PSA-10-RFP-0001_Attachment 1_Statement of Work_20101118.pdf

PSA-10-RFP-0001

ATTACHMENT 1

DISTRICT OF COLUMBIA PRETRIAL SERVICES AGENCY

TREATMENT SERVICES

1. Scope of Work The Contractor shall provide all facilities, labor, material and equipment, except that listed as Government Furnished, to provide residential, intensive outpatient and/or out-patient substance abuse treatment services; social detoxification; and/or transitional housing in accordance with the certification requirements specified herein (Reference Section 3.3).

2. Agency Background

2.1. The District of Columbia (DC) Pretrial Services Agency (PSA) is a federally funded supervision agency for defendants who are released into the community while awaiting disposition of their case in either the Superior Court or U.S. District Court. Pretrial Services is an independent entity under the umbrella of the Court Services and Offender Supervision Agency (CSOSA). CSOSA is primarily responsible for providing community supervision to offenders who have been placed on probation or released on parole. PSA works closely with CSOSA to ensure that the quality of community supervision provided to all defendants in the DC criminal justice system complies with federal supervision standards.

2.2. PSA (hereafter referred to as the Government) provides treatment services for defendants released under PSA supervision who are assessed to require such services. Such defendants may have been ordered to participate in treatment as a condition of pretrial release. These persons (hereafter referred to as defendants) may have single or co-occurring mental health and substance related disorders and may include special defendant populations who are minorities, medically unstable, or who have hearing and physical impairments or limited English proficiency.

3. Certification/Accreditation & Practice Requirements

3.1. The Contractor shall maintain accreditation/certification and/ or licensure (hereafter referred to as “accreditation”) for all substance abuse facilities and programs used under this contract through the appropriate state or jurisdiction where the treatment program resides. This includes the following:

3.1.1. The State of Maryland, Department of Health and Mental Hygiene Alcohol and Drug Abuse Administration (ADAA)

3.1.2. The DC, Department of Consumer and Regulatory Affairs

3.1.3. The DC Department of Health, Addiction Prevention and Recovery Administration(APRA)

3.1.4. The Commonwealth of Virginia, Department of Mental Health, Mental Retardation and Substance Abuse Services, Office of Substance Abuse Services (OSAS)

3.2. Accreditation shall be maintained throughout the contract period of performance and shall comply with any subsequent revisions or additions to the accreditation standards for drug abuse programs.

3.3. All services shall be provided in accordance with relevant Federal standards as well as the applicable DC Certification Standards for Substance Abuse Treatment Facilities and Programs, Code of Maryland Regulations (COMAR), or relevant standards as defined by the OSAS for the Commonwealth of Virginia, based on the location of the treatment facility.

Furthermore, the Contractor shall comply with any and all additional requirements as defined in this statement of work. In the event of a conflict between the listed standards and this statement of work, services shall be provided in accordance with the most stringent requirements.

3.4. The Contractor shall make available to the contracting officer or Contracting Officer’s Technical Representative (COTR) all certifications, accreditations and licensures herein listed.

4. Personnel

4.1. Contractor staff providing clinical services to defendants shall be licensed or certified to provide substance or co-occurring substance related and mental health services. The Contractor’s staff shall receive regular clinical supervision. The Clinical Supervisor must possess at least a four-year degree in a social services related field; be certified or licensed as described above; and have documented experience as a clinical supervisor.

4.2. The Contractor shall ensure that all contract staff (clinical, non-clinical, and consultants) has no record of felony convictions, current pending criminal cases, or criminal court supervision in the past five years. The Contractor shall provide a list of all employees working with PSA defendants to the contracting officer accompanied by proof of the favorable background clearance documentation. This list shall be current at all times. Any changes to the list shall be provided to the contracting officer within 48 hours of any change in status.

4.3. The Contractor shall maintain documentation that staff providing clinical services possess the appropriate licensure/certification and training necessary to perform clinical duties as required by the DC Department of Health Certification Standards for Substance Abuse Treatment Facilities and Programs or prevailing standards in Maryland and Virginia (hereafter referred to as the relevant state certification standards). The Contractor shall provide certification documentation for review upon the request of the contracting officer or COTR.

4.4. The Contractor shall ensure that all staff having direct contact with Government defendants is knowledgeable of PSA contract requirements and that a copy of the Statement of Work is available for their review.

4.5. The Contractor’s staff shall avoid ethically inappropriate interactions, transactions, or relationships with defendants being treated under this contract. The contractor shall immediately report any improprieties or the appearance of an impropriety to the COTR. Upon resolution of the incident, the contractor shall notify the COTR of the disposition.

5. General Description and Scope of Services

5.1. At a minimum, the Contractor shall provide the core services listed in the relevant state certification standards. The Contractor shall utilize a valid biopsychosocial substance disorder assessment tool; the current editions of the American Society of Addiction Medicine Patient Placement Criteria for the Treatment of Substance-Related Disorders, (ASAM PPC) and the Diagnostic and Statistical Manual of Mental Disorders; and any other assessment, evaluation, or testing tool deemed helpful in developing treatment recommendations and treatment plans.

5.1.1. The Contractor may incorporate mutual help support groups, including those that incorporate the Twelve Steps of Alcoholic Anonymous and/or similar fellowships. However, the

Contractor shall not deny admission to, nor otherwise penalize defendants who object to participation in 12-Step related activities due to its religious content. Instead, if mutual help support groups are a program requirement, then a secular alternative must be provided.

5.1.2. The Contractor may allow defendants voluntary access to on-site religious services, activities, and discussions. However, defendants who choose not to participate in such activities may not be penalized.

5.2. As outlined in the ASAM PPC, all treatment programs must be Dual Diagnosis Capable.

Such programs shall have formal arrangements in place for coordination and collaboration with mental health service providers. They can also provide psychopharmacologic medication monitoring and psychological or psychiatric assessment and consultation, either on-site or through coordinated consultation with off-site providers. Program staff must address the interaction between mental and substance-related disorders and the effect on the patient’s readiness to change.

5.3. The Contractor shall develop treatment plans and plan reviews and document any treatment modification or intervention required to meet the special needs of a defendant. The Contractor shall create and maintain the treatment plans/modifications documentation that supports the treatment enhancement or reduction in the level of care according to relevant state certification standards and ASAM PPC criteria.

5.4. The Contractor shall coordinate, cooperate, and work with PSOs using a team approach for case management and treatment intervention.

5.5. The Contractor shall respond to the inquiries from the Government during the Contractor’s business hours. The Contractor must ensure that the defendant’s primary counselor or designee is available during the Contractor’s business hours. The Contractor’s use of a telephone answering machine to intercept calls is not acceptable.

5.6. The Contractor shall administer random urinalysis and breathalyzer tests to all defendants and when, in the Contractor’s opinion, the defendant displays signs of drug or alcohol use.

When a defendant tests positive for alcohol or illicit substances or is not compliant with other program requirements, the Contractor shall notify the assigned PSO, the PSO’s supervisor, or any available PSO (if the assigned PSO or supervisor is not available) by telephone within one business day and in writing within two business days of the infraction.

5.7. The Contractor shall provide notification to the assigned PSO for all defendants treated under this contract in the following instances:

5.7.1. The Contractor shall confirm with the PSO and COTR within one business day of a defendant’s scheduled admission that the appointment was (or was not) kept, stating the initial type(s) of services assigned to the defendant. Confirmation may be by telephone or in writing.

This does not require defendant consent to disclose.

5.7.2. If a defendant tests positive for alcohol or illicit substances or is not compliant with other major program requirements, the Contractor shall notify the assigned PSO, the PSO’s supervisor, or any available PSO (if the assigned PSO or supervisor is not available) as soon as possible after the infraction but not later than one business day by telephone and two business days in writing.

A positive test result for alcohol or drugs or possession of contraband shall not be grounds for immediate expulsion from the program or facility. The contractor shall first report the incident to the assigned PSO and coordinate the appropriate course of action before a defendant may be expelled from the program, except as exempted in 5.8.2

5.8. When a defendant leaves the Contractor’s program against medical/clinical advice, the Contractor shall notify the PSO by telephone immediately and provide written notification within one business day.

5.8.1. The Contractor shall report unusual incidents to the PSO and the COTR as soon as possible and not later than within one business day by telephone and in writing within two business days. An unusual incident (UI) is a non-routine occurrence that adversely impacts defendants serviced under this contract and/or interrupts their treatment. Examples of UIs include but are not limited to the following:

• Defendant death, serious illness, injury or incapacitation;

• Hospitalization or emergency room visits;

• Unexplained absence of a defendant from a residence or program;

• Defendant criminal charge, arrest, or incarceration;

• Alleged physical, sexual, emotional, or verbal abuse of or by a defendant involving

Contractor staff or other patients;

• Staff negligence or malpractice;

• Fire;

• Theft;

• Destruction or other loss of property;

• Sudden or serious problems in the maintenance of the treatment facility;

• Chronic complaints from defendants’ families or defendants’ themselves;

• Infestations or outbreak of communicable disease;

• Requests for information regarding defendants from the press, attorneys, law enforcement or government officials outside PSA; and

• Defendant behavior requiring an unusual amount of attention from Contractor’s staff not typical for the treatment of the presenting problem.

5.8.2. Except for situations where there is imminent danger to the defendant, Contractor staff, or other patients, the Contractor must consult with the PSO or the assigned PSOs supervisor before removing a defendant from the program for any violation of program rules. When imminent danger is determined and the defendant must be removed from the program prior to consultation with the PSO, the Contractor shall notify the PSO by telephone as soon as that action is taken and in writing within one business day.

5.8.3. The Contractor may not discharge a defendant from treatment or otherwise penalize a defendant if an arrest occurs while the defendant is participating in treatment. The Contractor shall contact the PSO if questions arise regarding whether a defendant’s arrest impacts his or her suitability for continued treatment.

5.8.4. There may be times when the responsibility for supervision of a defendant who is in treatment, must be transferred from PSA to CSOSA. In this event, the Contracting Officer’s Technical Representative (COTR) will provide instructions to the Contractor for the funding transfer without interrupting treatment to the defendant. If the Contractor learns of such a disposition before being contacted by PSA, then the Contractor must contact the COTR to determine when PSA-funded treatment must terminate.

5.8.5. If a defendant’s criminal charges end in dismissal, acquittal or any other disposition that results in the defendant being removed from pretrial or other community supervision, PSA-funded treatment must terminate. If the Contractor learns of such a disposition before being contacted by PSA, the Contractor must contact the COTR to confirm the defendant’s status and terminate PSA-funded treatment if confirmed. The Government will communicate any exceptions to the Contractor in writing.

5.9. The Contractor shall develop and maintain written service policies and procedures for the operation of the treatment program, including:

(a) Policies and procedures regarding any discovery of a medical or mental condition that would inhibit the defendant’s ability to fully participate in treatment, possibly resulting in the defendant’s placement ineligibility.

(b) Safety and security precautions and procedures.

(c) Crisis intervention procedures.

(d) Medical and medical emergency procedures.

(e) Policies governing program rules of conduct and defendants’ rights.

(f) Policies governing personnel issues.

(g) Procedures for addressing defendant non-compliance.

(h) Procedures for investigating and handling defendant grievances.

(i) Procedures for investigating unusual incidents.

5.10. To the extent allowed by relevant laws and regulations, the Contractor shall have the right to refuse to treat any defendant who, after assessment, does not fit the Contractor’s target treatment population, including those who are determined to be too medically or mentally unstable to be treated by the Contractor or who have recurrent medical or other appointments that unduly interfere with treatment. The Contractor shall provide to the COTR and the PSO written justification for any refusal within twenty-four (24) hours of the refusal. However, the Contractor who provides residential services shall provide at least twenty-four (24) hours of room and board for the defendant, if requested by the COTR, and as long as such care is deemed safe by the Contractor.

5.11. The Contractor shall immediately accept the number of defendants that are referred by PSA officials at any time based on the number of dedicated treatment slots procured by and reserved for the Government. These slots must remain vacant unless occupied by a PSA referred defendant and shall be invoiced whether filled or not. Referrals occurring in the last month of the contract shall continue at the same contract rate through the completion of the treatment plan unless otherwise notified by the Contracting Officer.

5.11.1. If the Government requests to procure slots not dedicated for Government use, the Contractor shall render a placement decision within 24 hours of the request.

6. Defendant Records

6.1. The Contractor shall establish and maintain complete and current defendant records. The records shall document care provided and shall be kept confidential in a secure space where access is limited to staff providing clinical and supervisory services within the facility.

6.2. The Contractor shall provide (a) up-to-date clinical information (e.g. assessment and evaluation information, treatment plans, treatment plan reviews, monthly status reports, discharge summaries, et cetera) and (b) up-to-date statistical information (e.g. Treatment Services Invoice) regarding PSA defendants to the Government upon request.

6.3. Confidential defendant records must be protected from disclosure except as provided below:

6.3.1. The Contractor shall disclose defendant records and discuss defendant treatment with the Government staff identified by the COTR as involved in the supervision of the defendant in an unrestricted manner.

6.3.2. The Contractor shall disclose defendant records only in accordance with 42 C.F.R. Part 2.

Where disclosure is permitted under those regulations, disclose only if disclosure is consistent with the policies and procedures of the Government or other certification authority.

NOTE: The Government agrees to provide any necessary consent forms that federal, state or local law requires.

6.4. The Contractor shall be responsible for the defendant records during the time those records are in the Contractor’s possession. The Contractor shall ensure that all persons having access to or custody of defendant records follow the disclosure and confidentiality requirements of this contract and federal law. These records are property of the Government and shall be submitted to the Government after completion/removal of a defendant from the treatment program.

6.5. The Contractor shall notify the COTR immediately by telephone upon receipt of legal process requiring disclosure of defendant records.

6.6. Each defendant record shall contain, at a minimum:

6.6.1. Chronological progress notes of group and individual sessions with defendant, family members, and collateral contacts; assessments, intake documentation, treatment plans, discharge summary with recommendations, drug testing results, unusual incident reports and other forms documenting treatment activities. Those notes shall be available for auditing by the Government staff identified by the COTR as involved in the supervision of the defendant. A service plan, and any amendments thereto, that identifies treatment services to be provided to the defendant and billed to the Government under the terms of the contract. NOTE: The Contractor shall only provide those services identified in the service plan. The duration and frequency of these services are determined by the contract.

6.6.2. A Monthly Treatment Report that summarizes a defendant’s activities during the month.

This report will indicate defendant progress (i.e., adjustment, responsiveness, significant problems, employment status, et cetera), any appointments or missed appointments and must reflect any changes in the service plan. Also included shall be any urine collection results. This report is to be forwarded to the assigned PSO monthly.

6.6.3. Written authorization to release confidential information to PSA. The defendant must execute/sign this document before treatment commences and before any information regarding a defendant’s treatment progress is released by the Contractor. This does not include notification to the Government when a defendant fails to report for treatment.

6.6.4. A copy of all defendant-specific written communication between the Government and the Contractor, including all information provided at referral.

6.6.5. Any other document required by the Government to be included. Copies of those forms shall be made available to the Contractor upon request.

7. Case Review Conferences

If requested by the Government, the Contractor’s clinical/professional staff shall confer with the PSO in case review conferences to monitor defendant treatment progress. This conference may take place either face-to-face or over the telephone at the discretion of the PSO. Face-to-face conferences shall be conducted at the Contractor’s facility.

8. Contractor Facilities

8.1. All Contractor facilities used in support of this contract shall meet all local/state/federal requirements for zoning, certification as a treatment facility, as well as, fire prevention and overall safety. The facility shall be sanitary, cleaned at least daily, well-maintained, free of infestation, free of debris, appropriately furnished and otherwise suitable for providing treatment services. The Contractor shall maintain documentation that the facility meets all the requirements of the applicable local, state, and federal regulations, including the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and/or Commission on the Accreditation of Rehabilitation Facilities (CARF) as applicable.

8.2. Contractor facilities shall be used exclusively for the delivery of treatment services.

Facilities must provide a separate, contained, non-mingled space at all times for the performance of treatment services as defined in this contract to include separate dining, sleeping, and bathroom space. The use of the space identified in this contract for treating defendants shall not be used to provide halfway house services, group home slots, homeless shelter beds or other non-treatment services.

8.3. The Contractor shall use protocol and technology to minimize the risk of alcohol, drugs, drug paraphernalia, weapons, or other contraband in the facility. Protocol and technology must control access into and out of the facility. Defendants shall not be locked into the facility.

However, protocol and technology shall ensure defendants do not enter or exit without staff knowledge. Entry to the facility by unauthorized individuals shall be prevented or intercepted at all times.

9. Outpatient and Intensive Outpatient Treatment

9.1. The Contractor shall provide Level I Outpatient Treatment and/or Level 11.1 Intensive Outpatient Treatment to substance abusing, addicted, and dually diagnosed defendants in accordance with criteria outlined in the ASAM PPC and relevant state certification standards.

9.1.1. The Contractor shall not refuse to admit defendants for outpatient or intensive outpatient treatment solely because they test positive for illicit substances at placement if these substances have been clinically determined not to require medical detoxification (e.g. cocaine, phencyclidine, marijuana).

9.1.2. If a defendant is evaluated to be in substance-related medical or mental distress (e.g.

cocaine-induced psychosis), the Contractor may deny admission until defendant is medically and mentally stable.

9.2. The Contractor shall make referrals or otherwise ensure that defendants are able to access necessary ancillary services.

9.3. The duration of the program will vary in length for each defendant depending on initial and ongoing assessment, treatment plan progress, program design, and available funding. The typical course of treatment for each defendant shall include (at a minimum) the following:

9.3.1. Outpatient: At a minimum, individual treatment and discharge planning, reporting for sessions at least twice per week for a total of at least six hours per week of group sessions. The frequency of reporting and number of sessions may decrease in the latter phases of treatment based on the treatment plan and the overall program design. The actual duration of the treatment episode shall be individualized and progress-based, but the standard duration shall be at least 12 weeks and not more than 20 weeks. The Contractor may exercise discretion in structuring these sessions on a weekly basis to fit the Program’s scheduling needs.

9.3.2. Intensive Outpatient: At a minimum, individual therapy sessions every two weeks, individual treatment planning and progress sessions, reporting for sessions at least three times per week for a total of at least nine hours per week of group or individual sessions. The frequency of reporting and number of sessions may decrease in the latter phases of treatment based on the treatment plan and the overall program design. The actual duration of the treatment episode shall be individualized and progress-based, but the standard duration shall be at least 12 weeks and not more than 20 weeks. The Contractor may exercise discretion in structuring these sessions on a weekly basis to fit the Program’s scheduling needs.

9.4. The Contractor shall forward attendance information to the Government via email or facsimile each day defendants are scheduled to attend sessions. The attendance report must include the defendants scheduled to attend, those who attended, and those who failed to attend.

9.5. The Contractor shall forward twice monthly summaries of the aggregate number of sessions attended by each referred defendant.

10. Residential Treatment

10.1. The Contractor shall provide Level III.7 clinically managed high-intensity residential treatment to substance addicted and dually diagnosed defendants in accordance with criteria outlined in the ASAM PPC and relevant state certification standards.

10.1.1. Contractor shall provide Level III-D Clinically Managed Residential Detoxification (social detoxification) to defendants for whom this is appropriate. This service is to be provided as a component of Level III.7 residential treatment without additional cost to the Government.

10.1.2. The Contractor shall not refuse to admit defendants for residential treatment solely because they test positive for illicit substances at placement if these substances have been clinically determined not to require medical detoxification (e.g. cocaine, phencyclidine, marijuana). Such defendants are to be treated as outlined in §10.1.1.

10.1.3. If the defendant is evaluated to be in substance-related medical or mental distress (e.g.

cocaine-induced psychosis), the Contractor may deny admission until defendant is medically and mentally stable.

10.2. The duration of the program will vary in length for each defendant depending on initial and ongoing assessment, treatment plan progress, program design, and available funding. In general the scheduled lengths of stay will be in 30 day increments and will usually not exceed 60 days of residential treatment. However, the Contractor or Government may request the length of stay be reduced or extended outside of this range, depending on the defendant’s progress in treatment and other factors. The Contractor shall notify the PSO and the COTR within five (5) business days if the defendant’s counselor recommends a reduction or extension in treatment via the Extension of Treatment Authorization Form (Attachment 2). The Contractor shall make any treatment modification in accordance with relevant state Certification Standards AND

ASAMPPC.

10.3. The Contractor shall not give PSA defendants permission to leave the residential facility without prior coordination and approval of the PSO. Defendants are permitted to participate in group therapeutic outings, such as outside support group meetings, without prior PSO consultation as long as defendants are under the observation of Contractor staff at all times. All overnight trips, even if therapeutic in nature, require PSO approval.

10.4. The Contractor shall transport the defendant from his/her point of origin to the Contractor’s facility at initial placement. Points of origin are limited to DC Superior Court located at 500 Indiana Avenue NW, PSA located at 633/300/601 Indiana Avenue NW, DC Jail, APRA, any DC area detoxification facility, other DC area residential treatment programs, or any DC area halfway house. If requested, the Contractor shall transport the defendant from the Contractor’s facility to one of the above referenced locations following discharge from treatment. All transportation referenced in this section must include accommodation of defendants who require wheel chairs, scooters, or similar devices for mobility.

10.5. The Contractor shall provide nutritionally balanced meals three (3) times per day, and an evening snack, seven (7) days per week.

10.6. The Contractor shall ensure that defendants have access to routine and emergency medical care while in treatment at no additional cost to the Government. This section does not require the Contractor to fund such services. However, it requires that defendants have reasonable access to necessary medical care while in residence. The Contractor is not required to get PSA approval before allowing defendants to leave the facility for emergency care, but must do so for routine care. Notification regarding emergency care is to be disclosed at outlined in §5.8.1

10.7. The Contractor shall ensure that appropriate numbers of qualified personnel are on-site and accessible at all times, 24 hours per day. Qualified clinical personnel must be on-site and accessible at least 16 hours each day, Monday through Friday and at least 8 hours per day on weekend days. If program does not employ clinical personnel during overnight hours, appropriate numbers of support or monitoring personnel must be on-site monitoring defendants’ activities during those hours. When not required to be on-site, clinical personnel must be on-call and available to respond telephonically and in-person if clinical issues requiring immediate attention arise.

11. Transitional Treatment

11.1. The Contractor shall provide Level III.1 Clinically Managed Low Intensity Residential Treatment (Transitional Housing) as defined in ASAM PPC in 30-day increments for up to 60 days.

11.2. The Contractor shall provide two (2) nutritionally balanced meals and an evening snack, seven (7) days per week, in accordance with APRA Certification Standards for Substance Abuse Treatment Facilities and Programs.

11.3. The Contractor shall transport the defendant from his/her point of origin to the Contractor’s facility at initial placement. Points of origin are limited to DC Superior Court located at 500 Indiana Avenue NW, PSA located at 633/300/601 Indiana Avenue NW, DC Jail, APRA, any DC area detoxification facility, other DC area residential treatment programs, or any DC area halfway house.

11.4. Prior to the defendant has completing the transitional program, the Contractor shall provide support services to help the defendant secure low-cost permanent housing.

11.5. The Contractor’s program shall meet all federal, state, and local requirements and shall provide, at a minimum:

11.5.1. Community-based transitional and education services that promote a drug-free lifestyle;

Individual and group counseling sessions of at least 5 hours per week.

11.5.2. Assistance in acquiring stable, permanent employment, including assistance with obtaining GED, employment and computer training.,

11.5.3. Assistance in the reunification of the defendant with his/her children, family, and community.

11.5.4. Relapse prevention, parenting, and other educational services and training to the defendant and his/her family.

12. On-Site Counseling Sessions

12.1. The Contractor shall provide on-site outpatient/intensive outpatient treatment and/or continuing care group counseling and education sessions (hereafter referenced as treatment group sessions) and sanction group sessions to defendants. The Contractor may also be required to conduct individual counseling sessions in lieu of or in addition to group sessions.

12.1.1. The skill level, scope and intensity of work required for the treatment group sessions are anticipated to be equivalent to those required for the sanctions group sessions.

12.2. The Contractor shall facilitate treatment group sessions on Mondays, Wednesdays, and Thursdays from 9:00 am to 12:00 pm and from 1:00 pm to 4:00 pm; and on Tuesdays from 1:00pm to 4:00pm and 6:00pm to 9:00pm.

12.3. The Contractor shall facilitate the sanction group sessions on Tuesdays and Fridays from 5:00 pm to 7:00 pm.

12.4. The individual counseling sessions will be performed at the request of the Government and will generally be performed during days and times outlined for group services above. Any

Government requests for individual sessions during days or times outside of those outlined above will be subject to Contractor availability.

12.5. Days, times, and the exact number of sessions to be conducted will be specified in task orders. The Contractor shall obtain the approval from the Contracting Officer in writing before deviating from the established task order schedule in any way.

12.6. The Contractor shall serve the number of defendants placed by the Government in on-site group counseling sessions at any one time. The Government estimates that groups will range between 10 and 40 defendants per group. The Contractor shall be responsible for providing sufficient personnel to conduct multiple, concurrent groups required by defendant demand.

12.7. The Contractor shall conduct on-site group sessions at PSA offices located at 633 Indiana Avenue, NW. The Government will provide a minimum of five (5) business days notice to the contractor if another DC location will be designated.

12.8. The Contractor shall notify the PSO of problems regarding defendant compliance during the delivery of group counseling, as well as defendant violations of court orders (e.g.

intoxication, drug use, inappropriate behavior, or evidence of physical and/or cognitive impairment that inhibits the defendant’s ability to participate and benefit from group counseling).

12.9. The Contractor shall maintain attendance information and provide that information to the Government after each session.

12.10. The Contractors shall provide group progress notes as required by the Government.

12.11. The Contractor shall conduct the therapeutic intervention(s) designated by the Government. The Contractor shall develop and implement strategies that incorporate into the designated therapeutic intervention(s) educational information specific to criminal justice involved defendants (e.g. counseling education, counseling to improve/enhance court/treatment compliance, criminal thinking, self-help group services, et cetera).

12.11.1. The Contractor providing treatment group sessions shall conduct group-counseling sessions that utilize, but are not limited to the following evidenced-based interventions: The Matrix Model, The Twelve Step Facilitation Program, Relapse Prevention Therapy, Thinking for a Change, SMART Recovery, and Motivational Enhancement Therapy.

12.11.2. The Contractor providing sanction group sessions shall conduct process and didactic groups designed to assist defendants in breaking the cycle of continuing use, recovering from slips and relapses, and/or enhance their readiness to change.

13. Service Enhancements The Government intends to purchase treatment slots on a fair opportunity basis from all contract holders. However, depending on need, the Government may select treatment slots from programs that provide specialized services or target specific populations of particular relevance to PSA defendants.

13.1. Spanish Language and Culturally Specific Treatment: The predominant limited English proficiency population that the DC Pretrial Services Agency serves is Spanish speaking.

Contractors who currently provide both Spanish language and cultural components may respond to this section. The language component will consist of Spanish speaking case managers/therapists, Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) meetings

13.2. Medication Assisted Treatment: Contractors that currently provide medication-assisted therapies as an adjunct to psychosocial treatment may respond to this section. The medication assisted treatment slots that the Government may choose to procure are limited to those that involve antagonist and aversive medications approved by the Federal Drug Administration (FDA) for the treatment of substance related disorders. To date this includes acamprosate, naltrexone, and disulfiram (anatabuse). It excludes agonist/replacement therapies such as methadone and buprenorphine, as well as medications used off-brand to treat addiction, but not specifically FDA approved for such use.

13.3. Wellness/Holistic health focused care: Contractors who augment evidence based practices with program components focusing on wellness/holistic health may respond to this section. Typical components of holistic care emphasize physical, nutritional, environmental, emotional, social, spiritual and lifestyle issues. To qualify these elements must be a substantial component of the treatment offering and the core of the treatment philosophy. Residential providers must incorporate these elements into their milieu, including meals and recreation. In all cases, staffs that specialize in personal wellness and holistic health must be included as employees or on-site contractors. These specialists include health educators, nutritionists, physicians or nurse practitioners who practice holistic medicine, and similar specialties.

13.4. Youthful African American Male (i.e. 18 to 25 year olds): Contractors who specialize in providing treatment services culturally-relevant and specific to African American young adult males may respond to this section. Such services may include, but are not limited to specialized interventions and staff to engage and assist this population whose presenting problems may include, in addition to substance abuse, Amotivational Syndrome, street-related risky behavior (e.g. low level drug dealing, gang activity), employment problems, lack of high school diploma, teen fatherhood issues, trauma-related difficulties, and transitioning to adulthood issues.

13.5. Treatment for the Hearing Impaired: Contractors who currently provide professional treatment services to individuals with varying degrees of hearing impaired may respond to this section. The contractor must employ or contract with personnel skilled in American Sign Language (ASL); have mechanisms for rousing sleeping residents and alerting them to emergencies; and include media (e.g. treatment related DVDs) that include captioning.