Psychological___Counseling_SOW_Amendment_1.pdf

Request for Proposal Solicitation No.

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts 3003 N. Central Ave., Suite 108

Phoenix, AZ 85012

PART 1 of the Solicitation Documents Updated 10/30/2024 12:57:26 PM

Table of Contents Page 1 of 77 1

A v a i l a b l e o n l i n e a t A P P . A Z . g o v

Part 1: Scope, Pricing and Terms and Condition

Table of Contents

Table of Contents

SECTION 1-A: Scope of Work

SECTION 1-B: Pricing

SECTION 1-C: Special Terms and Conditions

SECTION 1-D: Uniform Terms and Conditions https://procure.az.gov/bso/

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 2 of 77 1

A v a i l a b l e o n l i n e a t : A P P . A Z . g o v

SECTION 1-A: Scope of Work

1.0 INTRODUCTION

1.1 The Arizona Department of Child Safety (ADCS) is statutorily responsible for providing services to families whose children are involved with ADCS. ADCS Vision and Mission Statements are:

ADCS Vision: Children thrive in family environments free from abuse and neglect.

ADCS Mission: Successfully engage children, parents, families and the community to ensure safety, strengthen families, and achieve permanency.

1.2 Arizona Department of Juvenile Corrections (ADJC) Vision and Mission

Statements:

ADJC Vision: To be a nationally recognized leader that advances public safety through the rehabilitation of seriously delinquent youth.

ADJC Mission: To rehabilitate the youth in care by providing evidence-based treatment, pro-social activities, education and career training that will lead them to become productive, healthy, law-abiding members of society.

2.0 PURPOSE

2.1 Psychological Services

2.1.1 Inform decisions related to permanency, child living arrangement, or other child protection decisions by responding to specific questions or areas of focus pertaining to parenting capacities or relationships between children and parents or caregivers.

2.1.2 Determine the psychological status and treatment needs of the individual in order to facilitate appropriate intervention;

2.1.3 Identify and recommend intervention for the psychological needs of the individual within the cultural context of the individual, family, and/or group;

2.1.4 Provide consultation at staffings, or case related meetings, or with other appropriate groups upon request;

2.1.5 Provide expert witness testimony.

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 3 of 77 1

2.2 Counseling Services

2.2.1 Identify and treat behavioral, emotional, and mental health needs, as well as co-occurring disorders (COD) of the individual within the cultural context of the individual, family, or group;

2.2.2 Provide a supportive environment to encourage responsibility, improve personal confidence and self-reliance, develop appropriate problem-solving skills, and accept personal/community responsibility;

2.2.3 Identify and treat family needs;

2.2.4 Provide expert witness testimony; and

2.2.5 Provide necessary treatment services that address the therapeutic goals indicated on the Individualized Treatment Plan.

3.0 BACKGROUND INFORMATION

3.1 ADCS is the lead Agency for this Contract. The standards contained in the Scope of Work apply to ADCS and ADJC.

3.2 Services are referral-driven for children, youth/juveniles, families, adults and vulnerable adults, who are receiving services from ADCS and the ADJC

3.3 The Arizona Department of Health Services (ADHS) Division of Behavioral Health Services (DBHS) administers the behavioral health system through Tribal/Regional Behavioral Health Authorities (T/RBHAs). As such, a majority of those placed in the above services may be the treatment responsibility of the T/RBHA. Certain circumstances, such as citizenship status or financial means, may disqualify an individual from being eligible for services funded through the behavioral health system, requiring the referring Department (i.e. ADCS or ADJC) to purchase the service for the referred individual.

DCS may purchase the service through this contract when the purpose is to inform decisions related to permanency, child living arrangement, or other child protection decisions such that a qualified provider with experience in evaluations for child protection is necessary

4.0 LEGAL AUTHORITY

State: Arizona Revised Statutes (A.R.S.) § 8-453 (or as may be amended) authorizes ADCS to make contracts and incur obligations within the general scope of its activities and operations subject to the availability of funds; A.R.S. §46-134 to provide the cost of care of children who are adjudicated by the court as dependent and who are in out of home placement; and A.R.S. § 8-846 to provide services to children and families.

Arizona Constitution, Article 28 and C.F.R. Section 80.3 (b)is the state law governing limited English proficiency.

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 4 of 77 1

Federal: The Preventing Sex Trafficking and Strengthening Families Act of 3014 (P.L.113-183) limits the use of Another Planned Permanent Living Arrangement (APPLA) for children under 16. The Uninterrupted Scholars Act, January 14, 2013, located at http://www.gpo.gov/fdsys/pkg/PLAW-113publ378/pdf/PLAW- 113publ378.pdf, amends Family Educational Rights and Privacy Act (FERPA) and the parts of the Individuals with Disabilities Education Act (IDEA), located at http://idea.ed.gov/, pertaining to confidentiality. Title VI of the Civil Rights Act of 1964, 43 U.S.C. 3000d, et seq., is the federal law governing limited English proficiency.

(Exhibit 01 Limited English Proficiency Policy) Projected Awards: It is the intent of ADCS to make multiple awards for this service to cover the South (Pima, Yuma, Cochise, Santa Cruz), Northeast (Pinal, Gila, Graham, Greenlee, Navajo, Apache) and Northwest Regions (Coconino, Mohave, Yavapai and La Paz). Awards will be made by region and the Contractor shall have adequate staff assigned to or located in each region awarded. Staff must be able to provide services in person for the regions that they are awarded. The expectation is the Contractor will travel to each of the counties within each region if services are needed. The Department’s intent is for clients to not travel for services. ADCS intends to establish the contract with an initial contract term of February 28, 2025 with extension options.

Contracts will be awarded on a line item basis.

Projected Utilization: This contract is on an as needed, if needed basis. ADCS does not guarantee any amount of work during the term of the contract.

5.0 GENERAL REQUIREMENTS

5.1 For ADCS Access the Child Welfare Case Management System (Guardian) to upload required documentation. The Contractor shall be responsible for any costs associated with accessing this online platform.

6.0 CONTRACTOR REQUIREMENTS

6.1 Ensure that all services, procedures and forms provided are culturally relevant, linguistically appropriate and gender responsive (including Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ))

6.2 Ensure cross-cultural communication support with the involvement of culturally competent staff in all levels of service delivery.

6.2.1 Have the ability to serve non-English speaking families by being able to speak communicate in the preferred language of the caregiver, parent and/or child(ren)

6.2.1 (a) At a minimum, the Contractor shall cover Spanish, American Sign Language, Arabic, Farsi and Swahili.

https://procure.az.gov/bso/ http://umn.us5.list-manage.com/track/click?u=f182f4b9c7efb94fdd517fa4d&id=c638f09015&e=4f79481743 http://umn.us5.list-manage.com/track/click?u=f182f4b9c7efb94fdd517fa4d&id=c638f09015&e=4f79481743 http://www.gpo.gov/fdsys/pkg/PLAW-112publ278/pdf/PLAW-112publ278.pdf http://www.gpo.gov/fdsys/pkg/PLAW-112publ278/pdf/PLAW-112publ278.pdf http://idea.ed.gov/

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 5 of 77 1

6.2.1 (b) Provide translation and interpretation services to meet the requirement of this contract, by complying with Federal las regarding Limited English Proficiency, (LEP Exhibit 1)

6.2.1 (c) The Contractor is required to cover the cost of the five (5) most common languages listed.

6.2.1 (d) The Contractor must provide an interpreter over the age of twenty-one (21) as needed

6.2.1 (e) DCS will reimburse all other languages that required interpretation and/or translation services for the parents(s)/caregiver(s) and the child(ren) at cost upon submittal of receipts for invoices with the monthly invoice

6.2.2 Provide Native American individual services that are consistent with individual and familial preferences and, as appropriate, integrated with Native American ceremonial and religious practices, family group decision-making, talking circles, and programs that reflect Native American values and familial beliefs.

6.3 Legibly document in the individual’s file all services provided, including date;

duration; service type; service location; and Contractor/Psychologist/Counselor name, signature, degree/license, and title.

6.3.1 For ADCS the document shall be uploaded into the Guardian, and be submitted to the ADCS Specialist when requested within fifteen

(15) calendar days of completion.

6.3.2 For ADJC referrals reports shall be submitted to the ADJC Parole Officer within fifteen (15) calendar days of completion.

6.4 Contractors providing services in Urban counties will be required to provide a physical location for services. Contractors providing services in Rural counties can provide a physical location for services; however, partnering to utilize space from ADCS, other psychological, counseling, behavioral health agencies is allowable.

6.5 Provide services during evenings and weekends for individuals and families who are unable to schedule appointments during regular business hours.

6.6 Offer services within the community in which the family resides whenever feasible. Services may be provided to prevent delinquency, as well as out-of-home placement, unplanned change of out-of-home living arrangement, family dissolution/disruption (including adoptive families), and/or assistance with family

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 6 of 77 1 reunification upon return from an out-of-home placement or ADJC Secure Care facility.

6.7 Be knowledgeable about the principles developed through the J.K. Lawsuit settlement; T/RBHA covered services, T/RBHA Child and Family Teams, T/RBHA(DBHS) Practice Protocol: Unique Behavioral Health Needs of Children, Youth and Families Involved with ADCS; and recognize the need to bridge the gap in systems by providing a continuum of care. (See Exhibit A "The J.K.

Principles")

7.0 REQUEST FOR SERVICES

7.1 Upon receipt of the service referral, the Contractor shall:

7.1.1 Accept all service approvals received from ADCS.

7.1.2 Receive and review all documentation received, including but not limited to existing psychosocial history and other relevant information and questions.

7.1.3 Schedule and complete the individual's initial appointment within fifteen (15) calendar days of receiving the referral.

7.1.4 Upon receipt of the referral, request the most recent information for the individual from the referring or assigned Department staff prior to conducting the scheduled appointment.

7.1.5 Provide the scheduled appointment information to the referring Department.

7.1.6 Notify the individual of the scheduled appointment and provide reminders as needed to support attendance.

7.1.7 Notify the referring Department of any concern regarding the need for the requested service or with the referral question(s), in order to develop objectives consistent with the needs of the Department.

7.1.8 Submit Provider Monthly Capacity report (Exhibit I)) to the designated region within five (5) calendar days following the end of each service month or as requested by ADCS.

7.1.9 Contact the following referring Department if Contractor disagrees with the evaluation type or treatment named in the service referral:

7.1.9 (a) For ADCS: Assigned DCS Specialist and Supervisor.

7.1.9 (b) For ADJC: Community Program Services Office at communityprogramservices@azdjc.gov

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 7 of 77 1

8.0 EXTENSION OF SERVICES

8.1 For ADCS: All Service Approval extensions must be submitted to the referring ADCS Specialist at least thirty (30) days prior to the Service Approval expiring Services shall not be provided outside of the approved units or service approval timeframe, and the Contractor will not be paid.

8.2 For ADJC: All Service Request extensions must be submitted to the ADJC Community Program Services Office at: communityprogramservices@azdjc.gov

9.0 TELEHEALTH FOR COUNSELING SERVICES ONLY

9.1 The Contractor shall obtain written prior approval from the ADCS specialist or ADJC Parole Officer or designee prior to using telehealth to provide services, and ensure appropriate safeguards are in place to ensure the proper use or disclosure of protected information as permitted under HIPAA by the Contract and the Business Associate Agreement, which includes but is not limited to administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the protected information, in accordance with 45 C.F.R §164.408, §164.410, §164.414 and §164.416.

10.0 CONSULTATION/COURT TESTIMONY SERVICES: The contractor shall:

10.1 Provide consultation on referred cases based upon specific agency requirements including, but not limited to, participation in multi-disciplinary team staffing, staff training and court testimony.

10.2 Be available to participate in individual staffing, conduct record(s) reviews, prepare written reports on their findings which may be submitted to court, provide court testimony (e.g. as expert witness) in relation to Department referred individuals and testifying on an as needed basis.

10.3 Be available to testify and/or report to the Court and/or the Foster Care Review Board regarding his/her participation in the case. The Contractor, as requested, shall expedite any reports that are required by the Courts or by the Foster Care Review Board.

10.4 Keep abreast of current individual issues including policies and statutory requirements and therapeutic services in the area of individual abuse assessment and treatment as well as domestic violence, substance abuse, suicide, individual and family issues and coordination with the Regional Behavioral Health Authority

(RBHA).

10.5 As requested by the referring Agency:

10.5.1 Review case information and offer treatment opinions and recommendations, as appropriate. This includes a review of all of

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 8 of 77 1 the pertinent data contained in the individual’s file. The information gathered, through the review of individual case files, shall be clinically evaluated in terms of its consistency and internal validity. Interpretation of the data contained shall be discussed with the appropriate staff members to determine its implication for continuance or termination of treatment.

10.5.2 The Contractor shall utilize their expertise in making recommendations for treatment and/or additional diagnostic services. This process shall include the following: determining alternatives based on experience and/or research; seeing the individual and/or individual’s parent(s) whenever possible;

discussing alternatives with the assigned Specialist and/or supervisor; and recommending the most effective and feasible treatment alternatives considering all circumstances.

10.5.3 Notify the referring ADCS Specialist, or ADJC Parole Officer when measurable objectives are accomplished, or when additional individual deficits which need intervention are identified with fifteen (15) calendar days of the change.

10.5.4 Discuss with the appropriate staff members the interpretation of the data within the reports to determine its implication for continuance, or change in the type or level of treatment/services or termination of treatment of service/treatment necessary for each individual.

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 9 of 77 1

11.0 CASE RECORDS FOR PSYCHOLOGICAL AND COUNSELING SERVICES:

The Contractor shall:

11.1 Establish and maintain a confidential case file that must include at a minimum:

11.1.1 Documentation of all contacts;

11.1.2 Evaluations/Assessments, including test instruments

11.1.3 Requests for Extension; and

11.1.4 Discharge/Discontinuation of Services.

11.2 Document the time spent with each individual, including all activities, such as consultations and staffings.

11.3 Maintain consultation and staffing notes in the individual’s file.

11.4 Legibly document in the individual's file all services provided to include: Date;

Duration; Service Type; and Psychologist’s or Psychologist/Counselor’s Name, Signature, Degree/License, and Title.

11.5 Provide the original case file to the Department within forty-eight (48) hours of a written request. The Contractor shall make a duplicate copy of the file requested for their record.

11.6 Retain the case file for a period of six (6) years after termination of the contract. If there is a Court case or adverse action, files must be maintained in accordance with the direction of the Court. Files not containing original signatures may be electronic.

11.7 Destroy the case record as the means of disposal after written approval is obtained from the Department

11.8 Assist in the transition and termination of the services when the individual's case is closed

11.9 Comply with the Health Insurance Portability and Accountability Act of 1997 – HIPPA and Health Information Technology for Economic and Clinical Health Act of 4009 HITECH Business Associate Agreement.

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 10 of 77 1

12.0 CASE RECORDS for Counseling Services Only:

12.1 Include in confidential case file

12.1.1 Treatment Plan

12.1.2 Monthly Progress Reports;

12.2 Maintain a monthly log, which documents the time spent with each individual and all individual-related activities, such as consultation, staffing, and direct therapy.

13.0 STAFFING: The Contractor Shall:

13.1 Ensure all providers have at least a master’s degree in a mental health or related field and have the current, valid necessary licensure and board certification and remain current with the knowledge and procedures within the scope of their contracted service. Ensure credentialing requirements apply to all providers, Contractors, and Subcontractors and that personnel files maintain updated documentation of required licensure and certification as well as continuing education and accreditation. Ensure all employees and subcontractors consistently comply with and meet all of the requirements in the scope of work. Ensure communications are responded to within 48 hours.

13.2 Be staffed to meet the acuity of the individual with qualified personnel to provide the quantity and type of services set forth in the Contract. Staff must be certified/licensed within the scope of their education and as appropriate for and consistent with their clinical roles and responsibilities (Arizona Board of Psychologist Examiners; Arizona Board of Behavioral Health Examiners).

13.2.1 For ADJC, preference will be given to Psychologist/ counselors with training and experience in art therapy; trauma-informed therapy; dialectical behavior therapy (DBT); Seven Challenges;

and intensive outpatient programs.

13.3 Provide personnel with qualifications that meet the requirements of this Contract and demonstrated experience, knowledge, and competency in working with minority cultures that may include but are not limited to: African-American;

Hispanic; Native American; and other minority cultures and communities of Arizona.

13.4 Employ personnel in good standing in their field of expertise, who perform in accordance within the scope of their applicable license; adhere to applicable professional standards and ethical principles; and demonstrate sensitivity to diverse

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 11 of 77 1 individual populations such as: Lesbian, Gay, Bisexual, Transgender, Questioning (LGBTQ), Sexually Maladaptive Behavior, and Chemically Dependent.

13.5 Changes in the staff, group practices, or community agencies providing services shall be sent to the designated Contracts Manager within ten (10) calendar days after the change occurs.

13.6 Maintain a personnel file on every employee that delivers services under this contract. The personnel file shall include the following:

13.6.1 Qualifications to provide the service, including a record of dates and locations of work experience, education (copy of diploma or official transcripts), and training as it relates to service;

13.6.2 Documentation of certifications, as applicable (i.e. Certification by the National Association of Psychometrists [NAP] or Board of Certified Psychometrists [BCP]); and

13.6.3 Compliance with the fingerprinting clearance requirements and Central Registry Check, as specified in accordance with the ADCS Uniform Terms & Conditions.

14.0 MONITORING: The Contractor shall:

14.1 Cooperate in the monitoring of services delivered, facilities, records maintained, and fiscal practices as stated in DCS Special Terms and Conditions, Section 3.22.

14.2 Participate in scheduled, periodic or on-site monitoring reviews; environmental assessments; or Correctional Program Checklist reviews. For further information, refer to Exhibit B – ADJC Program Evaluation.

15.0 PERFORMANCE GUARANTEES:

15.1 Failure to meet any of the performance metrics below or failing to meet any of the DCS expectations as outlined in the scope of work, may result in a vendor performance report that may lead to a demand for assurance, which could lead to contract termination for default.

16.0 REPORTING REQUIREMENTS

16.1 Significant Incident Report - The contractor shall report to the department verbally and in writing on department-approved forms, any unusual or significant

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 12 of 77 1 incidents involving a person served under this contract service. Unusual or significant incidents may include but are not limited to:

16.1.1 Individual deaths;

16.1.2 Suicide attempts resulting in emergency room treatment or hospitalization, or requiring other medical intervention;

16.1.3 Self-abuse resulting in emergency room treatment, hospitalization, or other medical intervention;

16.1.4 Physical abuse and allegations of physical abuse;

16.1.5 Sexual abuse and allegations of sexual abuse;

16.1.6 Accidents involving injury or trauma;

16.1.7 Damage or theft of property; and

16.1.8 Physical plant disasters, such as major fire within the agency when individuals were present or which affect individual care areas.

For ADCS:

16.1.8 (a) In case of serious injury/accident, ADCS must be notified as immediately possible from the time of occurrence.

16.1.8 (b) Significant incident is partially defined as:

unexplained marks or bruises, an accident involving injury or trauma, runaway/missing, unauthorized visit, unusual behavior not witnessed before, significant information not previously known, death, police contact, damage or theft of property, and other unusual events as stated in R6-5-5834 (Family Foster Parent Licensing Requirements).

16.1.8 (c) Incident shall be verbally reported within two (2) hours of the occurrence to the ADCS Specialist and the Significant Incident Report CSO-1151A shall be uploaded to Guardian System and provided within twenty-four (24) hours unless immediately requested by the Department.

For ADJC:

16.1.8 (a) Unusual/significant Incident reports shall be reported and submitted to the designated ADJC Parole Officer and to the Community Services Office at:

communityprogramservices@azdjc.gov

16.1.8 (b) (Exhibit C ADJC Contractors Unusual/Significant Incident Report Protocol)

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 13 of 77 1

17.0 DATA/PROGRESS REPORTS

17.1 For ADCS The Quarterly Data Report (Exhibit QDR) must be submitted to the ADCS Office of Contracts within fifteen (15) calendar days at the end of each quarter to report corresponding monthly data, in accordance with required contract performance measures.

18.0 INSURANCE COVERAGE

18.1 TITLE XIX SERVICES

18.1.1 It is the policy of ADCS and ADJC to refer all Title XIX individuals to a Regional Behavioral Health Authority (RBHA) for age-appropriate behavioral health or developmental assessments.

Based upon the results of the assessment, individuals may be referred by the RBHA for any of the full range of the Title XIX Covered Services. The RBHA, not the referring Department, will pay for services authorized by the RBHA. ADCS may fund the service through this contract when the purpose is to inform decisions related to permanency, child living arrangement, or other child protection decisions such that a qualified provider with experience in evaluations for child protection is necessary.

18.2 TITLE XXI SERVICES

18.2.1 KidsCare (Title XXI) is an AHCCCS program that provides coverage for children who are not in DCS custody that do not qualify for Medicaid. Title XXI has a higher income cutoff than TXIX (Medicaid).

18.3 COMPREHNSIVE HEALTH PLAN (CHP)

18.3.1 CHP is the AHCCCS health plan for children in foster care. CHP provides coverage for both Title XIX (Medicaid) eligible and non- Title XIX eligible children in ADCS custody.

19.0 PSYCHOLOGICAL SERVICES:

19.1 SERVICE DESCRIPTION FOR PSYCHOLOGICAL SERVICES:

19.1.1 Taxonomy Definition:

19.1.1 (a) Psychological Services (H005-BI): A service that provides evaluation; consultation; and other professional services, which may include expert witness testimony provided by a licensed psychologist.

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 14 of 77 1

19.1.1 (b) Neuropsychological Evaluation (H005-C): A service that provides evaluation of the relationship between nervous system function and behavior, emotion, and cognition, as well as recommendations for intervention.

19.1.2 Actual Service Description: This service may include the following:

19.1.2 (a) Psychological evaluation of neurodevelopmental, neurocognitive, psychoeducational, neuropsychological, psychodynamic, personality, psychosexual, and/or psychosocial factors integral to diagnosis, functional capacity, adaptive and maladaptive psychological and behavioral manifestations, and recommendations for appropriate interventions. Services also include consultation and expert witness testimony and maybe used in court proceedings

19.1.3 Psychological Evaluation-General Parameters

19.1.3 (a) Within forty-eight (48) hours of receiving a referral the psychologist will make an attempt to communicate with the referring ADCS specialist or ADJC Parole Officer

19.1.3 (b) Address all of the referral questions specified on the written referral from the referring Department.

19.1.3 (c) Confirm and review relevant, updated information from the referring Department prior to conducting the scheduled evaluation. Include in the evaluation a records review, clinical interview, mental status exam, full social history, familial history, school/employment history, relevant identified medical issues, appropriately normed psychometric testing, conclusions, and recommendations.

19.1.3 (d) All diagnostic statements shall utilize the most recent DSM nomenclature. Conclusions must be based upon the appropriate APA Guidelines for Psychological Assessment and Evaluation. Conclusions must adequately explain the underlying dynamics, associated risk factors, and recommendations indicated to effectively address the presenting issues.

Recommendations for services shall be presented by

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 15 of 77 1 a description of the service rather than a name or title of a specific program.

19.1.3 (e) Upon request, the evaluator must provide a prognosis.

When formulating the prognostic statement, the evaluator shall consider relevant research on diagnoses, risk factors associated with the presenting and other associated issues, documented effectiveness of proposed interventions, the client’s response to treatment, barriers to effective treatment, mitigating factors such as client resilience and social supports, and any other factors deemed relevant to the individual client’s prognosis and parental protective capacities.

19.1.3 (f) Shall be uploaded into the Guardian System, and be submitted to the ADCS Specialist when requested within fifteen (15) calendar days of completion. For ADJC referrals reports shall be submitted to the ADJC Parole Officer within fifteen (15) calendar days of completion.

20.0 LICENSURE/CERTIFICATION FOR PSYCHOLOGICAL SERVICES: The

Contractor shall:

20.1 Provide services within his/her scope of practice and be able to demonstrate experience and training upon request.

20.2 Be licensed by the Arizona Board of Psychologist Examiners as specified in this Solicitation

20.3 Prior to the initial delivery of service, submit copies of the applicable licenses for all staff that will provide services under this contract. Licenses are to be submitted to:

ADCS Office of Contracts Attention: Contract Manager 3003 N. Central Ave, Site Code: C010-20 Phoenix, AZ 85012

Contracts@azdcs.gov

20.4 Certificate of Insurance as specified in the ADCS Special Terms and Conditions, Section 6.2 is to be submitted to:

ADCS Office of Contracts mailto:Contracts@azdcs.gov

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 16 of 77 1

Attention: Contract Manager 3003 N. Central Ave, Site Code: C010-20

Contracts@azdcs.gov

21.0 ETHICS/STANDARDS

21.1 Standards: All psychological services shall conform to applicable standards, which include the most updated versions of:

21.1.1 APA Ethical Principles of Psychologists and Code of Conduct

21.1.2 APA Specialty Guidelines for Forensic Psychology

21.1.3 APA Guidelines for Psychological Evaluations in Child Protection

Matters

21.1.4 APA Guidelines for Psychological Assessment and Evaluation

21.1.5 For neuropsychology: American Academy of Clinical

Neuropsychology (AACN) Practice Guidelines for Neuropsychological Assessment and Consultation

22.0 TYPES OF EVALUATIONS:

22.1 Psychological Evaluation: Parenting Capacity-Forensic psychological evaluations that include a comprehensive psychological evaluation and determination of the capacity to provide protective care and meet a child’s immediate needs. Core issues may include but are not limited to parental risk factors to perpetrate abuse and/or neglect; the impact of at-risk behaviors and mental health issues on the ability to safely and competently parent and establish

(a) healthy relationship(s) with the child(ren)/family; recommendations for interventions to mitigate risk and improve outcomes; and the potential to engage in and respond to interventions in the foreseeable future. Topics addressed may include but are not limited to ability to parent within the context of the caregiver’s and/or child’s special needs; protection; consistency and stability; ability to nurture the child(ren); and/or the ability to facilitate healthy adaptive social and educational development. Conclusions may be utilized to inform judicial decisions about parental rights and child welfare. ADCS is the identified client.

22.2 Psychological Evaluation: Child-Forensic psychological evaluations of children to evaluate current psychological functioning, determine how the identified dynamics relate to the presenting issue(s), and provide recommendations to effectively resolve or manage the underlying issue(s). Relevant contributors may include but are not limited to development; temperament; attachment; identified mailto:Contracts@azdcs.gov

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 17 of 77 1 medical conditions; identified mental health issues; the impact of neglect and/or abuse; intellectual and psychoeducational competencies; intrapsychic dynamics;

coping styles; attributions; family dynamics; historical influences, which may include familial, psychosocial, cultural, and/or communal experiences and perspectives; external supports; protective factors; adjustment/transition to current/pending placement; and/or other related issues. Child evaluations may be requested to address but are not limited to forensic issues related to mental health, emotional abuse, the child as a reporter, visitation, placement, case planning, adoption subsidy, bonding and attachment, and best interest.

22.3 Psychological Evaluation: Emotional Abuse-Forensic psychological evaluations to evaluate for the presence of emotional abuse, based upon A.R.S. § 8-201(2).

Conclusions are utilized for decision-making by DCS staff and the Court. Provider needs to maintain sufficient availability to accommodate urgent requests.

22.3.1 Special Parameters for Psychological Evaluation: Emotional Abuse

22.3.1 (a) Individual interview with and/or observation of the child

22.3.1 (b) Whenever possible, administration of appropriate empirically-based instruments specific to the referral question, such as instruments that measure child anxiety and depression

22.3.1 (c) Discussion of whether the child reports/demonstrates severe anxiety, depression, withdrawal, and/or acting out and whether it is related to or aggravated by family circumstances and/or the action or inaction of a parent/caregiver

22.3.1 (d) A direct statement about whether the evaluator believes the criteria may be suggestive of/consistent with the State’s definition of emotional abuse

22.4 Psychological Evaluation: Cognitive-Evaluation of intelligence, functional capacity, and/or learning in order to identify intellectual and/or other learning limitations; discuss how identified issues impact parenting and ability to benefit from intervention; provide recommendations to address or accommodate the identified limitations; and/or provide a prognostic statement when requested.

22.4.1 Special Parameters for Psychological Evaluation: Cognitive Assessment

22.4.1 (a) Focused interview

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 18 of 77 1

22.4.1 (b) Utilization of non-abbreviated, full battery, culturally appropriate instruments designed to assess intelligence, adaptive behavior, and/or achievement

22.4.1 (c) Report of test results

22.4.1 (d) Diagnostic statement and conclusions

22.4.1 (e) Recommendations

22.4.1 (f) Prognostic statement

22.5 Neuropsychological Evaluation-Evaluation of the impact of neurodevelopmental and/or neurocognitive conditions on functional capacity, attention/concentration, learning and memory, reasoning and judgement, emotional expression/management, self-control, and other relevant functions.

22.5.1 Special Parameters for Neuropsychological Evaluation

22.5.1 (a) Interview

22.5.1 (b) Evaluation instruments must include updated, empirically-based, standardized, appropriately normed neuropsychological instruments designed to assess the referral question. Neuropsychological screening or abbreviated testing shall not be utilized in lieu of an appropriate assessment battery, unless it is clinically indicated.

22.5.1 (c) The neuropsychological report must include:

i. An assessment of premorbid intelligence, as appropriate

ii. A baseline

iii. Test results

iv. Diagnostic statement

v. A discussion of the pattern of results and how they relate to the diagnostic formulation, referral questions, psychological functioning, general functional capacity, and parenting capacity

vi. Recommendations

vii. A prognostic statement, upon request

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 19 of 77 1

22.6 Bonding/Attachment-Assessment designed to define the parent, caregiver, child bonding/attachment styles; the impact of identified issues on dyadic and other relationships between the child, siblings, and caregivers

22.7 Best Interest-Assessment designed to evaluate and/or facilitate adjustment to the current or pending placement; and recommendations for how to support the development of healthy interactions and an adaptive adjustment

22.8 Psychosexual Evaluation-Evaluation designed to define sexual interests, behavior, and the associated sequelae and risks. Psychosexual evaluation shall incorporate empirically-based appropriately normed instruments for psychosexual evaluation.

The evaluation shall include evaluation of sexual knowledge; sexual development;

relevant sexual history, which includes but is not limited to sexual trauma and conditioning; sexual (mal)adjustment; identification of paraphilic interests and the associated reinforcements; associated general and specific risk factors; any identified offender pattern; prior sexual offenses and convictions; prior interventions and the associated efficacy; and risk level (sexual and delinquency).

22.8.1 Special Parameters for Psychological Evaluation: Juvenile Psychosexual Evaluations

22.8.1 (a) Perform all juvenile sex offender evaluations and reports according to guidelines established by the Juvenile Sex Offender Assessment Protocol-II (J- SOAP-II) Manual. The website for this information is: https://ojjdp.ojp.gov/library/publications/juvenile-sex-offender-assessment-protocol-ii-j-soap-ii-manual

23.0 CONSULTATION: The Contractor shall:

23.1 Provide consultation based upon specific agency requirements including, but not limited to, participation in Child & Family Teams, multi-disciplinary team staffings, Foster Care Review Board consideration, and courtroom testimony. Upon request, expedite any reports required by the Courts or by the Foster Care Review Board as stated on the written referral or Court Order.

24.0 OTHER SPECIFIC REQUIREMENTS

24.1 An Arizona psychologist licensed by the Arizona Board of Psychologist Examiners under A.R.S., Title 32, Chapter 19, and Articles 2 & 3 and/or board-eligible or board-certified neuropsychologists.

24.1.1 For Psychosexual Evaluations: The Psychologist shall:

24.1.1 (a) Possess specialized training and experience in forensic clinical practice;

https://procure.az.gov/bso/ https://ojjdp.ojp.gov/library/publications/juvenile-sex-offender-assessment-protocol-ii-j-soap-ii-manual https://ojjdp.ojp.gov/library/publications/juvenile-sex-offender-assessment-protocol-ii-j-soap-ii-manual

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 20 of 77 1

24.1.1 (b) Have over eight hundred (800) hours of supervised experience in the treatment/management/evaluation of sex offenders in the past three (3) years in areas such as but not limited to treatment strategies, assessment methods, and evaluation tools. At least two hundred (200) hours shall be directed related to juvenile sex offenders, and up to one hundred (100) hours may be in direct training related to juvenile sex offenders/sex offender treatment/evaluation;

24.1.1 (c) Utilize professional personnel that have over two hundred (200) hours of documented supervision in the past three (3) years from a licensed professional at a Master's level or above; and the Contractor shall certify the readiness/competency of the staff prior to the staff providing services under this contract, and keep documentation of such in staff personnel files; and

24.1.1 (d) Have staff complete twenty (20) CEU's annually on sex offender treatment/management/evaluation issues. Certificates of attendance reflecting training hours earned and date of attendance shall be maintained in personnel files.

24.1.2 For Neuropsychology Evaluations: The Neuropsychologist shall:

24.1.2 (a) Be licensed under A.R.S. §32-2071 through 32-2076;

24.1.2 (b) Have completed a minimum of a one (1) year approved postdoctoral residency program in neuropsychology with primary practice in neuropsychology; and

24.1.2 (c) Be eligible, or shall be eligible within five (5) years of completing the post-doctoral residency to belong to the American Board of Professional Psychology, Division of Neuropsychology.

24.1.3 Use of Psychometrist: The use of psychometrists by the contractor is permitted for and shall be limited to the administration of test instruments and scoring. Psychometrists shall:

24.1.3 (a) Possess a minimum of a bachelor's degree with a major in psychology or a closely related field of study;

24.1.3 (b) Have completed training in administering and scoring test under the supervision of a licensed psychologist or neuropsychologist to include satisfactory completion of coursework in test interpretation, psychometrics and measurement theory, and educational statistics; and

24.1.4 A supervised Psychology Resident - The Supervising Psychologist shall accept responsibility for all tasks and duties the Psychologist delegates to a resident. The Supervising Psychologist

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 21 of 77 1 must be present and provide continuous supervision during client contact; review and approve the test results and analyses, conclusions, and recommendations; and approve and sign the final completed report.

25.0 COUNSELING SERVICES

25.1 SERVICE DESCRIPTION FOR COUNSELING SERVICES

25.1.1 Taxonomy Definition:

25.1.1 (a) Counseling/Consultation Program (HP04-00): Services provide counseling and professional consultation.

25.1.2 Actual Service Description: This service may include:

25.1.2 (a) Interactive therapies designed to process present and historical information; identify the primary issues and underlying contributors; and set goals, provide intervention, offer support, and develop an understanding of relevant issues for the individual, group, and/or family in order to resolve or otherwise manage current and/or similar issues in the future

i. Clinical family assessment to evaluate presenting problems, as well as individual and familial challenges.

ii. Professional consultation, which includes participation in staffings, as well as expert witness services.

iii. This service may be provided in a variety of settings, including in-home or other off-site locations. Services included are both generalized as described, as well as those specific to youth who exhibit sexualized behaviors, are violent offenders, have trauma issues, and/or demonstrate serious substance abuse issues.

25.1.3 Treatment Plan:

25.1.3 (a) Within forty-eight (48) hours of receiving a referral the counselor will make an attempt to communicate with the referring ADCS specialist or ADJC Parole Officer

25.1.3 (b) Address all of the referral questions specified on the written referral from the referring Department.

25.1.3 (c) Confirm and review existing social history and other relevant information, and write a counseling evaluation report and develop a treatment plan with all involved parties that address the needs of the individual.

25.1.3 (d) Design and implement individualized treatment plans to support the behavioral change goals and enhance caregivers’ protective capacities

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 22 of 77 1

25.1.3 (e) Provide a treatment plan that incorporates assessment tools and desired outcome measures/goals for each individual in the context of all relevant factors affecting behavioral issues and/or family dynamics.

25.1.3 (f) For ADCS: Provide a treatment plan and desired outcome measures for each individual. The Treatment Plan should include the following:

i. Individual’s name and identification number

ii. Referring Case Manager’s name

iii. Identification of individual/familial problems

iv. Strengths/weaknesses of the individual/family

v. Pertinent / relevant information from most recent evaluation if available

vi. Identification and provision of interventions that target and address the safety threats and diminished protective capacities, and/or criminogenic risk needs identified within the referral information

vii. Anticipated length of treatment

viii. Counselors signature and date

ix. Assessment;

x. Test results, if applicable;

xi. Recommendations, which include short-term and long-term goals;

xii. Required assessment tools and desired outcome measures/goals for each individual, while recognizing all relevant factors affecting family dynamics;

xiii. Interpretation of report data, as discussed with appropriate staff members, to determine the implication for continuation of individual service(s), change in the type or level of treatment/services, or termination of treatment/services.

25.1.3 (g) For ADJC: Provide a treatment plan and desired outcome measures for each individual. The Treatment Plan should include the following but not limited to:

i. Individual’s name and identification number

ii. Referring Parole Officer’s name

iii. Identification of individual/familial problems

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 23 of 77 1

iv. Strengths/weaknesses of the individual/family

v. Pertinent / relevant information from most recent evaluation if available

vi. Therapeutic goal(s) as relates to the referring Department

Case Plan

vii. Provide services that target and address the criminogenic risk needs identified within the referral information.

viii. Anticipated length of treatment

ix. Counselor's signature and date

x. Assessment;

xi. Test results, if applicable;

xii. Required assessment tools and desired outcome measures/goals for each individual, while recognizing all relevant factors affecting family dynamics;

xiii. Interpretation of report data, as discussed with appropriate staff members, to determine the implication for continuation of individual service(s), change in the type or level of treatment/services, or termination of treatment/services.

25.1.3 (h) For ADCS: Shall be uploaded into the Guardian System, and be submitted to the ADCS Specialist when requested within fifteen

(15) calendar days of completion.

25.1.3 (i) For ADJC: referrals reports shall be submitted to the ADJC Parole Officer within fifteen (15) calendar days of completion.

25.1.3 (j) Review and update the treatment plan when measurable objectives are accomplished, or additional needs that require intervention are identified.

25.1.3 (k) Notify the referring ADCS Specialist or ADJC Parole Officer within fifteen (15) calendar days of the change.

25.1.3 (l) The updated treatment plan must include the following:

i. Changes in the treatment plan;

ii. The type and frequency of therapy;

iii. All services provided (individual, family, group counseling and/or consultation, which includes expert witness testimony);

iv. The individual and /or familial response to services;

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

SECTION 1-B: Pricing Page 24 of 77 1

v. The prognosis for continued treatment and reason(s) for discontinuation, if applicable;

vi. Recommendations/comments; and

vii. Therapist's signature and date.

26.0 CLINICAL FAMILY ASSESSMENT:

26.1 Upon receipt of the written referral from the referring agency:

26.1.1 Review existing individual data, including social history and prior psychological evaluations, legal documents, prior placement history, and any other pertinent information;

26.1.2 Conduct a preliminary interview to assess presenting problems, as well as individual and family needs;

26.1.3 Determine the individual/familial acceptance of the service, which may be established through consultation with the referring Department staff and/or a record review;

26.2 Upon completion of the record review, interview the individual and family members regarding the issues identified on the written referral.

26.3 For ADCS: Shall be uploaded into the Guardian System, and be submitted to the ADCS Specialist when requested within fifteen (15) calendar days of completion.

Utilize and submit the Clinical Family Assessment form, (see Exhibit D - Clinical Family Assessment) as the standard form for every individual assessment.

26.4 For ADJC: referral reports shall be submitted to the ADJC Parole Officer within fifteen (15) calendar days of completion. Utilize and submit the Clinical Family

BPM004352

Description:

Psychological & Counseling Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts

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