BPM005082_Substance_Use_Disorder_Treatment-_SAGE_Counseling_Proposal__1_.pdf

Request for Proposal

Solicitation No. BPM005082

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

701 E. Jefferson Street

Phoenix, AZ 85034

SAGE Counseling, Inc January 2023

Scope of Work

1. Introduction

1.1. The Arizona Department of Corrections, Rehabilitation and Reentry (ADCRR)

Vision and Mission Statements are:

1.1.1. Vision: Safer communities through effective corrections.

1.1.2. Mission: To serve and protect the people of Arizona by securely incarcerating felons, by providing structural programming designed to support inmate accountability and successful community reintegration, and by providing effective supervision for those offenders conditionally released from prison.

SAGE Counseling, Inc. has read and understands ADCRR’s Vision and Mission Statements addressed in this section. SAGE has read, understands, and shall comply with Subsections 1.1 and 1.2.

1.2. The Substance Use Disorder Treatment program reduces relapse to drugs, alcohol by providing evidence based, cognitive - behavioral based treatment. This will in-turn assist inmates with addressing their addiction problems and learn to create new habits and make better choices to be successful post release.

All of SAGE Counseling’s substance abuse treatment programs are evidence-based, cognitive-behavioral in approach, and designed to reduce relapse to use of drugs and alcohol. They are also designed to empower clients to make better choices and thereby reduce recidivism SAGE has read, understands, and shall comply with Sections and

Subsections identified herein.

2. Task

The intent of this solicitation is to allow ADCRR to enter into a contract(s) for the procurement of Substance Use Disorder Treatment services, as specified within the

Scope of Work, at a fixed price for a one (1) year period, with options for extension up to a total five (5) year duration.

Substance abuse treatment for criminal offenders has been SAGE’s primary clinical

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services program since the agency was founded almost 25 years ago. We have extensive experience in operating a variety of Substance Abuse Treatment services in both English and Spanish. We also have extensive experience working with ADCRR under 5 contracted programs, for which we provide substance abuse treatment services, including working in prison:

1. For the past few months, we have provided services under this RFP’s previous solicitation and contract (BPM 003751 - Contracted Addiction Treatment Program), in ADCRR prisons.

2. DUI Services and Substance Abuse Treatment in the Perryville prison.

3. State-wide Transitional Services for Non-Violent Offenders.

4. Substance Abuse Treatment Services for Coconino, Mohave and Yavapai

Counties.

5. Transition Program for High-Risk Offenders with Co-Occurring Disorders in

Maricopa and Pima Counties.

We also have provided behavioral health services in the Maricopa County Sherriff Office’s (MCSO) Jails for almost 20 years.

SAGE Counseling has read, understands, and shall comply with Sections and Subsections identified herein that addresses ADCRR’s intent to procure substance use disorder treatment services with this solicitation.

3. Definitions

For the purposes of this RFP, the following definitions shall apply:

3.1. Behavioral Health Paraprofessional. An individual who is not a behavioral health professional who provides, under supervision by a behavioral health professional, the following services to a patient to address the patient's behavioral health issue:

a. Services under supervision by a behavioral health professional, services that, if provided in a setting other than a health care institution, would be required to be provided by an individual licensed under A.R.S, A.R.S. Title 32, Chapter 33; or b.

Health-related services. 35. "Behavioral health professional" means:

a. An individual licensed under A.R.S. Title 32, Chapter 33, whose scope of practice allows the individual to: i. Independently engage in the practice of behavioral health, as defined in A.RS. § 32-3251; or ii. Except for a licensed substance abuse technician, engage in the practice of behavioral health, as defined in A.R.S. § 32-3251, under direct supervision as defined in A.A.C. R4-6-101; b. A psychiatrist as defined in A.R.S. § 36-501; c. A psychologist as defined in A.R.S. §

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

32-2061; d. A physician; e. A behavior analyst as defined in A.R.S. § 32-2091; or

f. A registered nurse practitioner licensed as an adult psychiatric and mental health nurse; or g. A registered nurse with: i. A psychiatric-mental health nursing certification, or ii. One year of experience providing behavioral health services.

SAGE Counseling has read, understands, and shall comply with the Subsection identified herein that provides the solicitation’s definition of a Behavioral Health

Paraprofessional.

3.1. Behavioral Health Staff. Means a: a. Behavioral health paraprofessional, b.

Behavioral health technician, or c. Personnel member in a nursing care institution or assisted living facility who provides behavioral care. 39. "Behavioral health technician" means an individual who is not a behavioral health professional who provides, with clinical oversight by a behavioral health professional, the following services to a patient to address the patient's behavioral health issue: a. Services with clinical oversight by a behavioral health professional, services that, if provided in a setting other than a health care institution, would be required to be provided by an individual licensed under A.RS, A.R.S. Title 32, Chapter 33; or b. Health-related services.

identified herein that provides the solicitation’s definition of Behavioral Health Staff.

3.2. Contract Monitor. An ADCRR employee who ensures that the objectives of the contract are met and the Contractor meets their responsibilities.

identified herein that provides the solicitation’s definition of a Contract Monitor.

3.3. Custody Levels. All inmates are assigned a custody level:

3.3.1. Maximum Custody - Inmates who represent the highest risk to the public and staff and require housing in a single cell or double cell environment.

These inmates have limited work opportunities within the secure perimeter and require frequent monitoring. These inmates require controlled movement within the institution. This custody level does not

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services apply to female inmates or juveniles adjudicated as adults.

identified herein that provides the solicitation’s definition of Maximum Custody.

3.3.2. High Custody - Inmates who represent a high risk to the public and staff.

These inmates shall not be assigned to work outside the secure perimeter of an institution. These inmates require controlled movement within the institution.

SAGE Counseling has read, understands, and shall comply with the Subsection identified herein that states the solicitation’s definition of High Custody.

3.1.1. Medium Custody - Inmates who represent a moderate risk to the public and staff. These inmates shall not work outside the secure perimeter of an institution and require limited controlled movement within the institution.

identified herein that provides the solicitation’s definition of Medium Custody.

3.1.2. Low Custody - Inmates who represent a low risk to the public and staff.

These inmates may work outside the secure perimeter of an institution, to include community work crews, and do not require controlled movement within the institution.

identified herein that provides the solicitation’s definition of Low Custody.

3.1.3. Minimum Custody - Inmates who represent the lowest risk to the public and require minimal supervision. These inmates may be considered for community housing and work programs.

SAGE Counseling has read, understands, and shall comply with the Subsection identified herein that provides the solicitation’s definition of Minimum Custody.

3.2. Department Written Instructions. Regulations and management directives issued by ADCRR executive staff. These regulations and directives govern the administration and operation of ADCRR as a whole and the individual institutions consistent with statutes, rules and sound correctional practices.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

Unless otherwise specified, Department Orders, Director's Instructions, or

Manuals when used herein shall mean all form of written instructions.

SAGE Counseling has read, understands, and shall comply with the Subsection identified herein that provides the solicitation’s definition of Department Written

Instructions.

4. Scope of Services

4.1. ADCRR is seeking proposals for the following:

4.1.1. The provision of Substance Use Disorder Treatment services that assist incarcerated individuals with:

4.1.1.1 Stopping substance misuse

SAGE Counseling, Inc. has extensive experience and expertise in assisting clients involved in the criminal justice system (including thousands referred by ADCRR) in stopping substance misuse. SAGE has read, understands, and shall comply with the

Sections and Subsection identified herein.

4.1.1.2 Improving physical and mental health and social function

SAGE Counseling has extensive experience and expertise assisting clients involved in the criminal justice system (including those referred by ADCRR) in improving their physical and mental health, and their social functioning.

In addition to individual and group counseling and psychoeducational groups, SAGE has provided case management targeting these same goals for over 2 decades. SAGE

Counseling has read, understands, and shall comply with the Sections and Subsection identified herein.

4.1.1.3 Reducing risk for recurrence of substance misuse.

SAGE Counseling has extensive experience and expertise assisting clients involved in the criminal justice system (including thousands who have been referred to SAGE by

ADCRR) in reducing their risk of relapse to substance misuse or recidivating in criminal behavior. SAGE has read, understands, and shall comply with the Sections and

Subsection identified herein.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

4.1.2. The provision of services to meet the needs of incarcerated inmate populations (all custody levels), including, but not limited to:

4.1.2.1 Bilingual groups

4.1.2.3 Pregnant women

4.1.2.3 LGBTQIA+

4.1.2.3 Military veterans

SAGE Counseling has been providing these services for incarcerated inmates in several prisons for ADCRR over the past few months. We have provided behavioral health services in prisons, jails, outpatient clinics, and in client homes to meet the needs of all four of the client groups identified above, including bilingual, pregnant, LGBTQIA+, and military veteran clients.

SAGE has read, understands, and shall comply with Sections and Subsections

4.2. ADCRR's need for the solicited services is at all ADCRR facilities (see Exhibit A).

ADCRR has its own substance abuse counselors that provide treatment within each prison it operates. However, several vacancies currently exist throughout the state, and from time to time, ADCRR also has a need for additional services even though it has counselors at each location.

SAGE Counseling understands that ADCRR has a need for the solicited services at all their prisons as listed in Exhibit A. We also understand that ADCRR has its own substance abuse counselors within each prison, but has a need for additional services.

SAGE has been providing these services in certain ADCRR prisons over the past few months. SAGE has read, understands, and shall comply with Sections and

Subsections identified herein.

4.2.1. Currently, ADCRR has an immediate need at the following facilities due to vacancies:

4.2.1.1. ASPC-Douglas

4.2.1.2. ASPC-Safford/Ft. Grant Unit

4.2.1.3. ASPC-Safford/Globe Unit

4.2.1.4. ASPC-Winslow

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

4.2.1.5. ASPC-Yuma

SAGE Counseling understands that ADCRR has an immediate need at the facilities listed in this Section. Over the past few months, SAGE has provided substance abuse counseling under this same contract for the solicited services at some of these prisons.

4.2.2. The institutions listed below currently have ADCRR counselors providing treatment services; however additional treatment services can be provided by Contractor(s) for additional groups where needed.

4.2.2.1. ASPC-Eyman (in Florence)

4.2.2.2. ASPC-Lewis (in Buckeye)

4.2.2.3. ASPC-Perryville (in Goodyear)

4.2.2.4. ASPC-Phoenix

4.2.2.5. ASPC-Safford

4.2.2.6. ASPC-Tucson

SAGE Counseling understands that ADCRR currently has counselors providing services at the facilities listed in this Section, but that additional treatment can be provided by Contractors, where needed. SAGE has previously provided substance abuse counseling at some of these prisons.

4.3. Contractor must be able to begin providing treatment services no later than forty-five (45) days after contract award.

SAGE Counseling has been providing these services in certain ADCRR prisons over the past few months. Therefore, if we are awarded a contract, we can continue providing treatment services immediately after award with no delay at all. We would also expect to expand our services very quickly. SAGE has read, understands, and shall comply with Sections and Subsections identified herein.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

4.4. Contractor will be required to provide substance use disorder treatment services to any inmate eligible for the treatment program, as determined by ADCRR.

SAGE Counseling understands that if awarded this contract, we will be required to provide substance abuse disorder treatment to any eligible inmate. SAGE has been providing these services in several prisons to all eligible inmates in accordance with

ADCRR standards over the past few months.

4.4.1. Contractor is responsible for accommodations needed for disabilities such as hearing or vision impairments (these could be accommodated through things such as recorded materials, an assister for the participant, or a sign language interpreter.

SAGE Counseling, Inc. agrees to provide accommodation for participants who have disabilities such as hearing or vision impairment. SAGE counseling agrees to work with ADCRR on an approved assisted listening or reading device for inmates. SAGE acknowledges that we will cover the cost for these devices. If an inmate requires a sign language interpreter, SAGE is currently contracted with an American Sign Language interpreter organization that we are able to use, if necessary, in the prison, and we acknowledge that we will cover the cost for this service. If other accommodation needs arise, SAGE agrees to work with ADCRR on identifying how to meet the needs of the inmate, and cover associated costs.

SAGE has read, understands, and shall comply with Sections and

4.5. In order to align with ADCRR's Substance Use Disorder Treatment program, the selected Contractor(s) must provide substance use disorder treatment services by utilizing Hazelden's curriculum, "Living in Balance" for male inmates, and

"Living in Balance" and "A Women's Addiction Workbook" by Lisa Najavits for female inmates.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

We currently utilize both of these curricula in providing substance abuse treatment in some of ADCRR’s prisons, and in our outpatient treatment program.

We have been providing training for our clinical staff to facilitate Living in Balance for the past 4 years, and began using A Women’s Addiction Workbook more recently. SAGE Counseling has read, understands, and shall comply with

Sections and Subsections identified herein.

4.5.1. ADCRR will provide the following:

4.5.1.1. The facilitator's manual for each treatment provider

SAGE Counseling has read, understands, and shall comply with Sections and

Subsections identified herein concerning the fact that ADCRR will provide a facilitator’s manual for each treatment provider.

4.5.1.2. Books/workbooks required for treatment for each treatment participant (hardcopy or digital).

Subsections identified herein concerning ADCRR providing books and workbooks required for treatment for each participant.

4.5.1.3. A laptop computer for each counselor that will be available while at the facility.

Subsections identified herein concerning ADCRR providing a laptop computer for each counselor at the facility.

4.5.1.4. All necessary safety equipment that is required at the facility they are providing treatment at (e.g., stab vest, radio, etc.)

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

SAGE has read, understands, and shall comply with Sections and Subsections identified herein concerning the fact that ADCRR will provide all the required safety equipment at the facilities.

4.5.1.5. Physical space accommodations and furniture needed for sessions at prison facility.

Subsections identified herein concerning ADCRR providing physical space and furniture for sessions at the prisons.

4.6. Substance Use Disorder Treatment Services:

4.6.1. Treatment services may be operational Monday through Saturday with day and/or evening hours. For pricing purposes, day hours are considered as 6:00 am to 5:00 pm; evening hours are considered as 5:00 pm to 8:00

pm. In the event a given session includes time in both day and evening hours, the designation for pricing purposes shall be based on the session start time. Scheduled group meeting times will be coordinated with

ADCRR approval. Multiple groups can occur at one or more prison facilities, provided the Contractor has sufficient staff to satisfactorily support each group. Preference will be given to offerors who can provide services during evening and Saturday hours.

identified herein regarding the scheduling requirements for treatment services, including that services may be operational Monday through Saturday with day and evening hours. We understand that group meeting times will be coordinated with ADCRR approval. Please see our chart immediately below that outlines our proposed schedule of sessions, including the group sessions we are currently providing in certain prisons.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

ADCRR Substance Use Disorder Treatment Plan Submittal

As we are currently providing treatment under this contract, we have created this chart to summarize services we are already providing, additional services that we expect to implement soon, and even more services we plan to begin after we hire additional clinicians.

Prison Facility

Days and Times of Services for

Offered Groups

Group Type (Moderate, Intensive, DUI)

Prisons Currently Staffed

ASPC-

Stafford/Ft.

Grant Unit

Monday-Friday Weekday (6AM- 5PM), Evening (5PM-8PM, and

Saturday

Moderate, Intensive and DUI

SAGE currently has 1 counselor at this location running 2 cohorts, 4 days a week.

Current Groups Scheduled Days and Times:

Days: Monday-Thursday Times: 10AM-12PM and 1PM-3PM

ASPC- Eyman (Florence)

Monday-Friday Weekday (6AM- 5PM), Evening and DUI

SAGE currently has 1 counselor at this location running 2 cohorts, 4 days a week.

Current Groups Scheduled Days and Times:

Times: 3PM-5PM and 6PM-8PM

ASPC- Tucson

Monday-Friday Weekday (6AM- 5PM), Evening and DUI

SAGE is in the process of training 1 counselor for this location as of January 2023.

ASPC- Yuma

Weekday (6AM- 5PM), Evening and DUI

Current staff completed the Yuma group cohorts on 1/13/23.

Current Groups Scheduled Days and Times:

Safford/Globe Unit

Monday-Friday Weekday (6AM- 5PM), Evening

Currently recruiting for this location.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

ASPC- Lewis (Buckeye)

Monday-Friday Weekday (6AM- 5PM), Evening (5PM-8PM, and

Saturday

Moderate, Intensive

Perryville (Goodyear)

Monday-Friday Weekday (6AM- 5PM), Evening

Phoenix

Monday-Friday Weekday (6AM- 5PM), Evening

ASPC- Safford Monday-Friday Weekday (6AM- 5PM), Evening and DUI

Will begin recruiting if awarded the contract.

This is contingent upon our ability to hire, and train the specific clinical staff to fill the needed positions.

Douglas

Monday-Friday Weekday (6AM- 5PM), Evening and DUI

Will begin recruiting if awarded the contract.

This is contingent upon our ability to hire, train, and retain the specific clinical staff to fill the needed positions and virtual group capabilities.

Winslow

Monday-Friday Weekday (6AM- 5PM), Evening and DUI

Will begin recruiting if awarded the contract.

This is contingent upon our ability to hire, train, and retain the specific clinical staff to fill the needed positions.

Group Coverage for Scheduled Treatment Sessions:

In order to maintain scheduled treatment sessions when our regular staff members are unable to facilitate their assigned groups, SAGE will train additional managers, supervisors, and outpatient counselors to address the situation. If a group can be provided via telehealth services, one of our trained outpatient staff will typically be able to accommodate groups virtually, as needed. Coverage for in-person groups would be based on the location and availability of appropriate staff and therefore more limited.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

Expanding to new sites is contingent upon our ability to hire and train clinical staff to fill the positions. We are not committing to be able to fill all those positions, but if we are awarded a contract, we will immediately implement our plan to develop the additional capacity to do so. We expect that being able to provide more of the services through telehealth will allow us to add counselors more quickly than in the past.

We have a strategy to recruit more staff by offering higher compensation packages along with lower productivity requirements than we have for our outpatient clinicians.

Additionally, we may have staff travel greater distances to reach these outlying prisons, if no virtual treatment options are available. Consequently, we slightly increased our compensation rates to enable us to cover those additional expenses.

Our hope is that the combination of a consistent, aggressive recruitment approach with an enhanced compensation package will allow us to gradually fill a large number of positions around the state for this program.

4.6.2. The selected Offeror(s) must provide at least one of the substance use disorder treatment services shown below, depending on the facility's needs. Historically, ADCRR's needs have been approximately 90% for moderate treatment, and approximately 10% for intensive treatment.

SAGE understands that we must provide at least one of the substance use disorder treatment services shown below, and that approximately 10% of those services are for intensive treatment. We propose to provide all three of the services: Moderate, Intensive, and DUI. SAGE Counseling has read, understands, and shall comply with Sections and Subsections identified herein.

4.6.2.1. Moderate Treatment - designated as a cumulative one hundred (100) hours of treatment for each participating inmate.

SAGE proposes to provide Moderate Treatment. We have been providing

Moderate Treatment under the current contract for this program, and we also provided it in the Perryville Prison for several years using Dr. Najavits’ curriculum, along with Dr. Covington’s curriculum. We have read, Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services understand, and shall comply with Sections and Subsections identified

4.6.2.2. Intensive Treatment - designated as a cumulative two hundred (200) hours of treatment for each participating inmate.

SAGE proposes to provide Intensive Treatment, and we have experience providing this service under this current contract. We have also provided intensive treatment for ADCRR in the Perryville Prison for several years using

Dr. Najavits’ curriculum along with Dr. Covington’s program. We have read, understand, and shall comply with Sections and Subsections identified herein.

4.6.2.1. DUI Education and Treatment Services. These services must meet all requirements of Arizona Administrative Code (A.A.C.) Title 9, Chapter 20, Article 1, DUI Services. Contractor will utilize the Flex

Modules by Change Companies, and Living in Balance Curriculum by Hazelden.

SAGE proposes to provide DUI Education and Treatment Services that will comply with all requirements of A.A.C, Title 9, Chapter 20, Article 1, DUI services. We agree to utilize the Flex Modules by the Change Companies and

Living in Balance curricula by Hazelden.

We have provided DUI Screening, Education, and Treatment for ADCRR for

5 years in the Perryville prison. We have also provided those services for 25 years in our multiple outpatient offices. SAGE has been licensed as a full-service DUI provider by ADHS since we opened the agency. We have read, understand, and shall comply with Sections and Subsections identified herein.

4.6.3. Treatment shall be delivered in accordance with the following guidelines:

4.6.3.1. Group sessions with minimum two (2) hour duration.

4.6.3.1.1. Face-to-face in person - minimum of fifteen (15) inmates.

We agree to provide treatment in 2-hour sessions as we are presently doing in the prisons. For in-person groups, we understand there will be a minimum

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services of 15 inmates. The Arizona Department of Health Services requires that counseling groups have no more than 15 clients. SAGE Counseling has read, understands, and shall comply with Sections and Subsections identified

4.6.3.1.2. Virtual face-to-face - minimum of twelve (12) inmates.

We agree to provide treatment in 2-hour sessions as we are presently doing in the prisons. For virtual groups, we understand there will be a minimum of 12 inmates. SAGE Counseling has read, understands, and shall comply with

4.6.3.2. If ADCRR is unable to fill a group, the group can be started with fewer than the minimum number of inmates if approved by ADCRR's

Counseling and Treatment Service Administrator.

SAGE understands that if ADCRR is unable to fill a group, it may be started with fewer than the minimum number of inmates/clients, if approved by ADCRR. SAGE has read, understands, and shall comply with Sections and

4.6.4. Offeror shall submit with their proposal a detailed plan of the services they can provide. The plan shall clearly indicate:

We created the chart below to provide a detailed plan of the services we propose to provide under this contract. The chart summarizes services we are already providing, additional services that we expect to implement soon, and more services we plan to add after we hire additional clinicians.

As we are currently providing treatment under this contract, we list the prisons where we are currently providing services and the information that is requested in this section, specifically in which prisons we want to serve, the offered groups, the group types, and SAGE’s plans to maintain scheduled groups even when our originally scheduled counselor is unavailable.

Expanding to new sites is contingent upon our ability to hire and retain clinical staff to fill the needed positions, so we are not committing to be able to fill all those positions. But if we are awarded a contract, we will immediately implement our plan to develop the additional capacity to do so and stay focused on adding additional clinical staff. We will likely be able to add more services sooner in prisons where we can provide some telehealth services.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

We have a strategy to recruit more staff by offering higher compensation packages along with lower productivity requirements than we have for our outpatient clinicians. Additionally, we may have staff travel greater distances to reach these outlying prisons, if no virtual treatment options are available.

Consequently, we increased our compensation rates slightly to enable us to cover those additional expenses. Our hope is that the combination of a consistent, aggressive recruitment approach with an enhanced compensation package will allow us to gradually fill a large number of positions around the state for this program.

ADCRR Substance Use Disorder Treatment Plan Submittal

Prison Facility

Days and Times of Services for Offered

Groups

Group Type (Moderate, Intensive, DUI)

Prisons Currently Staffed

Stafford/Ft.

Grant Unit

Monday-Friday Weekday (6AM-5PM), Evening (5PM-8PM, and Saturday

Intensive and

DUI

SAGE currently has 1 counselor at this location running 2 cohorts, 4 days a week.

Current Groups Scheduled Days and Times:

Eyman

(Florence)

Monday-Friday Weekday (6AM-5PM), DUI

SAGE currently has 1 counselor at this location running 2 cohorts, 4 days a week.

Current Groups Scheduled Days and Times:

Times: 3PM-5PM and 6PM-8PM

Tucson

Monday-Friday Weekday (6AM-5PM), DUI

SAGE is in the process of training 1 counselor for this location as of January 2023.

ASPC- Yuma

Weekday (6AM-5PM), DUI

Current staff completed the Yuma group cohorts on 1/13/23.

Current Groups Scheduled Days and Times:

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

Safford-

Globe Unit

Monday-Friday Weekday (6AM-5PM), DUI

ASPC- Lewis (Buckeye)

Monday-Friday Weekday (6AM-5PM), Perryville

(Goodyear)

Monday-Friday Weekday (6AM-5PM), Phoenix

Monday-Friday Weekday (6AM-5PM), Safford

Monday-Friday Weekday (6AM-5PM), DUI

Will begin recruiting if awarded the contract. This is contingent upon our ability to hire, train, and retain the specific clinical staff to fill the needed positions.

Douglas

Monday-Friday Weekday (6AM-5PM), DUI

Will begin recruiting if awarded the contract. This is contingent upon our ability to hire, train, and retain the specific clinical staff to fill the needed positions and virtual group capabilities.

Winslow

Monday-Friday Weekday (6AM-5PM), DUI

Will begin recruiting if awarded the contract. This is contingent upon our ability to hire, train, and retain the specific clinical staff to fill the needed positions.

Group Coverage for Scheduled Treatment Sessions

In order to maintain scheduled treatment sessions when our regular staff members are unable to facilitate their assigned groups, SAGE will train additional managers, supervisors, and outpatient counselors to accommodate the situation. If a group can be provided via telehealth services, one of our trained outpatient staff will be able to accommodate groups virtually, as needed. Coverage for in-person groups would be based on the location and availability of appropriate staff and therefor more limited.

4.6.4.1. Prison facility(ies) where services are offered.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

The chart we included in this section provides this information concerning the prison facilities where services are being offered. SAGE Counseling has read, understands, and shall comply with Sections and Subsections identified

4.6.4.2. All offered groups, with a minimum of one group scheduled to meet at least twice a week, and shall be a combination of day and evening groups with the priority being held in the evening.

The chart we included in this section provides this information concerning the groups we are offering with one group scheduled to meet at least twice a week. This includes a combination of day and evening groups. SAGE Counseling has read, understands, and shall comply with Sections and

4.6.4.3. Group type (Moderate, Intensive, or DUI).

The chart we included in this section provides the group type information; we are offering Moderate, Intensive, and DUI treatment. SAGE Counseling has

4.6.4.4. Also, describe the efforts Contractor shall employ to maintain scheduled treatment sessions on occasions when Contractor's originally scheduled counselor(s) may be unavailable (e.g., due to sick leave, personal leave, resignation, etc.).

In order to maintain scheduled treatment sessions when our regular staff members are unable to facilitate their assigned groups, SAGE will train additional managers, supervisors, and outpatient counselors to accommodate the situation. If a group can be provided via telehealth services, one of our trained outpatient staff will be able to accommodate groups virtually, as needed. Coverage for in-person groups would be based on the location and availability of appropriate staff and therefore more limited.

SAGE Counseling has read, understands, and shall comply with Sections and Subsections identified herein.

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services

4.6.5. Contractors are responsible for auditing and commenting on inmate responses to workbook assignments at least monthly.

SAGE agrees to audit and comment on inmates’ responses for workbook assignments at least monthly. We understand that this may require in-person sessions in the prisons. SAGE Counseling has read, understands, and shall comply with Sections and Subsections identified herein.

4.6.6. Treatment Planning and Group Sessions will be carried out under the following guidelines:

4.6.6.1. Contractor will notify ADCRR when it is ready to begin preparations to start a new cohort group.

SAGE Counseling agrees that our treatment planning and group sessions will be carried out under the guideline that we will notify ADCRR when we are ready to begin preparations for a new cohort. SAGE has read, understands, and shall comply with Sections and Subsections identified herein.

4.6.6.2. ADCRR will provide the Contractor with a screened list of inmates determined eligible for the treatment program.

SAGE Counseling agrees that our treatment planning and group sessions will be carried out under the guidelines that ADCRR will provide us with a screened list of eligible inmates. SAGE has read, understands, and shall comply with Sections and Subsections identified herein.

4.6.6.3. Contractor shall have direct face-to-face communication by meeting in person, or virtually, with the inmates. Initial intake screening should be performed within two (2) weeks from the date of the first direct contact with the inmate, utilizing Contractor's screening tool (which must be in compliance with Arizona Department of Health Services (ADHS) standards).

SAGE Counseling agrees that our treatment and group services will be carried out under the guideline that we will have direct, face-to-face, in-person or virtual communication with the inmates. Initial screening/assessments will be performed within two weeks from the date of the first direct contact with

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services the inmate utilizing SAGE’s screening tool which is in compliance with ADHS standards.

Over the past 24 years, we have utilized different tools for intakes and DUI screenings, all of which were approved by ADHS. These include the:

• Substance Abuse Subtle Screening Inventory (SASSI)

• Ohio Risk Assessment System (ORAS); and

• Adult Substance Use Survey-Revised (ASUS-R).

Some of these instruments have both hard copy and digital formats. If awarded this contract, we will consult with ADCRR regarding the best tool to use for these services, including for DUI Screening.

4.6.6.4. Contractor will obtain permission from the Counseling and

Treatment Service Administrator, or designee, no later than two (2) weeks prior to the proposed start date, and advise ADCRR of group enrollment(s).

SAGE Counseling agrees to follow the guideline of obtaining permission from the ADCRR’s Counseling and Treatment Service Administrator, or designee, no later than 2 weeks prior to the proposed start date and advise ADCRR of the groups’ enrollment. SAGE has read, understands, and shall comply with Sections and Subsections identified herein.

4.6.6.1. Individualized assessments and treatment plans shall be developed for all participating inmates prior to group sessions starting.

Individualized treatment plans for all inmates shall be based on clinical evaluation data. Contractor shall include the inmate's involvement in identifying, developing, and prioritizing goals, objectives, and interventions. The treatment plan is to be updated whenever appropriate. Include in all individualized treatment plan goals, objectives, and interventions written in terms that are:

SAGE Counseling agrees that our individualized assessments and treatment plans will be developed prior to group sessions starting and will be carried out under the guideline provided. We typically refer to our individualized

Substance Use Disorder Treatment

State of Arizona

Department of Corrections, Rehabilitation & Reentry

Procurement Services treatment plans as Individualized Service Plans (ISPs), and we agree they will be based on the results of our clinical evaluations. We will include inmates in identifying, developing, and prioritizing their goals, objectives, and interventions, and we will update the treatment plan whenever appropriate.

As essential aspect of our assessments is the collaborative formation of the client’s initial Individualized Service Plan (ISP). SAGE always completes a comprehensive Individual Service Plan (ISP) for each client before s/he begins treatment. The ISP is one of the most important components of the assessment process, as it provides a roadmap of treatment interventions, goals, objectives, and interventions that our clinicians and clients use to guide treatment and measure progress.

The Individualized Service Plan is primarily generated from the client’s point of view, with guidance from the clinician. They jointly formulate the various components of the ISP, including presenting issues, goal statements, multiple objectives based on the goals, and specific interventions and supports based on the objectives. We typically also document the duration and intensity of treatment, participation expectations, rules for success, and an estimated date of completion. The ISP also allows the client to express any cultural preferences or considerations that may need to be taken into account.

4.6.6.4.1. Specific, clearly defining what shall be done.

The treatment plan’s goals, objectives, and interventions will be written in terms that are specific and clearly define what shall be done. SAGE has read, understands, and shall comply with Sections and

4.6.6.4.2. Measurable, including clear criteria for progress and completion.

in terms that are measurable with clear criteria for progress and completion. SAGE has read, understands, and shall comply with

4.6.6.4.3. Attainable, within the individual's ability to achieve.

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The treatment plan’s goals, objectives, and interventions will be written in terms that are attainable and within the client’s ability to achieve.

4.6.6.4.4. Realistic, the resources are available to the individual.

in terms that are realistic with the needed resources being available to the client. SAGE has read, understands, and shall comply with

4.6.6.4.5. Timely, something that needs to be completed within a stated period for completion that is reasonable.

in terms that are timely and need to be completed within a reasonable stated period for completion.

4.6.6.5. The intake screening and treatment planning session shall be conducted individually and occur concurrently.

The intake screening and treatment planning sessions shall be conducted individually and will occur concurrently. SAGE has read, understands, and

4.6.7. Contractor shall maintain a treatment file for each inmate participant. The file shall include, but not be limited to the following documentation:

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SAGE Counseling will maintain a treatment file for each participant that shall include all of the documentation components listed in this section, including a

Biopsychosocial Assessment, Informed Consent for Treatment form, Program

Guidelines, Treatment Plan/Individualized Service Plan, Release of Information form, and a Discharge Summary, which will be complete when the inmate completes treatment or leaves the group..

4.6.7.1. Intake Assessment/Biopsychosocial

4.6.7.2. Informed Consent for Treatment

4.6.7.3. Program Guidelines

4.6.7.4. Treatment Plan

4.6.7.5. Release of Information Consent

4.6.7.6. Discharge Summary - shall be complete when inmate completes treatment or leaves the group.

4.6.7.6.1. The discharge summary shall be reviewed individually with the inmate at least two (2) weeks prior to program completion or inmate leaving the group (if practicable).

Our Discharge Reports will be reviewed individually with inmates at least 2 weeks prior to the completion of the program or the inmate leaving the group, if practical. SAGE has read, understands, and shall comply with Sections and Subsections identified herein.

4.6.8. If necessary, group session meetings will be cancelled in accordance with the

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Department of Corrections, Rehabilitation & Reentry

Procurement Services

4.6.8.1. ADCRR will provide twelve (12) or more hours' advance notice if a group must be cancelled due to operational safety concerns. ADCRR will notify Contractor's representative via phone and email whenever such an instance may occur.

SAGE agrees that group sessions will be cancelled in accordance with the

4.6.8.1.1. If ADCRR notifies Contractor via email with twelve (12) or more hours' advance notice, Contractor shall not invoice or be paid for the cancelled group session.

If ADCRR notifies us via an email with 12 or more hours of advance notice, we shall not invoice ADCRR or be paid for the canceled group.

4.6.8.1.2. If the cancellation does not occur within the twelve (12) hour time frame, Contractor may, but is not required to, invoice ADCRR for the cancelled group session.

If ADCRR notifies us via an email with less than 12 hours advance notice, we may, but are not required to, invoice ADCRR for the canceled group.

SAGE Counseling has read, understands, and shall comply with

Sections and Subsections identified herein.

5. Investigations

5.1. ADCRR shall have the right to conduct any investigation it deems necessary if any concerns arise, including, but not limited to, the following:

SAGE Counseling understands that ADCRR has the right to conduct any investigation it deems necessary if any concerns arise. This includes, but is not limited to, the situations described herein, including improper relationships between our staff and ADCRR inmates, the introduction of contraband to the facility, or arrests of our staff involving criminal activity

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Procurement Services with ADCRR inmates. SAGE has read, understands, and shall comply with Sections and

5.1.1. Improper relationships between Contractor staff and ADCRR inmates.

5.1.2. The introduction of contraband to the facility whether by Contractor staff or others.

5.1.3. Contractor staff arrests, to include staff arrests involving criminal activity with

ADCRR inmates.

6. Contract Monitoring

6.1. ADCRR shall monitor Contractor's performance to ensure compliance with all

Contract provisions and applicable Department Written Instructions, applicable

Statutes, and Administrative Rules. ADCRR's Contract monitor may audit inmate files and do group observations at ADCRR's discretion.

SAGE Counseling understands that ADCRR shall monitor Contractor’s performance to ensure compliance with all contract provisions and applicable Department Written

Instructions, applicable statues, and Administrative Rules. ADCRR’s contract monitor may audit inmates’ files and conduct group observations.

SAGE has read, understands, and shall comply with Sections and Subsections identified herein.

7. Contractor Qualifications and Other Requirements

7.1. Contractor must be properly licensed by ADHS to provide substance abuse and DUI treatment counseling. A copy of the license must be submitted with Offeror's proposal response.

SAGE Counseling has 17 separate ADHS licenses for Counseling Facilities, which include both substance abuse and DUI services. We have included the licenses immediately below. SAGE has read, understands, and shall comply with Sections and Subsections

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State of Arizona

Department of Corrections, Rehabilitation & Reentry

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SAGE Counseling

Facility Licenses by the Arizona Department of Health Services (ADHS)

Central Phoenix

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Glendale

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Maryvale (Phoenix)

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Northeast Phoenix

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Tempe 1

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Department of Corrections, Rehabilitation & Reentry

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Tempe 2

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Department of Corrections, Rehabilitation & Reentry

Procurement Services

Mesa 1

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State of Arizona

Department of Corrections, Rehabilitation & Reentry

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Mesa 2

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Department of Corrections, Rehabilitation & Reentry

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Mesa 3

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Department of Corrections, Rehabilitation & Reentry

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Peoria 1

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State of Arizona

Department of Corrections, Rehabilitation & Reentry

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Peoria 2

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Casa Grande

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Kingman

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Lake Havasu

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Prescott

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Tucson

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Yuma

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Department of Corrections, Rehabilitation & Reentry

Procurement Services

7.1.1. Contractor shall remain licensed for the term of the contract and shall provide a copy of the renewal, if required, or license that reflects its current status upon ADCRR's request.

We understand that if we are awarded a contract, we must remain licensed for the term of this contract and provide a copy of the renewal or the license, upon

ADCRR’s request.

SAGE Counseling has read, understands, and shall comply with Sections and

7.2. Contractor shall comply with all Department Written Instructions, and applicable

State Administrative Rules, State Statutes, and Federal laws.

SAGE shall comply with all Department Written Instructions and applicable State

Administrative Rules, State statutes, and Federal laws. SAGE Counseling has

7.3. If there is a change or a new ADCRR written instruction or State Administrative

Rules is issued that impacts the signed contract, an amendment may be issued identifying the change as determined by the Procurement Service Unit.

SAGE understands that if there is a change or a new ADCRR written instruction or State Administrative Rule is issued that impacts the signed contract, an amendment may be issued that identifies the change, as determined by the Procurement Service Unit. SAGE Counseling has read, understands, and shall

7.4. Contractor's clinical supervisor for any resultant contract shall be licensed by the

Arizona Board of Behavioral Health Examiners as an independently licensed counselor. A copy of Offeror’s clinical supervisor's current license should be submitted with Offeror’s proposal response.

SAGE understands that if we are awarded a contract, our clinical supervisor shall be licensed by the Arizona Board of Behavioral Health Examiners as an

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Procurement Services independently licensed counselor. We have submitted the BBHE license immediately below for Luranna Perez, Licensed Independent Substance Abuse

Counselor. Luranna has been working in the behavioral health field for over 10 years and has experience as a clinician, clinical supervisor, and manager.

Luranna’s primary responsibilities at SAGE include providing clinical and administrative oversight for assigned staff, overseeing the orientation of new clinical employees, providing training on clinical procedures, curricula, contractual and licensure requirements, clinical assessments, and treatment plan development.

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