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
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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
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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
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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
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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.
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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.
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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.
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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.
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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
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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
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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
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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% -
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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.
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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.
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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
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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
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City of Lubbock, TX
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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
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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
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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
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Plainview Serenity Center Inc.
Lubbock RFP 21-15544-MA
Page 45 of 161
Women's Treatment Schedule
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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