Loading...
HomeMy WebLinkAboutResolution - 2020-R0411 - Contract 15621 with Plainview Serenity Center, Inc.Resolution No. 2020-RO411 Item No. 7.5 December 1, 2020 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for and on behalf of the City of Lubbock, Contract No. 15621 for substance use disorder treatment services as per RFP 21-15544-MA, by and between the City of Lubbock and Plainview Serenity Center, Inc., of Plainview, Texas, and related documents. Said Contract is attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council. Passed by the City Council on December 1, 2020 —L,JV DANIEL M. POPE, MAYOR ATTEST: Rebe a, Garza, City Sec eta APPROVED AS TO CONTENT: '-'i3 C-Wonal�/� Bill How on, Deputy City ager APPROVED AS TO FORM: Ry B oke, Assistant City Attorney ccdocs/RES.Contract 15621 Substance use disorder treatment services November 10, 2020 Resolution No. 2020-RO411 Contract 15621 City of Lubbock, TX SUBSTANCE USE DISORDER TREATMENT SERVICES Agreement This Service Agreement (this "Agreement") is entered into as of the 1st day of December 2020 ("Effective Date") by and between Plainview Serenity Center, Inc., (the Contractor), and the City of Lubbock (the "City"). RECITALS WHEREAS, the City has issued a Request for Proposals 21-15544-MA, SUBSTANCE USE DISORDER TREATMENT SERVICES. WHEREAS, the proposal submitted by the Contractor has been selected as the proposal which best meets the needs of the City for this service; and WHEREAS, Contractor desires to perform as an independent contractor to provide SUBSTANCE USE DISORDER TREATMENT SERVICES , upon terms and conditions maintained in this Agreement; and NOW THEREFORE, for and in consideration of the mutual promises contained herein, the City and Contractor agree as follows: City and Contractor acknowledge the Agreement consists of the following exhibits which are attached hereto and incorporated herein by reference, listed in their order of priority in the event of inconsistent or contradictory provisions: 1. This Agreement 2. Exhibit A — General Requirements 3. Exhibit B — Service Types and Unit Rates 4. Exhibit C — Proposal Narratives 5. Exhibit D — Business Associate Agreement 6. Exhibit E - Insurance Scope of Work Contractor shall provide the services that are specified in Exhibit A. The Contractor shall comply with all the applicable requirements set forth in Exhibit B, C, D and E attached hereto. Article 1 1.1 The contract shall be for a term of one year, with the option of three, one-year extensions, said date of term beginning upon formal approval. The City of Lubbock does not guarantee any specific amount of compensation, volume, minimum, or maximum amount of services under this bid and resulting contract. The Contractor must maintain the insurance coverage required during the term of this contract including any extensions. It is the responsibility of the Contractor to ensure that valid insurance is on file with the Purchasing and Contract Management Department as required by contract or contract may be terminated for non- compliance. 1.2 The Contractor shall not assign any interest in this Agreement and shall not transfer any interest in the Agreement, whatsoever, without prior consent of the City. by the City Council of the City of Lubbock for the goods or services provided under the Agreement, the City will terminate the Agreement, without termination charge or other liability, on the last day of the then -current fiscal year or when the appropriation made for the then -current year for the goods or services covered by this Agreement is spent, whichever event occurs first. If at any time funds are not appropriated for the continuance of this Agreement, cancellation shall be accepted by the contractor on 30 days prior written notice, but failure to give such notice shall be of no effect and the City shall not be obligated under this Agreement beyond the date of termination. 1.4 This contract shall remain in effect until the first of the following occurs: (1) the expiration date, (2) performance of services ordered, or (3) termination of by either party with a 30 day written notice. The City of Lubbock reserves the right to award the canceled contract to the next lowest and best bidder as it deems to be in the best interest of the city. Article 2 Miscellaneous. 2.1 This Agreement is made in the State of Texas and shall for all purposes be construed in accordance with the laws of said State, without reference to choice of law provisions. 2.2 This Agreement is performable in, and venue of any action related or pertaining to this Agreement shall lie in, Lubbock, Texas. 2.3 This Agreement and its Exhibits contains the entire agreement between the City and Contractor and supersedes any and all previous agreements, written or oral, between the parties relating to the subject matter hereof. No amendment or modification of the terms of this Agreement shall be binding upon the parties unless reduced to writing and signed by both parties. 2.4 This Agreement may be executed in counterparts, each of which shall be deemed an original. 2.5 In the event any provision of this Agreement is held illegal or invalid, the remaining provisions of this Agreement shall not be affected thereby. 2.6 The waiver of a breach of any provision of this Agreement by any parties or the failure of any parties otherwise to insist upon strict performance of any provision hereof shall not constitute a waiver of any subsequent breach or of any subsequent failure to perform. 2.7 This Agreement shall be binding upon and inure to the benefit of the parties and their respective heirs, representatives and successors and may be assigned by Contractor or the City to any successor only on the written approval of the other party. 2.8 All claims, disputes, and other matters in question between the Parties arising out of or relating to this Agreement or the breach thereof, shall be formally discussed and negotiated between the Parties for resolution. In the event that the Parties are unable to resolve the claims, disputes, or other matters in question within 30 days of written notification from the aggrieved Party to the other Party, the aggrieved Party shall be free to pursue all remedies available at law or in equity. 2.9 At any time during the term of the contract, or thereafter, the City, or a duly authorized audit representative of the City or the State of Texas, at its expense and at reasonable times, reserves the right to audit Contractor's records and books relevant to all services provided to the City under this Contract. In the event such an audit by the City reveals any errors or overpayments by the City, Contractor shall refund the City the full amount of such overpayments within 30 days of such audit findings, or the City, at its option, reserves the right to deduct such amounts owing the City from any payments due Contractor. 2.10 The City reserves the right to exercise any right or remedy to it by law, contract, equity, or otherwise, including without limitation, the right to seek any and all forms of relief in a court of competent jurisdiction. Further, the City shall not be subject to any arbitration process prior to exercising its unrestricted right to seek judicial remedy. The remedies set forth herein are cumulative and not exclusive, and may be exercised concurrently. To the extent of any conflict between this provision and another provision in, or related to, this do. 2.11 The contractor shall not assign or sublet the contract, or any portion of the contract, without written consent from the Director of Purchasing and Contract Management. Should consent be given, the Contractor shall insure the Subcontractor or shall provide proof of insurance from the Subcontractor that complies with all contract Insurance requirements document, this provision shall control. 2.12 Contractor acknowledges by supplying any Goods or Services that the Contractor has read, fully understands, and will be in full compliance with all terms and conditions and the descriptive material contained herein and any additional associated documents and Amendments. The City disclaims any terms and conditions provided by the Contractor unless agreed upon in writing by the parties. In the event of conflict between these terms and conditions and any terms and conditions provided by the Contractor, the terms and conditions provided herein shall prevail. The terms and conditions provided herein are the final terms agreed upon by the parties, and any prior conflicting terms shall be of no force or effect. 2.13 Section 2270.002, Government Code, (a) This section applies only to a contract that: (1) Is between a governmental entity and a company with 10 or more full-time employees; and (2) has a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity. (b) A governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 2.14 SB 252 prohibits the City from entering into a contract with a vendor that is identified by The Comptroller as a company known to have contracts with or provide supplies or service with Iran, Sudan or a foreign terrorist organization. INTENTIONALLY LEFT BLANK----- IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed the day and year first above written. Executed in triplicate. CITY OF LU BOCK CO RACTOR BY: Daniel M. Pope, Mayor Authorized Representative ATTEST: - A Ll '/ � K Re-betia Garza, City Secret APP TO CONTENT: 3tS: Wkl-- Katherine Wells, Director of Health APPROVED AS TO FORM Ryan B1,1oX, Assis an City Attorney Dr. Paul Walker Print Name PO Box 278 Address Plainview, Texas 79072 City, State, Zip Code GENERAL REQUIREMENTS 1 INTRODUCTION Exhibit A The City of Lubbock's Health Department invites proposals from qualified applicants to facilitate substance use treatment for Substance Use Disorder Treatment Services, Co -Occurring Psychiatric Substance Use Disorder (COPSD) services in the Lubbock area. This is to include residential, intensive outpatient, and other services as needed. The services are grant funded. 2 CONTRACT TERM The contract shall be for a term of one year, with the option of three, one-year extensions, said date of term beginning upon formal approval. The City of Lubbock does not guarantee any specific amount of compensation, volume, minimum, or maximum amount of services under this bid and resulting contract. The Contractor must maintain the insurance coverage required during the term of this contract including any extensions. It is the responsibility of the Contractor to ensure that valid insurance is on file with the Purchasing and Contract Management Department as required by contract or contract may be terminated for non-compliance. 3. LEVELS OF CARE / SERVICE TYPES A. OUTPATIENT TREATMENT SERVICES (ASAM Level 1 Outpatient Services) Contractor shall: 1. Adhere to Texas Administrative Code ( TAC) rules adopted by System Agency related to SUD UM Guidelines for outpatient treatment programs / services. 2. Provide and document in Clinical Management of Behavioral Health Services (CMBHS) one (1) 3. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the outpatient treatment services. 4. When the assessment indicates placement in System Agency funded Women and Children Intensive or Supportive Residential services but there are no available beds, Contractor shall provide coordinated interim care until a Women and Children Intensive or Supportive Residential bed becomes available. A pregnant Client, if she chooses and is appropriate for this service type, shall be transferred to Women and Children Intensive and Supportive Residential services no later than the eighth month of pregnancy in order to provide sufficient time to adjust to the changes prior to delivery of her child. 5. As part of the education hours, Contractor will provide and document in CMBHS: i. A minimum of one (1) hour per week (or one (1) hour per month for Clients who have been transferred to outpatient after successfully completing a residential level of care) of evidence -based parenting education and document these services; and ii. A minimum of six (6) hours (or two (2) hours for Clients who have been transferred to outpatient after successfully completing a residential level of care) of reproductive health education prior to discharge and document these services. 6. Provide and document in CMBHS research -based education on the effects of ATOD on the fetus. B. SUPPORTIVE RESIDENTIAL TREATMENT SERVICES (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) Contractor shall: 1. Adhere to TAC and SUD UM Guidelines applicable to supportive services requirements. 2. When the assessment indicates placement in System Agency -funded Women and Children Intensive or Supportive Residential services but there are no available beds, Contractor shall provide coordinated interim care until a Women and Children Intensive or Supportive Residential bed becomes available. A pregnant Client, if she chooses and is appropriate for this service type, shall be transferred to Women and Children Intensive and Supportive Residential services no later than the eighth month of pregnancy in order to provide sufficient time to adjust to the changes prior to delivery of her child. 3. As part of education hours, Contractor will provide: i. A minimum of one (1) hour per week of evidenced -based parenting education; and ii. A minimum of two (2) hours of reproductive health education within thirty (30) Service Days of admission. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the residential treatment services. C. SUPPORTIVE RESIDENTIAL FOR WOMEN AND CHLDREN (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) Contractor shall: 1. Adhere to TAC and SUD UM Guidelines applicable to supportive services requirements. 2. In addition, adhere to TAC requirements applicable to Treatment Services for Women and Children. 3. As part of education hours, Contractor will provide and document in CMBHS: i. A minimum of two (2) hours per week of evidence -based parenting education and document these services; ii. A minimum of six (6) hours of reproductive health education within thirty (30) service days of admission and document these services; and iii. At minimum, evidenced -based education on the effects of ATOD during pregnancy. 4. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the residential treatment services. D. INTENSIVE RESIDENTIAL TREATMENT SERVICES (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) Contractor shall: 1. Adhere to TAC and SUD UM Guidelines applicable to intensive services requirements. 2. When the assessment indicates placement in System Agency -funded Women and Children Intensive or Supportive Residential services but there are no available beds, Contractor shall provide coordinated interim care until a Women and Children Intensive or Supportive Residential bed becomes available. A pregnant Client, if she chooses and is appropriate for this service type, shall be transferred to Women and Children Intensive and Supportive Residential services no later than the eighth month of pregnancy in order to provide sufficient time to adjust to the changes prior to delivery of her child. 3. As part of education hours, Contractor will provide and document in CMBHS: i. A minimum of two (2) hours per week of evidenced -based parenting education; and ii. A minimum of six (6) hours of reproductive health education within thirty (30) service days of admission. 3. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the residential treatment services. E. INTENSIVE RESIDENTIAL FOR WOMEN AND CHLDREN (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) Contractor shall: 1. Adhere to TAC and SUD UM Guidelines applicable to intensive services requirements. 2. Adhere to TAC requirements applicable to Treatment Services for Women and Children. 3. As part of education hours, Contractor will provide: i. A minimum of two (2) hours per week of evidence -based parenting education and document these services; and ii. A minimum of six (6) hours of reproductive health education within thirty (30) Service Days of admission and document these services. F. RESIDENTIAL DETOXIFICATION / WITHDRAWAL MANAGEMENT (ASAM LEVEL 3.7 MEDICALLY MONITORED WITHDRAWAL MANAGEMENT) Contractor shall: 1. Adhere to TAC requirements for detoxification services. 2. Adhere to the SUD UM Guidelines for detoxification services. 3. Adhere to the following additional service delivery requirements: i Document in CMBHS a Withdrawal Management Intake Form. ii Document in CMBHS a discharge plan prior to discharge or transfer. iii Document in CMBHS a discharge follow-up no more than ten (10) calendar days after discharge from withdrawal management services. iv. Develop and Implement Policies, Procedures, and Medical Protocols to ensure Client placement into the appropriate level of withdrawal management services in accordance with national guidelines, peer - reviewed literature, and best practices and have available for System Agency review. G. AMBULATORY WITHDRAWAL MANAGEMENT (ASAM LEVEL 2 WITHDRAWAL MANAGEMENT) Contractor shall: 1. Adhere to TAC requirements for detoxification services. 2. Adhere to the SUD UM Guidelines for detoxification services. 3. Adhere to the following additional service delivery requirements: i. Document in CMBHS a Withdrawal Management Intake Form. ii. Document in CMBHS a discharge plan prior to discharge or transfer. iii. Document in CMBHS a discharge follow-up no more than ten (10) calendar days after discharge from withdrawal management services. iv. Develop and Implement Policies, Procedures, and Medical Protocols to ensure Client placement into the appropriate level of withdrawal management services in accordance with national guidelines, peer - reviewed literature, and best practices and have available for System Agency review. 4. Ambulatory detoxification shall not be a stand-alone service. Contractors shall ensure the Client is simultaneously admitted to a substance use disorder treatment service while admitted to ambulatory detoxification services. TARGET POPULATION A. TREATMENT FOR FEMALES (TRF) Adult pregnant women and women with Dependent Children (including women whose children are in custody of the State) who meet Client Eligibility for System Agency -funded substance use disorder services as stated in the System Agency Substance Use Disorder (SUD). Utilization Management (UM) Guidelines (attached as RFA Exhibit O within the Solicitation, Attachment I). 1. Outpatient Treatment Services (ASAM Level 1 Outpatient Services) 2. Supportive Residential Treatment Services (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) 3. Intensive Residential Treatment Services (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) 4. Residential Detoxification Services (ASAM Level 3.7 Medically Monitored Withdrawal Services) 5. Ambulatory Detoxification Services (ASAM Level 2 Withdrawal Management) B. TREATMENT FOR WOMEN AND CHLDREN Adult pregnant women and women with Dependent Children (including women whose children are in custody of the State) who meet Client Eligibility for System Agency -funded substance use disorder services as stated in the System Agency Substance Use Disorder (SUD) Utilization Management (UM) Guidelines. Clients being admitted into Women and Children's treatment facilities must meet at least one (1) of the following criteria: A. Be in the third trimester of her pregnancy; and/or B. Have at least one (1) child physically residing overnight with her in the facility; and/or C. Have a referral by Department of Family and Protective Services (DFPS). Note: DFPS will not allow at least one (1) child to initially reside overnight but DFPS plans to place the child in the facility within the first thirty (30) Service Days of treatment. 1. Women and Children's Intensive Residential Services (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) 2. Women and Children's Supportive Residential Services (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) Exhibit B SERVICE TYPE AND UNIT RATES TREATMENT FOR ADULT (TRA) Service Type Unit Rate Adult Outpatient -Individual Outpatient -Group Counseling $18.84 Outpatient -Group Education $17.79 Outpatient -Individual Counseling $60.69 Adult Intensive Residential $113.02 Adult - Supportive Residential $42.90 Adult - Ambulatory Detoxification $88.95 Adult — Residential Detoxification $234.41 Adult — HIV Residential $180.00 Adult HIV Residential Wraparound Services (Medicaid Adult — 21 and Over) $35.58 TREATMENT FOR WOMEN Service Type Unit Rate Adult Specialized Female Residential Intensive $113.02 Adult Specialized Female Residential Supportive $82.67 Adult Specialized Female Residential Detox $234.41 Adult Specialized Female Ambulatory Detox $88.95 Adult Specialized Female W/C Residential Intensive $217.67 Adult Spec Fem W/C Residential Wraparound Services — LESS THAN 21 $54.41 Adult Spec Fem W/C Residential Wraparound Services — 21 and OVER $107.78 Adult Specialized Female W/C Residential Supportive $185.22 Adult Spec Female Outpatient Services Adult Spec Female Outpatient Group Counseling $29.30 Adult Spec Female Outpatient Group Education $17.79 Adult Spec Female Outpatient Individual $80.57 CO-OCCURRING PSYCHIATRIC & SUBSTANCE ABUSE DISORDERS (COPSD) Service Type Unit Rate Co-occurring Psychiatric & Substance Abuse Disorders (COPSD) — Adult $66.98 Co-occurring Psychiatric & Substance Abuse Disorders (COPSD) — Youth $66.98 Exhibit C SUBSTANCE USE DISORDER TREATMENT SERVICES PROPOSAL NARRATIVE City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES SCOPE OF SERVICES PROPOSAL NARRATIVES TREATMENT OF ADULTS TREATMENT OF FEMALES COPSD Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 21 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES Treatment of Adults a. What services do you provide, and how long have you provided services? The Agency provides the following treatment services. Residential -Intensive and Supportive (TRA & Spec Female Residential), COPSD and Outpatient Plainview Serenity Center, Inc. directly holds a license from HHSC to provide adult intensive/supportive residential services at five (5) locations. The residential location (House of Hope) is at 450 North Interstate 27, Plainview. Texas is licensed for 23 beds of intensive and supportive residential treatment for females, including a women and children's program. The second residential location at 454 North Interstate 27, Plainview, Texas, is licensed for 22 beds of intensive and supportive residential for men. The third location is the Amarillo residential (Amarillo Transitional Treatment Center) at 9300 Southeast 3rd Avenue is licensed for 59 beds of intensive and supportive residential for men and women. The fourth is the Amarillo outpatient, a 125-slot clinic located at 210 S. Western, Amarillo, Texas. The fifth is the Lubbock outpatient currently located at 5020 50Th, STE 102, Lubbock, Texas, and is licensed for 180 slots for outpatient. Plainview Serenity Center has been an HHSC funded residential treatment program since the 1980s. It has provided intensive and supportive residential and outpatient treatment services to over 30,000 male and female participants or more Texas Panhandle and South Plains residents over the past 40 years. HHSC has and currently provides funding for men and women. Our relationship with the State of Texas and HIISC spans over 30 years. Also, we have provided Therapeutic Community Treatment through a contract we have held with TDCJ since 2005- 2006. We have a great deal of experience providing residential and outpatient treatment to men and women in Texas, with successful outcomes. As mentioned in the Management Response section of this RFP, we hold the Prison Rape Elimination Act (PREA) accreditation and work with TDCJ to obtain American Corrections Association accreditation (ACA). The accreditation is delayed due to the COVID-19 pandemic. We will be seeking CARF accreditation within the next 12 months if the ACA accreditation is not sufficient for substance abuse treatment with HHSC. Current executive management has been in place for the past 27 years. All residential treatment facilities provide 24 hours a day, seven days a week, multidisciplinary professional support to facilitate recovery from addiction. Clients are housed in a residential site and receive comprehensive chemical dependency treatment services in a structured therapeutic environment and comply with the Statement of Work (SOW) for each level of services in residential and outpatient services. Admissions take place Monday- Saturday 9:00 am-6:00 pm and after hours and Sundays as needed. Screenings take place by phone or in person. Transportation is coordinated to facilitate admission if the individual is clinically appropriate per the Texas Department of Insurance guidelines. Individuals who are not appropriate are referred to the OSAR, and persons using opiates, are referred to as an HHSC funded MAT program. Individuals placed on the waitlist will Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 22 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES receive interim services; priority populations are admitted before all others. The primary clinician meets with the client admitted to the facility within three days of admission to complete the assessment, go over and discuss the curriculum, review the workbooks and assignments and answer any questions the client has about the program, services, or length of stay. They discuss treatment plan problems and potential goals. The client returns to see the counselor within five days of admission to finalize a treatment plan and discharge plan. Individuals entering supportive residential are continuing from intensive residential or have relapsed while in outpatient and need a short-term structured environment to renew their recovery. Our patient to staff ratio does not exceed 1:16 during the day and 1:32 during sleep hours for intensive and supportive residential services. The counselor caseload does not exceed ten clients for residential programs. Clients admitted to the intensive residential treatment services receive an average of 30 hours of services per week, comprised of 10 hours of chemical dependency counseling (at least one hour individual); 10 hours additional counseling, CD education, relapse prevention & life skills; and 10 hours of structured activities monitored by stall at least 5 hours are on the weekend. Clients admitted to supportive residential receive an average of six hours of services per week, comprised of 3 hours of chemical dependency counseling (at least one -hour individual) and 3 hours of additional counseling, CD education, relapse prevention & life skills. The LOS for Intensive and Supportive Residential is 30 days each. Women and Children are 90- 180 days. Outpatient Recovery Solutions of Lubbock provides outpatient treatment services through our licensed treatment program to clients who indicate need, and we comply with all applicable state laws and regulations concerning the treatment of clients at our treatment center. We provide face-to-face programming utilizing both individual and group therapy with an Individual Treatment Plan with the flexibility to allow client participation with minimal disruption of employment. The average length of stay of our outpatient services is 135 days, with the client averaging 45 days in intensive outpatient and 90 days in supportive outpatient. Our intensive outpatient program is structured to provide 6-10 weeks of services 3-4 days/nights per week, with one individual counseling session twice per month. Our supportive outpatient program is structured to provide 12-26 weeks of services 1-2 days/nights per week, with one individual counseling session per month. The Agency has been providing outpatient services since 1999. The programs use a Cognitive -Behavioral model of therapy and specifically utilizes an evidence - based treatment curriculum for our groups. The integration of relapse prevention, co-occurring disorders, relationship skills, and recovery environment are woven throughout the curriculum and based on the client's individual needs and precursor to treatment. All staff receives extensive training annually, and counselors are trained rigorously on evidenced -based use of motivational interviewing and stage of change theory, which is applied to the clinical setting. In addition to curriculum -based group sessions, clients receive a minimum of one hour of individual counseling for every six hours of group. Individual therapy is intended to assist the client in identifying behavior and lifestyle changes that must take place in order for the client to Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 23 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES fully recover from his/her addiction. Counselors attempt to engage family members in the client's treatment and offer family counseling sessions in an effort to improve the recovery environment of the clients. The Agency offers both male and female outpatient and specialized female outpatient. The female outpatient addresses specific needs for women in child-bearing years and allows flexibility due to the needs of her children. All services are provided in a trauma -free environment, and all clinicians receive extensive training on trauma -informed, specialized female population needs, motivational interviewing, and stage of change theory. COPSD-The Agency has the experience and is engaged in delivering COPSD services across the Texas Panhandle and South Plains in Texas. The Agency has served the COPSI) population during the research and start of these services since 1996. The Agency has contracted for COPSD services with HHSC since 2000. Current contracts with HHSC include services for Amarillo and the Plainview, Texas areas for COPSD services. COPSD services entail serving individuals who have co-occurring substance abuse and mental health diagnosis. The three major diagnoses are Depression, Schizophrenia, Bi-Polar, and other disorders that are deemed debilitating disorders and substance abuse. Services are provided wherever needed, which can outreach for the homeless at their residences and treatment facilities and clinics. An individualized one-on-one treatment model is used with the client, and family involvement is encouraged. Clients are seen by treatment providers for substance abuse, mental health, and COPSD services. COPSD services act as a change agent to assist the client in recovery, symptoms management, and ancillary services. Services Provided How do you address the needs of the priority populations listed in the scope of work? Admissions to any services types are based on Federal Guidelines for Admission. Plainview Serenity Center, Inc. has been an HHSC funded residential and outpatient treatment program since the 1980s and has provided intensive and supportive residential treatment to over 11,000.00 HHSC funded men and women over the last 40 years. In addition, we have provided Therapeutic Community Treatment through TDCJ since 2005-2006 and served over 5,000.00 men and women, leaving TDCJ SAFP programs in the last 15 years. We have a great deal of experience providing residential, outpatient, and COPSD treatment services for men and women in Texas, with successful outcomes. All residential treatment facilities provide 24 hours a day, seven days a week, multidisciplinary professional support to facilitate recovery from addiction. Clients are housed in a residential site and receive comprehensive chemical dependency treatment services in a structured therapeutic environment. Admissions take place Monday- Saturday 9:00 am-6:00 pm and after hours and Sundays as needed. The screening takes place by phone or in person. Transportation is Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 24 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES coordinated to facilitate access to admission if the individual is clinically appropriate per the Texas Department of Insurance guidelines. Individuals who are not appropriate are referred to the OSAR, and persons using opiates, are referred to an HHSC funded MAT program. Individuals placed on the waitlist will receive interim services; priority populations are admitted before all others. The primary clinician meets with the client admitted to the facility within three days of admission to complete the assessment, go over and discuss the curriculum, review the workbooks and assignments and answer any questions the client has about the program, services, or length of stay. They discuss treatment plan problems and potential goals. The client returns to see the counselor within five days of admission to finalize a treatment plan and discharge plan. Individuals entering this supportive residential are continuing from intensive residential or have relapsed while in outpatient and need a short-term structured environment to renew their recovery. Our patient to staff ratio does not exceed 1:16 during the day and 1:32 during sleep hours. The counselor caseload does not exceed ten clients. Clients admitted to the intensive residential treatment services receive an average of 30 hours of services per week, comprised of 10 hours of chemical dependency counseling (at least one hour individual); 10 hours additional counseling, CD education, relapse prevention & life skills; and 10 hours of structured activities monitored by staff -at least 5 hours are on the weekend. Clients admitted to supportive residential receive an average of six hours of services per week, comprised of 3 hours of chemical dependency counseling (at least one -hour individual) and 3 hours of additional counseling, CD education, relapse prevention & life skills. The LOS for Intensive and Supportive Residential is 30 days each. Women and Children are 90-180 days. Plainview Serenity Center's program is based on a trauma -informed cognitive behavioral therapy model. We utilize the following curriculums for our psychoeducation program: Hazelden Helping Men Recover and Helping Women Recover; Living in Balance: Moving from a Life of Addiction to a Life of Recovery; The Matrix Model; Texas Christian University Transitions to Recovery; and Seeking Safety. Our Women's and Children's Program provides comprehensive services to the children that address their needs, focusing on maintaining the family unit. We deploy a strengthening family's program for the children and mothers. We ensure that children receive ECI services to ensure healthy development. Parenting mentorship and childcare are provided in our women programs. Outpatient caseload size is 20 clients to one counselor, and all requirements for all programs offered at the agency meet and often exceed the Statements of Work for TRA, TRF, and COPSD services. When clients have psychosocial stressors, comorbid conditions, or other issues the impact their prognosis towards a sustained recovery, the counselor develops a case management plan and makes referrals by phone, email, and other required processes to link the client with needed care. The counselor provides information to the client on how to access the service, whom to talk with, what documentation to take, and how to follow up. The counselor will help the client gather or complete any documentation or forms. Once the client has had their scheduled appointment, the counselor will follow up with the referral within 48 hours. If there was any breakdown in the process or additional information is needed, the counselor will help the client obtain/complete. As part of the treatment plan review and discharge plan review process, the counselor follows up with the client regarding the progress of getting linked with services and how the services are Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 25 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES working or not working. If additional referrals are needed, the counselor will instigate those as well. As the client plans to discharge, the counselor will again review these referrals, the status, and as part of the final discharge plan, make any adjustments. The Agency provides transportation for clients needing to access social services, health care, or any other clinically indicated function. The only way to ensure that clients are successfully linked, engaged, and receive needed services from partners and community agencies is through constant communication with all stakeholders, dedicate time management and a tenacious attitude. Management and the clinical team participate in several community collaborative meetings, including ROSC meetings and meetings organized by the OSAR. Also, we participate in all HHSC sponsored regional meetings and state conference calls related to outpatient services. We work with various community agencies to coordinate a continuum of care for the clients served by our organization. Plainview Serenity Center, Inc. works to identify public and private funded substance abuse and mental health services that can support our clients during and after treatment. Plainview Serenity Center, Inc. also works to identify service gaps that affect our clients. Plainview Serenity Center, Inc. is an active participant in the recovery community initiative and participates in all ROSC meetings. Plainview Serenity Center, Inc. also participates in planning meetings and general activities sponsored by the local Homeless Coalition. Homelessness is a significant issue for much of our client population. The Agency has an established network of community partners supporting persons in need of other treatment settings, including detoxification and inpatient treatment. Plainview Serenity Center accepts referrals from all over Texas as the persons are appropriate for our levels of care. Plainview Serenity Center is also prepared to address service needs from hospitals, probation, health care facilities, treatment providers, drug courts, jails, and DFPS, Probation, and Parole departments. Participation in community SUD planning and coordination, especially the ROSC, allows us to talk about the services we provide, our target population, and the other resources we have to meet the needs of persons seeking treatment. It gives other potential referral sources information such that they refer a client who can best benefit from our services. Additionally, it allows us an opportunity to collaborate with other treatment providers in a non-competitive atmosphere, working together to ensure treatment is available in all areas of the Texas Panhandle and South Plains, removing logistical barriers. Moreover, by meeting regularly with interested stakeholders and community members, we avoid duplication in services and ensure a continuum of care is available to all persons needing treatment in our community. All staff is continuously trained, and quarterly continuous quality improvement activities ensure that the statement of work (SOW) and administrative requirements are met or modified to meet quality standards and SOW's. Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 26 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES b. How many individuals do you serve daily and annually? Amarillo- Residential- 50 daily and 300 annually. Outpatient- 20 daily and 125 annually. Plainview Residential- 40 daily and 450 annually. Outpatient- 10 daily and 40 annually. Lubbock Outpatient- 55 daily and 360 annually. COPSD 5 daily and 50 annually Agency serves on average: 175 daily and 1325 male/females. What is your rate of completion? TRA Adult Program Type/Level Intensive Lubbock Outpatie COPSD Based on CMBHS. Agency % 61.36% 53.85% 58% 100% What is the procedure for follow-up after patient discharge? State Contract % 52% 46% 42% N/A After a patient completes or exits any of the treatment programs, they are contacted at 60 days from the date of exit or completion. A consent to follow-up with them at 60 days is developed and signed by the patient. The Agency follows up with the patient or a designated person by telephone. If the client cannot be reached, the Agency will follow up with a person he or she has designated as a follow-up contact. The patient is asked specific questions and to determine that there are no other needs that the Agency can assist with or refer the patient for other needs. All the information is entered into the CMBHS, and the case is closed. The follow-up assists the client and the Agency in meeting the client's needs and document abstinence, arrest rate, and independent living, to name a few follow up questions. The follow-up contact will be documented in the CMBHS system three consecutive times, indicating phone number and person contacted. After three unsuccessful attempts at follow-up after discharge, the last note documented in CMBHS and the follow-up contact will be deemed unsuccessful. Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 27 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES c. What curriculum and strategies do you currently implement? Strategy Our programs are based on the trauma -informed cognitive behavioral therapy model. We utilize the following curriculums for our psychoeducation program: Hazelden Helping Men Recover and Helping Women Recover; Living in Balance: Moving from a Life of Addiction to a Life of Recovery; The Matrix Model; Texas Christian University Transitions to Recovery; and Seeking Safety. Our standard treatment continuum leads each individual through personal denial to realistic, professional -guided self -assessment and goal setting and helps each person work toward sobriety in a stable, self-supporting environment. Didactics promoting healthy family relationships, life skills, and health maintenance practices, together with GED and job readiness, are all part of the treatment program. The Agency believes chemical dependence to be a primary, treatable illness that produces adverse effects in all significant areas of the client's lives. Therefore, full recovery depends on addressing all major life areas including, but not limited to, the physical, mental, emotional, and spiritual. The agency program design and therapeutic interventions are based on trauma -informed care - seeking safety and cognitive behavioral therapy. The approach is based on the belief that cognitions, emotions, and behaviors interact significantly and have a reciprocal cause -and -effect relationship. The goals of our intervention are breaking through feelings of isolation and denial, identifying and addressing those attitudes and behaviors which are not conducive to ongoing recovery, and replacing them with new attitudes and behaviors needed to obtain and maintain a lifestyle free from the negative effects of addiction. The client must develop the skills needed to live a healthy, independent life as a productive member of society. With this end in mind, we use four basic principles toward addiction. First, there is nothing to be ashamed or embarrassed about. Second, people are not suddenly drunk/high or mentally ill. There a progressive pattern of warning signs that set them up to use again or relapse. These warning signs can be identified and recognized. Third, once identified, recovering people can learn to manage the relapse warning signs while sober and stable; and fourth, there is hope. We utilize the following curriculums/strategies of each for our psychoeducation program. Hazelden Helping Men Recover. Helping Men Recover is the first gender -responsive, trauma -informed treatment program for men. The materials are grounded in research, theory, and clinical practice. The program has four modules (self, relationships, sexuality, and spirituality) and allows men to process and record the therapeutic experience. The participant workbook contains exercises for use in group sessions, summaries of information presented from the facilitator's guide, and reflection questions and activities for use after group sessions. WHI add to the current curriculum. Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 28 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES We utilize the following evidence -based curriculum in our outpatient program. Matrix Model The Matrix Model is a style of treatment designed_to aid in recover from stimulant substances like methamphetamine and cocaine. The method was created in the 1980s and has seen widespread success. The Matrix Model is: • An integrative treatment. It includes aspects of many different therapeutic styles and psychological orientations. • An intensive outpatient program (IOP). It entails several hours of treatment each day, several days per week, while allowing the client to still live at home. • A highly structured program. The entire model is thoroughly designed and engineered with planned topics and sequencing for each session and phase of treatment. • A time -limited treatment. The model is intended to last for 16 weeks, but it can be extended for a year, depending on the needs of the client. • A proven treatment. Multiple studies have shown the benefit of the treatment based on extending the recovery and client consistency. Beyond stimulants, the model is helpful for a range of substance use issues. The efficacy has been so apparent that many organizations support the treatment protocol, including the National Institute on Drug Abuse (NIDA). The Matrix Model The revised and expanded Matrix Model is an evidence -based intensive outpatient program that is backed by over twenty years of research, providing clients with the structure of an inpatient treatment experience on an outpatient timetable. It includes the latest information and statistics on drugs and alcohol, including information on medication -assisted treatment, and meets DSM-5 classifications. Comprehensive as well as intensive, the Matrix Model covers individual/conjoint therapy, early recovery skills, relapse prevention, family education, social support, and drug screening strategies, with participation in a Twelve Step program encouraged throughout. In addition to the Matrix, our counselors incorporate other curriculums into our outpatient programs. Hazelden A New Direction: A Cognitive Behavioral Therapy Program A large portion of our clients is justice -involved. Justice -involved clients with substance use disorders can find hope and reduce their risk of relapse and recidivism with A New Direction —a flexible, evidence -based program that guides participants into recovery from substance use disorders and distance from crime. Created in partnership with the Minnesota Department of Corrections, the curriculum uses cognitive -behavioral therapy (CBT) and other evidence -based practices proven to avert unhealthy thought patterns and maintain long-term success within criminal justice populations. Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 29 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES Living In Balance: Moving from a Life of Addiction to a Life of Recove Research -based and designed for maximum customization, the Living in Balance program provides a comprehensive, group -oriented treatment framework for use in outpatient, short-term, or long-term residential settings. All staff has access to On -Demand by Hazelden, and the counselor manual for guidance and video and presentations can be live -streamed. Texas Christian Universl Time Out for Men A cognitive behavioral -based, gender -specific curriculum focuses on developing, repairing, and maintaining relationships with others. Will add to the current curriculum. Texas Christian University Transitions to Recovery A Cognitive -Behavioral curriculum with education and life skills classes intended to help men transition from treatment to the community. Will add to the current curriculum. Texas Christian University Time Out for Women A cognitive behavioral -based, gender -specific curriculum focuses on developing, repairing, and maintaining relationships with others. Will add to the current curriculum. The primary curriculum for relapse prevention program is the GORSKI-CENAPSO Model for Recovery and Relapse Prevention. This is a comprehensive system for diagnosing and treating substance use disorders, coexisting mental disorders, personality disorders, and situational life problems. The model is based on a biopsychosocial model of addiction, a developmental model of recovery, and a relapse prevention model. The model integrates addiction -specific treatment methods. We also use materials from the following curriculums. Seeking Safety Seeking Safety is an evidence -based, present -focused counseling model to help people attain safety from trauma and substance abuse. It can be conducted in a group (any size) and/or individual modality. It is an extremely safe model as it directly addresses both trauma and addiction, but without requiring clients to delve into the trauma narrative (the detailed account of disturbing trauma memories), thus making it relevant to a very broad range of clients and easy to implement. Research -Based Parenting All programs utilize parenting curriculums for teaching effective and nurturing parenting skills while in treatment. HIV/Tobacco/Opioids, other Drugs, and Alcohol All programs provided HIV/Tobacco/Opioids and Overdose curriculums to address STDs, Nicotine cessation, Opioids use/abuse, and overdose precautions while in treatment. Do these meet the grant requirements listed in the scope of work? If not, what changes to programming need to be made? Yes, all of the program curriculums listed above have met ,or exceeded the requirements for the Statement of Work for TRA/TRF and COPSD based on the HHSC contract requirements from past and current contracts with the HHSC. Moreover, we utilize these curriculums and frequently discuss the benefits of each in clinical meetings after all clinicians have utilized them. If changes Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 30 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES are made, a committee makes recommendations to the CEO to add or modify existing material. The concern here is adding value to the consumer and making the greatest impact on saving lives through effective treatment outcomes. We made a note for curriculums that we will be adding after each description. How many people do you propose serving through this funding program? Service Type Maximum enrolled at one time Capacity for 12 months Adult Outpatient — Individual 40 240 Outpatient -Group Counseling 40 240 Outpatient-GrowOutpatient-GroMp Counseling 40 240 Adult Intensive Residential 114 * 168 * males **male and females Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 31 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES Treatment of Females a. What services do you provide, and how long have you provided services? The Agency has provided treatment for females, specialized services for females and females with dependent children since 1999. Specialized female and women and their children since 2005. We have twenty-three (23) beds with six (6) beds for women and their children and seventeen (17) beds for adult females. We provide specialized residential at the intensive and supportive level in Plainview, Texas, and specialized female outpatient services in Lubbock, Texas. How do you address the needs of the priority populations listed in the scope of work? Specialized female programs are gender -specific and trauma -informed levels of care. All residential treatment facilities provide 24 hours a day, seven days a week, multidisciplinary professional support to facilitate recovery from addiction. Clients are housed in a residential site and receive comprehensive chemical dependency treatment services in a structured therapeutic environment. Admissions take place Monday- Saturday 9:00 am-6:00 pm and after hours and Sundays as needed. The screening takes place by phone or in person. Transportation is coordinated to facilitate access to admission if the individual is clinically appropriate per the Texas Department of Insurance guidelines. Individuals who are not appropriate are referred to the OSAR, and persons using opiates, are referred to as an HHSC funded MAT program. Individuals placed on the waitlist will receive interim services; priority populations are admitted before all others. The primary clinician meets with the client admitted to the facility within three days of admission to complete the assessment, go over and discuss the curriculum, review the workbooks and assignments and answer any questions the client has about the program, services, or length of stay. They discuss treatment plan problems and potential goals. The client returns to see the counselor within five days of admission to finalize a treatment plan and discharge plan. Individuals entering this supportive residential are continuing from intensive residential or have relapsed while in outpatient and need a short-term structured environment to renew their recovery. Our patient staff ratio does not exceed 1:16 during the day and 1:32 during sleep hours. The counselor's caseload does not exceed ten clients. Clients admitted to the intensive residential treatment services receive an average of 30 hours of services per week, comprised of 10 hours of chemical dependency counseling (at least one hour individual); 10 hours additional counseling, CD education, relapse prevention & life skills; and 10 hours of structured activities monitored by staff at least 5 hours are on the weekend. Clients admitted to supportive residential receive an average of six hours of services per week, comprised of 3 hours of chemical dependency counseling (at least one -hour individual) and 3 hours of additional counseling, CD education, relapse prevention & life skills. The LOS for Intensive and Supportive Residential is 30 days each. Women and Children are 90-180 days. These programs are based on a trauma -informed cognitive behavioral therapy model. We utilize the following curriculums for our psychoeducation program: Helping Women Recover; Living in Balance: Moving from a Life of Addiction to a Life of Recovery; The Matrix Model; Texas Christian University Transitions to Recovery; and Seeking Safety. Our Women's and Children's Program provides comprehensive services to the children that address their needs, focusing on maintaining the family unit. We Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 32 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES deploy a strengthening family's program for the children and mothers. We ensure that children receive ECI services to ensure healthy development. Parenting mentorship and childcare are provided in our women programs. The specialized female residential and outpatient programs provide specialized referrals for reproductive health, trauma services, family violence counseling, and all need services for counseling and referrals for other needs that they may have. In addition to services provided clinically and administratively, the specialized female population client will have recovery coaches, linkage specialists, and available funds through the HHSC Comprehensive Continuum Care grant that funds 350,000.00 dollars for three recovery coaches covering Amarillo, Plainview, and Lubbock Texas areas. In addition, Lubbock and Amarillo, Texas, will have linkage specialists to work to meet their needs at pre-treatment, during treatment, and post -treatment. The specialized female population and families will have more support than ever before. These services are for both residential and outpatient clientele. Transportation and community outreach will be a part of this program for females, and several hours a week will be spent linking clients to services, assisting financially, and connecting with the communities and other treatment providers. Health fairs, training, and community presentations will encompass and address the needs of this population. How many individuals do you serve daily and annually? Amarillo- Residential- 22 daily and 132 annually. Outpatient- 10 daily and 83 annually. Plainview Residential- 23 daily and 204 annually. Lubbock Outpatient- 20 daily and 120 annually. Agency serves females: 75 daily and 540 females. What is your rate of completion? TRF Adult Program Type/Level Specialized Female Intensive Specialized Female Supportive Women and Children Intensive Women and Children Intensive Supportive Female Based on CMBHS. Agency % State Contract % 83.53% 46% 80% 4&o 77.27% 52% 100% 46% 58% 42% - Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 33 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES What is the procedure for follow up after patient discharge? After a patient completes or exits any of the treatment programs, they are contacted at 60 days from the date of exit or completion. A consent to follow-up with them at 60 days is developed and signed by the patient. The Agency follows up with the patient or a designated person by telephone. If the client cannot be reached, the Agency will follow up with a person he or she has designated as a follow-up contact. The patient is asked specific questions and to determine that there are no other needs that the Agency can assist with or refer the patient for other needs. All the information is entered into the CMBHS, and the case is closed. The follow-up assists the client and the Agency in meeting the client's needs and document abstinence, arrest rate, and independent living, to name a few follow up questions. The follow-up contact will be documented in the CMBHS system three consecutive times, indicating phone number and person contacted. After three unsuccessful attempts at follow-up after discharge, the last note documented in CMBHS and the follow-up contact will be deemed unsuccessful. b. What curriculum and strategies do you currently implement? Strategy Our programs are based on a trauma -informed cognitive behavioral therapy model. We utilize the following curriculums for our psychoeducation program: Helping Women Recover; Living in Balance: Moving from a Life of Addiction to a Life of Recovery; The Matrix Model; Texas Christian University Transitions to Recovery; Parenting, effects of Alcohol/Drugs on Fetus (Fetal Alcohol Syndrome) HIV/STD, Nicotine, Opioids and Overdose; and Seeking Safety. Our standard treatment continuum leads each individual through personal denial to realistic, professional -guided self -assessment and goal setting and helps each person work toward sobriety in a stable, self-supporting environment. Didactics promoting healthy family relationships, life skills, and health maintenance practices, together with GED and job readiness, are all part of the treatment program. The Agency believes chemical dependence to be a primary, treatable illness that produces negative effects in all major areas of clients' lives. Therefore, full recovery depends on addressing all major life areas including, but not limited to, the physical, mental, emotional, and spiritual. The agency program design and therapeutic interventions are based on trauma -informed care - seeking safety and cognitive behavioral therapy. The approach is based on the belief that cognitions, emotions, and behaviors interact significantly and have a reciprocal cause -and -effect relationship. The goals of our intervention are breaking through feelings of isolation and denial, identifying and addressing those attitudes and behaviors which are not conducive to ongoing recovery, and replacing them with new attitudes and behaviors needed to obtain and maintain a lifestyle free from the negative effects of addiction. The client must develop the skills needed to live a healthy, independent life as a productive member of society. Our programs are gender - specific and address childcare and flexibility of programming for women with dependent children. Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 34 of 161 City of Lubbock, TX RFP 214 5544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES With this end in mind. We use four basic principles toward addiction. First, there is nothing to be ashamed or embarrassed about. We strive to assist women and women with children to accept help and liberate themselves from past traumas and recover. Second, people are not suddenly taken drunk/high or mentally ill; these are treatable diseases. There is a progressive pattern of warning signs that set them up to use again or relapse. These warning signs can be identified and recognized. Third, once identified, recovering people can learn to manage the relapse warning signs while sober and stable, and fourth, there is hope. We utilize the following curriculums/strategies of each for our psychoeducation program. Hazelden A New Direction: A Co itive Behavioral Therapy Program A large portion of our clients is justice -involved. Justice -involved clients with substance use disorders can find hope and reduce their risk of relapse and recidivism with A New Direction —a flexible, evidence -based program that guides participants into recovery from substance use disorders and distance from crime. Created in partnership with the Minnesota Department of Corrections, the curriculum uses cognitive -behavioral therapy (CBT) and other evidence -based practices proven to avert unhealthy thought patterns and maintain long-term success within criminal justice populations. Some of this curriculum is beneficial for the female population. Livina In Balance: Moving from a Life of Addiction to a Life of Recovery Research -based and designed for maximum customization, the Living in Balance program provides a comprehensive, group -oriented treatment framework for use in outpatient, short-term, or long-term residential settings. The staff has attended no training other than in-service workshops with the agency trainer related to this curriculum. All staff has access to On -Demand by Hazelden, and the counselor manual for guidance and video and presentations can be live - streamed. Texas Christian University Transitions to Recover__ A Cognitive -Behavioral curriculum with education and life skills classes intended to help men transition from treatment to the community. Will add to the current curriculum. Texas Christian University Time Out for Women A cognitive behavioral -based, gender -specific curriculum focuses on developing, repairing, and maintaining relationships with others. Will add to the current curriculum. The primary curriculum for relapse prevention program is the GORSKI-CENAPSO Model for Recovery and Relapse Prevention. This is a comprehensive system for diagnosing and treating substance use disorders, coexisting mental disorders, personality disorders, and situational life problems. The model is based on a biopsychosocial model of addiction, a developmental model of recovery, and a relapse prevention model. The model integrates addiction -specific treatment methods. We also use materials from the following curriculums. Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 35 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES The Matrix Model The revised and expanded Matrix Model is an evidence -based intensive outpatient program that is backed by over twenty years of research, providing your adult clients with the structure of an inpatient treatment experience on an outpatient timetable. It includes the latest information and statistics on drugs and alcohol, including information on medication -assisted treatment, and meets DSM-5 classifications. Comprehensive as well as intensive, the Matrix Model covers individual/conjoint therapy, early recovery skills, relapse prevention, family education, social support, and drug screening strategies, with participation in a Twelve Step program encouraged throughout. The manualized format allows clients across your facility to use the same materials -- giving you a standardized tool for measuring outcomes. Although the program can be completed in a 16-week time frame, the Matrix Model can be extended up to 12 months through continuing care and aftercare. Seeking Safety Seeking Safety is an evidence-basgdaresent-focused counseling model to help people attain safety from trauma and/or substance abuse. It can be conducted in a group (any size) and/or individual modality. It is an extremely safe model as it directly addresses both trauma and addiction, but without requiring clients to delve into the trauma narrative (the detailed account of disturbing trauma memories), thus making it relevant to a very broad range of clients and easy to implement. Any provider can conduct it even without training; however, there are also many options for training. It has also been delivered successfully by peers and professionals of all kinds and in all settings. It can be conducted over any number of sessions available, although the more, the better when possible. Evidenced -Based Parenting All programs utilize parenting curriculums for teaching effective and nurturing parenting skills while in treatment. Evidenced -Based HIV/Tobacco/Opioids, other Drugs, and Alcohol All programs provided HIV/Tobacco/Opioids and Overdose curriculums to address STDs, Nicotine cessation, Opioids use/abuse, and overdose precautions while in treatment. Do these meet the grant requirements listed in the scope of work? If not, what changes to programming need to be made? Plainview Serenity Center, Inc. directly holds a license from HHSC to provide adult intensive/supportive residential services at three locations. The residential location is at 450 North Interstate 27, Plainview. Texas is licensed for 23 beds of intensive and supportive residential treatment for females, including a woman and children's program. The outpatient is licensed for 180 slots located at the current location in Lubbock, Texas, at 5020 50", STE 102, 79414. Yes, all the program curriculums listed above has met or exceeds the requirements for the Statement of Work for TRF statements of work based on the HHSC contract requirements for past and current contracts with the HHSC. We made a note for curriculums that we will be adding after each description. See attached curriculum for TRA and TRF residential outpatient Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 36 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES and a treatment schedule (TRA & TRF) for residential. The strategies and curriculum for specialized females meet the requirements of the HHSC statement of work. We have held and have a current contract for specialized female services since 2005. The addition to the curriculum/s is noted in applicable descriptions listed in this section. Our patient staff ratio does not exceed 1:16 during the day and 1:32 during sleep hours. The counselor's caseload does not exceed ten clients. Clients admitted to the intensive residential treatment services receive an average of 30 hours of services per week, comprised of 10 hours of chemical dependency counseling (at least one hour individual); 10 hours additional counseling, CD education, relapse prevention & life skills; and 10 hours of structured activities monitored by staff -at least 5 hours are on the weekend. Clients admitted to supportive residential receive an average of six hours of services per week, comprised of 3 hours of chemical dependency counseling (at least one -hour individual) and 3 hours of additional counseling, CD education, relapse prevention & life skills. The LOS for Intensive and Supportive Residential is 30 days each. Women and Children are 90-180 days. Plainview Serenity Center's program is based on a trauma -informed cognitive behavioral therapy model. We utilize the following curriculums for our psychoeducation program: Helping Women Recover; Living in Balance: Moving from a Life of Addiction to a Life of Recovery; The Matrix Model; Texas Christian University Transitions to Recovery; and Seeking Safety. Our Women's and Children's Program provides comprehensive services to the children that address their needs, focusing on maintaining the family unit. We deploy a strengthening family's program for the children and mothers. We ensure that children receive ECI services to ensure healthy development. Parenting mentorship and childcare are provided in our women programs. Intensive outpatient is 9 hours of counseling, life skills, CD education, and a one -hour individual for 13 weeks. Supportive outpatient transition is less for frequency and dose of treatment. From 10 hours of programming weekly to 6-7 hours of programming weekly. Then to 3 hours of programming weekly and one individual per month. The length of stay (LOS) is individual -based from 13- 26 weeks of treatment in our outpatient programs. When clients have psychosocial stressors, comorbid conditions, or other issues the impact their prognosis towards a sustained recovery, the counselor develops a case management plan and makes referrals by phone, email, and other required processes to link the client with needed care. The counselor provides information to the client on how to access the service, whom to talk with, what documentation to take, and how to follow up. The counselor will help the client gather or complete any documentation or forms. Once the client has had their scheduled appointment, the counselor will follow up with the referral within 48 hours. If there was any breakdown in the process or additional information is needed, the counselor will help the client obtain/complete. As part of the treatment plan review and discharge plan review process, the counselor follows up with the client regarding the progress of getting linked with services and how the services are working or not working. If additional referrals are needed, the counselor will instigate those as well. As the client plans to discharge, the counselor will again review these referrals, the status, and as part of the final discharge plan, make any adjustments. The Agency provides transportation for clients needing to access social services, health care, or any other clinically indicated function. The only way to ensure that clients are successfully linked, Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 37 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES engaged, and receive needed services from partners and community agencies is through constant communication with all stakeholders, dedicate time management and a tenacious attitude. Plainview Serenity Center, Inc. programs and management participates in several community collaborative meetings, including ROSC meetings and meetings organized by the OSAR. In addition, we participate in all HHSC sponsored regional meetings and state conference calls related to outpatient services. We work with various community agencies to coordinate a continuum of care for the clients served by our organization. The Agency works to identify public and private funded substance abuse and mental health services to support our clients during and after treatment. Management and staff of these programs also work to identify service gaps that affect our clients. Plainview Serenity Center, Inc. is an active participant in the recovery community initiative and participates in all ROSC meetings. The Agency also participates in planning meetings and general activities sponsored by the local Homeless Coalition. Homelessness is a significant issue for much of our client population. Plainview Serenity Center, Inc. has an established network of community partners supporting persons in need of other treatment settings, including detoxification and inpatient treatment. Plainview Serenity Center accepts referrals from all over Texas as the persons are appropriate for our levels of care. The Agency is prepared to address service needs from hospitals, probation, health care facilities, treatment providers, drug courts, jails, and DFPS, Probation, and Parole departments. Participation in community SUD planning and coordination, especially the ROSC, allows us to talk about the services we provide, our target population, and the other resources we have to meet the needs of persons seeking treatment. It gives other potential referral sources information such that they refer a client who can best benefit from our services. Additionally, it allows us an opportunity to collaborate with other treatment providers in a non-competitive atmosphere, working together to ensure treatment is available in all areas of the Texas Panhandle and the South Plains in Texas, thus removing logistical barriers. Moreover, by meeting regularly with interested stakeholders and community members, we avoid duplication in services and ensure a continuum of care is available to all persons needing treatment in our community. All staff is trained and have a copy of the Statement of Work for each program type. d. How many people do you propose serving through this funding program? Service Type Maxim_u_m enrolled at one time 5 Capacity for 12 months Adult Specialized Female 60 Residential Intensive Outpatient -Spec Female 20 _ 240 Out atient Services Outpatient -Spec Female 20 240 Outpatient Group Services Outpatient -Spec Female 20 240 Outpatient Education Outpatient -Spec Female 20 240 Outpatient Individual Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 38 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES CO-OCCURRING PSYCHIATRIC & SUBSTANCE ABUSE (COPSD) a. What services do you provide, and how long have you provided services? We currently provide COPSD services and have contracted with HHSC for COPSD services since 2015. The Agency has over 20 years' experience with training staff and working with the COPSD population. Management has experience with COPSD during the initial research and pilot pLograms for the Texas Panhandle since1995. The Agency has also worked as a sub- contractor for COPSD services from 2005-2010. b. How do you address the needs of the priority populations listed in the scope of work? The Agency utilizes an integrated treatment model; this model is the foundation for the life changes necessary to achieve sustained recovery. Providing intensive, individualized, goal - directed interventions based on proven scientific evidence is the first goal of our integrated SUD treatment program. The second is to prepare the client for appropriate follow-up care by connecting them to recovery support services. The program design and therapeutic interventions are trauma -informed and based on cognitive -behavioral theory and motivational enhancement techniques grounded in motivational interviewing and stage of change theory. The program is designed to meet the needs of persons with co-occurring psychiatric and substance use disorders. The goal is to help clients achieve a meaningful quality of life through sobriety, psychiatric stability, improved relationships, and the most significant possible degree of economic self-sufficiency. The objective is to utilize all the benefits of the treatment episode to engage the individual in a relationship of trust, to achieve a commitment of the individual to recovery, to help change counterproductive attitudes and behaviors, and to develop a recovery plan that the individual can carry to the community. The Agency operates an integrated COPSD program design that provides a continuum of integrated services for the dually -diagnosed person, including psychiatric and substance abuse treatment services. Our approach integrates chemical dependency treatment with ongoing psychiatric treatment. This approach contrasts with alternative approaches that provide substance abuse treatment parallel (often in different settings) with psychiatric treatment. Our treatment methodology includes a combination of pharmacological treatment, psychosocial treatments (both individual and group interventions), and supportive services such as case management, family therapy, and education. The primary goals being the engagement of the client into the treatment process and developing coping and problem -solving skills that promote crisis stabilization as well as long-term behavioral change. As both disorders tend to be chronic and relapsing, a single episode of intensive treatment is unlikely to achieve lasting change; therefore, we have adopted a longitudinal approach to treatment. We strive to help clients gain coping skills to resolve their problems, find insight and understanding of themselves and those around them, access resources to strengthen their recovery environment and return to optimal functioning in the broader community. For clients with co-occurring psychiatric symptoms, much of the early treatment episode addresses the management of the client's mental illness Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 39 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES through counseling, medication, and education about their illness. Out treatment, programming is designed to be balanced to address both the client's mental health needs as well as their substance use. Mental health education classes focus on life skills, mental illness, relapse prevention, substance use education, healthy relationships, communication, and other skills that are required to obtain and maintain sobriety. Clients also engage in individual counseling at least weekly with the COPSD case manager and weekly with the SUD clinician. The treatment team meets with the clinical leadership and direct care supervisors frequently to discuss issues that may be impacting the client treatment, adjust treatment plans, and/or determine if additional or more intensive services are needed. Upon admission, all clients are psychiatrically evaluated as to their diagnosis and current level of functioning. Existing resource utilization is evaluated. The client in need of support beyond the regular treatment program services is assigned a COPSD case manager. The COPSD case manager will meet with the client face to face to assess their needs and identify areas in which intervention is needed to engage the client in treatment, reduce the acute psychiatric symptoms, and stabilize their recovery environment. This initial meeting will take place within 48 hours of admission. In addition to linking clients with community resources, the COPSD case manager will provide direct counseling services and work with clients to develop the skills necessary to function successfully in the community. The COPSD case manager will also provide family consultations, crisis intervention services, and function as group facilitators to provide skills training. Our COPSD case managers are qualified, mental health professionals. Their education, experience, and credentialing provide a scope of practice that allows them to work with our population. Additionally, we have access to a psychiatrist through the local mental health authority to ensure that they receive medication appropriate to their symptoms. Once the client's acute symptoms have stabilized, and he/she is engaged in supportive community resources and activities in treatment, COPSD services are terminated. After termination of COPSD services, the client is monitored by the clinical treatment staff for a period of time to ensure continued stability. Should the client begin to have difficulties again, COPSD services are reinstated. Clients may receive COPSD services as long as clinically justified; however, lengths of stay longer than six months must be reviewed by the treatment team and approved by the Clinical Director. c. How many individuals do you serve daily and annually? COPSD Daily 5 and annually 45. In previous years. 10 daily and 75 annually. What is your rate of completion? COPSD Adult Program Type/Level Client Engagement Mental Health Treatment at Di Stable Housing Abuse Treatment at Agency % 55.56% 11.11% 100% 100% Based on CMBHS Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 40 of 161 State Contract % 55% 10% 55% 70% City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES What is the procedure for follow up after patient discharge? While the initial goal of COPSD services is focused on engagement in SUD treatment and psychiatric symptom stabilization, once the client is stabilized and engaged, the focus is on coping skills, emotion regulation, relapse prevention, medication compliance, community affiliation, and housing readiness. These goals necessitate collaboration and coordination with community service providers. When the clients are assigned and begin working with the COPSD case manager, they develop a comprehensive care plan for not only the time in treatment but also after the SUD treatment episode ends. The SUD clinician works with the client to ensure a SUD continuum of care is in place at discharge, and the COPSD case manager that will coordinate with community -based agencies to provide long term psychiatric services to clients. We utilize both informal partnerships and formal agreements to ensure access to a variety of social services for our clients. Our COPSD case manager will work directly with other community based social service and mental health agencies and treatment staff to arrest acute psychiatric symptoms, link the client with needed long-term services, and exchange resource information. Our COPSD case manager will meet with other agencies on an informal basis to integrate and coordinate services in response to clients' needs. We also work with service providers through formal, written contracts to ensure coordination among various social service agencies, including mental health agencies, substance abuse treatment programs, child welfare programs, health care providers, financial assistance providers, and various other state and local social service agencies. Once the client is linked to services and has achieved stabilization and abstinence and then exits the program. The patient is contacted at 60 days from the date of exit or completion. A consent to follow-up with them at 60 days is developed and signed by the patient. The Agency follows up with the patient or a designated person by telephone. If the client cannot be reached, the Agency will follow up with a person he or she has designated as a follow-up contact. The patient is asked specific questions and to determine that there are no other needs that the Agency can assist with or refer the patient for other needs. All the information is entered into the CMBHS, and the case is closed. The follow-up assists the client and the Agency in meeting the client's needs and document abstinence, arrest rate, and independent living, to name a few follow up questions. The follow-up contact will be documented in the CMBHS system three consecutive times, indicating phone number and person contacted. After three unsuccessful attempts at follow-up after discharge, the last note documented in CMBHS and the follow-up contact will be deemed unsuccessful. Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 41 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES d. What curriculum and strategies do you currently implement? Strategy Services are comprehensive, integrated, and coordinated, including case management, medical, psychiatric, vocational/educational, and substance abuse services in the context of recovery and community. Major aspects of service delivery are engagement, motivation/readiness for treatment; important outcomes are stabilization, referrals, and placement, along with a medical and psychiatric follow-up, medication adherence, and overall progress in the program. The COPSD case manager will provide up to three hours of service daily if needed. At a minimum, weekly psychoeducational counseling addressing medication compliance, symptom management, and recovery principles. The program utilizes a recovery capital model as their theoretical framework, and as such, all individual and group services are designed to strengthen the individuals' recovery environment. In collaboration with our community partner, we provide the following specific COPSD services: Concurrent disorders assessment- in addition to determining a diagnosis and the severity of their illness, this is the time that the counselor identifies all of the client's psychosocial needs and evaluates the client's treatment readiness and motivation. The substance abuse provider counselor, COPSD case manager, and client will develop a treatment plan and a case management plan the facilitates engagement and retention in treatment. Clinical case management based on stages of treatment- What has the client identified as their most pressing needs? What has the counselor identified as the most pressing needs? What linkages need to happen immediately to stabilize the client and engage the client in the treatment process? This often requires helping the client sort through issues, and many times, compromise between what the client currently wants and what the client needs are clinically at that time. This often includes linking the client to safe and affordable housing, community -based mental health clinics, and social support programs. It may also include helping clients obtain SSI benefits and other financial assistance. Because the problems can be varied, so can be the case management. Motivational interviewing- MI is a counseling style that occurs throughout the treatment episode as a way of developing a therapeutic alliance. As a specific intervention technique, many times, this is used quite heavily in the initial treatment time period. The Stages of Change are incorporated with MI to strategize engagement with the client to move them through a progression to abstinence and mental health stability based on client severity of illness. Harm reduction- asking a client to change too many things, all at one time, can be overwhelming for clients, especially clients who are emotionally or psychiatrically fragile. Having a harm reduction approach, rather than an all or nothing approach is a very important counseling strategy. Combined with MI strategies getting a client to agree to "less drugs/alcohol" and "more legitimate medications" is often the course of action for most clients. It is also an essential approach to client engagement and retention. Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 42 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES Cognitive -behavioral substance abuse counseling- helping clients identify schemas (behavior and beliefs) that drive substance use behavior and psychiatric treatment non-compliance is a central intervention for counselors. Helping clients to learn new behaviors and beliefs that promote abstinence and medication compliance are equally important. This type of counseling is brief in nature and focused on specific outcomes. Curriculum Hazelden Co-occurring Disorders Program: Integrated Services for Substance Use and Mental Health Problems Developed by Faculty from the Dartmouth Medical School The Hazelden Co-occurring Disorders Program was developed by members of the faculty from the Dartmouth Psychiatric Research Center. They are leaders in the field of co-occurring disorders in research, clinical experience, and expertise in addressing the complex issues in treating substance use and mental health disorders. The Hazelden Co-occurring Disorders Program is based on the findings, observations, and studies of more than 200 addiction treatment programs using the Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index. The DDCAT was developed to assess the capacity of an addiction treatment program to provide evidence -based services to people with co-occurring disorders. The Hazelden Co-occurring Disorders Program is the only comprehensive, manualized program for people with non -severe mental illness co-occurs with a substance use disorder. The program draws upon the numerous randomized controlled trials testing the Integrated Dual Disorders Treatment (IDDT) model, which is designed to treat severe mental health disorders. We will add the curriculum. Do these meet the grant requirements listed in the scope of work? If not, what changes to programming need to be made? The grant requirements are met through the hiring of qualified staff, providing the documentation, and meeting with the client an hour at a minimum per week and up to three hours daily based on the needs of the client. Administrative and clinical services are provided within the scope of work (SOW) as the Agency has had years of experience providing COPSD work. We also trained "all" staff on the SOW and provided all clinicians with a bound copy for quick reference. The staff is in constant training development and weekly staff meetings to discuss issues with this population to ensure that the contract and policies are followed to ensure the best outcome and add value to our communities that we serve. d. How many people do you propose serving through this funding program? Service Type Co-occurring Psychiatric & Substance Abuse disorders Co-occurring Psychiatric & Substance Abuse disorders Maximum enrolled at one time Capacity for 12 months 30 T100 U11 100 Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 43 of 161 City of Lubbock, TX RFP 21-15544-MA SUBSTANCE USE DISORDER TREATMENT SERVICES Residential Treatment Schedules House of Hope- Specialized Female Recovery Solutions- Male Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 44 of 161 Vlaiii iea• Serenity Center. Inc Intensive/Suppor(ive Men's Residential Time Monday Tuesdav Wednesdav Thursday Friday Saturday I Sunday_ Fake Up Wake Up 6 AXI Wake Up Wake Up Wake Up Personal - — 6:30ARi Breakfast Breakfast Breakfast Breakfast Breakfast Tpelsonal Time Time 6:3U AIM \ionrittg Meditation Alonnittg Alce[itntiou VlontLrg \ionthrg Personal Personal Morning �iedilation 7 AM vledifnilon Meditation Tune Time 7AM- Chores/Daily Chores/Dalh• Chores/Daily Chores/Dalh• Choies/Dailp Wake up Wake up 8:30AA4 Planting Platntbig Planning Planning Planning 7:30 AM 7:30 AhI Supportive -Work Supportive -Work Supportive -Work Supportive -Work Supportive Work Search/Ernployntent Sea rch/GmploJnrent Search/Employment Senrch/Entployine SearclVFEmplo}•m Chores/Dailey ChoresNaily Chor•es/Dally nl Chores/Daily ent Chores/DaUc Breakfast Breakfast 8 AA(-8:30 AAi Planning Platuring Planning Planning Planning 8:00-8:30 8:00-$:30 AM AM Life Skills Life Skills Open Forum CD Education Personal Thne CD ED Personal 8:30-11:30 08:30-11:30 9:00-10:00 A\i 8:30-11:30 8:30-11:30 Tinie 8:30 —11:30 John John Lillie David David AMA _ 10:30-11:30 AM 11:30-12p Wrap up -get ready for Wrap up -get ready Wrap up -get ready Wrap up -gel ready Wrap up -get read' Personal Personal lunch for lunch for lunch for lunch for lunch Time Time 12:00-100 Lunch and Chores Lunch and Chores Lunch and Chores Ltmch and Chores Lunch and Chores Lunch and Lunch and Chores Chores Shopping at Wal-Mart 1:00-5p _ CD Process-CBT Deep Cleaning CD Process-CBT CD Process Family — Personal 1:00-4:00 P\l 1:00-4:00 PM 1:00-3:00 PM 1:00-4:00 Phi 1:004:00 Phi Education Time Step Study 3:00-4:00 David Exercise John David 1-2p.nt. 5-6 PM 11innei and chores Jolut 4:00-5:00 PM Dinner and chores David Dinner and chores Jolut Dinner and chores David 2-5 visitation Dinner and _ Duuner and Dinner and chores __ _ _ chores chores Book Big Study 6-9 PM hn-house AA/NA meeting CD Education or Cognitive Personal AA/N'A 8:00-9:00 Ph 6:00-7:00 PM Life Skills intervention intproventent Deep Cleaning 6:00-7:00 PM 6-9P\i 6pin-9pin Time 6:00-9:00 Phi Stepwork David Client 7:30-9:00 PM Jolut Government r12PM 9-9:30 PM Night Alcditstioit Night Meditation 1\tgltt Meditation )\Iglu Meditatiorn Fight Meditationsornal Personal me 1U:OU Ligius Out Lights Out Lights Out Lights Out Ltghts Out ts Out Lights Out Phi 12PAI Dr. Paul Walker. CEO a e: Lillie Shipp, Facility Di ctor;-��Dole: Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 45 of 161 Women's Treatment Schedule Frida■ 6 AM- Wake Up/ Wake -Up/ Wake -Up/ Wake -Up/ Wake- Family Thne Faintly Thne 6:30 AM Breakfast Breakfast Breakfast Breakfast U /Breakfnst 6:30 AM- 7AAI- Kids ready for Kids ready for Kids ready for Inds ready for Kids ready for Family Time Family Time the din• the day the da the day the day 7A!1f- 7:30 Chores/Dally _ Chores/Daily Clrores/Daily Chores/ Dail} Chores/ Daily Family Time Fnmlly Thne Pinnning Planning Planning Planning Planting 7:30-8:30 ­ain 'Meditation Meditation hleditation Afeditatfon Individual time Individual hyork search /work search hyo►k search Ayork search hvo►•k search time 8-8:30 am 8:30-9 AM C Wdren to Children to ChLdren to Children to Meditation 8-8:30 am daycare daycare daycare daycare Work Search Breakfast Breakfast Step Study -- Family Family — 09:00-12pn Seeking Safety30 Shopping CD Open Forum Cognitive 8:30-9:30 9:00-12:00 Counseling 9:00-10:00 All[ Intervention Deep Cleaning Parenting Parenting Skills 8:30-11:30ant CBT Upstarts and 9:30-11:30 Stormy AA/NA 8:30-11:30am Downstairs Storm Ruby Meeting Ruby 9:30-11:30 10:30-11:30 AM 4:00-5:00 Phl Lunch Lunch Lunch Chores Chores Chores Chores Step Study HLunch CDLife Skills Life Skills 1-2 Counseling 1:00-4.00pnr 1:00-4:00p Deep Cleaning 1:00-4:00 Ruby Ruby Upstairs and Ruby Stormy Downstairs Stormy Ruby 2:30-4:00 Pick-up kids Pick-up kids/ Interaction Pick-up kids Pick-up kids Interaction Interaction w/kids/preparl Children and w/Idds/prepar•I w/kids/prepa►i ng for supper Mom group ng for supper. sag for supper. Children and 4-5 Mom group Ruby 4-5 Stormy Dinner and Dinner and _ Dinner and Dhmer and Dinner and Chores Chores Chores Chores j Chores Personal time Personal thue Personal thue Pei -Bolin] thne Personal time 7:00-8:00 Phi Prep kids Prep kids Prep kids Prep kids Prep kids for bed for bed for bed for bed for bed kids In bed by kids in bed by 1 kids In bed by kids h► bed by kids In hed 1►y 8:00-8:30 pat 8:00 8100 8:00 8.00 8:00-9:00 Phi I Personal Time I Personal Thne :30 Phi Night Night Meditation Meditation 0 P\•I Llghts Out Lights Out Women Wbn►cn Dr. Paul Walker. CEO Leo Rice, Facility Lunch Tinre Lunch Thne 1-2 family group 2-5 Family Is visitation with Time work out family. 1-2 mothers Stormy and children 2-4 nap time for kids Family tine Visitation Family Time mer and Chores Dinner and Personal time Major Facility Deep Clean 6-8 p.m. Prep kids for Prep kids for bed bed kids in bed ky kids In bed by 8.00 8:00 pill Personal Time CBT Group CD LD and Client Govenunent Personal time 6PM-9P\I Life skills 9-9 PM Stormy Group 6PM-9PM Ruby • Personal Thne Personal time _ _ _ Night NightNight Meditation Meditation Meditation Lights Out Women Lights Out Women Light Out Women 12pm Lights Out Women 12pnn Lights Out Women Q Date:_�G��_ Plainview Serenity Center Inc. Lubbock RFP 21-15544-MA Page 46 of 161 Exhibit D BUSINESS ASSOCIATES AGREEMENT BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (the "Agreement"), effective is entered into by and between the City of Lubbock ("City" or "Covered Entity") Plainview Serenity Center Inc. (the "Business Associate"), (each a "Party" and collectively the "Parties"). Business Associate is a provider of City clients for Substance Use Disorder Treatment Services. (the "Services"), and the Covered Entity is a political subdivision of the State of Texas. The Parties have an agreement (the "Master Agreement") under which the Business Associate regularly uses and/or discloses Protected Health Information in its performance of the Services described. Both Parties are committed to complying with the Standards for Privacy of Individually Identifiable Health Information under the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). This Agreement sets forth the terms and conditions, pursuant to which the Protected Health Information, that is provided, created, or received by the Business Associate, from or on behalf of the Covered Entity, will be handled between the Business Associate and the Covered Entity, and further with third parties during the term of the Master Agreement and after its termination. The Parties agree as follows: Covered Entity will make available to Business Associate certain information (e.g., medical records, patient information that is confidential and must be afforded special treatment and protection) in connection with Services provided by Business Associate to Covered Entity pursuant to the Master Agreement. Business Associate will have access to and/or receive from Covered Entity certain Information that can be used or disclosed only in accordance with this Agreement, the Master Agreement and the Department of Health and Human Service Privacy Regulations. Covered Entity and Business Associate agree as follows: 1. Business Associate shall not use or disclose Protected Health Information except as provided in this Agreement, the Master Agreement or required by law. A) The City of Lubbock agrees to provide Business Associate with a list of employees who are authorized to request retrieval of government documents. The City of Lubbock will be responsible for ensuring the fax machine is in a secured area for the receipt of confidential information. B) The City of Lubbock will fax to Business Associate a written, signed, and dated release of information request to Business Associate at: (806) 293- 1822. Business Associate will verify the name of the requestor and the incoming fax number prior to retrieving the requested document(s). Business Associate will verbally contact the original requestor prior to faxing or physically returning the documents and confirm request, verify documents, fax number and/or ship to address. C) Business Associate will return requested documents per City of Lubbock instructions. Fax requested returns will be to the authorized requestor's attention at (806)775-2164. Physical return of documents will be to the Business Associate Agreement — City of Lubbock Page 1 of 3 have seventy-two (72) hours to rectify said breach and notify Covered Entity of the resolution. 11. If termination of the contract is not feasible, then Covered Entity must report this violation to the Secretary of HHS. 12. The information shall be and remain the property of Covered Entity. Business Associate agrees that it acquires no title or rights to the information, including any de -identified information, as a result of this Contract. In witness whereof, Business Associate and City have caused this Contract to be signed and delivered by their duly authorized representatives, as of the date set forth above. The f bbock Contra By: / k By: Print Name: {II At Print Name: Dr. Paul Walker Title: t41nC&_r_ Title: Chief Executive Officer Business Associate Agreement — City of Lubbock Page 3 of 3 Exhibit E City of Lubbock, TX Purchasing & Contract Management INSURANCE COVERAGE REQUIRED TYPE OF INSURANCE GENERAL LIABILITY X Commercial General Liability ❑ Claims Made ❑ Other ❑ W/Hea%) Equipment ❑■ Occurrence ❑ XCU ❑ To Include Products of Complete Operation Endorsements ❑ PROFESSIONAL LIABILITY ❑ Occurrence ❑ or Technical Errors and Omissions ❑ CYBER LIABILITY ❑ Occurrence OTHER: X❑ Medical Malpractice ❑■ Occurrence AUTOMOTIVE LIABILITY 0 Any Auto ❑ All Owned Autos ❑ Scheduled Autos ❑ Hired Autos ❑ Non -Owned Autos EXCESS LIABILITY COMBINED SINGLE LIMIT General Aggregate 100" Products-Comp/Op AGG X Personal & Adv. Injun• X Contractual Liability X Fire Damage (Any one Fire) Med Exp (Any one Person) X General Aggregate General Aggregate Combined Single Limit 1,000.000 General Aggregate 3.000.001 Per Occurrence Aggregate ❑ Umbrella Form Each Occurrence Aggregate GARAGE LIABILITY ❑ Any Auto Auto Onh - Each Accident ❑ _ Other than Auto Onl) : Each Accident Aggregate ❑ BUILDER'S RISK ❑ 100%of the Total Contract Price ❑ INSTALLATION FLOATER ❑ 100%of the Total Material Costs ❑ POLLUTION ❑ CARGO ❑■ WORKERS COMPENSATION or OCCUPATONAL MEDICAL AND DISABILITY 500.000 0 EMPLOYERS' LIABILITY 1.000.000 OTHER: COPIES OF ENDOSENIENTS ARE REQUIRED ❑■ City of Lubbock named as additional insured on Auto.'General Liability on a primary and non-contributory basis. FE1 To include Products and Completed Operations Endorsements ❑� Waiver of subrogation in favor of the City of Lubbock on all coverages ❑ No insurance requited. (Additional Comments: CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2020-689760 Plainview Serenity Center, Inc. Plainview, TX United States Date Filed: 11/13/2020 2 Name of governmental entity or state agency that aarry to the contract for which the form is being filed. City of Lubbock, Texas Date Acknowledged: 11/16/2020 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 15621 City of Lubbock, TX -Substance Use Disorder Treatment Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Davis, Sally Lubbock, TX United States X Bernal, Stephanie Plainview, TX United States X Carrillo, Christy Plainview, TX United States X Walker, Paul Plainview, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is and my date of birth is My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of on the day of , 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms Drovided by Texas Ethics Commission www.ethirs_state_tx_us VPrCinn V1 1 InAnnf7d CERTIFICATE OF INTERESTED PARTIES FORM 1295 lofl Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2020-689760 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Plainview Serenity Center, Inc. Plainview, TX United States Date Filed: 11/13/2020 2 Name of govemmeni@ entity or state agency that Is a party tot the contract for w c t e form Is being filed. City of Lubbock, Texas Date Acknowledged: 3 Provide the Identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 15621 City of Lubbock, TX -Substance Use Disorder Treatment Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Davis, Sally Lubbock, TX United States X Bernal, Stephanie Plainview, TX United States X Carrillo, Christy Plainview, TX United States X Walker, Paul Plainview, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARA ON My name is and my date of birth is My address is _, x l (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d u