Special Pop CoC Network SOO Revision 1.pdf

ATTACHMENT 1 - STATEMENT OF OBJECTIVES

U.S. Department of Health and Human Services (HHS)

Administration for Children and Families (ACF) Office of Refugee Resettlement (ORR)

Unaccompanied Children (UC) Special Population Continuum of Care (CoC) Network

July 25, 2024

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Document Revision History

[Example – Post-Award] Mod.

No.

Description of Changes Requested

By Approved

By Date

00 Base

[Note: The document revision history is most useful for tracking changes in a major acquisition.

It may not be needed for less complex acquisitions. Pre-award, it can be used internally by the agency to track the origin of and/or changes to specific requirements (not included in the solicitation when released). Post-award, it can be used to provide a centralized list of changes incorporated by modification.]

Table of Contents

1.0 Purpose

2.0 Background

3.0 Scope

4.0 Performance objectives (required results)

5.0 Type of Contract Contemplated

6.0 Period of Performance

7.0 Place of Performance

8.0 Government information

9.0 Government property/equipment

10.0 Required nongovernment information/documents

11.0 Other addenda

12.0 Contractor-Provided Draft Quality Control Plan (if applicable)

13.0 Meetings

14.0 Glossary of Abbreviations and Acronyms (if not provided elsewhere)

Statement of Objectives (SOO) for the

Office of Refugee Resettlement (ORR) Unaccompanied Children (UC)

Special Population Continuum of Care (CoC) Network

1.0 Purpose

The purpose of this contract is to develop region-wide local network Continuums of Care (COC) for unaccompanied children who meet special population criteria, by connecting licensed, high quality care providers experienced with serving special population youth. The COC for special population unaccompanied children includes care for those unaccompanied children who meet criteria for Secure Care, Diagnostic Center (DC) Care, Psychiatric Residential Treatment Facility (PRTF) Care, Partial Hospitalization Care, Residential Treatment Center (RTC) Care, Therapeutic Group Home (TGH) Care, and Staff Secure (SS) Care. When referencing region-wide local network, the ORR expectation is for the contractor to identify a strong community of care providers, inclusive of a sufficient number of providers for each level of special population care, to be located within in a cohesive geographical area or region. In-network care provider facility locations shall be conducive to serving as access to the full continuum of necessary immediate needs or transfers between levels of care for unaccompanied children placed in the contractor’s physical care. The continuum of care design may be located on a same campus and operated by one or more care provider organizations; or the continuum of care may be located within a prescribed geographic area conducive to connecting a network of care provider organizations to make up the continuum of care. The contractor shall describe and explain the proposed design and strategy to deliver a continuum of special population care and how the design and strategy for their described network of high-quality care and services will ensure industry best practices; and 100% timely admissions, diagnostics, transfers to higher or lower levels of care pending needs of unaccompanied children, and discharges and family unifications.

The cohesive geographical area or region designed should take into consideration locations of the different in-network levels of care facilities, if not located on one campus. It should take into consideration and describe the strategy for admissions and convenience of distances when there is a clinical need for unaccompanied children to be transferred within the network of care.

Given the arrival of unaccompanied children to the US is not pre-determined and the quantity and type of bed requirements for unaccompanied children in ORR custody is unpredictable, the contractor shall maintain a program structure and approach for having a full scope of special population placements available for unaccompanied children upon contract award and maintain a mainstay-capacity with ability to ramp up additional placements in the event of surges, and upon the government’s need for additional special population placements along the COC. In cases where new facilities are being secured and prepared to meet this requirement and require ramp up time for construction, major renovations or upfitting, program approaches shall include facility and location justifications and corresponding budgets and reasonable timelines with milestones for consideration to be negotiated.

2.0 Background

On March 1, 2003, Section 462 of the Homeland Security Act of 2002, transferred responsibilities for the care and placement of unaccompanied alien children from the Commissioner of the Immigration and Naturalization Service to the Director of the ORR. Since then, ORR has cared for more than 560,000 children, incorporating child welfare values as well as the principles and provisions established by the Flores Settlement Agreement in 1997, the Trafficking Victims Protection Act of 2000 and its reauthorization acts, the William Wilberforce Trafficking Victims Protection Reauthorization Act (TVPRA) of 2005 and 2008.

Unaccompanied children apprehended by the Department of Homeland Security (DHS) immigration officials are transferred to the care and custody of ORR. ORR promptly places unaccompanied children in the least restrictive setting that is in the best interest of the child, taking into consideration danger to self, danger to the community, and risk of flight. ORR takes into consideration the unique nature of each child’s situation and incorporates child welfare principles when making placement, clinical, case management, and release decisions that are in the best interest of the child. Following apprehension by a federal agency (usually the DHS), unaccompanied children are transferred to the care and custody of ORR while awaiting immigration proceedings.

The mission of ORR is to develop up-to-three region-wide local network Continuums of Care (COC) for unaccompanied children who meet special population criteria, by connecting licensed, high quality care providers experienced with serving special population youth. Given the arrival of unaccompanied children to the United States (US) is not pre-determined and the quantity and type of bed requirements for unaccompanied children in ORR custody is unpredictable, the contractor shall maintain a program structure and approach for having a full scope of special population placements available for unaccompanied children upon contract award and maintain a mainstay-capacity with ability to ramp up additional placements in the event of surges, and upon the government’s need for additional special population placements along the COC.

Further, innovative proposals shall include research-based best practices and employ clinical strategies to deliver high quality care for special population levels of care. Design strategies employ industry best practices for delivery of high-quality care and services; the Contractor’s proposal shall be designed with management strategies to comply with a no reject and no eject policy. This means, the Contractor cannot refuse to accept a child referred by ORR for a level of special population placement and care and accommodate 100% timely admissions, diagnostics, transfers to higher or lower levels of care pending needs of children, and discharges and family unifications.

CONSTRAINTS

Base Year Bed Capacity Constraints:

For consideration of funding, Offerors shall propose a minimum number of special population levels of care within their continuum of care network; and shall not exceed the maximum number of special population levels of care as provided in table 1.

Table 1 – Base Year Bed Capacity Constraints

Level of Care Minimum Bed

Capacities

Maximum Bed

Capacities

Secure Care Number of Beds Average length of stay 72 days 5 30

Diagnostic Center Number of Beds, Average Stay 30 days MAX 10 50

Psychiatric Residential Treatment Facility Number of Beds, Average length of stay 72 days

10 30

Residential Treatment Center Number of Beds, Average length of stay 72 days

10 70

Staff Secure Care Number of Beds, Average length of stay 72 days

35 140

Therapeutic Group Home Number of Beds, *Not considered restrictive but required therapeutic part of CoC Average length of stay 72 days

8 30

Partial Hospitalization Program (Number of Applications), *Therapeutic resource assistance to support remaining in least restrictive care Average Application 21 days

15 50

If not all planned special population levels of care and corresponding numbers of beds will be available within 15 days from contract award; Offerors shall have the minimum number of proposed special population beds (See Table 1) available within 15 days from contract award and provide an explanation and timeline for any remaining number of special population level of care beds planned as part of their in-network continuum of care. The Offeror’s plan for bed availability and any phase-in plan shall be included in their proposal.

Offerors shall submit in an addendum (not as part of page limits) legal address of all care provider facilities intended to be part of the in-network continuum of care, along with copies of current licenses and accreditations, commitment letters for care providers and/or notice of pending license or accreditation if proposing brand new or additional facilities as part of the proposed in-network continuum of care. Offerors shall also provide any other evidence of capacity to start accepting admissions within 15 days of contract award. Note: This does not disqualify Offerors who may have a number of new care provider facilities newly started that are awaiting a new license and accreditation; but Offerors must provide evidence and timeline for any new facilities being set up or recruited as part of their proposed in-network continuum of care.

ORR reserves the right to schedule on-site visits to Offeror care provider facilities to validate preparedness and continuums of care described in their proposal. Further, ORR reserves the right to conduct post-award on-site visits prior to placing unaccompanied children with the contractor's CoC network care providers.

Minimum Comprehensive Services The minimum comprehensive services provided in Appendix 35 Comprehensive Services shall be included in the daily occupancy rates.

General Facility Requirements The contractor shall comply with the General Facility requirements identified in the Appendix 36.

Settlement Agreements:

Flores Settlement Agreement (FSA) (Appendix 1) outlines protections for immigrant children while in U.S. custody and it is applicable to all ORR approved in-network care providers with physical custody who will be providing care for ORR unaccompanied children; this includes the contractor and any direct care provider sub-contractors and partner agencies who will be providing physical care and services to unaccompanied children. FSA imposes substantive requirements for Government custody of unaccompanied children, including requiring that children be placed in the “least restrictive setting appropriate to the minor’s age and special needs. FSA remains in effect during the lifetime of this contract. (Appendix 1)

Consolidated Appropriations Act, 2024 Pub. L. 118 – 47 (sections 230-234) (Appendix 2)

UC Program Foundational Rule (effective June 30, 2024) 45 C.F.R. 410 Standards to Prevent, Detect, and Respond to Sexual Abuse and Sexual Harassment Involving Unaccompanied Children Interim Final Rule (2014), 45 C.F.R. 411 (Appendix 3)

Lucas R. Settlement Agreements provides new resources and protections by expanding the rights of three classes of unaccompanied children in immigration custody: youth with disabilities (Appendix 5); youth prescribed psychotropic medication (Appendix 6); and youth who seek assistance of legal counsel (Appendix 7). Full compliance with Lucas R. Settlement agreements remain in effect during the lifetime of this contract.

The Prison Rape Elimination Act (PREA) provides protections via Department of Justice (DOJ) National Standards to Prevent, Detect, and Respond to Prison Rape. This Task Order must have a well-thought out and developed plan with protocols and mechanisms for monitoring to ensure the health and safety of unaccompanied children in care and compliance with all in-network care facilities fully comply with PREA. (Appendix 8)

William Wilberforce Trafficking Victims Protection Reauthorization Act (TVPRA) (2008), as amended, 8 U.S.C. 1232 expanded and redefined HHS’s statutory responsibilities. Congress directed that each child must “be promptly placed in the least restrictive setting that is in the best interest of the child,” subject to considerations of whether the child is a danger to self or others.

See 8 U.S.C. § 1232(c)(2); it further enforces policies and standards of care to ensure unaccompanied children in the United States are protected from traffickers and other persons seeking to victimize or otherwise engage such children in criminal, harmful, or exploitative activity. The TVPRA describes requirements with respect to safe and secure placements for unaccompanied children, safety, and suitability assessments of potential sponsors for unaccompanied children, legal orientation presentations, access to counsel, and child advocates, among other requirements. (Appendix 9)

Homeland Security Act (2002), 6 U.S.C. 279 Under the Homeland Security Act of 2002, Congress transferred the care and custody of unaccompanied children to ORR from the former Immigration and Naturalization Service (INS) to move away from the adult detention model.

(Appendix 10).

Americans with Disabilities Act (ADA) and section 504 of the Rehabilitation Act of 1973, as amended (Appendix 12). Section 504, Rehabilitation Act of 1973 (Appendix 11)

IDEA is the Individuals with Disabilities Education Act is the federal law that supports Special Education in every state and requires public education programs to provide services to students with disabilities to meet their unique and individual educational needs; and services to support their learning needs. IDEA law requires that students with disabilities be taught with their non-disabled peers when appropriate and possible. The closest they can get to being in a typical classroom is called the “least restrictive environment,” or LRE. The most restrictive environment is a specialized school or hospital-based setting. (Appendix 13).

Government Expectation of Region-wide local CoC network. The Government’s expectation is for the contractor to identify a strong community of care providers, inclusive of a sufficient number of providers for each level of special population care, to be located within in a cohesive geographical area or region. In-network care provider facility locations shall be conducive to immediate access to the full continuum of care needs or transfers between levels of care for unaccompanied children placed in the contractor’s physical custody and care. The continuum of care design may be located on a same campus and operated by one or more care provider organizations; or the continuum of care may be located within a prescribed geographic area conducive to connecting a network of care provider organizations to make up the continuum of care. The contractor shall fully describe the proposed design and strategy to deliver a continuum of special population care; and how their in-network care providers will ensure industry best practices; and 100% timely admissions, diagnostics, transfers to higher or lower levels of care pending needs of unaccompanied children, and discharges and family unifications. The cohesive geographical area or region designed should take into consideration locations of the different in-network levels of care facilities, if not located on one campus. It should take into consideration and describe the strategy for admissions and convenience of distances when there is a clinical need for unaccompanied children to be transferred within the network of care.

Contractor’s continuum of care IS required to accept referrals and conduct admission of new unaccompanied children and transfers of unaccompanied children to new levels of care seven (7) days a week, 265 days a year (including weekends and all Federal Holidays). The full scope of comprehensive services shall be provided 24 hours a day, 365 days a year, and new placements and transfers must be admitted within 72 hours upon notification from ORR Federal Field Specialists. With this, contractor shall ensure facilities are administered and operated by qualified licensed, certified and trained dedicated care providers 24 hours a day, 7 days a week, to include all weekends and federal and other holidays.

Contractor CoC Network Management:

Residential facilities shall be state licensed have received a full inspection by their state licensing and have been approved to accept unaccompanied children, and have the appropriate infrastructure, (Generators, emergency systems etc.) to keep unaccompanied children safe.

All facilities must be accredited by the Joint Commission or equivalent agency (i.e., Council on Accreditation, etc.) and in compliance with all licensing and professional accreditation requirements; and with all applicable federal, state, and local residential facility requirements for respective levels of care.

ORR’s zero tolerance regulation and policy against all forms of sexual abuse, sexual harassment, and inappropriate sexual behavior; and measures ORR care provider compliance with the Standards to Prevent, Detect, and Respond to Sexual Abuse and Sexual Harassment involving HHS’ Interim Final Rule and ORR’s relevant policies and procedures. The Office of Refugee Resettlement published an interim final rule (IFR) that set forth standards to prevent, detect, and respond to sexual abuse and sexual harassment involving UC at ORR care providers (45 CFR Part 411) (Appendix 14). The IFR requires care providers to undergo an audit by an external auditor once every three years to determine compliance with the IFR standards and ORR’s prevention of sexual abuse policies and procedures.

In-network care provider facility locations shall be conducive to serving as access to the full continuum of necessary immediate needs or transfers between levels of care for unaccompanied children placed in the contractor’s physical care; and shall employ No Reject & Eject Policy.

The contract shall prohibit contractors from denying a referral and admission of an unaccompanied youth in ORR custody who requires placement in the ORR funded continuum of care for special population care. Further, the contract shall prohibit contractors from terminating a placement of an unaccompanied youth placed in their care so long as the unaccompanied youth’s assessed treatment needs are in alignment with the residential type of placement

3.0 Scope

The contractor shall propose an innovative approach incorporating evidence-based networking strategies for complex care coordination of unaccompanied children in ORR custody. The contractor’s solution shall include an approach to high quality residential care and services for each of the specialized levels of care for on-going, unpredictable, and often fluctuating numbers of unaccompanied children who meet the criteria for a special population level of care.

Unaccompanied children arrive from diverse backgrounds, and of all ages with unique and individual needs. It is not uncommon for unaccompanied children to have experienced trauma in their country of origin or while traveling to enter the United States. Some unaccompanied children meet certain criteria that requires placement in care that can address their unique and individual challenges, including a criminal history and mental or behavioral health needs. ORR takes into consideration the unique nature of each child’s situation and incorporates child welfare principles when making placement, clinical, case management, and release decisions. While determining least restrictive care settings, ORR takes into consideration other factors including whether a child is a danger to themselves or other unaccompanied children, danger to others or danger to the community, and whether there is a risk the minor child may try to flee or runaway from ORR custody. The continuum of care for special populations includes Secure Facility Care (Secure); Diagnostic Center Care (DC); Psychiatric Residential Treatment Facility Care (PRTF);

Residential Treatment Center Care (RTC); Therapeutic Group Home Care (TGH); and Staff Secure (SS). All levels of special population care shall be provided in humane, therapeutic, culturally competent environments while delivering high quality comprehensive services catered to the needs of each individual child. Decisions for placement in restrictive levels of care is based on a specific criterion for each restrictive level of care based on ORR’s Notice of Placement criteria.

The benefit of an in-network continuum of care for the ORR special population children includes timely evaluations completed by licensed clinicians when necessary to ensure proper placements, an immediate placement that is appropriate and least restrictive that meets the identified needs of the child, regular evaluation of mental and behavioral health progress to ensure timely transfer to least restrictive settings as soon as clinically advisable; and when appropriate, safe release recommendations to a vetted ORR approved sponsor. While connecting licensed care providers and care provider organizations to support this effort, a well-defined, diverse network of care will ensure a capacity to meet the fluctuating demands for special population placements without wait times or urgent out-of-network searches and placements. This contract shall maintain an experienced network of high-quality care providers who are experienced with serving youth with varying psychiatric and behavioral health needs and who understand ORR placement and care policies or are committed to understanding and incorporating ORR placement and care policies, and who are committed to the best outcomes for unaccompanied children. Although the length of time children remain in ORR custody must not be longer than necessary to facilitate a safe and timely release, sometimes individual situations require unaccompanied children to stay in ORR custody for longer durations. This contract will incorporate COC designs that afford ORR’s special populations opportunities for protracted stay to stabilize their mental health, develop pro-social and interpersonal skills and achieve key case plan goals and milestones leading to placement in the least restrictive setting. While youth in secure levels of care do not go out for community outings, unaccompanied children in less restrictive levels of care are afforded opportunities for community outings to provide opportunities designed to develop social and interpersonal skills. This contract will ensure appropriate activities designed for the development of social and interpersonal skills and exercises are offered in-house to contribute to skill development and ability to live independently when they leave ORR custody.

4.0 Performance Objectives (required results)

4.1 Design, Develop, implement, and manage a regional-wide local CoC Network. The estimated costs for this performance objective are all the direct labor category mix, equipment, materials, and administrative costs for the contractor to accomplish this effort. The COC for special populations includes:

Secure Facility Care

Diagnostic Center Care

Psychiatric Residential Treatment Facility Care

Residential Treatment Center Care (RTC)

Therapeutic Group Home Care (Not considered a restrictive level of care but is a therapeutic part of the CoC).

Staff Secure (SS), and

Partial Hospitalization Program (PHP).

4.3 Design a plan for evidence-based therapeutic environment for in-network residential care facilities and outdoor space. The estimated costs for this performance objective are all the direct labor category mix, equipment, materials and, administrative costs for the contractor to accomplish this effort.

4.4 Develop a Behavior Health Care Model and comprehensive therapeutic program designed with policies and strategies that meet child welfare best practice standards and catered to clinically appropriate practices for each of the special population levels of care described within this SOO.

4.5 Design a network strategy that incorporates evidence-based approach to a well-connected Community of Practice (CoP). Behavioral health care providers for youth serve populations who face significant barriers to wellbeing, building Communities of Practice (CoP) can leverage expertise and resources by strengthening working relationships and partnership among necessary medical, clinical, health and daily care providers to build robust programs and services that will improve opportunities for youth to achieve mental and behavioral health goals. CoPs promote mental health and wellbeing through community-level prevention solutions, such as fostering social connections, improving care provider environments, and increasing access to economic opportunity by enhancing and strengthening protective factors and resilience through relationship and partnership activities.

4.6 Design an approach to ensure for safe and timely family unifications for unaccompanied children and their ORR approved sponsors; this includes releasing unaccompanied children to qualified sponsors who are determined to be capable of providing for the child's physical and mental well-being.

4.7 Establish and maintain a Contractor Quality Assurance Program (QCP) to ensure a high standard of care for each of the special population levels of care; to include how compliance with all state and federal governing laws and guidance to include ORR UC Program policies.

4.8 Establish a comprehensive plan and internal policies to ensure all in-network care providers in the CoC offer quality education and recreation program for each of the special population levels of care; and how it will ensure compliance with all federal, state, and local governing laws and statutes, and compliance with UC Program policies and requirements.

4.9 Establish guidance and protocols to ensure all in-network care providers in the CoC ensure services respect and support the cultural identity of unaccompanied children placed in their care.

The comprehensive plan shall demonstrate how each required service component will incorporate and respect culture, language, and religious observations.

5.0 Type of Contract Contemplated

Firm Fixed Price with cost no fee CLINs (for travel and out of network health care services)

6.0 Period of Performance:

Up to three (3) C-Type contracts each will consist of one 12-month base and four 12-month options periods with a six-month extension.

Total contract period 5-years with one 6-month extension for each contract. Each period of performance shall not exceed twelve (12) months. Applicable Federal Acquisition Regulation (FAR) option clauses are:

FAR 52.217-9 Option to Extend the Term of the Contract.

FAR 52.217-8 Option to Extend Services FAR 52.237-3 Continuity of Services

7.0 Place of Performance:

Services shall be performed within the Contiguous United States

The ORR maintains the legal custody of unaccompanied children while they are in ORR’s custody and care. With that, the government reserves the right to make all admission and transfers based on medical, clinical, and treatment decisions that best serve the individual and unique needs of individual unaccompanied children in the legal custody of ORR. Therefore, all admission and transfer decisions must be approved by the appropriate ORR Federal Field Specialists. However, when other considerations may contribute to admission and transfer decisions, the government will consider the regional location of each CoC network.

Region I – States of Maine; Vermont; Connecticut; Massachusetts; Rhode Island; and New Hampshire.

Region II – States of New York; and New Jersey (excludes Puerto Rico and Virgin Islands for purposes of this requirement).

Region III – States of Pennsylvania; West Virginia; Maryland; Delaware; Commonwealth of Virginia; and District of Columbia.

Region IV – State of Kentucky; Tennessee; Alabama; North Carolina; Mississippi; and Georgia (excludes States of South Carolina and Florida for purposes of this requirement).

Region V – States of Minnesota; Wisconsin; Michigan; Indiana; Illinois; and Ohio.

Region VI – States of New Mexico; Arkansas; Louisiana; and Oklahoma (excludes state of Texas for this requirement).

Region VII – States of Nebraska; State of Iowa; State of Kansas; and State of Missouri.

Region VIII – States of Montana; North Dakota; South Dakota; Wyoming; Utah; and Colorado.

Region IX – States of California; Nevada; and Arizona (excludes American Samoa (AS);

Northern Mariana (NM); Guam (GU); and Marshal Islands Palau (MP) for purposes of this requirement).

Region X – State of Oregon; State of Idaho; and State of Washington.

Offerors shall clearly define and propose a Continuum of Care that meets the government’s description of geographically cohesive location within one of the ACF region descriptions provided below (please note exceptions). The proposed Continuum of Care programs and services shall be located on the same campus, or within a reasonable driving distance (not to exceed two hours without justification) to ensure safe and timely admissions and transfer of unaccompanied children who need placement in one of the special population levels of care as described in this SOO. Transfer to another level of care shall not require airflight or incur delays due to transportation arrangements.

8.0 Recognized Holidays:

The following provides information on recognized holidays for the purpose of the Contractor’s proposed Performance Work Statement (PWS). If the deadline for submittal of any documentation (e.g., deliverables, submittals, etc.) falls on a holiday, the business day prior to the holiday is the deadline for submittal.

8.1 U.S. Holidays and Other Government Closures

Work under this Task Order shall be performed 24 hours a day, seven days a week, and 365 days a year. These incudes all weekends and on all U.S. holidays.

In addition to designated as federal holidays, the Government also observes the following days:

• Any other day designated by Federal Statute

• Any other day designated by Executive Order

• Presidential Inauguration Day

• Any other day designated by the President’s Proclamation

It is understood and agreed between the Government and the Contractor that observance of such days by Government personnel shall not otherwise be a reason for an additional period of performance, or entitlement of compensation except as set forth within the contract.

The Contractor shall provide sufficient personnel to perform critical tasks already in operation or scheduled, and shall follow instructions issued by the CO or COR.

If Government personnel are unavailable due to furlough or any other reason, the Contractor shall contact the CO or the COR to receive direction.

US Federal Holidays New Year’s Day January 1st

Birthday of Martin Luther King, Jr. 3rd Monday in January Presidents Day 3rd Monday in February Memorial Day Last Monday in May Juneteenth National Independence Day June 19th Independence Day July 4th Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veteran’s Day November 11th Thanksgiving Day 4th Thursday in November Christmas Day December 25th

9.0 Government Information:

10.0 Government property/equipment

Not Applicable

11.0 Required nongovernment information/documents

Not Applicable

12.0 Other addenda

Based on historical data, Offerors should plan for the following number of beds per level of care to be available and develop a surge plan in the event ORR experiences a surge of unaccompanied children entering the United States who meet criteria for a special population level of care that exceeds historical trends.

Level of Care Base OP 1 OP 2 OP 3 OP 4

Secure Care

Average length of stay 72 days

30 30 35 35 35

Diagnostic Center

Average Stay 30 days MAX

50 50 50 50 50

Psychiatric Residential Treatment Facility

Average length of stay 72 days

30 30 30 30 30

Residential Treatment Center

Average length of stay 72 days

70 70 70 70 70

Staff Secure Care

Average length of stay 72 days

170 170 170 170 170

Therapeutic Group Home

Average length of stay 72 days

30 30 35 35 35

Partial Hospitalization Program

Average Application 21 days

50 50 50 50 50

Enhancement Proposal: The government expects the contractor to invest in and approve the quality of its’ care provider network throughout the life of the contract and to have their pricing be inclusive of enhancement costs. Note: actual and/or a plan for necessary enhancement costs must be part of the Offeror’s initial proposal for the government’s consideration.

Enhancement(s) proposed shall be relevant to compliance with ORR UC Policy, Settlement Agreements and/or constraints contained in the section of the SOO or other constraints for consideration. Funds for enhancements are not guaranteed but can be submitted for consideration.

Key Documents:

Contract Compliance Documents

ORR Unaccompanied Children Program Policy Guide (Appendix 15) UC Manual of Procedures (MAP) Sections 1 – 6 (Appendix 16) Field Guidance (FG) for UC Programs (Appendix 17) Notice of Placement (NOP) (Appendix 18) Respective State and Local Licensing and Accreditation Guidance Authorization for Release of Records (Form A-5) (Appendix 19)

Notice of Attorney Representation (Form L-3) (Appendix 20)

Request for Specific Consent to Juvenile Court Jurisdiction (Form L-1) (Appendix 21)

Policy Memorandum: Medical Services Requiring Heightened ORR Involvement (Appendix 22)

Introduction to What You Need to Know About Your Rights and Responsibilities Under the Law (Appendix 23)

Notice of Rights and Provision of Services (Appendix 24)

Know Your Rights Handout (Appendix 25)

Notice to Juveniles in Federal Facilities Funded by DHS or HHS by Reason of Their Immigration Status (Appendix 26)

Legal Resource Guide, Legal Service Provider List for UC in ORR Care (Appendix 27)

Request for a Flores Bond Hearing (Appendix 28)

Motion Requesting Bond Hearing for Unaccompanied Children in Secure or Staff Secure Custody (Appendix 29)

Motion Requesting Bond Hearing for Unaccompanied Children in Non-Secure Custody (Appendix 30)

Transition–In & Transition–Out Plans

To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the contractor shall have personnel on board, during a thirty (30) day phase in/phase out periods. During the Transition-In period, the contractor shall become familiar with performance requirements to prepare to commence full performance of services on the contract start date. During a Transition-Out period, the contractor shall be responsible for assisting with transfer of contract tasks to a new contractor, to include overseeing transfer of unaccompanied children in custody, unaccompanied children records and case files, unaccompanied children personal property and any other ORR inventory or property which may need transferred to another Government approved care provider organization, facility, or care providers. This includes transfer of government inventory and equipment purchased with federal funds and needed to meet the continued objectives of services for unaccompanied children. This includes reconciliation or disposal of any real property or federal interest invested in real property.

Transition-In Plan

The Transition-In shall ensure minimal disruption to vital government business and must be completed within ten (10) business days after contract award. Upon completion of the Transition- In period the contractor shall be fully staffed and prepared to begin full performance under the requirements of the task order. The contractor shall ensure that there will be no service degradation during the Transition-In. The contractor shall propose a Transition-In approach in their management plan, and it shall be discussed during the Post-Award Orientation meeting.

Transition-Out Plan

The Transition-Out Plan shall facilitate the accomplishment of a seamless transition from the incumbent to an incoming contractor /government personnel at the expiration of the task order.

The contractor shall provide a Transition-Out Plan NLT sixty (60) calendar days prior to expiration of the contract. The contractor shall identify how it will coordinate with the incoming contractor and/or government personnel to transfer knowledge regarding the following:

Project management processes.

Points of Contact (POC).

Status of unaccompanied children in physical custody and status and location of physical care records.

contractor to contractor coordination to ensure seamless transition of contract responsibilities and obligations, and any transfer of unaccompanied children to a new contractor location.

Transition of any Key Personnel.

Identify schedules and milestones.

Identify actions required of the Government.

Establish and maintain effective communication with incoming contractor/Government personnel for the period of the transition via daily and weekly status meetings.

After government acceptance of the Transition–Out Plan, the contractor shall begin implementation of the Transition–Out Plan.

System of Record and Analysis for Monthly Invoices

The contractor shall design a monthly invoice system to track allowable costs charged to the contract for in-network care provider costs to provide a high-quality robust continuum of special population levels of care as described in the SOO. The system will include a uniform budget template reflecting projected and actual expenditures, including description of necessary services and materials being billed through a daily rate for each unaccompanied child in the physical custody and care of the contractor and contractor’s in-network care providers. The uniform budget template will also include a breakdown of all additional costs for services or materials in addition to described daily rates for each level of special population care being billed each month per unaccompanied child in physical custody. A monthly invoice screen report shall be made accessible to the COR and Acquisition Lead for tracking and review of contract expenditures as the contractor monitors projected costs and invoices submitted for approval and payment.

Additional Conditions

Network Management Key Personnel

The contractor shall employ key staff positions to oversee management of CoC network of care.

Contractor shall identify each key personnel and provide description of how each key personnel will support high-quality CoC and maintain available capacity for estimated number of unaccompanied children for each funding period of performance; and include how network management levels of effort will be able to support unanticipated periods of surge where the number of unaccompanied children requiring a special population level of care may double. The contractor shall ensure that candidates filling key personnel positions meet certification, licensure qualifications, performance standards, and responsibilities for each position are contained in signed job descriptions for each key personnel position. Each job description shall include a section on essential functions as mandated by American with Disabilities Act (ADA). If there is a change in a key personnel position listed below during the period of performance of this contract, the contractor shall submit notification to the COR and the assigned ORR Federal Field Specialist along with credentials for the proposed candidate to fill the position, for ORR’s concurrence. The following are required key personnel for network management.

Program Director is responsible for the overall management of the programmatic, administrative, financial, and operational systems related to the provision of care and services;

provision of regular and timely reports to ORR regarding operations, services, and finances;

establishment of a respectful and supportive workplace environment; and elevation of any issues or concerns to ORR. At a minimum, the Program Director must have a Master of Social Work (MSW) or an equivalent degree in education, psychology, sociology, or other relevant behavioral science degree; or a bachelor’s degree plus 5 years of experience in child welfare administration child protective services; and 2 years of experience in program management; or as Director of a licensed childcare program. The Program Director must possess a childcare administrator license issued by the respective state’s childcare licensing office for the care provider facilities in which are operated. If a respective state does not issue childcare administrator licenses, ORR will review the resume and credentials for the Program Director before they approve their hire.

Assistant Program Director provides support to the Program Director and serves as secondary liaison with ORR. The need for an Assistant Program Director will vary depending on the number of unaccompanied children served at care provider facility. At a minimum, the Assistant Program Director must have a bachelor’s degree in education psychology, sociology, or other relevant behavioral science, plus 5 years of progressive employment experience with a social service, detention, or childcare agency or organization.

Business Administrator is responsible for active on-going identification and recruitment of licensed high quality behavioral and mental health care providers who serve young children and youth; and who are interested in working with the contractor to serve unaccompanied children in ORR custody who meet criteria for any of the special population levels of care. This position will work closely with the Program Director and Assistant Program Director to ensure a capacity of at-the-ready high-quality continuum of special population levels of care, and that all in-network care providers are licensed and meet metrics for delivering high quality services and care. The Business Administrator will be responsible for identifying high quality special population care providers who serve young children and youth, and conducing outreach to educate about ORR unaccompanied children program services, specifically regarding services for unaccompanied children who meet criteria for special population levels of care. This position will evaluate new organizations eligibility and interest in supporting care for unaccompanied children as an in-network care provider, to include evaluating the organizations facilities and capacity deliver high quality services and care and to meet ORR requirements and policies.

Lead Clinician coordinates clinical services, trains new clinicians, and supervises clinical staff.

At a minimum, the Lead Clinician must have an MSW plus 2 years of postgraduate direct service delivery experience; or a master's degree or Ph.D. in psychology, sociology, or other relevant behavioral science in which clinical experience is a program requirement, plus 2 years of postgraduate direct service delivery experience; or bachelor's degree plus 5 years of clinical employment experience in the behavioral sciences. The Lead Clinician must have supervisory experience and be licensed to provide clinical services in the state where the care provider is located.

Clinician conducts mental health assessments, provides ongoing individual and group counseling services, screens for human trafficking concerns, and provides crisis intervention services. At a minimum, the Clinician must have an MSW with clinical experience, or a master’s degree in psychology, sociology, or other relevant behavioral science in which clinical experience is a program requirement, or a bachelor’s degree plus 5 years of clinical employment experience. The Clinician must be licensed/licensed-eligible in the state where the care provider is located.

Lead Case Manager is responsible for coordinating case management and safe and timely release services, training new Case Managers, and supervising the work of other Case Managers.

At a minimum, the Lead Case Manager must have a master’s degree in the behavioral sciences, human services, or social services field; or a bachelor’s degree and at least 3 years of progressive employment experience that demonstrates supervisory and case management experience.

Case Manager is to initiate and maintain ongoing communication with sponsor and ORR’s Sponsor Care Services, and support the gathering of sponsor information, and assess whether the potential sponsor can safely provide the for the physical and mental well-being of the child or youth in accordance with ORR Policy 2.3.2 Case Managers.

Table I for Additional Key Personnel and Non-Key Personnel Details

In addition, all staff must complete at a minimum the following trainings:

1. Staff who are required to have professional certifications must abide by continuing education requirements necessary to maintain licensure. In addition, the contractor and/or the contractor’s in-network care providers must have an approved plan for all to staff working with unaccompanied children complete 40 hours of training annually, of which 2 hours must involve training on the Flores Settlement Agreement, the HSA of 2002, the TVPRA of 2008, as amended and 10 hours on ORR policies and procedures.

2. The contractor and/or the contractor’s in-network care providers shall develop plans for mandatory annual staff trainings and provide training plans for ORR review and approval covering the following topics:

a. State licensing requirements, laws, regulations, policies relevant to unaccompanied children program services.

b. ORR operational policies and relevant guidance, including release policies; and including emergency and disaster preparedness.

c. Cultural competency, including cultural diversity; including age determination policies and gang Intervention and Prevention.

d. Immigration and child welfare systems.

e. Mental and Behavioral Health interventions including crisis/intervention procedures and techniques; and trauma informed behavior management approaches.

f. ORR’s Standards to Prevent, Detect, and Respond to Sexual Abuse and Sexual

Harassment involving Unaccompanied Children and all required training topics Sensitivity regarding trauma commonly experienced by unaccompanied children.

g. Proper procedures for conducting professional pat-down searches, including cross-gender pat-down searches and searches of transgender and intersex unaccompanied children in a respectful and least intrusive manner.

h. Other trauma informed trainings as identified by ORR on a rolling basis, per instructions issued to the care provider by the ORR Project Officer.

i. First aid and cardiopulmonary resuscitation (CPR) and medication management.

j. Infection control procedures and Occupational Safety and Health Administration

(OSHA) or equivalent course that covers blood borne pathogens, airborne pathogens, and employee safety.

k. Mandatory child abuse and neglect reporting requirements: prevention, signs, and reporting; including working with victims of human trafficking and other crimes.

l. Professional boundaries and Code of Conduct and Conflicts of Interest; including prohibition against providing legal advice or counsel.

The contractor shall develop a mandatory list of quarterly staff trainings and develop competency measurements based on the following areas:

m. Mental and Behavioral Health interventions

n. Crisis/intervention procedures and techniques

o. Trauma Informed Care

p. Evidenced based behavior management model and technique

q. Conducting behavioral and mental health groups

r. Psychotropic medication training: understanding basic pharmacology, symptoms, side effects, and intended purpose; and understanding related ORR policies and current state license requirements.

s. Ongoing evidenced based mental health training for clinicians to ensure competency in the use of mental health best practices.

As part of the contractor’s first quarterly report, the contractor shall submit documentation of all employees and volunteers who work with ORR unaccompanied children to verify completion of required staff trainings and include the measurements of quality, effectiveness, and competency for each employee/volunteer. Subsequent quarterly reports shall include all new hires and new volunteers who work with ORR unaccompanied children to verify the same. For subsequent Optional Periods of funding, the first quarterly report shall include a conclusive list of all employees and volunteers to verify completion of all required staff trainings to include staff trainings that are required annually. For example, but not limited to, annual child abuse and neglect reporting training, CPR and First Aide refresher coursework or re-certification trainings, OSHA required annual training, annual all staff training on ORR UC Policies and any other annually required in-network care provider trainings.

Key-Personnel Positions Requiring ORR Prior Approval

Position Job Description Minimum Qualifications Draf

Program Director Overall management of the programmatic, administrative, financial, and operational systems related to the provision of care and services; provision of regular and timely reports to ORR regarding operations, services, and finances;

establishing a respective and supportive workplace environment;

elevating any issues or concerns to ORR. If required by state licensing, possess the administrator’s license.

Master’s degree in social work or equivalent degree in education, psychology, sociology, or other relevant behavioral science degree; or

Bachelor’s degree plus 5 years’ experience in child welfare administration, child protective services.

In addition to either above criterion the candidate must possess:

10 years of experience in program management or as director of a license childcare program.

Assistant Program Director

S…