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The Judiciary State of Hawaii

ADDENDUM NO. 1

Request for Proposals

RFP J28024

(RFP-J28024-CC2)

ADULT SUBSTANCE ABUSE TREATMENT SERVICES,

MAUI DRUG COURT SERVICES

SECOND CIRCUIT

THE JUDICIARY, STATE OF HAWAII

FOR THE PERIOD

JULY 1, 2027 – JUNE 30, 2029

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ADDENDUM NO. 1

DATE ISSUED: October 28, 2026

1. Replace RFP J28024, Section 2 – Service Specifications in its entirety to read as follows:

2.0 SVC SPEC TITLE: Maui Drug Court Services, Second Circuit

DR2MDC - Adult Substance

2.1 Introduction

A. Description of the goals of the service

To provide a continuum of adult substance abuse treatment services, delivered in the drug court treatment modality, to male and female felony offenders with drug and/or drug and alcohol related problems who are voluntarily participating in the Maui Drug Court (MDC) Program in the Second Circuit Court, State of Hawaii.

The goal of this treatment and compliance monitoring is to provide offenders with the skills and knowledge to effectively deal with their use of drugs and/or drugs and alcohol in order to eliminate their recidivism to criminal behavior.

B. Description of the target population to be served

Non-violent adult men and women (ages 18 and older) with drug and/or drug and alcohol related problems who are facing charges, are charged with, or are on probation, parole or furlough for felony offense(s), voluntarily participating in the MDC Program in the Second Circuit Court, State of Hawaii. The approximate number of clients anticipated to be serviced on the island of Maui as specified by this RFP is a static client population of approximately sixty (60) to one hundred twenty (120) clients in each of the two State fiscal years covered by this RFP.

C. Geographic coverage of service

Second Circuit –Island of Maui, Molokaʻi, and Lanai

D. Probable funding amounts, source, and period of availability

Funding source: State general funds Other potential funding sources: Federal funds, public and private grants.

Probable funding amounts:

FY 2028 FY 2029 FY 2030 FY 2031

Period of availability: The Judiciary intends to award a multi-term contract. The

2-3 aggregate term of the contract shall not exceed four (4) years, e.g., July 1, 2027 to June 30, 2031, subject to the appropriation and availability of funds and satisfactory contract performance. All State general funds are contingent on appropriation. Funds are available for only the initial term of the contract which is for 2 years.

NOTE: Funding amounts are not being stated at this time. Applicants should propose funding amounts in their proposals based on their best estimate of the cost of providing the services described in these specifications.

2.2 General Requirements

A. Specific qualifications or requirements, including but not limited to licensure or accreditation

1. The applicant shall have licenses and certificates, as applicable, in accordance with federal, state and county regulations, and comply with all applicable Hawaii Administrative Rules.

a. Residential programs, in accordance with Title 11, Chapter 98, Special Treatment Facility, must have a Special Treatment Facility license at the time of application and abide by applicable administrative rules governing accreditation of substance abuse treatment programs.

b. Unless otherwise specified in this RFP, therapeutic living programs must meet the Department of Health, Alcohol and Drug Abuse Division’s (ADAD) Therapeutic Living Program Requirements for Substance Abuse Treatment Services until applicable administrative and licensing rules are implemented by the Department of Health. Upon implementation of duly authorized administrative and licensing rules, programs must comply accordingly.

c. Sober Housing must meet applicable state and county codes, standards and zoning requirements.

d. All applicants shall comply with Title 11, Chapter 175, Mental Health and Substance Abuse System.

e. The proposed service must meet all required state licensing or certification standards, provide assurances of fair hearing and grievance procedures for clientele, civil rights compliance, information safeguarding practices, and provide proof of insurance coverages and identification as applicable.

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2. The applicant must have an accounting system, with acceptable accounting practices and standards.

3. The applicant shall submit in a timely manner upon request by the Judiciary, any additional information needed by the Judiciary to make a decision on the applicant’s proposal. The Judiciary may request an oral discussion or presentation in support of the proposal. On-site visits may be made.

4. The applicant shall comply with the Chapter 103F, HRS Cost Principles for Purchases of Health and Human Services identified in SPO-H-201 (Effective 10/01/98), which can be found on the SPO website (See Section Five, Proposal Application Checklist, for the website address).

B. Secondary purchaser participation

(Refer to §3-143-608, HAR)

After-the-fact secondary purchases will be allowed.

C. Multiple or alternate proposals

(Refer to §3-143-605, HAR)

[ ] Allowed [ X ] Unallowed

D. Single or multiple contracts to be awarded (Refer to §3-143-206, HAR)

[ ] Single [ ] Multiple [ X ] Single & Multiple

Multiple contracts may be awarded if such awards are deemed to be in the best interest of the Judiciary, and will be based on the highest ranked proposals.

E. Single or multi-term contracts to be awarded (Refer to §3-149-302, HAR)

[ ] Single term (< 2 yrs) [X] Multi-term (> 2 yrs.)

A multi-term contract will be awarded is such awards are deemed to be in the best interest of the Judiciary. The initial term of the contract shall be for two (2) years, subject to appropriation and availability of funds and satisfactory performance of services by the provider. Execution of a contract amendment is required to extend the contract for another term.

The aggregate term of the contract shall not exceed four (4) years, e.g., 2-5

July 1, 2027 to June 30, 2031. If it is determined that it is not in the best interest of the Judiciary to award a multi-term contract, a single-term contract will be awarded.

F. RFP contact persons

The individuals listed below are the points of contact from the date of release of this RFP until the selection of the winning provider or providers. Written questions should be submitted to the RFP contact person(s) and received on or before the day and time specified in Section 1.1 (Procurement Timetable) of this

RFP.

Buyer Information:

Judiciary Contracts & Purchasing Office Kelly Kimura at (808) 538-5805 fax: (808) 538-5802 Email: Kelly.Y.Kimura@courts.hawaii.gov

Specifications Contact Information:

Client Services Division, Second Circuit

David “Kawika” Ortiz at (808) 244-2824 fax: (808) 244-2870 David.K.Ortiz@courts.hawaii.gov

2.3. Scope of Work

Applicants may propose to provide the whole continuum of services or only a part of the continuum, i.e. In-Custody Substance Abuse/Chemical Dependency Services, In- Community Substance Abuse/Chemical Dependency Services, Residential Substance Abuse/Chemical Dependency Services. Applicants must clearly state the specific service activities they are proposing to provide.

NOTE: Proposals will be evaluated by service activity according to Section Four of this RFP and will be scored and ranked separately within the following categories: In- Custody Substance Abuse/Chemical Dependency Services, In-Community Substance Abuse/Chemical Dependency Services, and Residential Substance Abuse/Chemical Dependency Services.

The scope of work encompasses the following tasks and responsibilities:

A. Service Activities (Minimum and/or mandatory tasks and responsibilities)

To provide a continuum of evidence-based, offender-oriented substance abuse mailto:Luzviminda.B.Abad@courts.

mailto:David.K.Ortiz@courts.hawaii.gov

Page 2-6 treatment services, delivered in the drug court treatment modality, to adult male and female felony offenders with drug and/or drug and alcohol related problems who are voluntarily participating in the MDC Program in the Second Circuit Court, State of Hawaii. Gender specific curriculum should also be incorporated that addresses trauma informed care practices. As detailed below, services to be available for clients shall include assessment and substance abuse/chemical dependency treatment while incarcerated and in the community, Residential Substance Abuse/Chemical Dependency Treatment, Therapeutic Living Programs, and Sober Housing as needed.

Treatment services should incorporate supportive services including but not limited to the following areas: relationships, parenting, life skills, effective communication, and community resources.

Modifications to requirements for service delivery may be negotiated between the Judiciary and the selected provider(s) in response to changes in program needs during the contract period.

1. In-Custody Substance Abuse/Chemical Dependency Services: Through a collaboration between the Judiciary-MDC and the Department of Public Safety-Maui Community Correctional Center (MCCC), substance abuse treatment/chemical dependency services are to be provided to MDC referred participants while incarcerated at the MCCC. These participants have completed a program screening and have been set to be admitted to the MDC. The MDC In-Custody Treatment Program (ICTP) is an approximate ninety (90) day program intended to provide substance abuse/chemical dependency treatment for inmates from Maui, Molokai or Lanai who are incarcerated at MCCC and who have been assessed and admitted to the MDC. Participants are housed separately from the general population of MCCC inmates in two dorms: Dorm 3 houses up to twenty

(20) males and Dorm 5 has a capacity of up to twelve (12) beds for women.

The partner agencies in this collaborative effort shall provide oversight and direction with regard to the service delivery of the MDC ICTP, including curricula, methodology of the treatment/services provided, case management, and other program activities. Further, the partner agencies shall review and approve the appropriateness of the service delivery prior to program implementation. Service delivery for the MDC ITCP shall be provided as follows:

a. Program Structure: A minimum of twenty-one (21) hours of face-to-face activities per week shall be provided, which includes at least one (1) hour of individual counseling to be conducted with each client. Applicants shall provide a detailed description of the model(s) to be used within a ninety (90) day program, including

2-7 the philosophical basis for treatment, and for dealing with incarcerated inmates who have a history of substance abuse/chemical dependency. Program components are as follows:

1) Assessments: Comprehensive substance abuse assessments shall be provided to those applicants who have been accepted by the MDC for assessment and admission to the program. Assessments shall be conducted or reviewed/approved by those with a current State of Hawaii, Substance Abuse Counselor Certificate. Assessments shall consist of gathering relevant history from the client, including but not limited to, alcohol and other drug abuse using appropriate interview techniques. Provider will obtain corroborative information from significant secondary sources regarding client's alcohol and other drug abuse and psycho-social history. Provider shall identify the appropriate assessment tools to be used and explain to the client the rationale for the use of assessment techniques in order to facilitate understanding. Assessments shall include developing a diagnostic evaluation of the client's substance abuse and any coexisting conditions based on the results of all assessments utilizing the American Society of Addiction Medicine (ASAM) criteria, and the Diagnostic Statistical Manual of Mental Disorders (DSM IV) in order to provide an integrated approach to treatment planning based on the client's strengths, weaknesses, and identified problems and needs.

2) Group and Individual Counseling: Initial and updated treatment planning, crisis intervention, individual and group counseling, substance abuse education, and skill building groups shall be provided. For each client, ongoing evaluation of treatment progress shall be provided which includes an assessment of the client’s readiness for continued participation in the MDC Program.

MDC clients who are re-housed at the facility from the community and placed into the general population will receive one (1) hour per week of individual counseling to maintain treatment services.

3) Drug Testing: Random and observed urinalysis shall be administered throughout the duration of the program at a minimum of twice monthly per client and as needed.

Applicants are required to have drug testing services available seven (7) days per week.

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4) Collaboration with Partners: Open and consistent communication shall be maintained between the prospective provider and the partner agencies based on a commonality of goals in the spirit of mutual support and collaboration.

5) Residential Services: Provides a planned regimen of professionally directed evaluation, treatment, case management, and other ancillary and special services.

Observation, monitoring and treatment are available 24 hours a day, seven days a week. A minimum of twenty-four (24) hours per week of face-to-face treatment shall be provided, including a minimum of one (1) hour per week of individual counseling to be scheduled with each client Programs shall develop and implement appropriate transition plans for each client in the final phases of treatment. The plan shall address transition and recovery issues and relapse/recidivism prevention.

An Alternative In-Custody facility option or proposal may be submitted to house this population if it meets the OHCA housing licensing and regulations and includes all treatment requirements for the In-Custody Program mentioned above.

2. In-Community Substance Abuse/ Chemical Dependency Services:

In-community substance abuse/chemical dependency services shall consist of the following services (defined below) to be delivered in the drug court treatment modality to clients in an approximate 15-month drug court program. (Please refer to Table of Recommended Minimum Services Per Week For In-Community Substance Abuse/Chemical Dependency Services as a guideline for service provision.) Applicants shall provide a detailed description of the model to be used within a drug court program, including the philosophical basis for treatment and for dealing with criminal offenders with a history of substance abuse/chemical dependency. Curriculum used will be based on best practice standards demonstrating evidence-based support.

The curriculum may be modified during the contract period with written approval and review by the MDC Administrator.

a. Program Structure: Applicants must have the capability to complete assessments, provide initial and updated treatment planning, crisis intervention, individual and group counseling, substance abuse education, skill building groups. Group size shall not exceed thirty (30) participants for each session provided and the maximum facilitator to client ratio shall be 1:18 unless

2-9 otherwise specified by the MDC. For each client, ongoing evaluation of treatment progress shall be provided which includes a regular review of the appropriateness of the level of care being provided to the client. Programs shall develop and implement appropriate transition plans for each client in the final phases of treatment and prior to entry into continuing care. The plan shall address transition and recovery issues and relapse/recidivism prevention. Program components are as follows:

1) Comprehensive substance abuse assessments shall be provided to those applicants who have been accepted by the MDC for assessment and admission to the program.

Assessments shall be conducted or reviewed/approved by those with a current State of Hawaii, Substance Abuse Counselor Certificate. Assessments shall consist of gathering relevant history from the client, including but not limited to, alcohol and other drug abuse using appropriate interview techniques. Provider will obtain corroborative information from significant secondary sources regarding client's alcohol and other drug abuse and psycho-social history. Provider shall identify the appropriate assessment tools to be used and explain to the client the rationale for the use of assessment techniques in order to facilitate understanding. Assessments shall include developing a diagnostic evaluation of the client's substance abuse and any coexisting conditions based on the results of all assessments utilizing the American Society of Addiction Medicine (ASAM) criteria, and the Diagnostic Statistical Manual of Mental Disorders (DSM IV) in order to provide an integrated approach to treatment planning based on the client's strengths, weaknesses, and identified problems and needs.

2) Intensive Outpatient Treatment (Phase A): Provides non- residential specialized intensive services on a scheduled basis for individuals with substance abuse problems. Group treatment services shall operate for a minimum of two (2) hours per day for four (4) days per week. Services may include individual and group counseling, medication management, family therapy, educational groups, occupational and recreational therapy, and other therapies. Professionally directed evaluation, treatment, and recovery services shall be provided, for a minimum of nine (9) hours per client per week of face-to-face treatment, including at least one (1) hour per week of individual counseling.

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3) Outpatient Treatment (Phase B): Provides non-residential comprehensive specialized services on a scheduled basis for individuals with substance abuse/chemical dependency issues. Professionally directed evaluation, treatment, and recovery services shall be provided to clients appropriate for a lower level of substance abuse/chemical dependency related service.

Treatment in this phase shall be for two (2) two (2) hour and one (1) one and one-half (1.5) hour of group counseling sessions per client per week and one (1) hour of individual counseling per client every two (2) weeks.

4) Continuing Care (Phase C): Provides non-residential services to individuals with substance abuse/chemical dependency issues that are ready to transition to a lower level of services. Treatment in this phase shall be for one

(1) two and one-half (2.5) hour of group counseling sessions per client per week and one (1) one (1) hour of individual counseling per client every two (2) weeks.

5) Drug Testing: Applicants must have the capability to provide frequent drug and alcohol testing. Drug testing shall include random and observed breath, urine, and hair analysis for all active MDC clients who are receiving or who have received treatment from the selected provider for In-Community Substance Abuse/Chemical Dependency Services as specified in this RFP. Applicants are required to have drug testing services available seven (7) days per week.

6) Friends and Family Groups: Psycho-educational sessions shall be provided for all MDC referred program participant friends/families and for all MDC clients who are currently in Phases A - C. Sessions shall be focused on educational curricula to assist the participant in the group an understanding of substance abuse issues.

Applicant must provide detailed description of proposed curriculum for the group.

3. Residential Substance Abuse Services

a. Residential: Provides a planned regimen of professionally directed evaluation, treatment, case management, and other ancillary and special services. Observation, monitoring and treatment are available 24 hours a day, seven days a week. A

2-11 minimum of twenty-four (24) hours per week of face-to-face treatment shall be provided, including a minimum of one (1) hour per week of individual counseling to be scheduled with each client Programs shall develop and implement appropriate transition plans for each client in the final phases of treatment. The plan shall address transition and recovery issues and relapse/recidivism prevention.

b. Therapeutic Living: Provides a less structured residential setting than that of a special treatment facility for those persons recovering from substance abuse. The program shall aid residents in meeting basic needs and provide supportive services through an individualized recovery and discharge plan. The categories of Therapeutic Living Programs are as follows:

1) Transitional Living Programs for Adults

These programs provide residential living to residents who are currently receiving substance abuse treatment in a day or outpatient program or have been clinically discharged from treatment yet still are in need of supervision and a clean and sober living environment. All residents in the same transitional residential living program house shall be adults of the same gender. At a minimum, one direct services staff member with a current first aid certificate and CPR training shall be present in the program when residents are present. For non-therapeutic program hours, the program shall have sufficient staff, as approved by the department, to ensure the safety, health, and delivery of the services. A minimum of fifteen (15) hours per week of face-to-face supportive psycho-social services shall be provided to each resident each week.

2) Transitional Living Programs for Parents with

Children These programs provide residential living services to residents who are currently receiving substance abuse treatment in a day or outpatient program, or who have been clinically discharged from treatment yet still need supervision and a clean and sober living environment. All residents in the program shall be pregnant women or women with child(ren) or men with child(ren). All adults in the same transitional residential living program house shall be of the same gender. Staff shall be onsite twenty-four (24) hours per day, seven (7) days per week. For non-therapeutic program hours, the program shall have sufficient staff, as approved by the Department of Health, Page 2-12 to ensure the safety, health, and delivery of services. A minimum of fifteen (15) hours per week of face-to face supportive psycho-social services shall be provided to each resident each week.

3) Semi-supervised, independent but structured living arrangements for adults These programs provide a structured living arrangement for adults who need minimum professional or paraprofessional support in order to live in the community and avoid deterioration in functioning and a more restrictive level of care. Staff must be on site a minimum of twelve (12) hours per day, and on call for twenty-four (24) hours per day, seven (7) days per week. At a minimum, one staff member shall be available for every fifteen (15) residents. All residents in the housing unit shall be adults of the same gender.

Further requirements are:

a) At least ten (10) hours a week of case management shall be provided to assist residents in independent living skills.

b) The program shall maintain scheduled services to facilitate accessibility to and attendance at employment, self-help groups, counseling, and vocational counseling.

c) The program shall provide or arrange for educational services appropriate to the level of functioning and comprehension of the resident.

d) The program shall provide residents with information about community resources and assist them in accessing those resources.

e) The program shall facilitate peer group support and provide supervision in daily living skills and work.

c. Drug Testing: Random and observed breath and urine testing shall be administered in all residential programs described above with the exception of sober housing. Applicants are required to have drug testing services available seven (7) days per week.

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TABLE OF RECOMMENDED

MINIMUM SERVICES PER

WEEK FOR IN-COMMUNITY

SUBSTANCE

ABUSE/CHEMICAL

DEPENDENCY SERVICES

Individual Counseling

Group Counseling

Alcohol and/or

Urinalysis

APPROXIMATE

TOTAL HOURS

PER WEEK

PHASE A

“Intensive Outpatient” (12 weeks minimum)

1 session (1.0 hr.)

4 sessions

(2.0 hrs. each)

9.0

PHASE B

“Outpatient Treatment” (12 weeks minimum)

1 session (1.0 hr.)

2 sessions (2 hrs. each)

(1.5 hrs. each)

6.5

PHASE C

“Outpatient Treatment” (12 weeks minimum)

(1.0 hr.)

1 session (2.5 hrs. each)

1 3.5

Note: -Phase durations are approximate.

-Individual sessions may be with the individual client alone and/or with the individual client and his/her family/support members.

-In addition to above service provision, applicant must also provide family group psycho-educational counseling services as indicated in Section 2.4.3.A.2.(5) to all MDC referred program participant friends/families and those MDC clients that have completed Phases A-C.

-Drug testing services shall be provided for all clients who are receiving or who have received treatment from the applicant.

-A maximum of three (3) drug hair testings shall also be administered per client.

-Matrix of services may be modified as needed.

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Other Requirements Relating to Service Activities:

4. For service activities requiring drug testing, the testing materials, training and monitoring of service quality shall be provided by the applicant. The applicant shall provide their written policies and procedures for such testing and shall describe the frequency and application of testing in treatment. Collection shall be random with gender-specific observation.

The applicant shall insure that chain of custody and confidentiality issues are addressed appropriately. The applicant shall identify instrumentation being utilized to conduct such testing and shall have the ability to do laboratory confirmation testing utilizing Gas Chromatography Mass Spectrometry or Liquid Chromatography Tandem Mass Spectrometry.

Laboratories conducting such confirmation testing shall be Substance Abuse and Mental Health Services Administration and/or possess College of Addiction Pathologists – Forensic Urine Drug Testing certified.

Confirmation testing at Limit of Quantitation levels is preferred.

Additional consideration shall be given to applicants with the capability of administering drug testing through a variety of methodologies. The applicant’s proposal shall clearly identify the drug testing methodologies to be utilized and the reason for the selection of the specific methodologies, including all supportive information. Applicants are required to have drug testing services available seven (7) days per week.

5. Applicants proposing to provide substance abuse/chemical dependency treatment services shall have the capability to provide treatment that is comprised of individual and group counseling coupled with psycho-educational training which addresses drug and alcohol education, understanding criminal behavior, anger and stress management, social and lifestyle skills development and relapse/recidivism prevention. Offenders will be trained in treatment sessions to identify antisocial thinking, attitudes, behaviors and beliefs; to recognize high-risk situations, places and people surrounding AOD use; and practice how to deal with them in a pro-social manner. Treatment shall take into consideration the psycho-social needs of the client, shall be cognitive and behavioral in approach and shall incorporate a cognitive-behavioral curriculum that addresses the interaction of criminal thinking and substance abuse/chemical dependency using a group treatment format.

6. Applicants proposing to provide substance abuse/chemical dependency treatment services shall delineate the following in their applications:

a. Identification of target group(s) to be serviced by the Applicant, including any applicable admissions eligibility or exclusionary

2-15 criteria.

b. Identification and brief description of the distinguishing highlights for the evidence-based treatment model(s) to be used.

c. Justification for the selection of the evidence-based treatment model(s).

d. For Residential and Day treatment programs, the nature and amount of time the client will be involved in structured activities per week.

e. (1) Identification of assessment instrument(s) to be used; (2) the purpose of the instruments; and (3) how the instruments will be implemented.

f. Identification of training(s) to be provided to staff; the frequency of the training(s); and, supervisory oversight for quality assurance.

g. Identification, description and references for the curriculum to be used.

h. Identification of the program targets for change.

i. Identification of the program’s completion criteria for the clinical discharge of the client.

j. Identification of the program’s termination or discharge criteria.

k. Identification and description of a quality assurance program that involves client care and the delivery of services, the personnel who will implement the evaluation and review, and the procedures for corrective actions for problems identified.

(For those proposing to provide more than one modality of care, please describe how responses to the above listed items will differ, as applicable, across the continuum.)

7. Clients in any level of treatment shall meet the most current version of the

American Society for Addiction Medicine Patient Placement Criteria (ASAM-PPC 2R) for admission, continuance and discharge.

8. Experience working with drug courts or in providing treatment and/or other appropriate services to criminal justice clients is preferred.

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9. Additional consideration shall be given to applicants with the capability to provide the following services:

o Psychological/Psychiatric Evaluations o Support Services for Dually Diagnosed o Medication Monitoring

10. Frequent status reporting to the drug court (in writing and in person) is also required. For example, written progress reports on each client’s performance (e.g., drug testing results, counseling and meeting attendance, etc.) and recommended action must be provided prior to every drug court hearing; also, the provider is required to participate in weekly meetings with the judge and other members of the MDC Team to discuss all clients on the calendar for the next drug court hearing, any offenders applying for admission, any offenders to be invited for admission, and any other issues.

Additionally, the provider must provide frequently updated statistics, including narratives, graphs and charts, on client demographics (e.g., age, race, drug of choice, drug use onset, prior treatment, prior convictions, pending offenses, employment, housing, etc.) and program outcomes (e.g., drug testing results, sanctions imposed, etc.)

11. Applicants will demonstrate compliance with the State Department of

Health, ADAD rules and regulations for the provision of treatment.

NOTE: Because ADAD may not have promulgated rules and regulations with respect to the provision of the services requested in this RFP, the evaluation of any applicant’s conformity to this RFP may consider definitional information and description of services set forth in ADAD RFP Number HTH 440-08-1 for Substance Abuse Treatment Services.

B. Management Requirements (Minimum and/or mandatory requirements)

1. Personnel

a. The applicant shall possess and document knowledge, capacity, skills and experience in working with the targeted population.

Applicants shall provide its minimum qualifications for program director(s). Program director is defined as the person responsible for the overall management of the treatment program(s). Applicant shall provide educational backgrounds and experience of any current program director(s).

At a minimum, applicants shall ensure that clinical supervision over treatment activities is provided by certified substance abuse counselors (CSAC) or program administrators certified pursuant to

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Section 321-193 (10), Hawaii Revised Statutes; or hold an advanced degree in behavioral health science, with at least one year experience working in the field of substance abuse addiction.

CSACs and individuals who hold an advanced degree in behavioral health services preferably shall perform clinical evaluation, treatment planning and individual, group and family counseling;

however, non CSACs or non-master’s level providers may be utilized as long as they are directly supervised by a CSAC or master’s level counselor, and are working toward certification.

Facilitators of the family psycho-educational groups at minimum shall hold a Bachelor’s degree and/or CSAC with experience in group facilitation and familiarity of substance abuse issues.

Applicants shall describe its program for increasing clinical staff competencies in the acquisition of evidence-based, offender-oriented treatment. At a minimum, applicants shall demonstrate how direct care staff will be assisted in understanding and applying the risk-need-responsivity principles in their treatment of offenders, as well as the stages of change, motivating the client toward change and behavioral treatment.

b. For those service activities requiring drug testing of both female and male clients, staffing of substance abuse counselor positions shall be representative of both the female and male gender unless otherwise agreed upon by the applicant and the MDC.

c. Therapeutic Living Program service activities shall be provided by staff knowledgeable in substance abuse problems and experience in case management.

d. The applicant shall conduct a State and Federal fingerprint-based criminal history record check for any person, including, but not limited to any officer, employee, volunteer or subcontractor, who performs work or services which necessitates close proximity to or unsupervised access to vulnerable clients such as children, disabled, and/or the elderly , or other program related vulnerable clients . In addition, the applicant will conduct a search of the State and National Sex Offender Registries, http://sexoffenders.ehawaii.gov (State Sex Offender Registry) and the www.nsopr.gov (National Sex Offender Public Registry). The minimum record check will be conducted once every four years for each person, and/or at the outset of the contract period if such checks have never been https://mail.notes.na.collabserv.com/data1/20360224/20518363.nsf/iNotes/Mail/adult%20or%20juvenile%20clients https://mail.notes.na.collabserv.com/data1/20360224/20518363.nsf/iNotes/Mail/adult%20or%20juvenile%20clients https://mail.notes.na.collabserv.com/data1/20360224/20518363.nsf/iNotes/Mail/adolescents%20or%20children http://sexoffenders.ehawaii.gov/ http://www.nsopr.gov/

2-18 conducted. Further, the applicant will ensure the continued suitability of any officer, employee, volunteer or subcontractor to work or provide services to vulnerable clients. Results of all criminal history record inquiries conducted shall be placed in the employee's or volunteer's personnel file and shall be available to Judiciary for review. The applicant further shall have a written plan for addressing any findings that result from a criminal history record check that may affect the treatment milieu (e.g. actively under the supervision of any criminal justice agency, convicted sex offenders). Prior to commencing any work or services on the contract, the applicant shall ensure that any officer, employee, volunteer or subcontractor is suitable to be performing work or services in close proximity to or with unsupervised access to children, disabled, and/or elderly clients will be of reputable and responsible character and will not pose a risk to the health, safety, security, or well-being of clients, staff and the general public.

e. The applicant shall submit an agency organizational chart which includes and identifies all programs that the agency/applicant oversees/administers, inclusive of subcontractors and consultants.

f. The applicant shall conduct Child Protective Services central registry checks on any administrative and program staff and volunteers working in positions which necessitate close proximity to children or adolescents.

g. The applicant shall have on the premises at least one person currently certified in First Aid and CPR except for sober housing services.

h. The Applicant shall maintain documentation for each employee of an initial and annual tuberculosis (TB) skin test or chest X-ray.

i. The staff and volunteers, if used by the applicant, shall be under the supervision of the program director or his or her designee and shall, accordingly, be trained in client confidentiality issues and program quality assurance requirements.

j. The applicant must have sufficient and relevant staff training and development. All direct service staff shall have training in and be familiar with current procedures and practices, intake, admission, and referral of residents.

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k. The applicant shall ensure that staff receive appropriate supervision including clinical supervision and administrative direction.

2. Administrative

a. The applicant shall establish and implement policies and procedures which clearly identify the target population for each type of service, the program content, and methods of service delivery.

b. Court appearances and/or testimony shall be provided as needed.

3. Quality assurance and evaluation specifications

a. The applicant shall have a quality assurance plan which identifies the mission of the organization, what services will be provided, how they are delivered, who is qualified to deliver the services, who is eligible to receive the services, and what standards are used to assess or evaluate the quality and utilization of services.

b. Program evaluation should reflect the documentation of the achievement of the stated goals, using tools and measures consistent with the professional standards of the disciplines involved in the delivery of services.

c. Applicants shall agree, by contract, to be willing to undergo a program assessment and/or audit designed to assess applicant’s implementation of effective practices in working with offenders with substance use problems. Based on the assessment/audit report, the vendor will develop in concert with the contracting agency, an action plan to address areas which need improvement. There should be at least one quality improvement activity completed annually.

d. Applicants shall provide all program monitoring, assessments and/or evaluation reports completed within the last two years.

4. Output and performance/outcome measurements

a. Output: The Applicant shall record unduplicated clients served.

The unduplicated client count shall be recorded in the Applicant’s quarterly reports and aggregated Year-End Report.

b. Outcome: The applicant shall propose measurement tools by which effectiveness of the services may be determined, as well as utilize any which may be developed and utilized by the Judiciary.

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5. Experience

a. The Applicant must have demonstrated competence or qualifications to perform the required services.

b. The applicant must have a minimum of one (1) year of experience in the provision of substance abuse treatment services, or in the provision of Therapeutic Living Program services for substance abuse clients. In the absence of such experience, the Applicant shall provide supporting evidence why the one (1) year requirement should be waived.

c. The applicant must have a minimum of one (1) year of experience in the provision of services to offenders. In the absence of such experience, the applicant will provide supporting evidence why the one (1) year requirement should be waived.

6. Coordination of service

a. Applicants shall describe their ability to collaborate with other appropriate services, including, but not limited to, health, mental health, social, educational, vocational rehabilitation and employment services.

b. Applicants intending to provide only part of the continuum shall also have and document appropriate linkages to other services in the continuum.

c. Applicants shall attach letters of collaboration with other community providers to offer a holistic treatment approach to clients participating in MDC services.

7. Reporting requirements for program and fiscal data

a. The applicant shall submit written quarterly and year-end reports summarizing output and outcome data, performance accomplishments, challenges, and actual expenditures. Quarterly reports are due 30 days after the end of the quarter. Final reports are due 45 days after the end of each fiscal year and/or at the end of the contract period, as applicable.

b. Reports shall consist of a statement by the applicant relating to the work accomplished during the reporting period and shall include

2-21 statements of the nature of the work performed, identification of persons served by the applicant during the reporting period, identification of any immediate problems encountered during the reporting period, and any recommendations deemed pertinent by the applicant, as well as a statement of what activities are proposed to be accomplished during the next reporting period. In addition to the written progress reports, the applicant, upon request, shall be required to meet with representatives of the Judiciary to discuss the progress of the work required.

c. Pursuant to HRS 601-21, the applicant shall comply with the requirements of the statewide substance abuse treatment monitoring program established under HRS 321-192.5. The Judiciary additionally requires that all programs which provide substance abuse treatment services, whether accredited or not accredited by ADAD, participate in the statewide data collection activities under the purview of ADAD.

d. The applicant shall, at the completion of the contract period, submit a final written report to the Judiciary. The report shall include documentation of the applicant’s overall effort towards meeting the program goals and objectives, to include information on the outcome(s) of quality improvement activities engaged in.

Furthermore, the applicant shall furnish any additional reports or information that the Judiciary may from time to time require or request.

8. Pricing or pricing methodology to be used

The applicant may submit a proposal based on a “Negotiated Unit of Service “pricing methodology and/or a “Fixed Price” pricing methodology, as further described in SECTION THREE of this RFP.

9. Units of service and unit rate

a. Applicant’s proposal shall be based on a “Negotiated Unit of Service” and/or “Fixed Rate” pricing methodology. For either pricing methodology proposed, applicant’s proposal should reference average expected lengths of treatment proposed in each category and provide fees for units of services as follows:

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Service Activity: Unit of Service:

In-Custody Services:

Assessments Monthly Retainer Individual Counseling Monthly Retainer Group Counseling Month Retainer

In Community Services:

Assessments Month Retainer Intensive Outpatient Month Retainer Outpatient Month Retainer Family Group Month Retainer

Residential Services:

Residential Per Bed Day Therapeutic Living Month Retainer

The rate shall cover one hundred percent (100%) of treatment and housing (as applicable) costs for the client and shall also include provision of all workbooks and curricula material necessary to administer treatment services.

10. Methods of compensation and payment

a. The applicant shall provide monthly invoices. Information to be included shall be client’s name, date of admission, date of discharge, reason for discharge, level of service provided and number of units provided with corresponding dates and service unit billed.

b. The applicant shall maximize reimbursements of benefits for all levels of care through Hawaii Quest and Quest Net, the client’s private insurance, the Department of Human Services or any other sources of payment made known to the applicant by the client for treatment, housing or subsistence. Payments to the applicant shall be reduced by received third party payments.

2.4. Facilities

A. Applicants shall provide a description of its facilities and its conduciveness to the treatment being provided.

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B. Applicants proposing to provide Residential Treatment and Therapeutic Living services shall describe and include in the proposal the following:

1. How security and client accountability will be achieved.

2. A site map of the facility designating all program locations, the location of each dwelling for residential, therapeutic living programs, and sober housing, and the gender for each dwelling.

3. A floor plan for each dwelling laying out each bedroom for clients and resident counselor(s), kitchen, dining area, living area, bathrooms and laundry area; the number of client beds per room; the number of resident counselor bed(s) per room and the maximum capacity for each dwelling.

4. The number of beds licensed for residential and/or Therapeutic Living

Program services by the Office of Health Care Assurance (OHCA), Department of Health, State of Hawaii.

END OF ADDENDUM NO. 1