters offense-free living; and

6. Address “Special Needs” (e.g. MR/DD/MI) in a fashion that promotes treatment success.

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PROGRESS REPORTS:

Contractor will submit a Sex Offender Treatment Progress Report to the client’s PPO at least once every 90 days (see Appendix C). The progress report shall include a summary of the client’s progress, including TX goals, both achieved and in progress as well as recommendations for what the client should focus on during the next 90 days. The information in the progress report may also be collected for program analysis by CCCC Quality Systems and Evaluation Services’ staff to examine treatment impact/effectiveness on the client’s behavior over time.

CASE FILE:

Contractor will develop and maintain a case file for each client enrolled in treatment. The case file will indicate clear documented movement toward treatment plan objectives, accomplished objectives, or documented reasons why objectives have not been addressed or accomplished. Contractor will document client’s attendance, participation and compliance with the group and program rules.

VIOLATION NOTIFICATION:

Contractor shall promptly notify the supervising PPO of any supervision violations or other criminal behavior, client program failure or major rule violations within 24 hours of the behavior, disclosure or incident. If a crisis situation should occur (e.g. imminence of a future sexual assault or act of violence), immediately contact the supervising PPO, the PPO’s Supervisor, or the Officer of the Day. In case of after-hours emergency incidents, call 911 for assistance and call CCCC after hours at (503) 655-8262 to place a request that the PPO or Supervisor contact the treatment provider immediately.

OUTSIDE REFERRALS:

Contractor will inform the client’s PPO of any outside services needed by the client. The management team will collaboratively address referrals to outside services needed by the client.

SELF-MANAGEMENT/HEALTHY LIVING MAINTENANCE PLAN:

Within 30-days of a client’s anticipated transition to aftercare, a Self-Management/ Healthy Living Maintenance Plan will be developed. The plan should be developed in collaboration with the PPO, support persons and other relevant persons. The plan will include referrals to services based on the client’s risk and need, as well as treatment goals to accomplish during aftercare. The plan will be completed and shared with the group, management team and PPO prior to transition to aftercare.

TRANSITION TO AFTERCARE PHASE:

Contractor shall provide an aftercare program and encourage clients to maintain contact with treatment on a follow-up basis. The management team may require ongoing aftercare for certain clients based on risk and/or need.

The term “graduation” will be replaced with “completion of primary phase of treatment” or “transition to aftercare.” It is important to note some clients may return to prior patterns of behavior and require further treatment in the future. Terms such as “completion” or “graduation” may be misleading or confusing to the client and the support system when further treatment is recommended.

TRANSITION TO SELF-MANAGEMENT PHASE:

Within 30-days of the anticipated treatment discharge, the client will modify their Self-Management/ Healthy Living Maintenance Plan to reflect any issues and/or needs which were identified during aftercare.

Any changes will be reviewed and approved by the management team prior to treatment discharge. The Self-Management/Healthy Living Maintenance Plan will include referrals to services based on the client’s risk and needs, as well as the client’s treatment goals following discharge from treatment. The management team will also encourage clients to maintain contact with treatment on a follow-up basis.

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DISCHARGE FROM TREATMENT:

The treatment provider will determine the criteria for successful treatment discharge, which should be influenced by the client’s progress toward meeting treatment goals. Under certain circumstances it is recognized that some clients may be unable to achieve all treatment goals but will meet minimum requirements for treatment discharge (i.e., maximum benefit).

When a client is successfully discharged from treatment, Contractor shall complete a discharge summary which includes a clear explanation of the reason for program discharge and include the client’s progress towards treatment goals, as well as recommendations for further services or other activities. Contractor shall send the discharge summary to the PPO within 10 days of client discharge.

If inappropriate or concerning behavior occurs after the client’s formal discharge from treatment, the PPO will contact the treatment provider to discuss the concerning behavior and management strategies for addressing the behavior. The client’s return to treatment may be required at that time.

Discharge from treatment other than successful should be guided by the following factors: failure to engage in services, refusal to comply, adhere to program rules or meet financial obligations; unable to attend treatment due to physical limitations (e.g. health/medical condition); treatment is not meeting the client’s needs and could be better served with another treatment provider; and/or client has attained maximum benefit from services. The treatment provider will notify the PPO immediately when a client is discharged from treatment other than successful. The treatment provider will also send the discharge summary to the PPO within 10 days of client discharge.

3.3.2 FUNDING

CCCC has budgeted up to $50,000 per Contract year for services. Funding of the work described in this RFP is not guaranteed. Fluctuations in funding year to year should be expected. The County is unable to assure that any particular level of work will be provided and the contract will permit the County to add or remove work as necessary depending on availability of funding.

3.3.3. REQUIREMENTS AND REPORTING

Contractor will provide electronic communication with CCCC for service coordination by the CCCC Sex Offender Team and program evaluation/contract compliance monitoring by the CCCC Quality Systems Management and Evaluation Services Unit.

• Client intake information will be submitted within 30 days of program entry for each client referred by CCCC’s Sex Offender Unit staff.

• Client exit information will be submitted within 30 days of exit from subsidy status and again at discharge from treatment.

The data will be used to inform the Sex Offender Unit supervisor and SO/PPO of program entry and exit (i.e., subsidy and/or discharge from program), and to monitor performance measures (identified herein) and utilization levels. Upon notice that a correction is needed to any data submitted, the treatment provider will submit corrected data within 48 hours. Incorrect or incomplete data information, which is not addressed or resolved by the treatment provider, could result in a delay in processing the invoice.

PERFORMANCE MEASURES / PERFORMANCE CONTRACTING:

Contractor shall cooperatively participate in County’s efforts to monitor contract performance and may include the following monitoring activities:

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1. Site/Program Reviews: CCCC staff will conduct on-site visits to review the treatment provider’s compliance with the Contract. A site review may occur within 6 to 9 months following the effective date of the Contract to fine-tune the coordination of care and direct services to clients. Thereafter, site reviews may be conducted on a yearly basis, or as needed. Program reviews may be conducted, as needed, and minimally include a review of case files, sit in on groups, or request clients or providers to complete measures to conduct systems or program evaluation studies.

2. Technical Assistance: CCCC staff may offer training and/or assist programs with design of offender-specific services.

3. Contract Services Meetings: CCCC staff may schedule regular meetings to discuss services and to resolve any operational problems. The meetings will consist of representatives of contract agencies and CCCC staff.

4. Performance Reports: CCCC staff will review and, in some instances, produce reports detailing the performance of contract programs.

5. Fiscal Compliance: Fiscal compliance reviews may be conducted to ensure that financial records, systems, and procedures conform to generally accepted accounting principles and are in compliance with all County and State audit and accounting requirements.

6. Performance Monitoring and Evaluation: Performance will be monitored and evaluated by CCCC’s Quality Systems Management and Evaluation Services’ staff. The performance objectives may be modified or changed during the course of the program operation to more accurately reflect successful outcomes. CCCC will collect felony arrest and conviction data on clients that relates to both sexual and non-sexual offenses during treatment.

Contractor shall meet, at a minimum, the following performance objectives:

80% of clients will not recidivate during treatment. Recidivism is measured by new non-sexual criminal activity that results in an arrest.

90% of clients will not sexually recidivate during treatment. Recidivism is measured by new sexual criminal activity that results in an arrest.

90% of clients will not recidivate one year post-treatment exit.

90% of clients will not sexually recidivate one year post-treatment exit. Successful is defined as those clients who were discharged/transitioned to aftercare. Recidivism is measured by new sexual criminal activity that results in an arrest.

Recidivism will also be measured by new convictions to the extent the Oregon Department of Corrections can provide the data to CCCC.

TRAINING AND QUALIFICATIONS:

• Clinical Supervisor/Director of Program:

• Master or doctoral degree.

• Certification by the Oregon Sex Offender Treatment Board (SOTB) as a Clinical Sex

Offender Therapist.

• A minimum of 15 hours annually in continuing education in the field of sexual abuse specific to adults. Continuing education includes courses, seminars, conferences, and workshops.

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• Sex Offender Specific Therapist:

• Bachelor degree or higher.

• Certification by the Oregon Sex Offender Treatment Board (SOTB) as an Associate Sex

Offender Therapist.

• Under supervision of an approved clinical supervisor. The clinical supervisor must be an

SOTB certified Clinical Sex Offender Therapist and be on the Clackamas County Approved Sex Offender Treatment Provider list.

• A minimum of 15 hours annually in continuing education in the field of sexual abuse specific to adults. Continuing education includes courses, seminars, conferences, and workshops.

EXCLUSIONARY CRITERIA FOR CLINICAL SUPERVISOR/DIRECTOR OF PROGRAM &

SEX OFFENDER SPECIFIC THERAPIST:

Providers who have one or more of the following conditions listed below may be considered ineligible to be an approved sex offender treatment provider:

• Medical condition, which impairs or limits practice.

• Use of chemical substances that impairs practice.

• Diagnosis or treatment for pedophilia, exhibitionism, voyeurism, frotteurism and/or any other inappropriate sexual behavior.

• Illegal use of controlled substances.

• Convicted, entered a plea of guilty, nolo contendere or a plea of similar effect or had prosecution or sentence deferred or suspended in connection with: controlled substances or illegal drugs, a sex offense and/or any other crime other than minor traffic offenses.

• Ever found in civil, administrative or criminal proceeding to have: possessed, used, prescribed for use or distributed controlled substances; committed any act involving moral turpitude, dishonesty or corruption; violated any state or federal law or rule regulating the practice of health care provision.

• Had any license, certificate, registration or other privilege to practice a health care profession denied, revoked, suspended, or restricted by a state, federal or foreign authority.

• Had any civil case filed against you for incompetence, negligence or malpractice regardless of whether the case was concluded by judgment, a settlement or dismissal of a civil case.

RESTRICTIONS FOR CONTRACTING:

No individual currently under juvenile or adult probation, parole, or post-prison supervision may perform services on any CCCC contracted program, whether directly or indirectly.