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Consent Agenda
Juvenile Services
Jefferson County
Board of County Commissioners
Agenda Request
Date:
October 17, 2\>11
Evidence Based E pansion - Program Agreement
DSHS/JRA
To:
From:
Subject:
Statement of Issue:
This Program Agreement allows reimbursement for the Evidence Based
Expansion dollars allocated by the 2011 Legislature. The amount for this
biennium's award is $77,208.00. For Jefferson County, this funds our Functional
Family Therapy program.
Analysis:
FFT, an evidence-based program proven to reduce recidivism in juvenile
offenders, is available in Jefferson County because of these dollars allocated by
the legislature. Our FFT Therapist, Megan Smith, works on a contract to serve
families referred by the Juvenile and Family Court Services Department.
Alternatives:
Not provide evidence based programs.
Fiscal Impact:
I have included the appropriate budget amount in my 2011 budget.
Recommendation:
That the Board sign three originals of this Program Agreement between
DSHS/JRA and Jeff\'1fson C9Unty.
Approved by: . }, ,'~ / ,I 0
"Pii1lip Morley, C-ounty Administrator
r
DSHS Agreement Number
COUNTY 1163-35689
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DEPA RT .ENT OF
7\ SOCIAL [.,.HEALTH PROGRAM AGREEMENT
SERVICES
Evidence Based Expansion
This Program Agreement is by and between the State of Washington Administration or Division
Department of Social and Health Services (DSHS) and the County identified Agreement Number
below, and is issued in conjunction with a County and DSHS Agreement On County Agreement Number
General Terms and Conditions, which is incorporated bv reference.
DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER DSHS CONTRACT CODE
Juvenile Rehabilitation Division of Treatment and 1223 5052CS-63
Interaovernmental Proa
DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS
Cory Redman 14th and Jefferson
Program Administrator PO. Box 45720
Olvmpia, WA 98504-
DSHS CONTACT TELEPHONE I DSHS CONTACT FAX I DSHS CONTACT E-MAIL
(360) 902-8079 Ext: (360) 902-8108 redmaca@dshs.wa.gov
COUNTY NAME COUNTY ADDRESS
Jefferson County PO Box 1220
1820 Jefferson Street
Port Townsend, WA 98368
CDUNTY FEDERAL EMPLOYER IDENTIFICATION COUNTY CONTACT NAME
NUMBER
916001322 Barbara Carr
COUNTY CONTACT TELEPHONE I COUNTY CONTACT FAX I COUNTY CONTACT E-MAIL
(360) 385-9190 Ext: (360) 385-9191 bcarr@co.jefferson,wa.us
IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS
AGREEMENT?
No
PROGRAM AGREEMENT START DATE I PROGRAM AGREEMENT END DATE MAXIMUM PROGRAM AGREEMENT AMOUNT
7/1/2011 6/30/2013
EXHIBITS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this
County Program Agreement by reference:
o Data Security: [8J Exhibits (specify): Exhibit A: Statement of Work; Exhibit B: Monthly Project Update Form; Exhibit
C: Monthly Reimbursement Request Form; and Exhibit D: Quarterly Target Update Form
o No Exhibits.
The terms.and conditions of this Contract are an integration and representation of thefinaT, entire and exclusive
understanding between the parties superseding and merging all previotls agreements, W'ritings,<l~d communicatibns,bral
or otherwise, regarding the subject matter of:thISContract, The parties signing below represent that they have read and
understand. tMis Contract, and have the avtMority to execqte this Contract. This Contract shall be binding on DSHS only
upon sionatUfe bv D~HS.
COUNTY SIGNATURE(S) PRINTED NAME(S) AND TITLE(S) DATE(S) SIGNED
DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED
Del Hontanosas
Grants & Contracts Manaoer
Approved as tJ form only;
, ' .
(
DSHS Central Contract Services
5052CS County Program Agreement (8-18-11)
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jeffer~on CO, Prrl~e~\lt()t;s Office'
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Page 1
EXHIBIT A
STATEMENT OF WORK
Evidence Based Expansion
1. Purpose
As mandated by the Washington State Legislature, the purpose of this contract is to provide funding to
expand evidence based treatment and training programs administered by local juvenile courts. The
expanded programs include Functional Family Therapy (FFT), Multi-Systemic Therapy (MST),
Aggression Replacement Training (ART), Coordination of Services (CaS), and Family Integrated
Transitions (FIT).
2. General Requirements.
Upon approval of the County Juvenile Court's Approved Evidence Based Application Response, the
County Juvenile Court shall:
a. Provide projects and services in compliance with the County Juvenile Court's Approved Evidence
Based Application Response to the Juvenile Rehabilitation Administration's (JRA) Evidence Based
Expansion Solicitation;
b. All participating youth must be administered a Washington State Juvenile Court prescreen or full
Risk Assessment. Youth who are moderate to high risk on the prescreen assessment must receive
a full assessment. All moderate to high risk youth must receive a reassessment at the end of
probation, in accordance with the timeline specified in the County Juvenile Court's Approved
Evidence Based Application Response; and
c. Insure compliance with existing Community Juvenile Accountability Act (CJAA) State Quality
Assurance programs for the following programs: Functional Family Therapy, Multi-systemic
Therapy, Aggression Replacement Training, and Coordination of Services.
3. Intervention Programs:
Functional Family Therapy, Multi-systemic Therapy, Aggression Replacement Training, Coordination of
Services, and Family Integrated Transitions.
a. The County Juvenile Court must serve the number of youth at the cost budgeted and as detailed in
the County Juvenile Court's Approved Evidence Based Application Response. If the County
Juvenile Court anticipates deviating from any aspect of its Application Response, it must submit a
written request for prior approval to the JRA Headquarters Program Administrator. Service delivery
must be based on and adhere to the following specifications:
(1) For Functional Family Therapy (FFT):
(a) General precepts/practices contained in FFT, Inc. Initial 3-Day Training;
(b) Assessment/Reporting Standards contained in FFT, Inc. 1-Day Systems Training;
(c) Clinical feedback from FFT Inc. in on-going consultation and site visits;
(d) Feedback from designated FFT statewide Quality Assurance Administrator in on-going
consultation and site visits; and
(e) Precepts/practices of FFT contained in Blueprints for Violence Prevention
DSHS Central Contract Services
5052CS County Program Agreement (8-18-11)
Page 2
(2) For Multi-systemic Therapy (MST):
(a) Precepts/practices of MST contained in Blueprints for Violence Prevention; and
(b) General precepts/practices contained in training, consultation, and clinical oversight as
provided by the University of Washington.
(3) For Aggression Replacement Training (ART):
(a) Precepts/practices contained in Aggression Replacement Training (Rev. Ed.) by Goldstein,
Glick and Gibbs;
(b) Precepts/practices contained in ART initial training or subsequent Quality Assurance
statewide meetings; and
(c) Feedback from designated ART statewide Quality Assurance Specialist and Regionai Site
Consultants in on-going consultation and site visits.
(4) For Coordination of Services (CaS):
(a) Precepts and practices contained in Coordination of Services Statewide Manual; and
(b) General Precepts and practices contained in the Coordination of Services initial training.
(5) For Family Integrated Transitions (FIT):
(a) Attendance to all training on the treatment model required;
(b) Compliance with all concepts and practices contained in the training and in the developed
treatment model; and
(c) Clinical guidance as supplied by the University of Washington.
b. For the interventions listed above:
(1) The County Juvenile Court shall comply with the Washington State Institute for Public Policy
(WSIPP) evaluation design for CJAA (see CJAA: Program Eva/uation Design, WSIPP,
November 1998). WSIPP will evaluate recidivism effects as well as the costs and benefits of
the programs. The County Juvenile Court shall participate with all parties to ensure effective
program evaluation.
(2) RCW 13.40.500 through 13.40.550 requires that the County Juvenile Court collect the name,
date of birth, gender, social security number, and Juvenile Information System (JUVIS) number
for each juvenile enrolled in the Evidence Based Expansion Program.
4. Consideration.
a. The maximum consideration for the Evidenced Based Expansion program for FY12-13 are
identified in the "Juvenile Court Evidence Based Expansion Funding Awards FY12-13" list,
incorporated herein by reference.
b. Under expenditure in FY12 may not be carried forward to the subsequent fiscal year. A revenue
sharing process may be made available during the latter part of FY12 and FY13 for all counties
participating in the Evidence Based Expansion contract, provided funding is available.
c. The full list of priorities is detailed in the "County Juvenile Court's Washington State Juvenile Court
DSHS Central Contract Services
5052CS County Program Agreement (8-18-11) Page 3
Evidence Based Expansion Application". County Juvenile Courts shall submit the JRA provided
"Revenue Sharin~ Requests/Returns Form" to the Program Administrator identified on page 1 no
later than May 15 h of each fiscal year. Late submittals shall not be considered, unless otherwise
mutually agreed upon. Revenue sharing increases and decreases will be awarded by distribution
of a revised "Juvenile Court Evidence Based Expansion Funding Awards FY12-13" list. The total
maximum consideration for this contract may increase or decrease, depending on the results of
revenue sharing distributions and changes in appropriations as directed by the legislature."
d. County Juvenile Courts implementing Victim Offender Mediation (VOM) with Evidence Based
Expansion funding in State Fiscal Year 2011, may continue to use Evidence Based Expansion
funding on VOM until September 30, 2011.
e. JRA will review utilization by January 1 st each fiscal year. If the County Juvenile Court has
significantly exceeded their proposed cost per participant as detailed in their "County Juvenile
Court's Washington State Juvenile Court Evidence Based Expansion Application", the State-wide
Quality Assurance Coordinators and CJAA Advisory Committee shall intervene and a work plan be
developed with the County Juvenile Court to maintain compliance with their proposed cost per
participant.
(1) The cost per participant is determined in section 5(A) of the "County Juvenile Court's
Washington State Juvenile Court Evidence Based Expansion Application", incorporated herein
by reference."
f. Reimbursable costs include staff salaries, staff benefits, training, fees, quality assurance where
appropriate, and local expenditures on administration.
g. This Agreement may be subject to termination in the event the 2009 legislatively authorized block
grant funding formula is implemented at any time during the period of performance of this
Agreement. Prior to the termination of this Agreement, JRA will reconcile the reimbursed amount
with remaining funding resulting in the execution of a new Agreement apportioning funds for the
remainder of the biennium.
5. Payment and Billing.
a. DSHS shall pay the Contractor upon acceptance by DSHS of a properly completed A-19 Invoice
Voucher, or other JRA pre-approved invoice document, and the required monthly project forms.
JRA retains the right to withhold payment for incomplete or delinquent reimbursement packages.
The following documents must be attached with the A-19 before payment will be made by JRA:
(1) Monthly Project Update Form Use Exhibit B - Monthly Project Update Form. Submit a
separate Update Form for each intervention program (FFT, MST, ART, cas, and/or FIT).
(2) Monthly Reimbursement Request Form. Use Exhibit C - Monthly Reimbursement Request
Form. Submit a separate Update Form for each intervention program (FFT, MST, ART, cas,
and/or FIT).
(3) Quarterly Target Update Form. Use Exhibit 0 - Quarterly Target Update Form. Submit a
separate Target Update Form for each intervention program (FFT, MST, ART, cas, and/or
FIT) to JRA within 15 days following each fiscal quarter being reported on. This form does not
need to be submitted with the monthly invoices (A-19).
b. The County Juvenile Court agrees to accept payment as outlined in this Billing and Payment
Section of the Contract as total and complete remuneration for services provided to offenders
under this Contract. This does not preclude the County from seeking other funding sources No
indirect costs are allowed.
DSHS Central Contract Services
5052CS County Program Agreement (8-18-11)
Page 4
c. The County Juvenile Court shall use these funds to supplement, not supplant, the amount of
federal, state, and local funds otherwise expended for the services provided under this Contract.
d. Under no circumstance shall the County Juvenile Court bill twice for the same services.
e. The County Juvenile Court shall maintain backup documentation of all costs billed under this
Contract.
f. Stop Payment. If reports required under this Contract are delinquent, DSHS, JRA may stop
payment to the County Juvenile Court until such required reports are submitted to JRA
6. County Compliance.
a. Subcontractors
If the County Juvenile Court utilizes subcontractors for the provision of services under this Contract,
the County Juvenile Court must notify JRA in writing and maintain sufficient documentation to verify
that the subcontractors meet all the requirements under this Contract In no event shall the existence
of a subcontract release or reduce the liability of the County Juvenile Court for any breach of
performance.
b. Site Review
The County Juvenile Court shall assist the JRA to perform reviews of sites where services are
delivered at regular intervals using agreed upon forms and methods.
c. Other Provisions
The County Juvenile Court shall comply with the following other provisions for all services provided
under this Contract.
(1) Background Check/Criminal History-
(a) In accordance with Chapters 388-700 WAC (JRA-Practices & Procedures), 72.05 RCW
(Children & Youth Services), 43.20A RCW (DSHS), and by the terms of this contract,
Contractor and each of its employees, subcontractors, and/or volunteers who mayor will
have regular access to any client/juvenile must be cleared through a JRA approved criminal
history and background check. In addition, Contractor, each of their employees,
subcontractors, and/or volunteers, who mayor will have limited access to any clienUjuvenile,
may be required to be cleared through a JRA approved criminal history and background
check.
(b) By execution of this contract, Contractor affirms that Contractor, each of its employees,
subcontractors, and/or volunteers, who mayor will have regular access have not been
convicted of any of the following:
i. Any felony sex offense as defined in 9.94A.030 RCW (Sentencing Reform Act-
Definitions) and 9A44.130 RCW (Sex Offenses);
ii. Any crime specified in Chapter 9A.44 RCW (Sex Offenses) when the victim was a
juvenile in the custody of or under the jurisdiction of JRA; or
iii. Any violent offense as defined in 9.94A.030 RCW (Sentencing Reform Act-Definitions).
Contractor must require that current employees, volunteers, and contracted service
DSHS Central Contract Services
5052CS County Program Agreement (8-18-11)
Page 5
providers who are authorized for regular access to a juvenile(s) report any guilty plea or
conviction of any of the above offenses. The report must be made to the person's
supervisor within seven (7) days of conviction and any person who have reported a
guilty plea or conviction for one or more of these offenses must not have regular access
to any offender. Contractor shall also document background checks/criminal history
clearances for monitoring purposes.
(2) Sexual Misconduct -
(a) 13.40.570 RCW (Sexual misconduct by state employees, contractors) states that when the
Secretary has reasonable cause to believe that sexual intercourse or sexual contact
between the employee of a contractor and an offender has occurred, the Secretary shall
require the employee of a contractor to be immediately removed from any employment
position which would permit the employee to have any access to any offender
(b) By execution of this contract, contractor affirms that contractor, each of its employees,
subcontractors, and/or volunteers are knowledgeable about the requirements of 13.40.570
RCW (Sexual misconduct by state employees, contractors) and of the crimes included in
9A.44 RCW (Sex Offenses).
(c) In addition, the Secretary shall disqualify for employment with a contractor in any position
with access to an offender, any person:
I. Who is found by the department, based on a preponderance of the evidence, to have
had sexual intercourse or sexual contact with the offender; or
ii. Convicted of any crime specified in chapter 9A.44 RCW (Sex Offenses) when the victim
was an offender
(d) If any actions are taken under 13.40.570 RCW, subsections (3) or (4), the Contractor must
demonstrate to the Secretary they have greatly reduced the likelihood that any of its
employees, volunteers, or subcontractors could have sexual intercourse or sexual contact
with any offender. The contract shall not be renewed unless the Secretary determines
significant progress has been made.
7. Items Incorporated by Reference
a. RCW 13.40.500 -13.40.550;
b. Juvenile Disposition Sentencing Standards;
c. The Community Juvenile Accountability Act: Program Evaluation Design, WSIPP, November 1998;
d. JRA CJAA Quality Assurance Plans for Functional Family Therapy and Aggression Replacement
Therapy and Coordination of Services; and
e. The Washington State Juvenile Court Evidence Based Expansion Application document dated July
19,2011.
OSHS Central Contract Services
5052CS County Program Agreement (8-18-11)
Page 6
EXHIBIT B
Juvenile Court Evidence Based Expansion
MONTHLY PROJECT UPDATE FORM
The following information must be submitted on the Monthly Project Update Form, as provided by
JRA, for each type of intervention (ART, COS, FFT, FIT, MST) and attached to an Invoice Voucher
Form A-19 when submitting requests for payment to JRA.
1. County Name.
2. MonthlYear of Service.
3. The court's projected number of youth who will start the program for the current fiscal year.
4. The number of youth who started the program during this month (Youth shall only be
counted as a starter one time per evidence based program per probation obligation).
5. The total number of youth who started the program since the beginning of the current fiscal
year.
6. The number of youth who have successfully completed the program during this month.
7. The number of youth who have successfully completed the program since the beginning of
the current fiscal year.
8. The total number of youth who are still active in the program and have not completed as of
the end of this month.
9. The Total Reimbursement for the program since the beginning of the current fiscal year.
10. The county's current cost per youth for the program.
11. Program Comments (include barriers to getting youth to start the programs and/or any
opportunities to expand the programs).
DSHS Central Contract Services
5052CS County Program Agreement (8-18-11)
Page 7
EXHIBIT C
Juvenile Court Evidence Based Expansion
MONTHLY REIMBURSEMENT REQUEST FORM
Attach completed Form(s) to an Invoice Voucher Form A-19 when submitting requests for payment to
JRA. Note: Complete a separate MONTHLY REIMBURSEMENT REQUEST FORM for each type of
intervention (ART, FFT, MST, COS, FIT, and/or VOM).
I COUNTY I MONTHIYEAR INTERVENTION PROGRAM I
(FFT, ART, ETC.)
COSTS THIS MONTH
-"--'-- -
$
$
$
$
Administrative $
TOTAL COST $
DSHS Central Contract Services
5052CS County Program Agreement (8-18-11) Page 8
EXHIBIT D
Juvenile Court Evidence Based Expansion
QUARTERLY TARGET UPDATE FORM
Submit completed Form(s) to JRA within 15 days following each fiscal quarter being reported on. Note:
Complete a separate QUARTERLY TARGET UPDATE FORM for each type of intervention (ART, COS, F
FIT, MST, and/or VOM).
COUNTY QUARTER YEAR INTERVENTION PROGRAM !
(ART, FFT, ETC.)
- i
PROPOSED QUARTERLY TARGETS
FIRST QUARTER: SECOND QUARTER: THIRD QUARTER: FOURTH QUARTER:
JUL - SEP OCT - DEC JAN - MAR APR - JUN
ACTUAL QUA TERL Y TARGETS
1. is the number of youth who participated in the project for the quarter being
-
reported.
2. is the number of youth who completed the project for the quarter being
- reoorted.
BARRIERS/ISSUES TO MEETING QUARTERLY PARTICIPATION
I I
IDENTIFIED OPPORTUNITIES TO EXPAND PARTICIPATION
I I
DSHS Central Contract Services
5052CS County Program Agreement (8-18-11) Page 9
Juvenile Court Evidence Based Expansion Funding Awards FY12-13
.',;:;. :,:;;f~ ~ ~ TiE
Benton/Franklin 135,933 129,004 264,937
Chelan 67,614 67,813 135,427
Clallam 61,192 63,424 124,616
Clark 124,291 118,471 242,762
ColumbialWalla Walla 26,526 26,526 53,052
Cowlitz 61 ,465 61,465 122,930
Gravs Harbor 36,150 36,150 72,300
Island 44,122 44,122 88,244
Jefferson 38,604 38,604 77,208
KinCl 612,030 598,153 1,210,183
Kitsap 72,024 72,024 144,048
Lewis 24,535 30,295 54,830
Lincoln 4,679 4,679 9,358
Mason 37,433 37,433 74,866
OkanoClan 69,044 105,800 174,844
PacificlWahkiakum 23,396 23,396 46,792
Pierce 450,580 447,764 898,344
Skagit 54,828 54,828 109,656
Snohomish 200,787 192,114 392,901
Spokane 328,411 321,581 649,992
Thurston 222,129 222,129 444,258
Whatcom 64,838 64,838 129,676
Yakima 289,496 289,496 578,992
County Sub-Total 3,050,108 3,050,108 6,100,216
JUVENILE COURT EVIDENCE BASED EXPANSION
FINAL FUNDING AWARDS FY12-13