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HomeMy WebLinkAbout270361 AMENDMENT II TO AGREEMENT 2 THIS AMENDMENT, hereinafter refe1Ted to as Amendment II, is made and entered into this 3 I o·h'l day of December, 2013, by and between the COUNTY OF FRESNO, a political subdivision 4 of the State of California, hereinafter referred to as "COUNTY", and each Provider listed in Attachment 5 A, attached hereto and by this reference incorporated herein, collectively hereinafter referred to as 6 "PROVIDER(S)", and such additional PROVIDER(S) as may, from time to time during the term of 7 this Agreement, be added by COUNTY. Reference in tilis Agreement to "party" or "parties" shall be 8 understood to refer to COUNTY and each PROVIDER, unless otherwise specified. 9 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement 10 No. 07-290, effective July 10,2007, and Amendment I, No. 07-290-1, effective September 29,2009, 11 hereinafter referred to as the "Agreement"; and 12 WHEREAS, COUNTY is auti10rized through its Negotiated Net Amount (NNA) Drug Medi-Cal 13 Agreement with the State of Califonlia, hereinafter refeJTed to as State, Department of Alcohol and Drug 14 Programs (ADP), to subcontract for Drug Medi-Cal services in Fresno Cotmty; and 15 WHEREAS, PROVIDER(S) are certified by the State to provide services required by 16 COUNTY, pursuant to the terms and conditions of this Agreement; and 17 WHEREAS, the parties desire to amend ti1e Agreement regarding changes as stated below and 18 restates the Agreement in its entirety. 19 NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions, 2 0 hereinafter set fmih, the sufficiency of which is acknowledged, the parties agree as follows: 21 I. That ti1e following text in the existing COUNTY Agreement No. 07-290, Page One (I), 22 beginning with Paragraph One (1), Line Seventeen (17) with the words "OBLIGATIONS OF THE 2 3 PROVIDERS" and ending on page Two (2), Line Twenty (20) with the word "term" be deleted and 2 4 the following inse1ied in its place: 25 "1. OBLIGATIONS OF THE PROVIDER(S) 26 A PROVIDER(S) shall provide Drug Medi-Cal substance abuse services at 2 7 State-certified locations to eligible beneficiaries in Fresno County. 2 8 Ill - 1 -COUNTY 01' l'RESNO Fresno, C:\ 1 B. PROVIDER(S) shall comply with all of the provisions set forth in 2 Exhibits Band D to the COUNTY/State DMC/NNA Agreement, attached hereto and by this reference 3 incorporated herein as Attachments B and C respectively. PROVIDER(S) are refelTed to therein as 4 "Subcontractors" and COUNTY is refelTed to therein as "Contractor". 5 C. PROVIDER(S) should follow the guidelines in the "Youth Treatment 6 Guidelines," Attachment G, attached hereto and by this reference incorporated herein, in developing 7 and implementing youth treatment programs funded under this Agreement until such time new Youth 8 Treatment Guidelines are established and adopted. No fonnal an1endment of this contract is required 9 for new guidelines to apply. 10 D. PROVIDER(S)' representative, who is duly authorized to act on behalf of 11 the PROVIDER(S), shall attend, as determined necessary by COUNTY'S DBH Director, or her 12 designee, regularly scheduled (monthly) Alcohol and Drug Advisory Board Meetings. 13 E. PROVIDER(S) shall maintain, at PROVIDER(S)' cost, a computer 14 system with Windows 2000 or above, compatible with COUNTY'S Substance Abuse Information 15 System (SAIS), and high-speed internet connection for the purposes of submitting infonnation required 16 under the terms and conditions of this Agreement. 17 F. PROVIDER(S) shall submit all information and data required by the 18 State, including, but not limited to the following: 19 1.) Drug and Alcohol Treatment Access Report (DATAR) and 2 0 Provider Waiting List Record (WLR) in an electronic fommt provided by the State; 21 2.) Cal OMS Treatment-Submit Cal OMS Treatment admission, 2 2 annual update, discharge, or "provider no activity report" record in an electronic format through 2 3 COUNTY's SAIS system on a schedule as determined by the COUNTY which complies with State 2 4 requirements for data content, data quality, reporting frequency, reporting deadlines , and report 25 method. 26 3.) Cost Reports for each Fiscal Year: Eligible NTP Providers may 2 7 submit a Performance Repmi in lieu of a Cost Report. 2 8 Ill - 2 -COUNTY OF FRESNO Fresno, C,\ 1 4.) PROVIDER(S) agree to submit all data requested in (1), (2) and 2 (3) in the manner identified, or on forms provided by the State, by the applicable due dates given by 3 COUNTY. 4 "2. TERM 5 This Agreement shall become effective July I 0, 2007 and shall terminate on June 6 30, 2010. This Agreement shall automatically be extended for five (5) additional twelve (12) month 7 periods, pending funding availability, upon the same terms and conditions herein set forth, unless 8 written notice of non-renewal is given by COUNTY or COUNTY's DBH Director or her designee not 9 later than thirty days prior to the close of the current Agreement tenn." 10 2. That the following text in the existing COUNTY Agreement No. 07-290, Page Three 11 (3), begitming with Paragraph Four (4), Line Fourteen (14) with the word "INVOICING" and ending 12 on Page Four (4), line Fourteen (14) with the word "services" be deleted and the following inserted in l3 its place: 14 "4. INVOICING: 15 COUNTY agrees to pay PROVIDER(S) and PROVIDER(S) agree to receive 16 compensation at State established Medi-Cal rates as follows: prior to PROVIDER(S) submitting 17 invoices for reimbursement. PROVIDER(S) will submit records to COUNTY's DBH Director or her 18 designee for review. Once it has been determined that the records meet the criteria of billable services 19 according to applicable regulations, COUNTY'S DBH Director or her designee will notify the 2 0 PROVIDER(S) that services are approved for reimbursement. PROVIDER(S) shall enter billing 21 information into the COUNTY's Substance Abuse Information System by the fifteenth (15'h) of every 2 2 month. 23 5. FUNDING 2 4 A. Compensation-In no event shall reimbursement for services performed by 2 5 PROVIDER(S) under this Agreement exceed the reimbursement rates set forth in the COUNTY/State 2 6 DIVICINNA Agreement for each term of this Agreement. It is understood that all expenses incidental to 2 7 PROVIDER(S)' performance of services under this Agreement shall be borne by PROVIDER(S). 28 Ill - 3 -COUNTY OF FRESNO Frc:;no, C\ 1 1) Reimbursement for Drug Medi-Cal Services is limited to the maximum 2 allowable rates set by the State. 3 2) COUNTY shall reimburse Narcotic Treatment Program (NTP) 4 PROVIDER(S) the lesser of the Unified Statewide Monthly Reimbursement (USMR) rate or the 5 provider's usual or customary charge to the public less the maximum allowable COUNTY 6 administrative fee. 7 3) COUNTY shall reimburse non-NTP PROVIDER(S) the lesser of the 8 projected cost of services or the State maximum rate allowance, less a 10% COUNTY Administrative 9 fee. 10 4) COUNTY shall no longer reimburse PROVIDER(S) for Non-Medi-Cal 11 Minor Consent services effective January 1, 2014. 12 5) Payments by COUNTY shall be in arrears, for services provided during the 13 preceding month, within fmty-five (45) days after receipt, verification and approval ofPROVIDER(S)' 14 12 invoices by COUNTY's DB I-I. If payment for services are denied or disallowed by State; and 15 subsequently resubmitted to COUNTY by PROVIDER(S), payments will not be issued to 16 PROVIDER(S) until COUNTY has received reimbursement from State for said services." 17 That the following text in the existing COUNTY Agreement No. 07-290, Page Nine 18 (9), beginning with Paragraph Eleven ( 11 ), Line Twenty (20) witl1 the words "Professional Liability" 19 and ending on Page Nine (9), line Twenty-Four (24) with tl1e word "aggregate" be deleted and the 2 0 following inserted in its place: 21 22 23 24 25 26 27 28 "C. Professional Liabilitv If CONTRACTOR employs licensed professional staff (e.g. Ph.D., R.N., L.C.S.W., L.M.F.T.) in providing services, Professional Liability Insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence, Three Million Dollars ($3,000,000) annual aggregate. CONTRACTOR agrees that it shall maintain, at its sole expense, in full force and effect for a period of three (3) years following the termination of this Agreement, one or more policies of professional liability insurance with limits of coverage as specified herein." Ill - 4 -COUN'IY OF FRESNO Fresnu, C:\ 1 2 4. That the following text in existing County Agreement No. 07-290-1, Page 18, beginning 3 with Paragraph Thirty (30), Line One (1) with the words "HIPAA-BUSINESS ASSOCIATE 4 LANGUAGE CONFIDENTIALITY" and ending on Page Twenty (20), Line Eleven (11), with the 5 word "Agreement" be deleted and the following inserted in its place: 6 "30. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT 7 A The parties to this Agreement shall be in strict confommnce with all 8 applicable Federal and State of California laws and regulations, including but not limited to Sections 9 5328, 10850, and 14100.2 et seq. of the Welfare and Institutions Code, Sections 2.1 and 431.300 et seq. 10 of Title 42, Code of Federal Regulations (CFR), Section 56 et seq. of the Califomia Civil Code, 11 Sections 11977 and 11812 of Title 22 of the California Code of Regulations, and the Health Insurance 12 Portability and Accountability Act (HIP AA), including but not limited to Section 1320 D et seq. of 13 Title 42, United States Code (USC) and its implementing regulations, including, but not limited to Title 14 45, CFR, Sections 142, 160, 162, and 164, The Health Infonnation Technology for Economic and 15 Clinical Health Act (I-IITECH) regarding the confidentiality and security of patient infonnation, and the 16 Genetic Infom1ation Nondiscrimination Act (GINA) of 2008 regarding the confidentiality of genetic 17 information. 18 Except as otherwise provided in this Agreement, PROVIDER(S), as a Business 19 Associate of COUNTY, may use or disclose Protected Health Information (PHI) to perform functions, 2 0 activities or services for or on behalf of COUNTY, as specified in this Agreement, provided that such 21 use or disclosure shall not violate the Health Insurance Portability and Accountability Act (HIP AA), 42 2 2 USC 1320d et seq. The uses and disclosures of PHI may not be more expansive than those applicable 23 to COUNTY, as the "Covered Entity" under the HIPAA Privacy Rule (45 CFR 164.500 et seq.), except 2 4 as authorized for management, administrative or legal responsibilities of the Business Associate. 25 B. PROVIDER(S), including its subcontractors and employees, shall 2 6 protect, from unauthorized access, use, or disclosure of names and other identifying information, 2 7 including genetic infmmation, conceming persons receiving services pursuant to this Agreement, 2 8 except where permitted in order to cany out data aggregation purposes for health care operations [ 45 -5 -COUNTY OF FIUJSNO Fre:;no, CA 1 CFR Sections 164.504 (e)(2)(i), 164.504 (3)(2)(ii)(A), and 164.504 (e)(4)(i)] This pertains to any and 2 all persons receiving services pursuant to a COUNTY funded program. This requirement applies to 3 electronic PHI. PROVIDER(S) shall not use such identifying infom1ation or genetic infonnation for 4 any purpose other than can·ying out PROVIDER(S)'s obligations under this Agreement. 5 C. PROVIDER(S), including its subcontractors and employees, shall not 6 disclose any such identifying information or genetic information to any person or entity, except as 7 otherwise specifically pe1mitted by this Agreement, authorized by Subprni E of 45 CFR Prni 164 or 8 other law, required by the Secretary, or authorized by the client/patient in W1iting. In using or 9 disclosing PHI that is permitted by this Agreement or authorized by law, PROVIDER(S) shall make 10 reasonable efforts to limit PHI to the minimum necessary to accomplish intended purpose of use, 11 disclosure or request. 12 D. For purposes of the above sections, identifying information shall include, 13 but not be limited to nrnne, identifying number, symbol, or other identifying particular assigned to the 14 individual, such as finger or voice print, or photograph. 15 E. For purposes of the above sections, genetic information shall include 16 genetic tests of fan1ily members of an individual or individual, manifestation of disease or disorder of 17 frnnily members of an individual, or any request for or receipt of, genetic services by individual or 18 frnnily members. Fan1ily member means a dependent or any person who is first, second, third, or fourth 19 degree relative. 20 F. PROVIDER(S) shall provide access, at the request of COUNTY, and in 21 the time and manner designated by COUNTY, to PHI in a designated record set (as defined in 45 CFR 2 2 Section 164.501 ), to rn1 individual or to COUNTY in order to meet the requirements of 45 CFR Section 23 164.524 regarding access by individuals to their PHI. With respect to individual requests, access shall 2 4 be provided within thiiiy (30) days from request. Access may be extended if PROVIDER(S) cannot 2 5 provide access and provides individual with the reasons for the delay and the date when access may be 2 6 granted. PHI shall be provided in the form and fonnat requested by the individual or COUNTY. 2 7 PROVIDER(S) shall make any amendment(s) to PHI in a designated record set at 2 8 the request of COUNTY or individual, and in the time and manner designated by COUNTY in -6 -COUNTY 01' FRESNO Fre~no, CA 1 accordance with 45 CFR Section 164.526. 2 PROVIDER(S) shall provide to COUNTY or to an individual, in a time and 3 manner designated by COUNTY, infonnation collected in accordance with 45 CFR Section 164.528, to 4 permit COUNTY to respond to a request by the individual for an accounting of disclosures of PHI in 5 accordance with 45 CFR Section 164.528. 6 G. PROVIDER(S) shall report to COUNTY, in writing, any knowledge or 7 reasonable belief that there has been unauthorized access, viewing, use, disclosure, security incident, or 8 breach of unsecured PHI not permitted by this Agreement of which it becomes aware, immediately and 9 without reasonable delay and in no case later than two (2) business days of discovery. Immediate 10 notification shall be made to COUNTY's Infmmation Security Officer and Privacy Officer and 11 COUNTY's DPH HIP AA Representative, within two (2) business days of discovery. The notification 12 shall include, to the extent possible, the identification of each individual whose unsecured PHI has 13 been, or is reasonably believed to have been, accessed, acquired, used, disclosed, or breached. 14 PROVIDER(S) shall take prompt corrective action to cure any deficiencies and any action pertaining to 15 such unauthorized disclosure required by applicable Federal and State Laws and regulations. 16 PROVIDER(S) shall investigate such breach and is responsible for all notifications required by law and 17 regulation or deemed necessary by COUNTY and shall provide a written report of the investigation and 18 reporting required to COUNTY's Infonnation Security Officer and Privacy Ofticer and COUNTY's 19 DPH HIP AA Representative. This written investigation and description of any reporting necessary 2 0 shall be postmarked within the thirty (30) working days of the discovery of the breach to the addresses 21 below: 22 23 24 25 26 County of Fresno County of Fresno County of Fresno Dept. of Public Health Dept. of Public Health Infmmation Teclmology Services HIPAA Representative Privacy Officer Information Security Officer (559) 600-6439 (559) 600-6405 (559) 600-5800 P.O. Box 11867 P.O. Box 11867 2048N. Fine Street Fresno, CA 93775 H. Fresno, CA 93775 Fresno, CA 93 727 PROVIDER(S) shall make its internal practices, books, and records 2 7 relating to the use and disclosure of PHI received from COUNTY, or created or received by the 2 8 PROVIDER(S) on behalf of COUNTY, in compliance with HIP AA's Privacy Rule, including, but not - 7 -COUNTY OF FRESNO Fn:~no, C\ 1 limited to the requirements set forth in Title 45, CFR, Sections 160 and 164. PROVIDER(S) shall 2 make its internal practices, books, and records relating to the use and disclosure of PHI received from 3 COUNTY, or created or received by the PROVIDER(S) on behalf of COUNTY, available to the United 4 States Department of Health and Human Services (Secretary) upon demand. 5 PROVIDER(S) shall cooperate v.~th the compliance and investigation reviews 6 conducted by the Secretary. PHI access to the Secretary must be provided during the PROVIDER(S)' s 7 normal business hours, however, upon exigent circumstances access at any time must be granted. Upon 8 the Secretary's compliance or investigation review, if PHI is unavailable to PROVIDER(S) and in 9 possession of a Subcontractor, it must certify efforts to obtain the information to the Secretary. 10 I. Safe guards 11 PROVIDER(S) shall implement administrative, physical, and technical 12 safeguards as required by the HIP AA Security Rule, Subpart C of 45 CFR 164, that reasonably and 13 appropriately protect the confidentiality, integrity, and availability of PHI, including electronic PHI, 14 that it creates, receives, maintains or transmits on behalf of COUNTY and to prevent unauthorized 15 access, viewing, use, disclosure, or breach of PHI other than as provided for by this Agreement. 16 PROVIDER(S) shall conduct an accurate and thorough assessment of the potential risks and 17 vulnerabilities to the confidential, integrity and availability of electronic PHI. PROVIDER(S) shall 18 develop and maintain a written information privacy and security program that includes administrative, 19 technical and physical safeguards appropriate to the size and complexity of PROVIDER(S)' s 2 0 operations and the nature and scope of its activities. Upon COUNTY's request, PROVIDER(S) shall 21 provide COUNTY with information concerning such safeguards. 2 2 PROVIDER(S) shall implement strong access controls and other security 2 3 safeguards and precautions in order to restrict logical and physical access to confidential, personal (e.g., 2 4 PHI) or sensitive data to authorized users only. Said safeguards and precautions shall include the 2 5 following administrative and technical password controls for all systems used to process or store 2 6 confidential, personal, or sensitive data: 2 7 I. Passwords must not be: 28 a. Shared or written down where they are accessible or recognizable - 8 -COUNTY OF FRESNO !!rcsno, C:\ 1 by anyone else; such as taped to computer screens, stored under keyboards, or visible in a work area; 2 3 4 5 6 7 8 b. c. A dictionary word; or Stored in clear text 2. Passwords must be: a. b. c. d. Eight (8) characters or more in length; Changed every ninety (90) days; Changed immediately if revealed or compromised; and Composed of characters from at least three (3) of the following 9 four ( 4) groups from the standard keyboard: 10 11 Upper case letters (A-Z); Lowercase letters (a-z); 12 13 I) 2) 3) 4) Arabic numerals (0 through 9); and Non-alphanumeric characters (punctuation symbols). 14 PROVIDER(S) shall implement the following security controls on each 15 workstation or portable computing device (e.g., laptop computer) containing confidential, 16 personal, or sensitive data: 17 I. Network-based firewall and/or personal firewall; 18 2. Continuously updated anti-virus software; and 19 3. Patch management process including installation of all operating 2 0 system/software vendor security patches. 21 PROVIDER(S) shall utilize a commercial encryption solution that has 22 received FIPS 140-2 validation to encrypt all confidential, personal, or sensitive data stored on portable 2 3 electronic media (including, but not limited to, compact disks and thumb drives) and on pmiable 2 4 computing devices (including, but not limited to, laptop and notebook computers). 2 5 PROVIDER(S) shall not transmit confidential, personal, or sensitive data 2 6 via e-mail or other internet transport protocol unless the data is encrypted by a solution that has been 2 7 validated by the National Institute of Standards and Technology (NIST) as conforming to the 2 8 Advanced Encryption Standard (AES) Algoritlm1. PROVIDER(S) must apply appropriate sanctions - 9 -COUNTY OF FRESNO Fresno, C:\ 1 against its employees who fail to comply with these safeguards. PROVIDER(S) must adopt 2 procedures for terminating access to PHI when employment of employee ends. 3 J. Mitigation of Harmful Etiects 4 PROVIDER(S) shall mitigate, to the extent practicable, any hatmful 5 effect that is suspected or known to PROVIDER(S) of an unauthorized access, viewing, use, disclosure, 6 or breach of PHI by PROVIDER(S) or its subcontractors in violation of the requirements of these 7 provisiOns. PROVIDER(S) must document suspected or known hannful effects and the outcome. 8 K. PROVIDERCSl's Subcontractors 9 PROVIDER(S) shall ensure that any of its PROVIDER(S)s, including 10 subcontractors, if applicable, to whom PROVIDER(S) provides PHI received from or created or 11 received by PROVIDER(S) on behalf of COUNTY, agrees to the same restrictions, safeguards, and 12 conditions that apply to PROVIDER(S) with respect to such PHI and to incorporate, when applicable, 13 the relevant provisions of these provisions into each subcontract or sub-award to such agents or 14 subcontractors. 15 L. Employee Training and Discipline 16 PROVIDER(S) shall train and use reasonable measures to ensure 17 compliance with the requirements of these provisions by employees who assist in the perfmmance of 18 functions or activities on behalf of COUNTY under this Agreement and use or disclose PHI and 19 discipline such employees who intentionally violate any provisions of these provisions, including 2 0 termination of employment. 21 M. Termination for Cause 22 Upon COUNTY's knowledge of a material breach of these provisions by 2 3 PROVIDER(S), COUNTY shall either: 2 4 I. Provide an opportunity for PROVIDER(S) to cure the breach or end 2 5 the violation and tenninate this Agreement if PROVIDER(S) does not cure the breach or end the 2 6 violation within the time specified by COUNTY; or 2 7 2. Immediately tenninate this Agreement if PROVIDER(S) has breached 2 8 a material tem1 of these provisions and cure is not possible. -10 -COUNTY lW FRI,SNO Fresno, C:\ 1 3. If neither cure nor termination is feasible, the COUNTY's Privacy 2 Officer shall report the violation to the Secretary of the U.S. Department of Health and Human 3 Services. 4 N. Judicial or Administrative Proceedings 5 COUNTY may tenninate this Agreement in accordance with the terms 6 and conditions of this Agreement as written hereinabove, if: (1) PROVIDER(S) is found guilty in a 7 criminal proceeding for violation of the HIPAA Privacy or Security Laws or the HITECI-I Act, or (2) 8 there is a finding or stipulation that the PROVIDER(S) has violated a privacy or security standard or 9 requirement of the HITECH Act, HIP AA or other security or privacy laws in an administrative or civil 10 proceeding in which the PROVIDER(S) is a party. 11 0. Effect of Tennination 12 Upon termination or expiration of this Agreement for any reason, 13 PROVIDER(S) shall return or destroy all PHI received from COUNTY (or created or received by 14 PROVIDER(S) on behalf of COUNTY) that PROVIDER(S) still maintains in any form, and shall 15 retain no copies of such PI-II. If return or destruction of PHI is not feasible, it shall continue to extend 16 the protections of these provisions to such information, and limit further use of such PHI to those 17 purposes that make the return or destruction of such PHI infeasible. This provision shall apply to PHI 18 that is in the possession of subcontractors or agents, if applicable, ofPROVIDER(S). If 19 PROVIDER(S) destroys the PHI data, a certification of date and time of destruction shall be provided 20 to the COUNTY by PROVIDER(S). 21 P. Disclaimer 22 COUNTY makes no warranty or representation that compliance by 2 3 PROVIDER(S) with these provisions, the HITECH Act, HIPAA or the HIP AA regulations will be 2 4 adequate or satisfactory for PROVIDER(S)' s own purposes or that any information in 2 5 PROVIDER(S)'s possession or control, or transmitted or received by PROVIDER(S), is or will be 2 6 secure from unauthorized access, viewing, use, disclosure, or breach. PROVIDER(S) is solely 2 7 responsible for all decisions made by PROVIDER(S) regarding the safeguarding of PI-II. 28 Q. Amendment -11 -COUNTY OF FIUoSNO Fre~no, CA 1 The parties acknowledge that Federal and State laws relating to electronic 2 data security and privacy are rapidly evolving and that amendment of these provisions may be required 3 to provide for procedures to ensure compliance with such developments. The parties specifically agree 4 to take such action as is necessary to amend this agreement in order to implement the standards and 5 requirements of HIP AA, the HIP AA regulations, the HITECH Act and other applicable laws relating to 6 the security or privacy of PHI. COUNTY may terminate this Agreement upon thirty (30) days written 7 notice in the event that PROVIDER(S) does not enter into an amendment providing assurances 8 regarding the safeguarding of PHI that COUNTY in its sole discretion, deems sufficient to satisfY the 9 standards and requirements of HIP AA, the HIP AA regulations and the HITECH Act. 10 R. No Third-Party Beneficiaries 11 Nothing express or implied in the terms and conditions of these 12 provisions is intended to confer, nor shall anything herein confer, upon any person other than 13 COUNTY or PROVIDER(S) and their respective successors or assignees, any rights, remedies, 14 obligations or liabilities whatsoever. 15 S. Interpretation 16 The terms and conditions in these provisions shall be interpreted as 17 broadly as necessary to implement and comply with HIP AA, the HIP AA regulations and applicable 18 State laws. The parties agree that any ambiguity in the terms and conditions of these provisions shall be 19 resolved in favor of a meaning that complies and is consistent with HIP AA and the HIP AA regulations. 20 T. Regulatory References 21 A reference in the terms and conditions of these provisions to a section in 2 2 the HIP AA regulations means the section as in effect or as amended. 23 U. Survival 2 4 The respective rights and obligations ofPROVIDER(S) as stated in this 2 5 Section shall survive the termination or expiration of this Agreement. 26 27 28 v. No Waiver of Obligations No change, waiver or discharge of any liability or obligation hereunder -12 -COUN'IY OF FRESNO Fresno, CA 1 on any one or more occasions shall be deemed a waiver of performance of any continuing or other 2 obligation, or shall prohibit enforcement of any obligation on any other occasion." 3 5. That the following Paragraph is being added to the Agreement 07-290-1 as Paragraph 4 Seventeen ( 17), Page Three (3 ), Line Seven (7). The remaining Paragraphs (Paragraphs 17 5 "ASSURANCES through Paragraph 41 "ENTIRE AGREEMENT") shall be re-numbered sequentially 6 to read as Paragraphs 18 through 42. 7 "17. CULTURAL COMPETENCY 8 As related to Cultural and Linguistic Competence, PROVIDER(S) shall comply 9 with: 10 A. Title 6 of the Civil Rights Act of 1964 (42 U.S.C. Section 2000d, and 45 11 C.F.R. Part 80) and Executive Order 12250 of 1979 which prohibits recipients offederal financial 12 assistance from discriminating against persons based on race, color, national origin, sex, disability or 13 religion. This is interpreted to mean that a limited English proficient (LEP) individual is entitled to equal 14 access and participation in federally funded programs through the provision of comprehensive and quality 15 bilingual services. 16 B. Policies and procedures tor ensuring access and appropriate use of trained 17 interpreters and material translation services for all LEP conswners, including, but not limited to, assessing 18 the cultural and linguistic needs of its consumers, training of staff on tl1e policies and procedures, and 19 monitoring its language assistance progran1. The PROVIDER(S)'s procedures must include ensuring 2 0 compliance of any sub-contracted providers with these requirements. 21 PROVIDER(S) shall not use minors as interpreters. 22 C. D. PROVIDER(S) shall provide and pay for interpreting and translation 2 3 services to persons participating in PROVIDER(S)' services who have limited or no English language 2 4 proficiency, including services to persons who are deaf or blind. Interpreter and translation services shall 2 5 be provided as necessary to allow such participants meaningful access to the programs, services and 2 6 benefits provided by PROVIDER(S). Interpreter and translation services, including translation of 2 7 PROVIDER(S)' "vital docnn1ents" (fuose docwnents that contain infonnation that is critical for accessing 2 8 PROVIDER(S)' services or are required by law) shall be provided to participants at no cost to the -13 -COUNTY OF FRicSNO Fresno, C-\ 1 participant. PROVIDER(S) shall ensure that any employees, agents, subcontractors, or partners who 2 interpret or translate for a program participant, or who directly conununicate with a program participant in 3 a language other than English, demonstrate proficiency in the participant's language and can effectively 4 communicate any specialized terms and concepts peculiar to PROVIDER(S)' services. 5 E. In compliance with the State mandated Cultmally and Linguistically 6 Appropriate Services standards as published by the Office of Minority Health, PROVIDER(S) must 7 submit to COUNTY for approval, within 60 days fi"om date of contract execution, PROVIDER(S)' plan to 8 address all fifteen national cultural competency standards as set forth in the "National Standards on 9 Culturally and Linguistically Appropriate Services (CLAS)" attached hereto as Attachment H, and 10 incorporated herein by this reference. COUNTY's annual on-site review of PROVIDER(S) shall include 11 collection of docmnentation to ensure all national standards are implemented. PROVIDER(S) may solicit 12 complimentary assistance from On Track Consulting (https:llontrackconsulting.org/projectslclasl) for 13 training in plan development. As the national competency standards are updated, PROVIDER(S)' plan 14 must be updated accordingly." 15 6. COUNTY and PROVIDER(S) agree that this Amendment II is sufficient to amend 16 Agreement #07-290 and Amendment I# 07-290-1, and that upon execution of this Amendment II, the 17 Agreement, Amendment I and Amendment II together shall be considered the Agreement. 18 7. The Agreement, as hereby an1ended, is ratified and continued. All provisions, terms, 19 covenants, considerations and promises contained in the Agreement and not amended herein shall remain 2 0 in full force and effect. TI1is Amendment II shall become effective upon execution by all parties. 21 Ill 2 2 Ill 2 3 Ill 2 4 Ill 25 Ill 2 6 Ill 2 7 Ill 2 8 Ill -14 -COUN'JY OF FRESNO Fre~no, C\ 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment II to the 2 Agreement 07-290 and 07-290-1 as of the day and year first hereinabove written. 3 COUNTY OF FRESNO PROVIDER(S) 4 5 6 7 8 9 10 11 12 13 14 15 By: =-=------=~-'u'--"'-::~c:-. .!J-.«---_-_-_-__ Henry Perea, Chairinan Board of Supervisors Date: _I'V_\:_ID-'\'--10 ___ _ BERNICE E. SEIDEL, Clerk Board of Supervisors SEE ATTACHMENT A 16 Date: 17 18 19 20 21 22 23 24 25 26 27 28 PLEASE SEE ADDITIONAL SIGNATURE PAGE ATTACHED -15 -COUNTY 0!' l'!UiSNO Fresno, C:\ 1 2 3 4 5 12 APPROVED AS TO LEGAL FORM: KEVIN BRIGGS, COUNTY COUNSEL APPROVED AS TO ACCOUNTING FORM: VICKI CROW, C.P.A., AUDITOR-CONTROLLER/ TREASURER-TAX COLLECTOR 13 REVIEWED AND RECOMMENDED FOR APPROVAL: 14 15 16 17 18 19 20 DA WAN UTECHT, DIRECTOR DEPARTMENT OF BEHAVIORAL HEALTH 21 Fund/Subclass: 0001/10000 Organization: 56302081 2 2 Account/Progran1: 7294/0 23 24 25 26 27 28 -16 - Date----'-'--// f-1-!J-=3+/-'-'/J'---· __ I I Date _ ___,_._( (_l_~___:_' /'---'1 5::___ Date _ __,l_,_·{-_l:...:,~:._-_,_()"---- COUN'IY OF FlUiSNO Fresno, CA 1 Provider: ADDI TION RESEARCH AND TREATMENT, INC. 2 3 4 By: __ _____,1'-/'g..<=J-:;----hY=:/-'-------- 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Title: _?,_te_~_l d_~:;_c_:_:_:( ___ _ Chairman of the Board, or President, or any Vice President Date: u(5/ I 3 ' PrintName: CDwM[I. Q.., bAI<ISON~ ' rv_c,.-r-Title: _t:_. _._, _• __ l--_ ••_:_r..:J_>'t.--=-N---=C'-".P::~---- Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -17 -COUNTY OF FRESNO Fresno, CA 1 Provider: AEGIS MEDICAL SYSTEMS, INC. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Ehud Barkai Print Name: _____________ _ President & C.E.O. Title: _____________ _ Chairman of the Board, or President, or any Vice President Date: November 12, 2013 Edith Barkai 18 Print Name: ____________ _ 19 20 21 22 23 24 25 26 27 28 Secretary Title: _____________ _ Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -18 -COUNTY 01' FRESNO Fresno, Cr\ 1 Provider: ANTIOCH SUBSTANCE ABUSE PROGRAMS. 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Chainnan of the Board. or President. or any Vice President Date: JJ fJ V, "? ;{p /.3 Print I!J/6/efm~c0 !J:cj(s on Title: Cnu"~u,;rEJJM/ Secretary (of Corporation). or any Assistant Secretary. or Chief Financial Officer. or any Assistant Treasurer -19 -COUNTY OF FRESNO Fre:;no, CA 1 Provider: CENTRAL CALIFORNIA RECOVERY, INC. 2 3 4 Print Name: --~-"--'-'--. ""-,..<:;::-~--"'\Jk""""'-l'-'17'-'-(-~. ___ _ 5 6 7 8 9 Title: __ Q->._"_,_( -"=9./""-Y=-~-=-~='='--j'-------- 10 11 12 13 14 15 16 17 18 19 Chairman of the Board, or President, or any Vice President .I By: cf.J(2v6a/L<:L- -----2 O Title: --+-/-"~-"z_'-'e'"":.."-f)-'-' . ..s;"-·"'u'--'r""C""'. t_--'-'-;-'-( ~-----";;_}_/-<;" -f 3 21 22 23 24 25 26 27 28 Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -20 -COUNTY OF l·lmSNO Fresno, CA 1 Provider: DELTA CARE, INC. 2 3 4 5 By:_C"""'"~""-f?'__;::__o~Q-__ _ 6 7 8 9 10 11 12 13 14 15 16 17 Print Name: R' I A.: E:. N L1 ~ 'v~ h- Chairman of the Board, or President, or any Vice President 18 Print Name: t\"tA-LI fV' \ L-tA A-GIN IT 19 20 21 22 23 24 25 26 27 28 Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -21 -COUN'JY OF FRESNO Frc~no, Cr\ 1 Provider: EMINENCE HEALTH CARE, INC. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 '( ............... -·~-, \ By:C! \ ~ Title: _ _,(....,;;""'---L------------ Chairman ofthe Board, or President, or any Vice President Date: __ _:_.:11-!{--'. ~~-+-/_,__! ='--_3- 18 Print Name: y;,, (i-cc, r rl I Dr C' s I C:i/\ 19 20 21 22 23 24 25 26 27 28 Title: __ -=::C:....>F_-_'7 ________ _ Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -22 -COUN.lY OF FRESNO Fresno, C\ 1 Provider: FRESNO COUNTY HISPANIC COMMISSION 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Title: :&Aom CtiAT)2.. Chainnan of the Board, or President, or any Vice President Date: I L /8 D3 --~~r-=-+,~~------ By: ------=---ff-6k-""---------- Title: ___ tS=x_-e=c="'=f.-'-',~!<..=.--=j)::....:.cc,'/.edo-='-'=-v-- Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -23 -COUNTY OF FRESNO Fresno, CA 1 Provider: FRESNO NEW CONNECTIONS, INC. 2 3 4 5 6 7 8 By 1!J!!d"" 'J"~'~ Print N arne: ){q..jt, / Y f/i h ""r ; d ;(_ t" r / .. ---; /} . 9 Title: _ ___,!'-''"_,·' tc.:.~t'=.:~'->=',i&"';l-"-e"-IL""f'-l------- 10 11 12 13 14 15 16 17 18 19 Chairman of the Board, or President, or any Vice President 2 0 Title: l\-6 1~\r,\, \ ~ \-;r, \ l\rg, 21 22 23 24 25 26 27 28 Secretary (of Corporation), or any Assistant Secretary, or ChiefFinancial Officer, or any Assistant Treasurer -24 -COUNTY OF FRESNO Fresno, CA 1 Provider: GENERATIONAL CHANGES, INC. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Print Name: Linda Washington Title: CEO/President Chairman of the Board, or President, or any Vice President Date: /I-7-.u r5 18 Print Name: Thelma Ricks 19 2 0 Title: Secretary 21 22 23 24 25 26 27 28 Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -25 -COL:NTY 01' FRI'SNO Fresno, C-\ 1 Provider: KING OF KINGS COMMUNITY CENTER, INC. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Chairman of the Board, or President, or any Vice President Date: //~ 7-1.5 / j 0 ' Title:, Jeefle'f'it(;; a;· lcl/~Ad~?r-- secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -26 -COUNTY OF FRESNO Fre:>no, CA 1 Provider: KINGS VIEW CORPORATION 2 3 4 5 6 7 8 Print Name: /c8 ()A, dj)j ·z -- ' I 9 Title: ___ c_· _· .::::.&-_· _______ _ Chairman of the Board, or President, or any Vice President Date: __ £-1/ /'----f"-l'·/cf_(3-iJ_-_· ~_1_.:::,_7 __ I 10 11 12 13 14 :: .,£4cCffm;u,, 17 18 19 20 21 22 23 24 25 26 27 28 PrintNan1e: CC/4adtJ ; ~~~Jv J Title: & f.tufui~w_,'-1-ov Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -27 -COUNTY OF FIUOSNO Fre;;no, CA 1 Provider: MEDMARK TREATMENT CENTERS, INC. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 By: Title: "Pres;1 'd.ett+ Chairman of the Board, or President, or any Vice President Date: \ Print Name: ])a VIA C.\ ~--~----------------- Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -28 -COUNTY OF FRESNO Fresno, C:\ 1 Provider: MENTAL HEALTH SYSTEMS, INC. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Print Name: 't\ -1 m bt) I t./ j Title: l?residf'b'l-+ ti Ct() Chairman of the Board, or President, or any Vice President Date: I \-Gr \ ·3 18 Print Name: f'il \ C \r) Q i.J \ t--\c\wlf~- 19 20 21 22 23 24 25 26 27 28 Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -29 -COUNTY OF FRESNO Fresno, CA 1 Provider: PANACEA SERVICES, INC. 2 3 4 5 6 7 8 9 10 ll 12 13 14 1 " _:o 16 17 18 19 20 21 22 23 24 25 26 27 28 By: tl~c/?!Al~ Print Name: An ita L I UltL-to n Title: __,fi'--Ln_._e"'"'s,__,_,j c'"""l=e.._,_,_vr__._t· _: __ Chairman of the Board, or President. or anv Vice President Date: // lJ U3 I I . PrintName:Adny M!.&yne ~,/ ~,--/r,-4 Title: cs-<J;,1 Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer. or any Assistant Treasurer -30 -COL'KTY OF FRESNO Frc~no, C\ 1 Provider: PRODIGY HEAL THCARE, INC. 2 3 4 5 6 7 8 9 Title: ___,_C,~~.,-:::0,_ _________ _ 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Chairman of the Board, or President, or any Vice President Date: 11 /:rbol"S ~· Print Name: , falglfel tj)hftl · Title: ------'C>L...f-,F_____,()'------- Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -31 -COUNTY OI'I·RESNO Frt.!snn, CA 1 Provider: PRO MESA BEHAVIORAL HEALTH, INC. 2 3 4 5 6 7 : Title: __ /_l_;_/_9_/_:z._o_/_b ___ _:_~"--/I=~LJ!:; r ·~ Cv<-£~L 10 11 12 13 14 15 16 17 Chairman of the Board, or President, or any Vice President Date: -'-'-/ /_~ _j_!f_---'--/~3~- 18 PrintNarne: 19 2 0 Title: __Je f? lfvF!?-~<j 21 22 23 24 25 26 27 28 Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer -32 -COUNTY OF FRESNO Fresno. C\ 1 Provider: WEST CARE CALIFORNIA, INC. 2 3 4 5 6 7 10 11 12 13 14 15 16 17 18 19 20 21 22 Chairman of the Board, or President, or any Vice President Date: / 1-0 · /3 PrintName: __ji,-, ldAwwA Title: (l·-x-p-<cjc:_ ~'-''<2_ Tc·.N I Secretary (of Corporation), or any Assistant Secretary, or Chief Financial O±licer, or 2 3 any Assistant Treasurer 24 25 26 27 28 -33 -COUNTY OF FRI·:SNO Fresno, C\ Addiction Research and Treatment, Inc. Remit to: (559) 498-7100 1111 Market Street San Francisco, CA 94103 Contracted for NRT services Remit to: 7246 Rem met Ave Canoga Park, CA 91303 Contracted for NRT services Remit to: 3838 N. West Avenue Fresno, CA 93705 Remit to: 1100 W. Shaw Ave., #122 Fresno, CA 93711 Remit to: 4705 N. Sonora Avenue, Suite 113 Fresno, CA 93722 Remit to: 7225 N. First Street, Suite 101 Fresno, CA 93720 Inc. (559) 268-6261 (559) 266-9581 (559) 229-9040 (559) 226-0809 inc. (559) 273-2942 (559) 276-7558 (559) 221-8100 3103 E. Cartwright Fresno, CA 93725 1235 "E" Street Fresno, CA 93706 539 N. Van Ness Fresno, CA 93728 3707 E. Shields Fresno, CA 93726 3838 N. West Avenue Fresno, CA 93705 1100 W. Shaw Ave., #122 Fresno, CA 93711 4705 N. Sonora Ave.,# 113 Fresno, CA 93722 750 Van Ness Street Coalinga, CA 93210 2045 N. Dickenson Ave. Fresno, CA 93723 3535 N. Cornelia Ave. Fresno, CA 93722 1700 Anchor Ave. Orange Cove, CA 93646 Attachment A Page 1 of 4 10026 S. Crawford Ave. Dinuba, CA 93618 265 Cambridge Coalinga, CA 93210 1201 E. Parlier Ave. Parlier, CA 93648 16875 4'" Street Coalinga, CA 93234 Remit to: 1803 Broadway Fresno, CA 93721 Remit to: 4411 N. Cedar Avenue, #108 Fresno, CA 93726 Generationa1 Rur1it to: 2409 rv1c:rced Street iilOG r=,·c;no, Ct\ 9372.1 (559) 268-6475 (559) 248-1548 (559) 681-0533 3125 Wright Street Selma, CA 93662 603 3'' Street Parlier, CA 93648 740 West North Ave. Reedley, CA 93654 1045 Bethel Ave. Sanger, CA 93657 4056 North Bryan Fresno, CA 93723 2270 Sylvia Street Selma, CA 93662 Attachment A Page 2 of4 6241 West Palo Alto Ave. Fresno, CA 93722 4444 West Weldon Ave. Fresno, CA 93722 3160 W Mt Whitney Ave. Riverdale, CA 93656 33326 Lodge Road Tollhouse, CA 93667 33280 Lodge Road Tollhouse, CA 93667 6450 DeWoody Laton, CA 93242 12 South Teilman Ave. Fresno, CA 93706 1 Tiller Ave. Caruthers, CA 93609 1803 Broadway, suites A, B, and C Fresno, CA 93721 4411 N. Cedar Ave., #108 Fresno, CA 93726 1313 P Street Fresno, CA 93721 3333 N. Bond Ave. Fresno, CA 93726 830 Fresno Street of Remit to: 2302 Martin Luther King Jr. Blvd. Fresno, CA 93706 Remit to: 1822 Jensen Avenue, #102 Sanger, CA 93657 Remit to: 401 E. Corporate Drive, Suite 220 Lewisville, TX 75057 Contracted for NRT services iV1entall ~ieaith. Systems Remit to: 9465 Farnham St. San Diego, CA 92123 Panacea Remit to: 3152 N. Millbrook, SuiteD Fresno, CA 93703 Remit to: 7475 N. Palm Ave.,# 107 Fresno, CA 93711 :Promesa 8ehaviora~ enter. Inc. (559) 268-9559 (559) 875-6300 (559) 264·2700 (559) 225-9117 (559) 241-0364 (559) 439-5437 Fresno, CA 93706 2302 Martin Luther King Jr. Blvd. Fresno, CA 93706 1822 Jensen Avenue, #102 Sanger, CA 93657 1310 M. Street Fresno, CA 93721 Family and Youth Alternatives 3122 N. Millbrook Ave., Suites A & B Fresno, CA 93703 Attachment A Page 3 of 4 3152 N. Millbrook, SuiteD 4928 E. Clinton Avenue# 108 Fresno, CA 93703 Fresno, CA 93727 7475 N. Palm Ave.,# 107 Fresno, CA 93711 2910 & 2920 E. Olive Ave. Fresno, CA 93701 6425 W. Bowles Raisin City, CA 93624 741 Tulare St. Parlier, CA 93648 Ht r-: 900 Newmark Ave. Parlier, CA 93648 211 Smooth Ave. Mendota, CA 93640 241 Smooth Ave. Rcrnit to: P.O. Bo~< 820 Remit to: P.O. Box 12107 Fresno, CA 93776 (559} 892-9452 (559) 443-4850 1600 16th Street Firebaugh, CA. 93fi22 1976 Morris Kyle Drive Firebaugh, CA 93622 701 East Main Street Fowler, CA 93625 611 E. Belmont Fresno, CA 93701 Attachment A Page 4 of4 Mendota, CA 93640 1258 E. Belmont Mendota, CA 93640 19191 Excelsior Ave. Five Points, CA 93624 6052 South Juanche Street Tranquility, CA 93668 1666 Saipan Ave. Fi1·ebaugh, CA 93622 658 East Adams Fowler, CA 93625 3530 Couth Cherry Ave. Fresno, CA 93706 701 East Walter Ave. Fowler, CA 93625 1550 Herndon Ave. Clovis, CA 93611 2727 N. Cedar Fresno, CA 93703 13620 S. Kincaid Caruthers, CA 93776 818 L. Street Sanger, CA 93657 808 S. 10'" Street Fresno, CA 93702 EXHIBITG State of California YOUTH T EATME T GUIDELINES Revised August 2002 Department of Alcohol and Drug Programs 1700 K Street Sacramento, CA 95814 Youth Treatment Guidelines Table of Contents EXHIBIT G Executive Summary .................................................................................... iv Introduction ................................................................................................ v Section I. Definitions ................................................................................ 1 Section II. Guiding Principles for Youth Treatment ........................................ 3 Section Ill. Target Population ...................................................................... 4 Section IV. Outcomes ....•....•...................................................................... .4 Section V. A. B. C. D. E. F. G. H. I. J. K. L. M. N. Section VI. A. B. Service Components ................................................................. .4 Outreach Screening Initial and Continuing Assessment Diagnosis Placement Treatment Planning Counseling Youth Development Approaches to Treatment Family Interventions and Support Systems Educational and Vocational Activities Structured Recovery Related Activities Alcohol and Drug Testing Discharge Planning Continuing Care Service Coordination and Collaboration ..................................... 12 Case Management and Complementary Services Critical Linkages ii EXHIBITG Table of Contents (continued) Section VII. Culture and Language .............................................................. 13 Section VIII. Health and Safety Issues .......................................................... 14 A. Care and Supervision B. Medication Management C. Emergency Services D. Detoxification Services E. Buildings/Grounds Section IX. Legal and Ethical Issues .......................................................... 16 A. B. C. Section X. A. B. c. Voluntary Treatment Consent, Confidentiality, and Criminal Reporting Notice of Program Rules, Client Rights, and Grievance Procedures Administration ........................................................................ 17 Program Rules and Procedures Program Staffing Program Data Collection and Reporting ADP PUBLICATION #8566 Resource Center State of California (800) 879-2772 (California Only) (916) 327·3728 FAX: (916) 323-1270 TIY: (916) 445·1942 Internet: hl1p:/lwww .ndp.statc.cu.us E-Mail: ResourceCenter@adp.state.ca.us Alcohol and Drug Programs 1700 K Street First Floor Sacramento, CA 95814 iii EXHIBITG EXECUTIVE SUMMARY Numerous studies periodically document the substantial prevalence of alcohol and other drug (AOD) use among youth. Alcohol remains the most widely used substance among youth, and marijuana is the most frequently used illicit drug among older students. Inhalants are most popular among younger students and its use is at an all time high. Recent trends indicate that the onset of AOD use is occurring at younger ages, and there are alarming increases in the use of "club drugs" such as methamphetamine, MDMA (ecstasy), gamma-hydroxybutyrate (GHB), Rohypnol and Ketamine. Far from being an isolated problem, early and persistentAOD use is part of a syndrome of problem behaviors that affect not only the youth themselves, but their families and communities as well. Academic difficulties, criminal activity, health-related consequences, poor peer and family relationships, mental health issues, early sexual activity and teen pregnancy often accompany AOD use. Adolescence is an important time of physical growth and psychosocial maturation, and AOD use interferes with these normal developmental phenomena. AOD use can cause delays or long-term deficits in normal physical, intellectual, social, and emotional development. When AOD use begins at an early age, it can result in permanent developmental and neurological damage. Most systems serving youth report that AOD use is a major problem among the youth they serve; however, those in need of treatment are not consistently identified or referred for services. Generally, only those youth which cause serious problems in relation to their AOD use tend to be identified and receive services, usually in the most restrictive settings (group homes, juvenile hall, or correctional institutions). This lack of intervention and treatment results in a huge cost to society, which escalates over time as these youth reach adulthood and enter the criminal justice system or require more serious and costly services. For the most positive outcomes among youth experiencing AOD-related problems, they must have access to age-appropriate intervention and treatment, practical support such as life skills training and employment, and meaningful opportunities for involvement and leadership. Youth need programs that address their developmental issues, provide comprehensive and integrated services, involve families, and allow youth to remain in the most appropriate, but least restrictive setting, so they can be served within the context of their families, classroom and community. Historically, the AOD treatment service system has not served youth well because it was designed and intended for adults. California has a pressing need for a coordinated system of treatment services designed specifically for youth with AOD problems. The model system will provide multiple and diverse services and treatment approaches to holistically address a youth's AGO- related problems, surround youth with opportunities to succeed, and prevent more severe problems in adulthood. These guidelines are an important part of a long-term effort targeting the youth population with comprehensive and integrated services. iv EXHIBIT G INTRODUCTION In 1998, the California Legislature enacted the Adolescent Alcohol and Drug Treatment and Recovery Program Act (Assembly Bill1784, Baca, Chapter 866, Statutes of 1998), better known as the Baca bill. Approximately $5 million annually was designated to support comprehensive alcohol and other drug (AOD) treatment for adolescents. Twenty counties were funded with Adolescent Treatment Program (ATP) funds based on an index of need indicators (adolescent deaths, hospitalizations, arrests, automobile collisions, and school incidents, related to adolescent AOD use.) The Baca bill authorized the Department of Alcohol and Drug Programs to develop standards and procedures to implement the ATP. The Department established a standards development workgroup. This workgroup was comprised of representatives from various disciplines and county systems, with a wide range of expertise in areas such as youth AOD abuse and treatment; adolescent development; youth mental health issues; child welfare, family reunification, and foster care; juvenile justice and probation; education; and, research and evaluation. The first meeting of the standards workgroup was held in March 2000. Until recently, there were few AOD treatment programs designed specifically for youth and no standards of practice for youth or safeguards to ensure their safety and protection. As counties and providers began to develop new youth programs, this lack of standardization and youth treatment resources presented implementation problems. Current AOD standards and regulations offered little assistance, as they have no specifics related to youth and their unique needs. Therefore, the immediate goal of the workgroup was to identify and document the treatment models and intervention research had found to be effective with youth. These best practices were included in this document to ensure that youth intervention and treatment services are safe, appropriate, and cost effective. They were developed and intended to be used in conjunction with, not to conflict with or duplicate, other applicable laws, regulations or standards that govern programs serving youth. These guidelines focus on ways to specialize treatment for youth and provide guidance to counties and providers as they develop and operate their youth treatment services. It is hoped that the guidelines will also serve as: 1) an educational resource for policymakers and professionals working in other youth services systems; 2) a guide for juvenile and family court judges for choosing and placing youth in effective programs; and, 3) a benchmark for counties and programs to establish their own written protocols for youth AOD treatment services based on local need. v SECTION I. Definitions "ADA" means the federal Americans with Disabilities Act. "Adolescence" means the period of life between puberty and maturity, which is generally accepted as the ages 12 through 17, inclusive. EXHIBIT G "Assessmenf' is an ongoing process by which the treatment team collaborates with the youth, family, and others to gather and interpret information necessary to determine their level of problem severity, match their clinical needs to the appropriate level of treatment, and evaluate progress in treatment. "AOD" means alcohol and other drugs. "ASAM" means the American Society of Addiction Medicine. "Case managemenf' means an ongoing process by which the program establishes linkages with other service systems and its providers, acts as liaison between the youth and those other systems, and coordinates referrals to ensure access to necessary services to assist youth and their families to address their special needs. "Clinically managed residential treatment" means the level of care equivalent to Adolescent Level Ill in the ASAM PPC-2R. This level of care is provided in either a facility licensed by the Department of Social Services or in a Department-licensed adult alcoholism or drug abuse recovery or treatment facility with an approved waiver to serve adolescents. "Co-existing disorders" means the co-existence of both a DSM IV-deiined substance related disorder and an Axis II, Ill, IV, or V mental health disorder. "Co-morbidity" means the co-existence of both a DSM IV-defined substance related disorder and an Axis I major mental health disorder (also known as dual diagnosis). "Continuum of care" means a full range of AOD services available to address the diverse needs of youth. A full continuum of care generally includes prevention, intervention, and treatment, with a variety of settings and services included within each category. "Departmenf' means the Department of Alcohol and Drug Programs. "Detoxification" means acute abstinence syndrome requiring medical monitoring and management. "Diagnosis" means a process of examination to determine the nature of a problem or set of problems, and the decision or opinion based on that examination. Page 1 oflS YOUTH TREATMENT GUIDELINES EXHIBITG "DSM IV" means the Diagnostic and Statistical Manual of Mental Disorders IV. "Early Intervention" (or secondary prevention) means the level of care equivalent to Adolescent Level .05 in the ASAM Patient Placement Criteria for the Treatment of Substance Related Disorders. Second Edition-Revised (PPC-2R). This level of care is delivered in a variety of settings and usually consists of brief contact or a series of contacts designed to explore and address problems or risk factors that appear to be related to substance abuse. It is most appropriate for youth with low AOD problem severity (experimental and regular use) and those who do not meet the diagnosis for a substance related disorder. "Family" means the nuclear family (parents, grandparents, siblings, stepparents, adoptive parents, foster parents, or legal guardians), extended family (aunts, uncles, cousins), significant others, mentors, or persons viewed as family members when a youth has no identifiable family. "Group home" means a facility licensed by the Department of Social Services, which provides 24-hour nonmedical care and supervision to children in a structured environment. "Intensive outpatient treatment" (or day treatment) means the level of care equivalent to Adolescent Level II in the ASAM PPC-2R. This level of care is usually provided in a school or community-based program that extends the school day to include a wide array of services. It is appropriate for youth with severe problems related to their AOD use that have the potential to distract from recovery efforts. "Medically-managed residential treatment" means the level of care equivalent to Adolescent Level IV in the ASAM PPC-2R, and is appropriately provided only in a hospital setting. "Outpatient treatment" means the level of care equivalent to Adolescent Level I in the ASAM PPC-2R. This level of care may be provided in any age-appropriate setting and is appropriate for youth with low to medium problem severity. "Screening" means the use of a brief and simple questionnaire to identify youth that may need AOD treatment by uncovering indicators of ADD problems. "Substance abuse" means alcohol and other drug abuse. "Youth" means the period of life between childhood and maturity. "Youth development philosophy" means a concept that promotes developmental asset building, social supports and services, and job skill and workforce opportunities to help reduce problem behaviors and produce positive long-term outcomes for youth. Page 2 ofl8 YOUTH TREATMENT GUIDELTh'ES EXHIBITG "Youth in at-risk environments" are minors whose environment increases their chance of using alcohol and other drugs, dropping out of school, teen pregnancy, and involvement in criminal activity. SECTION II. Guiding Principles for Youth Treatment These guidelines incorporate scientific research and clinical practice from both the AOD treatment field and children's service systems. They reflect the overarching principles of AOD treatment that characterize the most effective approaches and interventions, and the philosophy of care for children that recognizes their developmental and multiple needs, involves families, and assures child safety. AOD abuse and dependence among youth is a complex problem. It is generally the result of multiple factors, including: 1) a biological predisposition toward substance use or other problem behaviors; 2) psychological factors such as depression or distress; and, 3) social factors such as family, community, and peer relationships. Biopsychosocial factors should be considered in order to maximize the benefit youth will obtain from treatment. The biopsychosocial model integrated into these guidelines will help draw attention to the complexity of factors that lead to substance related disorders and aid in understanding and treating these disorders. Substance-related disorders among youth occur in varying degrees of severity. A youth's AOD use can range from experimental use with minimal consequences to abuse and dependence with continued severe consequences. The level and type of treatment provided should be consistent with the youth's degree of AOD problem severity. The adolescent criteria in ASAM's Patient Placement Criteria for the Treatment of Substance Abuse Related Disorders is available to determine appropriate placement. A full continuum of care should be available to address the varying levels of services needed by youth, and allow for movement back and forth across levels as treatment progresses or regresses. In addition to formal treatment, the continuum of care for youth and their families should include pre-treatment options (mentoring, brief interventions, harm reduction, etc.), relapse prevention (either before, during, or after formal treatment), and aftercare services. Page3 of18 YOUTH TREAT!VillNT GUIDELINES SECTION Ill. Target Population A. The target population for youth treatment is individuals ages 12 through 17 (inclusive). B. To serve youth ages 18 through 21 and individuals younger than age 12, the program should: 1. Document clinical appropriateness individually for each client; and, 2. Have a written protocol that addresses developmentally appropriate services for that age group. EA'HIBITG C. Admission priority should be based on program design, client assessment, and clinical judgement. SECTION IV. Outcomes A. Counties should assess the desired system level outcomes, such as: 1. increases in youth-specific programs/treatment capacity; 2. increased access to youth specific services; 3. increased quality of services; and, 4. achieving and maintaining a continuum of care for youth. B. Programs should assess the desired client level outcomes for youth in treatment, such as: 1. reduction and/or elimination of AOD use; 2. improved level of functioning in major life domains; and, 3. placement and safe treatment in the most appropriate, least restrictive settings. SECTION V. Service Components A. Outreach 1. Counties should provide or arrange for outreach services that identify ADD-abusing youth and encourage them to take advantage of treatment services. Page 4 of18 YOUTH TREATMENT GUIDELINES EXHIBIT G 2. Outreach efforts should target youth in at-risk environments. 3. High priority should be placed on. linking with public systems already serving youth with ADD problems, such as schools, child welfare, public health, mental health, and juvenile justice. 4. Outreach activities should also include educating professionals and policy makers in these systems so that they become referral sources for potential clients. B. Screening Youth are far less likely than adults to be referred to treatment by a parent, family member, or self. Therefore, it is important that professionals who work with youth be able to identify youth ADD problems and refer these youth for further assessment and/or treatment. A high priority should be placed on identifying children with ADD problems within other public service systems, such as schools, child protective services, county mental health, perinatal ADD programs, probation, and, Medi-Cal and Healthy Families programs. 1. Youth who have been identified to be at risk for ADD problems should be screened, using a tool designed for adolescents, to uncover indicators of ADD and related problems. Youth with possible ADD problems as identified through the screening should be referred for a more comprehensive assessment for substance related disorders, as described in "C" of this Section. 2. The screening tool should be brief and simple and should be easily administered with minimal training. 3. The screening tool should have applicability across diverse populations and be developmentally appropriate. C. Initial and Continuing Assessment Assessment is not a single event upon the youth's admission to the program, but an ongoing process to gain insight into a youth's unique abilities, strengths, and needs. Assessment should be comprehensive, multi-faceted, and culturally, as well as developmentally, appropriate. Assessment should be used in the treatment planning of each individual admitted to treatment, and incorporate contextual factors contributed by family/caregiver circumstances. 1. Except for early intervention programs, the program should complete a comprehensive assessment on all youth with indications of possible ADD- Page 5 of 18 YOUTH TREATMENT GUIDELINES EXHIBITG related problems (as a result of a brief screening), including those being admitted to treatment. 2. After screening indicates a probable need for treatment, the assessment should provide the information necessary to determine and document the level of severity of the youth's ADD-related problems and specifically address the level of care he/she should receive, as described in "E" of this section. 3. The assessment tool should be designed specifically for the developing adolescent, have established reliability and validity, and capture data related to the major life domains of an adolescent. This assessment tool should include, but not be limited to, issues of substance abuse, mental health, physical health, legal, development, school/education/employment, and family/peer relationships. The assessment tool should also be strength-based in order to accurately assess the youth's unique abilities and needs. As recommended, a staff person qualified to administer the instrument should perform assessments. 4. The assessment should include a health screening (including a medical health history, disease screening, dental, and mental health). (Programs assessing a youth should seek advice from public health professionals whenever appropriate.) If the health screening identifies an issue that warrants further evaluation, the program should provide or arrange for a physical examination and/or referral to the public health department or other appropriate care site, and take reasonable steps to assist the minor in accessing and receiving necessary care. Programs should develop and keep current lists of adolescent health provider referrals and provide appropriate assistance in accessing necessary health care services based on health assessment findings. 5. The assessment should include an evaluation of the youth's developmental and cognitive levels; and social, emotional, communication and self-help/independent living skills. 6. As soon as possible, the program should assess and identify safety issues, such as risk of suicide; current, or history of, physical and/or sexual abuse; or perpetration of physical or sexual abuse on others. The assessment should include an evaluation of risk to self and others. If the assessment indicates high risk of danger to the youth or others, an appropriate referral should be made immediately and the family/guardian should be notified. The assessment should be conducted with appropriate consent as provided by law. Page 6 ofl8 YOUTH TREATIYIENT GUIDELTh'ES EXHIBITG 7. The initial assessment should be completed as soon as possible, with the initial assessment occurring no later than 30 days after admission. Programs should attempt to gather as much information as soon as possible, and keep updating as more information is obtained (it may take some time to build trust and rapport with the youth before he/she will reveal more detailed and honest information). D. Diagnosis 1. As part of the comprehensive assessment described in "C" of this Section, youth should be assessed to determine whether they meet the diagnostic criteria of a substance related disorder in DSM IV. 2. Except as provided in 3 and 4 below, all youth accepted for treatment in outpatient, intensive outpatient, and residential treatment should meet diagnostic criteria for a substance related disorder in the OSM IV. 3. A youth whose AOD use symptoms are severe, but who does not meet the diagnostic criteria, may be appropriate for admission to outpatient treatment for further evaluation. 4. If the presenting AOD history is not adequate to substantiate a diagnosis, the program may use material submitted by collateral parties (family members, legal guardians, etc.) that indicates a high degree of probability of such a diagnosis. E. Placement Individuals and agencies making placement decisions for youth needing treatment should do the following: 1. Make every effort to keep the youth in the least restrictive environment, unless moving them into a more restrictive program is the only way to protect themselves or others from harm, or if all potential less restrictive environments have proven ineffective. ASAM's PPC provides a guideline for determining treatment setting and service matching. 2. Take into consideration the age, developmental stage, gender, culture, and behavioral, emotional, sexual or criminal problems of the youth and existing clientele, to ensure that the youth and other clients would not be adversely impacted by their interaction. 3. Except for early intervention programs, a program should serve male youth only, or female youth only, unless: Page 7 of 18 YOUTH TREATMENT GUIDELINES a. the program addresses gender-specific issues in determining individual treatment needs and therapeutic approaches; and, b. the program provides regular opportunities for separate gender group activities and counseling sessions. F. Treatment Planning EXHIBITG 1. Except for early intervention programs, programs should develop a written individual treatment plan for each youth, based on information collected in the comprehensive assessment. 2. The treatment plan should be developed in conjunction with the youth and involve the youth in recognizing and appreciating his/her unique strengths and assets as well as clarifying needs. 3. The treatment plan should address multiple problems experienced by the youth (including but not limited to mental health, education, family, medical illness, legal issues), and the complementary services needed to deal with these problems. 4. Services and therapeutic approaches identified in the treatment plan should reflect the youth's gender, and chronological, emotional, and psychological age. 5. A physical health questionnaire designed for client and/or parent/guardian self-administration should be used and discussed with the youth by an appropriately trained staff member in the context of treatment plan development. Treatment plans should contain specific goals for achieving physical health based on the identified needs and treatment plan priorities. 6. The treatment plan should include goals with realistic objectives and timeframes for completing. These should be mutually agreed upon by the program, the youth, and, whenever possible, his or her family/caregiver. 7. The initial treatment plan should be completed at least within 30 days of admission. Progress in treatment should be regularly monitored and treatment plans modified as needs arise or change during treatment, at various stages of the youth's development and recovery, or at least every six months. G. Counseling 1. Except in early intervention programs, each youth should be assigned a primary counselor when admitted to treatment The primary counselor is responsible for building the youth's emotional trust and safety, recognizing Page 8 of18 YOUTH TREATMENT GUIDELINES the youth's individual strengths and assets, and assisting him/her to achieve success appropriate for his/her developmental stage. EXHIBITG 2. The program should provide individual counseling sessions as clinically appropriate and specified in the treatment plan, but at least: a. upon admission to treatment to help orient the youth to treatment; b. to develop and revise treatment plans; c. as needed for youth who are uncomfortable with the group process or unready to discuss specific issues in a group setting; d. for crisis intervention; and, e. for discharge planning. 3. Programs should provide group counseling sessions as clinically appropriate and as Identified in the treatment plan. 4. The program should provide didactic groups as clinically appropriate and as identified in the treatment plan. H. Youth Development Approaches to Treatment 1. Programs should integrate a youth development philosophy as the foundation of treatment for youth. Youth development approaches include the following: a. assessment and treatment planning processes that are strength- based rather than deficit-based; b. uncovering what is unique about the youth and building on his/her individual abilities and strengths; c. frequent expressions of support and consistent, clear and appropriate messages about what is expected of the youth; and, d. encouragement and assistance in developing multiple supportive relationships with responsible, caring adults. 2. Programs should provide or arrange for opportunities for youth to: a. advise and made decisions related to program policies and procedures that impact them; b. plan, organize, and lead program activities and projects; c. develop social skills and decision-making abilities; d. learn values and marketable skills for adulthood; and, e. contribute to their community and serve others. Page 9 of 18 YOUTH TREATMENT GUIDELINES EXHIBIT G I. Family Interventions and Support Systems Research has found that effective treatment for youth almost always involves the family, and the effectiveness of family therapy has been documented extensively, especially among those youth who are normally the most difficult to treat. Therefore, whenever possible, parents/caregivers should participate in all phases of their child's treatment. However, it makes no ethical or legal sense to insist on the involvement of estranged parents in decision-making regarding their child's treatment. Instead, the program should create new opportunities for youth to develop supportive relationships with appropriate adults who will remain involved in their lives, both during treatment and recovery, and beyond. 1. Programs should make efforts to: a. identify family dynamics, engage and include the family in the youth's treatment as early as possible (as part of the intake and assessment process), if clinically appropriate and specified in the treatment plan; and, b. provide individual family counseling, multi-family groups, and parental education sessions as clinically appropriate and specified in the treatment plan. 2. The program should assist the youth in developing a support system to help reinforce behavioral gains made during treatment, and provide ongoing support to prevent relapse. J. Educational and Vocational Activities 1. Programs should fully integrate the youth's educational program into the youth's clinical program by: a. providing youth access to educational instruction while in treatment, in accordance with state law; b. working with the educational system to address the youth's school related problems; and, c. developing a plan to assist the youth to successfully transition back into the community educational system, if appropriate. 2. Programs should provide or arrange for educational sessions and culturally appropriate materials that address issues such as HIV/AIDS and other health matters (Sexually Transmitted Diseases (STDs), tuberculosis, hepatitis, nutrition), as well as, sexuality/family planning, violence prevention, independent Jiving skills, and smoking cessation. Page 10 of18 YOUTH TREATMENT GUIDELINES 3. As appropriate, programs should provide or arrange for academic and work-readiness skills, career planning, and job training for youth. The program should also develop and maintain collaborations with local vocational programs and the workforce investment board and its youth council. K. Structured Recovery-Related Activities EXHIBITG Intensive outpatient and residential programs should provide or arrange for both therapeutic and diversionary recreation. Therapeutic activities include art therapy, journal writing, and self-help groups. Diversionary recreation activities include sports, games, and supervised outings. L. Alcohol and Drug Testing 1. Except for early intervention programs, programs should provide or arrange for alcohol and drug testing for all youth. 2. The frequency of alcohol and drug testing should be determined individually for each youth based on clinical appropriateness, and should allow for rapid response to the possibility of relapse. 3. Alcohol and drug test results are meant to assist in diagnosis, confirm clinical impressions, help modify the youth's treatment plan, and determine the extent of the youth's reduction in AOD use. Clinical decisions should not be based solely on these results. M. Discharge Planning 1. Except for early intervention programs, programs should, in cooperation with youth, develop a written discharge and/or aftercare plan that contains elements to sustain gains made in treatment. 2. The adolescent patient discharge criteria contained in ASAM's Patient Placement Criteria for the Treatment of Substance Abuse Related Disorders is available to help determine length of stay and discharge readiness. 3. Programs should complete a written summary for each youth discharged from treatment that contains client profile information consistent with standard data sets. The summary should document progress towards goals and measurable outcomes during treatment, and characterize the youth's long-term success or need for further assessment and/or referral. Page 11 of 18 YOUTH TREATMENT GUIDELINES EXHIBIT G N. Continuing Care Programs should provide or arrange for continuing care services to youth after the completion offormal treatment, and whenever professional intervention is needed, to prevent relapse and support the youth's transition into recovery. Continuing care services may include, but are not limited to, coordination of goals, identification of signs of relapse and a plan to respond to such signs, family involvement, linkages to other services as necessary, aftercare sessions, transition and emancipation options, and, self-help and peer support groups. SECTION VI. Service Coordination and Collaboration A. Case Management and Complementary Services Except for early intervention programs, programs should provide or arrange for case management services for every youth in treatment. If the case manager function is provided directly by the treatment program, the case manager should: 1. Have training and skills in the following areas: a. AOD treatment, an understanding of addiction, and the intergenerational nature of AOD abuse; b. familiarity with community resources and other youth service systems (education, child welfare, juvenile justice, mental health, etc.); c. physical and sexual abuse; d. family dynamics; and, e. legal issues (informed consent for minors, disclosure of confidential information, child abuse/neglect reporting requirements, and duty- to-warn issues). 2. Arrange for, ensure access to, and coordinate complementary services identified in the youth's treatment plan. If allowed by specific funding requirements (i.e., State General Fund or federal Substance Abuse Prevention and Treatment Block Grant), youth treatment funds may be used for necessary complementary services if alternate funding is not available. 3. Communicate regularly with the primary counselor to coordinate and monitor the services and activities for the youth and his/her family, as identified in the youth's treatment plan. 4. Be the youth's advocate and liaison with other systems, help the youth and family negotiate the various service systems, and coordinate referrals. Page 12 of 18 YOUTH TREATMENT GUIDELINES EXHIBJTG 5. Network and communicate with other community agencies providing services to youth in the program (including schools, child welfare, juvenile justice, employment development, mentoring, mental health, primary medical care, etc.), and as much as possible, coordinate case management with these various other agencies/systems, which may include group case management meetings. B. Critical Linkages 1. The program should develop strong linkages with existing health, mental health, social, educational, mentoring, and employment development programs that provide services to youth. This includes the AOD services system as well, since AOD prevention programs and perinatal treatment programs provide opportunities for identification and referral of youth with AOD problems. 2. The program should collaborate with other agencies providing services to the youth as indicated by the client's needs and in order to ensure a coordinated approach. These may include, but should not be limited to, Department of Health Services, Department of Social Services (foster care and child welfare), Employment Development Department (work development and training), Department of Education, Department of Mental Health, juvenile justice (courts and probation) and other community based organizations providing services to youth. 3. . When applicable, and in accordance with state and federal laws regarding disclosure of confidential information, the program should include representatives from these other agencies during case conferences and treatment planning. SECTION VII. Culture and Language A. Programs that serve youth whose primary language is not English, including sign language, should have or make available, as needed, skilled bilingual staff and/or interpreters. B. Staff should be trained in specific cultural issues, traditions, and beliefs in order to provide the most appropriate treatment for youth within the community. C. All print and audio-visual materials used for educational purposes should be culturally, linguistically, and literacy appropriate for the youth and families being served. Page 13 of 18 YOUTH TREATMENT GUIDELINES EXHIBIT G D. Staff should foster an environment of acceptance of different sexual orientations and should be prepared to address issues of sexuality and sexual identity, including those of gay, lesbian, and bisexual youth. E. The program must comply with all ADA requirements. SECTION VIII. Health and Safety Issues A. Care and Supervision 1. The program should provide a reasonable level of age-appropriate structure, care, and supervision to ensure the safety and security of youth and staff at all times while on the program site. Appropriate care and supervision includes the maintenance of rules for the protection of youth; supervision of youth schedules and activities; monitoring of food intake/special diets (when meals or snacks are served); and storing, distribution, and assistance with taking medications (see "B" of this Section). 2. Youth have the right to be accorded dignity in their personal relationships with staff and other persons, and to be free from corporal or unusual punishment, exploitation, prejudice, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, sexual harassment, mental abuse, or other actions of a punitive nature. 4. Program consequences/discipline for a youth's inappropriate behavior in the program must be non-violent, age/developmentally appropriate, non- aversive, and clearly stated in the program's rules and procedures. 5. Programs should have written procedures for signing youth in and out of program sites. Program staff should ensure the availability of secure, safe and reliable transportation for youth to and from the program site and to supportive services. The program should never leave a youth alone to wait for his/her ride. 6. Programs, in consultation with their county agencies, should establish a protocol for the submission of program incident reports, including the reporting of such incidents as injuries that require medical evaluation or treatment; suspected physical, sexual or psychological abuse; transmissible diseases (non-STDs); and, deaths. 7. All programs should conduct a criminal record review of all staff who will have any contact with youth while they are at the program. If the review discloses that the individual has been convicted of or is the subject of any criminal investigation relating to any felony or misdemeanor perpetrated Page 14 of 18 YOUTH TREATMENT GUIDELINES EXHIBIT G against a child, the program shall prohibit that individual from employment that results in any contact with youth while they are at the program. The program should keep the results of the criminal record review in a confidential portion of the personnel file. B. All programs should develop training to increase staff awareness and skills in the detection of youth injury, disease, child abuse, and neglect to ensure youth welfare. Programs should also have written policies and procedures concerning appropriate staff response to and preparation for such issues. B. Medication Management Programs should manage youth's prescription medication in accordance with all applicable laws (i.e., those governing school sites and residential AOD treatment programs). Programs that are not otherwise regulated in this area should develop and implement a written protocol for the self-administration and management of youth's prescription medications that ensures the following: 1. medications are reviewed and documented in the youth's chart upon admission to the program and records are periodically updated; 2. staff members directly involved in individual client care are made aware in writing of a youth's medication regimen; and, 3. provisions are made for appropriate and secure storage and self- management of a youth's medications to minimize risk of tampering, loss, or contamination. C. Emergency Services 1. At least one staff member on all shifts should be trained and certified in first aid and cardiopulmonary resuscitation to ensure adequate emergency services are available when youth are present. 2. All programs should develop written protocols and procedures in case of a medical or psychological emergency. Programs should establish referral relationships with emergency facilities. All staff involved in direct client care should be trained in the emergency care procedures. Page 15 of18 YOUTH TREATMENT GUIDELINES EXHIBIT G D. Detoxification Services Youth in need of detoxification services should be placed in the most appropriate site for the provision of services. 1. When indicated, appropriately trained personnel under the direction of a physician or other health care professional should monitor medical detoxification with specific expertise in management of alcohol and drug detoxification and withdrawal. 2. Written protocols should be developed and staff trained to ensure that all programs have the capacity to adequately manage and/or make referral arrangements for youth that appear at the program site under the influence. E. Buildings/Grounds 1. All residential facilities must be licensed in accordance with applicable state licensing statutes and regulations and remain in compliance with such requirements. 2. All facilities should be clean, sanitary, and in good repair at all times for the safety and well being of youth, staff, and visitors. SECTION IX. Legal and Ethical Issues A. Voluntary Treatment AOD treatment is a voluntary process; however, the AOD treatment system often serves youth who "volunteer" for treatment as a choice to avoid more severe consequences (school expulsion, juvenile detention or a felony conviction, placement in group home, or a parental consequence). Such "coerced" treatment can be successful, if youth are assessed and matched with the appropriate level of treatment, and the program makes attempts to motivate the youth to change. 1. If a youth appears to be mismatched to court-ordered treatment, the treatment program has a right to refuse treatment based on clinical assessment, but should make a recommendation and referral for more appropriate placement. 2. The program should overcome resistance and encourage participation by utilizing strategies with demonstrated effectiveness (using role models, involving the family, motivation through positive and appealing activities). Page 16 of 18 YOUTH TREATMENT GUIDELINES EXHIBITG B. Consent, Confidentiality, and Criminal Reporting Programs must comply with state and federal laws and regulations regarding informed consent for children, disclosure of confidential information such as patient-identifying information (including communication with parents, guardians, courts), child abuse and neglect reporting requirements, and duty-to-warn issues (threats of violence, HIV infection risk, criminal activity). C. Notice of Program Rules, Client Rights, and Grievance Procedures Upon admission, all youth should be personally advised of, and given a copy of, the program rules, client rights, and the complaint and/or grievance procedures. These should be culturally, linguistically, and literacy appropriate for the youth and families being served. The program should post these items in a noticeable place in the facility. SECTION X. Administration A. Program Rules and Procedures The program should have written program policies and procedures, client rules and rights, and complaint and/or grievance procedures. All staff should receive training on the program rules, policies, and procedures. B. Program Staffing 1. Each youth treatment program should have at least the following core staff: a. a program or clinical supervisor, who should have management experience (i.e., staff supervision, fiscal operations, or business administration), and education and experience in ADD addiction counseling; b. an AOD counselor, who should be certified by an AOD addiction counselor credentialing organization; and, c. a family therapist, who should be licensed as either a marriage and family therapist, clinical social worker, psychologist, or a registered intern under the supervision of a licensed therapist. The family therapist may be a contracted employee. 2. The core staff should have training and/or skills in the following areas: Page 17 ofl8 a. AOD treatment, an understanding of addiction, the intergenerational nature of ADD abuse, and the dynamics of adolescent recovery; YOUTH TREATMENT GUIDELINES b. effective and developmentally-appropriate interventions and approaches for treating AOD-abusing youth; c. assessment of AOD use disorders, mental health disorders (psychotic, affective, anxiety, and personality), and cognitive impairments; EXHIBIT G d. psychoactive medications prescribed to youth, their benefits, and their potential side effects and interactions with other medications or substances; e. child development and normal adolescent growth and development; f. therapeutic recreational therapy; g. family dynamics; h. detection of youth injury, disease, abuse, and neglect; i. HIV/AIDS and other health issues (STDs, hepatitis, smoking, etc.); j. cultural competence, including ADA requirements; k. community resources and other youth treatment systems (schools, child welfare, mental health, juvenile justice system, etc.); I. methods and meanings of drug and alcohol testing, as well as the benefits and limitations; m. legal issues (informed consent for minors, disclosure of confidential information, child abuse/neglect reporting requirements and duty- to-warn issues); n. program rules and procedures; and, o. client rights and grievance procedures 3. Programs should retain written evidence of the required staff licensure, skills, and training. 4. Programs should provide for or arrange for continuing education for all clinical staff to enhance their specialty and keep up with trends, new technology, etc. C. Program Data Collection and Reporting 1. Counties and providers are responsible for collecting and submitting data to the Department, such as the California Alcohol and Drug Data System (CADDS) admission and discharge forms. 2. Counties and providers may be required to provide additional d ala for monitoring or evaluation purposes, as requested by the Department. Page 18 of 18 YOUTHTREATJYillNT GUIDELINES Attachment H Page 1 of2 National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care 1. Health care organizations should ensure that patients/consumerst receive ±rom all staff members effective, understandable, and respectful care that is provided in a manner compatible with their cultural health beliefs and practices and preferred language. 2. Health care organizations should implement strategies to recruit, retain, and promote at all levels of the organization a diverse staff and leadership that are representative of the demographic characteristics of the service area. 3. Health care organizations should ensure that staff at all levels and across all disciplines receive ongoing education and training in CLAS delivery. 4. Health care organizations must offer and provide language assistance services, including bilingual staff and interpreter services, at no cost to each patient/consun1er with LEP at all points of contact and in a timely manner during all hours of operation. 5. Health care organizations must provide to patients/consumers in their preferred language both verbal offers and written notices infonning them of their right to receive language assistance services. 6. Health care organizations must ensure the competence of language assistance provided to limited English proficient patients/consumers by interpreters and bilingual staff. Family and friends should not be used to provide interpretation services (except on request by the patient/consumer). 7. Health care organizations must make available easily understood patient-related materials and post signage in the languages of the commonly encountered groups and/or groups represented in the service area. 8. Health care organizations should develop, implement, and promote a written strategic plan that outlines clear goals, policies, operational plans, and management accountability/oversight mechanisms to provide CLAS. 9. Health care organizations should conduct initial and ongoing organizational self-assessments of CLAS-related activities and are encouraged to integrate cultural and linguistic competence-related measures into their internal audits, performance improvement progran1s, patient satisfaction assessments, and outcomes-based evaluations. 10. Health care organizations should ensure that data on the individual patient's/consumer's race, etlmicity, and spoken and written language are collected in health records, integrated into the organization's management information systems, and periodically updated. Attachment H Pagel of2 11. Health care organizations should maintain a current demographic, cultural, and epidemiological profile of the community as well as a needs assessment to accurately plan for and implement services that respond to the cultural and linguistic characteristics of the service area. 12. Health care organizations should develop participatory, collaborative pminerships with communities m1d utilize a variety of formal and informal mechanisms to facilitate community and patient/consumer involvement in designing and implementing CLAS-related activities. 13. Health care organizations should ensure that conflict and grievance resolution processes are culturally and linguistically sensitive and capable of identifying, preventing, and resolving cross-cultural conflicts or complaints by patients/consumers. 14. Health care organizations are encouraged to make available regularly to the public infmmation about their progress a11d successful ilmovations in implementing the CLAS standards and to provide public notice in their communities about the availability of this information.