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This is a Technical Exhibit A - Performance Requirements Summary that outlines the performance objectives and standards for TF-CBT and PSB-CBT training services. The document details 19 distinct training blocks covering different aspects of trauma-focused and problematic sexual behavior therapy, with specific time allocations for each block ranging from 0.5 to 4 hours.

The training requirements are divided into two main categories: TF-CBT (11 blocks) and PSB-CBT (8 blocks). Key TF-CBT components include traumatic event impact (2 hours), TF-CBT history and research (2 hours), psychoeducation (1 hour), parenting skills (1 hour), and trauma narrative (4 hours). PSB-CBT components include problematic sexual behavior foundations (1.5 hours), clinical decision making (1 hour), psychoeducation (1 hour), and abuse prevention (1 hour). All performance objectives have zero deviation standards and require 100% inspection as the method of surveillance.

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Attachment 1 - Estimated Work Load Data.xlsx XLSX spreadsheet
Performance Work Statement.pdf PDF
Attachment 2 - Historical Workload Data.xlsx XLSX spreadsheet

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Sheet1

PERFORMANCE OBJECTIVESTANDARDPERFORMANCE THRESHOLD ACCEPTABLE QUALITY LEVELS (AQLs)METHOD OF SURVEILLANCE
PRS#1 PWS para 5.2(a) Traumatic Event ImpactContractor will provide a 2hr block of instruction on traumatic events and traumatic stress symptoms in the context of children’s development and health throughout the lifespan.Zero Deviation from Standard100% Inspection
PRS#2 PWS para 5.2(b) TF-CBT history and researchContractor will provide a 2hr block of instruction on what TF-CBT is, it’s history and research (historical and current), into the effectiveness when treating children that have experienced trauma, as well as characteristics on implementing TF-CBT with fidelity.Zero Deviation from Standard100% Inspection
PRS#3 PWS para 5.2(c) Implementing TF-CBTContractor will provide a 1hr block of instruction on implementing TF-CBT Psychoeducation to reduce traumatic stress symptoms to include providing general information on trauma and trauma reminders; providing specific information on traumatic event(s) child experienced; explaining common emotional, behavioral, and physiological responses to trauma; providing information about child’s symptoms; and describing components of and rationale for TF-CBT, session structure, and treatment length.Zero Deviation from Standard100% Inspection
PRS#4 PWS para 5.2(d) TF-CBT Parenting SkillsContractor will provide a 1hr block of instruction on implementing TF-CBT Parenting Skills to reduce traumatic stress symptoms to include providing parent skills training (e.g. praise, selective attention, time out, contingency reinforcement plans).Zero Deviation from Standard100% Inspection
PRS#5 PWS para 5.2(e) TF-CBT Relaxation techniquesContractor will provide a .5hr block of instruction on implementing TF-CBT Relaxation to reduce traumatic stress symptoms to include explaining the physiology of relaxation and rationale for relaxation techniques; instructing on methods of relaxation (e.g., diaphragmatic breathing, progressive muscle relaxation, or other strategies); and discussing ways that relaxation skills can help child with trauma reactions.Zero Deviation from Standard100% Inspection
PRS#6 PWS para 5.2(f) TF-CBT Affective ModulationContractor will provide a .5hr block of instruction on implementing TF-CBT Affective Modulation to reduce traumatic stress symptoms to include teaching how to accurately identify and express a variety of feelings (positive and negative, in youth’s words) (e.g. feelings brainstorm, Color My World, etc.); linking feelings to situations, body and facial expressions; teaching how to rate intensity levels of emotions (e.g. SUDS, feeling thermometer); teaching skills of managing emotions and difficult affective states (e.g. positive self-talk, imagery, thought stopping safety plan); and teaching skills to identify/cope with array of feelings associated with trauma.Zero Deviation from Standard100% Inspection
PRS#7 PWS para 5.2(g) TF-CBT Cognitive CopingContractor will provide a 1hr block of instruction on implementing TF-CBT Cognitive Coping to reduce traumatic stress symptoms to include educating child on the distinction and relationship between thoughts, feelings and actions (e.g. acknowledge internal dialogues; introduce cognitive triangle); and helping the child generate alternative thoughts that are more accurate or helpful, in order to feel differently; discussing how to apply to real life; and teaching problem-solving skills.Zero Deviation from Standard100% Inspection
PRS#8 PWS para 5.2(h) TF-CBT Trauma NarrativeContractor will provide a 4hr block of instruction on implementing TF-CBT Trauma Narrative (TN) and Cognitive Processing of the TN to reduce traumatic stress symptoms to include introducing rationale for TN; initiation of TN (e.g. title page, timeline/table of contents); encouraging child, in calibrated increments, to include more details of trauma; re-reading the TN at the beginning of each session; asking about and add in thoughts and feelings throughout the TN; including worst memory/worst moment; using cognitive processing techniques to modify distortions throughout the TN; including piece on making meaning (e.g. what they’ve learned, how they grew); and as TN develops, read each new draft to supportive caregiver in collateral sessions.Zero Deviation from Standard100% Inspection
PRS#9 PWS para 5.2(i) In-Vivo Mastery of Trauma RemindersContractor will provide a .5hr block of instruction on implementing TF-CBT In-Vivo Mastery of Trauma Reminders to reduce traumatic stress symptoms to include developing in-vivo desensitization plan to resolve trauma-related generalized avoidant behaviors.Zero Deviation from Standard100% Inspection
PRS#10 PWS para 5.2(j) TF-CBT Conjoint SessionsContractor will provide a .5hr block of instruction on implementing TF-CBT Conjoint Sessions to reduce traumatic stress symptoms to include preparing caregiver and child separately for joint session in which TN is shared; and holding joint session to share TN (e.g., re-read TN, model praise, discuss questions prepared by both child and caregiver, praise and celebrate progress made).Zero Deviation from Standard100% Inspection
PRS#11 PWS para 5.2(k) TF-CBT Enhancing Sense of SafetyContractor will provide a .5hr block of instruction on implementing TF-CBT Enhancing Sense of Safety to reduce traumatic stress symptoms to include (sexually abused children); and teaching problem-solving skills and/or social skills as needed by the child.Zero Deviation from Standard100% Inspection
PRS#12 PWS para 5.2(i) PSBContractor will provide a 1.5hr block of instruction on Problematic Sexual Behavior (PSB) to include typical social, emotional, cognitive, and moral development of children as well as the impact of development on sexual knowledge and behavior; identification and definitions of expected, cautionary, and PSB; development/origins of problematic sexual behaviors and co-occurring concerns; impact of PSB on other children and their families; myths and misperceptions around children with PSB; barriers to PSB treatment; and treatment outcomes.Zero Deviation from Standard100% Inspection
PRS#12 PWS para 5.2(m) Clinical Decision Making / PSBContractor will provide a 1hr block of instruction on assessment and clinical decision making of children with PSB to include identification of guiding principles and research informed practices related to the assessment for children with PSB; analysis of findings for conclusions and recommendations; and making evidence-based decisions based upon assessment of PSB and other social, developmental, emotional, and behavioral concerns (for example, posttraumatic stress, impulsivity, and other disruptive behavior).Zero Deviation from Standard100% Inspection
PRS#12 PWS para 5.2(n) PSB-CBT history and researchContractor will provide a .5hr block of instruction on Problematic Sexual Behavior – Cognitive-Behavioral Therapy (PSB-CBT) is, it’s history and research (historical and current), into the effectiveness when treating children with PSB, as well as characteristics on implementing PSB-CBT with fidelity.Zero Deviation from Standard100% Inspection
PRS#12 PWS para 5.2(o) PSB-CBT PsychoeducationContractor will provide a 1hr block of instruction on implementing PSB-CBT Psychoeducation to reduce PSB to include teaching sexual behavior rules and boundaries; providing education on identification and development of PSB; and teaching prevention, supervision, and response strategies to PSB.Zero Deviation from Standard100% Inspection
PRS#12 PWS para 5.2(p) PSB-CBT Behavior Parent TrainingContractor will provide a 1hr block of instruction on implementing PSB-CBT Behavior Parent Training to reduce PSB to include providing parent skills training (e.g. praise, selective attention, time out, contingency reinforcement plans).Zero Deviation from Standard100% Inspection
PRS#12 PWS para 5.2(q) PSB-CBT Abuse Prevention and Sex EducationContractor will provide a 1hr block of instruction on implementing PSB-CBT Abuse Prevention and Sex Education to reduce PSB to include teaching personal safety skills and assertive communication; increase awareness; safety plan; boundaries; and sex education.Zero Deviation from Standard100% Inspection
PRS#12 PWS para 5.2(r) PSB-CBT Self ControlContractor will provide a .5hr block of instruction on implementing PSB-CBT Self-Control to reduce PSB to include teaching self-control strategies (i.e., Turtle Technique, STOP Technique); and understanding of when and how to apply self-control skills to following sexual behavior rules.Zero Deviation from Standard100% Inspection

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