HomeMy WebLinkAboutAmendment IV to Master STRTP Agt 23-277 24-372.pdf Agreement No. 24-372
1 AMENDMENT NO. 4 TO MASTER SERVICE AGREEMENT
2 This Amendment No. 4 to Master Service Agreement 23-277 ("Amendment No. 4") is
3 dated July 9, 2024 and is between each Contractor ("Contractor(s)") listed in
4 Revised Exhibit A-3, "List of Contractors", and the County of Fresno, a political subdivision of
5 the State of California ("County").
6 Recitals
7 A. On June 20, 2023, the County and the Contractor entered into a Master Short-Term
8 Residential Therapeutic Program (STRTP) Service Agreement, which is County agreement
9 number 23-277 ("Agreement"), for the provision of specialty mental health services to youth and
10 non-minor dependents placed in the care of the Contractor(s).
11 B. On August 22, 2023, the County and the Contractor(s) entered into County Agreement
12 number 23-417 ("Amendment No. 1"), to add Elite Family Systems to the list of Contractors
13 providing specialty mental health services to Fresno County youth in their care.
14 C. On October 24, 2023, the County and the Contractor(s) entered into County Agreement
15 number 23-575 ("Amendment No. 2"), to add Brighter Horizons Group Homes to the list of
16 Contractors providing specialty mental health services to Fresno County youth in their care.
17 D. On April 9, 2024, the County and the Contractor(s) entered into County Agreement
18 number 24-152 ("Amendment No. 3"), to add Z.N.D. Residential, Inc. to the list of Contractors
19 providing specialty mental health services to Fresno County youth in their care.
20 E. On May 2024, the following agencies were identified as STRTPs that meets the
21 requirements to be added to the list of Contractors providing specialty mental health services to
22 Fresno County youth in their care: (1) Center for Positive Changes; (2) Changing Faces, Inc.;
23 (3) Hesed Christian Ministries, Inc.; (4) The Virtuous Woman, Inc.; (5) For the Future, Inc.; (6)
24 Guiding Our Youth; (7) Kern Bridges Youth Homes; (8) Scott's Social Services; and (9)
25 Humanistic Foundation, Incorporated (dba Stockdale Boys Center);
26 F. The County and the Contractor now desire to amend the Agreement to add the above
27 mentioned STRTPs as a Contractor(s) included under this Master STRTP Agreement.
28 The parties therefore agree as follows:
1
1 1. All references to Revised Exhibit A-2 in the current Agreement shall be deemed
2 references to Revised Exhibit A-3, which is attached and incorporated by reference.
3 2. Exhibit B-14, Exhibit B-15, Exhibit B-16, Exhibit B-17, Exhibit B-18, Exhibit B-19, Exhibit
4 B-20, Exhibit B-21, and Exhibit B-22, all entitled "Scope of Services" shall be added to the
5 Master Agreement and considered included in all references to "Exhibit B-1, et. seq.".
6 3. The parties agree that upon execution of this Amendment No. 4, the Agreement is
7 further revised, updated, and amended to add Contractors: (1) Center for Positive Changes; (2)
8 Changing Faces, Inc.; (3) Hesed Christian Ministries; (4) The Virtuous Woman, Inc.; (5) For the
9 Future, Inc.; (6) Guiding Our Youth; (7) Kern Bridges Youth Homes; (8) Scott's Social Services;
10 and (9) Humanistic Foundation, Incorporated (dba Stockdale Boys Center).
11 4. When the parties have signed this Amendment No. 4, the Agreement, Amendment No.
12 1, Amendment No. 2, Amendment No. 3, and this Amendment No. 4 together constitute the
13 Agreement.
14 5. The Contractor represents and warrants to the County that:
15 a. The Contractor is duly authorized and empowered to sign and perform its obligations
16 under this Amendment.
17 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
18 to do so and his or her signature on this Amendment legally binds the Contractor to
19 the terms of this Amendment.
20 6. The parties agree that this Amendment may be executed by electronic signature as
21 provided in this section.
22 a. An "electronic signature" means any symbol or process intended by an individual
23 signing this Amendment to represent their signature, including but not limited to (1) a
24 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
25 electronically scanned and transmitted (for example by PDF document) version of an
26 original handwritten signature.
27 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
28 equivalent to a valid original handwritten signature of the person signing this
2
1 Amendment for all purposes, including but not limited to evidentiary proof in any
2 administrative or judicial proceeding, and (2) has the same force and effect as the
3 valid original handwritten signature of that person.
4 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
5 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
6 2, Title 2.5, beginning with section 1633.1).
7 d. Each party using a digital signature represents that it has undertaken and satisfied
8 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
9 through (5), and agrees that each other party may rely upon that representation.
10 e. This Amendment is not conditioned upon the parties conducting the transactions
11 under it by electronic means and either party may sign this Amendment with an
12 original handwritten signature.
13 7. This Amendment may be signed in counterparts, each of which is an original, and all of
14 which together constitute this Amendment.
15 8. The Agreement as amended by this Amendment No. 4 is ratified and continued. All
16 provisions of the Agreement and not amended by this Amendment No. 4 remain in full force and
17 effect.
18 [SIGNATURE PAGE FOLLOWS]
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1 The parties are signing this Amendment No. 4 on the date stated in the introductory
2 clause.
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See Signature Pages Attached County of Fresno
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5 ,
6 Nathan Magsig, Chairman of the Board of
Supervisors of the County of Fresno
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Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
10 lgtlj�-
By:
11 [Deputy'
12 For accounting use only:
13 Org No.:56302232
Account No.:7295
14 Fund No.:0001
Subclass No.:10000
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The parties are executing this amendment No. 4 to the Agreement No. 23-277 on the date
2 stated in the introductory clause
3 Center for P itive Changes
4
5 mber Jan CEO
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Deanna Mellos, Co-Executive Director
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4950 Waring Road Suite 4
9 San Diego, CA 92120
10 For accounting use only:
11 Org No.:56302232
Account No.:7295
12 Fund No.:0001
Subclass No.:10000
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The parties are executing this amendment No. 4 to the Agreement No. 23-277 on the date
2 stated in the introductory clause
3 Changing Faces, Inc.
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Adrian Cooks , A
5 Adrian Cooks, x u ive Director
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7 &e D3l«mentl,al,01157
Elise Blumenthal, Clinical Director
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9 4124 Odie Lane
Santa Maria, CA 93455
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For accounting use only:
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Org No.:56302232
12 Account No.:7295
Fund No.:0001
13 Subclass No.:10000
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2 The parties are executing this amendment No. 4 to the Agreement No. 23-277 on the date
stated in the introductory clause
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Hesed Christian Ministries, Inc.
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Adrian Cooks , MBA
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Adrian Cooks, Executive Director
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7 ekse Blumenthal, 01157
8 Elise Blumenthal, Clinical Director
9 425 Mooncrest Street
Santa Maria, CA 93455
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11 For accounting use only:
12 Org No.:56302232
Account No.:7295
13 Fund No.:0001
Subclass No.:10000
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Please see additional
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signature page attached.
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The parties are executing this amendment No. 4 to the Agreement No. 23-277 on the date
2 stated in the introductory clause
3 The Virtuous Wo Inc.
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5 DeboralWIns, CEO
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tra' on , Assistant x cutive Director
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9 1620 Centinela Avenue, Suite 207
Inglewood, CA 90302
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For accounting use only:
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Org No.:56302232
12 Account No.:7295
Fund No.:0001
13 Subclass No.:10000
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DocuSign Envelope ID:C7E7F193-77E5-4E00-B5C9-16D561815221
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The parties are executing this amendment No. 4 to the Agreement No. 23-277 on the date
2 stated in the introductory clause
3 For the Future, Inc.
4 rDocuSigned by:
sojf� totia,
5 Sa py oyajian, CEO
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Melissa Martire, CFtV
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9800 Topanga Canyon Blvd. #309
9 Chatsworth, CA 91311
10 For accounting use only:
11 Org No.:56302232
Account No.:7295
12 Fund No.:0001
Subclass No.:10000
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DocuSign Envelope ID:C7E7F193-77E5-4E00-B5C9-16D561815221
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The parties are executing this amendment No. 4 to the Agreement No. 23-277 on the date
2 stated in the introductory clause
3 Guiding Our Youth
by:
4 EDII"Sil"Id
04� i�j0�a�icUn
5 Salpy Boyajian, CEO
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Melissa Martire, CFO
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1197 E. Los Angeles Ave#338
9 Simi Valley, CA 93065
10 For accounting use only:
11 Org No.:56302232
Account No.:7295
12 Fund No.:0001
Subclass No.:10000
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The parties are executing this amendment No. 4 to the Agreement No. 23-277 on the date
2 stated in the introductory clause
3 Kern Bridges Youth Homes
4 �'W
5 John Bacon, CEO
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Robert Carter, Executive Vice-President
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9 1321 Stine Road
Bakersfield, CA
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For accounting use only:
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Org No.:56302232
12 Account No.:7295
Fund No.:0001
13 Subclass No.:10000
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Please see additional
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The parties are executing this amendment No. 4 to the Agreement No. 23-277 on the date
2 stated in the introductory clause
3 Social Services, Inc.
4 CEO
5 e Carter, CEO
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7 1100,P(& R
Tiff y rter, CF
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9 1780 Glenwood Drive
Bakersfield, CA 93306
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For accounting use only:
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Org No.:56302232
12 Account No.:7295
Fund No.:0001
13 Subclass No.:10000
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24 signature page attached.
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The part es are executing this amendment No. 4 to the Agreement No. 23-277 on the date
2 stated in the introductory clause
3 Humani.tic Foundation, Incorporated (dba Stockdale Boys Center) Center for Positive
Change:
4 f ,t
Marcheletta Madison, Executive Director
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8 -Suere`ta Small, Assistant Executive Director
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5757 W. Century Boulevard, Suite 303
10 Los Arngoles, CA 90045
11 For accXnting use only:
12 Org No.:53302232
Account No.:7295
13 Fund No.:0001
Subclass Vo.-.10000
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Revised Exhibit A-3
List of Contractors
1. PROMESA BEHAVIORAL HEALTH (Exhibit B-1)
7120 N. Marks Avenue, Suite 110
Fresno, CA 93711
Phone#: (559) 439-5437
Contact for Notices: Chief Executive Officer
2. CORE CONDITIONS, INC. (Exhibit B-2)
4460 W. Shaw Ave #595
Fresno, CA 93722
Phone#: (559) 261-5083
Contact for Notices: Executive Director
3. DIN ASSOCIATES RESIDENTIAL CARE (Exhibit B-3)
4460 W. Shaw Ave #595
Fresno, CA 93722
Phone#: (559) 261-5083
Contact for Notices: Executive Director
4. 2ND HOME, INC. (Exhibit B-4)
1797 San Jose Avenue
Clovis, CA 93611
Phone#: (559) 790-2271
Contact for Notices: Director
5. QUALITY GROUP HOMES, INC. (Exhibit B-5)
(dba QUALITY FAMILY SERVICES)
4928 E. Clinton Way, Suite 108
Fresno, CA 93727
Phone#: (559) 252-6844, ext. 222
Contact for Notices: Chief Executive Officer
6. HOPE FOR YOUTH, INC. (Exhibit B-6)
6790 W Browning Ave
Fresno, CA 93723
Phone#: (559) 681-1470
Contact for Notices: Executive Director
7. MICHIGAN HOUSE, INC. (Exhibit B-7)
2014 Tulare St., Suite #414
Fresno, CA 93721
Phone#: (559) 347-7527
Contact for Notices: Mental Health Director
A-1
Revised Exhibit A-3
8. MANUCH INC. (Exhibit B-8)
PO Box 26622
Fresno, CA 93729
Phone#: (559) 347-7627
Contact for Notices: Mental Health Director
9. FRESH START YOUTH CENTER, INC. (Exhibit B-9) Address
Confidential
Phone#:(559) 916-2813
Contact for Notices: Executive Director
10. FRESNO YOUTH CARE HOMES, INC. (Exhibit B-10)
1640 W. Shaw Ave Suite #100
Fresno, CA. 93711
Contact for Notices: Executive Director
11. ELITE FAMILY SYTEMS (Exhibit B-11)
2935 4t" Street
Ceres, CA 95307
Contact for Notices: Clinical Director
12. BRIGHTER HORIZONS GROUP HOMES, INC. (Exhibit B-12)
7849 Oceanus Drive
Los Angeles, CA 90046
Contact for Notices: Chief Operating Officer
13. Z.N.D. RESIDENTIAL, INC. (Exhibit B-13)
2514 N. Whittier Avenue
Fresno, CA 93727
Contact for Notices: Chief Operating Officer
14. CENTER FOR POSITIVE CHANGES (Exhibit B-14)
4950 Waring Road, Suite 4
San Diego, CA 92120
Contact for Notices: Executive Director
15. CHANGING FACES, INC. (Exhibit B-15)
4124 Odie Lane
Santa Maria, CA 93455
Contact for Notices: Executive Administrator
A-2
Revised Exhibit A-3
16. HESED CHRISTIAN MINISTRIES, INC. (Exhibit B-16)
425 Mooncrest Street
Santa Maria, CA 93455
Contact for Notices: Executive Director
17. THE VIRTUOUS WOMAN, INC. (Exhibit B-17)
1620 Centinela Avenue, Suite 207
Inglewood, CA 90302
Contact for Notices: Executive Director
18. FOR THE FUTURE, INC. (Exhibit B-18)
9800 Topanga Canyon Boulevard, #309
Chatsworth, CA 91311
Contact for Notices: Chief Financial Officer
19. GUIDING OUR YOUTH (Exhibit B-19)
1197 E. Los Angeles Avenue, #338
Simi Valley, CA 93065
Contact for Notices: Chief Financial Officer
20. KERN BRIDGES YOUTH HOMES (Exhibit B-20)
1321 Stine Road
Bakersfield, CA 93309
Contact for Notices: Chief Executive Officer
21. SCOTT'S SOCIAL SERVICES (Exhibit B-21)
1780 Glenwood Drive
Bakersfield, CA 93306
Contact for Notices: Chief Executive Officer
22. HUMANISTIC FOUNDATION, INCORPORATED (dba STOCKDALE BOYS CENTER)
(Exhibit B-22)
5757 W. Century Boulevard, Suite 303
Los Angeles, CA 90045
Contact for Notices: Executive Director
A-3
Exhibit B-14
Scope of Services
ORGANIZATION: Center for Positive Changes
ADDRESS: 4950 Waring Rd, Suite 4
San Diego, Ca 92120
TELEPHONE: (619) 660-3886
CONTACT PERSON: Deanna Mellos
Amber Jensen
CONTRACT PERIOD: Upon execution —June 30, 2025
SUMMARY OF SERVICES
Center for Positive Changes (CFPC) is committed to providing the necessary core services and
support to youth, non-minor dependents, and their families to ensure each youth's successful
transition out of foster care. Currently comprised of six Short-Term Residential Therapeutic
Program (STRTP) six-bed homes, CFPC provides 24-hour care to male and female youth, ages
13-17, and non-minor dependents (NMDs), ages 18-21. CFPC creates and maintains a trauma
informed environment necessary to treat youth and NMD's who are trauma survivors. A
trauma-informed environment reduces the risk of traumatization and re-traumatization.
Additionally, it promotes physical and psychological safety for both the youth/NMD and their
families. CFPC recognizes physical and psychological safety for both the youth/NMD, their
family/caregivers are extraordinarily important for long term recovery as well as social and
emotional well-being.
The CFPC program's core services are trauma-informed and culturally relevant and supports
the differing needs of each youth and Non-Minor Dependent (NMD) placed in its care, as well as
their families, by offering individualized, strength-based services to address their needs. Our
mental health services treatment program integrates specialty mental health services, including
medication support, for each youth and NMD, as identified in their initial and ongoing
assessments and treatment plan. Utilizing a total care model, the CFPC program's Head of
Service will work with the CFPC Mental Health Team, which includes a Licensed Clinician, a
Rehabilitation Specialist, an Administrator, and a Placement Worker to ensure provision of
specialty mental health, as needed, per individual youth.
CFPC will ensure that in addition to receiving all core services, youth classified under
Specialized Populations will also be provided with additional mental health services.
Specialized Populations are known to have significant mental health difficulties, including high
rates of depression, anxiety, disassociation, PTSD, and suicidal ideation. CFPC understands
the impact these symptoms and diagnosis can have on the mental health of a youth, and will
B-14-1
Exhibit B-14
integrate culturally competent, trauma informed, evidence-based treatment, as well as intensive
case management for this specialized population.
TARGET POPULATION
The CFPC program provides 24-hour care to male and female youth and NMDs, as identified
below. The youth/NMD placed at CFPC have experienced significant trauma, such as physical
abuse, sexual abuse, abandonment and/or neglect. They have been diagnosed with severe
psychological and emotional disorders. These youths have been identified as dual
diagnosis/conduct disorder Symptoms include anxiety, depression, dissociative symptoms,
attachment issues, impulsivity, aggression, intense anger, learning problems, hyperactivity,
sexual issues, regressive behavior, pervasive mistrust of others, and escapist behavior,
including running away, substance abuse and self-destructive behaviors. This disorder is
marked by chronic conflict with parents, teachers, and peers and can result in damage to
property and physical injury to others.
CFPC will accept the following status of clients: Dependents, Wards of the court, CBO wards,
Adoption Assistance clients and Regional Center clients. All youth in the program are eligible for
full-scope Medi-Cal benefits and meet medical necessity requirements for day treatment
intensive services or outpatient services.
CFPC will not accept youth/NMDs for placement that are non-ambulatory, have severe
intellectual disabilities, or are medically fragile due to the agency's inability to provide adequate
care for this population. CFPC may decline placement on a case-by-case basis of youth/NMD
with history of fire setting and extreme assaultive behaviors.
CFPC 1 & 2
Accepts male youth, ages 13-17, NMD males, ages 18-21, including those with developmental
disabilities.
CFPC3&5
Accepts female youth, ages 13-17, and NMD females, ages 18-21
CFPC 3 & 5 is a STRTP facility designed to accept female youth, ages 13 to 17, and female
NMDs, ages 18-21. This program provides an emphasis on girls who have had multiple
placement failures and/or are victims of CSEC, chronic runaways, suicidal ideation, and other
behaviors that have deemed them necessary for out of home placement. Many of these girls
are victims of neglect, abandonment, sexual, physical verbal and emotional abuse, have low
self-esteem, poor peer and adult relationships. The primary purpose of the CFPC 3 & 5 is to
assist teenage girls with transitioning from being victims to becoming empowered young women
who have worked through their past traumatic issues and experiences. CFPC is committed to
providing youth/NMD supportive and trained staff in a safe environment.
B-14-2
Exhibit B-14
First Step Treatment Program
Accepts male youth, ages 13-17, NMD males, ages 18-21; including those with developmental
disabilities,
Youths of FIRST STEP have been identified as sexual perpetrators to younger children and/or
their peers, and in most cases, have experienced significant trauma, such as physical abuse,
sexual abuse, abandonment and/or neglect. They have been diagnosed with severe
psychological and emotional disorders. Symptoms include anxiety, depression, dissociative
symptoms, attachment issues, impulsivity, aggression, intense anger, learning problems,
hyperactivity, sexual issues, regressive behavior, pervasive mistrust of others, and escapist
behavior, including running away, substance abuse and self-destructive behaviors.
CFPC 7
Accepts male and female youth, ages 6-12, including youth from this age group with
developmental disabilities.
SERVICE LOCATIONS
CFPC 1 CFPC 5
3482 Saddle Dr 5104 Eliot St
Spring Valley Ca 91977 Oceanside Ca 92057
(619) 303-0812 (760) 637-2340
CFPC 2 First Step Treatment Program
5972 Kenyatta Ct 9671 Kenora Lane
San Diego Ca 92114 Spring Valley Ca 91977
(619) 677-2839 (619) 741-8006
CFPC 3 CFPC 7
1107 S Mollison 5671 Churchward St
El Cajon Ca 92020 San Diego Va 92114
(619) 201-8372 (619) 660-3886
CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
CFPC shall provide mental health treatment, including specialty mental health services, and
mental health support, as appropriate to the needs of the child. All specialty mental health
services shall meet Medi-Cal standards. These services shall include all of the following:
B-14-3
Exhibit B-14
A. Mental Health Assessment:
i. A mental health assessment shall be completed by a licensed mental
health professional (LMHP) or waivered/registered associate within five
(5) calendar days of a youth's admission.
ii. A mental health assessment that was completed by an LMHP within sixty
(60) calendar days may also be used to meet this requirement.
B. Client Plan:
i. Each youth admitted to the STRTP shall have a Client Plan prepared,
reviewed and signed by an LMHP or the Head of Service (HOS) or any
other related discipline designated by the HOS within ten (10) calendar
days of admission.
ii. The Client Plan is reviewed by a member of the mental health program
staff at least every thirty (30) calendar days.
iii. Client Plan of each youth or non-minor dependent shall include:
a) anticipated length of stay.
b) specific behavioral goals.
c) specific mental health treatment services.
d) one or more transition goals that support the rapid and
successful transition of the youth back into the community.
e) the youth's participation and agreement; and
f) evidence of review by a member of the STRTP mental
health program staff.
C. Collaborating with the Child and Family Team (CFT), consistent with the Client
Plan.
D. Specialty Mental Health Treatment Services: STRTPs shall make available for
each youth structured specialty mental health treatment services during the day
and evening, seven (7) days per week, according to the youth's needs as
indicated on the youth's Client Plan. At minimum, the following mental health
treatment services (as defined in Title 9 of the California Code of Regulations)
shall be made available, as medically necessary:
i. Mental Health Services— individual or group therapies and interventions
that are designed to provide reduction of mental disability and restoration,
improvement, or maintenance of functioning consistent with the goals of
learning, development, independent living, and enhanced self-sufficiency.
Service activities may include assessment, plan development, therapy,
rehabilitation, and collateral services.
B-14-4
Exhibit B-14
a) Assessment - A clinical analysis of the history and current
status of a youth's mental, emotional, or behavioral
disorder to include relevant cultural and social issues,
history, diagnosis, and any recorded testing results.
b) Plan Development—The development of Client Plans, to
include the youth's needs and services, approval of client
plans, and monitoring of a youth's progress. Clients
participate in the development of the Client Plan which is a
comprehensive detail of the youth's needs, personal goals
and objectives for improvement and exiting from the
STRTP program. It also includes a treatment component
which is specific to mental health and behavioral
improvements the youth would like to work toward.
c) Collateral —This is any service activity to a significant
support person in a youth's life with the intent of improving
or maintaining the mental health status of the youth.
Collateral services include, but are not limited to, helping
significant support persons to understand and accept the
youth's condition and involving them in service planning
and implementation of the Client Plan. Family counseling
or therapy, which is provided on behalf of the youth, may
be considered collateral.
ii. Medication Support Services —shall be provided via our contracted
psychiatrist. CFPC will monitor that the following is adhered to by the
psychiatrist for these services:
a) Within the first thirty (30) days of the youth admission, the
psychiatrist shall examine each youth prior to prescribing any
psychotropic medication and include a screening to determine
whether there are potential medical complications that may
contribute to the youth's health condition. This examination shall
be noted in the youth's record.
b) The psychiatrist shall sign a written medication review for each
youth prescribed psychotropic medication as clinically appropriate,
but at least every six (6) weeks. This review shall be included in
the youth's record.
c) The psychiatrist shall review the course of treatment for all youth
who are not on psychotropic medication at least every ninety (90)
days and include the results of this review in a progress note
B-14-5
Exhibit B-14
signed by the prescribing physician at the time the review is
completed.
d) Psychotropic medications for a youth placed in an STRTP shall be
administered in accordance with all applicable State and Federal
laws, which include but are not limited to laws related to informed
consent, documentation of informed consent, and California
Welfare & Institutions (WIC) Code Sections 369.5 and 739.5.
e) STRTPs providing care supervision to children diagnosed by a
physician, psychologist, or licensed clinical social worker as
mentally disordered shall make provision for at least monthly
consultation from a psychiatrist, clinical psychologist, or licensed
clinical social worker regarding the program of services.
iii. Crisis Intervention — an emergency response that enables a youth to cope
with a crisis. Activities are intended to support, improve, or maintain the
youth's mental health status.
iv. Therapy—therapeutic intervention that focuses on symptom reduction in
order to improve identified functional impairments. This service may be
delivered to an individual or group and may also include family therapy.
Youth shall receive both individual and group therapy at least once per
week. The therapeutic modalities are Cognitive Behavioral Therapy
(CBT), Dialectical Behavior Therapy (DBT), and the Trauma Resiliency
Model (TRM). CBT is effective in treating children and adolescents who
have persistent behavioral reactions, DBT focuses on problem-solving
and acceptance-based strategies within a framework of dialectical
methods, and TRM focuses on the concept the biological basis of trauma.
v. Targeted Case Management—any service that assists the youth to
access the needed social, vocational, medical, educational, rehabilitative
or other community services. Services may include, but are not limited to,
communication, coordination and referral to available resources.
vi. Psychologist Services—services provided by licensed psychologists,
within their scope of practice, to diagnose or treat a mental illness or
condition.
vii. EPSDT Supplemental Specialty Mental Health Services— mental health
related diagnostic services and treatment available under the Medi-Cal
program only to persons under 21 years of age. These include but are
not limited to Intensive Care Coordination (ICC) and Intensive Home-
Based Services (IHBS) services in accordance with the "Medi-Cal Manual
B-14-6
Exhibit B-14
for Intensive Care Coordination (ICC), Intensive Home-Based Services
(IHBS), & Therapeutic Foster Care (TFC) for Medi-Cal Beneficiaries."
E. A licensed mental health professional shall perform a clinical review every ninety
(90) days of the youth's status and progress in treatment to determine whether
the youth should continue admission in the program or be transitioned to a
different level of care. The LMHP shall make this determination in consultation
with the placing agency. A report documenting this clinical review shall be
maintained in the youth's record.
F. Ensuring continuity of care, services, and treatment as a youth moves from his or
her STRTP placement to home-based family care or to a permanent living
situation through reunification, adoption, or guardianship, in accordance with the
youth's case plan or treatment plan.
G. Documenting the youth's ability to access mental health services identified in the
Client Plan, or efforts made by the STRTP to ensure access to identified mental
health services, including utilization of any existing grievance processes for
accessing services.
i. Progress notes shall be written to document a youth's participation and
responses to mental health treatment services. The progress notes shall
meet Medi-Cal requirements of documentation and shall be maintained in
the youth's record.
ii. On the same day as the mental health treatment service, the progress
notes shall be signed and dated by the direct service program staff
member(s) who provided the service.
iii. The STRTP shall ensure that documentation and recordkeeping
requirements are met.
H. The youth's record must include:
i. Mental health assessment.
ii. Admission statement, signed by the HOS within five (5) days of
youth's arrival.
iii. Client Plan.
iv. STRTP mental health program progress notes.
v. Clinical review report and transition determination.
vi. Physician's orders, medication examinations, medication reviews,
written informed consent for prescribed medications.
vii. Copy of court orders or judgements regarding physical or legal
custody.
B-14-7
Exhibit B-14
viii. Documentation indicating each date and names of individuals or
groups of individuals who have participated in the development of
the Client Plan; and
ix. A transition determination plan.
I. The STRTP shall ensure that American Indian youth receive specialty mental
health services in accordance with the Federal Indian Child Welfare Act (25
U.S.C. Sec 1901 et seq.).
STAFFING
A. All licensed, waivered, and registered mental health professionals providing services at
the STRTP shall meet all legal requirements for professional licensing, waiver, or
registration, as applicable.
B. Adequate numbers and qualifications of direct service program staff shall be employed,
present, awake, and on duty seven (7) days per week.
C. CFPC shall have at least one (1) full-time equivalent direct service program staff from
the following list employed for each six (6) children admitted to the program:
a) Physicians
b) Psychologists or psychologists who have received a waiver pursuant to WIC
Code 5751.2
c) Licensed Clinical Social Workers or registered professionals pursuant to WIC
Code 5751.2
d) Licensed Marriage, Family, and Child Therapists or registered professionals
pursuant to WIC Code 5751.2
e) Licensed Professional Clinical Counselors or registered professionals pursuant to
WIC Code 5751.2
f) Psychiatric Technicians
g) Mental Health Rehabilitation Specialists as defined in Section 630 of Title 9 CCR
D. Of the direct service program staff required above, CFPC have one (1) half-time
equivalent LMHP employed for each six (6) children admitted to the program. A LMHP
who is employed to meet this requirement may also be the head of service, if employed
at least forty (40) hours per week.
E. CFPC shall have access to the psychiatrist twenty-four (24) hours per day.
PERFORMANCE MEASURES/PROGRAM OUTCOMES
CFPC shall provide all project monitoring and compliance protocols, procedures, data collection
methods, and reporting requirements requested by the County. CFPC utilizes performance and
B-14-8
Exhibit B-14
outcome measures for evaluating program and system effectiveness to ensure services and
service delivery strategies are positively impacting the youth in their care. Performance
outcome measures shall be reported to the County annually in accumulative reports for overall
program and contract evaluation.
CFPC will address each of the categories referenced below and may additionally propose other
performance and outcome measures that are deemed best to evaluate the services provided
and/or to evaluate overall program performance.
A. Access to care: The ability of youth to receive the right service at the right time.
a) Within five (5) calendar days of the arrival, 100% of youth will have a completed
and signed mental health assessment.
b) 100% of admitted youth will have a Treatment Plan reviewed and signed by the
Head of Service within ten (10) calendar days of arrival at the STRTP.
c) A transition determination plan shall be developed, completed, and signed by a
member of the CFPC mental health program staff prior to the date the child
transitions out of CFPC. 100% of youth will have a completed and signed
Transition Determination Plan.
B. Effectiveness: Objective results achieved through services.
a) 75% of the youth in our care will show a positive response to the treatment
interventions &treatment modalities provided to them in our STRTP.
b) 70% of the youth in our care will successfully step down to a lower level of care in
accordance to their permanency goal from our STRTP.
c) 100% of the youth in our care will complete a discharge plan as part of their
treatment plan
C. Efficiency: stration of the relationship between results and the resources used to achieve
them.
a) 70% of the youth in the STRTP will utilize the treatment services outlined in their
treatment plan.
b) 90% of the youth in our STRTP will participate in positive recreational activities and
services to promote health and wellness.
c) 100% of the youth in our STRTP will be able to identify their treatment goals, coping
tools.
d) 100% of the youth in the STRTP will be reviewed and discussed in weekly clinical
meetings with the CFPC mental health team.
D. Satisfaction and Compliance: The degree to which persons served, County, and other
stakeholders are satisfied with the services.
B-14-9
Exhibit B-14
a) 95 % of the STRTP Audits and other performance and utilization reviews of health
care services and compliance with agreement terms and conditions. Any areas of
deficiencies will be corrected and resolved.
b) 80% of the youth that complete a satisfaction survey will agree that the STRTP met
their treatment needs and provided them with a safe and stable environment. 85% of
the family members that complete a satisfaction survey will agree that the STRTP
worked closely with them to ensure that they were part of the treatment planning and
were treated with respect and were satisfied with the services.
B-14-10
Exhibit B-15
Scope of Services
ORGANIZATION: Changing Faces, Inc.
ADDRESS: 4124 Odie Lane
Santa Maria, CA 93455
TELEPHONE: (805) 938-0125
CONTACT PERSON: Adrian Cooks, MA, Executive Administrator
Elise Blumenthal, LMFT, Clinical Director
CONTRACT PERIOD: Upon execution —June 30, 2025
SUMMARY OF SERVICES
Our Short-Term Residential Therapeutic Program (STRTP) offers intensive, individualized care
for adolescents with significant emotional and behavioral challenges. Services include
comprehensive assessments completed within five days of placement, individualized treatment
planning, and a range of therapeutic interventions and modalities to address complex trauma
histories, such as individual, group, and family therapy. The program provides needs and
service plans, drug and alcohol assessment and referral, a CAADE counselor on staff, case
management, and rehab specialists on site. The program provides 24/7 crisis intervention, on-
call therapists 24/7, 24-hour supervision, psychiatric evaluations, and medication management.
Educational support, life skills training, collaboration with educational settings, monthly CFT,
and structured recreational activities are integral to the program and trauma-informed care
practices. The multidisciplinary team, including licensed therapists, psychiatrists, and direct care
staff, ensures a holistic approach to treatment. Active family involvement and collaboration with
community resources and partners support successful transitions to less restrictive
environments, aiming to stabilize and prepare youth for independent living and long-term health
and well-being. We aim to provide immediate and effective interventions to reduce acute
symptoms and stabilize the youth's emotional and behavioral state. Our goal is to facilitate
smooth transitions to less restrictive environments, such as returning to family homes, foster
care, or community-based settings, ensuring continuity of care and mental health support.
TARGET POPULATION
Adolescent females ages 12 through 17 and gender-fluid youth who meet the specialty
mental health criteria for a STRTP. Placements are accepted on an individualized basis
pending meeting criteria and commonality of needs.
B-15-1
Exhibit B-15
SERVICE LOCATIONS
Changing Faces, Inc.
4124 Odie Lane
Santa Maria, CA 93455
(805) 938-0125
CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
Changing Faces shall provide mental health treatment, including specialty mental health
services, and mental health supports, as appropriate to the needs of the child. All specialty
mental health services shall meet Medi-Cal standards. These services shall include all of the
following:
A. Mental Health Assessment:
i. A mental health assessment shall be completed by a licensed
mental health professional (LMHP) or waivered/registered
associate within five (5) calendar days of a youth's admission.
ii. A mental health assessment completed by an LMHP within sixty
calendar days may also be used to meet this requirement.
B. Client Plan:
i. Each youth admitted to the STRTP shall have a Client Plan
prepared, reviewed and signed by an LMHP or the Head of Service
(HOS) or any other related discipline designated by the HOS within
ten (10) calendar days of admission.
ii. The Client Plan is reviewed by a member of the mental health
program staff at least every thirty (30) calendar days.
iii. Client Plan of each youth or non-minor dependent shall include:
a) anticipated length of stay;
b) specific behavioral goals;
c) specific mental health treatment services;
d) one or more transition goals that support the rapid
and successful transition of the youth back into the
community;
e) the youth's participation and agreement; and
f) evidence of review by a member of the STRTP
mental health program staff.
B-15-2
Exhibit B-15
C. Collaborating with the Child and Family Team (CFT), consistent with the
Client Plan.
D. Specialty Mental Health Treatment Services: STRTPs shall make
available for each youth structured specialty mental health treatment
services during the day and evening, seven (7) days per week, according
to the youth's needs as indicated on the youth's Client Plan. At minimum,
the following mental health treatment services (as defined in Title 9 of the
California Code of Regulations) shall be made available, as medically
necessary:
i. Mental Health Services— individual or group therapies and
interventions that are designed to provide reduction of mental
disability and restoration, improvement, or maintenance of
functioning consistent with the goals of learning, development,
independent living, and enhanced self-sufficiency. Service
activities may include assessment, plan development, therapy,
rehabilitation, and collateral services.
a) Assessment - A clinical analysis of the history and
status of a youth's mental, emotional, or behavioral
disorder to include relevant cultural and social
issues, history, diagnosis, and any recorded testing
results.
b) Plan Development—The development of Client
Plans, to include the youth's needs and services,
approval of client plans, and monitoring of a youth's
progress. Clients participate in developing the Client
Plan, a comprehensive detail of the youth's needs,
personal goals and objectives for improving and
exiting the STRTP program. It also includes a
treatment component which is specific to mental
health and behavioral improvements the youth
would like to work toward.
c) Collateral —This is any service activity to a
significant support person in a youth's life with the
intent of improving or maintaining the mental health
status of the youth. Collateral services include
helping significant support persons understand and
accept the youth's condition and involving them in
service planning and implementation of the Client
Plan. Family counseling or therapy, which is
B-15-3
Exhibit B-15
provided on behalf of the youth, may be considered
collateral.
ii. Medication Support Services— shall be provided via a licensed
psychiatrist every 60-90 days. Those youth who are not prescribed
medication will be assessed every 90 days. Changing Faces will
monitor that the following is adhered to by the psychiatrist for these
services:
a) Within the first thirty (30) days of the youth admission, the
psychiatrist shall examine each youth prior to prescribing
any psychotropic medication and include a screening to
determine whether there are potential medical
complications that may contribute to the youth's health
condition. This examination shall be noted in the youth's
record.
b) The psychiatrist shall sign a written medication review for
each youth prescribed psychotropic medication as clinically
appropriate, but at least every six (6) weeks. This review
shall be included in the youth's record.
c) The psychiatrist shall review the course of treatment for all
youth who are not on psychotropic medication at least every
ninety (90) days and include the results of this review in a
progress note signed by the prescribing physician at the
time the review is completed.
d) Psychotropic medications for a youth placed in an STRTP
shall be administered in accordance with all applicable
State and Federal laws, which include but are not limited to
laws related to informed consent, documentation of
informed consent, and California Welfare & Institutions
(WIC) Code Sections 369.5 and 739.5.
e) STRTPs providing care supervision to children diagnosed
by a physician, psychologist, or licensed clinical social
worker as mentally disordered shall make provision for at
least monthly consultation from a psychiatrist, clinical
psychologist, or licensed clinical social worker regarding the
program of services.
B-15-4
Exhibit B-15
iii. Crisis Intervention —an emergency response that enables a youth
to cope with a crisis. Activities are intended to support, improve, or
maintain the youth's mental health status.
iv. Therapy-- Therapeutic intervention focusing on symptom reduction
to improve identified functional impairments. This service may be
delivered to an individual or group and may also include family
therapy. Youth shall receive both individual and group therapy at
least once per week. The therapeutic modalities are Cognitive
Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT),
and the Trauma Resiliency Model (TRM). CBT is effective in
treating children and adolescents who have persistent behavioral
reactions, DBT focuses on problem-solving and acceptance-based
strategies within a framework of dialectical methods, and TRM
focuses on the concept the biological basis of trauma.
v. Targeted Case Management— any service that assists the youth to
access the needed social, vocational, medical, educational,
rehabilitative or other community services. Services may include
communication, coordination and referral to available resources.
vi. Psychologist Services—services provided by licensed
psychologists, within their scope of practice, to diagnose or treat a
mental illness or condition.
vii. EPSDT Supplemental Specialty Mental Health Services — mental
health related diagnostic services and treatment available under
the Medi-Cal program only to persons under 21 years of age.
These include but are not limited to Intensive Care Coordination
(ICC) and Intensive Home-Based Services (IHBS) services in
accordance with the "Medi-Cal Manual for Intensive Care
Coordination (ICC), Intensive Home-Based Services (IHBS), &
Therapeutic Foster Care (TFC)for Medi-Cal Beneficiaries."
E. A licensed mental health professional shall perform a clinical review every
ninety (90) days of the youth's status and progress in treatment to
determine whether the youth should continue admission in the program or
be transitioned to a different level of care. The LMHP shall make this
decision in consultation with the placing agency. A report documenting
this clinical review shall be maintained in the youth's record.
F. Ensuring continuity of care, services, and treatment as a youth moves from
his or her STRTP placement to home-based family care or to a permanent
B-15-5
Exhibit B-15
living situation through reunification, adoption, or guardianship, in
accordance with the youth's case plan or treatment plan.
G. Documenting the youth's ability to access mental health services identified
in the Client Plan, or efforts made by the STRTP to ensure access to
identified mental health services, including utilization of any existing
grievance processes for accessing services.
i. Progress notes shall be written to document a youth's participation
and responses to mental health treatment services. The progress
notes shall meet Medi-Cal requirements of documentation and
shall be maintained in the youth's record.
ii. On the same day as the mental health treatment service, the
progress notes shall be signed and dated by the direct service
program staff member(s) who provided the service.
iii. The STRTP shall ensure that documentation and recordkeeping
requirements are met.
H. The youth's record must include:
i. Mental health assessment;
ii. Admission statement, signed by the HOS within five (5)
days of youth's arrival;
iii. Client Plan;
iv. STRTP mental health program progress notes;
v. Clinical review report and transition determination;
vi. Physician's orders, medication examinations, medication
reviews, written informed consent for prescribed
medications;
vii. Copy of court orders or judgements regarding physical or
legal custody;
viii. Documentation indicating each date and names of
individuals or groups of individuals who have participated in
the development of the Client Plan; and
ix. A transition determination plan.
I. The STRTP shall ensure that American Indian youth receive specialty
mental health services in accordance with the Federal Indian Child Welfare
Act (25 U.S.C. Sec 1901 et seq.).
B-15-6
Exhibit B-15
STAFFING
A. All licensed, waivered, and registered mental health professionals providing
services at the STRTP shall meet all legal requirements for professional licensing,
waiver, or registration, as applicable.
B. Adequate numbers and qualifications of direct service program staff shall be
employed, present, awake, and on duty seven (7) days per week.
C. Changing Faces shall have at least one (1) full-time equivalent direct service
program staff from the following list employed for each six (6) children admitted to
the program:
a) Physicians
b) Psychologists or psychologists who have received a waiver pursuant to
WIC Code 5751.2
c) Licensed Clinical Social Workers or registered professionals pursuant to
WIC Code 5751.2
d) Licensed Marriage, Family, and Child Therapists or registered
professionals pursuant to WIC Code 5751.2
e) Licensed Professional Clinical Counselors or registered professionals
pursuant to WIC Code 5751.2
f) Psychiatric Technicians
g) Mental Health Rehabilitation Specialists as defined in Section 630 of Title
9 CCR
D. Of the direct service program staff required above, Changing Faces will have one
(1) half-time equivalent LMHP employed for each six (6) children admitted to the
program. An LMHP employed to meet this requirement may also be the head of
service, if employed at least forty (40) hours per week.
E. Changing Faces shall have access to the psychiatrist twenty-four (24) hours per
day.
PERFORMANCE MEASURES/PROGRAM OUTCOMES
Changing Faces shall provide all project monitoring and compliance protocols, procedures, data
collection methods, and reporting requirements requested by the County. Changing Faces
utilizes performance and outcome measures for evaluating program and system effectiveness to
ensure services and service delivery strategies are positively impacting the youth in their care.
Performance outcome measures shall be reported to the County annually in accumulative
reports for overall program and contract evaluation.
B-15-7
Exhibit B-15
Changing Faces staff will establish and monitor legally compliant and measurable performance
and outcome measures within its STRTP to evaluate service effectiveness and overall program
performance. Specific objectives include developing a comprehensive set of performance and
outcome measures aligned with regulatory requirements and best practices, implementing a
robust monitoring system to track and evaluate the identified measures, conducting regular
internal audits to review effectiveness and alignment with program goals, utilizing feedback and
data to identify areas for improvement, monitoring progress towards program goals and
objectives, providing staff training on accurate documentation and reporting, regularly reviewing
and updating measures to reflect changes in regulatory requirements, best practices, and
program priorities, and establishing performance indicators for continuous improvement in
service quality and client outcomes.
A. Access to care: The ability of youth to receive the right service at the right
time.
a. The STRTP will complete a 100% mental health assessment within
5 days of placement, including a CANS assessment, PSC35, and
treatment plan.
B. Effectiveness: Objective results achieved through services.
a. 86% of youth will be successfully discharged within 6 months.
b. The STRTP aims for 86% of youth linked to a lower level of care.
C. Efficiency: Demonstration of the relationship between results and the resources
used to achieve them.
a. 86% of youth linked to a lower level of care.
D. Satisfaction and Compliance: The degree to which persons served, County, and
other stakeholders are satisfied with the services.
83% of persons served who complete a satisfaction survey will
express satisfaction that the STRTP Mental Health Program met
their needs.
95% of stakeholders who complete a satisfaction survey will
express satisfaction that the STRTP Mental Health Program met
their needs.
Changing Faces understands that the County may adjust the performance and outcome
measures periodically throughout the duration of this Agreement, as needed, to best
measure the program. Changing Faces will utilize a computerized tracking system with
which performance and outcome measures and other relevant data, such as
demographics, will be maintained.
B-15-8
Exhibit B-16
Scope of Services
ORGANIZATION: Hesed Christian Ministries, INC
ADDRESS: 425 Mooncrest Street
Santa Maria, CA 93455
TELEPHONE: (805) 937-5920
CONTACT PERSON: Adrian Cooks, MA, Executive Director
Elise Blumenthal, LMFT, Clinical Director
CONTRACT PERIOD: Upon execution —June 30, 2025
SUMMARY OF SERVICES
Hesed Christian Ministries Agape Homes (Agape Homes) is a Short-Term Residential
Therapeutic Program (STRTP) which offers intensive, individualized care for adolescents with
significant emotional and behavioral challenges. Services include comprehensive assessments
completed within five days of placement, individualized treatment planning, and a range of
therapeutic interventions and modalities to address complex trauma histories, such as
individual, group, and family therapy. The program provides needs and service plans, drug and
alcohol assessment and referral, a CAADE counselor on staff, case management, and rehab
specialists on site. Additionally, the program provides 24/7 crisis intervention, on-call therapists
24/7, 24-hour supervision, psychiatric evaluations, medication management, educational
support, life skills training, collaboration with educational settings, monthly Child and Family
Team meetings (CFT), and structured recreational activities; all integral to the program and
trauma-informed care practices. The multidisciplinary team, including licensed therapists,
psychiatrists, and direct care staff, ensures a holistic approach to treatment. Active family
involvement and collaboration with community resources and partners support successful
transitions to less restrictive environments, aiming to stabilize and prepare youth for
independent living and long-term health and well-being. We aim to provide immediate and
effective interventions to reduce acute symptoms and stabilize the youth's emotional and
behavioral state. Our goal is to facilitate smooth transitions to less restrictive environments,
such as returning to family homes, foster care, or community-based settings, ensuring continuity
of care and mental health support.
TARGET POPULATION
Adolescent females, ages 12 through 17, and gender-fluid youth who meet the specialty
mental health criteria for a STRTP. Placements are accepted on an individualized basis
pending meeting criteria and commonality of needs.
B-16-1
Exhibit B-16
SERVICE LOCATIONS
Agape Homes
425 Mooncrest Street
Santa Maria, CA 93455
(805) 937-5920
CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
Agape Homes shall provide mental health treatment, including specialty mental health services,
and mental health supports, as appropriate to the needs of the child. All specialty mental health
services shall meet Medi-Cal standards. These services shall include all of the following:
A. Mental Health Assessment:
i. A mental health assessment shall be completed by a licensed
mental health professional (LMHP) or waivered/registered
associate within five (5) calendar days of a youth's admission.
ii. A mental health assessment completed by an LMHP within sixty
calendar days may also be used to meet this requirement.
B. Client Plan:
i. Each youth admitted to the STRTP shall have a Client Plan
prepared, reviewed and signed by an LMHP or the Head of Service
(HOS) or any other related discipline designated by the HOS within
ten (10) calendar days of admission.
ii. The Client Plan is reviewed by a member of the mental health
program staff at least every thirty (30) calendar days.
iii. Client Plan of each youth or non-minor dependent shall include:
a) anticipated length of stay;
b) specific behavioral goals;
c) specific mental health treatment services;
d) one or more transition goals that support the rapid
and successful transition of the youth back into the
community;
e) the youth's participation and agreement; and
f) evidence of review by a member of the STRTP
mental health program staff.
B-16-2
Exhibit B-16
C. Collaborating with the Child and Family Team (CFT), consistent with the
Client Plan.
D. Specialty Mental Health Treatment Services: STRTPs shall make
available for each youth structured specialty mental health treatment
services during the day and evening, seven (7) days per week, according
to the youth's needs as indicated on the youth's Client Plan. At minimum,
the following mental health treatment services (as defined in Title 9 of the
California Code of Regulations) shall be made available, as medically
necessary:
i. Mental Health Services— individual or group therapies and
interventions that are designed to provide reduction of mental
disability and restoration, improvement, or maintenance of
functioning consistent with the goals of learning, development,
independent living, and enhanced self-sufficiency. Service
activities may include assessment, plan development, therapy,
rehabilitation, and collateral services.
a) Assessment -A clinical analysis of the history and
status of a youth's mental, emotional, or behavioral
disorder to include relevant cultural and social
issues, history, diagnosis, and any recorded testing
results.
b) Plan Development—The development of Client
Plans, to include the youth's needs and services,
approval of client plans, and monitoring of a youth's
progress. Clients participate in developing the Client
Plan, a comprehensive detail of the youth's needs,
personal goals and objectives for improving and
exiting the STRTP program. It also includes a
treatment component which is specific to mental
health and behavioral improvements the youth
would like to work toward.
c) Collateral —This is any service activity to a
significant support person in a youth's life with the
intent of improving or maintaining the mental health
status of the youth. Collateral services include
helping significant support persons understand and
accept the youth's condition and involving them in
service planning and implementation of the Client
Plan. Family counseling or therapy, which is
B-16-3
Exhibit B-16
provided on behalf of the youth, may be considered
collateral.
ii. Medication Support Services— shall be provided via a licensed
psychiatrist every 60-90 days. Those youth who are not prescribed
medication will be assessed every 90 days. Agape Homes will
monitor that the following is adhered to by the psychiatrist for these
services:
a) Within the first thirty (30) days of the youth admission, the
psychiatrist shall examine each youth prior to prescribing
any psychotropic medication and include a screening to
determine whether there are potential medical
complications that may contribute to the youth's health
condition. This examination shall be noted in the youth's
record.
b) The psychiatrist shall sign a written medication review for
each youth prescribed psychotropic medication as clinically
appropriate, but at least every six (6) weeks. This review
shall be included in the youth's record.
c) The psychiatrist shall review the course of treatment for all
youth who are not on psychotropic medication at least every
ninety (90) days and include the results of this review in a
progress note signed by the prescribing physician at the
time the review is completed.
d) Psychotropic medications for a youth placed in an STRTP
shall be administered in accordance with all applicable
State and Federal laws, which include but are not limited to
laws related to informed consent, documentation of
informed consent, and California Welfare & Institutions
(WIC) Code Sections 369.5 and 739.5.
e) STRTPs providing care supervision to children diagnosed
by a physician, psychologist, or licensed clinical social
worker as mentally disordered shall make provision for at
least monthly consultation from a psychiatrist, clinical
psychologist, or licensed clinical social worker regarding the
program of services.
B-16-4
Exhibit B-16
iii. Crisis Intervention —an emergency response that enables a youth
to cope with a crisis. Activities are intended to support, improve, or
maintain the youth's mental health status.
iv. Therapy-- Therapeutic intervention focusing on symptom reduction
to improve identified functional impairments. This service may be
delivered to an individual or group and may also include family
therapy. Youth shall receive both individual and group therapy at
least once per week. The therapeutic modalities are Cognitive
Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT),
and the Trauma Resiliency Model (TRM). CBT is effective in
treating children and adolescents who have persistent behavioral
reactions, DBT focuses on problem-solving and acceptance-based
strategies within a framework of dialectical methods, and TRM
focuses on the concept the biological basis of trauma.
v. Targeted Case Management— any service that assists the youth to
access the needed social, vocational, medical, educational,
rehabilitative or other community services. Services may include
communication, coordination and referral to available resources.
vi. Psychologist Services—services provided by licensed
psychologists, within their scope of practice, to diagnose or treat a
mental illness or condition.
vii. EPSDT Supplemental Specialty Mental Health Services — mental
health related diagnostic services and treatment available under
the Medi-Cal program only to persons under 21 years of age.
These include but are not limited to Intensive Care Coordination
(ICC) and Intensive Home-Based Services (IHBS) services in
accordance with the "Medi-Cal Manual for Intensive Care
Coordination (ICC), Intensive Home-Based Services (IHBS), &
Therapeutic Foster Care (TFC)for Medi-Cal Beneficiaries."
E. A licensed mental health professional shall perform a clinical review every
ninety (90) days of the youth's status and progress in treatment to
determine whether the youth should continue admission in the program or
be transitioned to a different level of care. The LMHP shall make this
decision in consultation with the placing agency. A report documenting
this clinical review shall be maintained in the youth's record.
F. Ensuring continuity of care, services, and treatment as a youth moves from
his or her STRTP placement to home-based family care or to a permanent
B-16-5
Exhibit B-16
living situation through reunification, adoption, or guardianship, in
accordance with the youth's case plan or treatment plan.
G. Documenting the youth's ability to access mental health services identified
in the Client Plan, or efforts made by the STRTP to ensure access to
identified mental health services, including utilization of any existing
grievance processes for accessing services.
i. Progress notes shall be written to document a youth's participation
and responses to mental health treatment services. The progress
notes shall meet Medi-Cal requirements of documentation and
shall be maintained in the youth's record.
ii. On the same day as the mental health treatment service, the
progress notes shall be signed and dated by the direct service
program staff member(s) who provided the service.
iii. The STRTP shall ensure that documentation and recordkeeping
requirements are met.
H. The youth's record must include:
i. Mental health assessment;
ii. Admission statement, signed by the HOS within five (5)
days of youth's arrival;
iii. Client Plan;
iv. STRTP mental health program progress notes;
v. Clinical review report and transition determination;
vi. Physician's orders, medication examinations, medication
reviews, written informed consent for prescribed
medications;
vii. Copy of court orders or judgements regarding physical or
legal custody;
viii. Documentation indicating each date and names of
individuals or groups of individuals who have participated in
the development of the Client Plan; and
ix. A transition determination plan.
I. The STRTP shall ensure that American Indian youth receive specialty
mental health services in accordance with the Federal Indian Child Welfare
Act (25 U.S.C. Sec 1901 et seq.).
STAFFING
B-16-6
Exhibit B-16
A. All licensed, waivered, and registered mental health professionals providing
services at the STRTP shall meet all legal requirements for professional licensing,
waiver, or registration, as applicable.
B. Adequate numbers and qualifications of direct service program staff shall be
employed, present, awake, and on duty seven (7) days per week.
C. Agape Homes shall have at least one (1)full-time equivalent direct service
program staff from the following list employed for each six (6) children admitted to
the program:
a) Physicians
b) Psychologists or psychologists who have received a waiver pursuant to
WIC Code 5751.2
c) Licensed Clinical Social Workers or registered professionals pursuant to
WIC Code 5751.2
d) Licensed Marriage, Family, and Child Therapists or registered
professionals pursuant to WIC Code 5751.2
e) Licensed Professional Clinical Counselors or registered professionals
pursuant to WIC Code 5751.2
f) Psychiatric Technicians
g) Mental Health Rehabilitation Specialists as defined in Section 630 of Title
9 CCR
D. Of the direct service program staff required above, Agape Homes will have one
(1) half-time equivalent LMHP employed for each six (6) children admitted to the
program. An LMHP employed to meet this requirement may also be the head of
service, if employed at least forty (40) hours per week.
E. Agape Homes shall have access to the psychiatrist twenty-four (24) hours per
day.
PERFORMANCE MEASURES/PROGRAM OUTCOMES
Agape Homes shall provide all project monitoring and compliance protocols, procedures, data
collection methods, and reporting requirements requested by the County. Agape Homes utilizes
performance and outcome measures for evaluating program and system effectiveness to ensure
services and service delivery strategies are positively impacting the youth in their care.
Performance outcome measures shall be reported to the County annually in accumulative
reports for overall program and contract evaluation.
Agape Homes staff will establish and monitor legally compliant and measurable performance and
outcome measures within its STRTP to evaluate service effectiveness and overall program
performance. Specific objectives include developing a comprehensive set of performance and
B-16-7
Exhibit B-16
outcome measures aligned with regulatory requirements and best practices, implementing a
robust monitoring system to track and evaluate the identified measures, conducting regular
internal audits to review effectiveness and alignment with program goals, utilizing feedback and
data to identify areas for improvement, monitoring progress towards program goals and
objectives, providing staff training on accurate documentation and reporting, regularly reviewing
and updating measures to reflect changes in regulatory requirements, best practices, and
program priorities, and establishing performance indicators for continuous improvement in
service quality and client outcomes.
A. Access to care: The ability of youth to receive the right service at the right time.
a. The STRTP will complete a 100% mental health assessment within
5 days of placement, including a CANS assessment, PSC35, and
treatment plan.
B. Effectiveness: Objective results achieved through services.
a. The STRTP will monitor the effectiveness of treatment
interventions by revising treatment plans every month to monitor
changes. 86% of youth will be successfully discharged within 6
months.
b. The STRTP aims for 86% of youth linked to a lower level of care.
C. Efficiency: Demonstration of the relationship between results and the resources
used to achieve them.
a. Length of youth stay in the program - 86% of the youth will be
successfully discharged within 6 months.
D. Satisfaction and Compliance: The degree to which persons served, the County,
and other stakeholders are satisfied with the services.
a. Audits and other performance and utilization reviews of health care
services and compliance with agreement terms and conditions
83% of persons served who complete a satisfaction survey will
express satisfaction that the STRTP Mental Health Program met
their needs. 95% of stakeholders who complete a satisfaction
survey will express satisfaction that the STRTP Mental Health
Program met their needs.
Agape Homes understands that the County may adjust the performance and outcome measures
periodically throughout the duration of this Agreement, as needed, to best measure the program.
Agape Homes will utilize a computerized tracking system with which performance and outcome
measures and other relevant data, such as demographics, will be maintained.
B-16-8
Exhibit B-17
Scope of Services
ORGANIZATION: The Virtuous Woman, Inc.
ADDRESS: 1620 Centinela Ave, STE 207
Inglewood, CA 90302
TELEPHONE: (424) 750-9293
CONTACT PERSON: Deborah K. Manns, Executive Director
CONTRACT PERIOD: Upon execution —June 30, 2025
SUMMARY OF SERVICES
The Virtuous Woman INC/Project Destiny Home of Hope (VWI/PDHH) a short-term residential
therapeutic program (STRTP), intends to accept and provided services to minor youth and non-
minor dependents (NMDs). NMDs, ages 19-21, will go through the same standardized
screening process at time of admission as minor youth. This screening will identify the needs of
each youth/NMD and identify the age appropriate and developmentally appropriate STRTP
activities needed to ensure well-being.
NMDs will be required to participate in the Child & Family Team (CFT) process to ensure that all
members of the youth's team understand the underlying needs for the youth, the plan for
services and each team member's role in executing the plan. A Needs and Services/Treatment
Plan will be developed for each non-minor dependent. If a youth meets medical necessity for
therapeutic intervention, at the time of assessment, VWI/PDHH STRTP will provide therapeutic
services which considers each youth's unique trauma history. Services will include the
following, as needed, based on needs identified in the assessment:
• Medication Support
• Targeted Case Management
• Crisis Intervention
• Mental Health Service
• Therapy
• Rehabilitation Services
• Group Therapy
• Collateral Services
Modalities used to provide therapy will include trauma-informed practices such as Trauma
Focused Cognitive Behavioral therapy (TF-CBT), seeking safety and the like.
TARGET POPULATION
B-17-1
Exhibit B-17
Female youth between the ages of 12-18 years old and female NMD between the ages of 19-21
years old.
SERVICE LOCATIONS
Project Destiny Home of Hope #1 Project Destiny Home of Hope #2
2306 W 73rd St 8711 Haas Ave
Los Angeles, CA 90043 Los Angeles, CA 90047
(323) 920-6258 (323) 814-8261
CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
VWI/PDHH STRTP shall provide mental health treatment, including specialty mental health
services and mental health supports, as appropriate to the child's needs. All specialty mental
health services shall meet Medi-Cal standards. These services shall include all the following:
A. Mental Health Assessment:
i. A mental health assessment shall be completed by a licensed mental
health professional (LMHP) or waivered/registered associate within five
(5) calendar days of a youth's admission.
ii. A mental health assessment completed by an LMHP within sixty calendar
days may also be used to meet this requirement.
B. Client Plan:
i. Each youth admitted to the STRTP shall have a Client Plan prepared,
reviewed and signed by an LMHP or the Head of Service (HOS) or any
other related discipline designated by the HOS within ten (10) calendar
days of admission.
ii. The Client Plan is reviewed by a member of the mental health program
staff at least every thirty (30) calendar days.
iii. Client Plan of each youth or non-minor dependent shall include:
a) anticipated length of stay;
b) specific behavioral goals;
c) specific mental health treatment services;
d) one or more transition goals that support the rapid and
successful transition of the youth back into the community;
e) the youth's participation and agreement; and
f) evidence of review by a member of the STRTP mental
health program staff.
B-17-2
Exhibit B-17
C. Collaborating with the Child and Family Team (CFT), consistent with the Client
Plan.
D. Specialty Mental Health Treatment Services: STRTPs shall make available for
each youth structured specialty mental health treatment services during the day
and evening, seven (7) days per week, according to the youth's needs as
indicated on the youth's Client Plan. At minimum, the following mental health
treatment services (as defined in Title 9 of the California Code of Regulations)
shall be made available, as medically necessary:
i. Mental Health Services— individual or group therapies and interventions
that are designed to provide reduction of mental disability and restoration,
improvement, or maintenance of functioning consistent with the goals of
learning, development, independent living, and enhanced self-sufficiency.
Service activities may include assessment, plan development, therapy,
rehabilitation, and collateral services.
a) Assessment - A clinical analysis of the history and status of
a youth's mental, emotional, or behavioral disorder to
include relevant cultural and social issues, history,
diagnosis, and any recorded testing results.
b) Plan Development—The development of Client Plans, to
include the youth's needs and services, approval of client
plans, and monitoring of a youth's progress. Youth
participate in developing the Client Plan, a comprehensive
detail of the youth's needs, personal goals and objectives
for improving and exiting the STRTP program. It also
includes a treatment component which is specific to mental
health and behavioral improvements the youth would like
to work toward.
c) Collateral —This is any service activity to a significant
support person in a youth's life with the intent of improving
or maintaining the mental health status of the youth.
Collateral services include helping significant support
persons understand and accept the youth's condition and
involving them in service planning and implementation of
the Client Plan. Family counseling or therapy, which is
provided on behalf of the youth, may be considered
collateral.
ii. Medication Support Services —shall be provided Mondays through
Friday, 9:00 AM to 5:00 PM for appointments with the tele-psych iatrist,
and on call 24 hours per day, 7 days a week for emergencies.
B-17-3
Exhibit B-17
iii. VWI/PDHH STRTP will monitor that the following is adhered to by the
psychiatrist for these services:
a) Within the first thirty (30) days of the youth admission, the
psychiatrist shall examine each youth prior to prescribing any
psychotropic medication and include a screening to determine
whether there are potential medical complications that may
contribute to the youth's health condition. This examination shall
be noted in the youth's record.
b) The psychiatrist shall sign a written medication review for each
youth prescribed psychotropic medication as clinically appropriate,
but at least every six (6) weeks. This review shall be included in
the youth's record.
c) The psychiatrist shall review the course of treatment for all youth
who are not on psychotropic medication at least every ninety (90)
days and include the results of this review in a progress note
signed by the prescribing physician at the time the review is
completed.
d) Psychotropic medications for a youth placed in an STRTP shall be
administered in accordance with all applicable State and Federal
laws, which include but are not limited to laws related to informed
consent, documentation of informed consent, and California
Welfare & Institutions (WIC) Code Sections 369.5 and 739.5.
e) STRTPs providing care supervision to children diagnosed by a
physician, psychologist, or licensed clinical social worker as
mentally disordered shall make provision for at least monthly
consultation from a psychiatrist, clinical psychologist, or licensed
clinical social worker regarding the program of services.
iv. Crisis Intervention — an emergency response that enables a youth to cope
with a crisis. Activities are intended to support, improve, or maintain the
youth's mental health status.
v. Therapy -- Therapeutic intervention focusing on symptom reduction to
improve identified functional impairments. This service may be delivered
to an individual or group and may also include family therapy. Youth shall
receive both individual and group therapy at least once per week. The
therapeutic modalities are Cognitive Behavioral Therapy (CBT),
Dialectical Behavior Therapy (DBT), and the Trauma Resiliency Model
B-17-4
Exhibit B-17
(TRM). CBT is effective in treating children and adolescents who have
persistent behavioral reactions, DBT focuses on problem-solving and
acceptance-based strategies within a framework of dialectical methods,
and TRM focuses on the concept the biological basis of trauma.
vi. Targeted Case Management—any service that assists the youth to
access the needed social, vocational, medical, educational, rehabilitative
or other community services. Services may include communication,
coordination and referral to available resources.
vii. Psychologist Services—services provided by licensed psychologists,
within their scope of practice, to diagnose or treat a mental illness or
condition.
viii. EPSDT Supplemental Specialty Mental Health Services— mental health
related diagnostic services and treatment available under the Medi-Cal
program only to persons under 21 years of age. These include but are
not limited to Intensive Care Coordination (ICC) and Intensive Home-
Based Services (IHBS) services in accordance with the "Medi-Cal Manual
for Intensive Care Coordination (ICC), Intensive Home-Based Services
(IHBS), & Therapeutic Foster Care (TFC) for Medi-Cal Beneficiaries."
E. A licensed mental health professional shall perform a clinical review every ninety
(90) days of the youth's status and progress in treatment to determine whether
the youth should continue admission in the program or be transitioned to a
different level of care. The LMHP shall make this decision in consultation with
the placing agency. A report documenting this clinical review shall be maintained
in the youth's record.
F. Ensuring continuity of care, services, and treatment as a youth moves from his or
her STRTP placement to home-based family care or to a permanent living
situation through reunification, adoption, or guardianship, in accordance with the
youth's case plan or treatment plan.
G. Documenting the youth's ability to access mental health services identified in the
Client Plan, or efforts made by the STRTP to ensure access to identified mental
health services, including utilization of any existing grievance processes for
accessing services.
i. Progress notes shall be written to document a youth's participation and
responses to mental health treatment services. The progress notes shall
meet Medi-Cal requirements of documentation and shall be maintained in
the youth's record.
B-17-5
Exhibit B-17
ii. On the same day as the mental health treatment service, the progress
notes shall be signed and dated by the direct service program staff
member(s) who provided the service.
iii. The STRTP shall ensure that documentation and recordkeeping
requirements are met.
H. The youth's record must include:
i. Mental health assessment;
ii. Admission statement, signed by the HOS within five (5) days of
youth's arrival;
iii. Client Plan;
iv. STRTP mental health program progress notes;
v. Clinical review report and transition determination;
vi. Physician's orders, medication examinations, medication reviews,
written informed consent for prescribed medications;
vii. Copy of court orders or judgements regarding physical or legal
custody;
viii. Documentation indicating each date and names of individuals or
groups of individuals who have participated in the development of
the Client Plan; and
ix. A transition determination plan.
I. The STRTP shall ensure that American Indian youth receive specialty mental
health services in accordance with the Federal Indian Child Welfare Act (25
U.S.C. Sec 1901 et seq.).
STAFFING
A. All licensed, waivered, and registered mental health professionals providing services at
the STRTP shall meet all legal requirements for professional licensing, waiver, or
registration, as applicable.
B. Adequate numbers and qualifications of direct service program staff shall be employed,
present, awake, and on duty seven (7) days per week.
C. VWI/PDHH STRTP shall have at least one (1) full-time equivalent direct service program
staff from the following list employed for each six (6) children admitted to the program:
a) Physicians
b) Psychologists or psychologists who have received a waiver pursuant to WIC
Code 5751.2
c) Licensed Clinical Social Workers or registered professionals pursuant to WIC
Code 5751.2
B-17-6
Exhibit B-17
d) Licensed Marriage, Family, and Child Therapists or registered professionals
pursuant to WIC Code 5751.2
e) Licensed Professional Clinical Counselors or registered professionals pursuant to
WIC Code 5751.2
f) Psychiatric Technicians
g) Mental Health Rehabilitation Specialists as defined in Section 630 of Title 9 CCR
D. Of the direct service program staff required above, VWI/PDHH STRTP will have one (1)
half-time equivalent LMHP employed for each six (6) children admitted to the program.
An LMHP employed to meet this requirement may also be the head of service, if
employed at least forty (40) hours per week.
E. The VWI/PDHH STRTP shall have access to the psychiatrist twenty-four (24) hours per
day.
PERFORMANCE MEASURES/PROGRAM OUTCOMES
VWI/PDHH STRTP shall provide all project monitoring and compliance protocols, procedures,
data collection methods, and reporting requirements requested by the County. VWI/PDHH
STRTP utilizes performance and outcome measures for evaluating program and system
effectiveness to ensure services and service delivery strategies are positively impacting the
youth in their care. Performance outcome measures shall be reported to the County annually in
accumulative reports for overall program and contract evaluation.
VWI/PDHH STRTP will establish and monitor legally compliant and measurable performance
and outcome measures within its STRTP to evaluate service effectiveness and overall program
performance. Specific objectives include developing a comprehensive set of performance and
outcome measures aligned with regulatory requirements and best practices, implementing a
robust monitoring system to track and evaluate the identified measures, conducting regular
internal audits to review effectiveness and alignment with program goals, utilizing feedback and
data to identify areas for improvement, monitoring progress towards program goals and
objectives, providing staff training on accurate documentation and reporting, regularly reviewing
and updating measures to reflect changes in regulatory requirements, best practices, and
program priorities, and establishing performance indicators for continuous improvement in
service quality and youth outcomes.
A. Access to care: The ability of youth to receive the right service at the right time.
a) VWI/PDHH STRTP shall conduct a comprehensive Mental Health
Assessment comprising the Child and Adolescent Needs and Strengths (CANS)
assessment, Pediatric Symptom Checklist-35 (PSC-35), Suicide Risk Assessment, and
a Safety Plan for each child upon admission to the STRTP. This assessment must be
B-17-7
Exhibit B-17
completed within five days of admission for 100% of admitted youths, with
documentation of service dates and youth records as evidence of compliance.
B. Effectiveness: Objective results achieved through services.
a) VWI/PDHH STRTP shall draft a treatment plan within ten days of a youth admission
for 100% of admitted youth, with documented service dates and youth records serving
as verification. This treatment plan shall address the youth's direct mental health
concerns, strengths, and weaknesses, incorporating specific, measurable, achievable,
relevant, and time-bound (SMART) goals. Quantitative and qualitative data will be
utilized to demonstrate intervention effectiveness, measured through objective
outcomes. Regularly reviewing and updating the treatment plan will document
observable changes in behavior, social and academic performance, symptom severity,
and crisis management.
b) VWI/PDHH STRTP prioritizes the effectiveness of discharge planning, such as the
percentage of youths successfully connected to lower levels of care. This organization is
committed to facilitating seamless transitions to lower levels of care while maintaining
progress achieved during residential stays. By employing defined metrics to assess the
discharge plan's success, gathering feedback from youth and partners during Child and
Family Teaming Meetings, and maintaining comprehensive records and progress
reports, Virtuous Woman, Inc. evaluates long-term outcomes to ensure ongoing youth
progress post-discharge. Regularly review and update treatment plans, demonstrating
observable changes in behavior, social and academic performance, symptom severity,
and crisis management.
C. Efficiency: Demonstration of the relationship between results and the resources used to
achieve them.
a) Length of youth stay in the program -
VWI/PDHH STRTP aims to ensure legal compliance and measurable success in
managing the length of youth stays in its STRTP, maintaining an average residency
duration within the established range of 6 to 8 months per youth. 100% of youth will have
a discharge plan completed by the first day of admission. This entails adhering to legal
and regulatory requirements, establishing and maintaining accurate tracking of youth
entry and discharge dates, conducting regular audits to ensure compliance with the 6 to
8-month residency range, analyzing data to achieve an average residency duration
within the specified range, addressing factors contributing to extended or shortened
stays, providing staff training on managing residency durations, updating policies to align
with legal standards and best practices, and establishing performance indicators for
continuous improvement in managing length of stay.
b) Number of service units per youth -
VWI/PDHH STRTP operates as a STRTP, maintaining two homes with a maximum
capacity of six children per home. VWI/PDHH STRTP commits to providing a legally
compliant and measurable standard of care in its STRTP, ensuring a minimum of 30
service units per week to each youth residing in the facility. Specific objectives include
documenting and tracking the provision of service units weekly to ensure compliance
with legal requirements and contractual obligations, implementing a robust monitoring
system for accurate delivery verification, conducting regular internal audits to evaluate
adherence to the established standard, utilizing youth records to track service provision,
addressing barriers to consistent service delivery, providing staff training on
B-17-8
Exhibit B-17
documentation and delivery accuracy, reviewing and updating policies to align with legal
requirements, and establishing performance indicators to measure service effectiveness
and seek continuous improvement in meeting youth needs
D. Satisfaction and Compliance: The degree to which persons served, County, and other
stakeholders are satisfied with the services.
a) VWI/PDHH STRTP and performance reviews, including 10-day audits and 90 Clinical
Chart Reviews, to evaluate the delivery of healthcare services and compliance with
contractual terms. Employing a youth-centered approach, personalized care addresses
individual youth needs. Feedback is regularly gathered from youth and stakeholders
during STRTP house meetings, with adherence to state regulations ensured through
monthly staff meetings and communication via Child and Family Team (CFT) meetings
to identify areas for improvement. The organization adheres to best practices and
standards established by the Commission on Accreditation of Rehabilitation Facilities
(CARF).
i. VWI/PDHH STRTP to measurably enhance the quality of healthcare services
and ensure full compliance with contractual terms and state regulations through
the implementation of a structured improvement strategy. Specific objectives
include increasing the efficiency of audits and performance evaluations by 20%
within six months, achieving a 15% rise in satisfaction scores within one year,
boosting stakeholder engagement by 25% in six months, achieving 100%
compliance with regulations within the next quarterly audit cycle, increasing
attendance at monthly meetings by 30% within six months, securing a score of
90% or above on the next CARF accreditation review, establishing and
monitoring key performance indicators such as wait times and staff training
completion rates, and fostering a culture of continuous improvement by
implementing at least two quality enhancement initiatives per quarter and
tracking their impact on service delivery and compliance metrics.
b) VWI/PDHH STRTP to maintain quality assurance, The VWI/PDHH STRTP conducts
quarterly surveys of individuals receiving services, their families, other healthcare
providers, and stakeholders through regular internal audits. Third-party auditors are
engaged to conduct compliance checks, facilitating continuous feedback mechanisms to
uphold care standards, regulatory compliance, and ongoing service quality
enhancement. Regular surveys are conducted with youth admitted to our STRTP and
stakeholders to encourage collaboration and gather input on satisfaction levels regarding
received services, program performance, and outcomes.
i. VWI/PDHH STRTP to maintain and enhance the quality of services in strict
adherence to regulatory requirements and contractual obligations through the
implementation of comprehensive quality assurance protocols. Specific
objectives include conducting quarterly surveys with an 80% participation rate
and achieving at least an 85% satisfaction rating within the next year, engaging
reputable third-party auditors to ensure 100% compliance with all regulatory
standards and contractual obligations, executing regular internal audits to
implement 80% of recommended improvements within three months,
B-17-9
Exhibit B-17
establishing ongoing feedback mechanisms to respond to all feedback within five
business days and implement actionable suggestions within one month, utilizing
survey data, audit findings, and stakeholder feedback to develop action plans for
a measurable improvement of at least 15% in identified areas within six months,
monitoring and tracking key performance indicators for a consistent improvement
trend of at least 10% annually, utilizing survey results and audit findings to
achieve a 95% alignment between resource allocation and improvement priorities
within the next fiscal year, and promoting a culture of continuous improvement
among staff through regular training sessions, recognition of achievements, and
fostering open communication and collaboration in quality assurance efforts.
VWI/PDHH STRTP understands that the County may adjust the performance and outcome
measures periodically throughout the duration of this Agreement, as needed, to best measure
the program. VWI/PDHH STRTP will utilize a computerized tracking system with which
performance and outcome measures and other relevant data, such as demographics, will be
maintained.
B-17-10
Exhibit B-18
Scope of Services
ORGANIZATION: For the Future
ADDRESS: 9800 Topanga Canyon Blvd 309
Chatsworth, CA 91311
TELEPHONE: 714-625-1218
CONTACT PERSON: Melissa Martire, CFO
CONTRACT PERIOD: Upon execution —June 30, 2025
SUMMARY OF SERVICES
Our Mental Health Program as per CDSS ILS Code 87089.1 (AB 403 Sec 59, WIC 4096.5) will
provide the following mental health services and supports for our residents. For the Future
Short Term Residential Therapeutic Program (STRTP) documents the youth's ability to access
mental health services identified in the Needs and Services Plan. The agency also documents
efforts to ensure access to identified mental health services, including utilization of any existing
grievance processes for accessing services. Currently, county placing agencies from which For
the Future STRTP receives/accepts placement include: Ventura County, Riverside County, San
Bernardino County, Los Angeles County, Sacramento, Yolo County, San Luis Obispo County,
San Francisco County, Marin County, Fresno County, and private placements are also
accepted.
For the Future STRTP will provide the following specialty mental health services, in its program:
A. Mental Health Assessment
B. Plan Development
C. Mental Health Therapy
D. Rehabilitation
E. Collateral
F. Intensive Home Based Services (IHBS)
G. Opportunity for youth to interact with Emotional Support Animals (ESA), such as trained
dogs.
TARGET POPULATION
The STRTP is designed to provide an intensively structured Mental Health Treatment Program
for:
• Cis-gendered females, or
• Persons identifying as female, or
• Individuals born with female genitalia who preferto be placed with individuals who
B-18-1
Exhibit B-18
are cis-gendered female or identify as female, and
• Between the ages of 13 and 17
These residents will come from all ethnic and cultural groups that are served in the counties from
which we receive placement.
Residents will be accepted with diverse, special, unique needs, including, but not limited to:
• Intellectual disabilities
• Commercially and sexually exploited children (CSEC)
• Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ) and/or those with a
different/another sexual orientation, gender identity and expression (SOGIE:
Sexual Orientation, Gender Identity & Expression)
• Individuals with a history of trauma and extensive trauma narrative(s), including
complex trauma that may require a multi-layered and multi-dimensional clinical
approach and treatment protocol that are geared toward addressing
simultaneous triggers—emotional, psychological, somatic, or psychosomatic—
which may be informed by internal and/or external stimuli related to post-
traumatic stress (i.e., the youth may have been exposed to concurrent and
systematic abuse of sexual exploitation and physical violence/torture).
• Those with a history in the juvenile justice system
• Those with a medical condition such as asthma, diabetes, epilepsy, etc.
These Residents are being transferred from higher levels of care, or have been previously
unsuccessful in maintaining community placements, or their Parent/Guardian have determined
they are best suited for residential treatment.
The youth served by For the Future STRTP will be those who have an active psychiatric
diagnosis and may have co-occurring substance abuse issues.
Individuals receiving services are referred by County Placement Agencies or Probation, and are
funded by AFDC (Aid to Families with Dependent Children).
SERVICE LOCATIONS
For the Future
4955 Alta Street
Simi Valley Ca 93065
CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
For The Future shall provide mental health treatment, including specialty mental health services,
and mental health supports, as appropriate to the needs of the child. All specialty mental health
services shall meet Medi-Cal standards. These services shall include all of the following:
B-18-2
Exhibit B-18
A. Mental Health Assessment:
i. A mental health assessment shall be completed by a licensed mental
health professional (LMHP) or waivered/registered associate within five
(5) calendar days of a youth's admission.
ii. A mental health assessment that was completed by an LMHP within sixty
(60) calendar days may also be used to meet this requirement.
B. Client Plan:
i. Each youth admitted to the STRTP shall have a Client Plan prepared,
reviewed and signed by an LMHP or the Head of Service (HOS) or any
other related discipline designated by the HOS within ten (10) calendar
days of admission.
ii. The Client Plan is reviewed by a member of the mental health program
staff at least every thirty (30) calendar days.
iii. Client Plan of each youth or non-minor dependent shall include:
a) anticipated length of stay;
b) specific behavioral goals;
c) specific mental health treatment services;
d) one or more transition goals that support the rapid and
successful transition of the youth back into the community;
e) the youth's participation and agreement; and
f) evidence of review by a member of the STRTP mental
health program staff.
C. Collaborating with the Child and Family Team (CFT), consistent with the Client
Plan.
D. Specialty Mental Health Treatment Services: STRTPs shall make available for
each youth structured specialty mental health treatment services during the day
and evening, seven (7) days per week, according to the youth's needs as
indicated on the youth's Client Plan. At minimum, the following mental health
treatment services (as defined in Title 9 of the California Code of Regulations)
shall be made available, as medically necessary:
i. Mental Health Services— individual or group therapies and interventions
that are designed to provide reduction of mental disability and restoration,
improvement, or maintenance of functioning consistent with the goals of
learning, development, independent living, and enhanced self-sufficiency.
Service activities may include assessment, plan development, therapy,
rehabilitation, and collateral services.
B-18-3
Exhibit B-18
a) Assessment - A clinical analysis of the history and current
status of a youth's mental, emotional, or behavioral
disorder to include relevant cultural and social issues,
history, diagnosis, and any recorded testing results.
b) Plan Development—The development of Client Plans, to
include the youth's needs and services, approval of client
plans, and monitoring of a youth's progress. Clients
participate in the development of the Client Plan which is a
comprehensive detail of the youth's needs, personal goals
and objectives for improvement and exiting from the
STRTP program. It also includes a treatment component
which is specific to mental health and behavioral
improvements the youth would like to work toward.
c) Collateral —This is any service activity to a significant
support person in a youth's life with the intent of improving
or maintaining the mental health status of the youth.
Collateral services include, but are not limited to, helping
significant support persons to understand and accept the
youth's condition and involving them in service planning
and implementation of the Client Plan. Family counseling
or therapy, which is provided on behalf of the youth, may
be considered collateral.
ii. Medication Support Services —shall be provided via tele-health. For The
Future will monitor that the following is adhered to by the psychiatrist for
these services:
a) Within the first thirty (30) days of the youth admission, the
psychiatrist shall examine each youth prior to prescribing any
psychotropic medication and include a screening to determine
whether there are potential medical complications that may
contribute to the youth's health condition. This examination shall
be noted in the youth's record.
b) The psychiatrist shall sign a written medication review for each
youth prescribed psychotropic medication as clinically appropriate,
but at least every six (6) weeks. This review shall be included in
the youth's record.
c) The psychiatrist shall review the course of treatment for all youth
who are not on psychotropic medication at least every ninety (90)
days and include the results of this review in a progress note
B-18-4
Exhibit B-18
signed by the prescribing physician at the time the review is
completed.
d) Psychotropic medications for a youth placed in an STRTP shall be
administered in accordance with all applicable State and Federal
laws, which include but are not limited to laws related to informed
consent, documentation of informed consent, and California
Welfare & Institutions (WIC) Code Sections 369.5 and 739.5.
e) STRTPs providing care supervision to children diagnosed by a
physician, psychologist, or licensed clinical social worker as
mentally disordered shall make provision for at least monthly
consultation from a psychiatrist, clinical psychologist, or licensed
clinical social worker regarding the program of services.
iii. Crisis Intervention — an emergency response that enables a youth to cope
with a crisis. Activities are intended to support, improve, or maintain the
youth's mental health status.
iv. Therapy—therapeutic intervention that focuses on symptom reduction in
order to improve identified functional impairments. This service may be
delivered to an individual or group and may also include family therapy.
Youth shall receive both individual and group therapy at least once per
week. The therapeutic modalities are Cognitive Behavioral Therapy
(CBT), Dialectical Behavior Therapy (DBT), and the Trauma Resiliency
Model (TRM). CBT is effective in treating children and adolescents who
have persistent behavioral reactions, DBT focuses on problem-solving
and acceptance-based strategies within a framework of dialectical
methods, and TRM focuses on the concept the biological basis of trauma.
v. Targeted Case Management—any service that assists the youth to
access the needed social, vocational, medical, educational, rehabilitative
or other community services. Services may include, but are not limited to,
communication, coordination and referral to available resources.
vi. Psychologist Services—services provided by licensed psychologists,
within their scope of practice, to diagnose or treat a mental illness or
condition.
vii. EPSDT Supplemental Specialty Mental Health Services— mental health
related diagnostic services and treatment available under the Medi-Cal
program only to persons under 21 years of age. These include but are
not limited to Intensive Care Coordination (ICC) and Intensive Home-
Based Services (IHBS) services in accordance with the "Medi-Cal Manual
B-18-5
Exhibit B-18
for Intensive Care Coordination (ICC), Intensive Home-Based Services
(IHBS), & Therapeutic Foster Care (TFC) for Medi-Cal Beneficiaries."
E. A licensed mental health professional shall perform a clinical review every ninety
(90) days of the youth's status and progress in treatment to determine whether
the youth should continue admission in the program or be transitioned to a
different level of care. The LMHP shall make this determination in consultation
with the placing agency. A report documenting this clinical review shall be
maintained in the youth's record.
F. Ensuring continuity of care, services, and treatment as a youth moves from his or
her STRTP placement to home-based family care or to a permanent living
situation through reunification, adoption, or guardianship, in accordance with the
youth's case plan or treatment plan.
G. Documenting the youth's ability to access mental health services identified in the
Client Plan, or efforts made by the STRTP to ensure access to identified mental
health services, including utilization of any existing grievance processes for
accessing services.
i. Progress notes shall be written to document a youth's participation and
responses to mental health treatment services. The progress notes shall
meet Medi-Cal requirements of documentation and shall be maintained in
the youth's record.
ii. On the same day as the mental health treatment service, the progress
notes shall be signed and dated by the direct service program staff
member(s) who provided the service.
iii. The STRTP shall ensure that documentation and recordkeeping
requirements are met.
H. The youth's record must include:
i. Mental health assessment;
ii. Admission statement, signed by the HOS within five (5) days of
youth's arrival;
iii. Client Plan;
iv. STRTP mental health program progress notes;
v. Clinical review report and transition determination;
vi. Physician's orders, medication examinations, medication reviews,
written informed consent for prescribed medications;
vii. Copy of court orders or judgements regarding physical or legal
custody;
B-18-6
Exhibit B-18
viii. Documentation indicating each date and names of individuals or
groups of individuals who have participated in the development of
the Client Plan; and
ix. A transition determination plan.
I. The STRTP shall ensure that American Indian youth receive specialty mental
health services in accordance with the Federal Indian Child Welfare Act (25
U.S.C. Sec 1901 et seq.).
FOR THE FUTURE STRTP:
A. Assessment
a. Each Resident that enters the residential program at For the Future STRTP is
assessed upon intake and every 30 days throughout the duration of their
placement.
b. The Mental Health Professional is responsible for completing a comprehensive
biopsychosocial assessment of the Resident within 72 hours of intake.
c. Components of the assessment include, but are not limited to:
i. Background information/reason for placement,
ii. Placement history,
iii. Medical history, including past and present illnesses and prescribed
medications,
iv. Mental health history,
v. Substance use history,
vi. Family medical and mental health history,
vii. Safety screening including self-harm, suicidality, and psychiatric
hospitalization history,
viii. Sexual history and orientation,
ix. Spiritual and religious identification background,
x. School and educational background information,
xi. Legal and criminal history,
xii. Employment history,
xiii. Hobbies/interests,
xiv. Resident's perception of their strengths, needs, abilities, preferences, and
identified goals, Mental Status Exam, and
xv. Mental Health Professional's interpretive summary including DSM-5/ICD-
10 diagnostic considerations.
d. In addition to the biopsychosocial assessment, the Mental Health Professional
utilizes assessment instruments such as the PHQ-9 and GAD-7 bi-weekly to
assess for the presence of self-reported symptoms of depression and anxiety.
Additionally, a CANS—Child and Adolescent Needs and Strengths—assessment
will be completed in collaboration with the youth to facilitate the youth's
exploration and identification of needs and strengths. This way, For the Future
STRTP Clinical Team facilitates a bridge between the assessment process and
the development of the blueprint for individualized service plans. For the Future
STRTP's in-house Mental Health Professionals will remain ever-mindful of
B-18-7
Exhibit B-18
cultural relativity and nuances to which youth may be sensitive. In other words,
when the CANS assessment is facilitated, For the Future STRTP's Mental Health
Professionals will ensure that the discourse is relatable, relevant, and accessible
by the youth so as to propel engagement in diverse pathways for service
planning. Here, the youth has ample opportunity to activate voice and choice as
they explore potentially traumatic/adverse childhood experiences, life domain
functioning, behavioral and emotional needs, cultural factors, risk behaviors,
important support persons, strengths, etc. In addition to the CANS assessment
tool, the Mental Health Professional will utilize the Pediatric Symptom Checklist-
35 (PSC-35). This assessment tool will be made available for all members of the
youth's CFT to provide opportunity for the expression of feedback regarding
behavior, emotions, learning, physical health, and other details gleaned from
first-line observations of the youth who is being placed with For the Future
STRTP. Because members of the youth's CFT are often the first to notice
emergent issues related to the youth's mental and behavioral health, For the
Future STRTP Mental Health Practitioners intend to consult with them through
the use of the PSC-35 to ensure a comprehensive word picture is developed
through the finalized assessment document. And, thus, this comprehensive
assessment—which includes the needs, strengths, current functional
impairment(s), trauma narrative and history, behavioral patterns, cognitive
schema, and emotional portfolio—informs the youth's diagnostic map and
Individual Services and Support Plan (ISSP).
B. Plan Development
a. For the Future STRTP assists all Residents/Youth in developing an
Individualized Treatment Plan while in the program.
b. The Individualized Treatment Plan seeks to assist Residents with:
i. Maximizing their strengths and abilities,
ii. Addressing their behavioral health goals through the identification of the
care needs,
iii. Documenting specific goals and objectives,
iv. Outlining the criteria or steps for achieving specified interventions, and
documenting individual progress toward meeting specified goals and
objectives.
c. The Mental Health Professional is responsible for collaborating with each
Resident in developing an Individual Services and Support Plan (ISSP) within 72
hours of placement. In essence, the assessment phase of treatment includes
and informs the cultivation of the Individual Services Support Plan. Using the
various assessment tools during the assessment phase (i.e., Biopsychosocial
Assessment, CANS, and PSC-35) the Mental Health Professional ensures that
an individualized, trauma-informed, and strengths-based ISSP is developed for
each youth.
d. Treatment plans and goals are expressed in the words of the youth so as to
ensure that each youth takes an active role in the development of their plan and
experiences opportunity to activate voice and choice with regard to treatment
protocol and the overall treatment trajectory.
B-18-8
Exhibit B-18
e. Goals are developed to be specific, measurable, attainable, reasonable, and
time-bound.
f. Individualized Treatment Plans will be updated whenever a significant change in
clinical status, services, or programming requires such a revision, and/or by
timelines established by the organization.
g. Each youth will actively participate in, and agree to, any changes in their
treatment plan.
C. Mental Health Therapy
a. For the Future STRTP's Mental Health Professionals provide individual
psychotherapy once per week (at minimum or as otherwise indicated in the
Needs and Services Plans)for each youth in the program. The Mental Health
Professional utilizes Trauma-Informed, Person-Centered, Neuro-Relational,
culturally and developmentally informed, and strengths-based clinical modalities
with emphasis on unconditional positive regard, genuineness, empathic
understanding, and positive relational dynamics (i.e., mutual respect, reciprocity,
receptivity, etc.).
b. Additional modalities and interventions are used as needed, or identified as
clinically appropriate, during treatment and include, but are not limited to,
integrative arts therapeutic modalities, Motivational Interviewing, Cognitive
Behavioral Therapy, Gestalt, Family Systems, Existential-Humanistic
psychotherapeutic perspective, Person Centered, Solution Focused, Strategic
Family Therapy, Structural Family Therapy, Psychodynamic (Jungian and
Freudian), Eclectic Psychotherapy (i.e., an open, integrative form of
psychotherapy that adapts to the unique needs of each, specific youth,
depending on presenting problem, treatment goals, and the youth's expectations
and level of motivation), Social Constructionist Theory, Narrative Psychotherapy,
Object Relations Theoretical Orientation, Collaborative Language Systems (i.e.,
language constructs meaning, reality, and self-orientation), and general
psychoeducation.
c. Integrative Arts Therapeutic Modalities: Mental Health Practitioners weave
diverse art mediums into the clinical interface with youth. When art and the
opportunity to tap into creative energy is introduced into the clinical milieu, youth
experience the chance to self-explore, taking a step back from their creative
pieces and finding that they may maintain an open posture for images to jump
forth, bearing insight and informing growth and transformation. This is an
opportunity to experience a new perspective. Multiple layers of information and
insight may be revealed through the creative process. Here, youth may find
opportunity to yield to the impulse to dance, drum, draw sketches, paint
canvases, write poetry, develop plays, present spoken word performances, etc.
And, in and through their attempts to heed the compelling push to engage in the
creative impetus, youth may draw meaning, acumen, a more profound
understanding and relationship with Self. Openly sharing and expressing
personal information is not an easy task. By integrating arts into the Trauma-
Informed, Person-Centered, Neuro-Relational, and developmentally and
culturally sensitive clinical practice, For the Future STRTP Mental Health
Practitioners create a landscape for youth to consider the reciprocal relation
between Self and the creative process, between prospective connections of
B-18-9
Exhibit B-18
past and present, between the role of disenfranchised victim and powerful
victor. Through Integrative Arts Therapeutic Modalities, Persons-served take
inventory, pause to ponder, re-author, plan, catalyze opportunities for growth,
transformation, and resilience.
d. For a youth who comes into For the Future STRTP's program with an already
established outside provider or Mental Health Professional who is already
providing Specialty Mental Health Services (SMHS), steps are made to ensure
the youth continues individual psychotherapy with their provider. For the Future
STRTP is prepared to provide psychoeducation to youth about the importance of
continuity of care.
i. This includes all aspects of scheduling, communicating, and transporting
the Resident to mental health psychotherapy sessions.
e. Many survivors of sexual exploitation suffer from
sexual/physical/neglect/emotional abuse prior to sexual exploitation as well as
trauma associated with the exploitation. This complex trauma requires
intervention that allows for the trauma to be processed in a safe space, with a
trained Clinician. Strategies to cope with the trauma will be tailored to the
individual, integrating the youth's beliefs, practices, sexual orientation, gender
identity, level of acculturation, and cultural values. For victims of CSEC
(commercial sexual exploitation of children), treatment accommodations: that
approach youth with humility and deference; that demonstrate Mental Health
Practitioner's overt expressions of intent to respect the distinctive treatment
needs of youth; that encourage youth to activate voice and choice will be
explained and implemented during individual and group psychotherapy sessions.
At For the Future STRTP, the clinical team has created worksheets that may be
incorporated as part of the work with CSEC youth. One such worksheet is
entitled The Story of Me. This activity demonstrates to youth that through
Trauma-Informed, Person-Centered, Neuro-Relational, culturally and
developmentally sound approaches, youth may learn that they are the author of
their own stories and the authority on their needs (i.e., the expert on the topic).
These therapeutic modalities foster voice and choice, creating space for the
cultivation of a narrative through which youth may engage in discourse relative to
their own unique social-emotional and relational needs that can be expressed in
a safe, structured, goal-oriented environment. With the worksheet The Story of
Me, the Mental Health Practitioner facilitates the youth's attempts to begin writing
"the story of Me." The facilitator/Mental Health Practitioner may scribe the
verbalized personal narrative, or youth may choose to write the story herself, with
her own hands. Another example of a For the Future STRTP worksheet that
may be incorporated as part of the work with CSEC youth is one that is entitled
Exploring the Terrain of my Body and the Landscape of my Soul. Through a
Neuro-Relational therapeutic methodological approach—as Persons-served
cultivate meaningful interpersonal bonds with Staff/Mental Health Practitioners of
For the Future STRTP—they will understand how anxiety, depression, confusion,
anger, trauma response, and various other psychosomatic states "tell a story"
and reveal powerful data. They will develop rationale for exposure practice (i.e.,
slowly re-living historical information through re-telling of their personal and
trauma narratives), initiating their own steps toward optimism about their current
B-18-10
Exhibit B-18
situations. This way, the hope is that youth will be interested in participating in,
and learning more about, treatment. During engagement in this worksheet
activity, the facilitator/Mental Health Practitioner initiates a list with youth of words
and statements that capture the youth's experience of psychosomatic distress.
Here, the facilitator/Mental Health Practitioner may need to provide
psychoeducation about how we experience hurt and suffering in the body,
focusing on emotional pain that may at times feel like it is "stored" in a particular
part of the body. On the second page of this clinical document/worksheet is a
rough image/sketch of the human body to which youth may refer to identify these
areas (i.e., areas where pain and suffering may be "stored"). Once these
worksheets are completed, the Mental Health Practitioner files them in the
"Miscellaneous" section of the youth's casefile.
f. The Mental Health Professional will also provide family psychotherapy sessions
for the youth to facilitate exploration of: feelings of alienation and estrangement
from the family unit; quick escalation of tension and conflict, especially when
situations force family members to interact; appearance of negative
psychological or behavioral side effects of the family's disengagement; lost sense
of self due to the effects of the family disengagement; etc.
i. These sessions will focus on incorporating the youth's goals within the
family psychotherapy discourse. Additionally, the Mental Health
Practitioner facilitates the family's work toward the goals of: minimizing
blame patterns among family members to replace them with more
effective methods of problem-solving; reducing the anger and agitation
that accompanies blaming behavior; restructuring the view of the causes
of family conflicts so as to seek solutions rather than placing blame;
collaborating to reduce feelings of hopelessness and dissatisfaction with
life areas (e.g., daily activities and social relationships); utilizing coping
skills to resolve the collective experience of depression and anxiety to
return to a level of participation in, and contribution to, family activities.
ii. The Mental Health Professional will also look at barriers or obstacles to
the Resident returning home to their biological family or resource/foster
family and discuss this during the family psychotherapy sessions.
D. Rehabilitation
a. At For the Future STRTP, rehabilitation services come in the form of group
psychotherapy sessions. These are offered to all Residents served in the
program at a minimum of three times per week to ensure that all youth have
access to socially rehabilitative learning and transformative opportunity to
enhance their level of engagement in all life areas (e.g., daily activities and social
relationships).
i. Groups are facilitated by Staff members that are Master's level Associate
Clinical Social Workers or Associate Marriage and Family Therapists.
Groups may also be conducted by: Pre-Doctoral Clinical Psychology
Practicum Students; Interns from disciplines of Marriage and Family
Therapy, Clinical Social Work, and Psychology; Marriage and Family
Therapy Trainees; and Residential Counselors. Each discipline and its
corresponding Associate or Intern or Student will have their Clinical
B-18-11
Exhibit B-18
and/or Administrative Supervisor who oversees the minutia of the
services rendered to the Persons-served. For example, the Pre-Doctoral
Clinical Psychology Practicum Student receives two units of supervision
per week, once facilitated by Licensed Clinical Psychologist and the
second one, conducted by Head of Service of For the Future STRTP.
The incumbent—Clinical Supervisor and/or Administrative Supervisor—
shall provide clinical supervision to the agency's Social Workers and
Marriage & Family Therapists and manage the direction of the program
with regard to: evolving behavior systems at the facility (i.e., current
behavioral patterns demonstrated by current Residents of the facility);
established and/or emergent interventions; and treatment goals. The
incumbent shall follow all federal, state, and local regulations/laws,
including legal requirements of their individual license(s). This way, all
license-waivered Staff and interns/students of Clinical Social
Work/Psychology/Marriage and Family Therapy are closely supervised
and supported as they facilitate services that establish and maintain
safety of youth and empower youth to arrive at a level of psychological,
emotional, social, and educational functioning that will serve them now
and in the long run.
b. Group topics rotate each week and include the following areas:
i. Anger Management,
ii. Mindfulness and Meditation,
iii. Art Therapy,
iv. Nutrition,
v. Life Skills, and
vi. Weekly Goal Setting.
c. The purpose of these rehabilitation groups is to provide each youth the
opportunity to develop, strengthen, and practice essential skills in and out of the
program setting, including positive coping skills, effective/impactful/conscientious
social and communication skills, healthy independent living skills, self-advocacy,
resourcefulness in the community, collaborative interpersonal
dynamics/teamwork, etc.
E. Collateral
a. The Mental Health Professional and other Staff will provide collateral services
for members of the youth's family.
b. The purpose of collateral services is to provide support for the Residents as
they work toward achievement of established treatment plan goals. The
purpose of collateral sessions is to empower all those who are involved in the
youth's life to take an active role in treatment, to cultivate skills necessary to
support the youth in the work toward established treatment goals, and to have
opportunity to demonstrate intention to remain consistently supportive and
committed to the youth's overall well-being. During collateral sessions, family
members, friends, caregivers, guardians, extended family members/relatives,
tribal representatives/members, etc. learn communication and problem-solving
skills to use with the youth as well as with each other (e.g., problem definition,
brainstorming solutions, evaluation of alternatives, solution enactment, and
enactment evaluation). Here, collateral individuals, who have potential to
B-18-12
Exhibit B-18
impact the youth's engagement in treatment, explore relational engagement
options that may: nurture cohesiveness with each other; eliminate feelings of
alienation through engagement in behaviors that facilitate cohesiveness and
intimacy; foster a sense of accomplishment in the ability to laugh and have fun
together; devise methods for coping with tension and crisis situations; etc.
Ultimately, collateral individuals—in the life of the youth in For the Future
STRTP's care—gain opportunity to learn best practice and best approaches to
consistently support and empower youth to remain anchored in goal-oriented
engagement in treatment and in the rigorous work that goes into treatment-goal-
achievement.
c. These services are designed to connect with significant others related to the
youth, without the Resident present. "Related to the Resident," here, implies
bio-family relations, stake holder relations, youth's support network relations,
and all those who have established themselves as Child Family Team
Members. And, the purpose of such meetings is anchored in treatment
collaboration and coordination, open dialogue, and strategy cultivation, all of
which informs the youth's Needs and Services Plan and the collective's efforts
to address and meet the youth's needs related to daily activities and social
relationships.
d. These services may be conducted at:
i. The facility,
ii. In the community,
iii. By phone, or
iv. At the family member's home.
e. Activities under collateral may include, but not be limited to:
i. Parent education and training
ii. Discussion of the Resident's treatment to encourage the
Family/collective/CFT support of the youth in remaining anchored in the
spirit of treatment planning and, also, in the established NEEDS AND
SERVICES PLAN. Additionally, these collateral meetings serve to
ensure that all those committed to the youth's wellness remain ever-
mindful to consistently empower Persons-served to activate voice and
choice in planning their own life areas-related activities.
iii. Interventions with family members/the collective stakeholders/Child
Family Team to improve the Resident's/Youth's goal outcomes. It is For
the Future STRTP's commitment to team with current and potential
natural supports that will empower the youth to maintain pro-active
levels of engagement in daily activities and social relationships. For the
Future STRTP utilizes the CFT meetings to integrate perspectives and
input from: the youth, biological family, other family and caregivers as
defined by youth and family, coaches, faith-related individuals (e.g.,
priest, pastor, rabbi, imam, tribal member, etc.), and all those who have
voiced and demonstrated a vested interest in the well-being of youth.
For the Future STRTP's administrative team/leadership team
understands the importance of recruitment and support of collateral
individuals such as mentors, resources, and potential long-term
supporters of the youth's journey. For the Future STRTP's perspective
as it relates to collateral supports is that they are individuals who have
currently impacted, or can potentially impact, the youth's functioning in
the current placement, during transition, and after transition.
B-18-13
Exhibit B-18
F. Intensive Home Based Services
a. IHBS are individualized, strength-based, Person-Centered, Neu ro-Relational,
and Trauma-Informed interventions designed to ameliorate Mental Health
conditions that interfere with youth's functioning.
b. These interventions are aimed at:
i. Helping youth build skills for successful functioning in the home and
community
ii. Improving the family's ability to help youth successfully function in the
home and in the community
c. IHBS activities support the engagement and participation of the youth and their
significant support Persons in the overall treatment planning and coordination of
services.
d. IHBS activities help the youth develop skills and achieve the goals and objectives
of the plan.
e. IHBS service activities include, but are not limited to: medically necessary, skill-
based, Trauma-Informed, Neu ro-Relational, Person-Centered, culturally and
developmentally sensitive interventions for the remediation of behaviors or
improvement of symptoms, including, but not limited to:
i. The implementation of a positive behavioral plan and modeling
interventions for the youth's family and/or significant others to assist them
in implementing the strategies;
ii. Development of functional skills to improve self-care and self-regulation;
iii. Addressing functional impairments by intervening to decrease or replace
non-functional behavior that interferes with daily living tasks;
iv. Addressing functional impairments by intervening to avoid exploitation by
others;
v. Development of skills or replacement behaviors that allow the youth or
Resident to fully participate in the CFT meetings and service plans
cultivation meetings, including, but not limited to, the Client Plan and/or
Child Welfare Service Plan;
vi. Improvement of self-management of symptoms, including self-
administration of medications, as appropriate;
vii. Education of the youth and/or their family or caregiver(s) et al about
consistently remaining sensitive and navigating interactions with the youth
in light of mental health disorders or symptoms;
viii. Support of the development, maintenance, and use of social networks,
including the use of natural and community resources;
ix. Support to address behaviors that interfere with the achievement of a
stable and permanent family life;
x. Support to address behaviors that interfere with seeking and maintaining
a job;
A. Support and empower activation of self-advocacy skills and deliverance
of voice and choice;
xii. Support to address behaviors that interfere with a youth's success in
achieving educational objectives in a community academic program; and
xiii. Support to address behaviors that interfere with transitional independent
living objectives, such as seeking and maintaining housing and living
independently, including accessing employment opportunities.
B-18-14
Exhibit B-18
f. To access IHBS, the youth will be referred to Ventura County Behavioral Health
(VCBH) by For the Future STRTP's Case Manager. Youth will be assigned a For
the Future STRTP Primary Clinician to facilitate IHBS.
G. Other Mental Health Services
a. For the Future STRTP will not be providing the following Mental Health Services,
but will refer Residents in need of these services to Ventura County Behavioral
Health Department:
i. Therapeutic Behavioral Services (TBS), which are intended to be short-
term intensive behavior-modification approaches that are geared toward
enhancing the youth's level of engagement in daily activities and social
relationships. To access both TBS and IHBS, the For the Future STRTP
Case Manager will refer the youth to VCBH or to a provider contracted
through VCBH (e.g., CASA PACIFICA, ASPIRANET, etc.). Additionally,
the decision to initiate TBS is established during CFT meetings.
ii. For the Future STRTP will provide opportunity for youth to interact with
Emotional Support Animals (ESA), such as trained dogs. It is the belief of
For the Future STRTP that Emotional Support Animals may: increase the
probability of youth demonstrating active engagement in the
psychotherapy session through interaction with the animal; create a
calming effect in the safe, therapeutic space that has been designated for
treatment (i.e., as the youth witnesses the breathing cadence of the
animal, this may inform deep breathing exercises that are practiced in
session to work through emotionally activating moments during the
cultivation of the trauma narrative); foster nurturance and empathy toward
helpless animals as the youth develops relationship with the Emotional
Support Animal and finds opportunity to care for the ESA; etc.
STAFFING
A. All licensed, waivered, and registered mental health professionals providing services at
the STRTP shall meet all legal requirements for professional licensing, waiver, or
registration, as applicable.
B. Adequate numbers and qualifications of direct service program staff shall be employed,
present, awake, and on duty seven (7) days per week.
C. For The Future shall have at least one (1) full-time equivalent direct service program
staff from the following list employed for each six (6) children admitted to the program:
a) Physicians
b) Psychologists or psychologists who have received a waiver pursuant to WIC
Code 5751.2
c) Licensed Clinical Social Workers or registered professionals pursuant to WIC
Code 5751.2
d) Licensed Marriage, Family, and Child Therapists or registered professionals
pursuant to WIC Code 5751.2
e) Licensed Professional Clinical Counselors or registered professionals pursuant to
WIC Code 5751.2
B-18-15
Exhibit B-18
f) Psychiatric Technicians
g) Mental Health Rehabilitation Specialists as defined in Section 630 of Title 9 CCR
D. Of the direct service program staff required above, For The Future have one (1) half-time
equivalent LMHP employed for each six (6) children admitted to the program. A LMHP
who is employed to meet this requirement may also be the head of service, if employed
at least forty (40) hours per week.
E. For The Future shall have access to the psychiatrist twenty-four (24) hours per day.
PERFORMANCE MEASURES/PROGRAM OUTCOMES
For The Future shall provide all project monitoring and compliance protocols, procedures, data
collection methods, and reporting requirements requested by the County. For The Future
utilizes performance and outcome measures for evaluating program and system effectiveness
to ensure services and service delivery strategies are positively impacting the youth in their
care. Performance outcome measures shall be reported to the County annually in accumulative
reports for overall program and contract evaluation.
For The Future will address each of the categories referenced below and may additionally
propose other performance and outcome measures that are deemed best to evaluate the
services provided and/or to evaluate overall program performance.
The placing County forwards to the attention of the STRTP, the youth's placement packet for
review, to identify appropriateness of youth's placement at the STRTP. As youth arrives to the
STRTP during initial placement, specialty mental health services commence.
Each Resident that enters the residential program at For the Future STRTP is assessed upon
intake and every 30 days throughout the duration of their placement.
The Mental Health Professional is responsible for completing a comprehensive biopsychosocial
assessment of the Resident within 5 days of intake.
The Mental Health Professional is responsible for collaborating with each Resident in developing
an Individual Services and Support Plan (ISSP) within 10 days of placement.
For each child, the STRTP shall ensure that there is a minimum of one (1)written daily mental
health progress note. The daily progress note shall document the following when applicable:
1) The specific service(s) provided to the child.
2) A child's participation and response to each mental health treatment service
directly provided to the child.
3) Observations of a child's behavior.
4) Possible side effects of medication.
5) Date and summaries of the child's contact with the child's family, friends, natural
supports, child and family team, existing mental health team, authorized legal
representative, and public entities involved with the child.
B-18-16
Exhibit B-18
6) Descriptions of the child's progress toward the goals identified in the mental
health treatment plan.
The STRTP shall make available for each youth a structured Mental Health Treatment Services
in the day and evening, seven days per week, according to the Child's needs as indicated on the
Child's Needs and Services Plan/Treatment Plan.
In addition to the biopsychosocial assessment, the Mental Health Professional utilizes
assessment instruments such as the PHQ-9 and GAD-7 bi-weekly to assess for the presence of
self-reported symptoms of depression and anxiety. Additionally, a CANS—Child and
Adolescent Needs and Strengths—assessment will be completed in collaboration with the youth
to facilitate the youth's exploration and identification of needs and strengths. This way, For the
Future STRTP Clinical Team facilitates a bridge between the assessment process and the
development of the blueprint for individualized service plans.
Progress of services provided to youth in care will be measured by:
a. Reduction in PHQ-9 score
b. Reduction in GAD-7 score
c. Reduction in suicidal risk on the C-SSRS
d. Behavioral observation by the Mental Health Practitioner
e. Completion of homework/assignments
f. Youth's self-report
g. Parent/guardian self-report
Our ultimate goal is to provide short-term intervention to help youth transition to a family setting.
This will consist of equipping the youth we serve with skills to be better able to self-regulate and
decrease symptoms they or their service providers/guardians/parents deem as negative or
debilitating. We aim to equip the youth we serve with the skills that will enable them to live fully
healthy lives. This will look like being better able to take care of their own physical, emotional,
and mental health needs. We strive to be transparent in the delivery of all services and
accountable to all who rely on us for support. We aim to recruit and maintain high caliber
individuals and services to serve the youth with whom we are entrusted.
It is the goal of the STRTP to successfully return the youth to a stable and permanent placement
within the community, whether it be:
a. With a biological parent or relative,
b. A resource family, or
c. An independent/transitional living program.
A. Access to care: The ability of youth to receive the right service at the right time.
a) 100% of youth will have a mental health assessment started on the first day of
admit.
b. 100% of youth will have a mental health assessment completed within 5 days of
admit.
B-18-17
Exhibit B-18
c. 100% of youth will have an Individual Services and Support Plan in place within
10 days of admit.
B. Effectiveness: Objective results achieved through services.
a) 100 % of youth will demonstrate an increase in their CANS score at discharge,
compared to admit.
b) 100% of youth will have a discharge plan in place within five days of admit.
C. Efficiency: Demonstration of the relationship between results and the resources used to
achieve them.
a) 90% of youth will be discharged to a lower level of care within 12 months.
D. Satisfaction and Compliance: The degree to which persons served, County, and other
stakeholders are satisfied with the services.
a) 90% of youth will report that they are satisfied with the services received at For
the Future STRTP.
For The Future STRTP understands that the County may adjust the performance and outcome
measures periodically throughout the duration of this Agreement, as needed, to best measure
the program. For The Future STRTP will utilize a computerized tracking system with which
performance and outcome measures and other relevant data, such as demographics, will be
maintained.
B-18-18
Exhibit B-19
Scope of Services
ORGANIZATION: Guiding Our Youth
ADDRESS: 1197 E Los Angeles Ave #338
Simi Valley Ca 93065
TELEPHONE: 714-625-1218
CONTACT PERSON: Melissa Martire, CFO
CONTRACT PERIOD: Upon execution —June 30, 2025
SUMMARY OF SERVICES
Our Mental Health Program as per CDSS ILS Code 87089.1 (AB 403 Sec 59, WIC 4096.5) will
provide the following mental health services and supports for our residents. Guiding Our Youth
Short Term Residential Therapeutic Program (GOY STRTP) documents the Youth's ability to
access mental health services identified in the Needs and Services Plan. The agency also
documents efforts to ensure access to identified mental health services, including utilization of
any existing grievance processes for accessing services. Currently, county placing agencies
from which GOY STRTP receives/accepts placement include: Ventura County, Riverside
County, San Bernardino County, Los Angeles County, Sacramento, Yolo County, San Luis
Obispo County, San Francisco County, Marin County, Fresno County, and private placements
are also accepted.
A. Mental Health Assessment
B. Plan Development
C. Mental Health Therapy
D. Rehabilitation
E. Collateral
F. Intensive Home Based Services (IHBS)
G. Opportunity for Youth to interact with Emotional Support Animals (ESA), such as trained
dogs.
TARGET POPULATION
The STRTP is designed to provide an intensively structured Mental Health Treatment Program
for:
• Cis-gendered females, or
• Persons identifying as female, or
• Individuals born with female genitalia who prefer to be placed with individuals
who are cis-gendered female or identify as female, and
• Between the ages of 13 and 17
B-19-1
Exhibit B-19
These residents will come from all ethnic and cultural groups that are served in the counties from
which we receive placement.
Residents will be accepted with diverse, special, unique needs, including, but not limited to:
• Intellectual disabilities
• Commercially and sexually exploited children (CSEC)
• Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ) and/or those with a
different/another sexual orientation, gender identity and expression (SOGIE:
Sexual Orientation, Gender Identity & Expression)
• Individuals with a history of trauma and extensive trauma narrative(s),
including complex trauma that may require a multi-layered and multi-
dimensional clinical approach and treatment protocol that are geared toward
addressing simultaneous triggers—emotional, psychological, somatic, or
psychosomatic—which may be informed by internal and/or external stimuli
related to post-traumatic stress (i.e., the Youth may have been exposed to
concurrent and systematic abuse of sexual exploitation and physical
violence/torture).
• Those with a history in the juvenile justice system
• Those with a medical condition such as asthma, diabetes, epilepsy, etc.
These Residents are being transferred from higher levels of care, or have been previously
unsuccessful in maintaining community placements, or their Parent/Guardian have determined
they are best suited for residential treatment.
The youth served by GOY STRTP will be those who have an active psychiatric diagnosis and
may have co-occurring substance abuse issues.
Individuals receiving services are referred by County Placement Agencies or Probation, and are
funded by AFDC (Aid to Families with Dependent Children).
SERVICE LOCATIONS
Guiding Our Youth: Cutler Guiding Our Youth: Casarin
2136 Cutler St. 1672 Casarin Ave
Simi Valley 93065 Simi Valley Ca 93065
CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
GOY STRTP shall provide mental health treatment, including specialty mental health services,
and mental health supports, as appropriate to the needs of the child. All specialty mental health
services shall meet Medi-Cal standards. These services shall include all of the following:
B-19-2
Exhibit B-19
A. Mental Health Assessment:
i. A mental health assessment shall be completed by a licensed mental
health professional (LMHP) or waivered/registered associate within five
(5) calendar days of a youth's admission.
ii. A mental health assessment that was completed by an LMHP within sixty
(60) calendar days may also be used to meet this requirement.
B. Client Plan:
i. Each youth admitted to the STRTP shall have a Client Plan prepared,
reviewed and signed by an LMHP or the Head of Service (HOS) or any
other related discipline designated by the HOS within ten (10) calendar
days of admission.
ii. The Client Plan is reviewed by a member of the mental health program
staff at least every thirty (30) calendar days.
iii. Client Plan of each youth or non-minor dependent shall include:
a) anticipated length of stay;
b) specific behavioral goals;
c) specific mental health treatment services;
d) one or more transition goals that support the rapid and
successful transition of the youth back into the community;
e) the youth's participation and agreement; and
f) evidence of review by a member of the STRTP mental
health program staff.
C. Collaborating with the Child and Family Team (CFT), consistent with the Client
Plan.
D. Specialty Mental Health Treatment Services: STRTPs shall make available for
each youth structured specialty mental health treatment services during the day
and evening, seven (7) days per week, according to the youth's needs as
indicated on the youth's Client Plan. At minimum, the following mental health
treatment services (as defined in Title 9 of the California Code of Regulations)
shall be made available, as medically necessary:
i. Mental Health Services— individual or group therapies and interventions
that are designed to provide reduction of mental disability and restoration,
improvement, or maintenance of functioning consistent with the goals of
learning, development, independent living, and enhanced self-sufficiency.
Service activities may include assessment, plan development, therapy,
rehabilitation, and collateral services.
B-19-3
Exhibit B-19
a) Assessment - A clinical analysis of the history and current
status of a youth's mental, emotional, or behavioral
disorder to include relevant cultural and social issues,
history, diagnosis, and any recorded testing results.
b) Plan Development—The development of Client Plans, to
include the youth's needs and services, approval of client
plans, and monitoring of a youth's progress. Clients
participate in the development of the Client Plan which is a
comprehensive detail of the youth's needs, personal goals
and objectives for improvement and exiting from the
STRTP program. It also includes a treatment component
which is specific to mental health and behavioral
improvements the youth would like to work toward.
c) Collateral —This is any service activity to a significant
support person in a youth's life with the intent of improving
or maintaining the mental health status of the youth.
Collateral services include, but are not limited to, helping
significant support persons to understand and accept the
youth's condition and involving them in service planning
and implementation of the Client Plan. Family counseling
or therapy, which is provided on behalf of the youth, may
be considered collateral.
ii. Medication Support Services — shall be provided via tele-health. GOY
STRTP will monitor that the following is adhered to by the psychiatrist for
these services:
a) Within the first thirty (30) days of the youth admission, the
psychiatrist shall examine each youth prior to prescribing any
psychotropic medication and include a screening to determine
whether there are potential medical complications that may
contribute to the youth's health condition. This examination shall
be noted in the youth's record.
b) The psychiatrist shall sign a written medication review for each
youth prescribed psychotropic medication as clinically appropriate,
but at least every six (6) weeks. This review shall be included in
the youth's record.
c) The psychiatrist shall review the course of treatment for all youth
who are not on psychotropic medication at least every ninety (90)
days and include the results of this review in a progress note
B-19-4
Exhibit B-19
signed by the prescribing physician at the time the review is
completed.
d) Psychotropic medications for a youth placed in an STRTP shall be
administered in accordance with all applicable State and Federal
laws, which include but are not limited to laws related to informed
consent, documentation of informed consent, and California
Welfare & Institutions (WIC) Code Sections 369.5 and 739.5.
e) STRTPs providing care supervision to children diagnosed by a
physician, psychologist, or licensed clinical social worker as
mentally disordered shall make provision for at least monthly
consultation from a psychiatrist, clinical psychologist, or licensed
clinical social worker regarding the program of services.
iii. Crisis Intervention — an emergency response that enables a youth to cope
with a crisis. Activities are intended to support, improve, or maintain the
youth's mental health status.
iv. Therapy—therapeutic intervention that focuses on symptom reduction in
order to improve identified functional impairments. This service may be
delivered to an individual or group and may also include family therapy.
Youth shall receive both individual and group therapy at least once per
week. The therapeutic modalities are Cognitive Behavioral Therapy
(CBT), Dialectical Behavior Therapy (DBT), and the Trauma Resiliency
Model (TRM). CBT is effective in treating children and adolescents who
have persistent behavioral reactions, DBT focuses on problem-solving
and acceptance-based strategies within a framework of dialectical
methods, and TRM focuses on the concept the biological basis of trauma.
v. Targeted Case Management—any service that assists the youth to
access the needed social, vocational, medical, educational, rehabilitative
or other community services. Services may include, but are not limited to,
communication, coordination and referral to available resources.
vi. Psychologist Services—services provided by licensed psychologists,
within their scope of practice, to diagnose or treat a mental illness or
condition.
vii. EPSDT Supplemental Specialty Mental Health Services— mental health
related diagnostic services and treatment available under the Medi-Cal
program only to persons under 21 years of age. These include but are
not limited to Intensive Care Coordination (ICC) and Intensive Home-
Based Services (IHBS) services in accordance with the "Medi-Cal Manual
B-19-5
Exhibit B-19
for Intensive Care Coordination (ICC), Intensive Home-Based Services
(IHBS), & Therapeutic Foster Care (TFC) for Medi-Cal Beneficiaries."
E. A licensed mental health professional shall perform a clinical review every ninety
(90) days of the youth's status and progress in treatment to determine whether
the youth should continue admission in the program or be transitioned to a
different level of care. The LMHP shall make this determination in consultation
with the placing agency. A report documenting this clinical review shall be
maintained in the youth's record.
F. Ensuring continuity of care, services, and treatment as a youth moves from his or
her STRTP placement to home-based family care or to a permanent living
situation through reunification, adoption, or guardianship, in accordance with the
youth's case plan or treatment plan.
G. Documenting the youth's ability to access mental health services identified in the
Client Plan, or efforts made by the STRTP to ensure access to identified mental
health services, including utilization of any existing grievance processes for
accessing services.
i. Progress notes shall be written to document a youth's participation and
responses to mental health treatment services. The progress notes shall
meet Medi-Cal requirements of documentation and shall be maintained in
the youth's record.
ii. On the same day as the mental health treatment service, the progress
notes shall be signed and dated by the direct service program staff
member(s) who provided the service.
iii. The STRTP shall ensure that documentation and recordkeeping
requirements are met.
H. The youth's record must include:
i. Mental health assessment;
ii. Admission statement, signed by the HOS within five (5) days of
youth's arrival;
iii. Client Plan;
iv. STRTP mental health program progress notes;
v. Clinical review report and transition determination;
vi. Physician's orders, medication examinations, medication reviews,
written informed consent for prescribed medications;
vii. Copy of court orders or judgements regarding physical or legal
custody;
B-19-6
Exhibit B-19
viii. Documentation indicating each date and names of individuals or
groups of individuals who have participated in the development of
the Client Plan; and
ix. A transition determination plan.
I. The STRTP shall ensure that American Indian youth receive specialty mental
health services in accordance with the Federal Indian Child Welfare Act (25
U.S.C. Sec 1901 et seq.).
J. Further description of specialty mental health services provided at the STRTP:
GOY STRTP PROGRAM:
A. Assessment
a. Each Resident that enters the residential program at GOY STRTP is
assessed upon intake and every 30 days throughout the duration of their
placement.
b. The Mental Health Professional is responsible for completing a
comprehensive biopsychosocial assessment of the Resident within 72 hours
of intake.
c. Components of the assessment include, but are not limited to:
i. Background information/reason for placement,
ii. Placement history,
iii. Medical history, including past and present illnesses and
prescribed medications,
iv. Mental health history,
V. Substance use history,
vi. Family medical and mental health history,
vii. Safety screening including self-harm, suicidality, and psychiatric
hospitalization history,
viii. Sexual history and orientation,
ix. Spiritual and religious identification background,
X. School and educational background information,
A. Legal and criminal history,
xii. Employment history,
xiii. Hobbies/interests,
xiv. Resident's perception of their strengths, needs, abilities,
preferences, and identified goals, Mental Status Exam, and
xv. Mental Health Professional's interpretive summary including DSM-
5/ICD-10 diagnostic considerations.
d. In addition to the biopsychosocial assessment, the Mental Health
Professional utilizes assessment instruments such as the PHQ-9 and GAD-7
bi-weekly to assess for the presence of self-reported symptoms of depression
and anxiety. Additionally, a CANS—Child and Adolescent Needs and
Strengths—assessment will be completed in collaboration with the Youth to
facilitate the Youth's exploration and identification of needs and strengths.
This way, GOY STRTP Clinical Team facilitates a bridge between the
assessment process and the development of the blueprint for individualized
B-19-7
Exhibit B-19
service plans. GOY STRTP's in-house Mental Health Professionals will
remain ever-mindful of cultural relativity and nuances to which Youth may be
sensitive. In other words, when the CANS assessment is facilitated, GOY
STRTP's Mental Health Professionals will ensure that the discourse is
relatable, relevant, and accessible by the Youth so as to propel engagement
in diverse pathways for service planning. Here, the Youth has ample
opportunity to activate voice and choice as they explore potentially
traumatic/adverse childhood experiences, life domain functioning, behavioral
and emotional needs, cultural factors, risk behaviors, important support
persons, strengths, etc. In addition to the CANS assessment tool, the Mental
Health Professional will utilize the Pediatric Symptom Checklist-35 (PSC-35).
This assessment tool will be made available for all members of the Youth's
Child and Family Team to provide opportunity for the expression of feedback
regarding behavior, emotions, learning, physical health, and other details
gleaned from first-line observations of the Youth who is being placed with
GOY STRTP. Because members of the Youth's CFT are often the first to
notice emergent issues related to the Youth's mental and behavioral health,
GOY STRTP Mental Health Practitioners intend to consult with them through
the use of the PSC-35 to ensure a comprehensive word picture is developed
through the finalized assessment document. And, thus, this comprehensive
assessment—which includes the needs, strengths, current functional
impairment(s), trauma narrative and history, behavioral patterns, cognitive
schema, and emotional portfolio—informs the Youth's diagnostic map and
Individual Services and Support Plan (ISSP).
B. Plan Development
a. GOY STRTP assists all Residents/Youth in developing an Individualized
Treatment Plan while in the program.
b. The Individualized Treatment Plan seeks to assist Residents with:
i. Maximizing their strengths and abilities,
ii. Addressing their behavioral health goals through the identification
of the care needs,
iii. Documenting specific goals and objectives,
iv. Outlining the criteria or steps for achieving specified interventions,
and
documenting individual progress toward meeting specified goals and
objectives.
c. The Mental Health Professional is responsible for collaborating with each
Resident in developing an Individual Services and Support Plan (ISSP) within
72 hours of placement. In essence, the assessment phase of treatment
includes and informs the cultivation of the Individual Services Support Plan.
Using the various assessment tools during the assessment phase (i.e.,
Biopsychosocial Assessment, CANS, and PSC-35) the Mental Health
Professional ensures that an individualized, trauma-informed, and strengths-
based ISSP is developed for each Youth.
d. Treatment plans and goals are expressed in the words of the Youth so as to
ensure that each Youth takes an active role in the development of their plan
B-19-8
Exhibit B-19
and experiences opportunity to activate voice and choice with regard to
treatment protocol and the overall treatment trajectory.
e. Goals are developed to be specific, measurable, attainable, reasonable, and
time-bound.
f. Individualized Treatment Plans will be updated whenever a significant change
in clinical status, services, or programming requires such a revision, and/or
by timelines established by the organization.
g. Each Youth will actively participate in, and agree to, any changes in their
treatment plan.
C. Mental Health Therapy
a. GOY STRTP's Mental Health Professionals provide individual psychotherapy
once per week (at minimum or as otherwise indicated in the Needs and
Services Plans) for each Youth in the program. The Mental Health
Professional utilizes Trauma-Informed, Person-Centered, Neu ro-Relational,
culturally and developmentally informed, and strengths-based clinical
modalities with emphasis on unconditional positive regard, genuineness,
empathic understanding, and positive relational dynamics (i.e., mutual
respect, reciprocity, receptivity, etc.).
b. Additional modalities and interventions are used as needed, or identified as
clinically appropriate, during treatment and include, but are not limited to,
integrative arts therapeutic modalities, Motivational Interviewing, Cognitive
Behavioral Therapy, Gestalt, Family Systems, Existential-Humanistic
psychotherapeutic perspective, Person Centered, Solution Focused,
Strategic Family Therapy, Structural Family Therapy, Psychodynamic
(Jungian and Freudian), Eclectic Psychotherapy (i.e., an open, integrative
form of psychotherapy that adapts to the unique needs of each, specific
Youth, depending on presenting problem, treatment goals, and the Youth's
expectations and level of motivation), Social Constructionist Theory, Narrative
Psychotherapy, Object Relations Theoretical Orientation, Collaborative
Language Systems (i.e., language constructs meaning, reality, and self-
orientation), and general psychoeducation.
c. Integrative Arts Therapeutic Modalities: Mental Health Practitioners weave
diverse art mediums into the clinical interface with Youth. When art and the
opportunity to tap into creative energy is introduced into the clinical milieu,
Youth experience the chance to self-explore, taking a step back from their
creative pieces and finding that they may maintain an open posture for
images to jump forth, bearing insight and informing growth and
transformation. This is an opportunity to experience a new perspective.
Multiple layers of information and insight may be revealed through the
creative process. Here, Youth may find opportunity to yield to the impulse to
dance, drum, draw sketches, paint canvases, write poetry, develop plays,
present spoken word performances, etc. And, in and through their attempts
to heed the compelling push to engage in the creative impetus, Youth may
draw meaning, acumen, a more profound understanding and relationship
with Self. Openly sharing and expressing personal information is not an
easy task. By integrating arts into the Trauma-Informed, Person-Centered,
Neu ro-Relational, and developmentally and culturally sensitive clinical
B-19-9
Exhibit B-19
practice, GOY STRTP Mental Health Practitioners create a landscape for
Youth to consider the reciprocal relation between Self and the creative
process, between prospective connections of past and present, between the
role of disenfranchised victim and powerful victor. Through Integrative Arts
Therapeutic Modalities, Persons-served take inventory, pause to ponder, re-
author, plan, catalyze opportunities for growth, transformation, and
resilience.
d. For a Youth who comes into GOY STRTP's program with an already
established outside provider or Mental Health Professional who is already
providing Specialty Mental Health Services (SMHS), steps are made to
ensure the Youth continues individual psychotherapy with their provider.
GOY STRTP is prepared to provide psychoeducation to Youth about the
importance of continuity of care.
i. This includes all aspects of scheduling, communicating, and
transporting the Resident to mental health psychotherapy
sessions.
e. Many survivors of sexual exploitation suffer from
sexual/physical/neglect/emotional abuse prior to sexual exploitation as well
as trauma associated with the exploitation. This complex trauma requires
intervention that allows for the trauma to be processed in a safe space, with a
trained Clinician. Strategies to cope with the trauma will be tailored to the
individual, integrating the Youth's beliefs, practices, sexual orientation,
gender identity, level of acculturation, and cultural values. For victims of
CSEC (commercial sexual exploitation of children), treatment
accommodations: that approach Youth with humility and deference; that
demonstrate Mental Health Practitioner's overt expressions of intent to
respect the distinctive treatment needs of Youth; that encourage Youth to
activate voice and choice will be explained and implemented during individual
and group psychotherapy sessions. At GOY STRTP, the clinical team has
created worksheets that may be incorporated as part of the work with CSEC
Youth. One such worksheet is entitled The Story of Me. This activity
demonstrates to Youth that through Trauma-Informed, Person-Centered,
Neuro-Relational, culturally and developmentally sound approaches, Youth
may learn that they are the author of their own stories and the authority on
their needs (i.e., the expert on the topic). These therapeutic modalities foster
voice and choice, creating space for the cultivation of a narrative through
which Youth may engage in discourse relative to their own unique social-
emotional and relational needs that can be expressed in a safe, structured,
goal-oriented environment. With the worksheet The Story of Me, the Mental
Health Practitioner facilitates the Youth's attempts to begin writing "the story
of Me." The facilitator/Mental Health Practitioner may scribe the verbalized
personal narrative, or Youth may choose to write the story herself, with her
own hands. Another example of a GOY STRTP worksheet that may be
incorporated as part of the work with CSEC Youth is one that is entitled
Exploring the Terrain of my Body and the Landscape of my Soul. Through a
Neuro-Relational therapeutic methodological approach—as Persons-served
cultivate meaningful interpersonal bonds with Staff/Mental Health
Practitioners of GOY STRTP—they will understand how anxiety, depression,
B-19-10
Exhibit B-19
confusion, anger, trauma response, and various other psychosomatic states
"tell a story" and reveal powerful data. They will develop rationale for
exposure practice (i.e., slowly re-living historical information through re-telling
of their personal and trauma narratives), initiating their own steps toward
optimism about their current situations. This way, the hope is that Youth will
be interested in participating in, and learning more about, treatment. During
engagement in this worksheet activity, the facilitator/Mental Health
Practitioner initiates a list with Youth of words and statements that capture
the Youth's experience of psychosomatic distress. Here, the
facilitator/Mental Health Practitioner may need to provide psychoeducation
about how we experience hurt and suffering in the body, focusing on
emotional pain that may at times feel like it is "stored" in a particular part of
the body. On the second page of this clinical document/worksheet is a rough
image/sketch of the human body to which Youth may refer to identify these
areas (i.e., areas where pain and suffering may be "stored"). Once these
worksheets are completed, the Mental Health Practitioner files them in the
"Miscellaneous" section of the Youth's casefile.
f. The Mental Health Professional will also provide family psychotherapy
sessions for the Youth to facilitate exploration of: feelings of alienation and
estrangement from the Family unit; quick escalation of tension and conflict,
especially when situations force Family members to interact; appearance of
negative psychological or behavioral side effects of the Family's
disengagement; lost sense of self due to the effects of the Family
disengagement; etc.
i. These sessions will focus on incorporating the Youth's goals
within the family psychotherapy discourse. Additionally, the
Mental Health Practitioner facilitates the Family's work toward the
goals of: minimizing blame patterns among Family members to
replace them with more effective methods of problem-solving;
reducing the anger and agitation that accompanies blaming
behavior; restructuring the view of the causes of Family conflicts
so as to seek solutions rather than placing blame; collaborating to
reduce feelings of hopelessness and dissatisfaction with life areas
(e.g., daily activities and social relationships); utilizing coping skills
to resolve the collective experience of depression and anxiety to
return to a level of participation in, and contribution to, Family
activities.
ii. The Mental Health Professional will also look at barriers or
obstacles to the Resident returning home to their biological family
or resource/foster family and discuss this during the family
psychotherapy sessions.
D. Rehabilitation
a. At GOY STRTP, rehabilitation services come in the form of group
psychotherapy sessions. These are offered to all Residents served in the
program at a minimum of three times per week to ensure that all Youth have
access to socially rehabilitative learning and transformative opportunity to
B-19-11
Exhibit B-19
enhance their level of engagement in all life areas (e.g., daily activities and
social relationships).
i. Groups are facilitated by Staff members that are Master's level
Associate Clinical Social Workers or Associate Marriage and
Family Therapists. Groups may also be conducted by: Pre-
Doctoral Clinical Psychology Practicum Students; Interns from
disciplines of Marriage and Family Therapy, Clinical Social Work,
and Psychology; Marriage and Family Therapy Trainees; and
Residential Counselors. Each discipline and its corresponding
Associate or Intern or Student will have their Clinical and/or
Administrative Supervisor who oversees the minutia of the
services rendered to the Persons-served. For example, the Pre-
Doctoral Clinical Psychology Practicum Student receives two units
of supervision per week, once facilitated by Licensed Clinical
Psychologist and the second one, conducted by Head of Service
of GOY STRTP. The incumbent—Clinical Supervisor and/or
Administrative Supervisor—shall provide clinical supervision to the
agency's Social Workers and Marriage & Family Therapists and
manage the direction of the program with regard to: evolving
behavior systems at the facility (i.e., current behavioral patterns
demonstrated by current Residents of the facility); established
and/or emergent interventions; and treatment goals. The
incumbent shall follow all federal, state, and local regulations/laws,
including legal requirements of their individual license(s). This
way, all license-waivered Staff and interns/students of Clinical
Social Work/Psychology/Marriage and Family Therapy are closely
supervised and supported as they facilitate services that establish
and maintain safety of Youth and empower Youth to arrive at a
level of psychological, emotional, social, and educational
functioning that will serve them now and in the long run.
b. Group topics rotate each week and include the following areas:
i. Anger Management,
ii. Mindfulness and Meditation,
iii. Art Therapy,
iv. Nutrition,
V. Life Skills, and
vi. Weekly Goal Setting.
c. The purpose of these rehabilitation groups is to provide each Youth the
opportunity to develop, strengthen, and practice essential skills in and out of
the program setting, including positive coping skills,
effective/impactful/conscientious social and communication skills, healthy
independent living skills, self-advocacy, resourcefulness in the community,
collaborative interpersonal dynamics/teamwork, etc.
E. Collateral
a. The Mental Health Professional and other Staff will provide collateral
services for members of the Youth's Family.
B-19-12
Exhibit B-19
b. The purpose of collateral services is to provide support for the Residents as
they work toward achievement of established treatment plan goals. The
purpose of collateral sessions is to empower all those who are involved in
the Youth's life to take an active role in treatment, to cultivate skills
necessary to support the Youth in the work toward established treatment
goals, and to have opportunity to demonstrate intention to remain
consistently supportive and committed to the Youth's overall well-being.
During collateral sessions, Family members, Friends, Caregivers, Guardians,
extended Family members/relatives, tribal
representatives/members, etc. learn communication and problem-solving
skills to use with the Youth as well as with each other (e.g., problem
definition, brainstorming solutions, evaluation of alternatives, solution
enactment, and enactment evaluation). Here, collateral individuals, who
have potential to impact the Youth's engagement in treatment, explore
relational engagement options that may: nurture cohesiveness with each
other; eliminate feelings of alienation through engagement in behaviors that
facilitate cohesiveness and intimacy; foster a sense of accomplishment in the
ability to laugh and have fun together; devise methods for coping with
tension and crisis situations; etc. Ultimately, collateral individuals—in the life
of the Youth in GOY STRTP's care—gain opportunity to learn best practice
and best approaches to consistently support and empower Youth to remain
anchored in goal-oriented engagement in treatment and in the rigorous work
that goes into treatment-goal-achievement.
c. These services are designed to connect with significant others related to the
Youth, without the Resident present. "Related to the Resident," here, implies
bio-family relations, stake holder relations, Youth's support network relations,
and all those who have established themselves as Child Family Team
Members. And, the purpose of such meetings is anchored in treatment
collaboration and coordination, open dialogue, and strategy cultivation, all of
which informs the Youth's NEEDS AND SERVICES PLAN and the
collective's efforts to address and meet the Youth's needs related to daily
activities and social relationships.
d. These services may be conducted at:
i. The facility,
ii. In the community,
iii. By phone, or
iv. At the Family member's home.
e. Activities under collateral may include, but not be limited to:
i. Parent education and training
ii. Discussion of the Resident's treatment to encourage the Family/
collective/CFT support of the Youth in remaining anchored in the
spirit of treatment planning and, also, in the established NEEDS
AND SERVICES PLAN. Additionally, these collateral meetings
serve to ensure that all those committed to the Youth's wellness
remain ever-mindful to consistently empower Persons-served to
activate voice and choice in planning their own life areas-related
activities.
iii. Interventions with Family members/the collective
stakeholders/Child Family Team to improve the
Resident's/Youth's goal outcomes. It is GOY STRTP's
commitment to team with current and potential natural supports
B-19-13
Exhibit B-19
that will empower the Youth to maintain pro-active levels of
engagement in daily activities and social relationships. GOY
STRTP utilizes the Child and Family Team meetings to integrate
perspectives and input from: the Youth, biological family, other
Family and Caregivers as defined by Youth and Family, coaches,
faith-related individuals (e.g., priest, pastor, rabbi, imam, tribal
member, etc.), and all those who have voiced and demonstrated
a vested interest in the well-being of Youth. GOY STRTP's
administrative team/leadership team understands the importance
of recruitment and support of collateral individuals such as
mentors, resources, and potential long-term supporters of the
Youth's journey. GOY STRTP's perspective as it relates to
collateral supports is that they are individuals who have currently
impacted, or can potentially impact, the Youth's functioning in the
current placement, during transition, and after transition.
F. Intensive Home Based Services
a. IHBS are individualized, strength-based, Person-Centered, Neuro-Relational,
and Trauma-Informed interventions designed to ameliorate Mental Health
conditions that interfere with Youth's functioning.
b. These interventions are aimed at:
i. Helping Youth build skills for successful functioning in the home
and community
ii. Improving the Family's ability to help Youth successfully function
in the home and in the community
c. IHBS activities support the engagement and participation of the Youth and
their significant support Persons in the overall treatment planning and
coordination of services.
d. IHBS activities help the Youth develop skills and achieve the goals and
objectives of the plan.
e. IHBS service activities include, but are not limited to: medically necessary,
skill-based, Trauma-Informed, Neuro-Relational, Person-Centered, culturally
and developmentally sensitive interventions for the remediation of behaviors
or improvement of symptoms, including, but not limited to:
i. The implementation of a positive behavioral plan and modeling
interventions for the Youth's Family and/or significant others to
assist them in implementing the strategies;
ii. Development of functional skills to improve self-care and self-
regulation;
iii. Addressing functional impairments by intervening to decrease or
replace non-functional behavior that interferes with daily living
tasks;
iv. Addressing functional impairments by intervening to avoid
exploitation by others;
V. Development of skills or replacement behaviors that allow the
Youth or Resident to fully participate in the CFT meetings and
service plans cultivation meetings, including, but not limited to, the
Client Plan and/or Child Welfare Service Plan;
vi. Improvement of self-management of symptoms, including self-
administration of medications, as appropriate;
B-19-14
Exhibit B-19
vii. Education of the Youth and/or their Family or Caregiver(s) et al
about consistently remaining sensitive and navigating interactions
with the Youth in light of mental health disorders or symptoms;
viii. Support of the development, maintenance, and use of social
networks, including the use of natural and community resources;
ix. Support to address behaviors that interfere with the achievement
of a stable and permanent Family life;
X. Support to address behaviors that interfere with seeking and
maintaining a job;
xi. Support and empower activation of self-advocacy skills and
deliverance of voice and choice;
xii. Support to address behaviors that interfere with a youth's success
in achieving educational objectives in a community academic
program; and
xiii. Support to address behaviors that interfere with transitional
independent living objectives, such as seeking and maintaining
housing and living independently, including accessing
employment opportunities.
f. To access to IHBS, the youth will be referred to Ventura County Behavioral
Health (VCBH) by GOY STRTP's Case Manager. Youth will be assigned a
GOY STRTP Primary Clinician to facilitate IHBS.
G. Other Mental Health Services
a. GOY STRTP will not be providing the following Mental Health Services, but
will refer Residents in need of these services to Ventura County Behavioral
Health Department:
i. Therapeutic Behavioral Services (TBS), which are intended to be
short-term intensive behavior-modification approaches that are
geared toward enhancing the youth's level of engagement in daily
activities and social relationships. To access both TBS and IHBS,
the GOY STRTP Case Manager will refer the youth to VCBH or to
a provider contracted through VCBH (e.g., CASA PACIFICA,
ASPIRANET, etc.). Additionally, the decision to initiate TBS is
established during Child and Family Team meetings.
ii. GOY STRTP will provide opportunity for youth to interact with
Emotional Support Animals (ESA), such as trained dogs. It is the
belief of GOY STRTP that Emotional Support Animals may:
increase the probability of youth demonstrating active engagement
in the psychotherapy session through interaction with the animal;
create a calming effect in the safe, therapeutic space that has been
designated for treatment (i.e., as the youth witnesses the breathing
cadence of the animal, this may inform deep breathing exercises
that are practiced in session to work through emotionally activating
moments during the cultivation of the trauma narrative); foster
nurturance and empathy toward helpless animals as the youth
develops relationship with the Emotional Support Animal and finds
opportunity to care for the ESA; etc.
B-19-15
Exhibit B-19
STAFFING
A. All licensed, waivered, and registered mental health professionals providing services at
the STRTP shall meet all legal requirements for professional licensing, waiver, or
registration, as applicable.
B. Adequate numbers and qualifications of direct service program staff shall be employed,
present, awake, and on duty seven (7) days per week.
C. GOY STRTP shall have at least one (1)full-time equivalent direct service program staff
from the following list employed for each six (6) children admitted to the program:
a) Physicians
b) Psychologists or psychologists who have received a waiver pursuant to WIC
Code 5751.2
c) Licensed Clinical Social Workers or registered professionals pursuant to WIC
Code 5751.2
d) Licensed Marriage, Family, and Child Therapists or registered professionals
pursuant to WIC Code 5751.2
e) Licensed Professional Clinical Counselors or registered professionals pursuant to
WIC Code 5751.2
f) Psychiatric Technicians
g) Mental Health Rehabilitation Specialists as defined in Section 630 of Title 9 CCR
D. Of the direct service program staff required above, GOY STRTP have one (1) half-time
equivalent LMHP employed for each six (6) children admitted to the program. A LMHP
who is employed to meet this requirement may also be the head of service, if employed
at least forty (40) hours per week.
E. GOY STRTP shall have access to the psychiatrist twenty-four (24) hours per day.
PERFORMANCE MEASURES/PROGRAM OUTCOMES
GOY STRTP shall provide all project monitoring and compliance protocols, procedures, data
collection methods, and reporting requirements requested by the County. GOY STRTP utilizes
performance and outcome measures for evaluating program and system effectiveness to
ensure services and service delivery strategies are positively impacting the youth in their care.
Performance outcome measures shall be reported to the County annually in accumulative
reports for overall program and contract evaluation.
GOY STRTP will address each of the categories referenced below and may additionally
propose other performance and outcome measures that are deemed best to evaluate the
services provided and/or to evaluate overall program performance.
B-19-16
Exhibit B-19
The placing County forwards to the attention of the STRTP, the youth's placement packet for
review, to identify appropriateness of youth's placement at the STRTP. As youth arrives to the
STRTP during initial placement, specialty mental health services commence.
Each Resident that enters the residential program at GOY STRTP is assessed upon intake and
every 30 days throughout the duration of their placement.
The Mental Health Professional is responsible for completing a comprehensive biopsychosocial
assessment of the Resident within 5 days of intake.
The Mental Health Professional is responsible for collaborating with each Resident in developing
an Individual Services and Support Plan (ISSP) within 10 days of placement.
For each child, the STRTP shall ensure that there is a minimum of one (1)written daily mental
health progress note. The daily progress note shall document the following when applicable:
1) The specific service(s) provided to the child.
2) A child's participation and response to each mental health treatment service
directly provided to the child.
3) Observations of a child's behavior.
4) Possible side effects of medication.
5) Date and summaries of the child's contact with the child's family, friends, natural
supports, child and family team, existing mental health team, authorized legal
representative, and public entities involved with the child.
6) Descriptions of the child's progress toward the goals identified in the mental
health treatment plan.
The Short-Term Residential Therapeutic Program shall make available for each youth
structured Mental Health Treatment Services in the day and evening, seven days per
week, according to the Child's needs as indicated on the Child's Needs and Services
Plan/Treatment Plan.
In addition to the biopsychosocial assessment, the Mental Health Professional utilizes
assessment instruments such as the PHQ-9 and GAD-7 bi-weekly to assess for the presence of
self-reported symptoms of depression and anxiety. Additionally, a CANS—Child and
Adolescent Needs and Strengths—assessment will be completed in collaboration with the youth
to facilitate the youth's exploration and identification of needs and strengths. This way, GOY
STRTP Clinical Team facilitates a bridge between the assessment process and the
development of the blueprint for individualized service plans.
Progress of services provided to youth in care will be measured by:
a. Reduction in PHQ-9 score
b. Reduction in GAD-7 score
c. Reduction in suicidal risk on the C-SSRS
d. Behavioral observation by the Mental Health Practitioner
e. Completion of homework/assignments
f. Youth's self-report
B-19-17
Exhibit B-19
g. Parent/guardian self-report
Our ultimate goal is to provide short-term intervention to help youth transition to a family setting.
This will consist of equipping the youth we serve with skills to be better able to self-regulate and
decrease symptoms they or their service providers/guardians/parents deem as negative or
debilitating. We aim to equip the youth we serve with the skills that will enable them to live fully
healthy lives. This will look like being better able to take care of their own physical, emotional,
and mental health needs. We strive to be transparent in the delivery of all services and
accountable to all who rely on us for support. We aim to recruit and maintain high caliber
individuals and services to serve the youth with whom we are entrusted.
It is the goal of the STRTP to successfully return the youth to a stable and permanent placement
within the community, whether it be:
a. With a biological parent or relative,
b. A resource family, or
c. An independent/transitional living program.
A. Access to care: The ability of youth to receive the right service at the right time.
a) 100% of youth will have a mental health assessment started on the first day of
admit.
b. 100% of youth will have a mental health assessment completed within 5 days of
admit.
c. 100% of youth will have an Individual Services and Support Plan in place within
10 days of admit.
B. Effectiveness: Objective results achieved through services.
a) 100 % of youth will demonstrate an increase in their CANS score at discharge,
compared to admit.
b) 100% of youth will have a discharge plan in place within five days of admit.
C. Efficiency: Demonstration of the relationship between results and the resources used to
achieve them.
a) 90% of youth will be discharged to a lower level of care within 12 months.
D. Satisfaction and Compliance: The degree to which persons served, County, and other
stakeholders are satisfied with the services.
a) 90% of youth will report that they are satisfied with the services received at GOY
STRTP.
GOY STRTP understands that the County may adjust the performance and outcome measures
periodically throughout the duration of this Agreement, as needed, to best measure the
program. GOY STRTP will utilize a computerized tracking system with which performance and
outcome measures and other relevant data, such as demographics, will be maintained.
B-19-18
Exhibit B-20
Scope of Services
ORGANIZATION: Kern Bridges Youth Homes, Inc
ADDRESS: 1321 Stine Road Bakersfield, CA 93309
TELEPHONE: 661 396-2301
CONTACT PERSON: Bianca Ruiz , Director of Mental Health Services
Robert Carter, Executive Vice President
CONTRACT PERIOD: Upon execution —June 30, 2025
SUMMARY OF SERVICES:
The mission of Kern Bridges Youth Homes, Inc. (KBYH) is to provide responsive solutions and
trauma-informed care to vulnerable youth by providing safe homes, accessible services, and
engaging in ongoing quality improvement. In addition to foster care and adoption programs and
services, KBYH has two short-term residential therapeutic programs (STRTPs)—6-bed Almklov
House and 12-bed Casa De Ninos House — both in Kern County. The purpose of the the KBYH
STRTP is to provide a safe, consistent, stable, and secure trauma-informed and culturally
responsive environment in which children and youth, 11-19 years old, with severe emotional
and behavioral difficulties can restore a sense of control and empowerment. The Treatment
Team at KBYH is made up of licensed, registered, and waivered mental health professionals,
including licensed clinical staff, Masters-level case managers, Clinical Interns, social work staff,
and other providers that meet the criteria listed in Section 623 through 630 of Title 9 of the
California Code of Regulations.
Overview of Treatment Model
KBYH recognizes the prevalence of trauma in the lives of youth in residential treatment,
including the likelihood that they have experienced physical, emotional, and sexual abuse,
domestic abuse, traumatic loss, school violence, community violence, and/or an impaired
caregiver. KBYH also recognizes the impact of trauma caused by system factors, such as
multiple placement changes and retraumatization within placements. This trauma links to mental
health disorders and behavioral disorders and resulting functional impairments. As part of
KBYH's trauma-informed approach, they seek to do more than just manage problematic
behaviors. KBYH partners with youth to help them heal and learn skills for managing their
emotions and behaviors in the community. KBYH also extensively involves family and other
natural support persons throughout the youth's placement with KBYH. KBYH aims to improve
behavior, reduce trauma-related symptoms, and increase the youth's sense of optimism and life
satisfaction throughout placement with KBYH and continuing post-placement.
KBYH's treatment services are tailored to serving youth in the least restrictive setting with the
most effective interventions possible. Understanding that youth with significant trauma histories
and trauma-related symptoms and behaviors will be placed with KBYH, KBYH has selected
evidence based and promising trauma-informed models, approaches, and interventions
intended to solidify a trajectory towards permanency and positive outcomes. As part of a
B-20-1
Exhibit B-20
trauma-informed youth and family system, KBYH will routinely screen for trauma, use culturally
appropriate evidence-based assessments and treatments, engage in efforts to strengthen the
resilience and protective factors of youth and families, make resources available to youth,
families, and providers on trauma exposure, its impact and treatment, emphasize continuity of
care and collaboration across youth-serving systems, and maintain an environment of care for
staff that addresses, minimizes, and treats secondary traumatic stress, and that increases staff
resilience.
KBYH promotes recovery and resilience for those individuals and families impacted by trauma.
Services and supports that are trauma-informed and build on the best evidence available and
consumer and family engagement, empowerment, and collaboration. Our programs recognize
the youth's need to be respected, informed, connected, and hopeful regarding their own
recovery, the interrelation between trauma and symptoms of trauma such as substance abuse,
eating disorders, depression, and anxiety, and the need to work in a collaborative way with
youth, family and friends of the youth, and other human services agencies in a manner that will
empower survivors and stakeholders.
KBYH utilizes SAMHSA's concept of a trauma-informed approach to service delivery, which
"Realizes the widespread impact of trauma and understands potential paths for recovery;
Recognizes the signs and symptoms of trauma in clients, families, staff, and others involved
with the system; Responds by fully integrating knowledge about trauma into policies,
procedures, and practices; and Seeks to actively resist re-traumatization."A trauma-informed
approach can be implemented in any type of service setting, including the STRTP, and also
includes trauma-specific interventions or treatments that are designed specifically to address
the consequences of trauma and to facilitate healing.
KYBH will provide the following mental health treatment services directly onsite to admitted
youth during their stay in the STRTP:
1. Mental Health Services
2. Assessment
3. Plan Development
4. Individual, Group, and Family Therapy
5. Individual and Group Rehabilitation
6. Collateral Services
7. Intensive Care Coordination
8. Intensive Home-Based Services
9. Targeted Case Management
10. Crisis Intervention Services
11. Daily notes completed by staff and or clinician (Scanned file)
TARGET POPULATION: The purpose of the KBYH is to provide a safe, consistent, stable, and
secure trauma-informed and culturally responsive environment in which children and youth 11-
19 years old with severe emotional and behavioral difficulties can restore a sense of control and
empowerment. Regardless of sexual identity or sexual orientation all referrals are given the
same consideration, and no rejection shall be made on the child's or NMDs sexual identity.
Therefore, KBYH will accept for placement, without discrimination any youth who identifies as
LGBTQ or is considered Commercially sexually exploited (CSEC),In addition, it should be noted
B-20-2
Exhibit B-20
that KBYH accepts Native American youth whether they are associated with or Tribe or not. If
associated with a Tribe KBYH's work closely with the Tribe in providing services.
SERVICE LOCATIONS
John & Dorothy Almklov House Daniel & Nancy Marble
4301 De Ette Ave Casa De Ninos House
Bakersfield, CA 93313 32549 Betty Jean Ave
661 827-9219 McFarland, CA 93250
661 392-7840
661 392-7841
CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
KBYH shall provide mental health treatment, including specialty mental health services, and
mental health supports, as appropriate to the needs of the child. All specialty mental health
services shall meet Medi-Cal standards. These services shall include all of the following:
A. Mental Health Assessment:
i. A mental health assessment shall be completed by a licensed mental
health professional (LMHP) or waivered/registered associate within
five (5) calendar days of a youth's admission.
ii. A mental health assessment that was completed by an LMHP within
sixty (60) calendar days may also be used to meet this requirement.
B. Client Plan:
i. Each youth admitted to the STRTP shall have a Client Plan prepared,
reviewed, and signed by an LMHP or the Head of Service (HOS) or
any other related discipline designated by the HOS within ten (10)
calendar days of admission.
ii. The Client Plan is reviewed by a member of the mental health
program staff at least every thirty (30) calendar days.
iii. Client Plan of each youth or non-minor dependent shall include:
a) anticipated length of stay;
b) specific behavioral goals;
c) specific mental health treatment services;
d) one or more transition goals that support the rapid and
successful transition of the youth back into the community;
e) the youth's participation and agreement; and
f) evidence of review by a member of the STRTP mental health
program staff.
B-20-3
Exhibit B-20
C. Collaborating with the Child and Family Team (CFT), consistent with the Client
Plan.
D. Specialty Mental Health Treatment Services: STRTPs shall make available for
each youth structured specialty mental health treatment services during the day
and evening, seven (7) days per week, according to the youth's needs as
indicated on the youth's Client Plan. At minimum, the following mental health
treatment services (as defined in Title 9 of the California Code of Regulations)
shall be made available, as medically necessary:
i. Mental Health Services— individual or group therapies and
interventions that are designed to provide reduction of mental
disability and restoration, improvement, or maintenance of functioning
consistent with the goals of learning, development, independent living,
and enhanced self-sufficiency. Service activities may include
assessment, plan development, therapy, rehabilitation, and collateral
services.
a) Assessment - A clinical analysis of the history and current
status of a youth's mental, emotional, or behavioral disorder to
include relevant cultural and social issues, history, diagnosis,
and any recorded testing results.
b) Plan Development—The development of Client Plans, to
include the youth's needs and services, approval of client
plans, and monitoring of a youth's progress. Clients participate
in the development of the Client Plan which is a
comprehensive detail of the youth's needs, personal goals,
and objectives for improvement and exiting from the STRTP
program. It also includes a treatment component that is
specific to mental health and behavioral improvements the
youth would like to work toward.
c) Collateral — This is any service activity to a significant support
person in a youth's life with the intent of improving or
maintaining the mental health status of the youth. Collateral
services include but are not limited to, helping significant
support persons to understand and accept the youth's
condition and involving them in service planning and
implementation of the Client Plan. Family counseling or
therapy, which is provided on behalf of the youth, may be
considered collateral.
B-20-4
Exhibit B-20
ii. Medication Support Services— shall be provided via telehealth by a
contracted psychiatrist. KBYH will monitor that the following is adhered
to by the psychiatrist for these services:
a) Within the first thirty (30) days of the youth's admission, the
psychiatrist shall examine each youth before prescribing any
psychotropic medication and include a screening to determine
whether there are potential medical complications that may
contribute to the youth's health condition. This examination
shall be noted in the youth's record.
b) The psychiatrist shall sign a written medication review for each
youth prescribed psychotropic medication as clinically
appropriate, but at least every six (6) weeks. This review shall
be included in the youth's record.
c) The psychiatrist shall review the course of treatment for all
youth who are not on psychotropic medication at least every
ninety (90) days and include the results of this review in a
progress note signed by the prescribing physician at the time
the review is completed.
d) Psychotropic medications for a youth placed in an STRTP
shall be administered following all applicable State and
Federal laws, which include but are not limited to laws related
to informed consent, documentation of informed consent, and
California Welfare & Institutions (WIC) Code Sections 369.5
and 739.5.
e) STRTPs providing care supervision to children diagnosed by a
physician, psychologist, or licensed clinical social worker as
mentally disordered shall make provision for at least monthly
consultation from a psychiatrist, clinical psychologist, or
licensed clinical social worker regarding the program of
services.
iii. Crisis Intervention —an emergency response that enables a youth to
cope with a crisis. Activities are intended to support, improve, or
maintain the youth's mental health status.
iv. Therapy—a therapeutic intervention that focuses on symptom reduction
to improve identified functional impairments. This service may be
delivered to an individual or group and may also include family therapy.
Youth shall receive both individual and group therapy at least once per
B-20-5
Exhibit B-20
week. The therapeutic modalities are Cognitive Behavioral Therapy
(CBT), Dialectical Behavior Therapy (DBT), and the Trauma Resiliency
Model (TRM). CBT is effective in treating children and adolescents who
have persistent behavioral reactions, DBT focuses on problem-solving
and acceptance-based strategies within a framework of dialectical
methods, and TRM focuses on the concept of the biological basis of
trauma.
v. Targeted Case Management— any service that assists the youth to
access the needed social, vocational, medical, educational,
rehabilitative, or other community services. Services may include, but
are not limited to, communication, coordination and referral to available
resources.
vi. Psychologist Services—services provided by licensed psychologists,
within their scope of practice, to diagnose or treat a mental illness or
condition.
vii. EPSDT Supplemental Specialty Mental Health Services — mental
health-related diagnostic services and treatment available under the
Medi-Cal program only to persons under 21 years of age. These
include but are not limited to Intensive Care Coordination (ICC) and
Intensive Home-Based Services (IHBS) services following the "Medi-Cal
Manual for Intensive Care Coordination (ICC), Intensive Home-Based
Services (IHBS), & Therapeutic Foster Care (TFC) for Medi-Cal
Beneficiaries."
E. A licensed mental health professional shall perform a clinical review every ninety
(90) days of the youth's status and progress in treatment to determine whether
the youth should continue admission in the program or be transitioned to a
different level of care. The LMHP shall make this determination in consultation
with the placing agency. A report documenting this clinical review shall be
maintained in the youth's record.
F. Ensuring continuity of care, services, and treatment as a youth moves from his or
her STRTP placement to home-based family care or a permanent living situation
through reunification, adoption, or guardianship, following the youth's case plan
or treatment plan.
G. Documenting the youth's ability to access mental health services identified in the
Client Plan, or efforts made by the STRTP to ensure access to identified mental
health services, including utilization of any existing grievance processes for
accessing services.
B-20-6
Exhibit B-20
i. Progress notes shall be written to document a youth's participation
and responses to mental health treatment services. The progress
notes shall meet Medi-Cal requirements of documentation and shall
be maintained in the youth's record.
ii. On the same day as the mental health treatment service, the
progress notes shall be signed and dated by the direct service
program staff member(s) who provided the service.
iii. The STRTP shall ensure that documentation and recordkeeping
requirements are met.
H. The youth's record must include:
i. Mental health assessment;
ii. Admission statement, signed by the HOS within five (5) days of the
youth's arrival;
iii. Client Plan;
iv. STRTP mental health program progress notes;
v. Clinical review report and transition determination;
vi. Physician's orders, medication examinations, medication reviews,
written informed consent for prescribed medications;
vii. Copy of court judgments regarding physical or legal custody;
viii. Documentation indicating each date and name of individuals or
groups of individuals who have participated in the development of
the Client Plan; and
ix. A transition determination plan.
I. The STRTP shall ensure that American Indian youth receive specialty mental
health services following the Federal Indian Child Welfare Act (25 U.S.C. Sec
1901 et seq.).
STAFFING
A. All licensed, waivered, and registered mental health professionals providing
services at the STRTP shall meet all legal requirements for professional
licensing, waiver, or registration, as applicable.
B. Adequate numbers and qualifications of direct service program staff shall be
employed, present, awake, and on duty seven (7) days per week.
C. KBYH shall have at least one (1) full-time equivalent direct service program staff
from the following list employed for each six (6) children admitted to the program:
a) Physicians
B-20-7
Exhibit B-20
b) Psychologists or psychologists who have received a waiver pursuant to
WIC Code 5751.2
c) Licensed Clinical Social Workers or registered professionals pursuant to
WIC Code 5751.2
d) Licensed Marriage, Family, and Child Therapists or registered
professionals pursuant to WIC Code 5751.2
e) Licensed Professional Clinical Counselors or registered professionals
pursuant to WIC Code 5751.2
f) Psychiatric Technicians
g) Mental Health Rehabilitation Specialists as defined in Section 630 of Title
9 CCR
D. Of the direct service program staff required above, (Kern Bridges) has one (1)
half-time equivalent LMHP employed for each of six (6) children admitted to the
program. A LMHP who is employed to meet this requirement may also be the
head of service, if employed at least forty (40) hours per week.
E. KBYH shall have access to the psychiatrist twenty-four (24) hours per day.
PERFORMANCE MEASURES/PROGRAM OUTCOMES
KBYH shall provide all project monitoring and compliance protocols, procedures, data collection
methods, and reporting requirements requested by the County. Kern Bridges utilizes
performance and outcome measures for evaluating program and system effectiveness to
ensure services and service delivery strategies are positively impacting the youth in their care.
Performance outcome measures shall be reported to the County annually in accumulative
reports for overall program and contract evaluation.
KBYH will address each of the categories referenced below and may additionally propose other
performance and outcome measures that are deemed best to evaluate the services provided
and/or to evaluate overall program performance.
A. Access to care: The ability of youth to receive the following services 100% of the time,
at the right time.
1. Mental Health Assessment (Signed within 3 days)
2. Assessment Tools (C-SSRS, CANS, and PCS 35) (Intake and at least
every 6 months)
3. Admission Statement (Completed by HOS and Signed within 72 hours)
4. Treatment Plan (Within 5 days)
5. Progress Notes (Signed within 48 hours)
6. Child and Family Team Meeting Notes (Monthly)
7. Clinical Review and ICC Reviews (Monthly months)
8. Physician's Orders/Medication Reviews (At least every 45 days)
9. Psychiatric Evaluation (At least every 90 days)
B-20-8
Exhibit B-20
B. Effectiveness: Objective results achieved through services.
1. 100% of youth will discharge as planned, to a lower level of care.
2. A discharged youth will exhibit a 75% decrease in behaviors, from their
initial screening.
C. Efficiency: Demonstration of the relationship between results and the resources used to
achieve them.
1. 100% of youth will successfully discharge from the program, no later than
12 months.
D. Satisfaction and Compliance: The degree to which persons served, the County, and
other stakeholders are satisfied with the services.
KBYH utilizes the California Benchmarking Initiative satisfaction surveys. These
surveys are given to all 18 residents, direct care staff, and stakeholders quarterly.
1. 85% of persons served who complete a satisfaction survey will express
satisfaction that the STRTP Mental Health Program met their needs.
KBYH understands that the County may adjust the performance and outcome measures
periodically throughout the duration of this Agreement, as needed, to best measure the
program. KBYH will utilize a computerized tracking system with which performance and
outcome measures and other relevant data, such as demographics, will be maintained.
B-20-9
Exhibit B-21
Scope of Services
ORGANIZATION: Scott's Social Services, Inc
ADDRESS: 1780 Glenwood Drive
Bakersfield CA 93306
TELEPHONE: (661) 900-6342
(661) 333-4397
CONTACT PERSON: Robert Carter, Executive Director
Tiffany Carter, CFO/Clinical Director
CONTRACT PERIOD: Upon execution —June 30, 2025
SUMMARY OF SERVICES
The mission of Scott's Social Services, Inc. (SSS) is to provide responsive solutions and
trauma-informed care to vulnerable youth by providing safe homes, accessible services, and
engaging in ongoing quality improvement. Scott's Social Services, Inc. has two 6 bed Short
Term Residential Therapeutic Program (STRTP) homes located in Kern County. The purpose of
the SSS is to provide a safe, consistent, stable, and secure trauma-informed and culturally
responsive environment in which children and youth 11-17 years old plus NMD with severe
emotional and behavioral difficulties can restore a sense of control and empowerment. The
STRTP treatment team is made up of licensed, registered, and waivered mental health
professionals, including licensed clinical staff, Masters-level case managers, Clinical Interns,
social work staff, and other providers that meet the criteria listed in Section 623 through 630 of
Title 9 of the California Code of Regulations.
Scott's Social Services, Inc. will provide structured mental health services in the day and
evening, seven days per week, according to the youth's needs and the services included on
their individual Mental Health Treatment Plans. All mental health treatment services will be
provided utilizing a trauma-informed approach that recognizes the presence and impact of
trauma in the youth we serve and provides treatment that supports healing and recovery while
reducing the risk of re-traumatization. Scott's Social Services, Inc will ensure that each youth
placed within the STRTPhas access to all medically necessary specialty mental health services,
including those not directly provided by the STRTP.
Scott's Social Services, Inc. partners with youth to help them heal and learn skills for managing
their emotions and behaviors in the community. SSS also extensively involve family and other
natural support persons throughout the youth's placement. SSS aims to improve behavior,
reduce trauma-related symptoms and increase the youth's sense of optimism and life
satisfaction throughout placement with SSS and continuing post-placement. Understanding that
youth with significant trauma histories and trauma-related symptoms and behaviors will be
placed at the STRTP, Scott's Social Services, Inc has selected evidence-based and promising
trauma informed models, approaches, and interventions intended to solidify a trajectory towards
permanency and positive outcomes.
B-21-1
Exhibit B-21
SSS will provide the following mental health treatment services directly onsite to admitted youth
during their stay in the STRTP:
1. Mental Health Services
2. Assessment
3. Plan Development
4. Individual, Group, and Family Therapy
5. Individual and Group Rehabilitation
6. Collateral Services
7. Intensive Care Coordination
8. Intensive Home-Based Services
9. Targeted Case Management
10. Crisis Intervention Services
11. Daily note completed by staff and or clinician (Scanned file)
TARGET POPULATION
SSS provides trauma and healing informed, therapeutic services to females, ages 11 to 21, who
have mental health and behavioral issues. SSS provides a full range of services including but
not limited to mental health services, crisis intervention, and targeted case management. SSS
utilizes a range of evidence-based therapy and psychosocial services. SSS also utilizes CQI
processes to establish the right mix of treatments and supports that work for foster youth and
non-minor dependents. SSS believes this is an important step in the trauma and healing
informed process. SSS understands treatment choices in addressing youth/ young adult's
trauma will vary based on their circumstances.
Youth accepted into the program often have a history of trauma, including but not limited to
abuse and or neglect. Moreover, SSS serves youth/young adults, who express maladaptive
behaviors such as drug abuse, alcohol abuse, chronic runaway behavior, cutting behaviors, and
aggressive tendencies. These youth/young adults may also have a history of low-level criminal
behaviors. The anticipated duration of treatment for a youth/young adult is based on medical
necessity for STRTP care, and in consultation with the treatment team/CFT. SSS works with
each placing agency to meet all placement authorization requirements within each agency's
specified time frames, with the objective to transition youth/young adults to a lower level of care
in the shortest time possible. SSS will provide a confidential and secure environment to each of
the youth/young adults participating in SSS' STRTP.
SERVICE LOCATIONS:
Scott's Youth Facility I Scott's Youth Facility II
1780 Glenwood Drive 7701 Prism Way
Bakersfield, CA 93306 Bakersfield, CA 93313
(661) 404-4571 (661) 885-6006
B-21-2
Exhibit B-21
CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
SSS shall provide mental health treatment, including specialty mental health services, and
mental health supports, as appropriate to the needs of the child. All specialty mental health
services shall meet Medi-Cal standards. These services shall include all of the following:
A. Mental Health Assessment:
i. A mental health assessment shall be completed by a licensed mental
health professional (LMHP) or waivered/registered associate within five
(5) calendar days of a youth's admission.
ii. A mental health assessment that was completed by an LMHP within sixty
(60) calendar days may also be used to meet this requirement.
B. Client Plan:
i. Each youth admitted to the STRTP shall have a Client Plan prepared,
reviewed and signed by an LMHP or the Head of Service (HOS) or any
other related discipline designated by the HOS within ten (10) calendar
days of admission.
ii. The Client Plan is reviewed by a member of the mental health program
staff at least every thirty (30) calendar days.
iii. Client Plan of each youth or non-minor dependent shall include:
a) anticipated length of stay;
b) specific behavioral goals;
c) specific mental health treatment services;
d) one or more transition goals that support the rapid and
successful transition of the youth back into the community;
e) the youth's participation and agreement; and
f) evidence of review by a member of the STRTP mental
health program staff.
C. Collaborating with the Child and Family Team (CFT), consistent with the Client
Plan.
D. Specialty Mental Health Treatment Services: STRTPs shall make available for
each youth structured specialty mental health treatment services during the day
and evening, seven (7) days per week, according to the youth's needs as
indicated on the youth's Client Plan. At minimum, the following mental health
treatment services (as defined in Title 9 of the California Code of Regulations)
shall be made available, as medically necessary:
B-21-3
Exhibit B-21
i. Mental Health Services— individual or group therapies and interventions
that are designed to provide reduction of mental disability and restoration,
improvement, or maintenance of functioning consistent with the goals of
learning, development, independent living, and enhanced self-sufficiency.
Service activities may include assessment, plan development, therapy,
rehabilitation, and collateral services.
a) Assessment- A clinical analysis of the history and current status of a
youth's mental, emotional, or behavioral disorder to include relevant
cultural and social issues, history, diagnosis, and any recorded testing
results.
b) Plan Development—The development of Client Plans, to include the
youth's needs and services, approval of client plans, and monitoring of a
youth's progress. Clients participate in the development of the Client
Plan which is a comprehensive detail of the youth's needs, personal
goals and objectives for improvement and exiting from the STRTP
program. It also includes a treatment component which is specific to
mental health and behavioral improvements the youth would like to work
toward.
c) Collateral —This is any service activity to a significant support person in
a youth's life with the intent of improving or maintaining the mental health
status of the youth. Collateral services include, but are not limited to,
helping significant support persons to understand and accept the youth's
condition and involving them in service planning and implementation of
the Client Plan. Family counseling or therapy, which is provided on
behalf of the youth, may be considered collateral.
ii. Medication Support Services —shall be provided via telehealth by a
contracted psychiatrist. SSS will monitor that the following is adhered to
by the psychiatrist for these services:
a) Within the first thirty (30) days of the youth admission, the psychiatrist
shall examine each youth prior to prescribing any psychotropic
medication and include a screening to determine whether there are
potential medical complications that may contribute to the youth's
health condition. This examination shall be noted in the youth's
record.
b) The psychiatrist shall sign a written medication review for each youth
prescribed psychotropic medication as clinically appropriate, but at
least every six (6) weeks. This review shall be included in the youth's
record.
B-21-4
Exhibit B-21
c) The psychiatrist shall review the course of treatment for all youth who
are not on psychotropic medication at least every ninety (90) days
and include the results of this review in a progress note signed by the
prescribing physician at the time the review is completed.
d) Psychotropic medications for a youth placed in an STRTP shall be
administered in accordance with all applicable State and Federal
laws, which include but are not limited to laws related to informed
consent, documentation of informed consent, and California Welfare
& Institutions (WIC) Code Sections 369.5 and 739.5.
e) STRTPs providing care supervision to children diagnosed by a
physician, psychologist, or licensed clinical social worker as mentally
disordered shall make provision for at least monthly consultation from
a psychiatrist, clinical psychologist, or licensed clinical social worker
regarding the program of services.
iii. Crisis Intervention —an emergency response that enables a youth to cope
with a crisis. Activities are intended to support, improve, or maintain the
youth's mental health status.
iv. Therapy—therapeutic intervention that focuses on symptom reduction in
order to improve identified functional impairments. This service may be
delivered to an individual or group and may also include family therapy.
Youth shall receive both individual and group therapy at least once per
week. The therapeutic modalities are Cognitive Behavioral Therapy
(CBT), Dialectical Behavior Therapy (DBT), and the Trauma Resiliency
Model (TRM). CBT is effective in treating children and adolescents who
have persistent behavioral reactions, DBT focuses on problem-solving and
acceptance-based strategies within a framework of dialectical methods,
and TRM focuses on the concept the biological basis of trauma.
v. Targeted Case Management— any service that assists the youth to access
the needed social, vocational, medical, educational, rehabilitative or other
community services. Services may include, but are not limited to,
communication, coordination and referral to available resources.
vi. Psychologist Services—services provided by licensed psychologists,
within their scope of practice, to diagnose or treat a mental illness or
condition.
vii. EPSDT Supplemental Specialty Mental Health Services — mental health
related diagnostic services and treatment available under the Medi-Cal
program only to persons under 21 years of age. These include but are not
B-21-5
Exhibit B-21
limited to Intensive Care Coordination (ICC) and Intensive Home-Based
Services (IHBS) services in accordance with the "Medi-Cal Manual for
Intensive Care Coordination (ICC), Intensive Home-Based Services
(IHBS), & Therapeutic Foster Care (TFC) for Medi-Cal Beneficiaries."
E. A licensed mental health professional shall perform a clinical review every ninety
(90) days of the youth's status and progress in treatment to determine whether
the youth should continue admission in the program or be transitioned to a
different level of care. The LMHP shall make this determination in consultation
with the placing agency. A report documenting this clinical review shall be
maintained in the youth's record.
F. Ensuring continuity of care, services, and treatment as a youth moves from his or
her STRTP placement to home-based family care or to a permanent living
situation through reunification, adoption, or guardianship, in accordance with the
youth's case plan or treatment plan.
G. Documenting the youth's ability to access mental health services identified in the
Client Plan, or efforts made by the STRTP to ensure access to identified mental
health services, including utilization of any existing grievance processes for
accessing services.
i. Progress notes shall be written to document a youth's participation and
responses to mental health treatment services. The progress notes shall
meet Medi-Cal requirements of documentation and shall be maintained in
the youth's record.
ii. On the same day as the mental health treatment service, the progress
notes shall be signed and dated by the direct service program staff
member(s) who provided the service.
iii. The STRTP shall ensure that documentation and recordkeeping
requirements are met.
H. The youth's record must include:
i. Mental health assessment;
ii. Admission statement, signed by the HOS within five (5) days of youth's
arrival;
iii. Client Plan;
iv. STRTP mental health program progress notes;
v. Clinical review report and transition determination;
vi. Physician's orders, medication examinations, medication reviews, written
informed consent for prescribed medications;
vii. Copy of court orders or judgements regarding physical or legal custody;
B-21-6
Exhibit B-21
viii. Documentation indicating each date and names of individuals or groups of
individuals who have participated in the development of the Client Plan;
and
ix. A transition determination plan.
I. The STRTP shall ensure that American Indian youth receive specialty mental
health services in accordance with the Federal Indian Child Welfare Act (25
U.S.C. Sec 1901 et seq.).
STAFFING
A. All licensed, waivered, and registered mental health professionals providing services at
the STRTP shall meet all legal requirements for professional licensing, waiver, or
registration, as applicable.
B. Adequate numbers and qualifications of direct service program staff shall be employed,
present, awake, and on duty seven (7) days per week.
C. SSS shall have at least one (1) full-time equivalent direct service program staff from the
following list employed for each six (6) children admitted to the program:
a) Physicians
b) Psychologists or psychologists who have received a waiver pursuant to WIC
Code 5751.2
c) Licensed Clinical Social Workers or registered professionals pursuant to WIC
Code 5751.2
d) Licensed Marriage, Family, and Child Therapists or registered professionals
pursuant to WIC Code 5751.2
e) Licensed Professional Clinical Counselors or registered professionals pursuant to
WIC Code 5751.2
f) Psychiatric Technicians
g) Mental Health Rehabilitation Specialists as defined in Section 630 of Title 9 CCR
D. Of the direct service program staff required above, SSS will have one (1) half-time
equivalent LMHP employed for each six (6) children admitted to the program. A LMHP
who is employed to meet this requirement may also be the head of service, if employed
at least forty (40) hours per week.
E. SSS shall have access to the psychiatrist twenty-four (24) hours per day.
PERFORMANCE MEASURES/PROGRAM OUTCOMES
SSS shall provide all project monitoring and compliance protocols, procedures, data collection
methods, and reporting requirements requested by the County. SSS utilizes performance and
outcome measures for evaluating program and system effectiveness to ensure services and
B-21-7
Exhibit B-21
service delivery strategies are positively impacting the youth in their care. Performance
outcome measures shall be reported to the County annually in accumulative reports for overall
program and contract evaluation.
SSS will address each of the categories referenced below and may additionally propose other
performance and outcome measures that are deemed best to evaluate the services provided
and/or to evaluate overall program performance.
A. Access to care: The ability of youth to receive the right service at the right time.
1. Mental Health Assessment (Signed within 5 days)
2. Assessment Tools (C-SSRS, CANS, and PCS 35) (Intake and at least every
6 months)
3. Admission Statement (Completed by HOS and Signed within 72 hours)
4. Treatment Plan (Within 5 days)
5. Progress Notes (Signed within 48 hours)
6. Child and Family Team Meeting Notes (Monthly)
7. Clinical Review and ICC Reviews (Monthly months)
8. Physician's Orders/Medication Reviews (At least every 45 days)
9. Psychiatric Evaluation (At least every 90 days)
B. Effectiveness: Objective results achieved through services.
1. 100% of youth will be discharged, as planned, to a lower level of care
2. At discharge, a youth's barrier behaviors will be reduced by 75%
C. Efficiency: Demonstration of the relationship between results and the resources used to
achieve them.
1. 100% of youth will stay in the program no longer than 9 months.
D. Satisfaction and Compliance: The degree to which persons served, County, and other
stakeholders are satisfied with the services.
SSS utilizes the California Benchmarking Initiative satisfaction surveys. These surveys
are given to all 12 residents, direct care staff, and stakeholders quarterly.
1. 85% of persons served who complete a satisfaction survey will express
satisfaction that the STRTP Mental Health Program met their needs.
SSS understands that the County may adjust the performance and outcome measures
periodically throughout the duration of this Agreement, as needed, to best measure the
program. SSS will utilize a computerized tracking system with which performance and outcome
measures and other relevant data, such as demographics, will be maintained.
B-21-8
Exhibit B-22
Scope of Services
ORGANIZATION: Humanistic Foundation, Inc. DBA. Stockdale Boys Center
ADDRESS: 5757 West Century Blvd. Suite #303
Los Angeles, California 90045
TELEPHONE: (323) 290-2540
(661) 303-1675
CONTACT PERSON: Marcy Madison, Executive Director
(661) 303-1675
CONTRACT PERIOD: Upon execution —June 30, 2025
SUMMARY OF SERVICES
Humanistic Foundation, Inc. DBA. Stockdale Boys Center (Stockdale Boys Center) is a short
term residential therapeutic program (STRTP) established to serve male youth (dependents and
wards) between the ages of 12 and 17, as well as Non-minor Dependents (NMDs) up to the age
of 21 in a structured, therapeutic environment. From date of admission, services will commence
immediately. Stockdale Boys Center will provide services at times that meet the needs of the
youth, which will include twenty-four (24) hours per day, seven (7) days per week, according to
the individualized needs of each youth. A behavioral health staff will be on-site between the
hours of 9:00 am to 5:00 p.m., Monday— Friday, and if needed will offer expanded hours to
include weekends to address the needs of each youth. Our program offers individualized
treatment tailored to each youth needs which typically takes place over six months and is build
on a 24- hour milieu overseen by a multidisciplinary team of experienced professional. Based on
cognitive strategies and social skills that will enable them to live effective and fulfilling lives at
home and in the community. Our goal for all youth and families that we serve is to provide
individualized, trauma-informed, culturally-competent services in partnership with the youth,
their family, and community partners to help each youth rekindle their sense of hope, and thrive
physically, mentally, and emotionally as they reach their highest potential.
Specialty Mental Health Services (SMHS)
It is the policy of Stockdale Boys Center to provide comprehensive, coordinated, and
multidisciplinary mental health services to serve the needs of its youth.
Stockdale Boys Center offers services that meet its objective of successfully reintegrating its
resident(s) into the community. Services are provided, as needed, to youth and their caregivers
to create permanent and safe placements within the community, reducing the need for
psychiatric hospitalization, out-of-home placements, while increasing school success, reducing
involvement with the juvenile justice system, and facilitating their transition to adulthood.
Staff at Stockdale Boys Center are trained in trauma informed care, to recognize the signs and
symptoms of trauma in youth and adults. During treatment, from intake through assessment
and therapy to discharge and transition, Stockdale Boys Center are mindful of their verbal and
B-22-1
Exhibit B-22
non-verbal language and picking up the cues of family member who may have been
traumatized in the past. Stockdale Boys Center staff take a thorough history of the youth's
condition and review possible instances where trauma may have occurred, either through
specific instances in their family of origin, during experiences in foster care or congregate care,
or their response to multiple placements. This information is placed into the treatment plan and
responded to as part of their care. Their interactions with the youth are designed to utilize calm
and positive statements, avoiding any physical contact which may be construed as re-
traumatizing the resident(s).
Stockdale Boys Center offers mental health services in a manner that integrates the treatment
in conjunction with the resident(s) services during their stay at Stockdale Boys Center and other
rehabilitation needs.
a. Internally integrated services that are available include, but are not limited to:
1. Family Counseling —these services provide counseling and other
interventions for family members and significant others that affect the
youth's treatment and are imperative to improve the youth's functioning
and return to home.
2. Collateral Services —these include support and interventions for the
parents or caregivers, parent education and training to improve their
skills, and development of resources in the community specific to helping
them sustain these skills.
3. Interagency Coordination — as part of a shared practice model, other
government and private agencies are incorporated into the resident(s)
service plan of treatment to provide a comprehensive approach.
Agencies include the local Departments of Youth Welfare Services,
Probation, youth opportunity centers for vocational training, school-based
programs, etc.
4. Mental Health Therapy— psychological services, which include
diagnostic services and assessment of needs for services, individual,
family, and group therapy services, are provided according to the
resident(s) treatment plan. Groups focus on specific psychological and
emotional issues such as loss, anger, trust, etc.
Specialty Mental Health Services will be provided by Stockdale Boys Center Clinician:
1. Assessment
2. Plan Development
3. Individual, Group, or Family Therapy
4. Rehabilitation
5. Medication Support Services
6. Crisis Intervention
7. Targeted Case Management
8. Psychological Services
TARGET POPULATION
Stockdale Boys Center accepts referrals from Kern County Department of Human Services,
Kern County Probation, Fresno County, and Sacramento County. Stockdale Boys Center does
not accept private placements, non-ambulatory, or youth who require nursing care. Stockdale
B-22-2
Exhibit B-22
Boys Center understands that it is the right of everyone to determine their individual gender
status and will accept referred individuals who identifies as SOGIE or LGBTQ.
Stockdale Boys Center will accept youth with mental health disorders that have been deemed
appropriate for STRTP by the Interagency Placement Committee and Child & Family Team.
Stockdale Boys Center will accept regional clients, youth who may have the following physical,
sensory or health conditions: sickle cell trait, hypoglycemia, asthma, and allergies, require
special diets, history of alcohol and/or drug use, gestational diabetics and visual or hearing
impaired. Youth served may require psychotropic medication, have a history of previous
psychiatric hospitalizations, and be diagnosed as emotionally disturbed.
Stockdale Boys Center is designed to serve youth/NMD whose behavioral and mental health
challenges require an intensive clinical setting. Stockdale Boys Center will serve and accept
youth/NMD with the following behaviors: acts disobediently at home or at school, exhibits
attention-seeking behaviors, uses profanity, failure to bond with parental figures, poor peer
relationships, failure to accept authority, manipulative of adults, history of chronic lying, history
of physical aggression and verbally abusive towards adults or peers, poor impulse control,
chronic placement failure, and physically threatens peers and adults. Additionally, Stockdale
Boys Center accepts youth/NMD that intentionally damage or destroy property, commits
violence or harm towards self, physical altercation, history of suicide attempts, history of fire
setting, anti-social when under the influence of drug and/or alcohol, and delinquent behavior to
procure drugs or alcohol. Youth/NMD will be counseled, evaluated, and monitored through staff
supervision, therapeutic classes, individual and group therapy.
SERVICE LOCATIONS
Stockdale Boys Center Stockdale Boys Center II
707 Elsey Street 7900 Okanagan Court
Bakersfield, California 93309 Bakersfield, California 93309
(661) 324-2331 (661) 833-8335
CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
Stockdale Boys Center shall provide mental health treatment, including specialty mental health
services, and mental health supports, as appropriate to the needs of the child. All specialty
mental health services shall meet Medi-Cal standards. These services shall include all of the
following:
A. Mental Health Assessment:
i. A mental health assessment shall be completed by a licensed mental
health professional (LMHP) or waivered/registered associate within five
(5) calendar days of a youth's admission.
ii. A mental health assessment that was completed by an LMHP within sixty
(60) calendar days may also be used to meet this requirement.
B-22-3
Exhibit B-22
B. Client Plan:
i. Each youth admitted to the STRTP shall have a Client Plan prepared,
reviewed and signed by an LMHP or the Head of Service (HOS) or any
other related discipline designated by the HOS within ten (10) calendar
days of admission.
ii. The Client Plan is reviewed by a member of the mental health program
staff at least every thirty (30) calendar days.
iii. Client Plan of each youth or non-minor dependent shall include:
a) anticipated length of stay;
b) specific behavioral goals;
c) specific mental health treatment services;
d) one or more transition goals that support the rapid and
successful transition of the youth back into the community;
e) the youth's participation and agreement; and
f) evidence of review by a member of the STRTP mental
health program staff.
C. Collaborating with the Child and Family Team (CFT), consistent with the Client
Plan.
D. Specialty Mental Health Treatment Services: STRTPs shall make available for
each youth structured specialty mental health treatment services during the day
and evening, seven (7) days per week, according to the youth's needs as
indicated on the youth's Client Plan. At minimum, the following mental health
treatment services (as defined in Title 9 of the California Code of Regulations)
shall be made available, as medically necessary:
i. Mental Health Services— individual or group therapies and interventions
that are designed to provide reduction of mental disability and restoration,
improvement, or maintenance of functioning consistent with the goals of
learning, development, independent living, and enhanced self-sufficiency.
Service activities may include assessment, plan development, therapy,
rehabilitation, and collateral services.
a) Assessment-A clinical analysis of the history and current
status of a youth's mental, emotional, or behavioral
disorder to include relevant cultural and social issues,
history, diagnosis, and any recorded testing results.
b) Plan Development—The development of Client Plans, to
include the youth's needs and services, approval of client
plans, and monitoring of a youth's progress. Clients
B-22-4
Exhibit B-22
participate in the development of the Client Plan which is a
comprehensive detail of the youth's needs, personal goals
and objectives for improvement and exiting from the
STRTP program. It also includes a treatment component
which is specific to mental health and behavioral
improvements the youth would like to work toward.
c) Collateral —This is any service activity to a significant
support person in a youth's life with the intent of improving
or maintaining the mental health status of the youth.
Collateral services include, but are not limited to, helping
significant support persons to understand and accept the
youth's condition and involving them in service planning
and implementation of the Client Plan. Family counseling
or therapy, which is provided on behalf of the youth, may
be considered collateral.
ii. Medication Support Services —shall be provided via a contracted
psychiatrist. Stockdale Boys Center will monitor that the following is
adhered to by the psychiatrist for these services:
a) Within the first thirty (30) days of the youth admission, the
psychiatrist shall examine each youth prior to prescribing any
psychotropic medication and include a screening to determine
whether there are potential medical complications that may
contribute to the youth's health condition. This examination shall
be noted in the youth's record.
b) The psychiatrist shall sign a written medication review for each
youth prescribed psychotropic medication as clinically appropriate,
but at least every six (6) weeks. This review shall be included in
the youth's record.
c) The psychiatrist shall review the course of treatment for all youth
who are not on psychotropic medication at least every ninety (90)
days and include the results of this review in a progress note
signed by the prescribing physician at the time the review is
completed.
d) Psychotropic medications for a youth placed in an STRTP shall be
administered in accordance with all applicable State and Federal
laws, which include but are not limited to laws related to informed
consent, documentation of informed consent, and California
Welfare & Institutions (WIC) Code Sections 369.5 and 739.5.
B-22-5
Exhibit B-22
e) STRTPs providing care supervision to children diagnosed by a
physician, psychologist, or licensed clinical social worker as
mentally disordered shall make provision for at least monthly
consultation from a psychiatrist, clinical psychologist, or licensed
clinical social worker regarding the program of services.
iii. Crisis Intervention — an emergency response that enables a youth to cope
with a crisis. Activities are intended to support, improve, or maintain the
youth's mental health status.
iv. Therapy—therapeutic intervention that focuses on symptom reduction in
order to improve identified functional impairments. This service may be
delivered to an individual or group and may also include family therapy.
Youth shall receive both individual and group therapy at least once per
week. The therapeutic modalities are Cognitive Behavioral Therapy
(CBT), Dialectical Behavior Therapy (DBT), and the Trauma Resiliency
Model (TRM). CBT is effective in treating children and adolescents who
have persistent behavioral reactions, DBT focuses on problem-solving
and acceptance-based strategies within a framework of dialectical
methods, and TRM focuses on the concept the biological basis of trauma.
v. Targeted Case Management—any service that assists the youth to
access the needed social, vocational, medical, educational, rehabilitative
or other community services. Services may include, but are not limited to,
communication, coordination and referral to available resources.
vi. Psychologist Services—services provided by licensed psychologists,
within their scope of practice, to diagnose or treat a mental illness or
condition.
vii. EPSDT Supplemental Specialty Mental Health Services— mental health
related diagnostic services and treatment available under the Medi-Cal
program only to persons under 21 years of age. These include but are
not limited to Intensive Care Coordination (ICC) and Intensive Home-
Based Services (IHBS) services in accordance with the "Medi-Cal Manual
for Intensive Care Coordination (ICC), Intensive Home-Based Services
(IHBS), & Therapeutic Foster Care (TFC) for Medi-Cal Beneficiaries."
E. A licensed mental health professional shall perform a clinical review every ninety
(90) days of the youth's status and progress in treatment to determine whether
the youth should continue admission in the program or be transitioned to a
different level of care. The LMHP shall make this determination in consultation
B-22-6
Exhibit B-22
with the placing agency. A report documenting this clinical review shall be
maintained in the youth's record.
F. Ensuring continuity of care, services, and treatment as a youth moves from his or
her STRTP placement to home-based family care or to a permanent living
situation through reunification, adoption, or guardianship, in accordance with the
youth's case plan or treatment plan.
G. Documenting the youth's ability to access mental health services identified in the
Client Plan, or efforts made by the STRTP to ensure access to identified mental
health services, including utilization of any existing grievance processes for
accessing services.
i. Progress notes shall be written to document a youth's participation and
responses to mental health treatment services. The progress notes shall
meet Medi-Cal requirements of documentation and shall be maintained in
the youth's record.
ii. On the same day as the mental health treatment service, the progress
notes shall be signed and dated by the direct service program staff
member(s) who provided the service.
iii. The STRTP shall ensure that documentation and recordkeeping
requirements are met.
H. The youth's record must include:
i. Mental health assessment;
ii. Admission statement, signed by the HOS within five (5) days of
youth's arrival;
iii. Client Plan;
iv. STRTP mental health program progress notes;
v. Clinical review report and transition determination;
vi. Physician's orders, medication examinations, medication reviews,
written informed consent for prescribed medications;
vii. Copy of court orders or judgements regarding physical or legal
custody;
viii. Documentation indicating each date and names of individuals or
groups of individuals who have participated in the development of
the Client Plan; and
ix. A transition determination plan.
I. The STRTP shall ensure that American Indian youth receive specialty mental
health services in accordance with the Federal Indian Child Welfare Act (25
U.S.C. Sec 1901 et seq.).
B-22-7
Exhibit B-22
STAFFING
A. All licensed, waivered, and registered mental health professionals providing services at
the STRTP shall meet all legal requirements for professional licensing, waiver, or
registration, as applicable.
B. Adequate numbers and qualifications of direct service program staff shall be employed,
present, awake, and on duty seven (7) days per week.
C. Stockdale Boys Center shall have at least one (1) full-time equivalent direct service
program staff from the following list employed for each six (6) children admitted to the
program:
a) Physicians
b) Psychologists or psychologists who have received a waiver pursuant to WIC
Code 5751.2
c) Licensed Clinical Social Workers or registered professionals pursuant to WIC
Code 5751.2
d) Licensed Marriage, Family, and Child Therapists or registered professionals
pursuant to WIC Code 5751.2
e) Licensed Professional Clinical Counselors or registered professionals pursuant to
WIC Code 5751.2
f) Psychiatric Technicians
g) Mental Health Rehabilitation Specialists as defined in Section 630 of Title 9 CCR
D. Of the direct service program staff required above, Stockdale Boys Center shall have
one (1) half-time equivalent LMHP employed for each six (6) children admitted to the
program. A LMHP who is employed to meet this requirement may also be the head of
service, if employed at least forty (40) hours per week.
E. Stockdale Boys Center shall have access to the psychiatrist twenty-four (24) hours per
day.
PERFORMANCE MEASURES/PROGRAM OUTCOMES
Stockdale Boys Center shall provide all project monitoring and compliance protocols,
procedures, data collection methods, and reporting requirements requested by the County.
Stockdale Boys Center utilizes performance and outcome measures for evaluating program and
system effectiveness to ensure services and service delivery strategies are positively impacting
the youth in their care. Performance outcome measures shall be reported to the County
annually in accumulative reports for overall program and contract evaluation.
B-22-8
Exhibit B-22
Stockdale Boys Center will address each of the categories referenced below and may
additionally propose other performance and outcome measures that are deemed best to
evaluate the services provided and/or to evaluate overall program performance. Stockdale
Boys Center will monitor the clinical outcome for each youth. When significant patterns of crisis
services, frequent runaway, or substance abuse are identified as elevated, a PDSA (Plan Do
Study Act)will be completed; a continuous quality improvement effort to address how to reduce
the behaviors.
A. Access to care: The ability of youth to receive the right service at the right time.
a. 100% of youth will have a completed and signed mental health
assessment within five (5) calendar days.
b. 100% of youth will have a CANS-IP and PSC-35 completed at the time of
assessment and every six (6) months.
c. 100% of youth will have an Admission Statement signed by the Head of
Service within five (5) calendar days.
d. 100% of youth will have a Treatment Plan completed within ## calendar
days from completed assessment.
e. 100% of youth will have a Treatment Plan reviewed and signed by the
Head of Service within ten (10) calendar days of youth's arrival.
f. 100% of youth will have a follow-up by LPHA within one (1) day of return
after a disruption in level of care (e.g. hospitalization, runaway behavior)
B. Effectiveness: Objective results achieved through services.
Stockdale Boys Center Head of Service will perform a clinical review for 100% of youth
every ninety (90) days of the youth's current mental health status and progress in
treatment, to determine whether the youth should be transitioned to a different level of
care. The Head of Service will summarize the reviews and determinations in the youth's
record and update the youth's treatment plan as needed.
The Head of Service will consider during the review the following:
A. The types and frequency of services provided to the youth and the impact of
these services on the youth's achievement of the goals outlined in the youth's
mental health assessment and client plan.
B. Whether Humanistic Foundation, Inc. continues to meet the specific therapeutic
needs of the youth.
C. Justification for the decision for continued stay or transition of the youth based on
the client record and licensed mental health professional's clinical opinion.
Stockdale Boys Center will collaborate throughout the course of the youth's treatment
with the youth's existing mental health team, parent, guardian, conservator, tribal
representative, child and family team, authorized representative, placing agency,
probation department, county welfare department, and county mental health department.
Humanistic Foundation, Inc. will summarize and document the consultations in the
youth's record.
B-22-9
Exhibit B-22
Stockdale Boys Center of Service will meet at least every ninety (90) days, or more often
if needed, to discuss the diagnosis, mental health progress, treatment planning, and
transition planning for each youth. The Head of Service will obtain information from the
direct care staff about observations for each youth. The Head of Service will attend each
meeting along with other mental health program staff that provide mental health services
to the youth. The meeting will include the most active and informed members of the
mental health program staff responsible for the youth's mental health treatment.
Stockdale Boys Center will utilize a tracking report monthly to track the date of
admission; date of first service; number of clients who have been hospitalized or ran
away; date of exit from the program; and plan for transitional services and/or transitional
services currently taking place for all youth served. The tracking report will state the
lower level of care the youth has transitioned to, i.e. (parent, resource family, foster
home, AB-12)
As Transition Plans are developed for each youth served, the goal is for 80% of clients
who have been linked to a lower level of care to transition successfully.
C. Efficiency: Demonstration of the relationship between results and the resources used to
achieve them.
Stockdale Boys Center aim to increase stability by 25%, and transition youth to a
permanent placement with family or foster family within six to nine months. In addition,
Stockdale Boys Center goal is to reduce by 50% hospitalizations, out-of-home
placements, and placement failures among the clients served by providing community
based, family-oriented, and culturally competent mental health services for foster care
children and adolescents who need enhanced specialty mental health services.
D. Satisfaction and Compliance: The degree to which persons served, County, and other
stakeholders are satisfied with the services.
Stockdale Boys Center a Quality Assurance Audit Tool monthly to review client's charts.
The audit evaluates the completion and timeliness of all services and to ensure charts
are 100% in compliance.
Client and Stakeholders Surveys are issued quarterly; Stockdale Boys Center strives to
have 75% of youth and stakeholders' express satisfaction that the Mental Health
Program met their needs.
Stockdale Boys Center understands that the County may adjust the performance and outcome
measures periodically throughout the duration of this Agreement, as needed, to best measure
the program. Stockdale Boys Center will utilize a computerized tracking system with which
performance and outcome measures and other relevant data, such as demographics, will be
maintained.
B-22-10