PSA-16-R-0012_-_Solicitation_Document_-_Substance_Use_Disorder_Treatment_Services.pdf

PSA-16-R-0012

TABLE OF CONTENTS

SECTION TITLE PAGES

P A R T I - THE SCHEDULE

Section A Solicitation, Offer, and Contract Award Form.......................................... A-1

Section B Supplies or Services and Prices/Costs ...................................................... B-1

Section C Description/Specifications/Statement of Work......................................... C-1

Section D Packaging and Marking ............................................................................ D-1

Section E Inspection and Acceptance ....................................................................... E-1

Section F Deliveries or Performance ........................................................................ F-1

Section G Contract Administration Data .................................................................. G-1

Section H Special Contract Requirements ................................................................ H-1

P A R T I I - CONTRACT CLAUSES

Section I Contract Clauses ....................................................................................... I-1

P A R T I I I - DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

Section J List of Attachments ………………………............................................ J-1

P A R T I V - REPRESENTATIONS AND INSTRUCTIONS

Section K Representations and Certification ……………........................................ K-1

Section L Instructions, Conditions and Notices to Offerors ...………….................. L-1

Section M Evaluation Factors for Award ....………….............................................. M-1

P A R T I - THE SCHEDULE

Section A Solicitation, Offer, and Contract Award Form

RESERVED

Section B Supplies or Services and Prices/Costs

The Pretrial Services Agency for the District of Columbia (PSA) is a federal independent entity within the

Court Services and Offender Supervision Agency (CSOSA). PSA has served the Nation’s Capital for more than 45 years. The Agency assists judicial officers in both the Superior Court of the District of

Columbia and the United States District Court for the District of Columbia in formulating release recommendations and providing supervision and services to defendants awaiting trial that reasonably assure that those on conditional release return to court and do not engage in criminal activity. PSA has long been a leader in the D.C. criminal justice system and has been recognized nationally for its pretrial drug testing and innovative supervision and treatment programs.

PSA is mandated to provide or facilitate assessments and/or treatment services to persons ordered to undergo such services as part of either pretrial [or post-sentence supervision]. These persons may be dually diagnosed with both mental health and substance dependence issues and may include persons of varying cultural backgrounds, who may be non-English speaking, e.g., Spanish.

The Government anticipates awarding multiple fixed price contract(s) for all services with exception of the on-site consulting sessions, which will be awarded on a labor-hour basis. The Government reserves the right to make multiple contract award(s) for the required services. The successful contractor(s) will be selected using a best value approach. The Government will award multiple awards resulting from the solicitation to the responsive and responsible offeror(s) whose proposal confirms to the solicitation and is most advantageous to the Government.

All services shall be provided in accordance with relevant Federal standards as well as the applicable D.C.

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 (SOW). 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.

This announcement is open to all businesses, regardless of size. The primary NAICS code is 623220, Residential Mental Health and Substance Use Disorder Facilities, with a small business size of $6.0

Million. If a large business is selected for award, the company must comply with FAR 52.219-9 regarding the requirement for a subcontracting plan, or the portion of the work, it intends to subcontract.

Communications with large businesses will include goals for any planned subcontracting, expressed in percentages of total subcontracting dollars for the use of small business, veteran-owned small business, service-disabled veteran-owned small business, HUBZone small business, small disadvantaged business, and women-owned small business concerns as subcontractors. If other than a small business is selected for award then the solicitation requires the submission of a Small Business Plan within the technical proposal volume. If a company is a small business then a Small Business Plan is not required.

To be able to conduct business with the Government and be eligible for contract award, interested offerors must be registered in the System for Award Management (SAM) at https://www.sam.gov.

All responsible offerors will be required to submit a timely received written proposal via email in response to the solicitation to a Point of Contact email address in the solicitation document.

It is anticipated that contract award(s) will be made on or before April 01, 2016.

This Solicitation/Request for Proposals does not commit the Government to pay for the preparation and submission of a proposal.

The Offeror’s proposal must be valid for at least 90 days from the solicitation due date.

To be considered for award, the Offeror shall submit complete line item pricing schedule for all necessary services based on the herein Statement of Work and the entire anticipated contract Period of Performance of One (1) Base Year and each of the Four (4) Option Years.

Refer to Part IV / Section L of the Solicitation regarding submission of Technical Proposal Volume

Instructions.

Refer to Part IV / Section L of the Solicitation regarding submission of Price Proposal Volume

Instructions.

Monthly estimated quantities indicated in the solicitation represent the total potential monthly quantities that may be ordered by the Government for a particular service and are estimates only. Estimated quantities in the solicitation do not bind the Government to meet or order these estimates. If multiple awards are issued, the estimated needs will be distributed among all awardees depending on the needs of the PSA at that particular time and contractor capabilities and capacities.

The anticipated resultant award period of performance will be:

Base Year: April 01, 2016 through March 31, 2017

Option Year 1: April 01, 2017 through March 31, 2018

Option Year 2: April 01, 2018 through March 31, 2019

Option Year 3: April 01, 2020 through March 31, 2021

Option Year 4: April 01, 2022 through March 31, 2023

Pre-Proposal Conference Information – reference Section H of solicitation.

https://www.sam.gov/

Estimated Quantities for the One (1) Base Year and Four (4) Option Years for the primary treatment services modalities are as follows:

Intensive Outpatient Treatment

CONTRACT QUANTITY

(CLIENTS PER MONTH)

UNIT PRICE EXTENDED PRICE

Base Year 6

Option Year 1 6

Option Year 2 6

Option Year 3 6

Option Year 4 6

Residential Treatment – Clinically Managed High-Intensity Services

(CLIENTS PER MONTH)

UNIT PRICE EXTENDED PRICE

Base Year 25

Option Year 1 25

Option Year 2 25

Option Year 3 25

Option Year 4 25

Transitional Housing – Clinically Managed Low Intensity Residential Treatment

(CLIENTS PER MONTH)

UNIT PRICE EXTENDED PRICE

Base Year 4

Option Year 1 4

Option Year 2 4

Option Year 3 4

Option Year 4 4

On-Site Group Counseling Sessions

(HOURS PER MONTH)

UNIT PRICE EXTENDED PRICE

Base Year 221

Option Year 1 221

Option Year 2 221

Option Year 3 221

Option Year 4 221

Section C Description/Specifications/Statement of Work

PRETRIAL SERVICES AGENCY FOR THE DISTRICT OF COLUMBIA

STATEMENT OF WORK

SUBSTANCE USE DISORDER 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 substance use disorder treatment services; social detoxification; and/or transitional housing in accordance with the certification requirements specified herein (Reference Section 3).

2. Agency Background

2.1. The Pretrial Services Agency for the District of Columbia (PSA or Government) is a federally funded supervision agency for defendants who have been charged with criminal offenses and are awaiting disposition of their cases in either the Superior Court of the District of

Columbia (D.C.) or the United States District Court for the District of Columbia. Pretrial

Services Agency is an independent entity within the Court Services and Offender Supervision

Agency (CSOSA). CSOSA is primarily responsible for providing community supervision to offenders who have been placed on probation, parole, or supervised release.

2.2. PSA 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 use related disorders and may include special defendant populations who are medically unstable or who have hearing and physical impairments or limited English proficiency.

3. Certification/License & Practice Requirements

3.1. The Contractor shall maintain certification/license for the entire period of performance of the contract, for all substance abuse facilities and programs used under this contract through the appropriate state or jurisdiction where the treatment program operates.

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 District of Columbia, Department of Consumer and Regulatory Affairs

3.1.3. The District of Columbia Department of Behavioral Health (DBH), 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. Certification/license shall be maintained throughout the contract period of performance and shall comply with any subsequent revisions or additions to the certification/license standards for all substance use disorder programs.

3.3. All services shall be provided in accordance with relevant Federal standards as well as the applicable D.C. 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 (SOW). 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. Contractors shall submit, to the Contracting Officer (CO), all certifications, and licenses, herein listed included with their proposal.

3.5 After award, the successful offeror shall provide copies of all certifications/licenses changes, to the Contracting Officer’s Representative (COR) and Contracting Officer (CO) to the

Government within 30 days of the change or revision.

4. Personnel

4.1. Contractor’s staff providing clinical services to defendants shall be licensed or certified to provide substance use disorder or co-occurring substance related and mental health services. The Contractor’s staff shall receive regular clinical supervision. The Clinical

Supervisor must possess, at minimum, a Master’s Degree from an accredited educational institution (as determined by the U.S. Department of Education http://ope.ed.gov/accreditation/ web site) in a social services related field ; be certified or licensed; and have documented experience as a clinical supervisor for a minimum of two years. Resumes of key personnel shall be included with the proposal submission.

4.2. The Contractor shall ensure that all contract staff (clinical, non-clinical, and consultants) have no: record of felony conviction within the past 5 years; 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 CO or COR 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 CO or COR within 48 hours of any change in status.

4.3. The Contractor shall maintain documentation that staff providing clinical services possess the appropriate license/certification and training necessary to perform clinical duties as required by the D.C. Department of Health Certification Standards for Substance Use Disorder

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 CO or COR.

4.4. The Contractor shall ensure that all staff having direct contact with defendants served under this SOW are knowledgeable of PSA contract requirements and that a copy of this

Statement of Work (SOW) is available for their review.

http://ope.ed.gov/accreditation/

4.5. The Contractor’s staff shall avoid ethically inappropriate interactions, transactions or relationships with defendants being treated under this contract. Notification to PSA of any personal relationships that might exist between the contractors (and staff) and defendants shall be required. The Contractor shall immediately report by telephone and in writing any improprieties or the appearance of any impropriety to the COR, as soon as possible, after the incident but not later than one business day by telephone and two business days in writing.

Upon resolution of the incident, the contractor shall notify the COR 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 use disorder assessment tool; the current editions of the American Society of Addiction Medicine

Criteria, Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions, (ASAM Third Edition, 2013) and the Diagnostic and Statistical Manual of Mental Disorders

(DSM-5); 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 (12) Steps of Alcoholics Anonymous and/or similar organizations.

However, the Contractor shall not deny admission to nor otherwise penalize defendants who object to participation in 12 Step-related activities due to its spiritual content. Instead, if mutual help support groups are a program requirement, then a secular alternative must be provided [by the Contractor – or simply identified by the Contractor?].

5.1.2. The Contractor may allow defendants voluntary access to on-site spiritual 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 Criteria (Third Edition, 2013), all treatment programs must be Co-Occurring 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—as well as relapse and recovery environment issues—through individual and group program content.

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 or jurisdictional certification standards and ASAM Criteria (Third Edition, 2013). Treatment plans shall be made available to the COR or designated PSO.

5.4. The Contractor shall coordinate, cooperate, and work with Pretrial Services Officers

(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 during the Contractor’s business hours to intercept calls is not acceptable.

5.6. The Contractor shall administer random urinalysis and breathalyzer tests to all defendants 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 (with a cc: to the COR), or any available PSO (if the assigned PSO or supervisor is not available) by telephone within one (1) business day and in writing within two (2) 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 COR within one (1) 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 the defendant’s 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 (with a cc: to the COR), 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 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 the following locations in Washington, DC: D.C. Superior Court, 500 Indiana Avenue NW, PSA, 633/300/601 Indiana

Avenue NW, D.C. Jail, APRA Administration Offices at, 64 New York Avenue, NE, APRA

Assessment and Referral Center at 64 New York Avenue, NE, CSOSA Re-Entry and Sanction

Center, 1900 Massachusetts Avenue, SE any D.C. area detoxification facility, other D.C. area residential treatment programs, or any D.C. area halfway house. The Contractor shall provide round trip transportation from the Contractor’s facility to the defendant’s court appointments at the D.C. Superior Court located at 500 Indiana Avenue NW or the D.C. District Court located at 333 Constitution Avenue NW. 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 with disabilities requiring wheel chairs, scooters, or similar devices for mobility.

5.8.1 When a defendant leaves the Contractor’s program against medical/clinical advice, the

Contractor shall notify the PSO and the PSO’s supervisor by telephone immediately and provide written notification within one (1) business day.

5.8.2. The Contractor shall report unusual incidents to the PSO and the COR as soon as possible, not later than within one (1) business day by telephone and in writing within two (2) 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 media/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.

5.8.3. 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 and the

PSO’s supervisor, by telephone, as soon as the defendant is removed and notify in writing within one (1) business day.

5.8.4. 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.

5.8.5. 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 Representative (COR) 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 COR to determine when PSA-funded treatment must terminate.

5.8.6. If a defendant’s criminal charge(s) 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 COR 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.

j) Policies and Procedures for measuring program outcomes

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

COR 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

COR, and as long as such care is deemed safe by the Contractor.

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 COR.

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

2 and the D.C. Mental Health Information Act, as applicable. 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 at all times the 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 COR 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 COR as involved in the supervision of the defendant. A treatment 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 treatment 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 documents shall be made available to the Contractor upon request.

6.7. For On-Site Counseling, the Government will provide appropriate space to store on-site service notes.

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.

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. Intensive Outpatient Treatment – ASAM LEVEL 2.1

9.1. The Contractor shall provide Level 2.1 Intensive Outpatient Treatment to substance use disordered, addicted, and dually diagnosed defendants in accordance with criteria outlined in the ASAM (Third Edition, 2013) and relevant state certification standards.

9.1.1. The Contractor shall not refuse to admit defendants into 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. 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 to the assigned PSO.

10. Residential Treatment - LEVEL 3.5 – Clinically-Managed High-Intensity

Services (Adult Criteria)

10.1. The Contractor shall provide Level 3.5 clinically managed high-intensity residential treatment to substance addicted and dually diagnosed defendants in accordance with criteria outlined in the ASAM (Third Edition, 2013) and relevant state/jurisdictional certification standards.

10.1.1. Contractor shall provide Level 3.2-WM Clinically-Managed Residential

Withdrawal Management (social detox) to defendants to whom this is appropriate. This service is to be provided as a component of Level 3.5 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.

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 DBH/APRA Administration Offices at 64 New York Avenue, NE, Washington, D.C, DBH/APRA Assessment and Referral Center, 64 New York Avenue, NE, Washington, D.C., CSOSA Re-Entry and Sanction Center located at 1900 Massachusetts

Avenue, SE and any DC area detoxification facility, other DC area residential treatment programs, or and DC area halfway house. The Contractor shall provide round trip transportation form the Contractor’s facility to the defendant’s court appointments at the D.C

Superior court located at 500 Indiana avenue NW, or the D.C. District Court located at 333

Constitution Avenue NW. If requested the Contractor shall transport the defendant from the

Contractors’ facility to one of the above referenced locations following discharge form treatment. All transportation referenced in this section must include accommodation of defendants who require wheel chairs, 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. All programs must adhere to the staffing patterns that are required by appropriate state licensing body where the treatment program operates.

11. ASAM Level 3.1 – Clinically-Managed Low Intensity Residential Treatment

(Transitional Housing)

11.1. The Contractor shall provide Level 3.1 Clinically-Managed Low Intensity Residential

Treatment (Transitional Housing) as defined in ASAM (Third Edition, 2013) in 30-day increments for up to 60 days.

11.2. The Contractor shall provide three (3) 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 Superior Court of DC located at 500 Indiana Avenue NW, PSA located at 633/300/601 Indiana Avenue NW, DC Jail, APRA, any DC DBH/APRA Administration Offices at 64 New York Avenue, NE, DBH/APRA

Assessment and Referral Center, 64 New York Avenue, NE, CSOSA Re-Entry and Sanction

Center located at 1900 Massachusetts Avenue, SE and any DC area detoxification facility, other

DC area residential treatment programs, or and DC area halfway house. The Contractor shall provide round trip transportation form the Contractor’s facility to the defendant’s court appointments at the D.C Superior court located at 500 Indiana avenue NW, or the U.S. District

Court for DC located at 333 Constitution Avenue NW. If requested the Contractor shall transport the defendant from the contractor’s facility to one of the above referenced locations following discharge form treatment. All transportation referenced in this section must include accommodation of defendants who require wheel chairs, or similar devices for mobility.

11.4. Prior to the defendant 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 five (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 – PSA STARS – IOP Program

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

12.2. The Contractor shall facilitate treatment group sessions on Monday, Wednesday and Thursday, 9:00 a.m. to 12:00 p.m., 1:00 p.m. to 4:00 p.m. and 6:00 p.m. to 9:00 p.m. and

Tuesday from 1:00 p.m. to 4:00 p.m. Redirection groups on Tuesday from 10:00 a.m. to 12:00 p.m. and on Thursday from 5:00 p.m. to 7:00 p.m.

12.3. 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.

12.4. Days, times, and the exact number of sessions to be conducted will be specified by the Contracting Officer’s Representative (COR) and subject to funding available on the contract at the time. The Contractor shall notify the Contracting Officer and COR if the number of sessions scheduled will exceed funds available on the contract. In such event, the

Contractor must obtain written approval, by the Contracting Officer, prior to proceeding.

12.5. The Contractor shall serve the number of defendants placed by the Government in on-site group counseling sessions at any one time. The Contractor shall be responsible for providing sufficient personnel to conduct multiple, concurrent groups required by defendant demand. The Contractor shall also be responsible for providing replacement personnel when one of their employees is on leave or absent.

12.6. 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.

12.7. 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).

12.8. The Contractor shall maintain attendance information and provide that information to the Government after each group or individual session. The Contractor will use PSA electronic systems to document attendance and progress.

12.9. The Contractor shall provide brief group progress note at the end of each group day.

The group progress note shall summarize the content of each group for that day as well as a separate individual note if there were noteworthy incidents or participation specific to a participant.

12.10. The Contractor shall conduct the therapeutic intervention(s) designated by the

Government. The Contractor, if requested, shall assist PSA in developing and implementing 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. 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, Gender Specific Groups, Motivational Enhancement Therapy and Alive and

Well and Life Skills.

12.12 The Contractor’s staff providing clinical services to defendants shall be licensed or certified to provide substance use disorder services. Resumes of key personnel shall be included with the proposal submission.

12.13. The Contractor is required to report 15 minutes before each group to print rosters and prepare curriculum. The Contractor shall prepare the group room and allow defendants admission not later than 10 minutes before the beginning of each group to assure a timely start to the clinical session.

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 Pretrial Services Agency for DC 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 conducted in Spanish, group therapy conducted in Spanish, and case management services conducted in Spanish, e.g., documents, treatment plans, assessments, discharge summaries, etc. The cultural component will consist of immigration/legal assistance, family counseling, assimilation into American society/culture, separation anxiety (familial and cultural), English as a second language (ESL) and literacy instruction, job readiness, life skills, domestic violence, anger management, and gender specific groups, e.g., men’s groups and women’s groups. The Contractor shall provide all modalities of treatment (IOP, Residential, and

Transitional Housing) that are offered in English to English speaking defendants in Spanish to those Spanish-speaking limited-English proficient.

13.2. Medication-Assisted Treatment: 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 medications approved by the Federal Drug

Administration (FDA) for the treatment of substance use related disorders. To date this includes: the opioid-agonist methadone, the partial opioid-agonist buprenorphine, and the opioid-antagonist naltrexone (ReVia®, Vivitrol®, Depade®), Disulfiram (Antabuse®), and

Acamprosate Calcium (Campral®).

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, and 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, Motivational 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.

13.6. Lesbian, Gay, Bisexual, Transgendered (LGBT) Focused Treatment: Such services may include, but are not limited to LGBT-appropriate sleeping, bathing, and restroom facilities, as well as specialized interventions and staff to engage and assist this population whose presenting issues may include, in addition to substance abuse, sexual orientation and gender identity difficulties, family of origin/family of choice matters, discrimination and…