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FBO DAILY ISSUE OF AUGUST 23, 2009 FBO #2829
SOLICITATION NOTICE

G -- TREATMENT OF THE HEARIING IMPAIRED - INSTRUCTIONS FOR VENDORS - PROVISION CLAUSES - SCOPE OF WORK - CONTRACT PRICING

Notice Date
8/21/2009
 
Notice Type
Combined Synopsis/Solicitation
 
NAICS
623220 — Residential Mental Health and Substance Abuse Facilities
 
Contracting Office
Court Services and Offender Supervision Agency, D. C. Pre-Trial Services Agency, Finance and Administration, 633 Indiana Avenue, NW, Suite 1120, Washington, District of Columbia, 20004
 
ZIP Code
20004
 
Solicitation Number
PSA-RFP-THI2009
 
Point of Contact
Rachel Dobbs, Phone: 202-220-5657, Rachel Dobbs, Phone: 202-220-5657
 
E-Mail Address
rachel.dobbs@psa.gov, rachel.dobbs@psa.gov
(rachel.dobbs@psa.gov, rachel.dobbs@psa.gov)
 
Small Business Set-Aside
Emerging Small Business
 
Description
Please provide pricing on the attached form. ATTACHED IS THE SCOPE OF WORK. Please read all clauses in this RFP carefully. Read Instructions to Offerors carefully and provide questions via email. STATEMENT OF WORK (SOW) COMBINED SYNOPSIS/SOLICITATION FOR THE HEARING IMPAIRED Contract Title Treatment for the Hearing Impaired Introduction Objective The District of Columbia Pretrial Services Agency (PSA) in Washington, D.C., requires Treatment Services for the hearing impaired and hard of hearing clients. This is a non-personal contract and not a personnel appointment. The PSA intends to award an Indefinite Delivery Indefinite Quantity contract with a fixed hourly rate. The contractor shall provide services in accordance with the Statement of Work (SOW) and the solicitation/contract. The North American Industry Classification System (NAICS) code is 623220. And applicable size standard is $10M. This procurement is being conducted under Simplified Acquisition Procedures and according to Parts 12 and 13 of the Federal Acquisition Regulation (FAR) Background The District of Columbia Pretrial Services Agency (PSA) is a federally funded investigation and supervision agency for defendants who are released into the community while awaiting disposition of their case in both the Superior Court and U.S. District Court. Pretrial Services is an independent entity under the umbrella of the Court Services and Offender Supervision Agency (CSOSA). CSOSA is primarily responsible for providing community supervision to offenders who have been placed on probation or released on parole. PSA works closely with CSOSA to ensure that the quality of community supervision provided to all defendants in the DC criminal justice system complies with federal supervision standards. PSA (hereafter referred to as the Government) has been mandated to provide comprehensive treatment services to District of Columbia defendants who are released into the community. The Contractor shall be aware that such defendants may have been ordered to participate in treatment by court order, as a condition of release. These persons (hereafter referred to as clients) are deaf or hard of hearing. They may have single or co-occurring mental health and substance abuse related disorders and may include special defendant populations who are medically unstable, or who have physical impairments. For those clients who are determined dually diagnosed, the Contractor shall invoice the Government in accordance with Schedule B of the contract. The Contractor may apply a nominal coefficient to the standard cost of the treatment services for a client who is dually diagnosed. That coefficient percentage will be charged in addition to the standard rate of treatment. There may be times when the responsibility for supervision of a client who is in treatment, must be transferred from PSA to CSOSA. In this event, the Contracting Officer's Technical Representative (COTR) will provide instructions to the Contractor for the supervision transfer without interrupting treatment to the client. In the event treatment must be discontinued, the COTR will notify the Contractor by telephone and a written modification. 1 Scope of Work 1.1 The Contractor shall provide all facilities, labor, material and equipment, except that listed as Government Furnished, to provide residential, intensive outpatient, outpatient, transitional housing, or social detoxification substance abuse assessment and treatment services for clients that are deaf or hard of hearing in accordance with the certification, accreditation, or licensure requirements specified herein (Reference Section 3.3). Contract performance shall begin upon intake of clients into the treatment program and shall continue throughout the term of the contract. 2 Personnel 2.1 Contractor staff providing clinical services to Government clients shall be licensed professionals or qualified with Certified Addiction Counselors (CAC) or equivalent certification and have documented experience and advanced training in substance abuse addiction treatment. The Contractor's staff shall receive regular clinical supervision from a person or agency of Contractor's choice and at Contractor's expense. The Clinical Supervisor must possess at least a four-year degree in a social services related field and have documented experience as a clinical supervisor. 2.2 The Contractor shall ensure that all clinical and ancillary services are accessible to PSA clients. Communication accommodations must include qualified American Sign Language and oral interpreters as appropriate, as well as a variety of devices such as text telephones. Accommodations must be sensitive to the varied communication needs of individuals with hearing losses. 2.3 The Contractor shall ensure that all staff (clinical, non-clinical, and consultants) has no prior criminal record of felony convictions, current pending criminal cases, or supervision in the past five years. The Contractor shall provide a current list of all employees working with PSA clients to the contracting officer accompanied by proof of the favorable background reference check. This list shall be current at all times. Any changes to the list shall be provided to the contracting officer within 48 hours of any modification. 2.4 The Contractor shall maintain documentation that staff providing clinical services possess the appropriate licensure/certification and training necessary to perform clinical duties as required by the DC and or relevant state certification, accreditation, or licensure standards. The Contractor shall maintain said documentation in a complete, confidential, and current personnel record, available for review upon the request of the contracting officer or COTR. 2.5 The Contractor shall ensure that all staff having direct contact with Government clients is knowledgeable of PSA contract requirements and that a copy of the Statement of Work is readily available for their review. 2. 6 The Contractor's staff shall avoid ethically inappropriate interactions, transactions, or relationships with clients or PSA staff and shall report said improprieties or the appearance thereof immediately to the COTR. 3 Description of Services 3.1 Contractor shall provide those core services listed in the DC Department of Health Certification Standards for Substance Abuse Treatment Facilities and Programs (hereafter referred to as the DC certification standards). The Contractor shall utilize the Addiction Severity Index (ASI) (or other biopsychosocial assessment tool), the American Society of Addiction Medicine's Patient Placement Criteria, Second Edition Revised (ASAM-PPC-2R), the Diagnostic and Statistical Manual, Fourth Edition (DSM-IV) and any other assessment tool deemed helpful in developing treatment recommendations and treatment plans. 3.2 Communication accommodations (e.g. American Sign Language and oral interpreters) are available for all modalities of treatment (e.g., OP, IOP, Residential). These include but are not limited to drug education, self/mutual-help groups, group therapy, and case management services. Treatment approaches are modified to respect the linguistic and cultural needs of the deaf and hard of hearing (e.g. video materials are presented with sign, voice and captions). Treatment will address culturally specific issues such as communication barriers, isolation, unemployment, inadequate support from family and friends, inaccessible meetings and events, and insufficient services. 3.3 The Contractor shall report unusual incidents by telephone to the pretrial services officer (PSO) and the COTR within twenty-four (24) hours and in writing within five (5) days. An Unusual Incident (UI) is an event that affects clients, PSA or Contractor's staff. Examples of UIs include but are not limited to the following: Death; Injury; Unexplained absence of a patient from a residence or program; Physical, sexual, or verbal abuse of a client by staff or other patients; Staff negligence; Fire; Theft; Destruction or other loss of property; Sudden or serious problems in the maintenance of the treatment facility; Chronic complaints from clients' families or clients' themselves; Requests for information from the press, attorneys, or government officials outside PSA; and Client behavior requiring an unusual amount of attention from Contractor's staff not typical for the treatment of the presenting problem. 3.4 The Contractor shall provide written and oral notification to the PSO for all clients in sanction-based treatment in the following instances : 3.4.1 When a client tests positive for alcohol or any drug or is not compliant with other program requirements, the Contractor shall notify the assigned PSO, their supervisor, or any available PSO (if the assigned PSO is not available) by telephone within twenty-four (24) hours and in writing within forty-eight (48) hours of the infraction. 3.4.2 When a client leaves the Contractor's program against medical/clinical advice or is incarcerated, the Contractor shall notify the PSO by telephone within eight (8) hours and notify the PSO and the COTR in writing within twenty-four (24) hours. 3.4.3 When the Contractor considers taking adverse action regarding a client's use of ancillary referrals made due to unforeseen medical, dental, family, psychiatric, or other problems that emerge, the Contractor shall notify the PSO prior to taking the adverse action. If the Contractor and the PSO agree to the adverse action, the Contractor shall notify the PSO by telephone within twenty-four (24) hours and in writing within forty-eight (48) hours of taking the final action. 3.4.4 When the Contractor considers taking adverse action regarding a client's actions or behaviors deemed threatening to either the client or the client's treatment community, the Contractor shall notify the PSO prior to taking the adverse action. If the Contractor and the PSO agreed to the adverse action, the Contractor shall notify the PSO by telephone within twenty-four (24) hours and in writing within forty-eight (48) hours of taking the final action. 3.5 T he Contractor shall have the right to refuse to treat any client who, after assessment, does not fit the Contractor's target treatment population. The Contractor shall provide to the COTR and the PSO written justification for any refusal within twenty-four (24) hours of the refusal. However, the Contractor shall provide at least twenty-four (24) hours of care for the client, if requested by the COTR. During that time, the Contractor shall ensure those clients have access to routine medical care during normal business hours and emergency medical care outside normal business hours. This contract does not provide for additional costs to be billed to the Government for the medical care. 3.6 The Contractor shall have a policy in place to ensure clients have access to emergency medical and community health services after normal business hours (including evenings, weekends, and holidays) and to routine medical and community health services during normal business hours at no additional cost to the Government 4 Certification Requirements 4.1 All substance abuse facilities and programs shall maintain certification, accreditation, and or licensure through the appropriate state or jurisdiction where the treatment program resides. This includes the following: 4.1.1 The State of Maryland, Department of Health and Mental Hygiene 4.1.2 The District of Columbia, Department of Consumer and Regulatory Affairs 4.1.3 The Commonwealth of Virginia, Department of Mental Health, Mental Retardation, and Substance Abuse Services 4.1.4 The Department of Health Addiction Prevention and Recovery Administration (APRA) 4.2 Certification, accreditation, or licensure shall be maintained throughout the contract period of performance and shall comply with any subsequent revisions or additions to the certification, accreditation, or licensure standards for drug abuse programs. 4.3 All services shall be provided in accordance with the DC or relevant state certification, accreditation, or licensure standards for Substance Abuse Treatment Facilities and Programs, as well as jurisdictional, and federal requirements. In the event of a conflict between the listed standards, services shall be provided in accordance with the most stringent certification, accreditation, or licensure requirements specified on a firm-fixed price basis. 4.4 The Contractor shall provide copies of all certifications, accreditations, and or licensures herein listed to the contracting officer and shall provide updated copies as changes or revisions occur. 5 Client Records 5.1 The Contractor shall establish and maintain complete and current patient records. The records shall document and monitor care and shall be kept confidential in a space that is secure and where access is limited to staff providing clinical services within the facility. 5.2 Confidential client records must be protected from disclosure except as provided below: 5.2.1 The Contractor shall disclose client records and discuss client treatment with the designated representative of the Government in an unrestricted manner. 5.2.2 The Contractor shall disclose client records only in accordance with 42 C.F.R. Part 2. Where disclosure is permitted under those regulations, the Contractor shall disclose only if disclosure is consistent with the policies and procedures of the Government or other certification, accreditation, or licensing authority. NOTE : The Government agrees to provide any necessary consent forms that federal, state or local law requires. 5.3 The Contractor shall be responsible for the client files during the time those files are in the Contractor's possession. The Contractor shall ensure that all persons having access to or custody of client records follow the disclosure and confidentiality requirements of this agreement and federal law. These records are property of the Government and shall be returned to the Government after completion/removal of a client from the treatment program. 5.4 The Contractor shall n otify the COTR immediately by telephone upon receipt of legal process requiring disclosure of client records. 5.5 The Contractor's file on each client shall contain, at a minimum: 5.5.1 Chronological notes that record all contacts (face-to-face, telephone, et cetera) with the client including collateral contacts with family members, employers, and others. Those notes shall be available for auditing by the Government representative. 5.5.2 A Program Plan, and any amendments thereto, that identifies treatment services to be provided to the client and billed to the Government under the terms of the contract. NOTE: The Contractor shall only provide those services identified in the Program Plan. The PSO determines the duration and frequency of these services. This plan also identifies the role of the PSO in the treatment process. 5.5.3 A Monthly Treatment Report that summarizes a client's activities during the month and accompanies the monthly bill. This report will indicate client progress (i.e., adjustment, responsiveness, significant problems, employment status, et cetera), any appointments or missed appointments and must reflect any changes in the Program Plan. Also included shall be any urine collection results. 5.5.4 Written authorization to release confidential information to PSA. The client must execute/sign this document before any information regarding a client's treatment progress is released by the Contractor. This does not include notification to the Government when a client fails to report for treatment. 5.5.5 Any other document required by the Government to be included. Copies of those forms shall be made available to the Contractor upon request. 6 Case Review Conferences 6.1 The Contractor's clinical/professional staff shall confer with the PSO in an initial case conference to develop the Program Plan. This conference may take place either face-to-face or over the telephone at the discretion of the PSO. For purposes of conducting the conference, the Contractor shall make available the contracting case manager, the client, the client's record, and a place to conduct the conference at no additional cost to the Government 6.2 The Contractor shall confer with the PSO at least every two weeks or more frequently depending on program requirements to discuss the client's treatment progress. The meeting may take place either face-to-face or over the telephone, at the discretion of the PSO. For purposes of conducting the conference, the Contractor shall make available the contractor's case manager, the client, the client's record, and a place to conduct the conference at no additional cost to the Government 7 Contractor's Facilities All Contractor's facilities used in support of this contract shall meet all local/state/federal requirements for zoning, certification, accreditation, or licensure as a treatment facility, as well as, fire prevention and overall safety. The Contractor shall maintain documentation that the facility meets all the requirements of the applicable local, state, and federal regulations, including the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and/or Commission on the Accreditation of Rehabilitation Facilities (CARF). 9 TREATMENT SERVICES 9.1 Outpatient and Intensive Outpatient Treatment 9.1.1 The Contractor shall provide comprehensive treatment services to substance abusing or addicted clients with single or co-occurring mental health and substance abuse related disorders, recommended for Level I Outpatient Patient and Level II Intensive Outpatient Services according to DC certification standards and SAM-PPC-2R. 9.1.2 The Contractor shall ensure that communication accommodations such as American Sign Language and oral interpreters are made available for all treatment. Treatment must include individual, group, and/or family counseling, relapse prevention, aftercare services, criminal justice involvement related topics, support groups, life-skills management, employment preparation, drug prevention education, and special issues (e.g., HIV, sexually transmitted diseases, parenting, pregnancy, et cetera). Treatment must also address cultural issues specific to the deaf or hard of hearing community as they relate to addiction. Treatment must be coordinated with clients' court hearings. The duration of the program for each client will vary in length depending on the needs of the client, program design, and counselor recommendations. The Contractor shall make referrals to ensure that clients have access to medical care and other supportive services. 9.1.3 The typical course of treatment for each client shall include (at a minimum) the following: 9.1.3.1 Outpatient : At a minimum, two (2) to six (6) hours of therapy per week for eight (8) to sixteen (16) weeks. Minimum hours may be met by any combination of individual sessions and group therapy. The Contractor may exercise discretion in structuring these sessions on a weekly basis to fit the Contractor's scheduling needs. 9.1.3.2 Intensive Outpatient : At a minimum, two (2) individual counseling sessions per month and nine (9) hours of group therapy per week for eight (8) weeks or seventy-six (76) hours (72 group/4 individual). The Contractor may exercise discretion in structuring these sessions on a weekly basis to fit the Contractor's scheduling needs. 9.1.4 The Contractor shall develop and show proof of existing written service policies and procedures for the operation of the treatment program, including : 9.1.4.1 The program's objective in providing treatment services to the client. 9.1.4.2 The criteria used to measure the client's progress towards the attainment of program objectives. 9.1.4.3 Knowledge of diagnostic criteria pursuant to the DSM-IV and patient placement criteria pursuant to DC certification standards and ASAM-PPC-2R. 9.1.4.4 A description of individual, group, and family counseling services, substance abuse education, relapse prevention, health and nutritional information provided, and the Contractor's policy that introduces self/mutual-help groups (e.g. 12-Step) to clients and monitors their required attendance. 9.1.4.5 A description of the pro-social, leisure activities available for clients at the treatment facility. 9.1.4.6 Policies and procedures regarding any discovery of a medical or mental condition that would inhibit the client's ability to fully participate in treatment, possibly resulting in the client's placement ineligibility. 9.1.4.7 Safety and security precautions and procedures 9.1.4.8 Crisis intervention procedures. 9.1.4.9 Medical emergency procedures. 9.1.4.10 Policies governing program rules of conduct and clients' rights. 9.1.4.11 Policies governing personnel issues. 9.1.4.12 Procedures for addressing client non-compliance. 9.1.4.13 Procedures for investigating and handling client grievances. 9.1.4.14 Procedures for investigating unusual incidents. 9.1.5 PSO's serve as liaisons between the Contractor and the courts. The Contractor shall be able to coordinate, cooperate, and work with PSO's using a team approach for case management and treatment intervention. The Contractor shall document all contacts with PSO's on the Contact Form provided by the Government. 9.1.6 The Contractor shall develop treatment plans and treatment plan reviews and document any treatment modification or intervention required to meet the special needs of a client. The Contractor shall also make these treatment plans/modifications according to DC certification standards and ASAM-PPC-2R criteria, supporting the enhancement as well as the reduction in the level of care at any point in treatment. 9.1.7 The Contractor shall provide (a) up-to-date clinical information (e.g. assessment and evaluation information, treatment plans, treatment plan reviews, monthly status reports, discharge summaries, et cetera) and (b) up-to-date statistical information (e.g. Treatment Services Invoice) to the Government. 9.1.8 The Contractor shall confirm with the PSO and COTR within eight (8) hours of a client's scheduled admission that the appointment was (or was not) kept, stating the initial type(s) of services assigned to the client. This does not require client consent to disclose. The Contractor shall provide such confirmation in the form of written notification as required by DC certification standards. 9.1.9 The Contractor shall be available to respond to the inquiries from the Government twenty-four (24) hours each day. The type of coverage shall meet the approval of the COTR and must ensure that the client's primary counselor or designee is available at all times. The Contractor's use of a telephone answering machine to intercept calls is not acceptable. 9.1.10 Each client shall have a patient record established which shall include, at a minimum, the documentation listed in the DC certification standards, Paragraph 2351.8. The following shall also be included in the client's record: •1. A criminal justice release of information; •2. PSA Treatment Referral Package; •a. treatment referral cover sheet •b. ASI •c. drug status report •d. weekly compliance form •3. Date(s) and result(s) of any breathalyzer or urinalysis test(s); •4. Daily clinical progress notes; •5. Monthly status report; •6. Subsequent substance abuse assessments and/or evaluations; •7. Any/All written reports submitted to PSO or COTR regarding client's treatment progress/compliance 9.1.11 The Contractor shall be responsible for the administration of random urinalysis and breathalyzer tests to all clients or when, in the Contractor's opinion, the client displays signs of drug or alcohol use. When a client tests positive for alcohol or any drug or is not compliant with other program requirements, the Contractor shall notify the assigned PSO, their supervisor, or any available PSO (if the assigned PSO is not available) by telephone within twenty-four (24) hours and in writing within forty-eight (48) hours of the infraction. 9.1.12 The Contractor shall accept the number of clients that are referred by the contracting officer or the contracting officer's designated representative at any time up to the Contractor's stated capacity. Referrals occurring in the last month of the contract shall continue at the same contract rate through the completion of the Program Plan unless otherwise notified by PSA 9.2 Social Detoxification 9.2.1 The Contractor shall provide comprehensive d etoxification services to substance abusing or addicted clients with single or co-occurring mental health and substance abuse related disorders, recommended for Clinically Managed Residential Detoxification (social detoxification) according to DC certification standards and ASAM-PPC-2R. 9.2.2 The Contractor shall provide communication accommodations (e.g. American Sign Language and oral interpreters) for all services. Services must address cultural issues as they relate to addiction. The Contractor shall make referrals to ensure that clients have access to medical care and other supportive services. 9.2.3 The Contractor shall not allow a PSA client to leave the detoxification facility, for any reason, without prior coordination and approval of the PSO (reference Section 5.3.2 and Section 5.3.5). 9.2.4 The Contractor shall have quality control measures, policies, and procedures to detect and minimize the likelihood that a client will possess contraband and use alcohol or illegal drugs while in detoxification. 9.2.5 The Contractor shall transport the client for placement from his/her point of origin (DC Superior Court @ 500 Indiana Avenue NW, PSA @ 633/300/601 Indiana Avenue NW, DC Jail, halfway house, et cetera). 9.2.6 The Contractor shall develop and show proof of existing written service policies and procedures for the operation of the detoxification program, including: 9.2.6.1 The program's objective in providing detoxification services to the client. 9.2.6.2 The criteria used to measure the client's progress towards the attainment of program objectives. 9.2.6.3 Knowledge of diagnostic criteria pursuant to the DSM-IV and patient placement criteria pursuant to DC certification standards and ASAM-PPC-2R. 9.2.6.4 A description of the pro-social, leisure activities available for clients at the treatment facility. 9.2.6.5 Policies and procedures regarding any discovery of a medical or mental condition that would inhibit the client's ability to fully participate in services, possibly resulting in the client's placement ineligibility. 9.2.6.6 24-hour/day safety and security precautions and procedures. 9.2.6.7 24-hour/day crisis intervention procedures. 9.2.6.8 24-hour/day medical emergency procedures. 9.2.6.9 Policies governing program rules of conduct and clients' rights 9.2.6.10 Policies governing personnel issues. 9.2.6.11 Procedures for addressing client non-compliance. 9.2.6.12 Procedures for investigating and handling client grievances 9.2.6.13 Procedures for investigating unusual incidents. 9.2.7 The Contractor shall make detoxification beds available twenty-four (24) hours per day, seven (7) days per week, including holidays. The average course of treatment for each client shall range from 3-10 days. 9.2.8 The Contractor shall accept the number of clients referred by the contracting officer or the contracting officer's designated representative at any time up to the Contractor's stated capacity. The Contractor understands that client referrals may be difficult to project and may occur any time during the contract term. However, referrals occurring in the last month of the contract shall continue through the completion of the Program Plan unless otherwise specified by PSA. 9.2.9 The Contractor shall provide nutritionally balanced meals (3) times per day, and an evening snack seven (7) days per week, in accordance with DC certification standards. 9.2.10 The Contractor shall ensure that vacant rooms are kept in a state of readiness to accept clients upon referral by PSA. 9.2.11 The Contractor's facility shall meet all federal, state, and local requirements for a social detoxification facility. 9.3 Residential Treatment 9.3.1 The Contractor shall provide comprehensive treatment services to substance abusing or addicted clients with single or co-occurring mental health and substance abuse related disorders, recommended for Residential/Inpatient Treatment according to DC certification standards and ASAM-PPC-2R. The Contractor shall ensure that communication accommodations such as American Sign Language and oral interpreters are made available for all treatment. Treatment must include individual, group, and/or family counseling, relapse prevention, aftercare services, criminal justice involvement related topics, support groups, life-skills management, employment preparation, drug prevention education, and special issues (e.g., HIV, sexually transmitted diseases, parenting, pregnancy, et cetera). Treatment must also address cultural issues specific to the deaf or hard of hearing community as they relate to addiction. Treatment must be coordinated with clients' court hearings. The Contractor shall make referrals to ensure that clients have access to medical care and other supportive services. The duration of the program for each client will vary in length depending on the needs of the client, program design, and counselor recommendations. The maximum length of stay for a client is sixty (60) days, based on thirty (30) day increments. However, the Contractor or Government may request the length of stay be reduced or extended outside of this range, depending on the client's progress in treatment. The Contractor shall notify the PSO and the COTR within five (5) days if the client's counselor recommends a reduction or extension in treatment via the Extension of Treatment Authorization Form (attached). The Contractor shall make any treatment modification in accordance with DC certification standards and ASAM-PPC-2R. 9.3.1.1 The Contractor shall not allow a PSA client to leave the residential facility, for any reason, without prior coordination and approval of the PSO (reference Section 5.3.2. and Section 5.3.5). 9.3.2 The Contractor shall have quality control measures, policies, and procedures to detect and minimize the likelihood that a client will possess contraband and use alcohol or illegal drugs while in treatment. The Contractor shall not consider the confiscation of contraband, a client's relapse, or generally non-compliant behavior sole grounds for removing him/her from treatment, unless the expulsion is due to behaviors considered harmful to the client, staff, or other participants. Prior to the expulsion of a client from a treatment program for relapse, the Contractor shall contact the assigned PSO or any PSO if (s)he is not available) to discuss the expulsion recommendation. If a dispute emerges between the PSO and the Contractor regarding whether a client should be expelled, the Contractor shall contact the COTR and request a face-to-face conference to resolve the dispute before the client is expelled. The Contractor shall have and utilize a graduated sanctions scheme to address clients' program infractions. 9.3.3 The Contractor shall transport the client for placement from his/her point of origin (D.C. Superior Court @ 500 Indiana Avenue NW, PSA @ 633/300/601 Indiana Avenue NW, DC Jail, APRA or any detoxification facility, halfway house, et cetera). When requested by the Government, the Contractor shall provide clients with transportation to court, medical appointments, and any other community appointments deemed necessary and critical. An appropriate escort must accompany clients for such excursions. When requested by the Government, the Contractor shall transport clients to PSA @ 633/300/601 Indiana Avenue NW upon discharge from the program. 9.3.4 The Contractor shall develop and show proof of existing written service policies and procedures for the operation of the treatment program, including : 9.3.4..1 The program's objective in providing treatment services to the client. 9.3.4.2 The criteria used to measure the client's progress towards the attainment of program objectives. 9.3.4.3 Knowledge of diagnostic criteria pursuant to the DSM-IV and patient placement criteria pursuant to DC certification standards and ASAM-PPC-2R. 9.3.4.4 A description of individual, group, and family counseling services, substance abuse education, relapse prevention, health and nutritional information provided, and the Contractor's policy that introduces self/mutual-help groups (e.g. 12-Step) to clients and monitors their required attendance. 9.3.4.5 A description of the pro-social, leisure activities available for clients at the treatment facility. 9.3.4.6 Policies and procedures regarding any discovery of a medical or mental condition that would inhibit the client's ability to fully participate in treatment, possibly resulting in the client's placement ineligibility. 9.3.4.7 24-hour/day safety and security precautions and procedures 9.3.4.8 24-hour/day crisis intervention procedures. 9.3.4.9 24-hour/day medical emergency procedures. 9.3.4.10 Policies governing program rules of conduct and clients' rights. 9.3.411 Policies governing personnel issues. 9.3.4.12 Procedures for addressing client non-compliance. 9.3.4.13 Procedures for investigating and handling client grievances. 9.3.4.14 Procedures for investigating unusual incidents. 9.3.5 The Contractor shall accept the number of clients referred by PSA at any time up to the Contractor's stated capacity. The Contractor understands that client referrals may be difficult to project and may occur any time during the contract term. However, referrals occurring in the last month of the contract shall continue through the completion of the Program Plan unless otherwise specified by PSA. 9.3.6 The Contractor shall provide nutritionally balanced meals three (3) times per day, and an evening snack, seven (7) days per week, in accordance with DC certification standards. 9.3.7 The Contractor's facility shall meet all federal, state, and local requirements for a residential facility. 9.4 Transitional Housing 9.4.1 The Contractor shall provide transitional housing services to substance abusing or addicted clients with single or co-occurring mental health and substance abuse related disorders, recommended for Clinically Managed Low-Intensity Residential Treatment (transitional housing) according to DC certification standards and ASAM-PPC-2R. Ordinarily, these clients would have already completed substance abuse treatment. The Contractor shall ensure that communication accommodation such as American Sign Language and oral interpreters are made available for all services. Services must address cultural issues specific to the deaf or hard of hearing community as they relate to addiction and recovery. At a minimum, services must include individual and group counseling sessions, relapse prevention and parenting classes, assistance in acquiring stable, permanent employment, GED, computer training and other educational services, assistance in reunification of the client with his/her children and family, and assistance in reintegration of the client into the community, Services must also include helping clients secure, low-cost, permanent housing and connection to community-based support services that promote a drug-free life style. Services must be coordinated with clients' court hearings. The Contractor shall make referrals to ensure that clients have access to medical care and other supportive services. The duration of the program for each client will vary in length depending on the needs of the client, program design, and counselor recommendations. The maximum length of stay for a client is sixty (60) days, based on thirty (30) day increments. However, the Contractor or Government may request the length of stay be reduced or extended outside of this range, depending on the client's progress in treatment. The Contractor shall notify the PSO and the COTR within five (5) days if the client's counselor recommends a reduction or extension in treatment via the Extension of Treatment Authorization Form (attached). The Contractor shall make any modification in services in accordance with DC certification standards and ASAM-PPC-2R. All clients must be discharged as scheduled unless a request for extension in treatment is approved, in writing, by the contracting officer or the contracting officer's designated representative. 9.4.2 The Contractor shall have quality control measures, policies, and procedures to detect and minimize the likelihood that a client will possess contraband and use alcohol or illegal drugs while participating in the transitional housing program. The Contractor shall not consider the confiscation of contraband, a client's relapse, or generally non-compliant behavior sole grounds for removing him/her from the program, unless the expulsion is due to behaviors considered harmful to the client, staff, or other participants. Prior to the expulsion of a client from a transitional housing program for relapse, the Contractor shall contact the assigned PSO or any PSO if (s)he is not available) to discuss the expulsion recommendation. If a dispute emerges between the PSO and the Contractor regarding whether a client should be expelled, the Contractor shall contact the COTR and request a face-to-face conference to resolve the dispute before the client is expelled. The Contractor shall have and utilize a graduated sanctions scheme to address clients' program infractions. 9.4.3 The Contractor shall transport the client for placement from his/her point of origin (Residential Treatment Program, D.C. Superior Court @ 500 Indiana Avenue NW, PSA @ 633/300/601 Indiana Avenue NW, DC Jail, APRA or any detoxification facility, halfway house, et cetera). 9.4.4 The Contractor shall develop and show proof of existing written service policies and procedures for the operation of the transitional housing program, including : 9.4.4.1 The program's objective in providing transitional services to the client. 9.4.4.2 The criteria used to measure the client's progress towards the attainment of program objectives. 9.4.4.3 Knowledge of diagnostic criteria pursuant to the DSM-IV and patient placement criteria pursuant to DC certification standards and ASAM-PPC-2R. 9.4.4.4 As applicable, a description of individual, group, and family counseling services offered, substance abuse education, relapse prevention, health and nutritional information provided, and the Contractor's policy that introduces self/mutual-help groups (e.g. 12-Step) to clients and monitors their required attendance. 9.4.4.5 As applicable, a description of the pro-social, leisure activities available for clients at the transitional housing facility. 9.4.4.6 Policies and procedures regarding any discovery of a medical or mental condition that would inhibit the client's ability to fully participate in transitional housing program, possibly resulting in the client's placement ineligibility. 9.4.4.7 24-hour/day safety and security precautions and procedures 9.4.4.8 24-hour/day crisis intervention procedures. 9.4.4.9 24-hour/day medical emergency procedures. 9.4.4.10 Policies governing program rules of conduct and clients' rights. 9.4.4.11 Policies governing personnel issues. 9.4.4.12 Procedures for addressing client non-compliance. 9.4.4.13 Procedures for investigating and handling client grievances. 9.4.4.14 Procedures for investigating unusual incidents. 9.4.5 The Contractor shall accept the number of clients referred by PSA at any time up to the Contractor's stated capacity. The Contractor understands that client referrals may be difficult to project and may occur any time during the contract term. However, referrals occurring in the last month of the contract shall continue through the completion of the Program Plan unless otherwise specified by PSA. 9.4.6 The Contractor shall provide nutritionally balanced meals three (3) times per day, and an evening snack, seven (7) days per week, in accordance with DC certification standards. 9.4.7 The Contractor's facility shall meet all federal, state, and local requirements for transitional housing.
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/CSOSA/DCTSA/WashingtonDC/PSA-RFP-THI2009/listing.html)
 
Record
SN01922205-W 20090823/090822003717-8c2caf78f7f479433ce12673e203da03 (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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