Exhibit 24 - Monthly Reports.xlsx

XLSX spreadsheet 22 KB Posted

Attached to
DPDS- Substance Use Disorder Treatment Services in Baltimore City (Pre-Trial)
Solicitation number
BPM055260
Issued by
Baltimore City, Maryland

About this file

This document is a monthly reporting template for the Department of Public Defense Services (DPDS) Substance Use Disorder Treatment Services (Pre-Trial) program under Solicitation #BPM055260. The template establishes standardized reporting requirements for five facilities: BCBIC, CDF, MTC, YDC, and MRDCC. The monthly report captures comprehensive performance metrics including admissions, census data, treatment slot utilization, discharge outcomes, completion rates, urinalysis testing results, and staff roster information. Additionally, the template requires documentation of direct and indirect service hours, psychological referrals, Treatment Completion Units (TCUs) and Treatment Action Plans (TAPs) completed, non-programming days, peer recovery specialist referrals, and declined treatment cases. Each facility must submit detailed data on staffing levels, positions, full-time equivalent (FTE) allocations, and associated costs monthly.

The reporting structure includes a Monthly Facility Staffing Schedule that tracks required versus filled FTEs and hours by clinical position, with calculations for cost to achieve 100 percent staffing compliance. The template also requires monthly treatment lists documenting participant information including name, identification numbers, program assignment, institution, treatment dates, and assigned counselor details. Peer Recovery Specialist Referral Reports and Declined Treatment Reports provide supplemental tracking for participant engagement and treatment acceptance. The document does not contain pricing information, set-asides, funding amounts, or contract term details, as it functions solely as a reporting framework to monitor operational performance and resource utilization across the five substance use disorder treatment facilities serving pre-trial populations.

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Text version

End of Month Report

DPDS - Substance Use Disorder Treatment Services (Pre-Trial)
Solicitation #: BPM055260
Exhibit 24. Monthly Reports
End of Month Report
BCBICCDFMTCYDCMRDCCTotal
Performance Criteria
# Admissions
Highest Monthly Census
Average Daily Census
Treatment slot utilization
# Total Discharges
# Unsuccessful Discharges
Reasons for Unsuccessful Discharges
% Non-Compliant/Therapeutic Discharges
# Total Completions
% Completions
Cycle Completion Rate (How many were originally admitted to the completing cycle vs. how many actually completed)n/an/an/an/an/a
Total # of Urinalysis tests performed
Total # Positive Urinalysis Tests
Staff Roster
Current staffing
% Staffing
Year to date staff turnover %0%0%0%
Projected Direct Service Hours (This number is calculated by (avg. daily census) X (# of Progr. Days in Month Mon - Fri) X (3 Direct hrs.)
Actual Direct Service Hours
Projected Indirect Service Hours (This number is calculated by (avg. daily census) X (# of Days in Month) X (9 Indirect hrs.)00000
Actual Indirect Service Hours
Number of referrals to Psych
Total TCU's Completed00000
Total TAP's Completed00000
# of Nonprogramming days

MFSS

DPDS - Substance Use Disorder Treatment Services (Pre-Trial)
Solicitation #: BPM055260
Exhibit 24. Monthly Reports
Monthly Facility Staffing Schedule MFSS
MonthFacilityClinical PositionRequired FTEsFilled FTEsFTE Var.Required HoursFilled HoursHours Difference% Hours FilledLess than 96%Hourly RateCost to Fill to 100%

Monthly Treatment List

DPDS- Substance Use Disorder Treatment Services (Pre-Trial)
Solicitation #: BPM055260
Exhibit 24. Monthly Reports
Monthly Treatment List Submissions
Last NameFirst NameDOC NumberProgramInstitutionTreatment Start DateTreatment Completion DateDischarge DateCounselor/Vendor

Peer Recovery Referrals

DPDS - Substance Use Disorder Treatment Services (Pre-Trial)
Solicitation #: BPM055260
Exhibit 24. Monthly Reports

Peer Recovery Specialist Referral Report

Month:
FROM:

REFERENCE: Referrals to Peer Recovery Specialist

Last Name First Name SID # Facility Date Counselor Name Comments

Declined Treatment Reort

DPDS - Substance Use Disorder Treatment Services (Pre-Trial)
Solicitation #: BPM055260
Exhibit 24. Monthly Reports

Declined Treatment Report

Month:
FROM:

REFERENCE: Declined Treatment Consent

Last Name First Name SID # Facility Date Counselor Name Comments

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