FAP West Performance Work Statement.pdf

AF FAP CONUS WEST PWS Page 0

AIR FORCE MEDICAL OPERATIONS AGENCY

PERFORMANCE WORK STATEMENT (PWS)

FOR

AIR FORCE FAMILY ADVOCACY PROGRAM (FAP)

(CONUS) WEST

1 December 2009

AF FAP CONUS WEST PWS Page 1

TABLE OF CONTENTS

PAGE

1.0 Description of Services 2

1.1 Acronyms 2

1.2 Objectives 3

1.3 Scope 3

1.4 Place of Performance 4

1.5 On-Site Deployment 4

1.6 Work Hours & Schedule 4

2.0 Summary of Requirements 5

2.1 Task Descriptions

2.1.1 Family Advocacy Treatment Manager (FATM) 5

2.1.2 Family Advocacy Outreach Manager (FAOM) 7

2.1.3 Family Advocacy Intervention Specialist (FAIS) 10

2.1.4 Family Advocacy Nurse (FAN) 13

2.1.5 Family Advocacy Program Assistant (FAPA) 15

2.2 General Qualifications 17

2.3 General Information 18

2.4 Other Direct Costs (Training & Travel) 19

2.5 Staffing 20

2.6 Security Requirements 21

2.7 Government Furnished Support

2.7.1 Office Support 23

2.8 Deliverables 23

2.9 Services Summary (SS) 24

2.9.1 SS for “Staffing” 24

2.9.2 SS for FATM 25

2.9.3 SS for FAOM 26

2.9.4 SS for FAIS 27

2.9.5 SS for FAN 28

2.9.6 SS for FAPA 28

3.0 Quality Assurance 29

4.0 Appendices (A-G) 30-43

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1.0 DESCRIPTION OF SERVICES

The Air Force (AF) Family Advocacy Program (FAP) is a medical program that enhances AF readiness by promoting family and community health and resilience. AF FAP also advocates for nonviolent communities. These objectives are accomplished through the use of broad-based education and awareness activities along with the identification and treatment of family maltreatment incidents. These services prevent family maltreatment from reducing the duty performance of AF members.

The objective of this PWS is to delineate specific tasks, duties, skill sets and credentials required to fulfill key positions in the Air Force Family Advocacy Program. This PWS defines the necessary tasks to support and enhance the operational mission of the FAP. The Family Advocacy Officer (FAO) will manage oversight of the FAP unless otherwise delegated. The Contractor shall provide installation support at the designated USAF FAP locations as identified in Appendix A.

1.1 Acronyms

AF Air Force AFI Air Force Instruction AFMOA Air Force Medical Operations Agency ANA American Nurses Association AWHONN Association of Women’s Health, Obstetric and Neonatal Nurses CAR Corrective Action Report CRB Central Registry Board CCS Clinical Case Staffing CEU Continuing Education Units COFC Court of Federal Claims COTR Contracting Officer’s Technical Representative CHBC Criminal History Background Check CO Contracting Officer CONUS Continental United States CRB Central Registry Board CSWE Counsel on Social Work Education EFMP Exceptional Family Member Program FAC Family Advocacy Council FAIS Family Advocacy Intervention Specialist FAN Family Advocacy Nurse FAPA Family Advocacy Program Assistant FAPNET Family Advocacy Program Network FAO Family Advocacy Officer FAOM Family Advocacy Outreach Manager FAP Family Advocacy Program FAPAP Family Advocacy Program Action Plan FAR Federal Acquisition Regulation FASOR Family Advocacy System of Records FAST Family Advocacy Strength- Based Therapy FATM Family Advocacy Treatment Manager GAO General Accountability Office IAW In Accordance With

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IDS Integrated Delivery System JAG Judge Advocate General LVT Local Vicinity Travel MTF Military Treatment Facility NAC National Agency Check NPSP New Parent Support Program OCONUS Outside the Continental United States OCI Organizational Conflict of Interest OPAL Outreach Prevention Automated Log OPMC Outreach Prevention Management Council OPR Office of Primary Responsibility PCS Permanent Change of Station PM Program Manager PWS Performance Work Statement QAP Quality Assurance Personnel RN Registered Nurse

1.2 Objectives

The purpose of this effort is to acquire personal healthcare services in accordance with (FAR

37.104 & DFARS 237.104) to provide qualified clinical (masters level) social workers, U.S.

licensed registered nurses, and family advocacy program staff personnel in implementing the Family Advocacy Program (FAP) at U.S. AF Military Treatment Facilities (MTFs) based in the Western Continental US Region (CONUS), as identified in Appendix A, FAP (CONUS) WEST

PERSONNEL REQUIREMENTS AND LOCATIONS.

1.2.1 Services performed under this PWS shall be in accordance with (IAW) the established principles, practices, and ethics of the professional clinical therapies, Council on Social Work, American Nurses Association Standards of Nursing Practice, and Standards for Professional Nursing Practice in the care of women and newborn, and the Dept of the AF directives listed in Appendix D of this document. Compliance with standards of care shall be evaluated during the peer review process, as outlined in AFI 44- 119, Chapter 8. Contractor’s performance shall results with acceptable peer reviews.

1.2.2 Qualified care shall be provided to outpatients and their families who are eligible beneficiaries of the military health care system. Contract personnel shall utilize the therapeutic modalities of individual, family, and group therapy to address the problems of family violence (specifically, child and partner maltreatment). They shall provide prevention (primary, secondary, tertiary) programs and support services for military families. The services shall be at no expense to the beneficiaries. The registered nurses shall provide community health nursing, family-focused prevention and clinical nursing services in the home or other environment to military families at risk for family violence.

1.3 Scope

Contractors shall provide all labor, personnel, tools, equipment, transportation, and materials that are not specified otherwise as Government Furnished Support (GFS) in this PWS to perform all task as delineated in this PWS. Major performance tasks are listed in Section 2.0, Summary of Requirements. Contractor shall perform all services in accordance with this PWS. Contractor shall also perform contingent administrative duties as required.

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All services performed under this PWS by the contractor are Firm-Fixed Price (FFP) with exception to Other Direct Cost (ODC) for official travel, lodging, meals and incidental expenses. The contractor will be reimbursed IAW Federal Acquisition Regulation (FAR) Part 31.205-46, Travel costs for all ODC incurred in performance of this requirement.

1.4 Place of Performance

The performance locations for FAP West requirements are identified in Appendix A, of this PWS as identified in FAP FAP (CONUS) WEST PERSONNEL

REQUIREMENTS AND LOCATIONS.

1.5 On-Site Deployment

The contractor shall coordinate with the appropriate work site’s FAO for reporting instructions of new contract employees. New contract employees shall report with required documents/identification requested by the work site MTF.

1.6 Work Hours & Schedule

HOURS OF OPERATION: Weekly hours shall not exceed a forty (40) hour work week and a typical work day will be 7:00 AM to 4:30 PM Monday through Friday. The Government reserves the right to change hours of operation or restrict contractor access to installation. Work outside the daily hours is prohibited without Contracting Officer approval.

1.6.1 Routine hours as set by the MTF Commander, are 40 hours per week, Monday through Friday, excluding federal holidays or when the Government is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings, unless otherwise approved. Routine hours may vary for specific instances;

however, 40 hours should not be exceeded in a given week. Contract employees shall coordinate all absences with the FAO.

1.6.2 Scheduled Holidays: New Year’s Day, Dr. Martin Luther King, Jr. Birthday, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving Day and Christmas Day.

1.6.2.1 Government agencies will not be available during scheduled holidays, inclement weather, weekends, after duty hours, or AF down days. All chargeable work shall be directly attributable to daily tasks being performed by the individual when required.

1.6.2.2 The Government reserves the right to verify the hours worked by the contract employee by requiring them to complete the FAPNet on-line time card module for the previous month. Only hours worked for the preceding month will be annotated by the 5th workday of the following month and reviewed by the FAO.

1.6.2.3 Contractor employees shall notify the FAO no later than two (2) hours after the start of a workday for unplanned leave, including sick leave.

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1.6.2.4 The Contractor will be compensated for services satisfactorily performed and accepted by Government QAP. Under no circumstance will the Government be liable for hours not worked as a result of base closure regardless of the reason (emergency or otherwise). Additionally, the Government will not reimburse the Contractor for any federal holidays unless service was provided. Should service be required on a federal holiday the labor hour rates specified in the contract schedule shall apply.

2.0 SUMMARY OF REQUIREMENTS

2.1 Task Descriptions

2.1.1 FAMILY ADVOCACY TREATMENT MANAGER (FATM)

2.1.1.1 The Family Advocacy Treatment Manager (FATM) is a member of the multidisciplinary FAP team and works in the following prioritized capacities:

a. The maltreatment component to assess families referred for suspected maltreatment and treats individuals, families, and groups whose maltreatment allegation(s) met criteria for maltreatment

b. The New Parent Support Program (NPSP) to provide voluntary, comprehensive prevention services (primarily home-based) to families to prevent the occurrence of family maltreatment (see Standard P-10)

c. The Family Advocacy Strength- Based Therapy (FAST) services by providing voluntary prevention counseling to individuals, families, or groups who are at risk for maltreatment (See Standard P-11)

2.1.1.2 The FATM shall maintain a U.S. state license, which authorizes independent social work practice, and shall be privileged in the MTF.

2.1.1.3 The FATM shall be computer-proficient and will use FASOR or FAPNet computer software for client visit documentation and will follow treatment practices that comply with AF FAP standards and accepted professional practice guidelines.

2.1.1.4 The FATM shall be the primary provider of treatment services for assigned maltreatment and prevention cases, coordinating services for families and monitoring client participation and progress utilizing the modalities of social casework, psychotherapy, and psycho-educational interventions.

2.1.1.5 The FATM shall complete psychosocial assessments IAW Standards M-11, P-10, or P-11 using FASOR or FAPNet software to complete assessment documentation.

2.1.1.6 The FATM shall assess for safety and continuously assist families with safety planning.

2.1.1.7 The FATM shall meet with each military (Active Duty) “offender” who has “met criteria” at least once a month and document all follow-up actions in

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FAPNET database. The FATM shall also meet with each adult “victims” of met criteria cases and document all findings using FASOR software.

2.1.1.8 The FATM shall present the findings from the family assessment, the Central Registry Board (CRB) determination and recommendations for treatment to the Clinical Case Staffing (CCS).

2.1.1.9 The FATM shall coordinate with prevention staff regarding referrals to educational services as part of the intervention plan. Prevention services can be recommended but are not mandated.

2.1.1.10 The FATM shall collaborate with other NPSP team members to develop service plans that incorporate primary and secondary prevention services. The FATM shall conduct home visits to all NPSP clients who are assessed as high needs and who request social work intervention. When the FATM is the case manager for an NPSP case, they present the case during the NPSP case staffing IAW Standard P-10.

2.1.1.11 The FATM shall document FAST services in FASOR IAW Standard P-11, and will document NPSP services in FAPNet IAW Standard P-10.

2.1.1.12 The FATM shall work in collaboration with the prevention team, led by the FAOM to:

a. Provide prevention services, briefings, educational presentations, and develop the Family Advocacy Prevention Action Plans (FAPAP)

b. Provide supportive services and guidance in communication, relationship enhancement, conflict management, and bereavement

c. Provide education and advocacy services with public affairs to increase awareness of FAP services for military families and promote the effectiveness of community response (Example: installation newspaper)

2.1.1.13 The FATM shall not serve as the special needs coordinator.

2.1.1.14 The FATM shall not conduct home studies for military families for the purpose of adoption or foster care, either on or off duty.

2.1.1.15 The FATM shall evaluate the effectiveness of the services provided.

2.1.1.16 The FATM shall be responsible for entering clinical information into FASOR and FAPNet and assume responsibility for the oversight of the administrative duties that support FATM tasks, such as entering demographic data into FASOR and reviewing staffing notes and letters regarding clients, for accuracy.

2.1.1.17 The FAO must review and approve all FATM activities involving articles, interviews, briefings or other public relations activities. No contact may be made with off-base media without going through installation Public Affairs.

2.1.1.18 FATMs shall not conduct briefings containing FAP maltreatment

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2.1.1.19 The FATM shall consult with the FAO and installation Judge Advocate General (JAG) on community partnerships or board memberships requiring binding financial obligations, staff time commitments, and/or where there may be questions about the agency focus.

CONSIDERATIONS:

All FATMs are professionally qualified to provide a wide variety of services to include maltreatment intervention and prevention.

The FATM provides the majority of treatment for FAP clients; these clients may also obtain services from other agencies (i.e., Mental Health Clinic, TRICARE or other community providers, etc.).

The FAIS, where assigned, is responsible for FATM responsibilities as assigned by the FAO.

2.1.2 FAMILY ADVOCACY OUTREACH MANAGER (FAOM)

2.1.2.1 The FAOM is the FAP Prevention Team Leader and Community Liaison. In collaboration with the FAP staff, the FAOM leads prevention by facilitating and coordinating FAPs community prevention services, collaboration, and social marketing campaigns. The FAOM provides community behavioral health education, family violence education and prevention training, resource finding and service linking, and prevention program interventions to promote protective factors and to address maltreatment risk factors. The FAOM manages the Prevention/Outreach Program with goals to deter predictable problems, decrease maladaptive behaviors, maintain, enhance & protect existing states of wellness, and promote quality of life objectives. A key element of the Outreach Manager’s duties include outreach, education, and intervention with active duty, including squadron on-site prevention promoting respect for duty and family to support mission readiness. The FAOM develops and facilitates processes for prevention planning, program implementation, public awareness activities, and intervention and service delivery.

2.1.2.2 Where both a FAOM and FAIS are assigned, the FAOM shall function as the Team Leader and Community Liaison, and shall be the primary representative to the Integrated Delivery System (IDS). All Outreach Program services will be coordinated with the FAOM. Both the FAOM and FAIS shall be responsible for Outreach Program prevention services and activities.

2.1.2.3 The FAOM manages the Prevention/Outreach Program, Implementing the Mission Readiness Model six core requirements through program domains and activities to promote and foster capacity, resilience, and sustainability for family wellness and mission readiness.

2.1.2.4 The FAOM has a unique role as prevention specialist and all service responsibilities of the FAOM shall be non-clinical in design and

AF FAP CONUS WEST PWS Page 8 delivery. To maintain program stability in prevention, the FAOM shall not request or accept privileging by the MTF, and so does not provide clinical documentation in medical or FAP records.

2.1.2.5 The FAOM shall coordinate and facilitate the development and updates of the Family Advocacy Program Action Plan (FAPAP).

(see standard A-5)

2.1.2.6 The FAOM shall implement primary and secondary prevention programs IAW the Readiness Model and as guided by the standards. The FAOM is responsible for ensuring that primary and secondary prevention are widely marketed for public awareness and ensure a FAP calendar of events is disseminated.

2.1.2.7 The FAOM shall ensure Outreach Program primary and secondary prevention program activities are identified in the FAPAP, and that program measurements are utilized IAW AF FAP guidance and are attached for performance indicators and program results.

2.1.2.8 The FAO leads the Outreach Prevention Management Council (OPMC). The FAOM shall coordinate the agenda for the quarterly meeting as directed by the FAO.

2.1.2.9 The FAOM is the FAP representative to the IDS. The FAOM shall develop and implement a process to present to the IDS, FAP findings and recommendations for IDS prevention collaboration, and a reciprocal process for providing IDS information and updates to the FAP. The FAOM is the IDS chair during the 2-year period of FAP rotation.

2.1.2.10 The FAOM attends the Family Advocacy Council (FAC) and ensures the FAC is updated on prevention programs, services, metrics, and public awareness initiatives IAW the standards.

2.1.2.11 The FAOM shall implement FAP community organization

strategies and participate in IDS, member agency, and stakeholder prevention collaboration activities. Activities shall target outcomes to increase awareness of family maltreatment, promote family awareness programs, and to increase community protective factors. As the IDS representative and FAP community liaison, the FAOM participates in community assessment activities identifying community strengths and needs, to plan, design, and implement initiatives fostering active duty family and community resilience and mission readiness.

2.1.2.12 The FAOM attends the NPSP case staffing and the CCS as a subject matter expert providing resource finding and service linking. The FAOM offers perspectives on service planning and on observations and recommendations to support a coordinated community response and to minimize gaps in services.

2.1.2.13 Where volunteers are utilized with the Outreach Program the FAOM

AF FAP CONUS WEST PWS Page 9 shall coordinate and facilitate training for FAP outreach volunteers. The FAOM maintains a roster of event volunteers. The FAOM obtains final approval of volunteers utilized in the Outreach Program from the FAO. FAOM will follow Civilian Personnel Office guidelines for utilization of volunteers and will follow guidelines for background checks when volunteers work in an environment around children. Volunteers will not have access to confidential information, to prevention automation systems, or AF stats or sensitive information. Volunteers are not recruited to perform the core requirements of the Outreach Manager. Active duty, family member, and civilian volunteers are recruited for FAP event activities.

2.1.2.14 The FAOM shall assume responsibility for the oversight of the administrative duties and Outreach Program activities supporting FAOM tasks.

2.1.2.15 The FAOM shall ensure current resource information is available and accessible to FAP customers and staff. The FAOM shall utilize on and off- base information sources for developing resource and referral listings.

2.1.2.16 The FAOM, in collaboration with NPSP and treatment intervention staff, shall identify family violence trends and observations and shall use available data to focus and develop outreach programming, primary prevention strategies and secondary support services.

2.1.2.17 The FAOM maintains documentation of quarterly Outreach Program prevention services. FAP leader training metrics and Outreach Prevention Automated Log (OPAL) compatible automation programs are updated monthly.

2.1.2.18 The FAOM shall be aware of all FAP prevention activities. All community prevention presentations and programs including news articles, and interviews provided by the FAOM will be reviewed and approved by the FAO.

The FAOM shall ensure coordination with public relations or appropriate other AF organizations as necessary.

2.1.2.19 The FAOM shall consult with the FAO and JAG as appropriate on community and coalition partnerships, board participation or memberships; and regarding binding financial obligations, staff time commitments, release of AF or FAP information, or where there are questions about the agency focus and/or affiliations.

CONSIDERATIONS:

While FAOMs do not perform clinical functions as part of FAP responsibilities, their expertise and input can be important collateral information to consider in program development and clinical planning. Additional guidance on FAOM roles and responsibilities is found in the Outreach Program Practice Guide.

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2.1.3 FAMILY ADVOCACY INTERVENTION SPECIALIST (FAIS)

2.1.3.1 The Family Advocacy Intervention Specialist (FAIS) encompasses the roles of both the Treatment Manager and Outreach Manager at installations where conditions do not meet the criteria for a full-time position in both realms.

In some cases, a FAIS is assigned as an additional staff member to augment the services provided by full-time treatment and outreach managers. Therefore, the FAIS must meet the qualifications of and has responsibilities for both FATMs and FAOMs. The FAO will determine what percentage of time the FAIS shall spend in the respective areas.

2.1.3.2 The FAIS is a member of the multidisciplinary FAP team and works in the prioritized capacities:

a. The maltreatment component to assess families referred for suspected maltreatment and treat individuals, families, and groups whose maltreatment allegation(s) met criteria for maltreatment

b. The NPSP to provide voluntary, comprehensive prevention services (primarily home-based) to families to prevent the occurrence of family maltreatment (See Standard P-10)

c. The FAST services by providing voluntary prevention counseling to individuals, families, or groups who are at risk for maltreatment (see Standard P-11)

2.1.3.3 The FAIS shall maintain a US State license, which authorizes independent social work practice, and shall be privileged in the MTF.

2.1.3.4 The FAIS shall be computer proficient and shall use FASOR or FAPNet software for client visit documentation and will follow treatment practices that comply with AF FAP standards and accepted professional practice guidelines.

2.1.3.5 The FAIS shall document services provided using FASOR software and will document all NPSP intervention in the NPSP automated system for filing in the NPSP record.

2.1.3.6 The FAIS shall be the primary treatment provider for assigned maltreatment and FAST cases, coordinating services for families and monitoring client participation and progress utilizing the modalities of social casework, psychotherapy and psycho-educational interventions.

2.1.3.7 The FAIS shall complete psychosocial assessments using the Adult and Child intakes in FASOR.

2.1.3.8 The FAIS shall assess for safety on an ongoing basis and continuously assist family members with safety planning.

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2.1.3.9 The FAIS shall present the findings from the family assessment, the CRB determination, and recommendations for treatment to the CCS.

2.1.3.10 The FAIS shall coordinate with prevention staff regarding referrals to educational services as part of the intervention plan. Prevention services may be recommended but are not mandated.

2.1.3.11 The FAIS shall collaborate with other NPSP team members to develop service plans that incorporate primary and secondary prevention services. The FAIS shall conduct home visits to NPSP clients who are assessed as high needs and who request social work intervention. When the FAIS is the case manager for an NPSP case, the FAIS shall present the case at the NPSP case staffing.

2.1.3.12 The FAIS shall not conduct home studies for military families for the purpose of adoption or foster care, either on or off duty while working for FAP.

2.1.3.13 The FAIS shall not serve as the special needs coordinator.

2.1.3.14 Responsibilities in the outreach component may include:

2.1.3.14.1 At installations where no FAOM is assigned, the FAIS functions as the FAP prevention facilitator and coordinator. Under the leadership of the FAO, the FAIS directs the development and implementation of prevention services. The FAIS supports outreach and community prevention IAW prevention standards. In collaboration with FAP staff, the FAIS shall organize and implement primary and secondary prevention. The FAIS shall develop and update the FAPAP, manage the Outreach Prevention Automated Log (OPAL) and the Outreach Prevention Management Council (OPMC) agenda. The FAIS shall work in conjunction with other FAP staff members to coordinate prevention activities, presentations, and programs. All FAP community prevention activities will be reviewed and approved by the

FAO.

2.1.3.14.2 Where no FAOM is assigned, the FAIS shall represent the FAP at the IDS. The FAIS shall present FAP issues/proposals to the IDS and shall update FAP staff on the status of IDS actions.

2.1.3.14.3 The FAIS shall implement community organization and social marketing strategies to increase awareness and prevent family maltreatment. In collaboration with the IDS and other key organizations, the FAIS shall promote initiatives to reduce maltreatment risk factors, identify community strengths and foster community resiliency.

2.1.3.14.4 The FAIS shall train outreach volunteers and obtain final approval of volunteers for the outreach program from the FAO.

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2.1.3.14.5 The FAIS shall ensure that current resource information is available and accessible to FAP customers. The FAIS shall utilize on and off- base resources for referral and source listings.

2.1.3.14.6 The FAIS, in collaboration with treatment program and NPSP staff, shall identify family violence trends. This data will be used to focus and develop outreach programming.

2.1.3.14.7 The FAIS shall document Outreach and other prevention services IAW AF FAP guidance for quarterly reporting, and shall maintain documentation of prevention activities.

2.1.3.14.8 The FAIS shall prioritize Outreach Program responsibilities in six main areas:

a. Outreach Program Management

b. Family Violence Education and Prevention Training

c. Community Capacity Building and Readiness

d. Social Marketing

e. Assets-Based Skills and Support

f. Program Measurement and Evaluation.

2.1.3.15 Where no FAOM is assigned, the FAIS leads the development, review and update of the FAPAP and coordinates with the FAO for approval by the FAC.

2.1.3.16 The FAO must review and approve all FAIS activities involving articles, interviews, briefings or other public relations activities. No contact may be made with off-base media without going through installation Public Affairs. FAP public announcements providing statistics, AF data or an AF position must be approved through AF FAP.

2.1.3.17 The FAIS shall consult with the FAO and SJA on community partnerships or board memberships requiring binding financial obligations, staff time commitments, or where there are questions about the agency focus and its compatibility with the Air Force.

2.1.3.18 At installations where both an FAOM and FAIS are assigned, the FAOM functions as the prevention team leader and community liaison and FAP IDS member. The FAIS will support the FAOM in the implementation of outreach program IAW AF FAP Standards. The FAO will determine the assignments and range of FAIS duties to support the outreach and treatment programs.

The FAIS is responsible for FATM and FAOM duties as assigned by the FAO. This position is a hybrid position allowing the FAIS to function part-time as the FATM and part-time as the FAOM. The division of duties is determined by the FAO.

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2.1.4 FAMILY ADVOCACY NURSE (FAN)

2.1.4.1 The FAN shall implement and manage the New Parent Support Program (NPSP). At installations with more than one FAN, program management responsibilities will be shared. (see NPSP Manual)

2.1.4.2 The FAN is a member of the multidisciplinary FAP team and is responsible for providing comprehensive home-based prevention services to families to prevent child and partner maltreatment.

2.1.4.3 The FAN shall be a registered nurse and maintain a current U.S.

unrestricted state nursing license on file at the MTF. FAN nursing practice shall meet standards of the American Nurses Association (ANA) and other pertinent nursing organizations, and MTF nursing guidance/standard of care.

The FAN shall interface with the MTF Chief Nurse (SGN) regarding standards of nursing practice and integration into the MTF. The FAN shall be responsible for remaining current in relevant areas of maternal/child and family violence nursing practice.

2.1.4.4 The FAN shall provide nursing home-based services that include education, support, and anticipatory guidance in such areas as growth and development across the life span, nutrition, parenting, attachment/bonding, individual and family health related issues, family violence dynamics, problem solving, family communication skills and bereavement.

2.1.4.5 The FAN shall ensure that an effective process is established to locate and administer the Family Needs Screener to members of the base population who are eligible for NPSP services and offer home visitation services to families at risk for maltreatment (See Standard P-10, NPSP Manual).

2.1.4.6 The priority for the FAN is to provide NPSP prevention services to families in their homes. Teaching a class or facilitating groups is not a FAN priority but may be considered if time allows. Work and case management priorities for the FAN are as follows:

Priority 1: Home visits to NPSP high needs clients Priority 2: Home visits and other contacts with low needs NPSP clients Priority 3: Support to FAP maltreatment clients

2.1.4.7 The FAN shall develop family service plans, which include a nursing diagnosis, that incorporate secondary prevention services for New Parent Support families and maltreatment cases, when applicable.

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2.1.4.8 The FAN participates in the OPMC, the CCS and the NPSP Case Staffing.

2.1.4.9 The FAN shall provide nursing prevention services in conjunction with maltreatment intervention plans, and attend the CCS. The FAN shall not take an investigative role or be a case manager or primary provider in a maltreatment case. FAN services shall be provided to families in the maltreatment program only when safety can be assured. The FAN shall document nursing interventions in the FAP maltreatment record using FASOR. Documentation of nursing services in the maltreatment record does not require a co-signature by the case manager. Further, nursing service documentation in the maltreatment record does not require a corresponding OPR note.

2.1.4.10 The FAN shall work in collaboration with the prevention team, led by the FAOM to provide:

a. Prevention services focused on prevention of family maltreatment via briefings, educational presentations and providing input for FAP marketing and annual FAP Action Plan

b. Supportive FAP services and guidance in couples' communication, parenting education, parent-child interaction, bonding and problem solving skills

c. Supportive and educational services targeting fathers

d. Advocacy services with community organization for military families to increase awareness of FAP services and promote the effectiveness of community response

2.1.4.11 The FAN shall provide services for all clients and document IAW Standard P-14.

2.1.4.12 The FAN shall not provide the following:

a. “Hands-on” clinical nursing care for acute or chronic medical conditions such as apnea monitor oversight, or tube feedings

b. Special needs identification and assignment coordination

c. Psychotherapy

2.1.4.13 The FAN shall evaluate effectiveness of the NPSP services she/he provides.

2.1.4.14 The FAN shall assume responsibility for the oversight and completion of the administrative duties that support NPSP processes to include:

a. Entry of NPSP client, assessment tool and case information into the FAPNet automated record system

b. Entry of NPSP data into the FAPNet automated record system in accordance with AF FAP guidance

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Obstetrics(OB) services are outsourced by most military installations. This presents a challenge to identifying the target population to screen for NPSP services. To assist in establishing an effective screening process, the FAN should seek input/ideas/assistance from the entire FAP team, partner with the FAOM, and collaborate with potential referral sources, including military and community agencies that interface with the NPSP target population, such as:

a. MTF/community medical clinics/providers (OB, PEDs, Family Practice…)

b. MTF Health Benefits Advisors, TRICARE

c. MTF Laboratory (pregnancy testing)

d. Military Public Health (pregnancy profiles)

e. Health and Wellness Center

Education, support, and guidance specific to preventing child and partner maltreatment may focus on the following:

a. Growth and Development (role transitions, attachment, bonding, newborn behavior, developmentally appropriate play)

b. Nutrition (prenatal nutrition, breastfeeding, failure to thrive, etc.)

c. Parenting (shaken baby syndrome prevention, age appropriate discipline, problem solving skills, couple communication related to parenting, environmental safety, etc.)

d. Health related Issues (childbirth preparation, dangers of smoking, alcohol abuse, and infant/child safety, etc.)

e. Partner abuse (screening for abuse, empowerment skills)

f. Engaging father involvement in pregnancy, parenting

The FAN offers a unique perspective on community issues and trends, and may be invited to participate in the FAC, IDS and/or Community Action Information Board (CAIB).

FAST services target high risk couples without children and high risk families whose children are 3 years of age or older. High risk for family maltreatment expectant parents and high risk for maltreatment families with at least one child under age 3 years should receive prevention services through NPSP. Refer to Standards P-10 and P-12.

Utilization of the FAN for classes, groups and briefings is not a major focus or priority.

FAN nursing intervention with maltreatment clients should be based on appropriateness of referrals and available FAN resources. Treatment plans for maltreatment clients should have clear goals with specific desired outcomes for the FAN intervention. The FAO is the “gate keeper” for FAN referrals, balancing the impact on current NPSP caseload and taking into consideration that the FAN workload priority is providing services to NPSP prevention families.

Refer to the AF FAP NPSP Manual, for further information and guidance.

2.1.5 FAMILY ADVOCACY PROGRAM ASSISTANT (FAPA)

2.1.5.1 The FAPA is a member of the multidisciplinary FAP team and is responsible for providing administrative, technical, and prevention services as directed by the FAO.

2.1.5.2 Administratively, the FAPA is responsible for the maintenance of automated data collection systems, including the FASOR. The FAPA shall ensure that maltreatment data is entered into FASOR within 15 calendar days after the CCS. FAPAs shall not enter clinical data into FASOR. Treatment providers are responsible for entering clinical data. FAPAs may enter information during the CCS in the clinical impressions text box regarding

AF FAP CONUS WEST PWS Page 16 clinical discussions and recommendations, much like taking minutes for the meeting. The CCS note for the FAP record is printed out, reviewed and signed by a provider.

2.1.5.3 The FAPA shall provide administrative and computer support to The Maltreatment Intervention, NPSP, and Outreach components via FASOR, FAPNet and other software programs, as well as managing computer resources.

2.1.5.4 The FAPA, in conjunction with the FAO, shall manage data to provide information regarding patient satisfaction, recidivism, and clinical outcome measures.

2.1.5.5 The FAPA shall compile statistical data, prepare minutes, agendas, and notification letters IAW FAP Standards, and other written communication as requested by the FAO.

2.1.5.6 The FAPA shall assist in the research/evaluation program by administering data collection assessment instruments to individuals referred to the FAP. The FAPA shall process and score instruments initially and on a follow-up basis as specified by the FAO or AF FAP.

2.1.5.7 The FAPA shall assist the FAOM/FAIS in administering, scoring and maintaining secondary prevention program measurement instruments in support of the Outreach Program.

2.1.5.8 In accordance with their skill level, the FAPA shall work in collaboration with the prevention team to:

a. Provide supportive services to NPSP clients under the oversight of the NPSP case manager. The FAPA may accompany a FAN/FATM/FAIS/FAO to a home visit upon occasion as indicated

b. Assist the FAOM/FAIS with scheduling and preparation for the OPMC and will record and finalize OPMC minutes

c. Assist the FAOM with the development of the FAPAP

d. Assist in providing prevention services, briefings, and educational presentations and activities targeted to installation leadership, active duty and family members, and community and base agencies. Outreach and community prevention activities shall be coordinated with the FAO and the FAOM/FAIS

2.1.5.9 In the absence of a FAOM or FAIS, the FAPA may provide orientation and annual training to Squadron Commanders and First Sergeants as directed by the FAO.

2.1.5.10 The FAPA shall not provide Special Needs Identification and Assignment Coordination Services (formerly EFMP services), to include administrative support or relocation clearances.

2.1.5.11 When a FAPA has direct contact with Family Advocacy

AF FAP CONUS WEST PWS Page 17 maltreatment clients or clients with open NPSP records, a note will be made in the record and reviewed by a provider to determine if co-signature is required. FAPAs shall not conduct intake interviews with FAP clients.

When a FAPA has contact with NPSP clients, a contact note shall be created in the ‘contact notes’ section in the NPSP module in FAPNet.

CONSIDERATIONS:

The FAPA title encompasses the positions of the Family Advocacy Program Assistant (FAPA), Family Advocacy Data Support Specialist (FADSS), and Family Advocacy Clerk Typist (FACT).

The FAO is ultimately responsible for all FAPA contacts with clients unless authority has been delegated.

FAPAs who implement prevention services should be knowledgeable in the dynamics of domestic and child abuse and should have an understanding and knowledge of prevention strategies.

FAPAs are integral to the success of the Prevention and Outreach program in numerous ways including assisting with the maintenance of primary and secondary prevention program intervention rosters, scheduling mandatory briefings, maintaining key leadership rosters, assisting with the documentation of the outreach portfolio and continuity binder, and assisting with all aspects of marketing.

2.2 General Qualifications

Contract employees shall perform all position responsibilities under the supervision of the local FAO. As applicable, all contractor personnel are required to complete all necessary requirements to maintain current licensure in the state in which the individual’s license is issued. This shall be at no additional cost to the Government. The minimum education and experience requirements for each position are as follows and may not be substituted:

2.2.1 A U.S. licensed Social Worker performing as a Family Advocacy Treatment Manager (FATM), Family Advocacy Intervention Specialist (FAIS), or Family Advocacy Outreach Manager (FAOM):

2.2.1.1 Education: A master’s degree from a Council on Social Work Education (CWSE) accredited school.

2.2.1.2 Experience: Two years full-time post-master’s degree experience (within the last three years) in professional clinical counseling service programs to men, women, and children who are abusive or abused. Must also have experience as a group therapy facilitator or co-leader. Optimally, to perform as the FAIS and/or FAOM, must have two years experience working with children, families, and groups in clinical or community organization settings; or as program manager, with demonstrated responsibilities in program planning with implementation of education and intervention services, and community collaboration. Experience working with professionals and agencies that provide community support and counseling intervention services to children and families.

2.2.2 A U.S. licensed RN performing as a Family Advocacy Nurse (FAN):

2.2.2.1 Education: A Bachelor’s Degree in Nursing from an accredited institution;

not currently under investigation of any adverse action pending from a State Nursing Board.

AF FAP CONUS WEST PWS Page 18

2.2.2.2 Experience: Two years experience (within the last four years) as a Community Health Nurse and/or Maternal Child Health nursing; to include home visiting experience.

2.2.3 Family Advocacy Program Assistant (FAPA):

2.2.3.1 Education: An Associate’s Degree in Education or Teacher Certification Program. Acceptable related degrees are Social Behavior, Human Behavior or Health Care.

2.2.3.2 Experience: Developing an education curriculum with learning objectives and outcomes are essential. It is critical the FAPA have a high proficiency in Microsoft Office and various database / software programs.

2.3 General Information

2.3.1 Contractor’s Appearance: Contract employees shall maintain a professional, neat, well-groomed appearance at all times to facilitate credibility with patients, staff, and command. Tank-tops, cut-offs, shower shoes or similar items of apparel are prohibited.

Clothing shall be clearly distinguishable from all U.S. military uniforms. Contractor personnel shall wear a contractor provided identification badge at all times while performing contract services. The badge shall include the person’s full name, title, and company name.

Contract personnel must include the word “contractor” in their signature block for all electronic and hard copy correspondence.

2.3.2 General Qualifications: All personnel shall read, understand, speak, and write English fluently. Additionally, it is critical all employees are proficient in the use of Microsoft Office© Suite and have the ability to input, retrieve, and format documentation via various database/software.

2.3.3 Contractor Program Manager: The Contractor shall provide written designation to the Contracting Officer (CO) and HQ AFMOA/SGHW the name and telephone number of an individual to act as the Program Manager (PM). The Contractor shall include in the designation letter any limitations on the PM’s ability to bind the Contractor to changes/modifications in the contract. Any changes to the PM designation shall be forwarded to the CO and AFMOA/SGHW within 10 working days. The PM shall coordinate with the Government QAP to remedy any Corrective Action Reports (CAR) issued by the CO. Responses to CARs will be reviewed for adequacy, acceptability, and timeliness. The PM shall notify the QAP of all performance issues beyond the Contractor’s control.

Unresolved problems will be referred to the CO. The Contractor shall promptly remove any contract employee the CO deems inappropriate for performance or whom the Government has lost confidence in their ability to perform satisfactorily.

2.3.4 Invoicing: The contractor shall invoice monthly in arrears for all services rendered.

All invoices submitted for payment by the contractor will be reviewed by both the QAP and Contracting Officer. Payment will be based on receipt of a proper invoice and satisfactory contract performance. A proper invoice shall include the following items as a minimum:

Name and Address of the contractor, Contract Number, Description, Quantity, Unit of Measure, Unit Price, Extended Price of Services and Electronic Funds Transfer (EFT)

AF FAP CONUS WEST PWS Page 19

Banking Information. Upon receipt of proper invoice by the Government and DD Form 250 Receiving Report, payment will be processed through Wide Area Work Flow payment procedures. Refer to DFARS 252.232-7003. For questions regarding the WAWF payment process/procedures, contact Vendor Customer Support @ 1-966-618-5988.

Invoices will be paid upon approval and acceptance by the Government COTR.

2.3.5 Intellectual Property Rights: The Department of Defense shall receive Unlimited Rights in all intellectual property, including graphic and pictorial representations and text, created by the contractor during performance of this contract.

All materials produced are the property of the U.S. Government.

2.4 Other Direct Costs (ODCs) (Training & Travel)

2.4.1 Training:

2.4.1.1 Contractor personnel performing under this contract may be selected by AFMOA/SGHW to attend mandatory Government-provided training or training sponsored by commercial sources. The Contractor will be reimbursed for training costs (per diem and transportation) incurred IAW FAR Part 31.205-46 Travel Cost.

2.4.1.2 Contract employees attending Government approved training shall incur six months retain-ability upon return from the training to ensure the Government’s return on investment of training funds. The Contractor shall be required to reimburse the Government should their employee vacate their position short of this requirement.

2.4.1.3 The Government will not provide additional compensation for time spent traveling, i.e. TDY status, training, etc. Compensation received is considered in the form of paid per diem, travel costs, and the benefits of training.

2.4.1.4 The Government will not pay/reimburse for contract employee travel, registration, or hours while attending CEUs unless they are in conjunction with training identified in paragraph 2.4.1.1 above.

2.4.2 Travel:

2.4.2.1 Travel other than Local Vicinity Travel (LVT): The contract employee may perform periodic travel within OCONUS and to CONUS. AFMOA/SGHW is the sole authority for travel. The Contractor is responsible for passenger transportation, lodging, and subsistence. Reimbursement of CONUS travel costs is IAW the Federal Travel Regulations, per FAR Part 31.205-46. The contract employee shall travel using the lower cost mode transportation commensurate with the mission requirements. When necessary to use air travel, the contractor shall use the tourist class, economy class, or similar lodging accommodations to the extent they are available and commensurate with the mission requirements. Travel will be reimbursed on a cost reimbursable basis; no profit or fee will be paid.

2.4.2.2 Local Vicinity Travel: LVT is reimbursed based on properly prepared invoices, and IAW the JTR. LVT reimburses FAP staff making home visits to families living off-base, or in some cases on-base, where family housing is located more than 2.5 miles one-way from the contract employee’s office. Contract

AF FAP CONUS WEST PWS Page 20 employees utilize Standard Form 1164, Claim for Reimbursement for Expenditures on Official Business, or a comparable form to document monthly vicinity travel. The contract employees’ forms will be submitted with the Contractor’s invoice for reimbursement.

2.5 Staffing

2.5.1 Contractor shall staff all regional duty locations IAW FAP (CONUS) WEST PERSONNEL REQUIREMENTS AND LOCATIONS table illustrated in Appendix A of this PWS. Contractor shall furnish and maintain the appropriate number of contract personnel to fulfill each duty position required at each location. Contractor shall ensure each FAP position at each location is manned throughout the Period of Performance.

2.5.2 Contractor shall submit a staffing report to the QAP by the 15th calendar day of each month. Staffing Reports shall accurately reflect the current number of filled contract positions and the projected fill dates of vacancies at each location identified in the FAP (CONUS) WEST PERSONNEL REQUIREMENTS AND LOCATIONS table (Appendix A) of this

PWS.

2.5.3 Contract labor vacancies shall not extend beyond 20 calendar days total for each position at each location. The calendar day count will begin on the date of official notice (i.e.

letter from CO) from the Government that the FAP position is vacated. Vacancies that extend beyond 20 calendar days of official notice will result in issuance of a CAR (See Appendix C) to the contractor. Contractor shall submit a response to the CO for each CAR within 3 duty days of receipt. Contractor shall respond to all CARs by e-mail correspondence or fax.

2.5.4 Contractor shall not intentionally use temporary, short-term contract employees in the performance of this contract.

2.5.5 Hiring of prospective contract employees shall be coordinated through the FAO unless delegated otherwise. Contractor shall provide AFMOA/SGHW with the full name, duty position, duty location, and start date of each new hire. Contractor shall present eligible candidate(s) to backfill vacant contract position(s) to the installation FAO for consideration.

Contractor shall present candidate(s) within 14 calendar days of official notice (i.e. letter from CO) that a position is vacant. The FAO governs the review of resumes, interviews and determining whom will be hired. Elapsed time, the government spends making candidate selection(s) will not count towards vacancy time when (if) there are liquidated damages assessed against the contractor.

2.5.6 Non-Compliance Remedies: If the Contractor fails to fill (physically) any vacant contract…