Attachment_1_PWS_-_FAP_West_17_May_16.pdf

AIR FORCE MEDICAL OPERATIONS AGENCY

(AFMOA)

PERFORMANCE WORK STATEMENT (PWS)

FOR

AIR FORCE FAMILY ADVOCACY PROGRAM (FAP)

CONTINENTAL UNITED STATES (CONUS) West

17 May 2016

TABLE OF CONTENTS

1.0 DESCRIPTION OF SERVICES 4

1.1 Background 4

1.2 Scope 4

1.3 Acronyms 5

2.0 SUMMARY OF REQUIREMENTS 6

2.1 Description of Duties 6

2.2 General Requirements 20

2.3 Services Summary 27

2.4 Government Furnished Support 32

2.5 Travel, Other Direct Costs and Training 32

2.6 Security Requirements 33

2.7 Deliverables 34

2.8 Data Reporting Requirement 34

3.0 QUALITY ASSURANCE 35

4.0 PERSONAL SERVICES 35

5.0 CONTRACTOR IDENTIFICATION 35

6.0 HOURS OF OPERATION 35

7.0 APPENDICES 37

7.1 APPENDIX A: FAP LOCATIONS 38

7.2 APPENDIX B: Business Associate Agreement 39

7.3 APPENDIX C: Corrective Action Report 50

7.4 APPENDIX D: HQ AF/SG Non‐Disclosure Agreement 52

7.5 APPENDIX E: Customer Feedback Form 54

7.6 APPENDIX F: Customer Complaint Record 55

7.7 APPENDIX G: FAPAP Standard A‐5 56

7.8 APPENDIX H: FAP Standard M‐11 59

7.9 APPENDIX I: FAP Standard M‐17 65

7.10 APPENDIX J: FAP Standard M‐18 67

7.11 APPENDIX K: FAP Standard P‐7 72

7.12 APPENDIX L; FAP Standard P‐10 74

7.13 APPENDIX M: FAP Standard P‐11 76

7.14 APPENDIX N: FAP Standard P‐13 79

7.15 APPENDIX O: FAP Standard P‐14 81

1.0 DESCRIPTION OF SERVICES

1.1 Background

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 Performance Work Statement (PWS) is to delineate specific tasks, duties, skill sets and credentials required to fulfill key positions in the AF FAP. 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.

1.2 Scope

The purpose of this personal services contract is to acquire personal healthcare services in accordance with (IAW) Federal Acquisition Regulation (FAR) 37.104 & Defense Federal Acquisition Regulation Supplement (DFARS) 237.104 to provide qualified clinical (master’s degree) social workers, U.S. licensed registered nurses, and family advocacy program staff personnel in implementing the FAP at USAF Military Treatment Facilities (MTFs) based in the Western Region (CONUS), as identified in Appendix A, FAP (CONUS) West

PERSONNEL REQUIREMENTS AND LOCATIONS.

1.2.1 Services performed under this PWS shall be 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 newborns, and the Department of the AF directives. Compliance with standards of care shall be evaluated during the peer review process, as outlined in Air Force Instruction (AFI) 44-119, Chapter 8, Competency Assessment and Peer Review.

1.2.2 Provide qualified care to outpatients and their families who are eligible beneficiaries of the military health care system. Contractor personnel (CP) 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.

1.2.3 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 tasks, 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.

1.3 Acronyms

ACRONYM DEFINITION

AF Air Force ADP Automated Data Processing AFI Air Force Instruction AFJI Air Force Joint Instruction AFMOA Air Force Medical Operations Agency AIS Automated Information Systems ANA American Nurses Association ASCAS Association of Women’s Health, Obstetric and Neonatal Nurses BLS Basic Life Support CAIB Community Action Information Board CAR Corrective Action Report CCS Clinical Case Staffing CDC Center for Disease Control and Prevention CEU Continuing Education Units CHBC Criminal History Background Check CO Contracting Officer COFC Court of Federal Claims CONUS Continental United States COR Contracting Officer’s Representative CP Contractor Personnel CPARS Contractor Performance Assessment Rating System CPM Contractor, Program Manager CPR Cardiopulmonary Resuscitation CRB Central Registry Board CSWE Counsel on Social Work Education DA Domestic Abuse DFARS Defense Federal Acquisition Regulation Supplement DODI Department of Defense Instruction DV Domestic Violence EFMP Exceptional Family Member Program EFT Electronic Funds Transfer eQIP Electronic Questionnaire for Investigation Processing FAC Family Advocacy Council FACT Family Advocacy Clerk Typist FADSS Family Advocacy Data Support Specialist FAIS Family Advocacy Intervention Specialist

FAN Family Advocacy Nurse FAO Family Advocacy Officer FAOM Family Advocacy Outreach Manager FAP Family Advocacy Program FAPA Family Advocacy Program Assistant FAPNET Family Advocacy Program Network 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 FFP Firm-Fixed Price GAO General Accountability Office GFS Government Furnished Support HCW Healthcare Workers IAW In Accordance With IDS Integrated Delivery System JPAS Joint Personnel Adjudication System LVT Local Vicinity Travel MOU Memoranda of Understanding MTF Military Treatment Facility NACI National Agency Check NLT No Later Than NPSP New Parent Support Program OB Obstetrics ODC Other Direct Costs OP Outreach Program OPAL Outreach Prevention Automated Log OPMC Outreach Prevention Management Council OPM Office of Personnel Management OPR Office of Primary Responsibility OSI Office of Special Investigations PoP Period of Performance PCS Permanent Change of Station PHI Personal Health Information PM Program Manager PWS Performance Work Statement QPC Quality Control Plan RBC Resiliency Branch Chief RN Registered Nurse SFS Security Forces Squadron SGN MTF Chief Nurse SSN Social Security Number TLA Temporary Lodging Allowances USAF United States Air Force

VIS Victim Impact Statement VPS Victim Preference Statement

2.0 SUMMARY OF REQUIREMENTS

2.1 Description of Duties

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 FAP Standard P-10, Appendix L)

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 FAP Standard P-11, Appendix M).

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 Family Advocacy System of Records (FASOR) or Family Advocacy Program Network (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

FAP Standards M-11 (Appendix H), P-10 (Appendix L), or P-11 (Appendix M) 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 at least once a month with each military (Active Duty) “offender” who has “met criteria” and document all follow-up actions in FAPNET database. The FATM shall also meet with each adult “victim(s)” 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 New Parent Support

Program (NPSP) team members and develop service plans to 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 shall present the case during the NPSP case staffing IAW FAP Standard P-10 (Appendix L).

2.1.1.11 The FATM shall document FAST services in FASOR IAW

FAP Standard P-11 (Appendix M), and will document NPSP services in FAPNET IAW FAP Standard P-10 (Appendix L).

2.1.1.12 The FATM, working in collaboration with the Family Advocacy Outreach Manager (FAOM) prevention team lead, shall:

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 clinical services provided.

2.1.1.16 The FATM shall be responsible for entering clinical information into FASOR and FAPNET and shall 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 shall review and approve all FATM activities involving articles, interviews, briefings or other public relations activities. Do not contact off-base media without going through installation Public Affairs Office.

2.1.1.18 FATMs shall not conduct briefings containing FAP maltreatment data without prior approval of the FAO.

2.1.1.19 The FATM shall consult with the FAO and installation Staff Judge Advocate (SJA) on community partnerships or board memberships requiring binding financial obligations, staff time commitments, and where there may be questions about the agency focus. The FATM will not chair, or be a voting member, on any such board.

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 FAP’s community prevention services, collaboration, and social marketing campaigns. The FAOM provides community behavioral health education, family violence education and prevention training (annually, to new personnel and leadership personnel), resource finding and service linking, and prevention program interventions to promote protective factors and to address maltreatment risk factors. The FAOM inputs all training data into the FAP database. 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. Input all training data into FAPNET database. The FAOM shall maintain a current U.S. license in the jurisdiction assigned.

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 delivery. To maintain program stability in prevention, the FAOM shall not request or accept privileging by the MTF, and shall 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 FAPAP. (see standard A-5, Appendix G)

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 dissemination of a FAP calendar of events.

2.1.2.7 The FAOM shall ensure the FAPAP identifies Outreach Program primary and secondary prevention program activities , 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.

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 participant 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 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. Do not recruit volunteers to perform the core requirements of the Outreach Manager. Recruit active duty, family member, and civilian volunteers 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 in FAPNET.

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

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

2.1.2.19 The FAOM shall consult with the FAO and SJA, 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 or affiliations. The FAOM (CP) will not be a decision maker and will not obligate the government, financially or otherwise.

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:

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

2.1.3.2.2 The NPSP to provide voluntary, comprehensive

prevention services (primarily home-based) to families to prevent the occurrence of family maltreatment (See Standard P-10, Appendix L)

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

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, and for 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.

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 shall 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 direct the development and implementation of prevention services. The FAIS supports outreach and community prevention IAW prevention standards. The FAIS provides community behavioral health education, family violence education and prevention training (annually, to new personnel and leadership personnel), resource finding and service linking, and prevention program interventions to promote protective factors and to address maltreatment risk factors. 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. The FAO reviews and approves all FAP community prevention activities.

2.1.3.14.2 Where no FAOM is assigned, the FAIS will attend 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.

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. Do not make contact with off-base media without going through installation Public Affairs. The AF FAP must approve FAP public announcements providing statistics, AF data or an AF position.

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. The FAIS will not chair, or be a voting member, on any such board. The FAOM (CP) will not be a decision maker and will not obligate the government, financially or otherwise.

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 advisor. 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.

2.1.3.19 The FAIS shall meet with each military (Active Duty) “offender” who has “met criteria” at least once a month and document all follow-up actions in FAPNET database. The FAIS shall also meet with each adult “victims” of met criteria cases and document all findings using FASOR software.

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 Standard P-10, Appendix L, 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 establish an effective process 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, Appendix L, 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, which incorporates secondary prevention services for New Parent Support families and maltreatment cases, when applicable.

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. Provide FAN services 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 Office of Primary Responsibility (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, Appendix O.

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 for

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:

2.1.4.14.1 Entry of NPSP client, assessment tool and case

information into the FAPNET automated record system

2.1.14.2 Entry of NPSP data into the FAPNET automated record

system in accordance with AF FAP 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 and submit to HQ AFMOA 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 clinical discussions and recommendations, much like taking minutes for the meeting. Print CCS note for the FAP record, review and obtain providers signature.

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 maltreatment records and complete forms, 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 research, manage and provide data to FAP staff personnel. 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:

2.1.5.8.1 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

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

2.1.5.8.3 Assist the FAOM with the development of the FAPAP

2.1.5.8.4 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. Coordinate Outreach and community prevention activities 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

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, the FAPA shall create a contact note in the “contact notes‟ section in the NPSP module in FAPNET.

2.1.6 Basic Life Support Certification: At a minimum, all FAP personnel working within an MTF must maintain current certification in either the American Heart Association Basic Life Support Course (BLS) (Course C) or the American Red Cross Cardiopulmonary Resuscitation (CPR)/BLS (Heart Saver) Course. Initial training may be obtained either from the MTF within 30-days of arrival, or in the community (at no cost to the Government). The Government may also offer refresher training for contract FAPs on a space available basis. If trained within the facility, the time will not be billable to the Government. The Government will not pay for recertification training obtained outside the MTF.

2.1.7 Health Requirements: In accordance with AFI 48-105 SURVEILLANCE, PREVENTION, AND CONTROL OF DISEASES AND CONDITIONS OF

PUBLIC HEALTH OR MILITARY SIGNIFICANCE, all FAP personnel shall follow the methods for controlling a preventable disease as described in the American Public Health Association publication, Control of Communicable Disease Manual, and the Centers for Disease Control and Prevention (CDC) publication, Morbidity and Mortality Weekly Report, and its supplements. Where applicable, the most recent guidelines from these publications are utilized as the standard. (NOTE:

The Program Coordinator is exempt, as this individual is not located in a MTF)

2.1.7.1 Before starting work, FAP personnel working with MTFs shall provide proof of immunization from the following diseases according to CDC guidelines: Hepatitis B, measles, mumps, rubella, varicella, and influenza, and proof of a negative TB skin test (completed within the past 12 months (if positive, proof of negative chest X-ray within the past 12 months) prior to start of work). After start of work, the Government will provide post blood borne exposure protocols according to applicable AFIs.

2.1.7.2 In those areas where there is a higher risk of transmission of tuberculosis, FAP personnel may be tested as frequently as directed by the MTF policy. The MTF will provide this test.

2.1.7.3 Immunization information for all FAP personnel is tracked in DoD computer systems.

2.1.7.4 The MTF will not perform medical tests or procedures required by the contract (with the exception of Tuberculosis testing after start of work and exposure; see PWS 2.1.7.2). Expenses for all required tests and procedures shall be borne by the Contractor, not the Government.

2.1.7.5 Annual influenza vaccination is strongly encouraged for FAP personnel working in an MTF. The Government will NOT provide this vaccine to FAP personnel. The Contractor covers the cost of this vaccination, not the Government.

2.2 GENERAL REQUIREMENTS:

2.2.1 CP shall perform all position responsibilities under the supervision of the local FAO. As applicable, all CP 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:

2.2.1.1 Family Advocacy Treatment Manager (FATM) or Family Advocacy Intervention Specialist (FAIS) must be a U.S. licensed clinical Social Worker

2.2.1.1.1 Education: Master’s degree from a Council on Social Work Education (CSWE) accredited school.

2.2.1.1.2 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. To perform as the FAIS, 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.

2.2.1.2 Family Advocacy Outreach Manager (FAOM): A U.S licensed master social worker. Any level of licensure is acceptable: independent clinical counseling experience is not required. FAOMs will not be credentialed in the

MTF:

2.2.1.2.1 Education: Master’s degree from a CSWE accredited school

2.2.1.2.2 Experience: Two years full-time post-master’s degree experience (within the last three years) in 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.

2.2.1.3 Family Advocacy Nurse (FAN): A U.S. licensed RN

2.2.1.3.1 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.

2.2.1.3.2 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.

2.2.1.4 Family Advocacy Program Assistant (FAPA):

2.2.1.4.1 Education: An Associate’s Degree in Education or Teacher Certification Program, Social Behavior, Human Behavior or Health Care.

2.2.1.4.2 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.

2.2.2 Contractors 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. CP 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. CP must include the word “contractor” in their signature block for all electronic and hard copy correspondence.

2.2.3. English Language Requirement: All CP shall read, understand, speak, and write English fluently.

2.2.4 CP shall comply with DoD Directive 8570.1M, Information Assurance Workforce Improvement Program, 25 Feb 2010, change 2, DoD Instruction 8500- 2, Information Assurance Implementation DoD Instruction 5400-11, DoD Privacy Program, and DoD Instruction 5200-2-R, Personnel Security Program Requirements.

2.2.5 Contractor shall be responsible for ensuring personnel security to include meeting the following requirements:

2.2.5.1 Initiate, maintain, and document minimum personnel security investigations appropriate to the individual’s responsibilities and access to DoD Sensitive Information (SI).

2.2.5.2 Immediately report any security issues to the COR or next person in the FAP chain-of-command.

2.2.5.3 The contractor employer shall advise their employees that a favorable report verified through JPAS is required as a condition of employment While the MTF commander may allow FAP personnel temporary or interim access to Government computer systems in non-sensitive positions pending the outcome of the NACI, this contract requires the immediate removal of FAP Personnel if the NACI investigation results in an unfavorable or denied adjudication. In addition, the Government will immediately suspend any FAP members personnel computer access if the NACI is returned with an adjudication of “no determination made.” The MTF commander will determine whether to allow the FAP personnel to continue in the public trust position or deny computer access, which requires the removal of FAP personnel from the position.

2.2.6 Physical Security: The Contractor shall be accountable for control of Government property IAW AFJI 31-102, Physical Security. The Contractor is also responsible for the protection of any contractor-owned equipment or supplies brought onto the installation IAW AFJI 31-102. Further, the Contractor shall not remove any Government property from the installation.

2.2.7 Installation Entry: The Contractor will comply with established security procedures for entering the installation and its facilities to include any special security procedures established for entry to Restricted Areas or mission essential or vulnerable areas.

2.2.8 Denial of Entry: The Government reserves the right to terminate entry of any contractor employee upon disclosure of information that indicates the individual’s continued entry to the installation is not in the best interest of the national security. Additionally, violation of or deviation from established security procedures by contractor employees may result in confiscation of identification media and denial of future entry to the installation. CP that present a hazard or disruption to the installation, community, workplace, or mission may be denied entry.

2.2.9 Conduct of CP:

a. CP will be required to observe government facility parking, safety, and traffic regulations that apply to all facility employees.

b. Alcoholic beverages on the job are prohibited.

c. Do not use loud, profane, or abusive language used on the job.

d. CP shall wear neat, clean business attire and present a neat well-groomed appearance.

2.2.10 Contractor shall ensure that all CP comply with requirements to obtain the required security investigations as prescribed by DoD 5200.2R, DoD Personnel Security Program, based upon the representative’s responsibilities and access to sensitive, but unclassified information. All CP having access to system processing, storing, or transmitting of sensitive but unclassified medical information shall be classified as ADP I, ADP II, ADP III in accordance with, DoD 5200.2R as dictated by their level of responsibility. All CP working on this contract must have a satisfactory NACI check completed. Obtain applicable forms from the Security Manager or COR. CP shall not disclose, share, or otherwise make public any network passwords or any information contained in government information management systems to which CP have been granted access.

2.2.11 Network Access: The CP, with a valid NACI verified through the Automated Security Clearance Approval Systems (ASCAS) roster or validation from the on-site Contractor’s security manager, shall be provided access to the government unclassified computer networks and their inherent capabilities including, but not limited to: Internet access, electronic mail, file and print services, and dial-in network access. The CP shall be held accountable for all actions that he or she initiates while on the network and shall conduct his or her business in accordance with all AF and local base instructions, manuals, and policies. Any conduct that does not adhere to sound or just network usage as stipulated in official guidance will cause revocation of all network privileges.

2.2.12 Secure Internet: Not Required

2.2.13 Non-disclosure Agreement: Contractor shall provide signed Non-disclosure agreements to the COR for each CP no later than five (5) work days after contract award (A sample NDA is provided at Appendix D).

2.2.14 Not used

2.2.15 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 Contractor Program Manager (CPM). The Contractor shall include in the designation letter any limitations on the CPM’s ability to bind the Contractor to changes/modifications in the contract.

Forward changes to the CPM designation to the CO and AFMOA/SGHW within 10 working days. The CPM shall coordinate with the Government Contracting Officer’s Representative (COR) to remedy any Corrective Action Reports (CAR) issued by the CO. Responses to CARs will be reviewed for adequacy, acceptability, and timeliness. The CPM shall notify the COR of all performance issues beyond the Contractor’s control. Refer unresolved problems to the CO.

The Contractor shall promptly remove any CP the CO deems inappropriate for performance or whom the Government has lost confidence in their ability to perform satisfactorily.

2.2.16 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 COR and CO. 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) 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 COR.

2.2.17 Not Used

2.2.18 Contractor shall staff all regional duty locations IAW FAP CONUS (WEST) PERSONNEL REQUIREMENTS AND LOCATIONS table illustrated in Appendix A of this PWS. The Contractor shall provide installation support at the designated USAF FAP CONUS (WEST) locations as identified in each Task Order (TO) awarded under this contract. Contractor shall ensure each FAP position at each location is manned throughout the Period of Performance.

2.2.19 Contractor shall submit a Staffing report to the COR by the 15th calendar day of each month (Deliverable 1). 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.

2.2.20 Contract labor vacancies shall not extend beyond 60 calendar days total for each position at each location. The calendar day count will begin on the date of official notice from the Government that the FAP position is vacant.

Contractor will not invoice for and Government will not pay for any positions during the time those positions are vacant.

Note: The 60 calendar day allowance is to allot time to the contractor to fill the positions. The contractor will not be paid for positions that are vacant.

Failure to fill the positions within the allotted time may result in adverse contract actions.

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

2.2.22 Personnel Removal: The Government retains the right to request removal of CP, regardless of prior clearance or adjudication status. The Contractor shall notify the COR and CO within 24 hours, when for reasons of personnel resignation, reassignment, termination, or completion of portions of the contract, named CP no longer require access to Government computers, Government furnished equipment (GFE), and facility access. CP that present a hazard or disruption to the installation, community, workplace, or mission shall be denied entry.

2.2.23 Hiring of prospective CP shall be coordinated…