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--aN-- . Consent Agenda
(~~~~ JEFFERSON COUNTY PUBLIC HEALTH
..~.... 615 Sheridan Street. Port Townsend. Washington. 98368
--- ' www.Jeffel'8oncountypubllchealth.org
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December 2, 2011
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
FROM:
DATE:
Board of County Commissioners
Philip Morley, County Administrator
Jean BaldwIn, Director
TO:
l>e.L D-,?-o\ \
SUBJECT: Agenda Item - Contract Agreement - Jefferson Mental Health Services
for School Based Health Center, Amendment #1; September 1, 2011-
June 30, 2012: add1 $7,649 total $65,399
STATEMENT OF ISSUE:
Jefferson County Public Health, representing the BOCC 1/10 of 1% Mental Health and Chemical Dependency
Oversight Committee, Is requesting Board approval of the Contract Agreement - Jefferson Mental Health
Services (JMHS) for School Based Health Center, Amendment #1: September 1, 2011 - June 30, 2012; add1
$7,649 total $65,399.
ANALYSIS/STRATEGIC GOALS/PRO'S and CPffS:
This agreement provides mental health services In the Port Townsend, Chlmacum and Qullcene School
DIstricts. Mental Health services are provided to children In grades 6 - 12 who Identify with mental health
Issues. The Contractor currently provides the services of a Child and Family Therapist counseling In
IndMdual or group settings. Counseling services provided Include anger management, depression, conflict
resolution, and stress, relationship Issues, feeling of suicide, eating disorders, domestic violence, and sexual
and physical abuse.
This amendment will fund additional counseling services at Port Townsend School DIstrict, Blue Heron
School to meet the needs of the students.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This Is to continue services paId through the Mental Health and Chemical Dependency tax. There Is no fiscal
Impact to the department.
COMMUNITY HEALTH
DEVELOPMENTAL DISABIUTlES
MAIN: (360) 385-9400
FAX: (360) 385-9401
PUBLIC HEALTH
AlWAVlI \'II@III!IIIG FOR Il SAnll Mil
HEALTHIER COMMUNITY
ENVIRONMENTAL HEALTH
WATER QUALITY
MAIN: (360) 385-9444
FAX: (360) 379-4487
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Consent Agenda
RECOMMENDATION:
JCPH management request approval of the Contract Agreement - Jefferson Mental Health
ServIces for School Based Health Center, Amendment #1; September 1, 2011- June 30, 2012; add1 $7,649
total $65,399
/d'7~
Date
Contract Amendment #1
Agreement Between
Jefferson Mental Health Services
And
Jefferson County Public Health
WHEREAS, Jefferson Mental Health Services (Contractor) and Jefferson County (County) entered into
an agreement on September I, 2011 for Professional Services to be provided in connection with services
in the school districts ofChimacum, Port Townsend and Quilcene for Jefferson County, W A.
WHEREAS, the parties desire to amend the terms of that agreement.
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
1. The term of this contract amendment is effective January I, 2012 and ends
June 30, 2012.
2. The Contractor will continue to provide enhanced mental health intervention and treatment
services for children or youth grades 6-12 who identify with mental health issues.
3. Contractor will provide additional counselor hours at Port Townsend School District, the
Blue Heron School, to meet the needs of the students.
4. Contractor shall have discretion to determine which professional on its staffwill provide
some or all of the additional counselor hours at Blue Heron School but will meet aSPI
policy of having multi state background checks on any staff working in schools.
Notification of personnel changes will be sent in writing to JCPH.
5. The parties agree to an additional amount of $7,649.00 in funding for services rendered
during the term of this contract amendment.
6. Total compensation under this Agreement shall not exceed $65,399.00 without an
express written amendment signed by both parties.
7. All other terms and conditions of the agreement will remain the same.
Dated this
day of
,2011
By:
John Austin, Chairman
Jefferson Board of County Commissioners
Jllf'&non Co. Prosecutor' Office
By: 5 c-: !1. ___ (tm-J
Sam Markow
Executive Director
Jefferson Mental Health Services. Amendment # 1
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CONTRACT AGREEMENT
For Professional Services
Between
Jefferson Mental Health Services
And
Jefferson Connty
This Contract for Professional Services is entered into between Jefferson County, herein referred
to as the "County" and Jefferson Mental Health Services (JMHS), herein referred to as the
"Contractor".
Section 1: PURPOSE:
THIS AGREEMENT is made and entered into to provide services in the school districts of
Chimacum, Port Townsend, and Quilcene for Jefferson County, Washington.
The COUNTY and three (3) school districts agree to cooperate in order to provide enhanced
mental health interVention and treatment services for children or youth grades 6-12 who identify
with mental health issues. The hours will be distributed as 1.5 days a week in Qui1cene SD, 2
days a week in Port Townsend High School, and 3 days a week in Chimacum SD.
Section 2: TERMS:
This Agreement shall commence on September 1, 2011 and continue through June 30, 2012
unless terminated as provided herein. The agreement may be extended beyond June 30, 2012
upon mutual written consent of the County and the Contractor.
Section 3: SCOPE OF AGREEMENT:
Jefferson Mental Health Services (JMHS) will provide the services of a Child and Family
Therapist, who will perform individual and group counseling services at Jefferson County
School-Based Health Clinics (SBHC) as part of a comprehensive team of clinical and non-
clinical health professionals and school personnel. In addition, the Child and Family Therapist
shall attend monthly meetings with other Jefferson County Public Health (JCPH) staff and attend
SBHC trainings. The JMHS Child and Family Therapist shall provide:
. The development of goals and objectives for the school year to the SBHC
Advisory Committee.
. Short-term counseling, support, and referral for youth and their families enrolled
at the High Schools.
. Group and individual counseling for youth and their families enrolled at the High
Schools on a variety of issues and concerns including, but not limited to, anger
management, depression, stress, conflict resolution, relationship issues, feelings
of suicide, counseling for grief or loss, sexual and physical abuse, eating
disorders, and domestic violence.
. Ongoing collaboration and weekly consultation with the SBHC team of health
and school professionals.
. Effective and efficient clinical services using best practice standards.
Jefferson Mental Health Services - SBHC
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. All necessary clinical and administrative records for the SBHC.
. Data collection on number and types of services provided for the SBHC to the
SBHC Advisory Committee.
. Yearly report of activities and services provided. which are submitted to the
JCPH Contract Representative.
A. Contract Representatives:
JCPH and JMHS will each have a contract representative who will have responsibility to
administer the contract for that party. A party may change its representative upon
providing written notice to the other party. The parties' representatives are as follows:
JCPH Contract Representative
Jean Baldwin, Director
Jefferson County Public Health
615 Sheridan St.
Port Townsend, W A 98368
(360) 385-9400
Contractor's Contract Representative
Sam Markow, Executive Director
Jefferson Mental Health
PO Box 565
Port Townsend, W A 98368
(360) 385-0321
Section 4: COMPENSATION:
The CONTRACTOR will be reimbursed for all work performed under the terms of this contract.
The total amount payable under this Contract by County to CONTRACTOR, for 2011-2012
school year, shall not exceed $57,750.00 in the completion of this project without express written
amendment signed by both parties to this Agreement.
A. CONTRACTOR shall submit invoices to JCPH, 615 Sheridan St., Port Townsend,
W A 98368, Attn: Finance Department, once a month for payment of work actually
completed to date.
B. The Contractor may submit invoices to the County, monthly, for work completed to
date. The County will review such invoices, and upon approval thereof, payment will
be made to the Contractor in the amount approved.
C. The County will make final payment of any balance due the Contractor promptly
upon determining that i) the Contractor has completed its obligations under this
Agreement and ii) the County can and does accept the work performed by the
Contractor.
Jefferson Mental Health Services - SBHC
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D. CONTRACTOR records and accounts pertaining to this agreement are to be kept
available for inspection by representatives of the County and state for a period of six
(6) years after:final payments. Copies shall be made available upon request.
Section 5: INDEMNIFICATION:
The Contractor shall indemnify, defend and hold harmless the County, its officers, agents and
employees, from and against any and all claims, lawsuits, demands for money damages, losses or
liability, or any portion thereof, including attorney's fees and costs, arising from any injury to
person or persons (including the death or injury of the Contractor or damage to personal property)
if said injury or damage was cansed by the negligent acts or omissions of the Contractor.
Section 6: INSURANCE:
The Contractor shall obtain and keep in force during the terms of this Agreement, or as otherwise
required:
A. Commercial Automobile Liability Insurance providing bodily injury and property
damage liability coverage for all owned and non owned vehicles assigned to
or nsed in the performance of the work for a combined single limit of not less than
$300,000 each occurrence. Contractor shall provide proof of insurance to the County
c/o Contracts Manager at Jefferson County Public Health, 615 Sheridan St. Port
Townsend, WA 98368 prior to commencing employment."
B. Professional Liability Insurance providing $2,000,000 per incident; $4,000,000
aggregate. Contractor shall name Jefferson County Public Health as additional
insured.
C. All employees or subcontractors of the CONTRACTOR who are required to be
professionally licensed or certified by the State in the performance of services under
this agreement shall maintain individual professional liability insurance in the
amount of not less than one million dollars ($1,000,000). In no case shall such
professional liability to third parties be limited in any way.
D. The Contractor shall participate in the Worker's Compensation and Employer's
Liability Insurance Program as may be required by the State ofWasbington.
E. It is agreed by the parties that insurers shall have no right of recovery or subrogation
against the County (including its employees and other agents and agencies), it being
the intention of the parties that the insurance policies listed above shall protect both
parties and be primary coverage for any and all losses covered by the above-listed
insurance policies. It is further agreed by the parties that any and all deductibles
made part of the above-listed insurance policies shall be assumed by, paid for and at
the risk of the Contractor.
Section 7: CONFIDENTIALITY:
Contractor, its employees, subcontractors and their employees will maintain the confidentiality
of all information provided by JCPH or acquired in performance of the Contract as required by
Jefferson Mental Health Services - SBHC
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HIP AA and other privacy laws. This Contract, once executed by the parties, is and remains a
Public Record subject to the provision of Ch. 42.56 RCW, the Public Records Act.
Section 8: INDEPENDENCE
The Contractor and the County agree that the Contractor is an independent Contractor with
respect to the services provided pursuant to this agreement. Nothing in this agreement shall be
considered to create the relationship of employer and employee between the parties hereto. The
Contractor shall not be entitled to any benefits accorded County employees by virtue of the
services provided under this agreement. The County shall not be responsible for withholding or
otherwise deducting federal income tax or social security or for contributing to the state
industrial insurance program, otherwise assuming the duties of an employer with respect to
employee.
Section 9: REPORTING
The Contractor will provide a monthly report to the County. The monthly report shall contain a
brief snmm"ry of the work performed. relationship to the tasks identified in ExlulJit A and the
total hours worked. The monthly report shall be submitted to Jefferson County Public Health in
care of the Jean Baldwin, Director, 615 Sheridan, Port Townsend, and W A 98368 for payment
by the last working day of the month.
Section 10: ASSIGNMENTS AND SUBCONTRACTING
The Contractor shall not sublet or assign any of the services covered by this agreement without
the express written consent of the County.
Section 11: TERMINATION
The County reserves the right to terminate this contract in whole or in part, with 30 days notice,
in the event that expected or actual funding from any funding source is withdrawn, reduced, or
limited in any way after the effective date of this agreement. In the event of termination under
this clause, the County shall be liable for only payment for services rendered prior to the
effective date of termination.
A. This agreement may also be terminated as provided below:
1. With 30 days notice by the Board of County Commissioners for any
reason, or
2. With 30 days notice by the Board of County Commissioners for non-
performance of the specific job duties in Exhibit A.
3. With 30 days notice by the Contractor by voluntary resignation.
Section 12: MODIFICATION
This professional services agreement may be modified at any time by written agreement of all
parties.
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Section 13: INTEGRATED AGREEMENT
This Agreement together with attachments or addenda represents the entire and integrated
agreement between the County and the Contractor and supersedes all prior negotiations,
representations, or agreements written or oral between the parties. This agreement may be
amended only by written instrument signed by both County and Contractor.
Approved this \ 2}-I') day of ~ be(, 2011.
BOARD OF COUNTY COMMISSIONERS
JEFFERSON COUNTY, WASHINGTON
John
~ MC-/.Cu..,; C~ '\>\~
Jefferson Mental Health Services l
ATTEST:
rv Q LY1 fA. i? J1 Y1 olod Q
Clerk of the Board I ~f<M-i-u)
rD cw.
Approved as to form only on
By Deputy Prosecuting Attorney David
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Scope of Work
RESPONSffiILITIES:
The Jefferson Mental Health Services, as a contracted providei', agrees to:
A. Work with identified youth and their families throughout the school year.
B. Work closely with school employees including: principals, teachers, counselors. Also
work with the school based clinic staff.
C. Work collaboratively with local mental health and substance abuse treatment agencies
. for identified clients.
D. Provide licensed therapists who consistently staff each site with the same person except
for need for personal leave. Exceptions may only be made with the written approval of
the County, shonld the Contractor be unable to fill the positions. Background checks are
required for all employees.
E. Provide crisis interventions and emergency response services.
F. Provide on-going individual therapy as needed, when youth are not eligible to receive
services through the public mental health system.
G. Run groups as appropriate.
H. Work with children or youth to provide support services and referral to mental health or
other treatment programs. Assist with the application and eligibility paperwork necessary
to receive outside services.
1. Parents or guardians of children or youth may be contacted as necessary.
J. Consnlt with and advise school staff regarding children or youth with mental health
issues.
K. Assist school staff in identifying and developing strategies to assist students with mental
health issues.
L. Work with social services or other agencies as needed for dually served children or youth
with mental health or chemical dependency issues.
M. Provide clinical and supervisory oversight for the therapist providing services in this
program.
N. Ensure Mental Health Professional (MHP) staff adheres to appropriate school protocol in
the implementation of programming.
O. Maintain a secure and confidential records system guaranteeing HIPPA.
P. Bill where appropriate
Q. Yearly report on client (students and families), utilization, referrals, outcomes.
Jefferson Mental Health Services - SBHC
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School Districts agree to:
A. Educate school teachers and staff about the availability of the referral process for the
"Partnership for Health" to assure mutual understanding of proceedings and
requirements.
B. IdentifY students who may need mental health intervention and refer individuals for
screening or services.
C. Refer appropriate individual to the contracted provider or Jefferson Mental Health for
services, including necessary contact information as needed. Participate in case
management meetings as necessary.
D. Introduce MPHs to each building principal, counselor and other staff, and provide an
overview of building protocol.
E. Meet monthly with Mental Health agency and school providers for fIrst 90 days after
program implementation, then quarterly thereafter, or more frequently ifneeded.
F. Assist with data collection.
G. Provide space and access to a data connection for confIdential mental health services for
the professional and the student.
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