Updated_PWS_FLC_Contract_for_Supervision_29March18.docx

PERFORMANCE BASED WORK STATEMENT

FOR

FAMILY LIFE CHAPLAIN LICENSED MARRIAGE FAMILY THERAPIST (LMFT) SUPERVISORY SERVICE

Fort Campbell, Kentucky

FY18

1. GENERAL: This is a Non-personnel services contract to provide Licensed Marriage and Family Therapist (LMFT) supervision for the Family Life Chaplain, Fort Campbell, Kentucky. AR 165-1 “Army Chaplain Corps Activities”, 23JUN2015, states, “The Senior Chaplain and Garrison Chaplains will ensure that all Family Life Chaplains (FLC) receive supervision from an approved Licensed Marriage and Family Therapist (LMFT) supervisor. The primary effort of the FLCs is dedicated to the Family Life ministry activities” (16-3b,c). This request for funding meets this requirement and allows the FLC to become licensed and enhance his ability to minister and train.

1.1 Description of Services/Introduction: The purpose of the contract is to meet and or provide the Family Life Chaplain, Fort Campbell, Kentucky with weekly LMFT Supervision. LMFT Supervision will contribute to and enhance the FLC’s ability to fulfill the Senior Chaplain and Garrison Commander’s mission of providing pastoral care training, relationship education skills, and programs to Soldiers (AR 165-1,16-3b,c).

1.2 Background: The Office of Chief of Chaplains in conjunction with AR-165-1 seeks to ensure that the FLC receives supervisions from an approved LMFT supervisor. Supervision would ensure that the FLC is capable to carry out the Commander’s vision for the Family Life Center to provide the best counseling service to Soldiers, Family members, Retirees, and DoD Civilians.

1.3 Objectives: The Contractor shall assume responsibility for all requirements stated herein on the commencement date of the performance period. Services rendered under this contract will provide for weekly (120 minute training/sessions) with a LMFT supervisory for the Family Life Chaplain, Fort Campbell, Kentucky, not to exceed 8 hours per-month: (a) FLC will develop ability to know and integrate relational/family systems theory and methods in their practice and to do this self-consciously; (b) LMFT Supervisor shall keep documentation of all hours in carefully documented form; (c) The FLC shall demonstrate that he is capable of engaging wholeheartedly in the supervision process; (d) FLC will accept correction and remediation if deemed necessary; (e) FLC shall be given an opportunity to develop competency, theological integration, and therapeutic skills while being encouraged toward realistic growth in confidence and professional maturity all with a mindfulness of ethical practice; (f) FLC will have accumulated sufficient hours of LMFT Supervision (200hrs) to obtain LMFT licensure through the licensing State of his/her choice. Comment by DoD Admin: Don’t include a dollar amount in the PWS Comment by DoD Admin: Keep gender neutral with Contractor shall (being mandatory) or should (optional). Ensure entire document reflects accordingly. Comment by DoD Admin: He/she ?

1.4 Scope: The Contractor shall perform LMFT Supervision and assume responsibility for administering, managing, and executing all functions necessary to provide the Family Life Chaplain, Fort Campbell, Kentucky, with weekly (120 minute training sessions) LMFT Supervision. Supervision is defined as “an intervention provided by a more senior member of a profession to a more junior member or members of a profession. The relationship is evaluative and hierarchical, extends over time and has the simultaneous purposes of enhancing the more junior member(s) value of therapy, monitoring the functioning and the quality of the professional services offered to clients which he or she sees and serving as a gatekeeper into the profession they seek to enter.”

1.5 Period of Performance: Period of performance shall be for one (1) Base Year of 12 months and two (2) 12-month option years. The Period of Performance reads as follows:

Base Year Option Year I Option Year II

1.6 General Information.

1.6.1 Quality Control: Contractor’s performance shall be evaluated in accordance to the American Association of Marriage and Family Therapist AAMFT Code of Ethics (January 2015), AAMFT Approved Supervisor Designation Standards and Responsibilities Handbook (October 2007), and feedback from FLC provided to the KO.

1.6.2 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.6.3 Recognized Holidays: The contractor is not required to perform services on holidays.

1.6.4 Hours of Operation: Hours of Operation shall be during regular work hours 0800am to 0500pm, Monday thru Friday except Federal holidays. The Contractor shall fulfill duties as LMFT Supervisory for the Family Life Chaplain as schedule or agreed upon weekly by both the Family Life Chaplain and the LMFT Supervisor.

1.6.5 Place of Performance: Supervision to be performed under this contract will be at the contractor’s place of business or suitable clinical setting, to not violate the Office of the Chief of Chaplains policy concerning confidentiality. No access to Government facilities or Fort Campbell, Kentucky are required. Comment by DoD Admin: This can be done off site or at the contractor’s place of business. Don’t use a personal address unless it is a neutral location.

Recommend: Work to be performed under this contract at the contractor’s place of business.

1.6.6 Type of Contract: The government will award a non-personal services contract to provide Licensed Marriage and Family Therapist (LMFT) supervision for the Family Life Chaplain, Fort Campbell, Kentucky.

1.6.7 Security Requirements: N/A

1.6.7.1 PHYSICAL Security: The Contractor shall be responsible for securing/safeguarding all notes, information, and conversations in accordance with the AAMFT Code of Ethics (January 2015), AAMFT Approved Supervisor Designation Standards and Responsibilities Handbook (October 2007).

1.6.7.2 Key Control: N/A

1.6.8 Special Qualifications: LMFT supervisor’s license shall be in current standing with the AAMFT, shall be licensed in the state of Kentucky or Tennessee, be proficient in Pastoral care counseling, and contemporary counseling models, trained in Eye Movement Desensitization Reprocessing (EMDR), Solution Focus counseling, and Emotionally Focused Therapy.

1.6.9 Post Award Conference/Periodic Progress Meetings: N/A

1.6.10 The Contracting Officer’s Representative (COR), Fort Campbell Kentucky CTOF Fund Manager, is the authorized government representative(s) who will perform assessments of the contractor's performance. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions; assure that the Contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract; monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.6.11 Key Personnel: The Fort Campbell Kentucky CTOF Funds Manager is considered key personnel by the government. The CTOF Funds Manager shall be responsible for the performance of the work. The Resource manager shall act for the contractor when the Funds Manger is absent. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of the contract. The contract manager or alternate shall be available between 09:30am to 5:00pm Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons. Qualifications for all key personnel are: currently assigned as the FCKY. Garrison Religious Support Office, Resource Manager and or Funds Manager for CTOF.

1.6.12 Identification of Contractor Employees: N/A

1.6.13 Contractor Travel: N/A

1.6.14 Other Direct Costs: N/A

1.6.15 Data Rights: The Government has unlimited rights to all documents/material produced under this contract. All documents shall be kept in accordance to the OCCH Confidentiality policy and AAMFT policy concerning confidentiality. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.6.16 Organizational Conflict of Interest: N/A

1.6.17 PHASE IN/PHASE OUT PERIOD: N/A

PART 2

DEFINITIONS & ACRONYMS

(This section includes all appropriate terms and phrases for this PWS. The definition must be clear and concise, not ambiguous. Carefully consider each definition because they will be binding for the duration of this contract, unless modified. In addition, include a complete listing of all acronyms and words or phrases they represent.)

2. DEFINITIONS AND ACRONYMS:

2.1. DEFINITIONS: [List any terms used within the PWS that require further definition. At a minimum, insert the definitions provided below].

2.1.1. CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6. KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11. SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12. WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.13. WORK WEEK. Monday through Friday, unless specified otherwise.

2.1.14. COR Duties: The COR will inform the Contracting Officer (KO) when discrepancies occur and will request corrective action. The COR will make a notation of the discrepancy on their COR Monthly Report Worksheet with the date and time the discrepancy was noted and will notify the KO.

2.1.15. Change of Scope: Any matter concerning a change to the scope, prices, terms or conditions of this contract shall be referred to the KO.

2.1.16. KO Review: The services to be performed by the contractor during the period of this contract shall at all times and places be subject to review by the KO or authorized representative(s).

2.1.17. Type of Contract: The government will award a Firm Fixed Price Non-Personal Services Contract.

2.1.18. Place of Performance. The work to be performed under this contract will be at the contractor’s place of business or suitable clinical atmosphere to not violate the Office of the Chief of Chaplains policy concerning confidentiality. No access to Government facilities or Fort Campbell, Kentucky are required. Comment by DoD Admin: This can be done off site or at the contractor’s place of business. Don’t use a personal address unless it is a neutral location.

Recommend: Work to be performed under this contract at the contractor’s place of business.

2.2. ACRONYMS: [List all acronyms used in the PWS and what they represent. At a minimum, insert the acronyms provided below].

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES: N/A

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES: N/A

4.1 General: The Contractor is not responsible for furnishing all supplies, equipment, facilities and services required to perform work under this contract.

4.2 Secret Facility Clearance: N/A

4.3. Materials: N/A

4.4. Equipment: N/A

PART 5

SPECIFIC TASKS

5. Specific Tasks:

5.1. Basic Services: All services under this contract shall be performed by the Contractor. Contractor shall be a fully approved America Association Marriage and Family Therapist, Licensed Marriage Family Therapist Supervisor in the State of Kentucky or Tennessee.

5.2. Clinical Qualifications: LMFT supervisor shall be an approved AAMFT supervisor, possess the ability to clinically and professionally evaluate, train, and provide oversight using relational or systemic approaches for the purpose of helping the FLC attain systemic clinical skills as a therapist. This is accomplished through live observation, face-to-face contact and discussion, or visual/audio technology-assisted means.

5.3. Professional Standards: The LMFT supervisor shall maintain a professional conduct and public decorum, including but not limited to dress and appearance. In providing clinical supervision, the FLC who is the Commander’s subject matter expert for pastoral and family and marriage counseling, the LMFT supervisor must possess and exhibit an ethical and moral worldview and lifestyle.

Contractor shall present a neat professional appearance at all times and be easily identifiable as an LMFT Supervisor. This may be accomplished by the wearing of distinctive professional attire, name tag, and maintaining a professional clinical attitude, the use of appropriate clinical language, and presenting a work environment reflective of a well-organized clinical program. Reference AAMFT 2015 Code of Ethics, AAMFT Approved Supervision Designation: Standards Handbook January 2014, AAMFT marriage and Family Therapy Core Competencies, December 2004.

5.6. Weekly Supervision: The LMFT Supervisor shall provide up to 120 minutes of weekly clinical supervision, not to exceed 8 hours of supervision per-month.

5.7. Case Conceptualization and Treatment Plans: The LMFT Supervisor shall monitor all aspects of the FLC case conceptualization and treatment planning for cases presented. And shall provide feedback and direction concerning goals for case conceptualization and treatment. LMFT Supervisor shall explore interventions with FLC to determine best approach to help clients. LMFT Supervisor shall assist in development of counseling competency-specific goals and tasks achieved in supervision.

5.8. Single Relationship: LMFT Supervisor shall, maintain a single relationship between supervisor and trainee by not engaging in dual relationships.

5.9. Feedback: LMFT Supervisor shall provide regular written and verbal feedback to FLC concerning progress, strengths, and areas in which professional development are needed.

5.10. Evaluation: LMFT supervisor shall review the FLC personal philosophy of counseling, ethical responsibilities to clients, and clinical approach to counseling to enhance their competency as a counselor. Progress of MFTs/trainees should be periodically reviewed according to pre-determined supervisory goals, and evaluations should be shared and discussed with trainees. Supervisors are responsible for an initial screening to evaluate the FLC’s readiness for clinical practice under supervision. At any time during supervision, should a supervisor develop significant concerns about the abilities, philosophical beliefs, or practices of the FLC, the concerns must be shared with the FLC and documented in writing as early as possible. Supervisors serve as gatekeepers for the profession and must have procedures available for remediation or counseling trainees out of the field, including referral to other supervisors.

5.11. Supervisor and FLC Relationship: LMFT shall not disclose FLC confidence except in limited circumstance as mandated by law and Army Regulation, and OCCH Confidentiality Policy. In the event that the LMFT needs to speak or discuss a case with another qualified supervisor he/she shall notify the FLC to receive approval.

5.12. Reporting and Documentation: LMFT supervisor shall provide reports as needed by FLC, such as those required for AAMFT membership or licensure. The supervisor’s signature on the forms verifies the accuracy of the information reported, so the supervisor is responsible for ensuring that the FLC has completed the clinical and supervision hours reported. When supervision is provided by a supervisor candidate who has not yet been awarded the Approved Supervisor designation, the FLC shall be provided with a completed supervisor candidate verification form.

5.13. End-State: LMFT Supervisor shall at the conclusion of this contract provide a memorandum with license number and appropriate state licensing documentation with total number of hours of supervision enabling FLC to qualify as a licensed LMFT counselor.

5.14. Emergency Situations: In the event of an emergency the FLC and LMFT Supervisor shall make every effort to notify each other concerning the need to reschedule supervision.

5.15. Applicable Regulations: The LMFT supervisor shall ensure that all applicable Federal and State laws and Army Regulations are followed, including supervision of FLC who may conduct therapy on Fort Campbell comprised of the state of Tennessee and Kentucky.

5.16. Employment Conflict of Interest: The Contractor shall not employ any person who is an employee of the U.S. Government if employing that person would create a conflict of interest. Additionally, the Contractor shall not employ any person who is an employee of the Department of the Army either military or civilian, unless such person seeks and receives approval according to DOD 55QO-7-R, Joint Ethics Regulation. Contractor shall not employ anyone as a subcontractor to complete or fulfill any requirement of this contract.

PART 6

APPLICABLE PUBLICATIONS:

6. APPLICABLE PUBLICATIONS: current editions.

6.1. AAMFT, Approved Supervision Designation: Standards Handbook: January 2014.

6.2. AAMFT Marriage and Family Therapy Core Competencies, December 2004.

6.3. AAMFT Code of Ethics, January 2015.

6.4. OCCH Policy for Protection for Confidential Communications, 25 September 2007.

6.5 Army Chaplain Corps Activities, Army Regulation 165-1, 23 June 2015.