RFP_10825.pdf

RFP #10825

Version: 19 Rev 08-01 -23 Page 1 of 54

Date: November 3, 2023

Subject: Department of Juvenile Justice (Department or DJJ) Solicitation # 10825 PROB - RFP

- Sex Offender Therapy – Statewide Request for Proposals (RFP): The Department of Juvenile Justice (DJJ) and the Office of Probation and Community

Intervention are issuing this RFP for outpatient juvenile sexual offender evaluation and treatment services for Department youth with a charge or history of sexual offense assigned to Probation, committed to the Department (Residential), or participating in a department-funded diversion program. Youth with problematic sexual behavior who do not have an adjudicated sexual offense may also be referred by the Department.

Services shall be available to youth residing in the community (Probation or Diversion) or placed in a Department residential facility in circuits throughout the state of Florida as identified in any resulting Rate Agreement. Specifically, psychosexual evaluations and treatment services for sex offenders are sought through the provision of psychosexual evaluations, individual juvenile sexual offender therapy, and family and group juvenile sex offender therapy to youth who have been charged with a sexual offense or have a history of sexually inappropriate behavior and are assigned to probation with the Department. All services shall be conducted to assist the Department in making recommendations to the court for the disposition of youth alleged to have committed criminal/delinquent offenses that were sexual in nature.

The RFP package consists of this transmittal letter with the following attachments and exhibits (some of which are not included but are available electronically as noted):

1 Available at:

http://dms.myflorida.com/business_operations/state_purchasing/documents_forms_references_resources /purchasing_forms 2 Available at: http://www.djj.state.fl.us/partners/procurement-and-contract-administration 3 Document uploaded as a separate document for the RFP and posted on the Vendor Bid System.

4 Available at: http://www.djj.state.fl.us/partners/forms-library/contracts

PUR 1000[1] General Contract Conditions - Incorporated by Reference1 PUR 1001[1] General Instructions to Respondents - Incorporated by Reference1 Attachment A Services Sought Attachment B General Instructions for the Preparation and Submission of Proposals Attachment C Special Conditions Attachment D Reserved Attachment E Reserved Attachment F Evaluation Criteria Attachment G Sample Rate Agreement2 Attachment H Price Sheet (MANDATORY)3 Attachment I Reserved Attachment J Reserved Attachment K Drug-Free Workplace Certification2

Attachment L Reserved Attachment M Reserved Attachment N Notice of Intent to Submit a Response3 Attachment O RFP Proposal Cross Reference Table Attachment P Written Evaluation Questions/Considerations Attachment Q Proposal Verification Form3 Attachment R Certification of Experience Attachment S Tie Breaking Certifications3 Attachment T Client Contact List Attachment U Florida Certified Minority Business Enterprise (CMBE) Subcontracting Utilization

Plan2 Attachment V Reserved

Exhibit 1 Invoice4 http://dms.myflorida.com/business_operations/state_purchasing/documents_forms_references_resources/purchasing_forms http://dms.myflorida.com/business_operations/state_purchasing/documents_forms_references_resources/purchasing_forms http://dms.myflorida.com/business_operations/state_purchasing/documents_forms_references_resources/purchasing_forms http://www.djj.state.fl.us/partners/procurement-and-contract-administration http://www.djj.state.fl.us/partners/forms-library/contracts

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Exhibit 2 Youth Census Report4 Exhibit 3 Florida Minority Business Enterprise (MBE) Utilization Report4

Respondents shall comply fully with the instructions on how to respond to the RFP.

Per subsection 287.057(25), Florida Statute (F.S.), Respondents to this solicitation or persons acting on their behalf may not contact, between the release of this solicitation and the end of the seventy-two (72) hour period following the agency posting the notice of intended award, excluding Saturdays, Sundays, and state holidays, any employee or manager of the executive or legislative branch concerning any aspect of this solicitation, except in writing to the Procurement Manager or as provided in the procurement documents. Violation of this provision may be grounds for rejecting a proposal. All communications from Respondents shall be in writing (by e-mail, facsimile or mail), and cite the subject solicitation number and be directed to the attention of the Procurement Manager below.

Any person with a qualified disability shall not be denied equal access and effective communication regarding any proposal/proposal documents or the attendance at any related meeting or proposal opening.

If accommodations are needed because of a disability, please contact the Bureau of Procurement and Contract Administration at (850) 413-0708 at least five business days prior to the meeting.

Terminated for Cause Exclusions In addition to other criteria set forth in this solicitation document, any Respondent, and any and all subsidiaries of the Respondent, that have had a contract terminated by the Department for cause is subject to the follow provisions below:

1) The twelve (12) month period shall begin with the effective date of termination for cause, as delineated in the termination letter from the Department.

2) If terminated for cause in the last twelve (12) month period preceding the Date Written Proposals

Are Due and Opened for this solicitation, the Respondent shall be ruled disqualified and therefore ineligible to submit a response to the solicitation.

3) If terminated for cause in the last twelve (12) month period preceding the Notice of Intended Award resulting from this solicitation, the Respondent shall be ruled disqualified and therefore ineligible to receive a contract award.

4) The above applies regardless of the business structure (for profit/not for profit) or the dates the corporations were created.

One Florida Initiative Requirement The “One Florida Initiative” was developed in an effort to increase diversity and opportunities in state contracting without using discriminatory policies. If a Respondent(s) is awarded a Rate Agreement resulting from this solicitation, answers to the following questions may be due to the Department prior to Rate Agreement execution:

1) Does your organization have a Small Business Administration 8(a) certification? Yes (Y) / No (N) If Y, then proceed no further with these questions.

2) Is your organization a non-profit? Y/N If Y, then proceed no further with these questions.

3) Does your organization have more than 200 permanent full-time employees (including the permanent full-time staff of any affiliates)? Y/N If Y, then proceed no further with these questions.

4) Does your organization have a net worth of $5 million or more (including the value of any affiliates)?

Y/N

Sincerely, Kanton Enzor, Procurement Manager Bureau of Procurement and Contract Administration Florida Department of Juvenile Justice The Knight Building, Suite 1100 2737 Centerview Drive Tallahassee, Florida 32399-3100 Telephone: 850-717-2619 Fax: 850- 414-1625 E-Mail Address: Kanton.Enzor@fldjj.gov

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ATTACHMENT A

SERVICES SOUGHT

I. GENERAL DESCRIPTION

A. General Overview The Department of Juvenile Justice (Department) requires outpatient juvenile sexual offender evaluation and treatment services for Department youth with a charge or history of sexual offense assigned to Probation, committed to the Department (Residential), or participating in a Department-funded diversion program. Youth with problematic sexual behavior who do not have an adjudicated sexual offense may also be referred by the department. Services shall be available to youth residing in the community (Probation or Diversion) or placed in a Department residential facility in circuits throughout the state of Florida as identified in any resulting Rate Agreement. Specifically, psychosexual evaluations and treatment services for sex offenders are sought through the provision of psychosexual evaluations, individual juvenile sexual offender therapy, and family and group juvenile sex offender therapy to youth who have been charged with a sexual offense or have a history of sexually inappropriate behavior and are assigned to probation with the Department. All services shall be conducted to assist the Department in making recommendations to the court for the disposition of youth alleged to have committed criminal/delinquent offenses that were sexual in nature.

B. Description of Services

1. The Respondent shall provide psychosexual evaluations and individual, group, and family juvenile sexual offender therapy services as requested by the Juvenile Probation Officer (JPO) or other Departmental designee.

2. Psychosexual evaluations shall begin within four calendar days of the request from the Department. If the youth and family cannot meet this timeframe, the JPO or other Departmental designee shall be notified.

3. Psychosexual evaluations and juvenile sexual offender counseling services shall be designed and appropriate for youth charged with a sexual offense or who have a history of sexually inappropriate behavior.

4. The Respondent shall provide psychosocial skills training (e.g., anger management, interpersonal problem-solving skills, coping skills, self-esteem) and group counseling designed specifically for youth with a history of sexual offense or sexually inappropriate behavior.

5. Psychosexual evaluations shall be completed, and a written report delivered to the JPO or the other Departmental designee within fourteen (14) business days of accepting the referral.

6. Counseling/therapy shall begin within five business days of completion of the youth’s psychosexual evaluation.

7. All parents/guardians and youth shall receive an orientation explaining the interventions and procedures that will be utilized, and any associated risks and benefits and parental informed consent for services will be obtained.

8. All services shall be provided by appropriately certified and licensed professionals as defined in Florida Laws and Rules and in accordance with applicable federal laws and any resulting rate agreement.

C. Authority The Provider shall provide services in a manner consistent with sections 985.115 and 985.135, Florida Statutes (F.S.), Rules 63D-13.002-.0021 and 63D-13.005-.0054, Florida Administrative Code (F.A.C.), and Chapter 63H-3, F.A.C.

D. Service Limits Services are limited to the period covered by any resulting rate agreement. Services under any resulting rate agreement are based on utilization and the frequency of services.

E. Goals of the Service

1. Services shall facilitate positive changes in youth behavior and promote pro-social beliefs and attitudes. Juvenile sexual offender therapy shall focus on guiding the youth to overcome denial; assume responsibility for their sexual offense or present/past sexually inappropriate behavior; foster empathy with others; identify the deviant cycle; healing trauma; teach relapse prevention; and ensure restitution.

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Treatment shall be holistic and address underlying mental health and substance use disorders and/or conditions that contributed to the sexually problematic behavior.

2. Services shall be designed to address sexual and family issues and needs with the goal of improving family functioning and ensuring that a family safety plan is in place for each youth and family. The term “safety plan” within any resulting rate agreement means a written document prepared by the juvenile sexual offender therapist as defined in section 490.0145, F.S. and Rule 64B19-18.0025, F.A.C., or section 491.0144, F.S., and Rule 64B4-7.007, F.A.C. in collaboration with the juvenile and his/her parent or legal guardian which identifies potential high risk contacts and situations and addresses ways in which contacts and situations will be handled without the juvenile sexual offender placing others at risk. A safety planning goal shall be included in each youth’s treatment plan until the safety plan has been completed. The safety plan must be in full effect prior to successful discharge from treatment services.

3. The primary goals of juvenile sexual offender treatment are for the youth to take responsibility for their behaviors, develop the necessary skills and techniques that will prevent them from engaging in sexually abusive and harmful behaviors in the future, and lead productive and pro-social lives. The youth shall understand the inter-relationship between thoughts, feelings, and behaviors; their impact on one’s conduct; and then develop more healthy thinking patterns and appropriate techniques for managing emotions. The youth shall identify the risk factors or triggers that are associated with their sexually abusive or inappropriate behaviors and subsequently develop healthy coping skills to address those risk factors.

4. Services shall address the youth’s needs as determined through the juvenile psychosexual evaluation and other formal assessments. Treatment interventions should be driven by formal assessments and each youth’s Individualized Treatment Plan (ITP). Treatment goals shall be individualized, specific, and measurable.

II. YOUTH TO BE SERVED

A. Youth to be Served The Respondent shall deliver services to boys and girls between the ages of thirteen (13) to eighteen (18) who reside in the proposed circuit. Youth falling outside this age range may be served on a case-by-case basis when mutually agreed upon by the Respondent and the Department.

B. Youth Eligibility The program shall serve youth who have been charged with a sexual offense or who have a history of sexually problematic behavior and are assigned to probation within the Department or committed to the Department. The program shall provide outpatient juvenile sexual offender evaluation and treatment services for Department youth residing in the community. The program shall be available on an outpatient basis to youth residing in the community.

C. Youth Referral/Determination for Services Youth referred for services by the Department shall be referred by the Juvenile Probation Officer (JPO) through the Department’s Probation Resource Booking System. The Department’s JPO will forward a signed authorization and referral packet to the Respondent, which contains the following items, when available:

1. Expanded Face Sheet;

2. School information (e.g., standardized testing scores, Individual Education Plans

[IEPs], 504 Plans, intelligence quotient (IQ) scores or ratings, grades, behavior and attendance records);

3. Arrest affidavit, violation of probation or transfer request, full investigative police report for the triggering offense;

4. Victim statements;

5. Massachusetts Youth Screening Instrument (MAYSI) 2 Report with Referral

Information as applicable;

6. Comprehensive Assessment Tool (CAT) Overview Report;

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7. Human Trafficking Screening Tool (HTST) Prescreening Report and HTST Full Screening;

8. Release of Information forms;

9. Prior assessments available to the Department (i.e., SAMH-2, Psychological

Evaluation, Bio-Psychosocial Assessment, or predisposition Comprehensive Evaluation);

10. Prior medical information available to the Department (i.e., medical history and/or results of a medical exam after obtaining release when necessary);

11. Prior mental health information available to the Department (i.e., Baker Acts, Marchman Acts, prior inpatient and/or outpatient treatment records), mental health and substance abuse discharge summary forms;

12. History of employment and vocational training;

13. Most recent Pre-Disposition Report (PDR); and

14. Signed Authority for Evaluation and Treatment (AET) form.

15. In the event that the Department establishes an Electronic Health Record (EHR) for Probation, the Respondent may gain access to the system and retrieve all available treatment information about relevant youth. The Respondent shall also utilize the EHR to complete Psychosexual evaluations and document treatment services.

D. Youth Admission/Acceptance for Services

1. All youth referred for services by the Department shall be accepted by the

Respondent in the Department’s Juvenile Justice Information System (JJIS) Resource Booking System and a psychosexual evaluation shall be conducted and completed within fourteen (14) business days of the date of the Department’s referral to the Respondent. This is a statutory requirement for all youth prior to receiving counseling/therapy. If the Respondent is at service capacity based on approved staffing, and cannot accept all referrals, a call shall be placed within twenty-four (24) hours to the referring JPO and the Chief Probation Officer of the Circuit where the youth was referred to determine how to proceed. (NOTE: The Respondent should track monthly referrals and staff accordingly.) The Respondent shall admit the youth in JJIS upon placement. Placement does not begin until a youth physically participates in the face-to-face psychosexual evaluation interview.

2. A licensed psychologist meeting the requirements to practice juvenile sexual offender therapy as specified in section 490.0145 F.S., and Rule 64B19-18.0025, F.A.C., or a licensed clinical social worker, licensed mental health counselor or licensed marriage and family therapist meeting the requirements to practice juvenile sexual offender therapy as specified in section 491.0144, F.S., and Rule 64B4-7.007, F.A.C., shall perform the psychosexual evaluation and assess all youth for appropriateness of community-based sexual offender treatment.

3. After the psychosexual evaluation is complete, submitted to the Department’s Chief Probation Officer, and the youth is referred to a Respondent for counseling/therapy services, the Respondent shall be responsible for contacting referred youth to schedule appointments.

4. The Respondent shall contact the assigned JPO or Department approved referral source when the youth is not responsive (fails to schedule an appointment or attend counseling sessions).

5. Depending on the youth’s age and circumstance(s) of the offense(s), the Respondent shall be knowledgeable and willing to network with Department of Children and Families’ Respondents or other community resources that provide sex offender treatment to the youth in order to assure that existing services are not duplicated through any resulting rate agreement.

6. The Respondent shall ensure that prior to any services being rendered, youth and parents/legal guardians sign appropriate forms outlining informed consent for treatment and release of treatment records in accordance with Florida law and Rule 63N-1, F.A.C. including releases that allow the Department access to all service information.

E. Discharge/Termination of Services

1. Discharges/Terminations shall require written approval by the Department prior to the youth’s release from services. The Respondent shall provide a written report

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2. The Department will accept a youth’s discharge/termination from services when the youth has successfully completed the recommended course of treatment outlined in the treatment plan or reached the time limits of service for the youth.

Documentation supporting the discharge/termination shall be submitted to the Department when any youth is discharged/terminated from services.

3. Successful completion shall be deemed to have occurred when:

a. The youth has completed 90% of his/her individual treatment goals that were determined by the original psychosexual evaluation and upon the Respondent’s validation that the goals have been completed based on a clinical assessment, completion of course work, and when appropriate, additional testing. The rationale for termination shall have been clearly documented in the youth's termination summary and approved by the CPO or designee.

b. The youth has received the maximum services available and will no longer obtain benefit as determined by the Respondent. The rationale for the youth reaching maximum benefit shall be based on a clinical assessment, testing when appropriate, or documentation of an on-going pattern of behavior that supports this premise, and shall clearly be documented in the termination summary that is approved by the CPO or designee.

c. The youth’s period of supervision by the Department has expired, or Department custody has ended.

d. Other reasons for discharge/termination include, but are not limited to, death, receiving adult sentencing, or the youth has moved outside the boundaries of the Circuit.

4. The Respondent shall provide proper documentation for a violation of probation, violation of Post-Commitment Probation, and/or a violation of Conditional Release or transfer. The documentation shall clearly state that:

a. The needs of the youth are such that he/she can no longer be served through community-based services without substantial risk to the community.

b. The needs of the youth are such that he/she can no longer be served appropriately by this Respondent but would be more appropriate for another community-based service.

F. Limits on Youth to be Served The average length of participating in sex offender services is nine to twelve (12) months.

Services shall occur until such time as the youth is considered to have successfully completed services and the JPO has been notified and is in agreement with the discharge.

If the youth require additional juvenile sexual offender therapy past twelve (12) months, the Respondent shall communicate with the circuit to request continued services.

G. Polygraphs Polygraphs shall require written approval from the Department’s Regional Director (or Regional Manager) for Probation and Community Intervention (P&CI) where the youth is located and the Director of Mental Health & Substance Abuse (or designee) in the Department’s Office of Health Services, prior to the administration of any single polygraph.

The Respondent shall submit a written request (e-mail acceptable) for the administration of one polygraph for a specific Department youth to the Department’s Regional Director (or Regional Manager) of P&CI where the youth is located and the Director of Mental Health & Substance Abuse in the Department’s Office of Health Services, with a copy being sent to the Department’s Contract Manager. The written request shall include the youth’s name, DJJ ID number and the reason for the use of a polygraph. The Department shall respond to the Respondents request in writing (e-mail acceptable) within five business days of receiving the Respondents request. The Department shall not be responsible for payment of any polygraph. The youth and family shall not be financially responsible for any polygraph under any resulting rate agreement. Approved polygraphs shall only be used during the initial assessment phase of treatment and are not to be used to measure treatment progress or as a determinant of discharge from services. Results of any polygraph administered shall be kept in the youth’s Individual Health Care Record, or

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Active Mental Health/Substance Abuse Treatment File which is kept separate and secure from the youth’s program case file, or the Department’s EHR. Only individuals who, by virtue of job description and duties, require information on a youth’s mental health, substance abuse or developmental disability status for the purpose of providing health care to that youth, protecting the safety of that youth, or performing auditing functions may have access to a youth’s mental health, substance abuse or developmental disability clinical records and/or information, including polygraph results.

III. SERVICE TASKS

A. Service Tasks

At a minimum, the Respondent shall provide the following tasks:

1. Psychosexual Evaluation

The Respondent shall provide psychosexual evaluation services to youth charged with sexual offenses or who have a history of inappropriate sexual behavior.

Psychosexual evaluations shall not be performed virtually. The Respondent shall assess the youth’s risk and treatment needs and recommend the most appropriate course of treatment. A psychosexual evaluation shall be conducted for all youth referred for services.

a. Psychosexual Evaluation: A sex offender evaluation shall include review of collateral information, including, but not limited to, the following:

1) Police report/arrest report;

2) PDR;

3) Victim’s statement of offense (when available);

4) Offender’s statement of offense;

5) Offense history;

6) Juvenile Justice records (referrals, placements, previous interventions and treatment);

7) Mental health/psychiatric records (when available); and

8) Parent/guardian interview.

b. A psychosexual evaluation shall reflect consideration of the following:

1) Presenting problem;

2) History:

a) Home environment/family functioning;

b) Physical abuse, sexual abuse, neglect, witnessing violence and other forms of trauma;

c) Physical health;

d) Mental health;

e) Substance use/abuse;

f) Behavioral functioning;

g) Educational history;

h) Social history; and

i) Sexual history.

3) Testing/evaluation procedures including:

a) Sex offender inventory/questionnaire;

b) Vocational testing;

c) Personality testing; and

d) Cognitive/intelligence testing.

4) In-person Clinical interview including:

a) Antecedents of sexual offense(s);

b) Attitudes and knowledge regarding sexuality;

c) Cognitive distortions regarding sexually deviant behavior;

d) Degree of empathy and denial;

e) Emotional functioning;

f) Trauma history; and

g) Current symptomology.

5) Behavioral observations (including mental status examination and current functioning and symptoms);

6) Results/findings including DSM-5 diagnoses (or most recent version of the DSM), specifiers and severity of symptoms; and

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7) Summary and recommendations which include:

a) A statement about the juvenile sexual offender’s amenability to treatment and relative risk to the victim and the community;

b) A statement regarding recommended restrictions on the contact between the juvenile sexual offender and either the victim or alleged victim;

c) Treatment recommendations that target the specific issues and behaviors to be addressed in treatment; and

d) Treatment recommendations that target the youth’s mental health and/or substance abuse needs, educational needs, health needs, and all other pertinent treatment information.

2. Psychosexual Evaluation Reports

a. The psychosexual evaluation shall include the elements specified in section III., A., 1., and section III., A., 2., of this Attachment and shall also include a psychosexual examination, neurological information, psychological analysis, psychiatric analysis, educational testing and review, and in-depth vocational testing and analysis. The Respondent shall include recent child status information as gathered from the youth and family and ensure the report includes a review of medical, educational, vocational, substance abuse, and mental health histories. At a minimum, the Respondent shall include the following components as part of the written evaluation:

1) Overview of the youth in each domain;

2) Compilation of existing documented information;

3) Emphasis on domain(s) that are indicated as higher need;

4) Clinical interview of the youth and parent;

5) Extensive evaluation and examination of high need areas; and

6) Recommendation for a course of treatment.

b. The Respondent shall provide a detailed psychosexual evaluation report that shall be forwarded to the Department’s assigned JPO or Department approved referral source within fourteen (14) business days of receipt of referral.

c. The psychosexual evaluation report shall be provided on the Respondent’s stationary and contain the name, title, original signature, and Florida license number of the licensed professional as specified in Attachment I, section III., C., Staffing/Personnel, who conducted the evaluation and the date of the evaluation(s) and report.

3. Individualized Treatment Plan (ITP)

a. An ITP shall be developed for each youth prior to the provision of counseling services by the licensed professional or approved non-licensed therapist as specified in any resulting Rate Agreement meeting the requirements of a juvenile sexual offender therapist as specified in Attachment I, section III., D., Staffing/Personnel. The ITP shall be based upon an in-depth psychosexual evaluation. A copy of the youth’s treatment plan and progress/treatment notes shall be forwarded to the youth’s JPO or Department approved referral for permanent filing in the youth’s Department Individual Healthcare Record (mental health section). The ITP shall contain the following elements:

1) The youth’s DSM diagnoses (DSM-5 or most current version of the DSM, specifiers, and severity of symptoms);

2) The specific symptoms and behaviors that will be the focus of treatment;

3) The type of counseling and anticipated number of sessions to be completed by the youth and, when applicable, his/her family;

4) Sex offender treatment goals and objectives, written in achievable and measurable terms, which are:

a) Related to the diagnosis;

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b) Responsive to the youth’s risk factors, symptoms, and inappropriate sexual behaviors;

c) Address specific risk factors, behaviors, symptoms, skill deficits, strengths, and needs of the youth;

d) The youth’s functional strengths/abilities and preferences/needs that may affect his/her success in treatment;

e) The intervention/strategies to be provided including safety planning and target dates for completion; and

f) The youth’s psychiatric service needs (for youth receiving psychotropic medication or other psychiatric services).

b. The ITP shall be signed and dated by the licensed professional meeting the requirements of a juvenile sexual offender therapist as specified in Attachment I, section III., D., Staffing/Personnel, completing the treatment plan, the youth, and the parent(s)/legal guardian(s) within ten days of completion. If the parent(s)/legal guardian(s) signature is not included on the treatment plan, the Respondent shall include documentation of the reason for non-involvement; efforts to secure the parent(s)/legal guardian(s) involvement; and/or the reason for non-involvement consistent with statutory requirements.

c. ITP Review A licensed professional or approved non-licensed therapist as specified in any resulting Rate Agreement meeting the requirements of a juvenile sexual offender therapist, as specified in Attachment I, section III., D., Staffing/Personnel, shall conduct a review of the ITP every thirty (30) days.

The ITP review will assess the youth’s progress in meeting his/her treatment goals and objectives and ascertain whether modifications to the treatment plan are needed. The ITP review findings and recommendations shall be documented on a form developed by the licensed professional, or the sample form (MHSA 016) incorporated in Rule 63N-1, F.A.C.

d. ITP Modifications Modifications made to the ITP shall be documented on the review form and shall be clearly and specifically identified as a modification to the ITP.

The ITP review form shall, at a minimum, contain all the elements of the form (MHSA 017) incorporated in Rule 63N-1, F.A.C.

The treatment plan review form must be signed and dated by the licensed professional meeting the requirements of a juvenile sexual offender therapist in Attachment I, section III., D., Staffing/Personnel.

4. Individual Juvenile Sexual Offender Counseling/Therapy The Respondent shall schedule and conduct individual juvenile sexual offender counseling/therapy services to youth referred by the Department. All individual juvenile sexual offender counseling sessions shall either be a full session that is sixty (60) minutes in duration, (with a minimum of fifty (50) minutes counseling/therapy time) or a half session that is thirty (30) minutes in duration (with a minimum of twenty-five (25) minutes counseling/therapy time); each youth shall have a minimum of two individual sessions per month and sessions must be conducted by a licensed professional meeting the requirements of a juvenile sexual offender therapist as specified in Attachment I, section III., D., Staffing/Personnel.

a. Individual juvenile sexual offender therapy shall be based on the youth’s

ITP.

b. Individual juvenile sexual offender therapy shall be documented in progress/treatment notes, which provide a description of the treatment session/activity and the youth’s participation in the treatment session/activity. The progress/treatment notes shall document the course of treatment and the youth’s progress in meeting his or her clinical goals and objectives as specified in the treatment plan. Progress/treatment notes shall be recorded on the day the treatment service/activity is provided.

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c. A copy of the youth’s treatment plan and progress/treatment notes shall be forwarded to the youth’s JPO for permanent filing in the youth’s Department Individual Healthcare Record (mental health section).

d. The Respondent shall document youth participation and progress in the youth’s file and provide a written monthly update to the Department’s assigned JPO on the referral or Department approved referral source.

e. All youth participating in individual juvenile sexual offender therapy sessions shall sign in and out at the start and end of each session. Copies of sign-in sheets shall be provided to the Department with the invoice for payment.

5. Group Juvenile Sexual Offender Counseling/Therapy The Respondent shall schedule and conduct group juvenile sexual offender counseling/therapy services to youth referred by the Department as clinically appropriate. Youth who are not appropriate for group therapy format shall have a justification documented within the psychosexual evaluation report findings (i.e., age, cognition level, etc.). All juvenile sexual offender group counseling/therapy sessions shall either be a full session that is sixty (60) minutes in duration (with a minimum of fifty (50) minutes counseling/therapy time) or a half session that is thirty (30) minutes in duration (with a minimum of twenty-five (25) minutes counseling/therapy time); shall not exceed ten youth; shall be conducted at least weekly (four times a month for each youth); and shall be conducted by a licensed professional or approved non-licensed therapist as specified in any resulting contract meeting the requirements of a juvenile sexual offender therapist as specified in section III., D., Staffing/Personnel.

a. Group therapy shall be based on effective treatment models such as

Cognitive Behavioral Therapy or Multisystemic Therapy. Research-based treatment and curriculums should be used, whenever possible.

b. Group therapy shall be based on the youth’s ITP as specified above.

c. Group therapy shall be documented in progress/treatment notes, which provide a description of the treatment session/activity and the youth’s participation in the treatment session/activity. The progress/treatment notes shall document the course of treatment and the youth’s progress in meeting his or her clinical goals and objectives as specified in the treatment plan. Progress/treatment notes shall be recorded on the day the treatment service/activity is provided.

d. A copy of the youth’s treatment plan and progress/treatment notes shall be forwarded to the youth’s JPO for permanent filing in the youth’s Individual Healthcare Record (mental health section).

e. The Respondent shall document youth participation and progress in the youth’s file and provide a written monthly update to the Department’s assigned JPO or Department approved referral source, listed on the referral.

f. All youth participating in group juvenile sexual offender therapy sessions shall sign in and out at the beginning and end of each session. Copies of sign-in sheets for group sessions shall be provided to the Department with the invoice for payment.

6. Family Juvenile Sexual Offender Counseling/Therapy The Respondent shall schedule and conduct family juvenile sexual offender counseling/therapy services with Department youth and their families. All family juvenile sexual offender counseling/therapy sessions shall either be a full session that is sixty (60) minutes in duration (with a minimum of fifty (50) minutes counseling/therapy time) or a half session that is thirty (30) minutes in duration (with a minimum of twenty-five (25) minutes counseling/therapy time); and must be conducted at least one time per month for each youth’s family by a licensed professional or approved non-licensed therapist as specified in any resulting contract meeting the requirements of a juvenile sexual offender therapist as specified in section III., D., Staffing/Personnel.

a. Family therapy shall be based on the youth’s ITP as specified above.

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b. Therapy shall be documented in progress/treatment notes which provide a description of the treatment session/activity and the youth’s and family member’s participation in the treatment session/activity. The progress/treatment notes shall document the course of treatment and the youth’s progress in meeting his or her clinical goals and objectives as specified in the treatment plan. Progress/treatment notes shall be recorded on the day the treatment service/activity is provided.

c. A copy of the youth’s treatment plan and progress/treatment notes shall be forwarded to the youth’s JPO, or Department approved referral source, for permanent filing in the Department’s Individual Healthcare Record (mental health section).

d. The Respondent shall document the youth’s and family member’s participation and progress in the youth’s file and provide a written monthly update to the Department’s assigned JPO listed on the referral, or Department approved referral source.

e. All youth and family members participating in family juvenile sexual offender therapy sessions shall sign-in and sign-out at the beginning of each session. Copies of sign-in sheets for family sessions shall be provided to the Department with the invoice for payment.

7. Informed Consent/Records Release The Respondent shall obtain informed consent for treatment and release of treatment records in accordance with Florida law.

8. Reporting and Documentation and Record Management The Respondent is responsible for implementing a record-keeping system which ensures the confidentiality, security and integrity of information on youth relating to services provided in any resulting rate agreement. The Respondent shall document psychosexual evaluations, individual juvenile sexual offender therapy, family and group juvenile sex offender therapy services that address the components listed in any resulting rate agreement. Documentation shall be maintained in the youth’s mental health file which shall be kept separate from the youth’s program case file and shall be kept in accordance with Florida law and Rule 63N-1.004, 63N-1.0041 and 63N-1.0042, F.A.C.

B. Teletherapy Parameters The following parameters and services are only applicable to counseling/therapy and can be suspended by the Department at any time, at the Department’s discretion. Teletherapy services may only be provided if the following requirements are met:

1. Telehealth must comply with F.S. 456.47 and applicable sections of Rule 65D-30

F.A.C. This means, telehealth may only be used by Licensed mental health professionals and non-licensed therapists may only provide in-person services.

2. All psychosexual evaluations must be provided in person.

3. All clinical staff who use telehealth shall have training completed in the ethical use of telehealth prior to the provision of services.

4. The clinician shall assess every client on a case-by-case basis to determine if telehealth is clinically appropriate. Considerations include but are not limited to the following:

a. Active psychosis

b. Active self-harm, crisis, or suicidality

c. Abuse/neglect or domestic violence cases involving current household members

d. Youth with developmental disability, sensory deficits, or communication disorder

e. Substance use or intoxication during sessions

f. Active court orders that limit the use of technology (Respondent may work with JPO to address the court for an allowance for counseling/therapy sessions)

5. If the youth or the youth’s parent/custodian requests or prefers in-person services, then the Respondent shall conduct all services in person. These cases may not be rejected by the Respondent due to the family’s preference. Youth

Version: 19 Rev 08-01 -23 Page 12 of 54 assent (or consent for substance use treatment) and parent/guardian consent forms shall reflect the youth and family’s agreement with the use of telehealth.

6. Respondent must make appropriate provisions for low-income families to have telehealth, at no cost to the family or the Department, if telehealth is preferred by the youth and family.

7. Respondent must be able to ensure that confidentiality is maintained throughout the duration of all telehealth sessions.

8. Respondent must document clinical outcomes through pre/post testing related to diagnosis or symptom expression and data/reports shall be provided to the Department with the invoices.

9. Respondent must document attendance rates for telehealth and data shall be provided to the Department.

10. Respondent must ensure proper documentation is completed as required by the resulting Rate Agreement, to show the services were provided such as the use of sign-in documentation.

11. The Respondent must obtain Department approval of the technology to be used for telehealth services.

12. Any mental health or substance abuse manualized curriculum must be approved by developer or representative for use via telehealth.

13. Telehealth shall be provided in individual and family format, and not a group format.

C. Service Task Limits

1. The Respondent shall be responsible for notifying the JPO if a youth is not attending services or appears to be a high public safety issue.

2. The Respondent shall be available to provide input into commitment staffing on those youth deemed a high risk in the community or unsuccessful in the program.

D. Staffing/Personnel

The Respondent and all personnel provided under any resulting rate agreement, whether performance is as a Respondent, subcontractor, or any employee, agent or representative of the Respondent or subcontractor, shall continually maintain all licenses, protocols, and certifications that are necessary and appropriate or required by the Department or another local, state or federal agency, for the services to be performed or for the position held. All such personnel shall renew licenses or certifications pursuant to applicable law or rule. The Respondent shall provide copies of all current licenses or certificates required for the delivery of services under any resulting rate agreement, to the Department’s Contract Manager, prior to the delivery of services.

1. Staff Qualifications

a. Juvenile Sexual Offender Therapist The Respondent shall employ juvenile sexual offender therapist(s) meeting the requirements to provide juvenile sexual offender therapy as specified in section 490.0145 F.S., and Rule 64B19-18.0025 F.A.C., or section 491.0144, F.S., and Rule 64B4-7.007 F.A.C. Specifically, the Respondent shall employ a licensed psychologist meeting the requirements to practice juvenile sexual offender therapy as specified in section 490.0145, F.S., and Rule 64B19-18.0025, F.A.C., or a licensed mental health counselor, licensed clinical social worker or licensed marriage and family therapist meeting the requirements to practice juvenile sexual offender therapy as specified in section 491.0144, F.S., and Rule 64B4-7.007, F.A.C., to personally provide psychosexual evaluations, individual juvenile sexual offender treatment, group juvenile sexual offender treatment, and family juvenile sexual offender treatment.

b. Non-Licensed Mental Health Clinical Staff Non-licensed mental health clinical staff may provide juvenile sexual offender therapy only under the provisions below. Non-licensed mental health clinical staff must work under the direct supervision of a Licensed Mental Health professional. Direct supervision means a licensed mental health professional meets for at least one hour weekly through face-to-face or virtual means to discuss clinical cases and ensure treatment fidelity. Supervision shall be documented and signed by the supervisor

Version: 19 Rev 08-01 -23 Page 13 of 54 and non-licensed therapist. Supervision notes must be made available to the Department upon request. The following non-licensed mental health clinical staff may provide juvenile sexual offender therapy services under any resulting contract:

1) Registered Interns or Provisional licensees under Chapter 491, F.S. with completed training under 64B4-7.007 F.A.C. These individuals are on a formal licensure track with the Florida DOH and may provide psychotherapy under the direct supervision of a Board-approved Qualified Supervisor.

2) Postdoctoral Psychology Fellow, Resident, Intern with completed training under 64B19-18.0025, F.A.C. and clinical supervision must be provided by a licensed psychologist under Chapter 490, F.S.

3) Psychology Intern or Resident with completed training under 64B19-18.0025, F.A.C. and clinical supervision must be provided by a licensed psychologist under Chapter 490, F.S. These individuals are doctoral students or candidates in an accredited psychology school.

4) Substance abuse services may only be provided by licensed professionals or by non-licensed therapists operating under a Chapter 397 treatment license. Substance abuse services include assessment/evaluation, treatment planning, treatment services and discharge planning.

5) All evaluations/assessments, treatment plan documents, discharge summaries and progress notes must be reviewed and countersigned by the Licensed Mental Health Professional supervising the treatment services. Clinical supervisors must ensure that non-licensed mental health clinical staff are adequately trained to provide the services. Non-licensed mental health clinical staff must complete training under Rules as appropriate for their profession prior to working with DJJ youth.

Copies of credentials and professional training listed in this section must be approved by the DJJ Office of Health Services and contract management prior to working with DJJ youth.

2. Staffing Changes Changes to the staff and qualifications required in any resulting rate agreement are not authorized unless approved in writing by the Department’s Contract Manager and CPO/designee.

3. Juvenile Justice Information System (JJIS) Training At least one individual on the Respondent’s staff shall be trained in the following JJIS components: Staff Verification System (SVS), Programming Monitoring and Management (PMM), and the Department’s Learning Management System to ensure all data requirements are maintained. The Respondent shall also have designated staff trained in the JJIS Probation Resource Booking to ensure youth admission, discharge and the uploading of documents (treatment plans, treatment plan reviews, progress notes, progress reports and discharge summaries) into the JJIS Documents Library are maintained in JJIS. The Department’s Data Integrity Officer (DIO) will facilitate the JJIS training. JJIS Access and Data reporting requirements are based on the Department’s capability to provide access and utilization of JJIS to the Respondent.

E. Understanding of Service Implementation/Completion Timeframes The Respondent shall describe the process for accepting referrals, scheduling appointments, the timeframes associated with initiating face-to-face contact with a referred youth, completing the service delivery, submitting and uploading into the JJIS Documents Library, the require reports.

F. Service Location and Times

1. Service Locations

Service location shall be located in Circuits proposed by the Respondent, as specified in any resulting rate agreement. The Respondent shall make its principal

Version: 19 Rev 08-01 -23 Page 14 of 54 or qualified employees available to provide Sex Offender Therapy services to youth in Circuits proposed by the Respondent, convenient to the youth and family, including but not limited to the Respondent’s office(s), the youth’s home/school, juvenile detention centers, hospitals, juvenile probation offices, juvenile assessment centers or community centers. Use of any DJJ space must be worked out in advance with the Detention Superintendent, Chief Probation Officer of the Circuit or JAC Director, and is not guaranteed at any time. For youth placed in a residential facility within Circuits proposed by the Respondent, services shall be provided within the facility.

In addition, the Respondent shall have a Respondent-owned or leased office in the circuit(s) proposed where youth files shall be securely maintained. (Note: If a Respondent is awarded more than one Circuit, they may maintain all Contracted Client files in a single administrative location and if doing so, shall notify the Contract Manager and the Chief Probation Officer in writing of the location of client files.)

2. Service Times

a. Administrative Services shall be performed Monday through Friday between the hours of 9:00 a.m. and 5:00 p.m., excluding state holidays.

b. All juvenile sexual offender counseling sessions and evaluations shall be held weekly (in accordance with the treatment plan), between the hours of 8:00 a.m. and 5:00 p.m., and be available five days a week, 260 days a year, excluding weekends and state holidays, and provided during the day and evening hours to accommodate the school schedules of the referred youth.