9594CS23R0017 - 6-14-23.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

OSC230027 58

9594CS23R0017

William E. Hall, william.hall@csosa.gov 202-220-5717

Net 30

See Section F Same as Block 9

Court Services and Offender Supervision Agency Office of Financial Management 800 N. Capitol St., NW, Seventh Floor Washington, DC 20002-4260

Short-term Residential Substance Use Disorder Treatment Services See Continuation Pages

N/A

624229

$16.5 M

06/14/2023

07/12/2023

12:00 PM EST

Court Services and Offender Supervision Agency Office of Procurement 800 N. Capitol St., NW, Suite 7066 Washington, DC 20002-4260

N/A

Short-Term Residential Substance Use Disorder Treatment Services

9594CS23R0017

Continuation of SF1449

Blocks 19 through 24 Continued:

Base Period: 12 months following award Line Item Description Quantity* Unit Unit

Price NTE Amount

0001 Short-Term Residential Substance Use Disorder Treatment Services 2,692.81 Day TBD TBD

Short-Term Residential Substance Use Disorder Treatment Services - Surge

2,692.81 Day TBD TBD

Base Period Not-to-Exceed Amount TBD

Option Period 1: 12 months following option exercise Line Item Description Quantity* Unit Unit

Price NTE Amount

1001 Short-Term Residential Substance Use Disorder Treatment Services 2,692.81 Day TBD TBD

Short-Term Residential Substance Use Disorder Treatment Services - Surge

Option Period 1 Not-to-Exceed Amount TBD

Option Period 2: 12 months following option exercise

Item Description Quantity* Unit Unit

Price NTE Amount

2001 Short-Term Residential Substance Use Disorder Treatment Services 2,692.81 Day TBD TBD

Short-Term Residential Substance Use Disorder Treatment Services - Surge

Option Period 2 Not-to-Exceed Amount TBD

Option Period 3: 12 months following option exercise

Item Description Quantity* Unit Unit

Price NTE Amount

3001 Short-Term Residential Substance Use Disorder Treatment Services 2,692.81 Day TBD TBD

Short-Term Residential Substance Use Disorder Treatment Services - Surge

2,692.81 Day TBD TBD

Option Period 3 Not-to-Exceed Amount TBD

Option Period 4: 12 months following option exercise Line Item Description Quantity* Unit Unit

Price NTE Amount

4001 Short-Term Residential Substance Use Disorder Treatment Services 2,692.81 Day TBD TBD

Short-Term Residential Substance Use Disorder Treatment Services - Surge

Option Period 4 Not-to-Exceed Amount TBD

Base and all Option Periods Not-to-Exceed Total Amount TBD

*Quantity is the Government’s estimate of the maximum number of days of short-term residential treatment services which will be needed in each period of performance. This is an estimate, and the Government does not guarantee any minimum quantity of days of short-term residential treatment services will be purchased in any period of performance. The Contractor will only be reimbursed for the actual days of service provided.

Block 25 Accounting and Appropriation Data Continued:

To be completed upon Award

SECTION B – SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 Services. Contractor shall provide services in accordance with the Statement of Work (Section C).

B.2 Contract Type. This is a Fixed Price contract with unit rates; quantities are based on anticipated estimates and are Not-to-Exceed the allotted quantities and cost associated with each

CLIN.

B.3 Contract Funding. The Contractor is not authorized to exceed the obligated amount on this Contract. Per Section F.1, this Contract has a base period of twelve months and four 12-month option periods.

B.4 North American Industry Classification System (NAICS) and Small Business Size Standard. The NAICS Code for this acquisition is 623220 Residential Mental Health and Substance Abuse Facilities Contractors, and the small business size standard is $19.0M.

SECTION C – STATEMENT OF WORK

C.1 Agency Background.

The Court Services and Offender Supervision Agency (CSOSA) was established under Section 11232 of the National Capital Revitalization and Self-Government Improvement Act of 1997 to effectuate the reorganization and transition of functions relating to pretrial services, parole, adult probation, and offender supervision in the District of Columbia to a Federal Executive Branch agency. The mission of CSOSA is to increase public safety, prevent crime, reduce recidivism, and support the fair administration of justice in close collaboration with the community through the supervision of all probationers, parolees, and supervised releases (hereinafter referred to as offender(s)) held under the authority of any United States or District of Columbia statute, or any other lawful authority entrusted to the District.

C.2 Objectives.

C.2.1 The objective of this Contract is to stabilize offender substance use disorders, enhance supervision compliance, contain further risks of offender recidivating, promote prosocial engagement, enhance offender self-efficacy, coordinate access to community recovery systems, improve program retention, enhance the continuity of care post program completion, and return offenders to the community free from illicit substance use.

C.2.2 A successful program will have a 70% rate of offenders successfully completing the program, which is defined as a reduction of symptoms of substance use and non-compliant behaviors, and a 30% or less relapse rate while in treatment.

C.3 Referrals.

C.3.1 CSOSA will make placements for Short-Term Residential Substance Use Disorder Treatment Services for Men and Women, as described below in Section C.4, based upon an offender’s assessed need as determined by CSOSA’s Assessment and Evaluation and Placement Unit (AEPU) and Re-Entry and Sanctions Center (RSC) clinicians. The offender also may have been court ordered to be placed in the specified services, either as part of a sentence or pre-sentence or as a condition of probation, parole, or supervised release. CSOSA shall apply the ASAM Criteria 3.5 for referring offenders to the appropriate modalities.

C.3.2 The CSOSA Referral Placement Team (RPT) shall supply a referral package to the Contractor a minimum of twenty-four hours prior to each admission. The referral package shall contain a billing authorization document (Attachment J-1), admission date, projected discharge date, offender information to include confirmation of pre- and post-natal care services, offender supervision contact information, and information relevant to the offender’s transportation requirements (when applicable). Additionally, the referral package will contain Attachments J-2, Release of Information: Substance Abuse Treatment; J-3, Release of Information: Health Records; J-4, Release of Information: Mental Health-Sex Offender; and J-5, Release of Information: Privacy Act Waiver Form.

C.3.3 Duration. The length of placement to be provided will normally be up to 30 days, to include a 30-day restricted movement period. The length of the placement may be extended by the Contractor based on justifiable recommendations, with input from the offender’s assigned Community Supervision Officer (CSO). An updated Billing Authorization will be provided to the Contractor to cover any placement extension.

C.3.4 Referral/Billing Authorization. The billing authorization will have the following:

a. Offender name.

b. Admission date.

c. Projected discharge date.

d. Treatment duration.

e. The maximum dollar amount authorized for the treatment duration.

f. The invoicing code.

C.3.5 The billing authorization is the only document that makes CSOSA financially responsible for offender services provided by the Contractor. No verbal or other authorizations are recognized or allowed. CSOSA is not responsible for offender services provided without billing authorization, or any offender services provided that exceed the treatment duration, or the maximum dollar amount authorized for the treatment duration.

C.4 Tasks – Short-Term Residential Substance Use Disorder Treatment Services. The Contractor shall provide substance use disorder treatment services for men and women at the Contractor’s facility located within a 100-mile radius of 633 Indiana Avenue, NW, Washington, DC 20004-2902.

C.4.1 Task 1 - Pre-Admission Referral Review. Upon receipt of a referral package from CSOSA staff, the Contractor shall review the referral documentation to determine the individual’s suitability to successfully participate in treatment.

C.4.1.1 When completing the review, the Contractor shall assess the following areas:

a. Complicating Medical Conditions. To ensure the absence of any complicating medical conditions which would require the individual to attend frequent external medical appointments (to include pre and post-natal care services) or specialized medical equipment.

b. Medication Compliance. To ensure that any pre-existing medical or mental health conditions are adequately stabilized by appropriate medications.

c. Ambulatory Abilities. To ensure the requisite ambulatory abilities and physical stamina required to participate in treatment.

d. Self-Care. To ensure the individual’s ability to provide basic self-care (i.e., hygiene, etc.) during treatment.

C.4.1.2 The Contractor shall complete the review and make a suitability decision, or request for additional relevant information, to CSOSA staff, in writing, within two business days of receipt of each referral package. When necessary, CSOSA staff will coordinate with the referral source to obtain any additional relevant information requested by the Contractor.

C.4.1.3 Upon receipt of the additional information, the Contractor shall complete a secondary review and make a decision to CSOSA staff, in writing, within one business day of receipt of the additional information. In the event that the referral source is unable to supply the requested information, the Contractor shall make a decision (based on the original referral documentation) within one business day of notification of the unavailability of additional information.

C.4.2 Task 2 – Intake Process.

C.4.2.1 Admission/No Show Notification. The Contractor shall notify CSOSA of all admissions and no-shows the next business day of each scheduled admission, using the Admission Notification form that is provided with each referral/billing authorization.

This notification must be provided in writing (via email) to the Contracting Officer’s Representative (COR), and the offender’s assigned CSO. Specific contact information and notification instructions are found in each referral package. Failure to adhere with this requirement absolves CSOSA of financial responsibility for the offender.

C.4.2.2 The Contractor shall have the capability to transport offenders from pick-up locations named in the referral package. All vehicles used to transport CSOSA offenders shall be in good working condition and conform to all standards/requirements defined by the Department of Motor Vehicles in the jurisdiction where the vehicle is registered.

C.4.2.3 Intake Interview. The Contractor shall conduct an intake interview with each offender in accordance with the Contractor’s internal procedures. However, at a minimum, during the intake interview, the Contractor shall:

a. Conduct a Mini-Mental Status Exam.

b. Conduct an initial suicide assessment using an evidence-based assessment tool

(i.e., Columbia Suicide Severity Rating Scale).

c. Retrieve and secure any medications or prescriptions from the offender.

d. Identify the offender’s primary counselor who will make contact (via email) with the offender’s CSO and primary Intervention Specialist (IS) regarding admission.

e. Obtain signed waivers of confidentiality, in accordance with HIPPA, upon the informed consent of the offender. The waiver of confidentiality shall extend to all therapists and treatment providers treating the offender.

f. Restrict all offender movement during the first 30 days and conduct all Task 2, Intake Process requirements. This requirement is necessary to ensure offenders have the opportunity for program acclimation, minimize external distractions, provide an opportunity for the program staff to develop a treatment plan for the offenders, review the goals/objectives, and to establish a therapeutic relationship with the offenders. The initial restricted movement length of the time may be extended by the Contractor based on justifiable recommendations, with input from the CSO and IS.

g. Conduct a program orientation.

h. Provide the offender with a program handbook and program schedule.

i. Review the program rules with the offender, as well as the offender’s rights and responsibilities.

j. Conduct urinalysis/oral toxicology.

k. Administer a Patient Health Questionnaire-Version 9 (PHQ-9), Generalized

Anxiety Disorder – Version 7 (GAD-7), and Posttraumatic Check List for DSM 5 (PCL-5). A copy of the pre-test should be emailed to clinicaloutcomes@csosa.gov within 48 hours of assessment completion.

l. Conduct a nutritional assessment within three days of admission.

C.4.2.4 Offender Treatment File. The intake interview shall result in the creation of an individual offender Treatment File that shall initially contain the following:

a. Offender personal information sheet.

b. The entire referral package as provided by CSOSA.

c. A signed and dated copy of the offender’s handbook, and rights and responsibilities form (bearing the signatures of both the offender and the Contractor’s staff).

d. Current medical clearance - All offenders will have PPD/TB test results that are valid within one year of the actual treatment placement. Offenders with a history of past positive PPD results will have evidence of a chest x-ray completed within the last five years, and clearance, on an annual basis, from a pulmonologist or other qualified public health facility, or a physician specializing in pulmonary disease which documents that the offender is currently asymptomatic. Such documentation is obtained by from the D.C. Chest Clinic or equivalent where the assessment and screening is conducted. Offenders who show signs of disease must adhere to the D.C. Department of Health requirements for medication management and the treatment of Tuberculosis and will not be referred.

e. Signed Treatment Consent Forms. (Attachments J-2, J-3, J-4, and J-5).

f. The offender treatment file shall be kept in accordance with Part 2 HIPPA Privacy

Act Rule 45 CFR 164.530(c). The file should be kept at the Contractor’s location in a locked file cabinet with access limited to those individuals who provide direct service to the offender. CSOSA offender treatment files must be kept separately from non-CSOSA offender treatment files. At no time should CSOSA offender mailto:clinicaloutcomes@csosa.gov treatment files be removed from the Contractor’s facility where services are performed.

C.4.2.5 Medical Screening. The Contractor shall ensure that the offender receives a medical screening on-site at the Contractor’s facility, to determine the offender’s baseline level of physical and mental health functioning. The Contractor’s admission criteria shall include exclusionary factors such as medical or mental health conditions, or specific criminal offenses that would deem the offender unacceptable for admission. The Contractor shall have the right to refuse to treat any offender to the extent allowed by relevant laws and regulations who, after a medical screening, is considered to be medically/mentally unstable, or who has a significant medical/mental condition that will unduly interfere with treatment. The RPT staff shall be notified in writing (via email or facsimile) of any decision to refuse to treat an offender and the rationale for the decision.

C.4.2.6 Individualized Treatment Needs Assessment. The Contractor shall conduct an individualized treatment needs assessment for each offender within seven business days of admission. The individualized treatment needs assessment shall use a Comprehensive Bio-Psychosocial assessment and shall be conducted by a Case Manager or other licensed professional (proper interpretation must be within the assessor’s scope of practice).

C.4.2.7 Comprehensive Bio-Psychosocial Needs Assessment. The Comprehensive Bio-Psychosocial Needs Assessment must include, at a minimum:

a. A detailed description of the offender’s substance use history, mental health history, and any prior treatment experiences.

b. A complete personal history, including information related to the offender’s educational/vocational achievements, and experiences.

c. Any other information that may be helpful in determining offender treatment and individualized needs consistent with ASAM Criteria.

C.4.2.8 Assessments. CSOSA may supply an Addiction Severity Index (ASI), or other Government approved assessment tool(s), that was conducted within six months of the admission date. The Contractor shall incorporate all prior assessment information received from CSOSA, such as the Re-Entry and Sanctions Center (RSC) Discharge Summary, Central Intervention Team (CIT) Assessment, or the offender’s Performance Contract into its initial individualized assessment/treatment plan and also shall include references to relevant factors in its discharge summary to support a seamless continuum of care. Results of this individualized assessment shall be documented and kept in the offender treatment file.

C.4.2.9 Treatment Plan. The Contractor shall develop an individualized treatment plan for each offender within three business days of admission, based on the results of the treatment needs assessment and referral information provided by CSOSA.

C.4.2.9.1 The individualized treatment plan shall include problem formulation, short-term and long-term measurable treatment goals, with specific services and activities designed to achieve those goals. It shall include a schedule for service delivery, identifying frequency and duration of services.

C.4.2.9.2 The individualized treatment plan shall also reflect case management activities conducted by on-site staff, coordination of additional treatment, health, dental, and mental health interventions, and pro-social supports, vocational, and housing services, along with any other services at this and other levels of care shall be noted in this plan.

C.4.2.9.3 The plan shall be developed in collaboration with the offender and reflect the offender’s personal goals. A signed and dated copy of the treatment plan, with signatures of both the offender and Contractor staff, shall be kept in the offender’s treatment file and a copy provided to the offender. A copy with a signed Release of Information form shall be sent to the assigned IS and CSO.

C.4.2.9.4 At a minimum, treatment plans must be reviewed and reassessed weekly by an inter-disciplinary treatment team which, at minimum, consists of the Clinical Supervisor, Case Manager or Counselor, IS, and CSO. Treatment plans also must be reviewed, updated, and modified when major clinical changes occur, or when major life, family, or social circumstances may complicate treatment. When treatment plans are revised and resigned by the offender and Contractor staff, a copy shall be provided to the offender and the IS and CSO with a signed Release of Information

(ROI).

C.4.2.9.5 The Contractor shall document the evidence of treatment plan reviews in the offender treatment file. The Contractor shall document treatment plan review by completing a signed and dated entry in the progress notes, on the Vendor Clinical Staffing Form (Attachment J-6), or in the form of a signed and dated revised treatment plan.

C.4.3 Task 3 – Short-Term Residential Substance Use Disorder Treatment Services.

C.4.3.1 Short-Term Residential Substance Use Disorder Treatment Services. The expected outcome of Short-Term Residential Substance Use Disorder Treatment Services is to prepare offenders for successful entry into the community by targeting the offender’s level of functioning based on the needs identified in one or more of the identified problem areas in accordance with the ASAM Criteria (i.e., substance use disorders, criminal involvement, vocational, housing, medical, mental health, family/social and legal). The Contractor shall administer a post PHQ-9, GAD-7, and PCL-5 no later than 7 days prior to the offender’s discharge. A copy of the post-test should be emailed to clinicaloutcomes@csosa.gov within 48 hours of assessment completion.

C.4.3.2 The Contractor shall provide a highly structured, safe and secure, drug and crime free environment that consists of organized programming seven days per week using evidence-based Cognitive Behavioral Interventions (CBI), such as Thinking for a Change, to address anti-social attitudes and cognition or other Government approved mailto:clinicaloutcomes@csosa.gov best-practiced curriculum targeting criminal thinking and attitudes, motivational enhancement, and expressive therapy. Program services shall include daily clinical practices to educate, and reinforce the information directed at improving the offender’s development and practice of pro-social behaviors. The Contractor’s programming activities schedule shall be posted in plain sight for the offender and staff’s information.

C.4.3.4 Progress Notes.

C.4.3.4.1 The Contractor shall keep weekly progress notes for each offender that clearly reflect implementation of the treatment plan, the offender’s response to treatment, and all other therapeutic interventions. A progress note shall be entered for each intervention service within one business day. The individualized progress notes shall be kept in the offender’s treatment file.

C.4.3.4.2 The notes shall be maintained in the DAP (Data, Assessment, and Plan) or SOAP (Subjective, Objective, Assessment and Plan) format.

C.4.3.4.3 Each weekly progress note must be signed and dated by the Contractor’s staff providing direct care services. All progress notes shall be placed in reverse chronological order, maintained in the offender treatment file with the most recent note on top.

C.4.3.5 The Contractor shall be able to provide services to offenders that have co-occurring disorders, and sexual offenses.

C.4.3.6 The Contractor shall use therapeutic interventions specific to the criminal justice involved offender, such as approaches to increase retention in the program, coordination with court hearings, addressing criminal involvement, and cooperation with criminal justice requirements. The Contractor shall coordinate and cooperate with CSOs and IS’, utilizing a team approach for case planning, treatment and behavioral interventions, and case monitoring. The Contractor shall demonstrate evidence of this working relationship by scheduling clinical and crisis intervention staffing’s, and coordinating individualized case planning which shall be documented on the CSOSA Vendor Clinical Staffing Form (Attachment J-6), submitting required documents (i.e., weekly reports, discharge planning), and utilizing a team approach for treatment interventions, case monitoring, and individualized discharge and planning for the next continuum of care.

C.4.3.7 The Contractor shall practice cognitive-behavioral (CB) approaches to clinical interventions that focus on teaching offenders skills directed towards addressing cognitive distortions/criminal thinking, maintaining abstinence, enhancing self-efficacy, stabilizing housing, and setting independent living goals. The Contractor shall demonstrate the use of evidence-based practices, including Cognitive-Behavioral Therapy (CBT) and Motivational Interviewing (MI) through curricula, role modeling and the use of techniques that can be observed in groups, individual sessions, and clinical staffing’s. Program staff shall model appropriate behaviors consistent with this approach.

C.4.3.8 The Contractor shall have a process in place to ensure that offenders have access to the appropriate interventions, through a seamless and integrated collaboration with external partners, if psychopharmacologic and addiction pharmacotherapy interventions are not supplied onsite.

C.4.3.9 The Contractor shall ensure that assessment and programming services incorporate other individuals or programs, as clinically indicated, who are likely to support the offender's recovery process as indicated. These might include family psychoeducation or multi-family peer support groups or family therapy and incorporate a focus on the issues of homelessness.

C.4.3.10 While in the Short-Term Residential Substance Use Disorder Treatment Services program the Contractor shall provide case management services designed to address specific offender needs that contribute to substance use disorders, addictive and antisocial behaviors, dysfunctional lifestyles, value systems and, independent living skills problems for offenders considered amenable and appropriate for treatment services.

C.4.3.11 The Contractor shall establish a system of incentives and sanctions (as approved by CSOSA) to increase offender engagement and adherence to program requirements.

Additionally, in order to improve outcomes and to gauge offender satisfaction with the program, the Contractor shall survey the offenders prior to discharge and provide a copy of the survey to the COR.

C.4.3.12 The Contractor shall address substance use disorders in the discharge planning process. Upon discharge, amenable offenders should be connected with recovery and homelessness support services including, but not limited to, recovery check-ups, a referral to telephone peer recovery support, and referrals for appropriate housing programs and opportunities.

C.4.3.13 Treatment Expectations for Short-Term Residential Substance Use Disorder Treatment.

C.4.3.13.1 The Contractor shall provide supervised short-term residential substance abuse treatment services to adult male and female offenders with substance abuse treatment needs that approximate the ASAM Level 3.5 standard of care as identified below.

C.4.3.13.2 The Contractor shall provide professional clinical services designed to address addiction and living skills problems for offenders with substance abuse diagnosis who require short-term treatment stays to support and promote recovery.

C.4.3.13.3 The Contractor shall ensure that the short-term residential substance abuse treatment services include no less than 20 hours per week of group and individual counseling services. The counseling/group services shall include:

a. Individual: Three hours per week minimum.

b. Group: Ten hours per week minimum (a minimum of four sessions weekly).

c. Family: To be included during the course of treatment as clinically indicated.

C.4.3.13.4 The Contractor shall provide a minimum of eight hours of structured programming daily. (Note: Self-help meetings may be included as part of structured activities.) The structured programming shall include:

a. Didactic group sessions: Eight hours per week minimum

b. Housing stabilization coordination: Two hours per 30-day period

c. Mentoring/pro-social supports: One hour per 30-day period

d. Structured Activities: Seven hours per day of the following are required:

1. Counseling Services (individual, group)

2. Psychoeducation

3. Vocational Training

4. Recovery Support Services

5. Recreation

6. Family Education and Information sessions as clinically indicated.

C.4.3.14 The Contractor shall provide or arrange for offender services in the following need/problem areas:

a. Mental health.

b. Medical.

c. Laboratory and toxicology services, as appropriate to the severity and urgency of the offender’s condition.

d. Comprehensive needs assessment.

e. Treatment planning.

f. Individual counseling.

g. Group counseling.

h. Substance abuse education.

i. Discharge/aftercare planning (as required).

j. Other essential services as required to stabilize the offender to return them to the community and prepare them for independent living is also required.

C.4.3.17 The Contractor shall hold clinical staffings on the 14th and 21st days of treatment with invited CSOs and IS’, which may include the CSOSA supervisory staff.

During these staffing’s, the Contractor shall review the offender’s treatment planning progress, skills development, and positive accomplishments; address behavioral/compliance issues; and conduct ongoing individualized discharge planning, as well as other meetings and interventions considered necessary by CSOSA. The Contractor shall notify the assigned CSO of all scheduled clinical staffings in writing, no later than seven calendar days in advance, and document the notification on the CSOSA Contact Form (Attachment J-7). The treatment plan review shall be documented on the Vendor Clinical Staffing Form (Attachment J-6) and shall be filed in the offender’s treatment file.

C.4.3.18 Personnel. All Contractor personnel who oversee Personally Identifiable Information (PII) must adhere to Part 2 HIPPA Privacy Act Rule 45 CFR 164.530 c and CSOSA’s security requirements outlined in Section H.9.

C.4.3.19 Urinalysis/Oral Toxicology. The Contractor shall conduct a random urinalysis or oral toxicology test (if the offender is unable to void a urine sample) on all offenders a minimum of once per seven-day week and within 24 hours of the offender’s return from any activity outside the facility. Random drug screening should be incorporated to shape behavior and reinforce treatment gains, as appropriate to the offender’s individual treatment plan. The Contractor shall observe the following screening levels for all CSOSA offenders:

a. Amphetamines/Methamphetamine 500 ng/ml

b. Cocaine Metabolite 150 ng/ml

c. Marijuana 50 ng/ml

d. Methadone 300 ng/ml

e. Opiates 300 ng/ml

f. Heroin 10 ng/ml

g. PCP 25 ng/ml

h. Alcohol 20 mg/dl

i. Creatinine 20 mg/dl

j. Synthetic Cannabinoids 10 ng/ml

C.4.3.19.1 The Contractor shall follow the specimen chain of custody protocols of the appropriate regulatory accreditation bodies.

C.4.3.19.2 Results of all urinalysis/oral toxicology tests shall be kept in the offender treatment file.

C.4.3.19.3 The Contractor shall notify the CSO or IS in writing, within 24 hours (or the next business day), of any offender who receives a positive urinalysis/oral toxicology result, refuses to provide a sample (behavioral positive), adulterates a sample, or submits a water loaded sample, while in treatment. This information may be transmitted via secured email that protects PII (See H.10.4).

C.4.3.19.4 The Contractor shall collaborate with the IS or CSO to coordinate a response to any offender positive test result(s). The Contractor shall be prohibited from discharging any offender from treatment without coordinating a case conference with the IS or CSO.

C.4.3.20 Outings/Visitations. Offender movement outside the facility shall be limited to address medical and mental health emergencies and therapeutic activities only.

C.4.3.20.1 The Contractor shall test all offenders for drug and alcohol use via urinalysis within 24 hours of return from activities outside of the facility.

C.4.3.20.2 The Contractor shall conduct a proper search of the offender and offender’s personal belongings upon return to the facility.

C.4.3.20.3 The Contractor shall keep a system of accountability to track offender movement outside of the facility which includes documentation. The Contractor shall confirm the destination, point(s) of contact, departure and return times, and the identified need which requires external movement (i.e., appointments, referrals, CSO office visits, or any other external movement approved by the Government.)

C.4.3.20.4 The Contractor, in conjunction with their tracking procedures, shall keep security protocols to reduce the introduction of contrabands into the facility (interior and exterior). These may include, but are not limited to, the following: search of the person/belongings, urine drug testing upon return from the outside, room search/inspections, and all other residential area searches.

C.4.3.21 Medication Storage and Administration.

C.4.3.21.1 The Contractor shall meet all Federal and State requirements and develop policies to support compliance for any drugs administered, to include methadone schedule and buprenorphine, including regulations established by the Food and Drug Administration, or the U.S. Drug Enforcement Agency.

C.4.3.21.2 The Contractor shall ensure that all medications are administered in accordance with the prescribing physician’s orders. The Contractor shall ensure that “watch-take” procedures are implemented when each offender takes his/her medications and document any refusal to take their prescribed medication.

C.4.3.21.3 All medication (prescription and non-prescription) must be kept in a locked storage area maintained by the Contractor. Any prescription medication brought into the facility by an offender shall not be administered or self-administered until the medication can be identified and the attending practitioner’s written order or approval is documented in the offender’s record. All medications, both prescription and over the counter, brought into the facility must be packaged and labeled in accordance with federal and state laws and regulations. All medication dispensation must be performed by a duly trained staff member and shall be recorded in a daily log that shows the name, dosage, date and time of dispensation. Any changes to the medication type, dosage, or administration frequency shall be approved by a licensed Physician or Psychiatrist.

C.4.3.21.4 Medications requiring refrigeration shall be kept in a separate and secure refrigerator, labeled “For Medication Only” and shall be maintained at a temperature between thirty-six and forty-six degrees Fahrenheit. All refrigerators shall have thermometers, which are easily readable, in proper working condition, and accurate within a range of plus or minus two degrees Fahrenheit.

C.4.3.21.5 The Contractor shall track and monitor the offender’s on-hand supply of medication(s) to ensure that the offender secures his/her supply of medication no later than seven days prior to the offender’s planned discharge date. In the event that the medication cannot be obtained before the offender discharges, the Contractor shall ensure that the offender has a valid written prescription.

C.4.3.21.6 The Contractor shall ensure that the results for offenders who require monitoring of daily blood sugar levels and high blood pressure levels are documented and stored in the offender’s treatment file.

C.4.4 Task 4 - Discharge Process.

C.4.4.1 Discharge Planning Staffing. The Contractor shall coordinate the discharge planning staffing with the CSO (or his/her designee), and the offender, no later than seven calendar days before the proposed discharge planning staffing. This discharge staffing must include a review of the offender’s course of treatment, treatment plan progress, aftercare planning, and recommendations for the next phase of treatment.

C.4.4.2 Discharge Staffing. The Contractor shall conduct a discharge staffing no later than seven calendar days prior to the offender’s completion of the program. The staffing shall include the submission of a written, comprehensive, and individualized aftercare/relapse prevention plan that summarizes the results of the discharge planning staffing and outlines recommendations for further treatment or other needed services.

CSOSA will assess the outcome of the Short-Term Residential Substance Use Disorder Treatment Services intervention by reviewing the offender’s level of functioning 7 days before his/her discharge date.

C.4.4.3 Discharge Plan. The Contractor shall prepare a written discharge plan no later than 7 calendar days prior to the offender’s completion of the program. The discharge plan must contain:

a. The offender’s name.

b. The admission date.

c. The date of the discharge staffing.

d. The individuals in attendance for the discharge staffing.

e. The discharge date.

f. The length of the offender’s stay in the program.

g. Any DSM-5 diagnoses.

h. A summary of the overall treatment experience.

i. An aftercare/relapse prevention plan.

j. The discharge prognosis.

k. A list of the specific programs the offender must attend for aftercare services such as community mental health care or community based support meeting times, to include the locations with verified addresses, and the points of contact.

l. The name and telephone number of an individual who can be contacted should CSOSA require more information.

m. The signature of the preparer and Clinical Supervisor, or Program Director.

n. Once signed, the Contractor shall email a copy of the completed plan to the CSO and IS within three calendar days of the offender’s discharge.

o. The Contractor shall file the original signed discharge plan in the offender’s treatment file.

C.4.4.4 For those offenders who will be entering another treatment modality upon discharge, CSOSA will send all relevant information from the offender’s treatment file to the appropriate treatment provider. CSOSA will supply the necessary contact information and send instructions prior to the offender’s discharge date. The Contractor is required to provide a copy of the offender treatment file to the next provider at the time of transfer, or within 24 hours of a request from CSOSA. The treatment file should be sent electronically with the appropriate electronic security.

C.4.4.5 Discharge for Compliance or Behavioral Management Issues. Keeping offenders involved in treatment activities and receiving required services is an expected goal. However, there are three types of discharges or removals from treatment that CSOSA considers to be an intervention of the highest sanction in response to non-compliant behavior(s); they are non-threatening behavior, high-risk or threatening behavior, and abscondences. The intervention results in the termination of an offender's active involvement with the program for any of the identified discharge types. If any of these occur, it is CSOSA’s expectation that the offender be returned to community supervision to include a Continuity of Care Plan and required discharge report type.

Offenders who exhibit non-compliant behavior/behavioral management issues may be discharged or removed from treatment after an emergency staffing (by telephone or in person) is held with the CSO.

C.4.4.5.1 Compliance Problems.

C.4.4.5.1.1 The Contractor shall email the CSO, COR, and Office of Community Supervision and Intervention Services (OCSIS) Rapid Engagement Team (RET) (ocsisrapidengagement@csosa.gov) regarding any non-compliant offender behavior within 24 hours of each occurrence. Examples of non-compliant behavior include, but are not limited to:

a. Medications refusal.

b. Intoxication.

c. Suspicion of drug use.

d. Sexual activity.

e. Anti-social behavior.

f. Lack of adequate participation in required treatment programming.

C.4.4.5.1.2 In the event that the IS or CSO are unable to be reached, the Contractor must notify the Supervisory Community Supervision Officer (SCSO).

The first notification may be via telephone or email and shall be in writing (by email) and shall include:

mailto:ocsisrapidengagement@csosa.gov

b. Date and time of the non-compliant behavior.

c. A description of the behavior observed.

d. The name(s) of the CSOSA staff to whom the incident was reported.

e. The action taken by the Contractor in response to the non-compliance.

f. The name and telephone number of the reporting person, or an alternate person, who can be contacted should CSOSA require more information from the Contractor.

g. The Contractor shall sign and date the Non-Compliant Behavior report and the Contractor shall email the completed report to the CSO and Treatment Specialist within 48 hours of the occurrence.

h. The Contractor shall keep copies of all non-compliance reports in the offender’s treatment file.

C.4.4.5.2 Discharge for Non-Threatening Behavior.

C.4.4.5.2.1 The Contractor shall notify the CSO, IS, and OCSIS RET (ocsisrapidengagement@csosa.gov) via telephone or email prior to discharging any offender for non-threatening behavior. In the event that the CSO is unable to be reached, the Contractor must contact the SCSO.

C.4.4.5.2.2 Upon receiving CSO, SCSO, or IS concurrence, the Contractor shall discharge the offender with instructions to report to his or her CSO immediately.

The Contractor shall document the type of contact made with CSOSA on the CSOSA Contact Form.

C.4.4.5.2.3 The Contractor shall prepare and send a written discharge report to the CSO and IS within eight hours of the offender’s discharge. The discharge report must contain:

c. Discharge date.

d. Any DSM-5 diagnoses.

e. Length of stay in the program.

f. A clear and detailed description of the circumstances under which the offender was discharged, to include a copy of the unusual incident report which will, at a minimum, address the following:

1. The name of the CSOSA staff to whom the incident was reported.

2. The name and telephone number of the reporting person or an alternate person that can be contacted should CSOSA require more information from the Contractor.

g. After signing and dating the discharge report, the preparer shall send it to the Contractor’s Clinical Supervisor or Program Director for review and signature before sending it to CSOSA. Once signed, the Contractor shall email the completed report to the CSO and IS.

h. The discharge report must be filed in the offender’s treatment file.

C.4.4.5.3 Discharge for High Risk or Threatening Behavior. If an offender engages in aggressive behavior(s) or poses an imminent threat of harm to self, others, or the Contractor’s property, the Contractor may discharge the offender prior to contacting the CSO. If the behavior constitutes criminal activity, the Contractor must contact the appropriate legal authority (i.e., local police department). If the offender poses a high risk to self or others (medically or psychiatrically), the Contractor shall develop a Continuity of Care Plan which provides for the referral and appropriate transfer of the offender along with treatment information, medications, and other relevant information.

C.4.4.5.3.1 The Contractor shall contact the CSO, IS, and OCSIS RET via email (ocsisrapidengagement@csosa.gov) and telephone within one hour of any discharge under these circumstances. In the event the CSO is unable to be reached, the Contractor shall contact the SCSO. If such an incident occurs during non-business hours, the Contractor must contact the emergency point of contact identified in the referral package in order to provide notification of the discharge.

C.4.4.5.3.2 If an offender demonstrates new substance use, an extensive pattern of relapse, or a repeated inability to control his/her impulses to use alcohol or other drugs, or repeated behavioral problems, the Contractor shall immediately contact the CSO and IS for an intervention staffing resulting in a behavior contract. If the offender fails to comply with the signed behavior contract, the Contractor shall discharge the offender with instructions to report to his/her CSO immediately.

The Contractor shall document the type of contact made with CSOSA on the CSOSA Contact Form.

C.4.4.5.3.3 The Contractor shall prepare and send a written discharge report to the CSO and IS within eight hours of the offender’s discharge. The discharge report must contain:

c. Discharge date.

d. Length of stay in the program.

e. Any DSM-5 diagnoses.

f. A clear and detailed description of the circumstances under which the offender was discharged, to include a copy of the unusual incident report.

g. The name of the CSOSA staff whom the incident was reported.

h. The name and telephone number of the reporting person, or an alternate person, who can be contacted should CSOSA require additional information from the Contractor.

i. After signing and dating the discharge report, the preparer shall send it to the Clinical Supervisor or Program Director for review and signature before submitting it to the Government. Once signed, the Contractor shall email the completed report to the CSO and IS.

j. The discharge report must be filed in the offender’s treatment file.

C.4.4.5.4 Abscondences.

C.4.4.5.4.1 The Contractor shall notify the IS, CSO, and OCSIS RET (ocsisrapidengagement@csosa.gov), via email, within one hour for any offender who absconds from the program. In the event that the CSO is unable to be reached, the Contractor must contact the SCSO.

C.4.4.5.4.2 A written discharge report must be prepared and sent to the CSO within eight hours. The discharge report must contain:

c. Discharge date.

d. Length of stay in the program.

e. Any DSM-5 diagnoses.

f. A clear and detailed description of the circumstances under which the offender was discharged, to include a copy of the Unusual Incident Report.

g. The name of the CSOSA staff to which the incident was reported.

h. The name and telephone number of the reporting person, or an alternate person, who can be contacted should CSOSA require more information from the Contractor.

i. After signing and dating the discharge report, the preparer shall forward it to the Clinical Supervisor or Program Director for review and signature before submitting it to the Government. Once signed, the Contractor shall send via secure email the completed report to the SCSO, CSO and Treatment Specialist.

j. The discharge report must be filed in the offender’s treatment file.

C.4.5 Task 5 – Administration.

C.4.5.1 Offender Treatment File Management.

C.4.5.1.1 File Entries. The Contractor is required to document all offender encounters in the offender’s treatment file. All offender case management file documentation provided to CSOSA shall be provided in a MS-Word or PDF document. The Contractor shall ensure that Contractor staff maintains complete confidentiality of all offender case management files. The offender case management file shall, at a minimum, include:

a. Treatment Authorization Package.

b. All referral information provided by CSOSA.

c. CSOSA Consent for the Release of Sensitive Information Form, signed and dated.

d. Assessment Reports, to include, but not be limited to:

1. ASI

2. Comprehensive Bio-Psychosocial Assessment

3. Other Government approved assessment tool(s)

4. PHQ-9

5. PCL-5

6. GAD-7

e. Treatment Plan signed by the offender, the CSO, the SCSO, and the Contractor.

f. Weekly Progress Notes.

g. Monthly Progress Reports (if applicable).

h. Clinical Material (if provided).

i. Termination Report.

j. Chronological Contact Sheet

C.4.5.1.2 File Storage and Removal. The Contractor shall ensure that all offender records are stored in a secure manner and location within the Contractor’s facility. To ensure proper tracking of offender treatment files, the Contractor shall establish a file tracking protocol to ensure that all offender treatment files are organized in a manner to ensure accountability of the records and proper disposition upon the offender’s discharge.

C.4.5.1.3 Active Treatment File Transition.

C.4.5.1.3.1 Upon notice from the CSOSA Contracting Officer (CO), or COR, that the contract will not be extended or continued, all offender treatment files in the possession of the Contractor should be clearly marked with the offender’s last name, first name, PDID#, and disposed of in accordance with CSOSA guidance.

C.4.5.1.3.2 CSOSA has the choice of directing that a copy of an offender’s treatment file be securely transferred to another CSOSA contractor providing offender treatment services or returned to CSOSA. Offender treatment files should always be sent electronically, in a secure manner.

C.4.5.1.4 Closed Offender Treatment Files. When an offender is no longer receiving services from the Contractor, and CSOSA has not directed the offender treatment file be provided to another CSOSA contractor taking over an offender’s treatment, the offender treatment file is considered closed. The Contractor shall close the offender’s treatment file and return it to the COR within three business days of the offender’s completion of, or departure from, the treatment program.