RFA 415-1846-15 Final REV 06022023.doc

OREGON YOUTH AUTHORITY

Request for Application (RFA)

Community Treatment Services

RFA #415-1846-15

Issuance Date:

May 5, 2016 Applications Accepted:

At the issuing office (applications will be accepted on an ongoing basis until December 31, 2023)

Issuing Office:

Oregon Youth Authority

Procurement Unit

530 Center St., Suite 500

Salem, Oregon 97301-3777 Contact:

Contracts Unit at: OYAProcurement@oya.state.or.us

Facsimile: 503-373-7921

Request for Application (RFA) for

Community Based Treatment Services

RFA #415-1846-15

SECTION I:

General Instructions and Information

SECTION II:

Psychological Evaluation

SECTION III:

General Therapy

SECTION IV:

Sex Offender Treatment

SECTION V:

Alcohol and Drug Treatment

SECTION VI:

Application Forms and Exhibits The applicant is responsible for understanding all information contained in this application. Read all information carefully before submitting your application. Incomplete applications will not be processed. You will be notified if your application is incomplete.

Please complete the application electronically. The Application can be found at http://www.oregon.gov/oya/Pages/contracts.aspx. Right-click the link and select "Save target as..." to save a copy to your desktop to fill in. Please do not submit a handwritten application.

Direct questions to:

OYA Procurement Unit

971-301-0918

OYAProcurement@oya.state.or.us Mail application to:

Oregon Youth Authority

Procurement Unit

530 Center St., Suite 500 Salem, Oregon 97301-3777

SECTION I: GENERAL INSTRUCTIONS AND INFORMATION

Provide typewritten responses and submit all required information. Your responses to the questions in this Request will be part of any contract awarded and entered into OYA’s Juvenile Justice Information System (JJIS) which allows OYA staff to match the needs of youth offenders with contractors who can best meet the needs of the youth offender.

Application format:

Complete and submit this application and required information on plain white paper, single-sided. Do not use any kind of folder or binding. Applicants are discouraged from using elaborate presentation formats. If you submit an application by mail, please provide an original and one copy. Please keep a copy of the application for your records.

Review all sections of the application that pertain to the services for which you are applying. Ensure that all required documentation is submitted with your application.

Submit your signed application by one of the following methods:

Mail application to:

Oregon Youth Authority

Procurement Unit

RFA #415-1846-15

530 Center St. NE, Suite 500

Salem, Oregon 97301-3777 Fax application to:

503-373-7921 to the attention of: Procurement Unit, RFA #415-1846-15

Scan and e-mail application to: OYAProcurement@oya.state.or.us - Include RFA #415-1846-15 in the subject line Incomplete Applications The provider is responsible for all information contained in this application. Please read all information and instructions carefully before submitting your application. Incomplete applications will be delayed, and may be disqualified or returned as incomplete. If the application is returned as incomplete, the applicant will need to re-submit a completed application.

GENERAL INFORMATION

The guidelines and specifications contained in this application will be considered a part of any contract awarded for general therapy services, sex offender treatment, drug and alcohol treatment, or psychology services. Read it carefully and thoroughly.

All providers requesting to contract for community based treatment services will be required to complete an application. Applications will be available when solicitations are open by contacting the Contracts Unit at the address listed above, through the OYA website, or through the state ORPIN system. Once received in the Contracts Office, approximately 45 days will be required to process an application and execute an effective contract.

Contractors will be required to resubmit a renewal application approximately every two (2) years for re-evaluation.

Applicants must successfully meet all requirements of the application to contract with the OYA. The Agency reserves the right to award a contract based solely upon information submitted. The Agency may also choose to request additional information or to conduct interviews to provide clarification or answer questions the Agency may have in conjunction with the written responses to this request.

OYA is responsible for the care of the youth in its custody. At any point, the Agency may decide that an Applicant’s response to any one or more of the questions is sufficiently inadequate so as to disqualify the Applicant from providing care to the youth in OYA’s custody. The Agency reserves the right to withdraw, re-open, or otherwise amend the RFA at any time, and to reject any or all applications, in whole or in part, when the Agency determines that it is in its best interest to do so.

The OYA reserves the right to investigate previous performance and financial stability as these areas relate to the performance of duties under any contract resulting from this application.

All services must be provided in accordance with the specifications and requirements of an awarded contract between the Contractor and the OYA. A copy of the specifications and requirements may be obtained by contacting the issuing office identified above. Applicant must agree to abide by the guidelines set forth in this application.

OYA reserves the right to enter into a new contract or amend any contract resulting from this application one or more times for changes in terms, conditions, time, money, services, or any combination of the foregoing. The Agency will have no obligation to amend or extend the contract and will incur no liability for electing not to exercise its option.

The selection of a specific contractor for a youth offender will be made by the Agency, after consulting with the youth offender’s parole and probation officer, the youth offender, and considering the qualifications and availability of providers.

The Agency cannot predict a case load for these services and does not guarantee any particular volume of business will be offered to any applicant who qualifies to provide services, nor is there any guarantee that OYA parole and probation staff will use the services of any applicant who is issued a contract by virtue of this application.

The OYA reserves the right to close applications for any service listed if contracting capacity is obtained. Updated information will be available on the OYA website and ORPIN with regard to which service areas are open for new applications.

Population to be Served

Treatment services shall be provided to male youth offenders, female youth offenders, or both ages twelve (12) through twenty-four (24) years who have been committed to the OYA and have been referred by the Agency who are on parole from a youth correctional facility or are on probation and are possibly at risk of being placed in a more restrictive setting.

Services provided will be gender specific and culturally competent.

Location of Services to be Provided:

Services for general therapy, sex offender treatment, alcohol and drug treatment, and psychology services are needed in all Oregon counties. Services being offered in low resource areas will be given priority.

It is anticipated that the majority of services will be provided in a community setting. However, in consultation with the youth’s parole and probation officer and upon prior authorization by the contract administrator, services may be provided to youth offenders transitioning from close custody to a community placement. Contractors may be asked to meet with the youth offender at least once if the youth offender is in close custody in order to begin to establish a relationship. Contractors may be requested to travel to accommodate the treatment needs of the youth offender.

If, during the course of a contract, any persons who are authorized to provide services cease employment, Contractors must notify the OYA Contract Administrator so their names can be removed from the list of approved providers. Additionally, if other persons are to be added to the list of approved providers, these new persons must be pre-approved prior to providing direct services to OYA youth. Contractors must complete the Application to Add Additional Staff which can be found at http://www.oregon.gov/oya/Pages/contracts.aspx. Under no condition will someone who has not been approved by the Contract Administrator provide direct services to OYA youth.

Evidence-Based Services

Contractors are expected to use evidence-based treatment approaches which focus on reducing risk of criminal behavior and address the youth’s needs as documented in the OYA Case Plan. Contractor shall work with OYA to support and ensure services funded under this Application are appropriate and workable and meet the guidelines of evidence-based programs and cost effectiveness as described under SB 267 (2003), ORS 182.515, as applicable.

In order to be considered ‘evidence based’, services must adhere to certain standards. These standards include:

· Group treatment provided using a standardized manual. Contractor must adhere to the manual as developed.

· A list of OYA approved curricula is located on page 23 of this application.

· Assessments must be standardized and normed for the population being served.

· Service approaches must be shown by research to reduce recidivism, focusing on criminogenic risks and responsivity factors. In order to be most effective from a correctional treatment standpoint, the services being offered must correspond to an OYA case plan goal, the risk factor must be addressed as the ‘problem statement’ corresponding to the case plan goal, and the objectives for the treatment to be provided.

Contractor shall work with OYA to develop a reporting process on Contractor’s evidence-based services funded under this Application. Contractor shall submit to OYA such reports on Contractor’s evidence-based services funded under this Application as requested by OYA.

Outcomes:

Program services under this Request will be designed to produce positive, measurable outcomes in keeping with the OYA mission of reformation.

Outcomes will be demonstrated through documentation and reporting requirements.

Services and Rates Contracted services are used to purchase needed services for youth offenders in the Agency’s custody ONLY when other funding sources (Medicaid, private insurance, and other funding resources) are nonexistent or unavailable to the youth offender. Contracted services require the prior authorization of OYA staff responsible for the youth’s case plan and/or the OYA Contract Administrator, in terms of types, amounts and durations of services to be provided. The OYA will not reimburse for services outside the scope of the contract.

The Agency will pay the Contractor for the services listed in the resulting contract at rates which cannot exceed those shown on the published OYA rate schedule which can be found at http://www.oregon.gov/OYA/Pages/contracts.aspx. When the rate schedule is revised, the Contractor will be notified of the new rates. If contractor’s normal and customary rate is less than the published rate for the service, contractor will be paid at contractor’s normal and customary rates. The agreed-upon rates will be specified in the contract. Contractor’s rates must be clearly stated on Form D of the application.

Service Authorization Voucher All services will be pre-approved by a Service Authorization Voucher issued by OYA that will set out in detail what services are being requested and the maximum number of units that have been authorized for that service.

Under no circumstance should services be rendered without a voucher which details the services which are being authorized.

Any services provided by the contractor prior to a voucher being issued will not be paid by the Agency.

Contractors will not be paid for services which exceed the amount of service authorized for each youth offender in the OYA payment system.

The contractor is required to notify and receive written authorization from the youth offender’s parole and probation officer PRIOR to services being provided if more units of service than were authorized are necessary.

Reporting and Documentation

Contractors shall submit the following reports and documentation in an OYA prescribed format to the OYA staff who refers the youth for service. The services below are considered a normal part of doing business. Depending on the specific issues of the youth offender, more frequent and formal reporting may be required and may require a “special” report for which authorization must be obtained from the Contract Administrator. The required reporting forms are available at http://www.oregon.gov/OYA/Pages/contracts.aspx.

· Contractors shall be required to provide the youth offender’s parole and probation officer with a typewritten assessment or evaluation with a treatment plan after two sessions with the youth, and no later than thirty (30) days after initial contact with the referred youth offender. Contractors shall also provide a copy of the treatment/service plan to the youth offender. The treatment plan will outline the specific goals identified in the youth offender’s OYA case plan, the type and frequency of treatment sessions or activities, and the anticipated length of the process to meet the goals. The treatment plan will be updated at least every 90 days and modifications will be developed with the assigned parole and probation officer and the youth offender.

· Contractors will be required to document each service provided, utilizing monthly activity logs in an OYA prescribed format, specifying the service each youth received for each service area. If activity logs are not received by 5:00 p.m. on the first business day after the end of the month in which services were provided, service authorization may be suspended and payment may be delayed at least one month pending receipt of the activity log from the provider.

· Contractors will be available to provide verbal reports and updates to the youth’s parole and probation officer as agreed to with the officer and as deemed necessary by the provider. This communication will include verbal and/or written notification as to youth’s accountability (e.g. attending to tasks, following through, etc.), and immediate notification upon awareness of any warrants, arrests, convictions or dismissal of any charge(s) made against the youth or anyone living in the youth’s household or providing care or treatment for the youth.

· Contractors will be required to provide typewritten monthly reports that clearly demonstrate that OYA case plan goals have integrated into the treatment plan. The report will include documented input from the youth offender, the youth offender’s parole and probation officer and any other persons actively participating in the treatment of the youth offender. In addition, the reports will include, at a minimum, (a) treatment progress toward the case plan goals, (b) attendance records of client over the reporting period, (c) recommended treatment goals for the next quarter, and (d) any treatment issues or concerns.

· Contractors will be required to provide a typewritten discharge summary within seven (7) days of the youth offender’s completion of services or discharge from services. The discharge summary will outline presenting issues, the identified goals and outcomes, services provided and recommendations for further services if necessary.

Consultation Contractors may be requested to consult with substitute care providers on treatment and behavioral programs for the youth offender.

Contractors will be responsible for consultation and coordination of services with other providers and the youth offender’s parole and probation officer. Consultation may include regular multi-disciplinary staffings for the purpose of case planning and case management. Consultation is to be included in the services requested and must be pre-authorized by the OYA staff referring the youth for services.

Interpreter Services

Interpreter services are provided on a case-by-case basis through OYA’s Office of Inclusion and Intercultural Relations. If interpretation or translation is needed to provide services, the youth’s parole and probation officer must be notified so that these services can be initiated. No other form of interpretation or translation is allowable under these contracts.

Service Termination Contractors shall request a staffing with a youth offender’s parole and probation officer in the event the youth offender is not making progress in his/her case plan goals or the provider feels that the youth offender should be terminated from services. If such staffing fails to resolve the issue and the provider, the youth offender, or the youth offender’s parole and probation officer feels it would be in the best interest of the youth offender to terminate, provider shall continue treatment until such time as a new provider can be engaged. Contractor shall facilitate the transfer of information as necessary to the new provider.

Other Contract Responsibilities All Contractors will be expected to participate in Agency’s business meetings pertaining to a contract as requested. This is considered part of doing business; therefore, the time the Contractor attends business meetings will not be paid by the Agency.

All Contractors will be expected to participate in all Quality Assurance Surveys, evidence-based interventions, and monitoring activities that the Agency may require. This is considered a part of doing business; therefore, the time the Contractor attends meetings pertaining to quality assurance will not be paid by the Agency.

Confidentiality

Confidentiality – Client communications and records must be kept confidential in accordance with ORS 40.230, ORS 40.252, ORS 107.154 and ORS 179.505.

Prohibitions Providers shall not transport youth without written permission from the Contract Administrator. Contractors who transport youth shall provide proof of automobile liability insurance of not less than $500,000 prior to the provision of services.

Mandatory Reporting Contractors have reporting and training obligations as mental health professionals providing service to offenders in the Agency’s custody.

· Contractor must immediately inform the Agency, and either the local office of the Department of Human Services (DHS) or a law enforcement agency, if the Contractor has reasonable cause to believe that: i. an offender with whom the Contractor comes in contact who is under the age of 18 has suffered abuse, or ii. any person with whom the Contractor comes in contact in the course of providing services under an OYA contract has abused a child.

· OYA is committed to a zero-tolerance standard toward all forms of sexual abuse and the elimination of sexual abuse in its program. OYA is committed to a zero-tolerance standard toward all forms of sexual abuse and the elimination of sexual abuse in its program. If the Contractor obtains knowledge, suspicion, or information about (i) an incident of sexual abuse or sexual harassment that occurred while youth is placed with Contractor, or (ii) retaliation against reporters of such incidents, or (iii) any staff neglect or violation or responsibilities that may have contributed either to the incident or the retaliation, the Contractor shall take steps to ensure the safety of the offender, support the well-being of the offender, and, if it is a recent incident, be aware of the preservation of evidence. Contractor shall immediately notify the youth’s parole and probation officer and the OYA Professional Standards Office and assist the Agency in completing any forms required under the Agency’s current policies.

Additional Applicant Requirements:

Criminal Records Check

Prior to execution of the Contract, an apparent successful Applicant, including each therapist/counselor or psychologist who will be providing direct services to OYA youth, must pass a criminal records check based on the Agency’s criminal history records check standards as set forth in OAR 416-800-0000 to 416-800-0095 and a child abuse registry check prior to any services being provided under a contract. Criminal records checks must be updated at least every five years.

OYA may consider a number of factors in making a Criminal Records Check fitness determination, including the nature of the crimes, the relevance of the subject crimes, and the length and requirements of any ongoing post-prison supervision. OYA’s practice is to evaluate each applicant’s history and to determine fitness based on these criteria. Please be aware that the Agency’s practice is to not award a contract until at least 5 years has passed since parole or probation has been terminated.

In addition to the Criminal Records Check, OYA will also complete a check of the Child Abuse and Neglect Registry and will require the Applicant to complete any and all required forms.

Insurance

Prior to execution of the Contract, an apparent successful Applicant shall secure and demonstrate to Agency proof of insurance coverage meeting the requirements identified in the RFA or as otherwise negotiated. Applicant is encouraged to consult its insurance agent about the insurance requirements contained in Insurance Requirements (Exhibit A) prior to Application submission.

Taxpayer Identification Number

An apparent successful Applicant shall provide its Taxpayer Identification Number (TIN) and backup withholding status on a completed W-9 form if either of the following applies:

· When requested by Agency (normally in an intent to award notice), or

· When the backup withholding status or any other information of Proposer has changed since the last submitted W-9 form, if any.

Agency will not make any payment until Agency has a properly completed W-9.

Business Registry

If selected for award, an Applicant who conducts business in Oregon shall be duly authorized by the State of Oregon to transact business in the State of Oregon before executing the Contract. The selected Applicant shall submit a current Oregon Secretary of State business registry number, or an explanation if not applicable.

All Corporations and other business entities (domestic and foreign) must have a Registered Agent in Oregon. See requirements and exceptions regarding Registered Agents. For more information, see Oregon Business Guide, How to Start a Business in Oregon and Laws and Rules. The titles in this subsection are available at the following Internet site: http://www.filinginoregon.com/index.htm.

An Applicant who conducts business in a state that borders Oregon shall be duly authorized to conduct business in that state before executing the Contract. The selected Applicant shall submit a current registry number for the state in which they are conducting business, or an explanation if not applicable.

SECTION II: APPLICANT IS OFFERING TO PROVIDE PSYCHOLOGICAL EVALUATION SERVICES

The OYA is seeking to establish a list of qualified professionals to provide psychological evaluation services as needed for youth in OYA custody.

Youth may present with developmental delays and deficits, impaired intellectual functioning, a history of trauma/abuse, aggressive behaviors, anti-social attitudes and beliefs, drug and alcohol issues, fire setting, grief/loss issues, immature coping skills/behaviors, multiple family losses, sexual boundary issues, sexual offending, suicidal/self-harming behavior, victimization issues, domestic violence issues, and issues related to mental/behavioral health or other conditions that may or may not have been diagnosed.

The purpose of these services may be to diagnose and evaluate the youth, to make recommendations regarding treatment or other supportive services to address the issues affecting the youth’s ability to establish and maintain a productive, crime-free life. This may include making recommendations for services from other service agencies as determined appropriate based on the results of the evaluation.

The Agency cannot predict the caseload for the future and does not represent any particular volume of business will be offered to any applicant who contracts to provide services.

ADDITIONAL SERVICE DELIVERY EXPECTATIONS FOR CONTRACTORS PROVIDING PSYCHOLOGICAL EVALUATION SERVICES

Only the licensed psychologist may provide services under this contract. Under no circumstances will the evaluations be conducted by someone else, even under the supervision of the psychologist. Any contract awarded is exclusive to the person to whom the contract is offered and specific to the type of service being authorized.

Professional Standards Requirements

Any legislative changes around provider credential requirements may require OYA to change its standards accordingly. Providers will be notified of any action needed.

Psychologists providing services in Oregon must be licensed in the state of Oregon by the Oregon Board of Psychologist Examiners and any other applicable licensing authority. Psychologists providing services in states that border Oregon must meet the standards of their respective licensing authority in the state in which they practice and will provide services.

The Contractor shall immediately notify the Oregon Youth Authority of any change in licensure, including any actions pending against a current licensure. OYA reserves the right to deny or terminate a contract if a licensure board has imposed disciplinary action against a provider’s licensure.

Any staff providing direct services or having unsupervised contact with youth must be included in the application.

Education Requirements Contractor’s providing Psychological Evaluation Services must have a Doctoral degree from an accredited university (by an accrediting body recognized by the U.S. Department of Education or the Oregon Office of Degree Authorization) in a professional discipline qualifying a person to provide therapy or counseling (e.g., psychology, psychiatry, social work, family counseling, etc.).

Continuing Education Continuing education credits should reflect demonstrable education and training which allow the contractor to provide current, evidence-based/research informed practices for the services that are being provided. Continuing education is a critical part of maintaining professional standards in the practice of behavioral health treatment. OYA recognizes that licensure requires a certain number of CEUs to be completed and accepts current licensure as evidence that training has occurred.

SECTION III: APPLICANT IS OFFERING TO PROVIDE GENERAL THERAPY SERVICES

The OYA is seeking to establish a list of qualified professionals to provide general therapy services as needed for youth offenders in OYA custody. Typically, these youth offenders present with multiple treatment issues and the OYA wishes to provide therapy as needed for those youth offenders as relates to the reduction of criminogenic risk factors identified in the OYA risk/needs assessment and case plan goals. The Oregon Youth Authority contracts for evidence based mental health treatment services that are appropriate for the needs of the juvenile justice population.

Service referrals may include the need for services related to: trauma issues, aggressive behaviors, anti-social attitudes and beliefs, drug and alcohol issues, fire setting, grief/loss issues, immature coping skills/behaviors, multiple family losses, sexual boundary issues, sexual offending, suicidal/self-harming behavior, victimization issues, domestic violence issues, and issues related to mental health conditions as identified in the current version of the DSM (Diagnostic & Statistical Manual of Mental Disorders).

Research has shown that groups should be comprised of no more than 6-8 youth. OYA endorses this as the standard for group based therapy and skills training services.

The Agency cannot predict the caseload for the future and does not represent any particular volume of business will be offered to any applicant who contracts to provide services.

Professional Standards Requirements Any legislative changes around provider credential requirements may require OYA to change its standards accordingly. Providers will be notified of any action needed.

Contractors that will provide services in Oregon shall meet the standards of all applicable state and federal laws and regulations, including those that pertain to licensure. Contractors who practice and provide services in states that border Oregon must meet the standards of their respective licensing authority in the state in which they practice.

If a Contractor is enrolled with the Division of Medical Assistance Programs (DMAP) of the Oregon Health Authority (OHA), Contractor shall provide its DMAP number with its application.

The Contractor shall immediately notify the Oregon Youth Authority of any change in licensure, including any actions pending against a current license. OYA reserves the right to deny or terminate a contract if a licensing board has imposed disciplinary action against a provider’s license. OYA also reserves the right to deny or terminate a contract if negative action has occurred against a provider’s DMAP enrollment.

Any staff providing direct services or having unsupervised contact with youth must be included in the application.

Education Requirements

Contractor’s providing General Therapy Services must have a Master’s or Doctoral degree from an accredited university (by an accrediting body recognized by the U.S. Department of Education or the Oregon Office of Degree Authorization) in a professional discipline qualifying a person to provide therapy or counseling (e.g., psychology, psychiatry, social work, family counseling, etc.)

Continuing Education Continuing education credits should reflect demonstrable education and training which allow the contractor to provide current, evidence-based/research informed practices for the services that are being provided. Continuing education is a critical part of maintaining professional standards in the practice of behavioral health treatment. OYA recognizes that licensure requires a certain number of CEUs to be completed and accepts current licensure as evidence that training has occurred.

Providers who have unlicensed staff will be required to submit proof of ongoing training/education for those staff, with documentation reflecting that the training is relevant to adolescents and to the services being provided.

SECTION IV: APPLICANT IS OFFERING TO PROVIDE SEX OFFENDER TREATMENT SERVICES

The OYA is seeking to establish a list of qualified professionals to provide sex offender treatment services as needed for youth offenders in OYA custody. Typically, these youth offenders present with multiple treatment issues and the OYA wishes to provide therapy as needed for those youth offenders as relates to the reduction of criminogenic risk factors identified in the OYA risk/needs assessment and case plan goals. The OYA contracts for evidence based sex offender treatment services that are appropriate for the needs of the juvenile justice population.

The OYA requires comprehensive sex offense-specific treatment for youth offenders adjudicated of sex crimes. The OYA believes sexual offenses are a complex and multidimensional set of behaviors and therefore subject to modification and change.

In order to accomplish its mission with youth adjudicated for sex offenses, the OYA has developed a method of community protection that emphasizes appropriate treatment. OYA has developed a continuum of treatment that begins the reformation process when youth offenders enter the OYA’s system of care. OYA’s goal is for, each youth offender who has been adjudicated for a sex offense to complete sex offense-specific treatment in the areas of cognitive and emotional ownership, social skills development, and relapse prevention.

The Agency cannot predict the caseload for the future and does not represent any particular volume of business will be offered to any applicant who contracts to provide services.

ADDITIONAL SERVICE DELIVERY REQUIREMENTS FOR CONTRACTORS PROVIDING SEX OFFENDER TREATMENT SERVICES If the contractor wishes to provide sex offense-specific treatment, the Contractor must focus on therapeutic intervention designed to prevent sexual re-offending behavior.

Research has shown that groups should be comprised of no more than 6-8 youth. OYA endorses this as the standard for group based therapy and skills training services.

Contractors shall treat OYA youth offenders using current best practices for juvenile sex offense-specific group, individual and family treatment modalities. Requests to provide alternative treatment services MUST be initiated through Agency’s assigned parole and probation officer AND have prior written Agency approval from the Treatment Services Director.

It is expected that contractors will adhere to any protocols which may be established by the Agency for the treatment of sexual offenders. In addition, should the Agency adopt a core curriculum, contractors will be expected to incorporate similar components into treatment activities.

Contractor will be required to complete an initial or updated sex offender risk assessment or evaluation utilizing the PROFESOR, or other risk assessments related to juvenile sex offending behavior, for each youth offender referred by the Agency within 30 days of referral (unless one has been completed as a part of treatment within the previous 6 months) and every twelve months thereafter.

Contractor shall not, under any circumstance, administer or allow to be administered by any person, a plethysmograph, Abel assessment for sexual interest, aversive therapies or other alternative therapies on any youth offender referred unless pre-approved, in writing, by the OYA Treatment Services Director. These will be reviewed on a case-by-case basis.

Treatment programs may consist of, but not be limited to, the following:

· Cognitive, behavioral and emotional ownership approaches designed to modify thinking and behavior

· Therapist-led groups

· Individual therapy

· Family therapy

· Victim clarification

· Use of polygraphs

· Multidisciplinary case staffing

· Relapse prevention

· Psycho-educational programs

· Skills Training groups

The focus of sessions will assist youth offenders in identifying, controlling and managing their sexual and aggressive behavior and not serve simply as a weekly check-in period. Sessions will provide interventions defined as the consensus of best juvenile sex offense-specific treatment practice.

Professional Standards Requirements Any legislative changes around provider credential requirements may require us to change OYA’s standards accordingly. Providers will be notified of any action needed.

Board Certification

Providers of sex offender treatment services for OYA youth must have obtained the appropriate Oregon Sex Offender Treatment Board (SOTB) certification and they must maintain such certification at all times when providing services. Agency considers the following SOTB certifications/Scope of Professional practice as appropriate: 1) Certified Clinical Sexual Offense Therapists, 2) Certified Secondary Clinical Sexual Offense Therapists and 3) Certified Sexual Offense Therapist Interns, with a master’s degree in an SOTB approved area of study, working toward licensure and SOTB Clinical Therapist certification, and under the direct supervision of an SOTB Clinical Therapist.

If a Contractor is enrolled with the Division of Medical Assistance Programs (DMAP) of the Oregon Health Authority (OHA), Contractor shall provide its DMAP number with its application.

The Contractor shall immediately notify the Oregon Youth Authority of any change in licensure or certification, including any actions pending against a current license or certification. OYA reserves the right to deny or terminate a contract if a licensing or certification board has imposed disciplinary action against a provider’s license. OYA also reserves the right to deny or terminate a contract if negative action has occurred against a provider’s DMAP certification.

Any staff providing direct services or having unsupervised contact with youth must be included in the application.

Education Requirements

Contractor’s providing Sex Offender Treatment Services must have a Master’s or Doctoral degree from an accredited university (by an accrediting body recognized by the U.S. Department of Education or the Oregon Office of Degree Authorization) in a professional discipline qualifying a person to provide therapy or counseling (e.g., psychology, psychiatry, social work, family counseling, etc.)

Continuing Education Continuing education credits should reflect demonstrable education and training which allow the contractor to provide current, evidence-based/research informed practices for the services that are being provided. Continuing education is a critical part of maintaining professional standards in the practice of behavioral health treatment. OYA recognizes that licensure requires a certain number of CEUs to be completed and accepts current licensure as evidence that training has occurred.

Providers who have unlicensed staff will be required to submit proof of ongoing training/education for those staff, with documentation reflecting that the training is relevant to adolescents and to the services being provided.

PROFESOR /Risk Assessment Requirements

Persons who provide sex offender treatment services for OYA youth must have training and experience in risk assessments related to juvenile sex offending behavior, preferably the PROFESOR (Protective + Risk Observations For Estimating Sexual Offense Recidivism), as part of the overall assessment and treatment process. You will need to provide documentation that you meet this standard. Depending on the type of risk assessment training you report or length of time since your last training was received, you may be required to attend the next scheduled risk assessment training provided by OYA.

SECTION V: APPLICANT IS OFFERING TO PROVIDE ALCOHOL AND DRUG TREATMENT SERVICES

The OYA is seeking to establish a list of qualified professionals to provide alcohol and drug treatment services as needed for youth offenders in OYA custody. Alcohol and drug treatment services have been demonstrated to reduce recidivism for youth with these conditions. Alcohol and drug treatment services to OYA youth must be designed to address the reduction of criminogenic risk factors identified in the OYA risk/needs assessment and case plan goals.

Alcohol and drug treatment services are expected to encompass a continuum of community-based services from early intervention to community reintegration and aftercare. These services must be integrated with mental health treatment services when co-occurring mental health conditions are present.

The Agency cannot predict the caseload for the future and does not represent any particular volume of business will be offered to any applicant who contracts to provide services.

ADDITIONAL SERVICE DELIVERY REQUIREMENTS FOR CONTRACTORS PROVIDING ALCOHOL AND DRUG TREATMENT SERVICES

A release of information form will be utilized, in compliance with federal guidelines that are specific to corrections and juvenile justice clients. The contractor shall immediately cease to provide services upon any revocation of release of information by the youth offender and shall inform the client’s parole and probation officer of such revocation.

Research has shown that groups should be comprised of no more than 6-8 youth. OYA endorses this as the standard for group based therapy and skills training services.

An individual alcohol and drug assessment utilizing the current ASAM (American Society of Addictions Medicine) criteria will be completed for each youth offender referred by the Agency within 30 days of referral.

Urinalysis as identified in the treatment plan.

Professional Standards Requirements

Any legislative changes around provider credential requirements may require us to change OYA’s standards accordingly. Providers will be notified of any action needed.

Contractors must meet the standards of the certifying or licensing authority in the state in which they practice and will provide services. For example, Contractors who practice in Oregon and will provide services in Oregon must be certified or licensed in Oregon. Contractors who practice in states that border Oregon must meet the standards of their respective licensing authority.

If a Contractor is enrolled with the Division of Medical Assistance Programs (DMAP) of the Oregon Health Authority (OHA), Contractor shall provide its DMAP number with its application.

The Contractor shall immediately notify the Oregon Youth Authority of any change in certification/licensure, including any actions pending against a current certification/licensure. OYA reserves the right to deny or terminate a contract if a certification/licensure board has imposed disciplinary action against a provider’s certification/licensure. OYA also reserves the right to deny or terminate a contract if negative action has occurred against a provider’s DMAP certification.

Any staff providing direct services or having unsupervised contact with youth must be included in the application.

Certification/Licensure Requirements For treatment staff who do not hold a mental health license, a minimum of a CADC II is required. Staff with a CADC I may provide services if allowed by otherwise applicable state and federal licensure requirements.

OR

For treatment staff holding a health or allied provider license, the license or registration must have been issued by one of the following state bodies and the person must possess documentation of at least 60 hours of academic or continuing education in substance use disorders treatment.

(A) Board of Medical Examiners;

(B) Board of Psychologist Examiners;

(C) Board of Licensed Social Workers;

(D) Board of Licensed Professional Counselors and Therapists; or

(E) Board of Nursing.

Education Requirements

Contractor’s providing Alcohol & Drug Treatment Services must have a bachelor’s degree from an accredited university (by an accrediting body recognized by the U.S. Department of Education or the Oregon Office of Degree Authorization) or equivalency of an associate’s degree from an accredited university or college, and a combination of academic courses with specialized training in the Addiction Counseling Competencies commensurate with baccalaureate degree credit/hour requirements.

The CADC I does not require an Associate’s Degree. The combination of education, supervised experience hours and examination approximate the Associate Proficiency Level as outlined in the Academic Proficiency Levels.

Continuing Education

Continuing education credits should reflect demonstrable education and training which allow the contractor to provide current, evidence-based/research informed practices for the services that are being provided. Continuing education is a critical part of maintaining professional standards in the practice of behavioral health treatment. OYA recognizes that certification/licensure requires a certain number of CEUs to be completed and accepts current certification/licensure as evidence that training has occurred.

Supervision Requirements

Treatment staff who provide alcohol and drug treatment services for OYA youth must be receiving supervision in accordance with OAR 309-019-0125(4) and 0130(4)(b) and (c). Documentation that each treatment staff is currently receiving supervision at least twice a month is required.

Alcohol and Drug Treatment Matrix

(Licensed and/or Certified Providers Only)

Being “qualified” to provide treatment does not automatically mean you are approved.

Contractors that are enrolled with the Division of Medical Assistance Programs (DMAP) of the Oregon Health Authority (OHA) are permitted to have employees who have a CADC I (but not a mental health license) provide alcohol and drug treatment. Contractor shall provide its DMAP number with its application.

SECTION VI: FORMS

All forms listed in the Section are required to be submitted for consideration of an application.

· Application Cover Sheet (Form A)

Provider Qualifications (Form B)

Questionnaire and Other Required Information (Form C)

· Fee-for-Service Rates (Form D)

· Declaration of Compliance with Tax Laws (Form E)

· Insurance Requirements (Exhibit A)

· Checklist

· Contracted Providers Consent for Criminal Records Check (YA2010)—access via https://www.oregon.gov/oya/Pages/contractedserviceforms.aspx

· Child Abuse and Neglect Registry information request (YA8035) —access via https://www.oregon.gov/oya/Pages/contractedserviceforms.aspx

· Please note: Applicant is only required to fill out the 2nd page of the Child Abuse and Neglect Registry Information Request form.

FORM A

STATE OF OREGON

OREGON YOUTH AUTHORITY

COMMUNITY TREATMENT SERVICES APPLICATION

COVER SHEET

The State of Oregon, acting by and through its Oregon Youth Authority (OYA), referred to herein as the Agency, issues this Application for Community Treatment Services to youth offenders.

Refer to the respective question number on all additional pages used for your application. When possible, use the application form. Check your application carefully to make sure you have submitted all required information. Incomplete applications may be disqualified.

1.

Applicant’s Name (if applying as a business, use registered business name):

2.

Primary Contact Person: Title:

3.

Address where services will be provided:

City, State, Zip:

4.

Mailing Address (if different than above):

City, State, Zip:

5.

Telephone #: Fax#:

6.

E-mail Address:

7.

Name and title of the person(s) authorized to represent the Applicant in any negotiations and sign any Contract that may result:

Name: Title:

8.

Applying to provide the following services:

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General Therapy

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Sex Offender Treatment

Alcohol and Drug Treatment

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Psychological Evaluation Services 9.

Please indicate the county or counties where services will be provided by checking the box to the left of the county listed below:

Tri-County

Region

Region Central and Eastern

Region

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Clackamas

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Benton

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Coos

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Baker

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Malheur

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Multnomah

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Clatsop

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Curry

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Crook

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Morrow

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Washington

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Columbia

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Douglas

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Deschutes

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Sherman

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ALL

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Lincoln

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Jackson

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Gilliam

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Umatilla

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Linn

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Josephine

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Grant

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Union

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Marion

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Klamath

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Harney

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Wallowa

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Polk

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Lane

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Hood River

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Wasco

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Tillamook

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ALL

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Jefferson

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Wheeler

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Yamhill

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Lake

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ALL

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ALL

10.

Statement of acceptance of the terms and conditions contained in the Application:

I hereby acknowledge and agree that I have read and understand all the terms and conditions contained in the Application.

I hereby agree to use recyclable products to the maximum extent economically feasible in the performance of the work set forth in this Application.

I have not and will not discriminate against a subcontractor in the awarding of a subcontract because the subcontractor is a minority, woman, or emerging small business enterprise certified under ORS 200.055.

I certify that the information I have provided is correct. I understand that any misrepresentations or incorrect information provided to OYA can result in disqualification of my application.

Authorized Signature:

Date:

Printed Name:

FORM B

PROVIDER QUALIFICATIONS

Please complete Form B for each therapist/counselor or psychologist who will be providing direct services to OYA youth. Please attach a current resume.

Name:

Service:

General Therapy Sex Offender Treatment

Alcohol and Drug Treatment

Psychological Evaluation Services Experience Please list the months, years you have provided services to delinquent adolescents that would support your work history for this application:

YEARS

MONTHS

FOR GENERAL THERAPY AND SEX OFFENDER TREATMENT SERVICE PROVIDER APPLICATIONS

Education Providers of general therapy and sex offender treatment services must have a Master’s degree from an accredited university (by an accrediting body recognized by the U.S. Department of Education or the Oregon Office of Degree Authorization) in a professional discipline qualifying one to provide these services (e.g., psychology, psychiatry, social work, family counseling, etc.). Please attach a copy of the diploma or an official transcript only.

EDUCATION (identify highest qualification):

Doctoral Degree Discipline (Field)

Master’s Degree Discipline (Field)

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Bachelor’s Degree Discipline (Field)

Name of University

Professional Licensure Providers of general therapy and sex offender treatment services must possess an LPC, LMFT, LCSW, Ph.D or Psy.D in good standing by the relevant Oregon licensing board to provide clinical evaluations, therapy, counseling, or psychological services. The Agency may request further information and request interviews before offering a contract. Be advised, mental health professionals must be licensed in Oregon to provide services in Oregon. Please attach a copy of your license.

Professional License:

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YES

NO

If yes, licensing board:

License No.:

Board Certification

Providers of sex offender treatment services for OYA youth must have obtained the appropriate Oregon Sex Offender Treatment Board (SOTB) certification and they must maintain such certification at all times when providing services. Agency considers the following SOTB certifications/Scope of Professional practice as appropriate: 1) Certified Clinical Sexual Offense Therapists, 2) Certified Secondary Clinical Sexual Offense Therapists and 3) Certified Sexual Offense Therapist Interns, with a master’s degree in an SOTB approved area of study, working toward licensure and SOTB Clinical Therapist certification, and under the direct…