State of Wisconsin Wis. Statutes s.16.75 DOA-3070 (R08/2003) BIDS MUST BE SEALED AND ADDRESSED TO: AGENCY ADDRESS: DEPARTMENT OF CORRECTIONS REBECCA HOEFS / PURCHASING SERVICES SECTION 3099 EAST WASHINGTON AVENUE P.O. BOX 7991 MADISON, WI 53707-7991 REQUEST FOR BID THIS IS NOT AN ORDER BIDDER, provide your name and address here: Remove from bidder list for this commodity/service. (Return this page only.) Bid envelope must be sealed and plainly marked in lower corner with due date and Request for Bid # RLH-5172. Late bids will be rejected. Bids MUST be date and time stamped by the soliciting purchasing office on or before the date and time that the bid is due. Bids dated and time stamped in another office will be rejected. Receipt of a bid by the mail system does not constitute receipt of a bid by the purchasing office. Any bid which is inadvertently opened as a result of not being properly and clearly marked is subject to rejection. Bids must be submitted separately, i.e., not included with sample packages or other bids. Bid openings are public unless otherwise specified. Records will be available for public inspection after issuance of the notice of intent to award or the award of the contract. Bidder should contact person named below for an appointment to view the bid record. Bids shall be firm for acceptance for sixty (60) days from date of bid opening, unless otherwise noted. The attached terms and conditions apply to any subsequent award. Bids MUST be in this office no later than May 13, 2015 3:00PM CT Name (Contact for further information) Date Rebecca Hoefs April 14, 2015 Phone (608)240-5574 Email AMENDED 04/23/15: [email protected] Quote Price and Delivery FOB Destination To correct language in Section 2.2.1 and Section 4.5 # 14. Fax bids and Email bids are not accepted Description The Department of Corrections (DOC), Division of Community Corrections (DCC) is requesting bids for Secular, Non-Residential Sex Offender Treatment Services in DCC Region 8 (Lacrosse County, City of Lacrosse; Monroe CountyCity of Sparta), per attached terms, conditions and specifications. Location Line item Lacrosse 1. QUANTITY AND UNIT 50 Sex Offender Treatment Assessments, Section 4.5.1 assessments Lacrosse 2. 40 Sex Offender Individual Treatment, Section 4.5.2 Sessions Lacrosse 3. Lacrosse 4. 312 Sex Offender Treatment Groups, Section 4.5.3 groups 200 (1 session/week x 52 weeks x 6 cycles = 312 groups total) Sex Offender Aftercare Groups, Section 4.5.4 groups Lacrosse 5. 48 groups PRICE PER UNIT Sex Offender Treatment Services Lacrosse County Sex Offender Psycho-educational Groups, Section 4.5.5 $ TOTAL $ per assessment $ per 1 Hour session $ per group $ per group $ per group $ $ $ $ LACROSSE SEX OFFENDER TREATMENT SERVICES BID TOTAL $ Location Line item QUANTITY AND UNIT Sparta 20 1. Sex Offender Treatment Assessments, Section 4.5.1 assessments Sparta 10 2. Sex Offender Individual Treatment, Section 4.5.2 sessions Sparta 3. 52 PRICE PER UNIT Sex Offender Treatment Services Monroe County Sex Offender Treatment Groups, Section 4.5.3 (1 session/week x 52 weeks x 1 cycle = 52 groups) groups TOTAL $ $ per assessment $ $ per 1 hour session $ $ per group SPARTA SEX OFFENDER TREATMENT SERVICES BID TOTAL $ State of Wisconsin Wis. Statutes s.16.75 DOA-3070 (R08/2003) Page 2 of 2 RFB # RLH-5172 *Before submitting this bid be sure to include all requirements listed in Section 2.4 and 9. Payment Terms Net 30 Delivery Time Per Specifications We claim minority bidder preference [Wis. Stats. s. 16.75(3m)]. Under Wisconsin Statutes, a 5% preference may be granted to CERTIFIED Minority Business Enterprises. Bidder must be certified by the Wisconsin Department of Administration Minority Business Certification Program. If you have questions concerning the certification process, contact the Wisconsin Department of Administration, 101 E. Wilson St., 6 th Floor, PO Box 7970, Madison, Wisconsin 53707-7970, (608) 267-9550. Does not apply to printing bids. We claim disabled veteran-owned business preference [Wis. Stats. s. 16.75(3m)]. Under Wisconsin Statutes, a 5% preference may be granted to CERTIFIED Disabled Veteran-Owned Businesses. Bidder must be certified by the Wisconsin Department of Administration Supplier Diversity Program. If you have questions concerning the certification process, contact the Wisconsin Department of Administration, 101 E. Wilson St., 6th Floor, PO Box 7970, Madison, Wisconsin 53707-7970, (608) 267-9550. Does not apply to printing bids. We are a work center certified under Wis. Stats. s. 16.752 employing persons with severe disabilities. Questions concerning the certification process should be addressed to the Work Center Program, State Bureau of Procurement, 6th Floor, 101 E. Wilson St., P.O. Box 7867, Madison, Wisconsin 53707-7867, (608) 266-5462 or (608) 266-5669. Wis. Stats. s. 16.754 directs the state to purchase materials which are manufactured to the greatest extent in the United States when all other factors are substantially equal. Materials covered in our bid were manufactured in whole or in substantial part within the United States, or the majority of the component parts thereof were manufactured in whole or in substantial part in the United States. Yes No Unknown In signing this bid we also certify that we have not, either directly or indirectly, entered into any agreement or participated in any collusion or otherwise taken any action in restraint of free competition; that no attempt has been made to induce any other person or firm to submit or not to submit a bid; that this bid has been independently arrived at without collusion with any other bidder, competitor or potential competitor; that this bid has not been knowingly disclosed prior to the opening of bids to any other bidder or competitor; that the above statement is accurate under penalty of perjury. We will comply with all terms, conditions and specifications required by the state –in this Request for Bid (RFB RLH-5172) and all terms of our bid. Name of Authorized Company Representative (Type or Print) Signature of Above Title Date Phone ( ) Fax ( ) Email Website This form can be made available in accessible formats upon request to qualified individuals with disabilities RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 3 of 73 STATE OF WISCONSIN REQUEST FOR BID (RFB) # RLH-5172 FOR: Non-Residential Sex Offender Treatment Services In DCC Region 8 in Lacrosse and Sparta, WI TABLE OF CONTENTS DEFINITIONS 1.0 INTRODUCTION, PURPOSE, AND SCOPE 2.0 BID PROCEDURE AND INSTRUCTIONS 3.0 BID ACCEPTANCE, EVALUATION AND AWARD 4.0 TECHNICAL REQUIREMENTS 5.0 PERFORMANCE REQUIREMENTS 6.0 COST INFORMATION 7.0 SUPPORT REQUIREMENTS 8.0 STANDARD AND SUPPLEMENTAL TERMS AND CONDITIONS 9.0 REQUIRED FORMS AND ATTACHMENTS ATTACHMENTS EXHIBIT 1 ............................................................ DCC Administrative Directive 01-10 EXHIBIT 2 ............................................................ Referral for Services (DOC-1336) EXHIBIT 3 ............................................................ Offender Report - Monthly (DOC-1088) EXHIBIT 4 ............................................................ Unit Service Monthly Report (DOC-1026) EXHIBIT 5 ............................................................ Sex Offender Assessment Report (DOC-1577) Instructions inserted as an embedded link on last page of DOC-1577 EXHIBIT 6 ............................................................ Sex Offender Program Report (DOC-1423) * Instructions inserted as an embedded link on last page of DOC-1423 EXHIBIT 7 ............................................................ Limits of Confidentiality of Information (DOC-1923) EXHIBIT 8 ............................................................ Informed Consent: Sex Offender Treatment (DOC-2507) EXHIBIT 9 ............................................................ Sex Offender Treatment Contract (DOC-2508) EXHIBIT 10 .......................................................... Evidenced-Based Correctional Program Checklist (CPC) EXHIBIT 11 .......................................................... Program Guidelines * Imbedded links to access the Sex Offender Treatment Reoffense Prevention Plan (DOC-2456 and DOC-2456A) have been inserted into the last page of the Sex Offender Program Report (DOC 1423). RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 4 of 73 DEFINITIONS The following definitions are used throughout the RFB: Bidder: Contractor: DAI: DVB: MBE: P-Card: Purchasing: RFB: State: Vendor: Firm submitting a bid in response to this Request for Bid Successful vendor awarded the contract Division of Adult Institutions, administration of all state correctional incarceration facilities except those juvenile facilities operated by Division of Juvenile Corrections – headquartered at DOC Central Offices, 3099 E Washington Ave., Madison, WI 53704 Division of Community Corrections, supervises offenders outside secure facilities Division of Juvenile Corrections, operates the correctional ‘schools’ – headquartered at DOC Central Offices, 3099 E Washington Ave., Madison, WI 53704 Department of Administration has statutory authority [WI Stats. Chapter 16] to define, regulate and delegate all aspects of procurement of commodities and services for state agencies. Department of Corrections, also referred to as the department or the DOC – headquartered at DOC Central Offices, 3099 E Washington Ave., Madison, WI 53704 Disabled Veteran-Owned Business Minority Business Enterprise Procurement Card (State credit card) Department of Corrections’ Purchasing Services Section Request for Bid State of Wisconsin Firm submitting a bid in response to this Request for Bid Must: Shall: Should: Requirement is mandatory Requirement is mandatory Desirable but not mandatory DCC: DJC: DOA: DOC: Actuarial Tool: An empirically-validated tool that focuses primarily on static (unchangeable) factors that influence recidivism, in which the offender’s particular characteristics are inventoried and the offender’s risk is determined by the extent to which the offender possesses various risk factors associated with recidivism. Tools can also access dynamic (changeable) factors. Examples include the following Minnesota Sex Offender Screening Tool- Revised (MnSOT-R), Rapid Risk Assessment for Sexual Offender Recidivism (RRASOR), Sex Offender Risk Appraisal Guide (SORAG), Static-99, Vermont Assessment of Sex Offender Risk (VASOR), Bumby Cognitive Distortion Scale, Hanson Sexual Attitude Questionnaire, and the Sex Offender Need Assessment Rating (SONAR). Administrative and Fiscal Services: Tasks and responsibilities such as preparation and management of operational budget; personnel management; program planning and evaluation; supervision and evaluation of staff; labor/management relations; public relations; ensuring compliance with AA/CRC requirements; development, implementation and monitoring of policies/practices for information and technology, space, staff/offender health, safety and security. Alternative to Revocation (ATR): A comprehensive set of planned and organized therapeutic experiences and interventions, which are intended to reduce their risk of re-offense, or other sexually abusive and other aggressive behavior. Assessment: The process of collecting and analyzing information about an offender so that appropriate decisions can be made regarding sentencing, supervision, and treatment. Assessments may include the following types: Sex Offender Assessment: Identifies specific problem areas, strengths and weaknesses, skills, knowledge, and the precedents and antecedents of the sexually abusive behavior. Recommendations for the appropriate type of intervention and level of need for treatment must be included. It also includes a completed Sex Offender Assessment Report (DOC-1577) RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 5 of 73 Intake Assessment: Determines and documents sex offender problem areas to be addressed in the program and the sex offender’s appropriateness for the program. The intake assessment includes the initial Treatment Plan and the initial Sex Offender Program Report (DOC-1423). The treatment plan includes measurable goals and objectives, as well as activities/services needed to achieve successful discharge. Progress Assessment/Report: A report that describes the ongoing status of an offender while in a sex offender treatment program. For purposes of this RFB, the Sex Offender Program Report (DOC-1423) will be used to report progress. Discharge Summary: Documents a summary of treatment progress when the offender completes or is terminated from a program. The discharge summary includes recommendations for further treatment as well as recommendations to assist the agent in supervising the offender. It also includes a completed Sex Offender Program Report (DOC-1423). Case Management: An organized process for bringing services, agencies, resources and people together within a planned framework for linking, advocating for and monitoring the provision of educational intervention, treatment or support services to an offender in a program in a coordinated, efficient and effective manner. Case Plan: Identified and ranked goals and objectives and resources agreed upon by the program participant, the program provider and the DCC agent to be utilized in facilitation of the participant’s successful program completion. Clinical Supervision: Clinical supervision means intermittent face−to−face contact provided on or off the site of a service between a clinical supervisor and treatment staff to ensure that each program participant has an individualized treatment plan and is receiving quality care. Clinical supervision includes auditing of program participant’s files, review and discussion of active cases and direct observation of treatment, and means also exercising supervisory responsibility over program staff. Clinical Supervisor: The person designated to be responsible for the clinical supervision of the staff delivering program services. Co-facilitator: The person, who assists with the facilitation of program groups, assists a person who meets all the direct service staff requirements, and who provides direct program services as part of a team. Cognitive Interventions: Program which teaches specific strategies or techniques to enable offenders to: (1) Identify for themselves the specific thoughts that support their criminal behavior (self-observation); (2) See and appreciate the pattern and consequences of their thinking; (3) Utilize reasoning and problem solving, self-talk, social interaction skills as a means of controlling and changing their thinking; (4) Recognize that they have choices and can make a conscious decision to change or not to change. The Department stresses programming that combines two types of cognitive interventions: cognitive restructuring (changing the thinking patterns, attitudes and beliefs that lead persons to offend) and cognitive skills training (teaching reasoning, problem solving and social skills). COMPAS: The Northpointe Suite software used by DOC to provide a single statewide system of risk/needs assessment and case planning for an offender's lifecycle. Containment Approach: Implementation strategies that depend on agency coordination and multidisciplinary partnerships. Correctional Client: This includes city, county, state or federal clients/offenders/inmates served in a correctional setting. The DOC will make sole determination of who meets these criteria. Criminogenic Needs: Andrews, Bonta, and Hoge (1990:31) define criminogenic needs as a subset of risk factors consisting of dynamic attributes of offenders and their circumstances that, when changed, are associated with changes in the chances of recidivism. Anti-Social cognition: (Criminal Thinking Self Report; Cognitive Behavioral; Criminal Opportunity; Social Isolation; Social Environment; Socialization Failure; Social Adjustment RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 6 of 73 Problems)– Programs targeting this specific criminogenic need seek to reduce anti-social cognition, recognize risky thinking, and feelings, adopt an alternative identity. Anti-Social companions: (Criminal Associates and Peers; Cognitive Behavioral; Criminal Opportunity; Social Isolation; Social Adjustment Problems; Socialization Failure; Social Environment)– Programs targeting this specific criminogenic need seek to reduce association with offenders, enhance contact with pro-social. Anti-Social personality or temperament: (Criminal personality; Criminal Opportunity, Cognitive Behavioral; Social Isolation; Socialization Failure; Social Adjustment Problems; Anger)– Programs targeting this specific criminogenic need seek to build problem solving, self management, anger management, and coping skills. Family and/or marital: (Family Criminality; Criminal Opportunity; Social Environment; Socialization Failure; Social Adjustment Problems)– Programs targeting this specific criminogenic need seek to reduce conflict, build positive relationships and communication, enhance monitoring/supervision. Substance Abuse: (Substance Abuse; Social Environment; Social Isolation; Cognitive Behavioral; Leisure and Recreation)– Programs targeting this specific criminogenic need seek to reduce usage, reduce the supports for abusive behavior, enhance alternatives to abuse. Employment: (Vocation/Education; Financial; Criminal Opportunity)– Programs targeting this specific criminogenic need seek to provide employment seeking and keeping skills Education/Vocational: (Vocation/Education; Financial; Criminal Opportunity): Programs targeting this specific criminogenic need seek to enhance performance reinforcers and satisfaction. Leisure/Recreation: (Leisure recreation; social isolation): Programs targeting this specific criminogenic need seek to enhance involvement and satisfaction in pro-social activities. Criminogenic Risk Factors: Those features that research has demonstrated are related to criminal behavior. At least two types are recognized. Static risk factors: are offender characteristics that cannot change but are predictive of an offender’s propensity for future criminal activity, for example, the offender’s age at the time of first offense. Dynamic risk factors: are offender characteristics that may be altered by effective intervention. Examples of dynamic risk factors are substance abuse; identification with criminal companions; low tolerance for frustration; impulsivity; conflicts with authority; poor use of leisure time; conning and manipulation; thrill seeking; egocentrism; blaming others; dissatisfaction with conventional, mainstream activities; poor skills in identifying alternative choices; etc. Culturally Diverse Programming: Accommodates the learning styles of participants with varying cultural backgrounds and ethnicities. Denial: Process through which an offender fails to accept responsibility for behavior. Denial can be seen on a continuum: deny the existence of the event (it didn’t happen; the victim made it up); acknowledge the event but deny any personal responsibility (I did it, but I was drunk, etc.); acknowledge the event, admit responsibility but deny the significance of the event (I did it, it was wrong, but no harm was done). Offenders from all parts of this continuum will be referred to this program. Direct Program Services: Tasks and responsibilities relating to delivery of offender services such as conducting assessment, providing individual and group treatment services, conducting program orientation, evaluation, aftercare, support groups, and other activities under scope of this RFP. Dosage: The total hours of a program where participants engage in therapeutic tasks focused on criminogenic need areas that are evidenced-based. Evidence-based Practices (EBP): Encompasses the principle of making decisions about how to provide care by integrating the best available evidence with practitioner expertise and other resources, and with the characteristics, state, needs, values, and preferences of those who will be affected. Using EBP implies that (1) there is a definable outcome(s); (2) that the outcome is measurable; and (3) it is defined according to practical realities. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 7 of 73 Intake Assessment: A process by which a contractor reviews and evaluates offender information to determine appropriateness for offender program entry and level of service delivery. Minimization: An offender admits to offense or main elements of offense but does not fully acknowledge significant factors, e.g., their responsibility for the offense, attributes responsibility to the victim, shortens period of time or frequency of offenses, diminishes degree of force, denies impact on victim, denies sexualized intent, admits knowing victim was underage but denies knowing victim as young as she/he was. Motivational Interviewing (MI): Focuses on exploring and resolving ambivalence and centers on motivational processes within the individual that facilitate change. MI is a collaborative, person-centered form of guiding. Minimization: An offender admits to offense or main elements of offense but does not fully acknowledge significant factors, e.g., their responsibility for the offense, attributes responsibility to the victim, shortens period of time or frequency of offenses, diminishes degree of force, denies impact on victim, denies sexualized intent, admits knowing victim was underage but denies knowing victim as young as she/he was. Offender: For purposes of this solicitation, the term “offender” is defined as an individual who is under the supervision of the DOC. PCL-R: The Psychopathy Checklist-Revised, a clinical rating scale used in assessments to determine psychopathy by psychologists to assess sex offenders. Polygraph: An instrument that records continuously, visually, permanently, and simultaneously any changes in cardiovascular, respiratory, and electro dermal patterns as minimum instrumentation standards, and is used, or the results of which are used, for the purpose of detecting deception or verifying truth of statements made by an examinee. Program Evaluation: The identification of quantifiable behavioral indicators of response to the planned intervention used to determine program efficacy. Program Participant: An offender referred by DCC and receiving services through the program. Program Statement: The written statement of a program’s philosophy and model of treatment; the research basis for selection of the treatment model; the problem and the population to be served; the goals, objectives, and activities to be employed to achieve the desired outcomes; and the plan for determining the efficacy of the services provided. Protected Health Information(PHI): Individually identifiable health information in any form or medium, including demographic information, created, received, maintained, or transmitted by the Contractor, on behalf of the DOC, where such information relates to the past, present, or future physical or mental health or condition of an individual, the provision of health care to an individual, or the payment for the provision of health care to an individual, and where such information identifies the individual or provides a reasonable basis to believe that it can be used to identify an individual. PHI excludes individually identifiable health information in education records covered by the Family Educational Rights and Privacy Act (FERPA) and employment records held by the Department in its role as employer. Punishers: Involves the application of a stimulus to decrease behavior. Reinforcers: Involves the application of a stimulus to increase behavior. Responsivity: Addresses a program participant’s individualized barriers that may impede their ability to successfully complete therapeutic tasks. Risk Factors: A set of internal stimuli or external circumstances that have been empirically demonstrated to increase the risk of re-offending, or that have been clinically determined on an individual basis to increase a particular offender’s risk of re-offending. Secular Programming: Programming that is free of religious components –Administrative Directive 01-10 (Appendix 1). RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 8 of 73 Sexual Deviancy: Sexually Deviant Behaviors: Sexual behaviors that are considered abnormal, atypical, unusual, and/or outside societal norms, e.g. pedophilia. Sexually Deviant Arousal: Sexual arousal to prepubescent children, non-human objects, and/or to violence, humiliation or terror. Sex Offender: This is an offender with a current or past sexual or sexually-related offense conviction or adjudication, a read-in sexually-related case, a pending sexually-related case, or an offender who has a sex offender treatment need as established by Psychological Services assessment. Sex Offender Aftercare: Programming for offenders who have successfully completed a sex offender education or treatment program of some kind, comprised of one or more treater(s)/facilitator(s) who lead a group in a support and monitoring model, with the goals of maintaining treatment gains, ensuring that offenders are following their individual reoffense prevention plans, and returning offenders to Sex Offender Education or Treatment when necessary. The goal of Aftercare is to improve the prognosis, function, and outcome of offenders in order to maintain the risk-reducing effects of sex offender treatment. Sex Offender Education: A comprehensive set of planned and organized didactic experiences that are intended to improve the prognosis, function, and outcome of low-risk sexual offenders, in order to reduce risk of sexual reoffending and other sexually abusive and inappropriate behavior. The didactic approach is primary but does not exclude limited use of therapeutic devices such as role-playing, journaling and other writing, and personal disclosure. Sex Offender Treatment (SOT): A comprehensive set of planned and organized therapeutic experiences and interventions which are research-based intended to improve the prognosis, function, and outcome of offenders to reduce their risk of sexual re-offense, or other sexually abusive and other aggressive behavior. Sexually Abusive Behavior: Any behavior that is carried out for the purpose of personal sexual gratification or humiliation of the victim, involving nudity or the sexual organs of the victim. The behavior may not be illegal, but may still qualify as sexually abusive. Such behaviors may include touching, sexual actions, noncontact behaviors such as viewing, watching, photographing, or verbally harassing, or exposing a nonconsenting person (including children) to sexual materials, actions, or words. Sexual exploitation or manipulation via alcohol, “grooming,” deceit, or taking advantage of vulnerability may also be sexually abusive behavior. Sexually Violent Person Law: Refers to Chapter 980 of the Wisconsin Statutes. This law creates a process for the indefinite civil commitment, for treatment purposes, of persons previously convicted, adjudicated, or committed for certain sexually violent or sexually motivated offenses. Special Needs Offenders: Those who have been determined or suspected to have social skills deficits, behavioral problems, poor comprehension, or impaired retention ability due to cognitive limitations, developmental disorder, or mental illness. Typically, the target population does not include offenders who have special needs and limitations due solely to personality disorders or psychotic disorders, though these may be co-occurring conditions in an individual who also has cognitive limitations or a developmental disorder. Special Populations: Offenders that may present particular characteristics such as the following: cognitively challenged (low functioning), non-English speaking, learning challenged, mentally ill or physically challenged (hearing/visual/mobility impaired). Staffing: Verbal communication and information shared by DOC staff and contractor about a specific offender which usually involves a face-to-face meeting, but may periodically take place over the telephone. The offender may or may not be present at the meeting or time of telephone call. Staffings shall occur at a minimum of every week (7 days) to a maximum of monthly (30 days). RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 9 of 73 1. INTRODUCTION, PURPOSE, AND SCOPE 1.1. PURPOSE OF THIS REQUEST FOR BID The Department of Corrections, hereinafter referred to as the "DOC", through its Purchasing Services Section, hereinafter referred to as "Purchasing," on behalf of Division of Community Corrections, hereinafter referred to as “DCC” requests bids for the purchase of secular, non-residential, sex offender treatment services in DCC Region 8 (Lacrosse County, City of Lacrosse; Monroe County-City of Sparta). The program must provide offenders convicted in adult court and under the supervision of the Wisconsin Department of Corrections with specified sex offender treatment services. Other DCC Regions and Divisions of the DOC as well as other State agencies may use the resulting contract, if agreeable to both the DOC and the vendor, to obtain the benefits of volume purchases and/or reduction in administrative expenses. 1.1.1. PROGRAM GOALS Effective management of sex offender cases requires the cooperative efforts of qualified clinicians and knowledgeable Corrections’ professionals. Regular contact and ongoing communication between the agent and treatment contractor is essential. This is often referred to as the “Containment Approach”. Multidisciplinary partnerships, minimally between the agent, the treatment contractor and the polygrapher, are the basic foundation for obtaining sex offender treatment service goals. The goals of sex offender treatment services are as follows: To assess the level of risk for re-offense presented by sex offenders supervised by the Department of Corrections To identify and challenge offender denial by: 1. Acknowledging the criminal sexual behavior 2. Disclosing their history of sexually abusive and criminal sexual behavior 3. Learning and understanding the effects of offender’s sexual abuse upon victims, victim’s family, the community, the offender and offender’s family To assist DOC staff in determining supervision strategies/case plans To provide offender accountability and community protection To reduce risk of offender relapse by providing interventions which interrupt offender deviant cycles, reduce deviant fantasies and arousal, develop victim empathy, provide sex education, and assist in development and implementation of individual relapse prevention plans To educate the offender on appropriate sexual behavior and/or outlets To provide assistance to DOC staff in providing community education and/or training to enhance the Department of Corrections’ ability to supervise sex offenders 1.1.2. TARGET POPULATION Program services will be targeted for offenders male and female under the supervision of the Wisconsin DOC, DCC, who are referred by DOC staff. Factors considered in referrals will include risk to re-offend, convicting offense behavior(s), prior record, other prior history, indicators of imminent relapse, availability of resources, or other case contingencies. Priority placement shall be given to offenders who pose the highest risk to re-offend based upon the intake assessment/COMPAS. DCC staff will determine priority offenders. A Special Population group of offenders may present particular characteristics that must be addressed by reasonable accommodations in the program. Special needs offenders present with particular characteristics that must be addressed by significant modifications of the general curriculum. Such offenders have been determined or suspected to have social skills deficits, behavioral problems, poor comprehension, or impaired retention ability due to cognitive limitations, developmental disorder, or mental illness. Typically, the target population does not include offenders who have special needs and limitations due solely to personality disorders or psychotic disorders, though these may be co-occurring conditions in an individual who also has cognitive limitations or a developmental disorder. Some examples of sex offender Special Need Populations are: Mentally ill offenders Physically challenged offenders RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 10 of 73 Cognitively challenged offenders. Certain offender populations may require a modified curriculum and program structure. These offenders are called Target Population. Some examples of sex offender Target Populations are: Youthful offenders Female offenders Child pornography offenders. 1.2. CONTRACT TERM The contract term will be for one (1) year that will start upon receipt of formal contract and/or State of Wisconsin purchase order by the awarded bidder. The Calendar of Events (Section 2.3) provides the approximate contract start date. Options to renew the contract are available for four (4) additional one-year terms. Renewal(s) beyond the initial contract term is contingent upon the performance of the contractor during the contract period and upon availability of funds. These are not automatic renewals. Contracts will be reviewed by the DOC before a decision is made. Any renewal(s) must be authorized by mutual written agreement of the vendor and the state. 1.3. EXECUTED CONTRACT TO CONSTITUTE ENTIRE AGREEMENT In the event of contract award, the contents of this RFB (including all attachments), RFB addenda and revisions, and the bid of the successful bidder, and additional terms agreed to, in writing, by DOC and the contractor shall become part of the contract. Failure of the successful bidder to accept these as a contractual agreement may result in a cancellation of award. In the event of any conflicts or disputes between the parties about the meaning of any part of the contract, the following priority of documents will be used to resolve the conflict or dispute: State of Wisconsin standard terms and conditions Final Signed Contract including amendments Official State of Wisconsin Purchase Order Bidder’s written bid document State of Wisconsin Request for Bid, including any amendments; Other exhibits/attachments Successful bidder(s) should retain a copy of this DOC Request for Bid document and their own response to the RFB solicitation, as it becomes part of the awarded contract. 1.4. CANCELLATION AND TERMINATION This Contract may be terminated for the following conditions: 1.4.1 The DOC may terminate the Contract at any time, with or without cause and without penalty by delivering thirty (30) days written notice to the Contractor. 1.4.2 The DOC has a Vendor Performance Evaluation process for soliciting feed-back from contract users about vendor performance and compliance with contract specifications. Vendor noncompliance with the terms, conditions or specifications that is persistent and/or significantly impacts the quality and performance provided pursuant to the contract may be considered in breach of contract. Negative Vendor Performance Evaluation Surveys may result in non-renewal or termination of contract. 1.4.3 If at any time the Contractor performance threatens the health and/or safety of the DOC, the DOC has the right to cancel and terminate the Contract without notice. 1.4.4 Failure to maintain the required Certificates of Insurance, Permits and Licenses shall be cause for Contract termination. If the Contractor fails to maintain and keep in force the insurance as provided in #23 of the Standard Terms and Conditions, the DOC has the right to cancel and terminate the Contract without notice. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 11 of 73 1.4.5 If at any time a petition in bankruptcy shall be filed against the Contractor and such petition is not dismissed within 90 calendar days, or if a receiver or trustee of Contractor's property is appointed and such appointment is not vacated within 90 calendar days, the DOC has the right, in addition to any other rights of whatsoever nature that it may have at law or inequity, to terminate the Contract by giving 10 calendar days notice in writing of such termination. 1.4.6 Failure of the DOC to comply with contract terms, conditions or specifications shall provide the sole cause for which the Contractor is entitled to terminate the contract. The Contractor shall notify the Department in writing within thirty (30) days after the Contractor becomes aware of the alleged noncompliance with a complete description of the same. If the DOC does not, within forty-five (45) days after its receipt of the Contractor’s notice, either (1) effect a cure or (2) if the noncompliance is not one that can reasonably be cured within forty-five (45) days, develop a plan to cure the noncompliance and diligently proceed according to that plan unto a cure is effected, then the Contractor may terminate the Contract for cause by written notice to the DOC. The Contractor may not terminate the Contract without cause unless express written consent to do so is provided by the DOC. 1.5. VENDORNET REGISTRATION Department of Administration and State Bureau of Procurement policies no longer require maintenance of bidders’ lists or individual notification of vendors on bidder’s lists. In addition, there is no requirement to post solicitations for bids/proposals in the Legal Notices of the Official State Newspaper. Section 16.75, Wisconsin Statutes, allows for use of the Internet to post due notice for certain procurements: http://publicnotices.wi.gov. Vendors who fail to register with VendorNet or who register or change/add commodity codes after the posting of a solicitation may not receive notification of procurement solicitations including amendments or cancellations. The State of Wisconsin’s purchasing information and vendor notification service, VendorNet, is available to all businesses and organizations that want to sell to the state. Anyone may access VendorNet on the Internet at http://vendornet.state.wi.us to get information on state purchasing practices and policies, commodities and services that the state buys, and tips on selling to the state. Vendors may use the same Web site address for inclusion on the bidders list for commodities and services that the organization wants to sell to the state. A registration with notification guarantees the organization will receive an e-mail message each time a state agency, including any campus of the University of Wisconsin System, posts a request for bid or a request for proposal in their designated commodity/service area(s) with an estimated value over $50,000. Organizations without Internet access receive paper copies in the mail. Increasingly, state agencies also are using VendorNet to post simplified bids valued at $50,000 or less. Vendors also may receive e-mail notices of these simplified bid opportunities. To obtain information on the state’s bidder registration, visit the VendorNet Web site at http://vendornet.state.wi.us or call the VendorNet Information Center (1-800-482-7813). In the Madison area, call 608-264-7898. Make sure to select all the appropriate NIGP (Commodity) Codes. Bid lists are generated by NIGP codes. Consider using a generic email address that is accessed or delivered to multiple recipients (example: [email protected]). This will insure that the bid notice is received. 2. BID PROCEDURES AND INSTRUCTIONS 2.1. REASONABLE ACCOMMODATIONS The DOC will provide reasonable accommodations, including the provision of informational material in an alternative format, for qualified individuals with disabilities upon request. If accommodations at a bid opening/vendor conference are needed, contact Rebecca Hoefs via telephone at (608) 240-5574 or email at [email protected] 2.2 BID SUBMITTAL Bidders must submit an original bid response (marked as such); and one (1) additional paper copy of bid response; and a CD-ROM of the bid response that is an exact duplicate of the above two paper copies. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 12 of 73 Bidders should refer to Sections 2.4 and 9 for information on what should be included in their bid response. Bidders need to make sure that both paper copies and the CD-ROM of the bid response all match each other. For the purposes of this RFB, receipt of a bid by the State mail system or USPS Post Office Box* does not constitute receipt of a bid by the Purchasing Services Section. The Bid(s) must be received at the Purchasing Services Section, at the office listed below, no later than May 13, 2015 at 3:00 PM. Any bids received after this time and date will be rejected. Use one of the options below for submitting bid(s): USPS ADDRESS* Rebecca Hoefs / Purchasing Services Section DEPARTMENT OF CORRECTIONS PO BOX 7991 MADISON, WI 53707-7991 COMMON CARRIER ADDRESS Rebecca Hoefs / Purchasing Services Section DEPARTMENT OF CORRECTIONS 3099 EAST WASHINGTON AVENUE MADISON, WI 53704-4338 *NOTE: For any bid submission sent via USPS (United States Postal Service), please allow at least an extra day for delivery. FAXING: Faxed bids are NOT accepted. E-MAILING: Emailed bids are NOT accepted. All bid submittals must be packaged, sealed, and show the following information on the outside of the package: Bidder’s Name and Address Request for Bid Title: Sex Offender Treatment Services in DCC Region 8, Lacrosse and Sparta, WI Request for Bid Number: RFB # RLH-5172 Bid Due Date: May 13, 2015 at 3:00pm 2.3 CALENDAR OF EVENTS Listed below are important dates and times by which actions related to this Request for Bid (RFB) must be completed. In the event that the State finds it necessary to change any of these dates and times it will do so by issuing an amendment to this RFB to be posted on VendorNet, unless the event is listed as estimated or approximate. DATE EVENT April 9, 2015 April 23, 2015 April 30, 2015 RFB posting date Last day for submitting written questions Answers to questions posted on VendorNet (estimated) May 13, 2015, at 3:00pm Bids due from vendors May 28, 2015 July 1, 2015 Estimated award date Approximate Contract Start date (estimated—earlier contract start date preferred, if possible) 2.4 FORMAT OF BID Responses to this RFB must comply with the following format requirements (reference Section 9). 2.4.1 SIGNED REQUEST FOR BID FORM DOA-3070 – Cover sheet of this RFB Include here the signed Request for Bid form included with the bid and those certifications required for submittal of a bid. Bids submitted in response to this RFB must be signed by the person in the vendor’s organization who is responsible for the decision as to the prices being offered in the bid or by a person who has been authorized in writing to act as agent for the person responsible for the decision on prices. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI 2.4.2 BID DUE: May 13, 2015 Page 13 of 73 COST SUBMITTAL INFORMATION The bidder may submit costs for all locations, one location, or any combination of the two (2) locations listed on the Request for Bid form: Lacrosse County (City of Lacrosse, WI) Monroe County (City of Sparta, WI) Bidders must submit cost on the Request for Bid form (DOA-3070), complete and sign, including for each location bid a price per unit for each service item, an extended total for each service item (Quantity X Unit Price), and a total price (Bid Total). For each location (county) included in the Bidder’s submission, the County Sex Offender Treatment Services Bid Total includes the total extended amounts for line items 1 - 5 for LaCrosse County and line items 1 – 3 for Monroe County respectively. For each location bid, the Bidder must provide all services requested in this RFB. Cost must include labor, travel and insurance. All costs to furnish the service(s) included in the bid, in accordance with the terms and conditions of this RFB, must be included. 2.4.3 VENDOR INFORMATION DOA-3477 Provide Vendor Company contact information as requested on the form. 2.4.4 DESIGNATION OF CONFIDENTIAL AND PROPRIETARY INFORMATION DOA-3027 Information submitted as part of the bid document which is proprietary and confidential in nature and which qualifies as a trade secret may be kept confidential under the Wisconsin Open Records Law – Section 19.36(5), Wis. Stats. Complete and sign the attached form. 2.4.5 WISCONSIN’S COOPERATIVE PURCHASING SERVICE DOA-3333 Vendors are encouraged to extend the contract resulting from this RFB to local governments in Wisconsin. Indicate your willingness to allow Wisconsin municipalities to participate in this contract by completing Form DOA-3333, Wisconsin’s Cooperative Purchasing Service. 2.4.6 VENDOR REFERENCE DOA-3478 Complete the Vendor Reference form with four organizations (customers) that your company has done business with providing sex offender treatment services similar to those include in this request for bid. Include the company name, address, contact person, telephone number, and email address along with a brief description of the service. References may be contacted to confirm the Bidder’s abilities, qualifications, and experience as stated in the Bidder’s Response. The Department of Corrections may perform due diligence by contacting any applicable business reference, including references within the Department or other state agencies. The Department of Corrections reserves the right to disqualify any Bidder whose references do not support their stated claim of qualifications and experience in their bid response. 2.4.7 ADDITIONAL INFORMATION A listing of required forms and additional required information, including supporting documentation, is provided in RFB Section 9 Required Forms and Attachments. Bids that do not include all items listed on this checklist (Section 9) may be rejected. Italics note all required documentation in the Request for Bid. 18.104.22.168 The information requested is to verify bidder can meet bid specifications. 2.4.8 STATE OF WISCONSIN TERMS AND CONDITIONS The standard (DOA-3054) and supplemental (DOA-3681) terms and conditions shall govern this RFB and subsequent award. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 14 of 73 Vendor must accept these terms and conditions or submit point –by-point exceptions along with proposed alternative or additional language for each point, including any vendor contracts. Submission of any standard vendor contracts as a substitute for language in the terms and conditions is not a sufficient response to this requirement and may result in rejection of the vendor’s proposal. The state reserves the right to negotiate contractual terms and conditions other than those in the State of Wisconsin Contract when it is in the best interest of the State to do so. 2.5 MULTIPLE BIDS Multiple bids from a vendor will be permissible, however each bid must conform fully to the requirements for bid submission. Each such bid must be separately submitted and labeled as Bid #1, Bid #2, etc. on each page included in the response. Alternate acquisition plans do not constitute multiple bids. 2.6 JOINT BID The DOC requires each bid to have one Prime Contractor designated. See RFB Sections 8.1 and 8.2. A bid submitted from two or more entities that intend to either share or split responsibilities under the awarded contract may be submitted. If submitted, the joint bid shall include requested information for each participant, as well as for the entity (i.e., partnership, joint venture, consortium, new company, etc.) that will be the primary contact for, and responsible to, the State and the DOC under the awarded contract. Bidder must clearly indicate within the bid response the specifics of any division or allocation of responsibilities for each participant. 2.7 INCURRING COSTS The State of Wisconsin is not liable for any cost incurred by a vendor in the process of responding to this RFB. 2.8 QUESTIONS, CLARIFICATIONS AND/OR REVISIONS THROUGH DESIGNATED CONTACT All communications and/or questions regarding this request must be written and submitted via FAX, email, USPS mail or hand delivery to the Purchasing Services Section. If a Bidder discovers any significant ambiguity, error, conflict, discrepancy, omission, or other deficiency in this RFB, they have five (5) business days after the bid posting date to notify, in writing, the Purchasing Agent at the address shown below of such error and request clarification of the RFB document. All written questions will be responded to in writing and provided to all bidders. EMAIL (preferred): [email protected] FAX: 608-240-3342 USPS ADDRESS* Rebecca Hoefs/Purchasing Services Section DEPARTMENT OF CORRECTIONS PO BOX 7991 MADISON, WI 53707-7991 COMMON CARRIER ADDRESS Rebecca Hoefs/Purchasing Services Section DEPARTMENT OF CORRECTIONS 3099 EAST WASHINGTON AVENUE MADISON, WI 53704-4338 *NOTE: Please allow at least an extra day for delivery sent via USPS (United States Postal Service). From the date of release of this RFB through the entire RFB process, all contacts with the DOC regarding this RFB shall be made through the Purchasing Services Section. Violation of this condition may be considered sufficient cause for rejection of a bid, irrespective of any other considerations. In the event that it becomes necessary to provide additional clarifying data or information, or to revise any part of this RFB, amendment(s) will be posted on VendorNet. Each bid shall stipulate that it is predicated upon the terms and conditions of this RFB and any addendum(s) and/or amendment(s) thereof. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 15 of 73 3. BID ACCEPTANCE, EVALUATION AND AWARD 3.1 BID OPENING Bids will be opened on the date and time indicated on the Request for Bid Form (DOA-3070) at 3099 East Washington Ave. Madison, WI 53704 Purchasing Services Section room. Names of the bidders shall be read aloud at that time. 3.2 BID ACCEPTANCE Bids which do not comply with instructions or are unable to comply with specifications contained in this RFB may be rejected by the State. The State retains the right to accept or reject any or all bids, or accept or reject any part of a bid deemed to be in the best interest of the State. The State shall be the sole judge as to compliance with the instructions contained in this RFB. 3.3 BID EVALUATION Bids will be evaluated by the DOC's purchasing agent and program manager to verify that they will meet all specified requirements in this RFB. This verification may include requesting reports on the vendor's financial stability, conducting demonstrations of the vendor's proposed service(s) and reviewing results of past awards to the vendor by the State of Wisconsin. FAILURE TO MEET A MANDATORY REQUIREMENT SHALL DISQUALIFY THE BID. However, if no bidder is able to comply with a given specification, condition of bid or provide a specific item, Purchasing Services reserves the right to delete that specification, condition of bid or item. 3.4 METHOD OF AWARD Award(s) shall be made on the basis of the lowest BID TOTAL for each location (county) from a responsive, responsible bidder meeting bid specifications and requirements, which is judged to be in the best interest of the DOC. The DOC reserves the right to accept or reject any and all bids in whole or in part. Bids that state the DOC shall guarantee a specific quantity or dollar amount will be disqualified. The Department also reserves the right to negotiate price with the lowest responsive and responsible bidder for each location. The Department reserves the right to adjust the number of units and/or to add or move locations within the designated area if in its best interest. In the event of bidder error in calculation, PRICE PER UNIT shall prevail in award. If a responsive, responsible State qualified work center meets the fair market price and other work center program criteria, the award will be made to the work center (Wisconsin State Statute 16.752). Any award without an accepted site after one (1) month will be reviewed for status weekly for one (1) additional month. Un-sited program after two (2) months may be considered for rescinding of award unless otherwise authorized by DOC Contract Administrator. Any staff listed as pending hire will be required to be on staff within four (4) weeks from date of award unless otherwise authorized by DOC Contract Administrator. Awarded bidder’s inability to start program and provide group services as scheduled due to insufficient hires may be considered for rescinding award after four (4) weeks from date of award unless otherwise authorized by Contract Administrator. Please also refer to RFB Section 5.3 Service Delivery Requirements. 3.5 MINORITY BUSINESS ENTERPRISE Bids from certified Minority Business Enterprises may be provided up to a five percent (5%) bid preference in accordance with Wis. Stats. s. 16.75(3m). 3.6 DISABLED VETERAN-OWNED BUSINESS Bids from certified Disabled Veteran-Owned Businesses may be provided up to a five percent (5%) bid preference in accordance with Wis. Stats. s. 16.75(3m). RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI 3.7 BID DUE: May 13, 2015 Page 16 of 73 NOTIFICATION OF INTENT TO AWARD Any vendors who respond to this RFB, with a bid, will be notified in writing of the State’s intent to award the contract(s) as a result of this RFB. After notification of the intent to award is made, under the supervision of Department of Corrections, copies of bids will be available for public inspection 8:30 a.m. to 3:30 p.m. at 3099 East Washington Ave., Madison WI. Vendors shall schedule reviews with purchasing agent to ensure that space is available for the review. 3.8 APPEALS PROCESS The appeals procedure applies to only those Requests For Bids for Services that are $50,000.00 or greater. Notices of intent to protest and protests must be made in writing. Protesters should make their protests as specific as possible and shall identify statutes and Wisconsin Administrative Code provisions that are alleged to have been violated. The written notice of intent to protest the Intent to Award a Contract must be filed with: EDWARD F. WALL, SECRETARY, DEPARTMENT OF CORRECTIONS P.O. BOX 7925 MADISON, WI 53707-7925 And be received in the office above within five (5) working days after the notice of intent to award is issued. The written protest must be received in the office above within ten (10) working days after the notice of intent to award is issued. Copies of the notice of intent to protest and the written protest should be sent to the Purchasing Section Chief at the same address. The decision of the head of the procuring agency may be appealed to the Secretary of the Department of Administration within five (5) working days of issuance, with a copy of such appeal filed with the procuring agency, provided the appeal alleges a violation of statute or a provision of a Wisconsin Administrative Code. 4. TECHNICAL REQUIREMENTS The following requirements are the minimum specifications of the service(s) required. Bidders may bid to provide secular, non-residential sex offender treatment services to all locations, one location or any combination of the two locations listed in this RFB document: (Lacrosse County - City of Lacrosse; Monroe County - City of Sparta) Bidders must provide all services requested for each location bid. Failure by a bidder to respond to any specific requirement or question shall be the basis for elimination from consideration. However, if no bidder is able to comply with a given specification, condition of bid or provide a specific item, Purchasing Services reserves the right to delete that specification, condition of bid or item. Revisions to this RFB, if any, will be made in the form of an official amendment(s) issued by the Department of Corrections, Purchasing Services Section. Refer to RFB Section 2.8. The number of service units listed on the Request for Bid Form (DOA-3070) is for bidding purposes only. Based on the information available just prior to this solicitation being issued, it is estimated that the number of service units listed in this RFB are the quantities of services that the awarded contractor(s) shall provide. The Department reserves the right to increase or decrease units based upon need and/or funding available. Also refer to Sections 1.2 and 3.4. 4.1. FACILITY REQUIREMENTS Assessment and group services are required to be located in the Wisconsin counties of Lacrosse, and Monroe, specifically in the cities identified in Section 4.1.1. 4.1.1 LACROSSE and MONROE COUNTY LOCATIONS The DCC office conference rooms located in Lacrosse County and Monroe County cannot accommodate any group or assessment services. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 17 of 73 If bidder is submitting a bid to provide sex offender treatment services in Lacrosse County and/or Monroe County then, as applicable to their bid: Lacrosse County facility MUST be located within City of Lacrosse, Wisconsin; and/or Monroe County facility MUST be located within City of Sparta, Wisconsin. For each location bid, the facility shall have an appropriate physical space use plan to reasonably accommodate individual treatment, group programming, and space to conduct offender interviews, intake and assessments. The DOC will make sole determination of an appropriate physical space use plan. The facility in which services are provided must meet all applicable federal, state and local codes, regulations and requirements. If the city has public transportation, then proposed facility must be accessible to public transportation. As indicated in Section 3.4, any award(s) for the Lacrosse County location and/or Monroe County location without an accepted site(s) after one (1) month will be reviewed for status weekly for one (1) additional month. Un-sited program after two (2) months may be considered for rescinding of award unless otherwise authorized by DOC Contract Administrator. If submitting a bid for the Lacrosse County location, Bidder must submit address and description of the physical spaces, which details the space plans. Bidder must indicate distance each proposed facility is from public transportation, if available in the City of Lacrosse. At the time of bid submission, if Bidder does not have a specific location identified and/or proposed site, then Bidder must submit plan, including timeline, for establishing a City of Lacrosse location. Include timeline and any preliminary site work completed with your bid response (e.g., possible locations/neighborhoods, types of possible physical spaces). If submitting a bid for the Monroe County location, Bidder must submit address and description of the physical spaces, which details the space plans. Bidder must indicate distance each proposed facility is from public transportation, if available in the City of Sparta. At the time of bid submission, if Bidder does not have a specific location identified and/or proposed site, then Bidder must submit plan, including timeline, for establishing a City of Sparta location. Include timeline and any preliminary site work completed with your bid response (e.g., possible locations/neighborhoods, types of possible physical spaces). 4.2. BIDDER AGENCY EXPERIENCE The bidder organization must have two (2) years experience providing sex offender treatment services to correctional clients. Experience must include working with involuntary clients, and culturally diverse clients and in a multi-disciplinary approach in order to ensure the containment approach can be utilized. The bidder is encouraged to be certified as an outpatient mental health clinic under Wisconsin Administrative Code DHS 35. Bidder shall provide a list of past contracts, DOC and others, preferably within the last three (3) years that are of a similar service to this bid. Include service description, location of service, number of clients served, outcome evaluation, and contact person with a phone number. DOC reserves the right to contact any or all persons listed. Past contract quality may impact this award(s). Bidder must provide documentation demonstrating that their organization meets the experience requirements, including past contract information. The information submitted for each past contract is to include Service Description, Dates Service Provided, Location of Service, Number of Clients Served, Outcome Evaluation, and contact person with a phone number. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 18 of 73 4.3. STAFF QUALIFICATIONS AND EXPERIENCE All groups shall have adequate staff with the required skills to ensure the quality and effectiveness of program services. All staff facilitating groups will have completed required training as specified in 22.214.171.124 prior to providing program services. All training expenses are to be paid by the Contractor. Contractor shall ensure that the staff is receiving appropriate training and education to maintain quality services. DOC shall have final approval of all program staff related to any contract resulting from this RFB. Also refer to RFB Section 5.1 Staff Performance Requirements. During the contract period, the provider will submit updates on all staff changes to the DOC Contract Administrator prior to any new staff providing a service. 4.3.1. ADMINISTRATIVE AND FISCAL STAFF Organization staff must have at least two (2) years of Administrative and Fiscal services providing services to correctional or human services clients. Administrative staff must have a minimum of two (2) years in the administration or supervision of a correctional or human services program. 4.3.2. CLINICAL SUPERVISION STAFF Bidder must provide clinical supervision for all treatment components of the program. 126.96.36.199. SUPERVISOR QUALIFICATIONS Staff providing clinical supervision must, at a minimum, be licensed in one (1) of the following professions: 1. Advanced Practice Social Worker, Independent Social Worker, Clinical Social Worker, Marriage and Family Therapist, or Professional Counselor—licensed/certified under 1991 Wisconsin Act 160 as amended by Wisconsin Act 80 (Chapter 457) effective 11-01-2002. 2. Psychologist—licensed under Wisconsin Statutes, Chapter 455. 3. Psychiatrist—licensed under Wisconsin Statutes, Chapter 448 and board eligible as a psychiatrist by the American Medical Association. All noted licensing and certification must be current. License must be free of restrictions or limitations. Any placement of restrictions/limitations after DOC staff approval will be reported to the Contract Administrator within five (5) business days of the restriction being placed. 188.8.131.52. SUPERVISOR EXPERIENCE Staff providing clinical supervision services must have a minimum of two (2) year(s) experience that includes the following areas: 1. Conducting sex offender assessments/evaluations including risk assessments using current instruments and methodologies 2. Providing individual and group sex offender treatment 3. Working with involuntary clients 4. Working with offender populations 5. Working in a multidisciplinary approach (containment model) 6. Working with culturally diverse client populations 7. Providing cognitive/behavioral-based programming 8. Providing relapse prevention programming 9. Case Management including treatment planning, general knowledge of social services and appropriate referrals, record keeping, mandatory reporting requirements, confidentiality rules and regulations as they apply to the specific population, and knowledge of professional ethical standards 184.108.40.206. SUPERVISOR TRAINING Staff providing clinical supervision services must have a minimum of forty (40) hours of training that includes a minimum of four (4) hours in each of the following areas: RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI 1. 2. 3. 4. 5. 6. 4.3.3. BID DUE: May 13, 2015 Page 19 of 73 Treatment of cognitive distortions, thinking errors, and criminal thinking Risk assessment of sex offenders Relapse prevention Sex offender treatment including group, individual and behavioral therapy Human sexuality including etiology of sexual deviancy Treatment issues specific to target populations(s) to be served by the program DIRECT SERVICE STAFF 220.127.116.11. STAFF QUALIFICATIONS: Staff conducting direct program services must, at a minimum, be currently licensed or certified in one (1) of the following professions: 1. Social Worker, Advanced Practice Social Worker, Independent Social Worker, Clinical Social Worker, or Professional Counselor licensed under 1991 Wisconsin Act 160 as amended by Wisconsin Act 80 (Chapter 457) effective 11-01-2002 2. Psychologist licensed under Wisconsin Statutes, Chapter 455 3. Psychiatrist licensed under Wisconsin Statutes, Chapter 488 and board eligible as a psychiatrist by the American Medical Association 4. Psychiatric Nurse licensed as a registered nurse under Wisconsin Statutes, Chapter 441, and certified as a psychiatric nurse by the American Nursing Association All noted licensing and certification must be current. License must be free of restrictions or limitations. Any placement of restrictions/limitations after DOC staff approval will be reported to the Contract Administrator within five (5) business days of the restriction being placed. 18.104.22.168. STAFF EXPERIENCE: Staff providing direct program services under any agreement resulting from this solicitation shall have two (2) years experience in each of the following areas: 22.214.171.124. Conducting sex offender assessments Conducting sex offender risk assessments using current instruments and methodologies Providing individual and group sex offender treatment Working with involuntary clients Working in a multidisciplinary approach (containment model) Working with offender populations Working with culturally diverse client populations Providing cognitive/behavioral-based programming Providing relapse prevention programming Case Management including treatment planning, general knowledge of social services and appropriate referrals, record keeping, mandatory reporting requirements, confidentiality rules and regulations as they apply to the specific population (adult or juvenile), and knowledge of professional ethical standards Utilizing cognitive behavioral methodology Understanding of implementing and delivering evidence-based practices and Documented completed training in the proposed curriculum within the past three (3) years STAFF TRAINING: Staff providing direct program services must have a minimum of sixty (60) hours of training that includes a minimum of four (4) hours in each of the following areas: Treatment of cognitive distortions, thinking errors, and criminal thinking Risk assessment of sex offenders Relapse prevention Sex Offender Dynamic Risk Factors Containment Approach Model Group facilitation Sex offender treatment including group, individual, and behavioral therapy Human sexuality including etiology of sexual deviancy RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 20 of 73 Treatment issues specific to target population(s) to be served by the program Family systems Victim Impact Specialized monitoring/assessment tools such as polygraph, PCL-R, plethysmograph, ABEL, pharmacological treatment, etc. penile Staff is also required to complete twelve (12) hours of related update training every two (2) years. Bidder must provide a list of staff and documentation demonstrating that program staff meets the qualifications, experience, and training requirements for delivering Sex Offender Treatment services as specified and described in this staff requirements section (RFB Section 4.3), to include submission of: Name(s) of staff person(s), dates and locations of experience and training, and the names and phone numbers of persons who can verify the experience and training. List of staff that clearly identifies direct service staff, person(s) responsible for providing administrative and fiscal services, person(s) providing supervision of direct staff, and person(s) providing clinical supervision. Staff resumes that identify specific dates, company (including address and phone number), position description and job responsibilities to verify all staff meets the qualifications and experience requirements. Copies of current certification, licensing, insurance and/or training including supervision plan, if applicable. If staff positions are pending hire, bidder must submit recruitment plan and job description of those pending positions. NOTE: As indicated in Section 3.4, any staff listed as pending hire will be required to be on staff within four (4) weeks from date of award unless otherwise authorized by DOC Contract Administrator, or designee. Awarded bidder’s inability to start program and provide group services as scheduled due to insufficient hires may be considered for rescinding award after four (4) weeks from date of award unless otherwise authorized by Contract Administrator. Please also refer to RFB Section 5.3 Service Delivery Requirements. 4.4. PROGRAM DESCRIPTION The treatment of sex offenders is a rapidly evolving field. As our knowledge and understanding of this population increases through research, it is understood that methods for intervention and treatment will continue to evolve. The goals of sex offender treatment programs include, but are not limited to, the outcomes in items A to F below. The level of intensity of each specific sex offender treatment program will determine the degree to which each goal is emphasized. The applicability of those goals to specific offenders shall be determined by assessment procedures, treatment plans, and progress in the program. Treatment programs are designed to allow, assist, and encourage offenders to develop the motivation and ability to achieve these primary treatment goals and target outcomes: Primary Goals and Target Outcomes of Wisconsin Department of Corrections Sex Offender Treatment Programs RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 21 of 73 A. Offenders will acknowledge their criminal sexual behavior and admit or develop an increased sense of personal culpability and responsibility for this and other criminal behavioral patterns. B. Treatment programs will focus on identifying the circumstances and risk factors that lead to sexually abusive and criminal sexual behavior, and on identifying alternative behaviors that would reduce or eliminate such factors or their expression. C. Programs will provide activities and procedures that are designed to assist offenders in developing a positive, prosocial approach to intimate relationships and sexuality. D. Treatment programs will assist offenders in developing or improving positive communication and relationship skills. E. The program will assist the offender to function successfully within the community. F. The program will work in conjunction with DOC/DCC staff in reducing offender risk. The ultimate goal of sex offender treatment is to protect the community from criminal sexual behavior by reducing the offender’s risk of re-offense. 4.5. PROGRAM REQUIREMENTS The following provisions are required for all services: 1. At the onset of offender program participation, the contract staff shall inform offenders of the contractor’s duty to warn and communication obligation to DOC. The contractor shall have the offender sign a waiver of confidentiality to allow information to be shared with DOC or other criminal justice/social service agencies that have a need to know. 2. The contract staff shall be willing to address community safety issues and cooperate with DOC staff to monitor risk. The contractor shall report lapses, violations, and when the offender is in a high-risk situation to the referring agent within 24 hours. In the event that medical or police intervention is required within the group, verbal contact with the Regional Office should occur within four (4) hours, followed by submission of an incident report within eight (8) hours. 3. The contract staff shall agree to accept subpoenas and sign as missions of service of such subpoenas to appear at revocation and court hearings if requested by the Department of Corrections or it employees or its agents. 4. Contractor is responsible to develop strategies to address gender responsivity. 5. Contractor shall have the capability to accept offender referral forms and related documents electronically. 6. The Department purchases a limited number of polygraphs through a contract separate from this solicitation. Contracted agency would be required to participate in a multidisciplinary approach which involves intensive monitoring of sex offenders on supervision to prevent them from committing new offenses. Utilizing the containment approach, the case management team (agent, polygrapher and treatment contractor) closely cooperates to reduce the risk of reoffense, in an approach varied by offender, with the goal of eliminating opportunity and access to victims. Along with participating in the polygraph preparation with the offender and involvement in staffing the results, the Contractor shall also agree to attend DOC provided polygraph training. 7. All groups shall follow the characteristics consistent with program efficacy per Exhibit 11. 8. Groups shall be gender specific and shall be comprised of only offenders supervised by DOC. 9. The contract staff shall demonstrate an ability to be assertive and non-punitive toward offenders. Staff shall have a written policy addressing the implementation and use of punishers and reinforcers, as well as an electronic system for tracking the delivery of the behavioral modification methods. Staff training in the application of these behavior modification tools shall be documented. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 22 of 73 10. If treatment groups are co-facilitated, at least one co-facilitator shall meet the experience requirements. Groups may be co-facilitated; however they may NOT be co-facilitated with a staff person from DOC. The use of student interns shall be approved in advance by the contract administrator. Student interns are prohibited from acting in any facilitation capacity. Co-facilitation is not a requirement of this bid. 11. Group size shall not be less than four (4) and no more than ten (10) participants. Exceptions to the minimum/maximum group size requirement will require prior approval from the DOC Contract Administrator. When attendance is below four (4) offenders, contract staff shall contact the DCC Contract Administrator within 24 hours to discuss options for increasing group size. 12. All program services shall be secularly based. Program content, materials and self-help support groups employed in the delivery of treatment to the offender must comply with the requirements of Kerr v. Farrey, 95 f.3d 472 (1996) and DCC Administrative Directive 01-10, attached as Exhibit 1. 13. No break times shall be implemented for groups lasting 90 minutes or less. 14. Accommodations may be required for specific populations of offenders based upon the following: intelligence under IQ of 80, gender, race/ethnicity, motivation to change, and personality or mental disorder. The awarded contractor may be requested by DOC to provide individual counseling and/or other types of sex offender treatment groups (e.g., psycho-education, special needs, aftercare) by separate agreement after consultation with the agent(s) of record and the contract administrator. Individual treatment, based on the assessment as detailed in RFB Section 4.5.1, may be requested to assist male and female offenders with successful adjustment to group treatment or as an adjunct to group treatment when the offender is in a high risk situation. Individual treatment may also be requested for female sex offenders if there are not sufficient female offenders to refer for group services. NOTE: If this RFB results in two separate awards, pricing from any separate agreements referred to in Section 4.5 #14 shall be extended to both locations. Bidders shall not expect that the DOC will request a separate agreement(s) to provide individual treatment and/or other types of sex offender treatment groups. 15. Offenders in all groups shall be expected to prepare homework/journals/assignments or thinking reports. In addition, all offenders shall be required to participate, and give and receive feedback during each group session. Role playing exercises should be utilized in all group sessions to allow the offender to practice the learned skill. 16. The program shall provide the ability to enroll offenders at various points throughout the treatment group cycle as long as the group size does not exceed ten (10) participants. 17. Group services may be required to be offered during non-traditional business hours. Actual group starting time shall be negotiated with the DOC Contract Administrator of designee but changes in class dates and starting times shall not be implemented sooner than thirty (30) days from written approval of DOC to avoid offender scheduling conflicts. 18. Multiple groups may be run at the same location. In the event that groups are provided in succession, by the same facilitator, there must be adequate time between groups and at a minimum, not less than fifteen (15) minutes apart. 19. Offender fees are to be collected outside of scheduled group times, either before or after. 20. Offenders shall be surveyed as to their satisfaction of the program during the program and after completion/discharge. 21. When services are cancelled or delayed due to inclement weather or other circumstances as deemed appropriate by DOC, contract staff shall make all reasonable efforts to notify group participants of group cancelation prior to start time. This cancelation policy shall be provided to participants in writing upon entry to program (within program rules). RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 23 of 73 22. For evaluation purposes, the contract staff shall be willing to have group treatment observed and evaluated by a DOC representative. 23. DOC Contract Administrator or designee shall have access to all DCC offender files and program groups as they deem necessary. This includes both announced and unannounced visits. 4.5.1. SEX OFFENDER ASSESSMENTS Contract staff shall prepare a written assessment report as detailed here and in accordance with the Intake Procedures, RFB Section 4.6.2. Accommodations may be required for special populations of offenders. Assessments will be for male offenders and require the following: A. Meeting in person with the offender for a clinical interview. B. At a minimum, one (1) empirically-validated STATIC actuarial assessment tool. C. At a minimum, one (1) empirically-validated DYNAMIC actuarial assessment tool. D. A review of the historical risk factors presented by the offender based upon a validated measurement tool. E. The offender’s readiness for treatment services. F. The offender’s ability to adapt to the treatment setting. G. Recommendation for supervision strategies. H. DOC 1577 Sex Offender Assessment Report (Exhibit 5). The assessment shall include a detailed written report that will be forwarded to the agent of record within ten (10) days of meeting with the offender. For the contract(s) resulting from this RFB, it is estimated that the contractor(s) will be required to provide the following number of assessments annually, as applicable to their contracted service location(s): Lacrosse County (City of Lacrosse, WI) Monroe County (City of Sparta, WI) 50 assessments annually 20 assessments annually Please refer to Request for Bid form (DOA 3070) for more details on bid quantities. Bidder must provide a detailed description of the assessment tool(s)/reassessment tools they propose to use. 4.5.2. INDIVIDUAL SEX OFFENDER TREATMENT The bidder shall conduct individual (male or female) treatment sessions for offenders referred for these services by DOC staff. The bidder and DOC staff will determine the number of hours of individual treatment required and the appropriateness of an offender for such treatment. Individual treatment may be provided to assist the offender with successful adjustment to group treatment or as an adjunct to group treatment when the offender is in a high risk situation. Individual treatment may be required for female sex offenders if there are not sufficient female offenders to refer for group services. Services will be based on a per hour rate. Offenders shall be expected to prepare homework/journals/assignments or thinking reports. Bidder must provide a detailed description of individual treatment components including the approach for high risk, special populations, and female offenders. Attach topic areas to be covered and research showing components are evidence-based. 4.5.3. SEX OFFENDER TREATMENT GROUP Group treatment services provided are to follow a cognitive intervention model of sex offender treatment. Offenders shall be expected to prepare homework/journals/assignments or thinking reports. The group shall be male or female only and may include offenders with varying types of offense, e.g., exhibitionists, rapists, child molesters, etc. Group treatment shall be specifically designed to address male and female RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 24 of 73 sex offender issues. When possible, groups should follow evidenced-based protocol by separating high risk from low-moderate risk based on participation and need. Contract staff shall complete a written clinical evaluation of why an offender needs treatment extended past the established program hours based on the risk/need/responsivity principles. The written evaluation shall be submitted to the Contract Administrator or designee for approval prior to providing additional treatment. Also refer to RFB Section 4.7 Program Participation. Seventy-eight (78) total program hours shall be considered the minimum completion standard for each cycle of Sex Offender Treatment Groups. The contractor(s) selected under this solicitation shall conduct one group session once per week, each group session 90 minutes in length, for a total of 52 groups per cycle. 1 cycle of groups = 52 groups (1 session/week x 52 weeks). Multiple cycles of groups may run at the same location. For the contract(s) resulting from this RFB, it is estimated that the contractor(s) will be required to provide the following number of Sex Offender Treatment Group cycles annually, as applicable to their contracted service location(s): Lacrosse County (City of Lacrosse, WI) 6 cycles annually Monroe County (City of Sparta, WI) 1 cycle annually Please refer to Request for Bid form (DOA 3070) for more details on bid quantities. A. Sex offender treatment shall be specifically designed to address sex offender issues to include, but not limited to, the following: 1. Individual offender's behavior pattern underlying current offense, other offense behavior patterns, deviant behavior cycles, cognitive distortions, deceptiveness, deviant arousal, fantasies, victim impact, empathy, denial and minimization. 2. Education concerning physiology of sexuality, physical and emotional health in sexuality, appropriate and abusive sexual behaviors. 3. Skill development to enhance offender's ability to manage impulses toward criminal or sexually deviant behavior. This is to include assertiveness, communication, anger management, stress management and relaxation techniques. 4. A family and relationship component which provides offenders with the skills to develop and maintain healthy relationships. Issues to be addressed, at a minimum, shall include parenting/discipline; separation/loss; physical, sexual and/or emotional abuse; dependency issues; and relationship roles. 5. Relapse prevention techniques and plan developed with the offender that identifies the offender's precursors, fantasies, cues, seemingly unimportant decisions, stressors, relationships, high risk situations as well as corrective actions and consequences for criminal/sexually deviant behavior. B. Treatment may include behavioral therapy that includes operant conditioning (i.e., covert desensitization and masturbatory satiation) to reinforce appropriate sexual fantasies and negate inappropriate fantasies. C. Sex Offender Programs are required to develop and follow a written policy and procedure manual that is available to DCC. The contents of such manuals should be as follows: 1) 2) 3) 4) A cover page specifying the program A brief description of the program and its goals, which should be provided to group participants Specific rules and expectations for the program, which are shared with group participants either verbally or in writing, A syllabus/curriculum (list of the topics to be covered) for the use of providers, with: a) Estimated dates or number of weeks to be spent on each topic. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI b) c) BID DUE: May 13, 2015 Page 25 of 73 Media, handouts, or other tools used in each session. Homework assignments 5) Any other program-specific materials (warning memos, certificates of accomplishment or completion, etc.) D. All aspects of sex offender programming participation must be documented regularly, systematically, and on appropriate standard forms. Participation in or absence from every group session must be documented, and periodic treatment summaries must be generated. Communications with offenders regarding warnings and terminations must be documented in writing. A discharge summary must be completed when the offender leaves the program for any reason. Bidder must provide a detailed description of the sex offender group component including approach and methods of service delivery. A curriculum outline including a proposed itinerary of group dates, include topic areas to be covered and research showing components are evidence-based. 4.5.4. SEX OFFENDER AFTERCARE GROUP Aftercare shall be a separate program, or phase of a treatment program, in which the offender participates after having successfully completed the curriculum of a sex offender treatment program. This is sometimes referred to as a maintenance phase. Aftercare may consist of a separate group comprised solely of offenders in the Aftercare phase of treatment, or an offender may be participating in a comprehensive treatment group in which members are in different phases. Aftercare components shall include: Offender demonstration of mastery of the program components that are laid out in the Standards for SOT programs Offender demonstration of ability to live according to the offender’s personal Re-offense Prevention Plan. Thirty (30) total program hours shall be considered the minimum completion standard for each cycle of Sex Offender Aftercare Groups. The contractor selected under this solicitation shall conduct one (1) session per week, each session 90 minutes in length, for a total of twenty (20) groups per cycle. Ten (10) cycles x twenty (20) groups/cycle = two hundred (200) total groups. After the first 20 sessions, gradual decrease in frequency of group attendance can occur at the discretion of the treating facilitator, in cooperation with DOC staff, starting with biweekly attendance initially and culminating in no fewer than one session a month. The frequency of sessions after the minimum six months or 20 sessions should be determined by the degree of clinical contact considered to be necessary in order for the offender to maintain behavioral gains and may be maintained at a weekly level at the discretion of the facilitator and in cooperation with DOC staff. Length of the Aftercare Program shall be one year minimum. Longer periods of participation can be recommended by the facilitator and in cooperation with DOC staff. Participation in polygraph examination(s) will be at a frequency specified by the supervising agent. Bidder must provide a detailed description of the aftercare group component including approach and methods of service delivery. A curriculum including a proposed itinerary of group dates, include topic areas to be covered and research showing components are evidence-based. 4.5.5. SEX OFFENDER PSYCHO-EDUCATIONAL GROUP Group services are to provide competency-based sex education specific to male gender issues. Accommodations may be required for special populations of offenders. The group shall be male only but may include offenders with varying types of offense, e.g., exhibitionists, rapists, child molesters, etc. Offenders shall be expected to prepare homework / journals / assignments or thinking reports. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 26 of 73 Twenty-four (24) total program hours shall be considered the minimum completion standard for each cycle of Psycho-Educational Groups. The bidder selected under this solicitation shall conduct one (1) session per week, each session 90 minutes in length, for a total of sixteen (16) groups per cycle. Four (4) cycles x sixteen (16) groups/cycle = Sixty-four (64) total groups. Psycho-educational group services shall be specifically designed to address sex offender issues to include but not limited to the following: 1. Education on Wisconsin Statutes and sex offender laws including consequences for criminal or sexually deviant behavior 2. Education on human sexuality, sexually transmitted diseases, reproduction, and birth-control methods 3. Individual offender’s pattern underlying current offense, other offense behavior patterns, sexual dysfunctions, cognitive distortions, fantasies, victim impact, empathy, denial, and minimization 4. Skill development to increase social competence, assertiveness, self-esteem 5. Skill development to learn appropriate sexual skills in relationships, acceptable social boundaries, and to develop positive, respectful attitudes toward adult sexual partners 6. Education on appropriate vs. inappropriate use of masturbation 7. Discussion of pornography and why pornography is not acceptable for any sex offender 8. Development of relapse prevention strategies/plan for life-long self-management of sexual dysfunctions 9. Containment principles to include the development of a positive support system to assist offenders in maintaining a healthy lifestyle Bidder must provide a detailed description of the psycho-educational group component including approach and methods of service delivery. A curriculum including a proposed itinerary of group dates, include topic areas to be covered and research showing components are evidence-based. REMINDER: Bids that do not include all items listed on the Section 9 checklist may be rejected. 4.6. REFERRAL-DISCHARGE PROCEDURES 4.6.1. REFERRAL Contract staff shall develop referral procedures in cooperation with DOC staff. As indicated in item #5 of RFB Section 4.5, contractor shall have the capability to accept offender referral forms and related documents electronically. Contract staff shall send a written assessment report as defined in 4.5.1 including the DOC-1577 Sex Offender Assessment Report (Exhibit 5), the initial DOC-1423 Sex Offender Program Report (Exhibit 6), and recommendations to the referring agent and DOC liaison within ten (10) working days of admission into the program. If the Contractor rejects an offender, this must be discussed with DOC staff to determine if the program can be modified to address the specific offender needs. 4.6.2. INTAKE PROCEDURE When an offender is referred to Sex Offender Treatment, the provider shall conduct an Intake Procedure, to include completion of: RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 27 of 73 DOC-1577 Sex Offender Assessment Report (Exhibit 5) DOC-1423 Sex Offender Program Report (Exhibit 6) DOC-1923 Limits of Confidentiality of Health Information (Exhibit 7) DOC-2507 Informed Consent: Sex Offender Treatment (Exhibit 8) DOC-2508 Sex Offender Treatment Contract (Exhibit 9) Actuarial Assessment (male only) Initial treatment plan, which shall include measurable goals and objectives, and activities/services needed to achieve successful discharge. This procedure is intended to identify specific problem areas and risk factors pertaining to sexual offending, attitudes toward sexual behavior, knowledge of sexual reoffense prevention, and the precedents and antecedents of sexually abusive behavior. Recommendations for the appropriate type of intervention and level of need for treatment must be included. Completion of the required documentation shall occur prior to or within the first ten (10) working days after an offender’s admission to sex offender programming. 4.6.3. PROGRAM RULES Contractor shall have each offender complete necessary release of information forms and shall give each offender a copy of the program rules and expectations. Using the DOC-1923 Limits of Confidentiality of Health Information (Exhibit 7), the contract agency shall notify each offender in writing that all information obtained while an offender participates in program services shall be shared with DOC staff. The completed DOC-1923 form signed by the offender shall be submitted to the referring agent and DCC liaison within the first 10 working days of the offender’s admission to the program. Contract staff must be available to appear in court, if ordered, as a part of this contract and at no additional charge. Also refer to item # 3 in RFB Section 4.5 Program Requirements. Bidder must provide a copy of written program rules. 4.6.4. CASE MANAGEMENT/STAFFINGS In order to effectively monitor an offender’s participation and progress in Sex Offender programming, the contractor agency and DOC staff need to share ongoing information regarding the offender’s behavior. Considering the risk sex offenders present to the community, this information sharing needs to be current, structured and consistent. A written report that includes the DOC-1423 Sex Offender Program Report (Exhibit 6) that addresses offender progress in treatment is required and shall be completed at a minimum every three (3) months. Copies will be provided to Agent upon report completion. As part of the Case Management, it is required that the contractor meet with DOC Staff at least once a month. During these meetings, the Contractor shall be prepared to discuss the progress of the offenders in the treatment group, including but not limited to, any red flag situations that have been disclosed, risk factors, participation, and areas of improvement. The contractor agency shall submit weekly attendance reports with information regarding offender’s attendance, compliance with payment, and any relevant comments/updates. As detailed in item # 6 in RFB Section 4.5 Program Requirements, the contract staff shall be a part of the polygraph process to achieve the collaborative approach among the supervision/treatment team. Bidder must provide a format for weekly attendance report. 4.6.5. COMPLETION/DISCHARGE SUMMARY A completion/discharge summary documents treatment progress when the offender completes, is withdrawn or otherwise terminated from a program or the existing contract for services ending. The completion/discharge summary includes recommendations for further treatment as well as recommendations to assist the agent in supervising the offender. The contract agency shall develop RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 28 of 73 termination and completion/discharge procedures for offenders completing or exiting services in cooperation with DOC staff. The contract agency shall inform the referring agent and DOC liaison of the program’s intent to terminate an offender from treatment prior to discharge because of poor adjustment and within one working day for all other types of terminations. Within fifteen (15) working days of termination or discharge, the Contractor shall prepare a written discharge summary including the DOC1423 Sex Offender Program Report (Exhibit 6). The discharge summary must also include a description of offender’s progress in programming, additional program recommendations, the offender’s relapse prevention plan, and recommendations to assist the agent in supervising the sex offender’s subsequent activities. 126.96.36.199 CRITERIA FOR SUCCESSFUL COMPLETION OF SEX OFFENDER TREATMENT In order to be determined to have successfully completed sex offender treatment, all of the following criteria must be met: 1. 2. 3. 4. 5. The offender has identified problematic personal issues (including behavior patterns related to offending e.g., threats and intimidation, dependency, inadequate interpersonal skills, etc.) and is stable in exhibiting more pro-social behavior patterns in areas that pertain to sexual offending. The offender recognizes the thoughts, attitudes, emotions, behavior, and sexual arousal associated with his or her sexual offense pattern and has developed an adequate relapse prevention plan (i.e., completion of the DOC-2456 or DOC-2456A). The offender has demonstrated sustained change in thoughts, attitudes, emotions, behavior, and the management of sexual arousal. There has been no evidence that the offender has regressed to offense related behavior outside of, or within, the group setting. Polygraph examination(s) must be passed. Bidder must provide the format for the written discharge summary. 4.7. LENGTH OF PROGRAM PARTICIPATION 4.7.1. SEX OFFENDER ASSESSMENTS It is anticipated that each offender referred will participate in one assessment. The extent of the assessment and need for further evaluation will be based on individual need. Further assessment may be negotiated by the therapist and DOC staff. 4.7.2 SEX OFFENDER TREATMENT GROUP It is anticipated that offenders will participate in no less than 52 group sessions (One 90-minute session per week x 52 weeks) for a total of 78 program hours. Participation for any longer or shorter period of time may be negotiated with DOC staff based on treatment goals. 4.8. NUMBER OF SERVICE UNITS Under any agreement resulting from this solicitation, unit of service is defined as follows: 4.8.1. SEX OFFENDER ASSESSMENTS One completed written summary based on activities as defined in 4.5.1 with documentation to the referring agent/DOC liaison. 4.8.2. SEX OFFENDER TREATMENT GROUP One 90 minute group session of direct service provided to one group of offenders participating in activities as defined in 4.5.2 with documentation to referring agent/DOC liaison. 4.9. POSSIBLE EXPANSION OF SEX OFFENDER TREATMENT SERVICES During the term of the resulting contract, DOC may request that the contractor(s) increase the Sex Offender Treatment services available to an area(s) outside the counties listed in this RFB (i.e., Vernon, Richland, Grant, Crawford, Juneau, Sauk, Wood, Portage, Waushara, Marquette, Green Lake, Columbia, Iowa, and/or Lafayette). If the contractor agrees to provide the possible expansion of Sex Offender Treatment services, then the per group rate and per assessment rate for these additional Sex Offender Treatment services will be RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 29 of 73 contracted at the same rates as the awarded county/ies. However, bidders shall not expect that the DOC will request to expand the Sex Offender Treatment services specified in this RFB. 4.9.1. REPORTING REQUIREMENTS REPORTING ON INDIVIDUAL OFFENDERS 188.8.131.52. Progress Reports: A written summary of the offender’s progress in treatment will be submitted to the referring Agent/DOC liaison at a minimum of every three months, as well as at the midpoint of the program. The initial DOC-1423 Sex Offender Program Report (Exhibit 6) will be submitted within thirty (30) days of admission and then a minimum of every three (3) months along with the offender’s progress report. The Contractor shall document attendance, compliance with co-payment, and should focus on the offender’s status on the specific treatment needs, as well as on specific individual reoffense risk indicators. Other issues pertinent to the sex offender needs and treatment progress of a particular sex offender should also be addressed. 4.9.2. OTHER REPORTS 184.108.40.206. Law Violations: The Contractor shall notify the referring DOC staff or other available DOC staff if a participant is in violation of the law. This notification must take place as soon as possible and no later than 24 hours, subsequent to receiving information concerning the law violation. 220.127.116.11. Serious Program Violations: Serious program rule violations, including failure to attend, shall be reported to the referring DOC staff or other available DOC staff within one working day. 18.104.22.168. Ad Hoc Reports: Upon request, the bidder shall provide to DOC staff, reports on offenders served in the program when these reports are required by the court, for revocation procedures and/or for other Departmental processes. 22.214.171.124. Federal Reports: Resulting contracts using Federal Block Grant funds will be required to complete additional state and federal reports, as necessary. 4.9.3. PROGRAM REPORTING 126.96.36.199. Attendance Report: The contractor shall provide weekly attendance reports with information regarding offender’s attendance, compliance with payment, and any relevant comments/updates. The comments should include risk factors, deviant thoughts, and participation level. The attendance report shall be submitted in person, via fax or e-mailed, within 24 hours from the start of each group session. 188.8.131.52. DOC-1336 Referral for Services, Part B Intake Decision (Exhibit 2): The contractor shall submit a completed Referral for Services form for each offender referred by DOC for service. These forms with Part B Intake Decision completed shall be submitted with the first DOC-1088 Offender Report Monthly following offender’s rejection or acceptance into the program. 184.108.40.206. DOC-1088 Client Report– Monthly (Exhibit 3): The contractor shall submit a completed DOC1088* to report data on offenders served each month. This report shall be submitted within ten (10) days of the last day of the month during which service was provided. *NOTE: DOC is currently developing a web based data collection system that will replace the DOC-1088. It is expected that the system will be operational by July 2015. The contractor will be given controlled access to the website and shall be required to enter information pertaining to each of the participants served by the program. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 30 of 73 220.127.116.11. DOC-1026 Unit Service Monthly Report (Exhibit 4): The contractor shall submit a completed Unit Service Monthly Report to report and certify the number of units of service provided each month and the amount of offender fees collected each month. This report shall be submitted within ten (10) days of the last day of the month during which the service was provided. 18.104.22.168. DOC-1577 Sex Offender Assessment Report (Exhibit 5): The contractor shall review the DOC-1577, if provided in the DOC referral packet, with the offender. If not included in the referral packet, contractor shall complete the form. Include the form with the intake assessment and submit to the referring agent and DCC liaison within the first ten (10) working days of offender’s admission to the program. 22.214.171.124. DOC-1423 Sex Offender Program Report (Exhibit 6): The contractor shall review the DOC1423, if provided in the DOC referral packet, with the offender. If not included in the referral packet, contractor shall complete the form. Include the form with the intake assessment and submit to the referring agent and DCC liaison within the first ten (10) working days of offender’s admission to the program. 126.96.36.199. DOC-1923 Limits of Confidentiality of Health Information (Exhibit 7): The contractor shall review the DOC-1923 with the offender prior to providing any services to the offender. The completed form signed by the offender shall be submitted to the referring agent and liaison within the first ten (10) working days of offender’s admission to the program. 188.8.131.52. DOC-2507 Informed Consent: Sex Offender Treatment (Exhibit 8): The contractor shall review the DOC-1923 with the offender prior to providing any services to the offender. The completed form signed by the offender shall be submitted to the referring agent and liaison within the first ten (10) working days of offender’s admission to the program. 184.108.40.206. DOC-2508 Sex Offender Treatment Contract (Exhibit 9): The contractor shall review the DOC-2508 with the offender prior to providing any services to the offender. The completed form signed by the offender shall be submitted to the referring agent and liaison within the first 10 working days of offender’s admission to the program. 220.127.116.11. Program Evaluation 18.104.22.168.1. Program evaluation is intended to return useful information to program sites for the purpose of program improvement. Contractors delivering services to offenders shall prepare for and cooperate with evaluation efforts initiated by the Department including long-term results of offenders discharged from the program. The Correctional Program Checklist (CPC) will be used as the evaluation tool to assess the extent to which correctional treatment programs adhere to the known principles of effective intervention. It is designed to evaluate the integrity of a program, not outcomes. It is not the intent of the evaluation process to terminate any program, however, lack of improvement action may result in notice of termination. An outline of the CPC steps is attached as Exhibit 10. 22.214.171.124.2. Contractors will be expected to collect and maintain similar data on offenders and their participation in the treatment process in an electronic database. Requirements include computer capabilities with internet access, e-mail, and window’s applications. Data will be reviewed at the end of each year and submitted in a report providing details to show how the program reduced recidivating. Outcome reports shall be submitted annually, at a minimum, with a summary page explaining report outcomes. At minimum the report will include: Program overview including outcome goals and relationship to reducing recidivism. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 31 of 73 Number of offenders referred. Number of offenders accepted. Number of offenders completing the level of program. Number of offenders needing no further programming. Number of offenders who do not complete the program and why. Number of offenders returning to the program including the period of time after leaving the program. Goals for future contract years. Identify obstacles contractor has that need resolution with DOC input. 126.96.36.199.3. Contractor is expected to survey offenders currently active in group services. These written surveys shall be completed at least one (1) time for every cycle of service delivered, not to include at discharge. Feedback surveys are expected to examine (at minimum) on: Targeted behaviors Dynamic risk factors Utilize the information to drive programming and add information to dynamic case plans. A written summary specifically addressing the results of these requirements shall be sent to the Department within ten (10) days of the implemented offender survey. Bidder must indicate whether your organization has an existing system for documenting and managing client-level information. If your organization has any existing system(s), bidder must provide an overview of the system, including details on the established internal standards of practice regarding service delivery and intake/completion, what pre/post testing scoring is gathered, and whether it is in electronic or paper format. Bidder must provide the name of your staff person who will be the contact person responsible for coordinating with DOC and evaluation staff. 5.0 PERFORMANCE REQUIREMENTS 5.1 STAFF PERFORMANCE The contractor shall utilize, on this contract, only workers that are skilled in the tasks to which they are assigned. During the contract period, Provider agrees to submit updates on staff changes and staffing patterns to the DCC Contract Administrator. The DOC retains the right to require the reassignment of an employee or employees, as the Department may deem necessary. Reasons for this request may be but are not limited to incompetence, carelessness, disruptive or otherwise objectionable behavior. The request for reassignment is in no way a call for dismissal. It is just a request for the individual to be reassigned out of the contracted program. 5.2 TRAINING OBSERVATION AND GROUP ACCESS DOC Contract Administrator shall be allowed observation of training sessions and attendance during any group session as deemed necessary by DOC. 5.3 SERVICE DELIVERY REQUIREMENTS 5.3.1 Under any agreement resulting from this bid solicitation, the contractor(s) shall be prepared to begin delivering services on July 1, 2015, or within four (4) weeks of the contract award(s) should award occur after May 28, 2015. As indicated in Section 3.4, failure to meet this deadline may result in termination of the agreement. 5.3.2 Any staff terminated during the contract period shall be replaced within four (4) weeks of termination unless otherwise authorized by DCC Contract Administrator. Contractor’s inability to RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 32 of 73 provide Sex Offender Treatment Services after one (1) month may result in cancellation of contract for the location(s) affected (refer to RFB Section 1.4). 6.0 7.0 COST INFORMATION 6.1 FIRM PRICES Prices must remain firm for the initial contract term. 6.2 PRICE INCREASE REQUESTS Price increase requests proposed after the initial Contract term must be received by Purchasing in writing 90 calendar days prior to the beginning of the next contract term for acceptance or rejection. Proposed price increases are limited to fully documented cost increases submitted with the request. If Purchasing deems cost increases are not acceptable, it reserves the right to rebid the contract in whole or part. Acceptance of the price increases shall be in the form of an amendment to the contract. Price increases must be labeled with the contract number and be submitted in the same format as the original RFB. Any price increase requested that is not submitted in the proper format may be rejected. 6.3 Bidders must submit cost on the Request for Bid Form (DOA-3070). Refer to RFB Section 2.4.2 for Cost Submittal Information. SUPPORT REQUIREMENTS 7.1 COLLECTION OF OFFENDER FEES 7.1.1 Contractor shall collect fees from program participants or via third party payments. Program participants who are employed or who receive other public or private funds will be expected to contribute toward program costs. Collection should take place outside of group session hours. The DCC Contract Administrator shall provide the scale for determining the amount of offender fees. NO OFFENDER WILL BE DENIED SERVICES BECAUSE OF INABILITY TO PAY. 7.2 7.1.2 Offenders shall be provided written fee collection requirements at the program start including the specific total amount of fees required while in program. Offenders shall receive a written receipt from contract staff whenever a fee is paid and contractor will balance that fee receipt book monthly in order to show individual monthly totals for DCC invoicing purposes. 7.1.3 The amount of these collections will be reported on the DOC-1026 Unit Service Monthly Report, for the month in which the fee was paid, and deducted from the amount reimbursable to the contract agency by the DCC. The amount of these collections will be reported and certified on the DOC-1026 Unit Service Monthly Report (under “Less Offender Fees Collected”), for the month in which the fee was paid, and deducted from the amount reimbursable to the contract agency by the DCC. INVOICING / PAYMENT REQUIREMENTS Contractor must agree that all invoices and purchasing card charges shall reflect the prices and discounts established for the items on this contract for all orders placed by the DOC even though the contract number and/or correct prices may not be referenced on each order. The DOC must meet a statutory mandate to pay or reject invoices within 30 days of receipt by DOC Accounts Payable (Note exemption of aids payments to individuals and organizations). Before payment is made, it also must verify that all invoiced charges are correct as per this Contract. Only properly submitted invoices will be officially processed for payment. Prompt payment requires that contractor invoices be clear and complete in conformity with the instructions below. All invoices must be itemized showing: RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 33 of 73 Contractor name remit to address purchase order number release number if given complete service item description prices per the Contract The original invoice and two copies must be sent to the DOC address listed on the Purchase Order. Final payment may not be made until work has been accepted by the DOC. 7.1 7.2 SUBCONTRACTING Any Contract resulting from this bid shall not be, in whole or in part, subcontracted, assigned, or otherwise transferred to any other Contractor without prior written approval by Purchasing Services. 7.1.1 The Contractor shall be directly responsible for any subcontractor’s performance and work quality when used by the Contractor to carry out the scope of the job. 7.1.2 Contractor must assure subcontractors abide by all terms and conditions under this Contract. 7.1.3 If subcontractors are to be used, the Contractor must clearly explain their participation. PRIME CONTRACTOR: MINORITY BUSINESS SUBCONTACTORS AND DISABLED VETERANOWNED BUSINESS SUBCONTRACTORS The prime contractor will be responsible for contract performance when subcontractors are used. However, when subcontractors are used, they must abide by all terms and conditions of the contract. If subcontractors are to be used, the bidder must clearly explain their participation. The State of Wisconsin is committed to the promotion of minority business in the state's purchasing program and a goal of placing 5% of its total purchasing dollars with certified minority businesses. Authority for this program is found in ss. 15.107(2), 16.75(4), 16.75(5) and 560.036(2), Wisconsin Statutes. The contracting agency is committed to the promotion of minority business in the state's purchasing program. The State of Wisconsin policy provides that minority-owned and disabled business enterprises certified by the Wisconsin Department of Administration Minority Business Certification Program should have the maximum opportunity to participate in the performance of its contracts. The supplier/contractor is strongly urged to use due diligence to further this policy by awarding subcontracts to minority and disabled owned business enterprises or by using such enterprises to provide goods and services incidental to this agreement, with a goal of awarding at least 5% of the contract price to such enterprises. The supplier/contractor shall furnish appropriate quarterly information about its effort to achieve this goal, including the identities of such enterprises certified by the applicable State of Wisconsin Supplier Diversity Certification Program (https://wisdp.wi.gov/Home.aspx) and their contract amount. The Wisconsin Office of Business Development also certifies disabled veteran-owned business certification program and supplier/contractor should also include the identities of such businesses in their quarterly information. Quarterly reports shall be due fifteen (15) calendar days after the end of the quarter, 9/30, 12/31, 3/31 and 6/30. The form for submitting this information is available from the VendorNet Department of Administration Forms Page: http://vendornet.state.wi.us/vendornet/doaforms/doa-3234.doc . The report shall be submitted even if there is no activity. Submit to: RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 34 of 73 e-mail: [email protected] post: MBE Purchasing Report PO BOX 7991 Madison, WI 53707-7991 The State reserves the right to request additional reports from the Contractor at no additional cost. Contractor shall use every effort to provide such reports in a reasonable timeframe, but no later than thirty (30) calendar days from the time the request was submitted. These reports shall be in a form approved in advance in writing by the State. A listing of certified minority businesses, as well as the services and commodities they provide, is available from the Department of Administration, Minority Business Program, (608) 267-3293. The listing is published on the Internet at: http://www.doa.state.wi.us/mbe/report2.asp?locid=0 . A directory of certified disabled veteran-owned business can be accessed via this website: http://commerce.wi.gov/BusinessDirectory/. Information about the Disabled Veteran-Owned Business Program is available from the Department of Administration, (608) 267-3293. 7.3 AFFIRMATIVE ACTION All contracts of more than Fifty Thousand Dollars ($50,000) require the submission of a written affirmative action plan or request exemption. Contractors with an annual workforce of less than twenty-five employees are eligible for exemption. Within fifteen (15) days after the award of the contract, the written affirmative action plan, or statement requesting exception, shall be submitted to the Department’s Contract Compliance Office. Address plan to: AFFIRMATIVE ACTION MANAGER/ PURCHASING SERVICES DEPARTMENT OF CORRECTIONS 3099 E WASHINGTON AVE PO BOX 7991 MADISON WI 53707 7991 Contractors are encouraged to contact this office at, (608) 240-5571, for technical assistance on equal opportunity. "Affirmative Action Plan" is a written document that details an affirmative action program. Key parts of an affirmative action plan are: (1) a policy statement pledging nondiscrimination and affirmative action employment, (2) internal and external dissemination of the policy, (3) assignment of key employee as the equal opportunity officer, (4) a workforce analysis that identifies job classification where representation of women, minorities and the disabled is deficient, (5) goals and timetables that are specific and measurable and that are set to correct deficiencies and to reach a balance of work force, (6) revision of all employment practices to ensure that they do not have discriminatory effects, (7) establishment of internal monitoring and reporting systems to measure progress regularly. Failure to comply appropriately with these requirements can lead to bidder being banned from doing business with any agency of the State of Wisconsin. Additionally, failure to comply can result in termination of this contract, or withholding of payment. On the Vendor Information Sheet provide the requested information. For additional information see Section 19.0 of the Standard Terms and Conditions. 7.4 WISCONSIN SALES AND USE TAX REGISTRATION The State of Wisconsin shall not enter into a contract with a vendor, and reserves the right to cancel any existing contract if the vendor or contractor has not met or complied with the requirements of s. 77.66, Wis. Stats., and related statutes regarding certification for collection of sales and use tax. If you have not established a certification for Collection of Sale and Use Tax status with the Wisconsin Department of Revenue, the DOC and any other state agency can not issue any purchase orders to your firm. For additional information see http://www.dor.state.wi.us/html/vendlaw.html RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 35 of 73 7.5 TOBACCO-FREE ENVIRONMENT All DOC Institutions are Tobacco-Free. Contractors are not to possess or use any tobacco product inside an institution. 7.6 SECURITY AND CREDENTIAL REVIEW The department requires that all bidders and contractors providing services in its facilities submit and pass criminal background and license/credential checks. History of arrests and/or convictions could disqualify an individual if deemed relevant to the position, service or site. Background checks will be conducted and paid for by the institution, and records will be maintained on site, as well as copies of credentials and licenses 7.7 INSIDE FACILITY DELIVERY These services may be required to be delivered within the confines of a State of Wisconsin Correctional Facility to which access is tightly controlled. Delivery persons will need to be properly documented with approved identification: a valid Wisconsin or other State’s driver’s license. Vehicles will be subject to search upon entering and leaving said Facility. Vehicles containing weapons, drugs or drug paraphernalia, live animals, additional passengers, and/or any other restricted items, etc. will not be allowed to enter. Possession of contraband may be reported to local law enforcement. All vehicles shall be thoroughly searched entering and leaving the institution to prevent introduction of contraband and the use of the vehicle as a means of escape by inmates. Vehicles leaving the institution shall have a designated position at which to stop before reaching the vehicle exit, so that the driver and passengers can be properly identified. All vehicles leaving the institution shall again be searched at the truck exit. Any vehicle that cannot be thoroughly searched must be held inside the institution through an official count. Trucks to be loaded inside the institution must be loaded under the supervision of a staff member. In maximum security institutions, trucks shall never be left unsupervised while inside the institution. In medium and minimum institutions, unattended trucks must be locked. The Department of Corrections will not be responsible for any additional delivery charges resulting from being denied entry by non-compliant delivery personnel. 7.8 ACCESS TO DOC INSTITUTIONS Execution of this contract requires access/entrance into DOC secure facilities. All contractor staff will be required to submit to a Criminal Background Check, which must be successfully completed prior to arrival. Although specific policies vary somewhat between facilities, the following will apply: All vehicles shall be thoroughly searched entering and leaving the institution to prevent introduction of contraband and the use of the vehicle as a means of escape by inmates. Within the fence, contraband items are prohibited in the vehicle as well as on the person. Contraband items include but are not limited to drugs, tobacco products, cell phones, adult or pornographic materials, explosives and weapons (including pocket knives and razor knives, unless a part of an inventoried tool box.) Tool boxes should be inventoried prior to arrival to facilitate security staff accounting. Items may be left with security, however illegal items may not be returned. Trucks to be loaded inside the institution must be loaded under the supervision of a staff member. In maximum security institutions, trucks shall never be left unsupervised while inside the institution. In medium and minimum institutions, unattended trucks must be locked. Vehicles leaving the institution shall have a designated position at which to stop before reaching the vehicle exit, so that the driver and passengers can be properly identified. All vehicles leaving the institution shall again be searched at the truck exit. Any vehicle that cannot be thoroughly searched must be held inside the institution through an official count. Contractor staff walking in may be required to pass through a metal detector and/or have all carry-in items x-rayed or searched. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 36 of 73 Fraternization with inmates is prohibited. Nothing is to be given to inmates (food, mail, money, newspapers or magazines, etc.) without authorization and nothing is to be received from inmates for removal or transport from the institution. 7.9 EMPLOYEE IDENTIFICATION All contractors’ employees, while working on DOC property, must wear a clearly displayed photo identification badge (provided by the Contractor at the Contractor’s cost) showing they are employees of the contractor. Badges must be available but will not be required to be worn when protective clothing and respiratory protection is required. 7.10 CONFIDENTIALITY The confidentiality of offender health information is protected by the federal Health Insurance Portability and Accountability Act (HIPAA) regulations (45 CFR, parts 160 & 164), federal Alcohol and Other Drug Abuse Patient Information regulations (42 CFR part 2), and by various Wisconsin laws governing the confidentiality of medical, mental health, developmental disability, and alcohol and drug information. In addition, the department considers all personally identifiable information relating to DOC employees or offenders to be confidential, and such data is not to be released unless contractor receives written approval from DOC. 7.11 LIQUIDATED DAMAGES This shall be surety for fulfillment of the contract(s) including quality, performance and delivery under the terms of this Request for Bid. Liquidated damages shall be assessed for actual cost of non-performance of the contract in full or in part i.e. rental cost, coverage required of service, additional operating cost, etc. Liquidated damages will be deducted from payments on the invoice covering the late shipments, if the invoice is of sufficient amount to cover the liquidated damages. If the invoice is not of a sufficient amount to cover the liquidated damages on a particular shipment, the agency will request cancellation of the invoice and a credit to cover the balance. All liquidated damage letters will be generated by the Contract Manager or Purchasing designee. 7.11.1 CONTRACTOR APPEALS PROCESS In the event liquidated damages are assessed the contractor will be given an opportunity to appeal the damages by using the following process: A Cure Notice is sent by the Contract Manager Vendor respond’s to the Contract Manager’s Cure Notice letter. Contract Manager responds back to the vendor after consulting with the program staff. If vendor is not satisfied, the vendor appeals to the program Division Administrator. If the vendor is still not satisfied with the Division Administrator’s response, the vendor can appeal to the State Claims Board. DOC does not provide in-person hearings under Chapter 227 of the statutes in a contract dispute. NOTE: each party gets 15 business days to respond between steps unless otherwise agreed. 7.12 EMPLOYMENT OF CURRENT OFFENDERS AND EMPLOYMENT AND RETENTION OF INDIVIDUALS ARRESTED, CHARGED OR CONVICTED OF CRIMINAL OFFENSE 7.12.1 Contractor shall not employ a person who is on probation, parole or an inmate who is supervised by Intensive Sanctions for any position where the primary duties and responsibilities involve the supervision or treatment of inmates, probationers or parolees or involve access to offenders' records or funds. 7.12.2 Contractor will implement policies and procedures to ensure that: RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 37 of 73 Job applicants or current employees shall be dealt with as follows: 188.8.131.52 For a job applicant who has a pending criminal charge: Where the circumstances of said criminal charge substantially relate to the circumstances of a particular job or licensed activity, the applicant will not be hired for that job; 184.108.40.206 For a current employee who has a pending criminal charge: Where the circumstances of said criminal charge substantially relate to the circumstances of the job or licensed activity, the employee will not be continued in that particular job; 220.127.116.11For a job applicant who is convicted of a criminal offense: Where the circumstances of said conviction of a criminal or other offense that substantially relates to the circumstances of a particular job or licensed activity, the applicant will not be hired for that job; and 18.104.22.168For a current employee who is convicted of a criminal offense: Where the circumstances of said conviction of a criminal or other offense that substantially relates to the circumstances of the current job or licensed activity, the employee will not be retained in that particular job. Nothing in this contract prohibits the Contractor from reassigning or suspending the employee or, in the case of a conviction, terminating the employee. 7.12.3 In hiring and retention decisions, Contractor may consider records of pending criminal charges and convictions when it can be demonstrated that the circumstances of the offense substantially relate to the circumstances of the job or licensed activity. When determining whether the circumstances of a pending charge or conviction are substantially job related, Contractor should take into consideration elements related to the position, the offense, and the individual. 7.12.4 To make determinations on substantial relationships to the circumstances of the job, Contractor shall have written policies on how the applicant for employment and the employee will be reviewed. 7.13 FRATERNIZATION 7.13.1 Contractor agrees to have a written policy on fraternization that prohibits the forming of improper relationships between Contractor's employees and offenders. The policy must be substantially equivalent to the Department of Corrections' policy as expressed in Executive Directive 16, May 1991 - Revised January 1997, Further Revised August 2004. A copy of Executive Directive 16 may be obtained from the Contract Administrator. 7.13.2 Contractor shall address at the minimum the policy required in Sub. A: definitions of employee, relationships and offender; a statement of prohibited relationships; duty of employee to inform Contractor of unplanned contacts with offenders; a statement that Contractor-directed contacts or those which are part of the employee's job duties are exempt from the policy; an exception procedure which may be carried out by the Executive Director or designee; and a standard employee statement indicating that each employee has read a copy of the Contractor's policy on fraternization. 7.13.3 Contractor shall also agree to have a written policy which prohibits Contractor’s employees from engaging in any sexual contact or sexual intercourse with offenders under the custody and control of the Department of Corrections. The policy must be substantially equivalent to the Department of Corrections’ policy as expressed in Executive Directive 16-A, August 2006. A copy of Executive Directive 16-A may also be obtained from the Contractor Administrator. 7.13.4 Contractor shall maintain a copy of the signed employee statement on fraternization and sexual contact in each employee's personnel file. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI 7.14 BID DUE: May 13, 2015 Page 38 of 73 CONTRACTOR AUDIT REQUIREMENT 7.14.1 Governmental entities shall comply with the Single Audit Act of 1984, OMB Circular A-128 and the State Single Audit Guidelines issued by the Department of Administration. They shall also comply with the Department of Health and Family Services' Allowable Cost Policy Manual. Single audit reports are due to the Department within 30 days from issuance of the report, but no later than one year after the end of the audit period. 7.14.2 Non-profit agencies that have been certified under USC 501(c)(3) shall comply with OMB Circular A-133, the Department's Contractor Agency Audit Guide, the Allowable Costs Policy Manual and ss. 301.08. Audits are due to the Contractor within one year of the close of the contract. 7.14.3 Profit agencies shall comply with the Department's Contractor Agency Audit Guide, the Allowable Costs Policy Manual, and ss. 301.08. Audits are due to the Contractor within one year of the close of the contract. 7.14.4 If a Contractor agency's audit is based on a calendar rather than state fiscal year (July 1 through June 30), the Contractor and/or auditor shall submit a worksheet which reconciles the expenditures based on the state fiscal year and the relevant purchase orders within one year of the close of the contract. 7.14.5 DOC shall notify Contractor within 90 days of receipt of the audit completed by the independent certified auditor, whether or not the audit meets the requirements of DOC's audit guidelines. DOC shall initiate resolution of audit findings with Contractor within 180 days following notification of the audit's acceptance. If the audit is not complete or is acceptable only in part, DOC shall rely upon the acceptable portion of the audit and any additional audit work shall build upon the work already done. 7.14.6 DOC reserves the right to conduct an independent audit of Contractor if Contractor fails to secure an audit covering all funds, or a follow-up review of selected areas is determined to be necessary. In the event that Contractor fails to secure an audit, DOC's costs for completing an audit will be charged back to Contractor. 7.14.7 Contractor agrees that it is responsible to assure that all purchase of service contracts of $25,000 or more meet the requirements of the Office of Management and Budget Circulars A-133 and A128 that pertain to sub-recipient audits. 7.15 FAITH-BASED AND CHARITABLE ORGANIZATIONS 7.15.1 A faith-based or charitable organization is eligible to be a contractor on the same basis as any other private organization. If Contractor is a faith-based or charitable organization it shall retain its independence from the State of Wisconsin, including without limitation Contractor’s control over the definition, development, practice, and expression of its charitable or religious beliefs. Except as otherwise provided by state or federal law, Purchaser shall not interpret this Contract to require a charitable or faith-based organization to alter its form of internal governance or remove religious art, icons, scriptures, or other symbols. 7.15.2 A religious organization does not, by contracting with the State of Wisconsin, lose the exemption provided under Section 702 of the Civil Rights Act (42 U.S.C. 2000e-1(a)) regarding its employment practices. Furthermore, if a faith-based or charitable organization segregates the government funds provided under the Contract, then only the financial assistance provided by these funds will be subject to audit. 7.15.3 Neither Purchaser’s selection of a charitable or faith-based contractor to provide the Services described herein nor the expenditure of funds under this Contract is an endorsement of the Contractor’s charitable or religious character, practices, or expression. The purpose of this Contract is the provision of Services; none of Purchaser’s expenditures have as their objective the RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 39 of 73 funding of sectarian worship, instruction, or proselytization. As such, a faith-based or charitable Contractor of Services under this Contract shall post at its place(s) of business the following written notice and personally apprise all assisted inmates of the same: Neither the State of Wisconsin’s selection of a Charitable or faith-based Contractor of services or the expenditure of funds under any contract with said Contractor is an endorsement of that Contractor’s charitable or religious character, practices, or expression. No Contractor of services may discriminate against you on the basis of religion, a religious belief, or your refusal to actively participate in a religious practice. If you object to a particular Contractor because of its religious character, you may request assignment to a different non-sectarian Contractor by contacting your Agent. 7.15.4 To ensure an inmate is informed of the foregoing, a faith-based or charitable Contractor shall require that each inmate receiving Services under this Contract signs an acknowledgment form prepared by the Contractor containing the aforementioned notice and verifying the offender’s receipt of the same. A copy of all signed acknowledgment forms shall be promptly provided to Purchaser. Finally, Purchaser will require that each inmate sign the Purchaser’s “Voluntary Choice and Waiver” form, which will be provided by Purchaser, prior to receiving any Services from a faith-based or charitable Contractor under this Contract. A faith-based or charitable Contractor agrees to refrain from providing Services hereunder to an inmate until it receives a copy of a fully executed Voluntary Choice and Waiver form from Purchaser for that respective offender. 7.16 AMERICANS WITH DISABILITY ACT The contractor agency must complete or currently have on file a facility self-survey and a program and policy self-evaluation to address compliance with the Americans with Disability Act. (Public Law 101-336, July 26, 1990, 104 Stat. 327 and Title 42, U.S.C.A., ss. 12101 to 12213). During the course of the contract, the contractor must take action to comply with the facility, program and employment provisions of the Americans with Disability Act. Applicants may obtain information on the Americans with Disability Act by contacting the Director of the Office of Diversity and Employee Services, Wisconsin Department of Corrections, 3099 E. Washington Avenue, PO Box 7925, Madison, Wisconsin 53707-7925. 7.17 CONTRACTOR MAJOR STRUCTURAL CHANGE The Contractor is required to provide the Department with a minimum of 90 days written advance notice of any planned or potential structural change (merger, buyout, acquisition, consolidation, etc.). Contract may not be automatically assigned to the new entity (since the underlying procurement may be affected). 7.18 CARRYING A CONCEALED WEAPON Contractor is prohibited under Executive Directive 80, signed October 31, 2011 from possession of any weapon by Contractor's employees while providing services to DOC offenders. Contractor will prohibit firearms/weapons in any owned, leased/rented, or available location in which program services are provided for DOC. Signs shall be posted at every public entrance. Each sign must be at least five inches by seven inches state the restriction on carrying a firearm, and inform people that weapons or firearms are prohibited. Sample signage will be available through the Contract Administrator. 8.0 STANDARD AND SUPPLEMENTAL TERMS AND CONDITIONS The Standard Terms and Conditions (DOA-3054, R10/2005)) and Supplemental Standard Terms and Conditions for Procurements for Services (DOA-3681, R01/2001) are made part of this RFB. The State of Wisconsin reserves the right to incorporate standard State contract provisions into any contract negotiated with any bid submitted responding to this RFB (Standard Terms and Conditions, DOA-3054). Failure of the successful bidder to accept these obligations in a contractual agreement may result in cancellation of the award. 8.1 CONFIDENTIALITY AND HEALTH INSURANCE PORTABILITY ACCOUNTABILITY In addition to Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations on medical record privacy (45 CFR, parts 160 & 164), the department considers all personally identifiable information relating to offenders to be confidential, and such data is not to be released unless approved by the DOC. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI 8.1.1 BID DUE: May 13, 2015 Page 40 of 73 DEFINITIONS Designated Record Set: (1) A group of records maintained by or for a covered entity that is: (i) The medical records and billing records about individuals maintained by or for a covered health care provider; (ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) Used, in whole or in part, by or for the covered entity to make decisions about individuals. (2) For purposes of this Contract, the term record means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entity. Disclosure - the release, transfer, provision of access to, or divulging in any other manner of information outside the entity holding the information. Protected Health Information or “PHI” - Individually identifiable health information in any form or medium, including demographic information, created, received, maintained, or transmitted by the Contractor, on behalf of the Department, where such information relates to the past, present, or future physical or mental health or condition of an individual, the provision of health care to an individual, or the payment for the provision of health care to an individual, and where such information identifies the individual or provides a reasonable basis to believe that it can be used to identify an individual. PHI excludes individually identifiable health information in education records covered by the Family Educational Rights and Privacy Act (FERPA) and employment records held by the Department in its role as employer. Incident - a use or disclosure of PHI by the Contractor or subcontractor not authorized by this Contract or in writing by the Department. This definition includes any attempted, successful or unsuccessful, unauthorized access, modification, or destruction of PHI, including electronic PHI, or interference with the operation of any information system that contains PHI. Individual - the person who is the subject of PHI or the personal representative of the individual, as defined and provided for under applicable provisions of HIPAA. 8.1.2 Prohibition on Unauthorized Use or Disclosure of PHI The Contractor shall not use or disclose any PHI except as permitted or required by the Contract or this Agreement, as permitted or required by law, or as otherwise authorized in writing by the Department. 8.1.3 Permitted Use and Disclosure of PHI The Contractor may use or disclose PHI only: a. For the delivery of the services, program management, activities, or functions contracted for in the Contract; or b. For meeting contractual or legal obligations as established in any agreements between the parties evidencing their business relationship; or c. As permitted by HIPAA if such use or disclosure were made by the Department or otherwise required by applicable law, rule or regulation; or d. For use in the operations of the Contractor as provided in paragraph 4 of this Contract; or e. As otherwise authorized by the Department in writing; or f. For data aggregation for the health care operations of the Department. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI 8.1.4 BID DUE: May 13, 2015 Page 41 of 73 Use of PHI in Contractor Operations The Contractor may use or disclose PHI as necessary for the delivery of the services or programs provided for in the Contract, including appropriate management and administration of programs or services, or to fulfill the contractual or legal obligations of the Contractor provided: a. b. The disclosure is permitted or required by law; or The Contractor obtains reasonable assurances, evidenced by a written contract, from any person or organization to which the Contractor will disclose PHI that such person or organization shall: (i) Hold all PHI in confidence and use or further disclose it only for the purpose for which the Contractor disclosed it to the person or organization, or as required by law; and (ii) Notify the Contractor, who will in turn promptly notify the Department, of any instance of which the person or organization becomes aware that PHI was improperly disclosed. 8.1.5 Safeguarding and Maintenance of PHI a. The Contractor will develop, implement, maintain, and use: (i) Reasonable and appropriate administrative, technical, and physical safeguards to prevent improper use or disclosure of PHI, in any form or medium; and, (ii) Reasonable and appropriate administrative, technical, and physical security measures that protect the confidentiality, integrity and availability of electronic PHI that it creates, receives, maintains, or transmits on behalf of the Department. b. The Contractor will document PHI safeguards and security measures and agrees to provide the Department with access and review of this documentation if requested by the Department or an agent of the Department. Security measures employed by the Contractor must be sufficient to ensure that the Department is compliant with the HIPAA privacy and security requirements for those covered services, activities, or functions performed on behalf of the Department on or before the date such requirements become effective. c. The Contractor agrees to conduct an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic PHI held by the Contractor. The Contractor and the Department agree that all costs associated with performance of these activities will be the responsibility of the Contractor unless the Department agrees to be responsible for some or all of the costs associated with the performance of these activities. 8.1.6 Use or Disclosure of PHI by Subcontractors and Agents of the Contractor The Contractor agrees to require any agent, including subcontractors, to whom the Contractor provides PHI to comply with the same restrictions and conditions applicable to the Contractor with respect to PHI. Contractor further agrees to ensure that any agents or subcontractors, to whom the Contractor provides PHI received from, or created or received by the Contractor on behalf of the Department agrees to the same restrictions and conditions applicable to the Contractor with respect to such information. This provision does not apply to the use or disclosure of PHI by subcontractors that provide health care treatment to individuals or to other persons or organizations that have entered into an Organized Health Care Arrangement (OHCA) as provided for under the provisions of HIPAA. 8.1.7 Compliance with Electronic Transactions and Code Set Regulations If the Contractor conducts any HIPAA-covered standard electronic transactions on behalf of the Department, the Contractor will comply with the applicable provisions of HIPAA for such standard transactions. The Contractor will likewise require any subcontractor or agent conducting any RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 42 of 73 standard electronic transactions on behalf of the Contractor, for services or programs covered by the Contract, to comply with the applicable provisions of HIPAA relating to standard transactions. a. General Requirements: (i) If any entity requests the Contractor to conduct any of the standard electronic transactions, the Contractor must comply with the request (ii) The Contractor may not delay or reject a transaction, or otherwise adversely affect or impact the other entity or the transaction submitted, because the transaction is a standard electronic transaction (iii) The Contractor may not reject a standard electronic transaction on the basis that it contains data elements not needed or used by the Contractor (e.g., coordination of benefits data elements) (iv) The Contractor may not offer an incentive to a health care provider to conduct a covered transaction through direct data entry rather than as a standard electronic transaction (v) The Contractor, which is operating as a health care clearinghouse, or requiring an entity to use a health care clearinghouse to receive, process, or transmit standard electronic transactions, may not charge fees or impose costs in excess of the fees or costs for normal telecommunications that the entity incurs when it directly transmits, or receives, a standard electronic transaction to, or from, the Contractor. b. The Contractor will not enter into, or permit its subcontractors or agents to enter into, any contract related to the conducting of standard electronic transactions for or on behalf of the Department that: (i) Changes or modifies the definition, data condition, or use of a data element or segment in an implementation specification; or (ii) Adds any data elements or segments to the maximum defined data set; or (iii) Uses any code or data elements that are marked “not used” in the implementation specification or are not contained within the implementation specification; or (iv) Changes the meaning or intent of any implementation specification. c. If the Contractor receives a standard electronic transaction and coordinates benefits with another health plan, it must store the coordination of benefits data it needs to forward the standard electronic transaction to the other health plan. 8.1.8 Access to PHI At the request of the Department, the Contractor agrees to provide access to PHI held by the Contractor that the Department has determined to be part of the Designated Record Sets of the programs covered by the Contract. Access to PHI will be provided to the Department or to an individual as directed by the Department to comply with applicable HIPAA requirements. The Department may delegate to the Contractor responsibility for performing any or all obligations related to the Designated Record Set, including those activities required under HIPAA to permit an individual to exercise his or her HIPAA privacy rights. 8.1.9 Amendment or Correction to PHI At the direction of the Department, the Contractor agrees to amend or correct PHI that the Department determines is included in the Designated Record Set held by the Contractor. The Contractor agrees to complete any amendment or correction to PHI in accordance with HIPAA requirements. 8.1.10 Reporting of Incidents to the Department by Contractor The Contractor agrees to inform the Covered Entity of any incident covered by this Contract within five (5) business days of becoming aware of the incident. The Department, at its discretion, may require a written report. If the Department requests a written report, the Contractor agrees to RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 43 of 73 forward the report to the Department not more than five (5) business days after such request is made. Written and verbal reports of incidents will include: a. b. c. d. e. f. A complete description of the circumstances of the incident; The name of persons assigned to review and investigate the incident; A description of all PHI used or disclosed during the incident; The names of persons and organizations involved in the incident; The actions the Contractor has undertaken or will undertake to mitigate any harmful effect of the incident; and, A corrective action plan that includes steps the Contractor has taken or will take to prevent future similar incidents from occurring. 8.1.11 Mitigating Effect of Unauthorized Disclosures or Misuse of PHI The Contractor agrees to mitigate, to the extent practicable, any harmful effect known to the Contractor created by an improper use or disclosure of PHI by the Contractor in violation of the requirements of this Contract. 8.1.12 Statutory Duty of the Department to Report Material Breaches by Contractor to Secretary of United States Department of Health and Human Services (HHS) Contractor and the Department agree that if the Contractor engages in a pattern of activity or practice that constitutes a material breach or violation of this Contract, and the Department becomes aware of such pattern or practice, the Department is required to take reasonable steps to cure the breach or end the violation, as applicable, and, if such steps are not successful and termination of the Contract is not feasible, the Department is required to report the problem to the Secretary of HHS. 8.1.13 Tracking and Accounting of Disclosures of PHI by the Contractor a. The Contractor agrees to track disclosures of PHI as required by the applicable provisions of HIPAA and applicable Wisconsin laws. Specifically, the Contractor agrees that it will maintain a record of all PHI disclosures made to third parties, except as provided for by the subsections to this paragraph below. The Contractor agrees that the following information will be recorded: (i) (iii) (iv) (v) The date the PHI was disclosed; The name and address, if known, of the person or entity that the PHI was disclosed to; A brief description of the PHI disclosed; and A brief statement describing the purpose for the disclosure. b. For repetitive disclosures that the Contractor makes to the same person or entity for a single purpose the Contractor will provide: (i) The disclosure information as specified in paragraph 13(a)(i-iv) of this Contract for the first of such repetitive disclosures; (ii) The frequency, periodicity or number of such repetitive disclosures; and (iii) The date of the most recent of such repetitive disclosures. c. The Contractor will make the record of disclosures available to the Department within five (5) business days after receiving a request by the Department. d. Exceptions from Disclosure Tracking. The Contractor is not required to track or record disclosures of PHI, or to provide an accounting of disclosures for PHI meeting the following conditions: (i) Disclosures of PHI that are permitted under this Contract, or otherwise expressly authorized by the Department in writing; and RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI BID DUE: May 13, 2015 Page 44 of 73 (ii) Disclosures of PHI for the following: (1) For purposes of treatment, payment or health care operations activity of the Department; (2) In response to a request from an Individual who is the subject of the disclosed PHI, or to that individual’s personal representative; (3) Made to persons involved in health care or payment for health care of the individual; (4) For disaster relief notification purposes; (5) For national security or intelligence purposes; or, (6) To law enforcement officials or correctional institutions regarding individuals in custodial situations. e. Agreement to Obtain Valid Authorization or Informed Written Consent Prior to Disclosure of PHI. Contractor agrees to obtain a valid authorization or informed written consent from the individual that is the subject of the PHI disclosure or a personal representative of such individual except for those exceptions listed in this Contract or otherwise required by law. f. Disclosure Tracking Time Periods. Contractor agrees to maintain and make available to the Department upon its request information on disclosures of PHI made by the Contractor for the six-year period preceding the request, but not including disclosures made prior to April 2005, or the date that the Contractor began performing covered services, activities, or functions on behalf of the Department, whichever is later. 8.1.14 Accounting to the Department and to Government Agencies The Contractor agrees to make its internal practices, books, and records relating to the use and disclosure of PHI available to the Department, or to the Secretary of HHS in a time and manner determined by the Department or the Secretary or designee, for purposes of determining compliance by the Department with the requirements of HIPAA. Further, the Contractor agrees to promptly notify the Department of communications with HHS regarding PHI and will provide the Department with copies of any PHI or other information the Contractor has made available to HHS under this provision. 8.1.15 Return or Destruction of PHI Upon termination, cancellation, expiration or other conclusion of this Contract, the Contractor will: a. Return to the Department or, if return is not feasible, destroy all PHI and any compilation of PHI in any medium or form. The Contractor agrees to ensure that this provision also applies to PHI in possession of subcontractors and agents of the Contractor provided to the agent or subcontractor by the Contractor. The Contractor agrees that any original record or copy of PHI in any medium is included in and covered by this provision, as are all original or copies of PHI provided to subcontractors or agents of the Contractor by the Contractor. The Contractor agrees to complete the return or destruction as promptly as possible, but not more than five (5) business days after the effective date of termination of this Contract. The Contractor will provide written documentation evidencing that return or destruction of all PHI has been completed. Contractor agrees to extend the requirements of this provision to contracts entered into with subcontractors and agents that create, receive, or maintain PHI on behalf of the Contractor. b. If the Contractor believes that the return or destruction of PHI is not feasible, the Contractor shall provide written notification of the conditions that make return or destruction not feasible. If the Contractor and the Department agree that return or destruction of PHI is not feasible, the Contractor shall extend the protections of this Contract to PHI and prohibit further uses or disclosures of the PHI of the Department without the express written authorization of the Department. Subsequent use or disclosure of any PHI subject to this provision will be limited to the use or disclosure that makes return or destruction not feasible. RFB # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and Sparta, WI 9.0 BID DUE: May 13, 2015 Page 45 of 73 REQUIRED FORMS AND ATTACHMENTS The following forms must be completed and submitted with the bid response. Bids that do not include all items listed on this checklist may be rejected. FORMS: Request for Bid Form (DOA-3070) - cover sheet, first page of this RFB Vendor Information Form (DOA-3477 1/08) Designation of Confidential and Proprietary Information Form (DOA-3027), if applicable. Wisconsin’s Cooperative Purchasing Service Form (DOA-3333) Vendor Reference Form (DOA-3478) ADDITIONAL REQUIRED INFORMATION TO BE SUBMITTED WITH BID: If submitting a bid for Lacrosse County location and/or Monroe County location then, as applicable to each location(s) bid, include description of facility and physical space use plan as specified in 4.1.1. Documentation of agency experience requirements with past contracts and references as specified in 4.2. Documentation of staff qualifications requirements and experience as specified in 4.3. If staff positions are pending hire, submit recruitment plan and job description of those pending positions. Documentation of assessment tool(s)/reassessment tools as specified in 4.5.1. Documentation of individual treatment components including topic areas and research as specified in 4.5.2. Documentation of the sex offender group component including curriculum outline as specified in 4.5.3. Documentation of the aftercare group component including curriculum as specified in 4.5.4. Documentation of the psycho-educational group component including curriculum as specified in 4.5.5. A copy of the program rules as specified in 4.6.3. A copy of the weekly attendance report as specified in 4.6.4. Copy of format used for Discharge Summary as specified in 4.6.5. Indicate whether your organization has an existing system for documenting and managing client-level information as outlined in RFB Section 22.214.171.124. If so, provide details on the established internal standards of practice regarding service delivery and assessment, what pre and post testing scoring is gathered, and whether it is in electronic or paper format. Provide the name of your staff person who will be the contact person responsible for coordinating with DOC and evaluation staff as specified in 126.96.36.199. Wisconsin Department of Administration Chs. 16, 19, 51 DOA-3054 (R10/2005) Page 1 of 3 Standard Terms And Conditions (Request For Bids / Proposals) 1.0 2.0 3.0 SPECIFICATIONS: The specifications in this request are the minimum acceptable. When specific manufacturer and model numbers are used, they are to establish a design, type of construction, quality, functional capability and/or performance level desired. When alternates are bid/proposed, they must be identified by manufacturer, stock number, and such other information necessary to establish equivalency. The State of Wisconsin shall be the sole judge of equivalency. Bidders/proposers are cautioned to avoid bidding alternates to the specifications which may result in rejection of their bid/proposal. DEVIATIONS AND EXCEPTIONS: Deviations and exceptions from original text, terms, conditions, or specifications shall be described fully, on the bidder's/proposer's letterhead, signed, and attached to the request. In the absence of such statement, the bid/proposal shall be accepted as in strict compliance with all terms, conditions, and specifications and the bidders/proposers shall be held liable. QUALITY: Unless otherwise indicated in the request, all material shall be first quality. Items which are used, demonstrators, obsolete, seconds, or which have been discontinued are unacceptable without prior written approval by the State of Wisconsin. 4.0 QUANTITIES: The quantities shown on this request are based on estimated needs. The state reserves the right to increase or decrease quantities to meet actual needs. 5.0 DELIVERY: Deliveries shall be F.O.B. destination freight prepaid and included unless otherwise specified. 6.0 PRICING AND DISCOUNT: The State of Wisconsin qualifies for governmental discounts and its educational institutions also qualify for educational discounts. Unit prices shall reflect these discounts. 6.1 6.2 6.3 Unit prices shown on the bid/proposal or contract shall be the price per unit of sale (e.g., gal., cs., doz., ea.) as stated on the request or contract. For any given item, the quantity multiplied by the unit price shall establish the extended price, the unit price shall govern in the bid/proposal evaluation and contract administration. Prices established in continuing agreements and term contracts may be lowered due to general market conditions, but prices shall not be subject to increase for ninety (90) calendar days from the date of award. Any increase proposed shall be submitted to the contracting agency thirty (30) calendar days before the proposed effective date of the price increase, and shall be limited to fully documented cost increases to the contractor which are demonstrated to be industrywide. The conditions under which price increases may be granted shall be expressed in bid/proposal documents and contracts or agreements. In determination of award, discounts for early payment will only be considered when all other conditions are equal and when payment terms allow at least fifteen (15) days, providing the discount terms are deemed favorable. All payment terms must allow the option of net thirty (30). 7.0 UNFAIR SALES ACT: Prices quoted to the State of Wisconsin are not governed by the Unfair Sales Act. 8.0 ACCEPTANCE-REJECTION: The State of Wisconsin reserves the right to accept or reject any or all bids/proposals, to waive any technicality in any bid/proposal submitted, and to accept any part of a bid/proposal as deemed to be in the best interests of the State of Wisconsin. Bids/proposals MUST be date and time stamped by the soliciting purchasing office on or before the date and time that the bid/proposal is due. Bids/proposals date and time stamped in another office will be rejected. Receipt of a bid/proposal by the mail system does not constitute receipt of a bid/proposal by the purchasing office. 9.0 METHOD OF AWARD: Award shall be made to the lowest responsible, responsive bidder unless otherwise specified. 10.0 ORDERING: Purchase orders or releases via purchasing cards shall be placed directly to the contractor by an authorized agency. No other purchase orders are authorized. 11.0 PAYMENT TERMS AND INVOICING: The State of Wisconsin normally will pay properly submitted vendor invoices within thirty (30) days of receipt providing goods and/or services have been delivered, installed (if required), and accepted as specified. Invoices presented for payment must be submitted in accordance with instructions contained on the purchase order including reference to purchase order number and submittal to the correct address for processing. A good faith dispute creates an exception to prompt payment. 12.0 TAXES: The State of Wisconsin and its agencies are exempt from payment of all federal tax and Wisconsin state and local taxes on its purchases except Wisconsin excise taxes as described below. The State of Wisconsin, including all its agencies, is required to pay the Wisconsin excise or occupation tax on its purchase of beer, liquor, wine, cigarettes, tobacco products, motor vehicle fuel and general aviation fuel. However, it is exempt from payment of Wisconsin sales or use tax on its purchases. The State of Wisconsin may be subject to other states' taxes on its purchases in that state depending on the laws of that state. Contractors performing construction activities are required to pay state use tax on the cost of materials. 13.0 GUARANTEED DELIVERY: Failure of the contractor to adhere to delivery schedules as specified or to promptly replace rejected materials shall render the contractor liable for all costs in excess of the contract price when alternate procurement is necessary. Excess costs shall include the administrative costs. 14.0 ENTIRE AGREEMENT: These Standard Terms and Conditions shall apply to any contract or order awarded as a result of this request except where special requirements are stated elsewhere in the request; in such cases, the special requirements shall apply. Further, the written contract and/or order with referenced parts and attach- DOA-3054 Page 2of 3 ments shall constitute the entire agreement and no other terms and conditions in any document, acceptance, or acknowledgment shall be effective or binding unless expressly agreed to in writing by the contracting authority. 15.0 16.0 17.0 18.0 19.0 APPLICABLE LAW AND COMPLIANCE: This contract shall be governed under the laws of the State of Wisconsin. The contractor shall at all times comply with and observe all federal and state laws, local laws, ordinances, and regulations which are in effect during the period of this contract and which in any manner affect the work or its conduct. The State of Wisconsin reserves the right to cancel this contract if the contractor fails to follow the requirements of s. 77.66, Wis. Stats., and related statutes regarding certification for collection of sales and use tax. The State of Wisconsin also reserves the right to cancel this contract with any federally debarred contractor or a contractor that is presently identified on the list of parties excluded from federal procurement and non-procurement contracts. ANTITRUST ASSIGNMENT: The contractor and the State of Wisconsin recognize that in actual economic practice, overcharges resulting from antitrust violations are in fact usually borne by the State of Wisconsin (purchaser). Therefore, the contractor hereby assigns to the State of Wisconsin any and all claims for such overcharges as to goods, materials or services purchased in connection with this contract. ASSIGNMENT: No right or duty in whole or in part of the contractor under this contract may be assigned or delegated without the prior written consent of the State of Wisconsin. WORK CENTER CRITERIA: A work center must be certified under s. 16.752, Wis. Stats., and must ensure that when engaged in the production of materials, supplies or equipment or the performance of contractual services, not less than seventy-five percent (75%) of the total hours of direct labor are performed by severely handicapped individuals. Contracts estimated to be over twenty-five thousand dollars ($50,000) require the submission of a written affirmative action plan by the contractor. An exemption occurs from this requirement if the contractor has a workforce of less than twenty-five (25) employees. Within fifteen (15) working days after the contract is awarded, the contractor must submit the plan to the contracting state agency for approval. Instructions on preparing the plan and technical assistance regarding this clause are available from the contracting state agency. The contractor agrees to post in conspicuous places, available for employees and applicants for employment, a notice to be provided by the contracting state agency that sets forth the provisions of the State of Wisconsin's nondiscrimination law. 19.3 Failure to comply with the conditions of this clause may result in the contractor's becoming declared an "ineligible" contractor, termination of the contract, or withholding of payment. 20.0 PATENT INFRINGEMENT: The contractor selling to the State of Wisconsin the articles described herein guarantees the articles were manufactured or produced in accordance with applicable federal labor laws. Further, that the sale or use of the articles described herein will not infringe any United States patent. The contractor covenants that it will at its own expense defend every suit which shall be brought against the State of Wisconsin (provided that such contractor is promptly notified of such suit, and all papers therein are delivered to it) for any alleged infringement of any patent by reason of the sale or use of such articles, and agrees that it will pay all costs, damages, and profits recoverable in any such suit. 21.0 SAFETY REQUIREMENTS: All materials, equipment, and supplies provided to the State of Wisconsin must comply fully with all safety requirements as set forth by the Wisconsin Administrative Code and all applicable OSHA Standards. 22.0 WARRANTY: Unless otherwise specifically stated by the bidder/proposer, equipment purchased as a result of this request shall be warranted against defects by the bidder/proposer for one (1) year from date of receipt. The equipment manufacturer's standard warranty shall apply as a minimum and must be honored by the contractor. 23.0 INSURANCE RESPONSIBILITY: The contractor performing services for the State of Wisconsin shall: NONDISCRIMINATION / AFFIRMATIVE ACTION: In connection with the performance of work under this contract, the contractor agrees not to discriminate against any employee or applicant for employment because of age, race, religion, color, handicap, sex, physical condition, developmental disability as defined in s. 51.01(5), Wis. Stats., sexual orientation as defined in s. 111.32(13m), Wis. Stats., or national origin. This provision shall include, but not be limited to, the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. Except with respect to sexual orientation, the contractor further agrees to take affirmative action to ensure equal employment opportunities. 19.1 19.2 24.0 23.1 Maintain worker's compensation insurance as required by Wisconsin Statutes, for all employees engaged in the work. 23.2 Maintain commercial liability, bodily injury and property damage insurance against any claim(s) which might occur in carrying out this agreement/contract. Minimum coverage shall be one million dollars ($1,000,000) liability for bodily injury and property damage including products liability and completed operations. Provide motor vehicle insurance for all owned, non-owned and hired vehicles that are used in carrying out this contract. Minimum coverage shall be one million dollars ($1,000,000) per occurrence combined single limit for automobile liability and property damage. 23.3 The state reserves the right to require higher or lower limits where warranted. CANCELLATION: The State of Wisconsin reserves the right to cancel any contract in whole or in part without penalty due to nonappropriation of funds or for failure of the contractor to comply with terms, conditions, and specifications of this contract. DOA-3054 Page 3of 3 25.0 VENDOR TAX DELINQUENCY: Vendors who have a delinquent Wisconsin tax liability may have their payments offset by the State of Wisconsin. 26.0 PUBLIC RECORDS ACCESS: It is the intention of the state to maintain an open and public process in the solicitation, submission, review, and approval of procurement activities. 30.0 MATERIAL SAFETY DATA SHEET: If any item(s) on an order(s) resulting from this award(s) is a hazardous chemical, as defined under 29CFR 1910.1200, provide one (1) copy of a Material Safety Data Sheet for each item with the shipped container(s) and one (1) copy with the invoice(s). 31.0 PROMOTIONAL ADVERTISING / NEWS RELEASES: Reference to or use of the State of Wisconsin, any of its departments, agencies or other subunits, or any state official or employee for commercial promotion is prohibited. News releases pertaining to this procurement shall not be made without prior approval of the State of Wisconsin. Release of broadcast e-mails pertaining to this procurement shall not be made without prior written authorization of the contracting agency. 32.0 HOLD HARMLESS: The contractor will indemnify and save harmless the State of Wisconsin and all of its officers, agents and employees from all suits, actions, or claims of any character brought for or on account of any injuries or damages received by any persons or property resulting from the operations of the contractor, or of any of its contractors, in prosecuting work under this agreement. 33.0 FOREIGN CORPORATION: A foreign corporation (any corporation other than a Wisconsin corporation) which becomes a party to this Agreement is required to conform to all the requirements of Chapter 180, Wis. Stats., relating to a foreign corporation and must possess a certificate of authority from the Wisconsin Department of Financial Institutions, unless the corporation is transacting business in interstate commerce or is otherwise exempt from the requirement of obtaining a certificate of authority. Any foreign corporation which desires to apply for a certificate of authority should contact the Department of Financial Institutions, Division of Corporation, P. O. Box 7846, Madison, WI 53707-7846; telephone (608) 261-7577. 34.0 WORK CENTER PROGRAM: The successful bidder/proposer shall agree to implement processes that allow the State agencies, including the University of Wisconsin System, to satisfy the State's obligation to purchase goods and services produced by work centers certified under the State Use Law, s.16.752, Wis. Stat. This shall result in requiring the successful bidder/proposer to include products provided by work centers in its catalog for State agencies and campuses or to block the sale of comparable items to State agencies and campuses. 35.0 FORCE MAJEURE: Neither party shall be in default by reason of any failure in performance of this Agreement in accordance with reasonable control and without fault or negligence on their part. Such causes may include, but are not restricted to, acts of nature or the public enemy, acts of the government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, freight embargoes and unusually severe weather, but in every case the failure to perform such must be beyond the reasonable control and without the fault or negligence of the party. Bid/proposal openings are public unless otherwise specified. Records may not be available for public inspection prior to issuance of the notice of intent to award or the award of the contract. 27.0 28.0 PROPRIETARY INFORMATION: Any restrictions on the use of data contained within a request, must be clearly stated in the bid/proposal itself. Proprietary information submitted in response to a request will be handled in accordance with applicable State of Wisconsin procurement regulations and the Wisconsin public records law. Proprietary restrictions normally are not accepted. However, when accepted, it is the vendor's responsibility to defend the determination in the event of an appeal or litigation. 27.1 Data contained in a bid/proposal, all documentation provided therein, and innovations developed as a result of the contracted commodities or services cannot be copyrighted or patented. All data, documentation, and innovations become the property of the State of Wisconsin. 27.2 Any material submitted by the vendor in response to this request that the vendor considers confidential and proprietary information and which qualifies as a trade secret, as provided in s. 19.36(5), Wis. Stats., or material which can be kept confidential under the Wisconsin public records law, must be identified on a Designation of Confidential and Proprietary Information form (DOA-3027). Bidders/proposers may request the form if it is not part of the Request for Bid/Request for Proposal package. Bid/proposal prices cannot be held confidential. DISCLOSURE: If a state public official (s. 19.42, Wis. Stats.), a member of a state public official's immediate family, or any organization in which a state public official or a member of the official's immediate family owns or controls a ten percent (10%) interest, is a party to this agreement, and if this agreement involves payment of more than three thousand dollars ($3,000) within a twelve (12) month period, this contract is voidable by the state unless appropriate disclosure is made according to s. 19.45(6), Wis. Stats., before signing the contract. Disclosure must be made to the State of Wisconsin Ethics Board, 44 East Mifflin Street, Suite 601, Madison, Wisconsin 53703 (Telephone 608-266-8123). State classified and former employees and certain University of Wisconsin faculty/staff are subject to separate disclosure requirements, s. 16.417, Wis. Stats. 29.0 RECYCLED MATERIALS: The State of Wisconsin is required to purchase products incorporating recycled materials whenever technically and economically feasible. Bidders are encouraged to bid products with recycled content which meet specifications. State of Wisconsin Department of Administration Division of Agency Services Bureau of Procurement DOA-3681 (01/2001) ss. 16, 19 and 51, Wis. Stats. Supplemental Standard Terms and Conditions For Procurements for Services 1.0 ACCEPTANCE OF BID/PROPOSAL CONTENT: The contents of the bid/proposal of the successful contractor will become contractual obligations if procurement action ensues. 2.0 CERTIFICATION OF INDEPENDENT PRICE DETERMINATION: By signing this bid/proposal, the bidder/proposer certifies, and in the case of a joint bid/proposal, each party thereto certifies as to its own organization, that in connection with this procurement: 2.1 2.2 The prices in this bid/proposal have been arrived at independently, without consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other bidder/proposer or with any competitor; Unless otherwise required by law, the prices which have been quoted in this bid/proposal have not been knowingly disclosed by the bidder/proposer and will not knowingly be disclosed by the bidder/proposer prior to opening in the case of an advertised procurement or prior to award in the case of a negotiated procurement, directly or indirectly to any other bidder/proposer or to any competitor; and 2.3 No attempt has been made or will be made by the bidder/proposer to induce any other person or firm to submit or not to submit a bid/proposal for the purpose of restricting competition. 2.4 Each person signing this bid/proposal certifies that: He/she is the person in the bidder's/proposer's organization responsible within that organization for the decision as to the prices being offered herein and that he/she has not participated, and will not participate, in any action contrary to 2.1 through 2.3 above; (or) 3.2 4.0 DUAL EMPLOYMENT: Section 16.417, Wis. Stats., prohibits an individual who is a State of Wisconsin employee or who is retained as a contractor full-time by a State of Wisconsin agency from being retained as a contractor by the same or another State of Wisconsin agency where the individual receives more than $12,000 as compensation for the individual’s services during the same year. This prohibition does not apply to individuals who have full-time appointments for less than twelve (12) months during any period of time that is not included in the appointment. It does not include corporations or partnerships. 5.0 EMPLOYMENT: The contractor will not engage the services of any person or persons now employed by the State of Wisconsin, including any department, commission or board thereof, to provide services relating to this agreement without the written consent of the employing agency of such person or persons and of the contracting agency. 6.0 CONFLICT OF INTEREST: Private and non-profit corporations are bound by ss. 180.0831, 180.1911(1), and 181.0831 Wis. Stats., regarding conflicts of interests by directors in the conduct of state contracts. 7.0 RECORDKEEPING AND RECORD RETENTION: The contractor shall establish and maintain adequate records of all expenditures incurred under the contract. All records must be kept in accordance with generally accepted accounting procedures. All procedures must be in accordance with federal, state and local ordinances. He/she is not the person in the bidder's/proposer's organization responsible within that organization for the decision as to the prices being offered herein, but that he/she has been authorized in writing to act as agent for the persons responsible for such decisions in certifying that such persons have not participated, and will not participate in any action contrary to 2.1 through 2.3 above, and as their agent does hereby so certify; and he/she has not participated, and will not participate, in any action contrary to 2.1 through 2.3 above. 3.0 DISCLOSURE OF INDEPENDENCE AND RELATIONSHIP: 3.1 Prior to award of any contract, a potential contractor shall certify in writing to the procuring agency that no relationship exists between the potential contractor and the procuring or contracting agency that interferes with fair competition or is a conflict of interest, and no relationship exists between the contractor and another person or organization that constitutes a conflict of interest with respect to a state contract. The Department of Administration may waive this provision, in writing, if those activities of the potential contractor will not be adverse to the interests of the state. Contractors shall agree as part of the contract for services that during performance of the contract, the contractor will neither provide contractual services nor enter into any agreement to provide services to a person or organization that is regulated or funded by the contracting agency or has interests that are adverse to the contracting agency. The Department of Administration may waive this provision, in writing, if those activities of the contractor will not be adverse to the interests of the state. The contracting agency shall have the right to audit, review, examine, copy, and transcribe any pertinent records or documents relating to any contract resulting from this bid/proposal held by the contractor. The contractor will retain all documents applicable to the contract for a period of not less than three (3) years after final payment is made. 8.0 INDEPENDENT CAPACITY OF CONTRACTOR: The parties hereto agree that the contractor, its officers, agents, and employees, in the performance of this agreement shall act in the capacity of an independent contractor and not as an officer, employee, or agent of the state. The contractor agrees to take such steps as may be necessary to ensure that each subcontractor of the contractor will be deemed to be an independent contractor and will not be considered or permitted to be an agent, servant, joint venturer, or partner of the state. STATE OF WISCONSIN DEPARTMENT OF ADMINISTRATION DIVISION OF ENTERPRISE OPERATIONS BUREAU OF PROCUREMENT S. 16.765, WIS. STATS. RLH-5172 Bid / Proposal # DOA-3477 (R01/08) SEX OFFENDER TREATMENT SERVICES IN DCC REGION 8 LACROSSE AND/OR SPARTA, WI Commodity / Service Vendor Information 1. BIDDING / PROPOSING COMPANY NAME Phone ( ) Toll Free Phone FAX ( ) E-Mail Address ( ) Address 2. City State Zip + 4 Name the person to contact for questions concerning this bid / proposal. Name Title Phone ( ) Toll Free Phone FAX ( ) E-Mail Address ( ) Address 3. City State Zip + 4 Any vendor awarded over $50,000 on this contract must submit affirmative action information to the department. Please name the Personnel / Human Resource and Development or other person responsible for affirmative action in the company to contact about this plan. Name Title Phone ( ) Toll Free Phone FAX ( ) E-Mail Address ( ) Address 4. City State Zip + 4 Mailing address to which state purchase orders are mailed and person the department may contact concerning orders and billings. Name Title Phone ( ) Toll Free Phone FAX ( ) E-Mail Address ( ) Address City 5. State Zip + 4 CEO / President Name This document can be made available in accessible formats to qualified individuals with disabilities. STATE OF WISCONSIN DEPARTMENT OF ADMINISTRATION DIVISION OF ENTERPRISE OPERATIONS DOA-3027 (R03/2013) S. 19.36(5), WIS. STATS RETURN FORM TO: STATE BUREAU OF PROCUREMENT 101 E. WILSON ST., 6TH FL P. O. BOX 7867 MADISON, WI 53707 DESIGNATION OF CONFIDENTIAL AND PROPRIETARY INFORMATION The attached material submitted in response to Bid/Proposal # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and/or Sparta includes proprietary and confidential information which qualifies as a trade secret, as provided in s. 19.36(5), Wis. Stats., or is otherwise material that can be kept confidential under the Wisconsin Open Records Law. As such, we ask that certain pages, as indicated below, of this bid/proposal response be treated as confidential material and not be released without our written approval. Prices always become public information when bids/proposals are opened, and therefore cannot be kept confidential. Other information cannot be kept confidential unless it is a trade secret. Trade secret is defined in s. 134.90(1)(c), Wis. Stats. as follows: "Trade secret" means information, including a formula, pattern, compilation, program, device, method, technique or process to which all of the following apply: 1. The information derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use. 2. The information is the subject of efforts to maintain its secrecy that are reasonable under the circumstances. We request that the following pages not be released. Section Page # Topic In the event the designation of confidentiality of this information is challenged, the undersigned hereby agrees to provide legal counsel or other necessary assistance to defend the designation of confidentiality and agrees to hold the state harmless for any costs or damages arising out of the state's agreeing to withhold the materials. Failure to include this form in the bid/proposal response may mean that all information provided as part of the bid/proposal response will be open to examination and copying. The state considers other markings of confidential in the bid/proposal document to be insufficient. The undersigned agrees to hold the state harmless for any damages arising out of the release of any materials unless they are specifically identified above. Company Name Authorized Representative Signature Authorized Representative Type or Print Date This document can be made available in alternate formats to individuals with disabilities upon request. Division of State Agency Services State Bureau of Procurement State of Wisconsin Department of Administration DOA-3333 (R03/2004) 1.1.1 Vendor Agreement Wisconsin’s Cooperative Purchasing Service Wisconsin statutes (s. 16.73, Wis. Stats.) establish authority to allow Wisconsin municipalities to purchase from state contracts. Participating in the service gives vendors opportunities for additional sales without additional bidding. Municipalities use the service to expedite purchases. A "municipality" is defined as any county, city, village, town, school district, board of school directors, sewer district, drainage district, vocational, technical and adult education district, or any other public body having the authority to award public contracts (s. 16.70(8), Wis. Stats.). Federally recognized Indian tribes and bands in this state may participate in cooperative purchasing with the state or any municipality under ss. 66.0301(1) and (2), Wis.Stats. Interested municipalities: will contact the contractor directly to place orders referencing the state agency contract number; and are responsible for receipt, acceptance, inspection of commodities directly from the contractor, and making payment directly to the contractor. The State of Wisconsin is not a party to these purchases or any dispute arising from these purchases and is not liable for delivery or payment of any of these purchases. The State of Wisconsin will determine the contractor’s participation by checking a box below. MANDATORY: Bidders/Proposers must agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities. Vendors should note any special conditions below. OPTIONAL: Bidders/Proposers may or may not agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities. A vendor’s decision on participating in this service has no effect on awarding this contract. A vendor in the service may specify minimum order sizes by volume or dollar amount, additional charges beyond normal delivery areas, or other minimal changes for municipalities. Vendor: please check one of the following boxes in response. I Agree to furnish the commodities or services of this bid/proposal to Wisconsin municipalities with any special conditions noted below. I Do Not Agree to furnish the commodities or services to Wisconsin municipalities. Special Conditions (if applicable): Signature Date (mm/dd/ccyy) Name (Type or Print) Title Company Telephone ( Address (Street) City State ) ZIP + 4 Commodity/Service Request for Bid/Proposal Number Sex Offender Treatment Services in DCC Region 8 Lacrosse and/or Sparta, WI RFB # RLH-5172 This form can be made available in accessible formats upon request to qualified individuals with disabilities. STATE OF WISCONSIN DEPARTMENT OF ADMINISTRATION DIVISION OF ENTERPRISE OPERATIONS DOA-3478 (R06/2013) STATE BUREAU OF PROCUREMENT 101 E. WILSON ST. / P. O. BOX 7867 MADISON, WI 53707-7886 (608) 266-2605 / FAX (608) 267-0600 Bid / Proposal # RLH-5172 Sex Offender Treatment Services in DCC Region 8 Lacrosse and/or Sparta, WI VENDOR REFERENCE FOR VENDOR: Provide information on business reference (name of company/organization/client, address, contact person, telephone number, email address) and appropriate details on the service(s) provided for four (4) or more references with requirements similar to those included in this solicitation document. If vendor is proposing any arrangement involving a third party, the named references should also be involved in a similar arrangement. Company Name Address (include Zip + 4) Contact Person Email Address Description and Dates of Service(s) Provided: Phone No. Company Name Address (include Zip + 4) Contact Person Email Address Description and Dates of Service(s) Provided: Phone No. Company Name Address (include Zip + 4) Contact Person Email Address Description and Dates of Service(s) Provided: Phone No. Company Name Address (include Zip + 4) Contact Person Email Address Description and Dates of Service(s) Provided: Phone No. This document can be made available in accessible formats to qualified individuals with disabilities. * IMPORTANT: References may be contacted to confirm the Bidder’s abilities, qualifications, and experience as stated in the Bidder’s Response. The Department of Corrections may perform due diligence by contacting any applicable business reference, including references within the Department or other state agencies. The Department of Corrections reserves the right to disqualify any Bidder whose references do not support their stated claim of qualifications and experience in their bid response. Exhibit 1 EFFECTIVE DATE WISCONSIN DEPARTMENT OF CORRECTIONS Division of Community Corrections July DOC-1356 (Rev. 05/96) PAGE 1 OF 2001 MANUAL REFERENCE 188.8.131.52.1.1.1 Ne w ORIGINATED BY Administrative Directive 01-10 Replaces 99-15 1.2 SUBJECT: DISSEMINATION X 1 x Revision Denise A. Symdon, Administrator Kerr v. Farrey PRIORITY All Staff X Supervisory Staff Only X Policy / Directive Information Discuss at Staff Meeting Read / Route / Post The purpose of this directive is to ensure the Division of Community Corrections' procedures comply with the decision of the United States 7t' Circuit Court of Appeals in Kerr v. Farrey. 95 F.3d 472 (1996). In that decision, the court ruled that it was a violation of the 1St Amendment of the United States Constitution to order an offender to attend a treatment program with religious components. The court considered Alcoholics Anonymous, for example, to be a program with a religious component since the program refers to a "higher being" and to "God as we understand him." An agent may order an offender to attend a specific secular (non-religious) treatment or support program. An agent may not order an offender to attend a specific program with a religious component. An offender may voluntarily participate in a treatment or support program with a religious component as long as a non-religious program is offered. An agent may write a rule requiring an offender to attend and complete AODA treatment without naming a specific program. An agent may also provide an offender with a list of acceptable programs, as long as both secular and non-secular options are clearly identified. If an offender chooses to participate in a program having a religious component, the agent should document in the Chronological Log that a secular program was offered. ________________________________ Denise A. Symdon Administrator cc - DCC Administrative Directive Group Executive Staff DEPARTMENT OF CORRECTIONS Division of Community Corrections DOC-1336 (Rev. 10/2013) WISCONSIN EXHIBIT 2 REFERRAL FOR SERVICES PART A - REFERRAL FOR SERVICES - Completed by Referring Agent PROGRAM NAME and LOCATION: OFFENDER FEE PER GROUP REFERRAL DATE PROJECTED ELIGIBILITY DATE FOR SERVICES AGENT NAME AGENT AREA NUMBER AGENT TELEPHONE NUMBER (With Area Code) AGENT EMAIL ADDRESS AGENT STREET ADDRESS SID NUMBER OFFENDER NAME (As Shown on Court Order) Last: First: DOC NUMBER MI DOB SEX RACE Male Female OFFENDER TELEPHONE NUMBER (With Area Code): OFFENDER CURRENT ADDRESS MARITAL STATUS: Single, never married OFFENDER STATUS AT TIME OF REFERRAL: Felony Misdemeanor One Year or Less Probation Married Separated Widow/Widower Divorced Probation Parole Extended Supervision 980 Case Habitual Deferred Prosecution Reentry from Jail Reentry from Prison NGI SUPERVISION DISCHARGE DATE Reentry from DAI ATR EDUCATIONAL ACHIEVEMENT: Highest Grade Level Achieved DOES INDIVIDUAL HAVE OUTSTANDING WARRANT OR PENDING CHARGES Yes No - If Yes, Explain: REASON FOR REFERRAL (List Problems, Behaviors Evidenced By Offender and Specific Services Requested) : REFERRAL TYPE (Check All That Apply) ALTERNATIVE TO REVOCATION (ATR) RESPONSE TO VIOLATION (NOT AN ATR) OPERATING WHILE INTOXICATED 2nd /3rd PAROLE/ES CONDITION EARNED RELEASE PROGRAM (ERP) OTHER - Specify: COURT ORDERED CONDITION CHALLENGE INCARCERATION PROGRAM (CIP) COMPAS SUB-SCREENING TOOLS (If Completed ) URICA - University of Rhode Island Change Assessment - STAGE = VASOR - Vermont Assessment of Sex Offender Risk – RISK LEVEL = Static 99 – Risk assessment tool designed to predict risk of sexual recidivism – RISK CATEGORY = OTHER: ACTUAL SUPERVISION LEVEL : COMPAS GENERAL RECIDIVISM SCORE: Results: Low Medium out of 10 High COMPAS VIOLENT RECIDIVISM SCORE: out of 10 DEPARTMENT OF CORRECTIONS Division of Community Corrections DOC-1336 (Rev. 10/2013) WISCONSIN CRIMINOGENIC NEEDS IDENTIFIED IN COMPAS AND/OR CURRENT CASE PLAN [Check all that apply]: “THE TOP FOUR” Anti-Social Cognition (Criminal Thinking Self Report; Cognitive Behavioral; Criminal Opportunity; Social Isolation; Social Environment; Socialization Failure; Social Adjustment Problems) Anti-Social Companions (Criminal Associates and Peers; Cognitive Behavioral; Criminal Opportunity; Social Isolation; Social Adjustment Problems; Socialization Failure; Social Environment) Anti-Social Personality (Criminal personality; Criminal Opportunity, Cognitive Behavioral; Social Isolation; Socialization Failure; Social Adjustment Problems; Anger) Family/Marital (Family Criminality; Criminal Opportunity; Social Environment; Socialization Failure; Social Adjustment Problems) “THE OTHER FOUR” Substance Abuse (Substance Abuse; Social Environment; Social Isolation; Cognitive Behavioral; Leisure and Recreation) Employment/Financial (Vocation/Education; Financial; Criminal Opportunity) Vocational/Educational (Vocation/Education; Financial; Criminal Opportunity) Leisure and/or Recreation (Leisure recreation; social isolation) SERVICES REQUEST (Check All That Apply and Are Pertinent to the Case Plan) Type Abbreviation Type Key Priority (e.g. 1, 2, 3) Type (Based on Risk and Need) Abbreviation Type Key AM Anger Management DV Domestic Violence Programming Antabuse Antabuse Treatment Employ Employment Services AODA AODA (All Types of Tx) HWH Halfway Houses MH Mental Health Services AODA Assess AODA Assessment Only Circles Circles of Support Other: Cog Cognitive Interventions Reentry: CS Community Service RJ Restorative Justice SOT Sex Offender Treatment PRE Pre Treatment Misc Day Tx Services Day Tx Drug Court DC Dual Diagnosis Programming DD TLP Day Report Center DRC VocEd SPECIAL NEEDS (Check All Relevant Categories) Yes No Alcohol Problems Yes (Based on Risk and Need) Transitional Living Program Vocational Programming No History of Violence, attach Description. Drug Problems - Specify: History of Committing Sexual Assaults Health Problems - Specify: Pregnant Mental Health Problems - Specify: Relationship Problems Developmental or Learning Disabilities Financial Management Problems Other - Specify: IS OFFENDER TAKING MEDICATION (A SIGNED DOC-1163A REQUIRED TO RELEASE THIS INFORMATION) Yes Priority (e.g. 1, 2, 3) No - If Yes , List Reason and Type: Prescription Self-Pay Insurance DEPARTMENT OF CORRECTIONS Division of Community Corrections DOC-1336 (Rev. 10/2013) WISCONSIN THIS REFERRAL MUST INCLUDE THE FOLLOWING INFORMATION: Authorization for Use and Disclosure of Protected Health Information (DOC-1163A) Required for information that involves personal health information, medical, mental health, AODA, or other confidential or services. Court Order, Criminal Complaint and Prior Conviction Record Social Information (DOC-179) Violation Report(s), if applicable (DOC-0005) Alternative to Revocation Agreement, if applicable (DOC-250) Information regarding Alcohol, other Drug Problems and Prior Treatment Experience, if applicable. COMPAS Assessment Narrative and Bar Chart Priority 1 High Risk Level AND A MINIMUM of 2 of “The Top Four” Criminogenic Needs Priority 2 Medium Risk Level or Higher AND A MINIMUM of 1 of “The Top Four” Criminogenic Needs Priority 3 Low Risk Level or Higher AND A MINIMUM of 1 of “The Top Four” Criminogenic Needs PART B INTAKE DECISION – Completed by Contracted Provider Agency for Offender Entering, Re-entering or Wait Listed for the Program INSTRUCTIONS: Attach this completed form to your agency’s “Offender Report Form Monthly" (DOC-386, DOC-1088, or DOC-1088A) for each offender who is wait listed or enters your program. These forms must be mailed to the regional Program & Policy Analyst along with the completed DOC-1088. RECOMMENDED PROGRAM NAME/DAY OF WEEK/TIME: START DATE: PROJECTED DISCHARGE DATE RECOMMENDED PROGRAM/DAY OF WEEK/TIME: START DATE: PROJECTED DISCHARGE DATE: RECOMMENDED PROGRAM/DAY OF WEEK/TIME: START DATE: PROJECTED DISCHARGE DATE: INSTRUCTIONS TO VENDOR/LIAISON: Program priority and placement shall be determined by considering an offender’s actual supervision level recommendation score and criminogenic need. OFFENDER ACCEPTANCE / PROGRAM RETURN (Check Appropriate Box, Enter Appropriate Data) (WHEN OFFENDER IS PLACED ON WAIT LIST RETAIN A COPY OF THIS FORM AND RETURN IT WITH APPROPRIATE INFORMATION WHEN OFFENDER IS READY TO START GROUP) Offender Accepted as New Intake Offender Returned to Program Offender Rejected – Specify For What Reason: Offender On Wait List – Specify for What Reason And Include Anticipated Start Date: REASON: Part B completed by (Name): ___________________________________________ Title: ________________________________________________ DEPARTMENT OF CORRECTIONS Division of Community Corrections DOC-1336 (Rev. 10/2013) WISCONSIN Completing a DOC-1336 Referral for Services Part A: Agent/DCC responsible for Completion Program Name and Location: Name of POGS contracted program and location where referral is being sent to. Offender Fee per Group: As determined by the agent of record and/or contract language, specify how much of a client fee per group, week, etc. the offender is responsible to pay and the vendor collect. If unable to pay, please note WAIVED. Referral Date: Enter in the following format XX/XX/XXXX Projected Eligibility Date for Services: Agent Name: SID#: Enter date offender may start programming XX/XX/XXXX Enter LAST NAME, FIRST NAME Enter as determined Agent Area number: Enter 5 digit number -- 12345 Agent Telephone number: (XXX)XXX-XXXX Enter direct telephone line – not office main line. Agent email Address: Example: [email protected] Agent Street Address: Enter full address to include Street, City and Zip Code Offender LAST Name …. First ….. MI: SMITH, JOE K. DOC Number: 000000 DOB: Enter as 00/00/0000 Sex: Check Male or Female Race: Enter Race as reported by offender Offender telephone Number: Enter as (000)000-0000 and note if this is offenders line, family member line or if the line will be disconnected soon. Also include alternate numbers the offender may be contacted at. Offender Current Address: Enter street, city, zip and any additional addresses offender may be contacted at. Marital Status: Check appropriate box. Offender Status at Time of Referral: Check appropriate box Supervision Discharge Date: Enter as 00/00/0000 Educational Achievement: Highest grade completed Outstanding Warrants or Pending Charges: If known, enter Reason for Warrant, Agency that entered warrant, contact information, Warrant/Case Number. Same info for Pending Charges. Reason for Referral: This should be very detailed. List behaviors demonstrated, recent violations, previous treatment attempts, case plan drivers/tasks, offender motivation and/or responsivity issues the vendor may need to address. Referral Type: Check appropriate box(es) Use “Other” box for ES sanction. Include release date. COMPAS Sub-Screening Tools: Check boxes and provide Results for any screening tools completed prior to referral. Actual Supervision Level: Check applicable box based upon COMPAS Results and inclusive of DCC override procedures. Note: Check High for supervision levels such as CIP per policy, ENS, OWI 2,3, INT/SO, etc. DEPARTMENT OF CORRECTIONS Division of Community Corrections DOC-1336 (Rev. 10/2013) WISCONSIN COMPAS General and Violent Recidivism scores: Enter in the following format (_/10) from COMPAS paperwork. Criminogenic Needs: After COMPAS intake is complete and Case Plan has been developed, check boxes of criminogenic needs that are actively being addressed between both the DCC Agent and offender via documented Tasks and Activities. If no case plan exists use professional judgment to best determine needs. The criminogenic needs from the COMPAS assessment will not directly correlate to the “Top 4” and “Other 4” needs as listed in EBP. In fact some needs from COMPAS such as criminal opportunity appear in all of the Top 4. This is an area where agent professional judgment and critical thinking skills are vital. For example an offender is assessed as having a highly probably need in the area of criminal opportunity. The agent then needs to review the Top 4 and Other 4 to determine where criminal opportunity fits in. Is it due to the offenders lack of problem solving or coping skills? Is it due to risky thinking individually or as part of a group? Is it perhaps due to an inability to build positive relationships in the community or with family members? The answers to these questions will directly correlate to a Top 4 or Other 4 need. Services Request: Check all that are pertinent to the DCC case plan and can be provided by the vendor. Special Needs: Check as applicable and provide supporting documentation of each “YES”. Offender Medication: Check as applicable. Agent shall secure a signed DOC-1163 in order to release information about medications to vendor. Include the Following information: Check all documents that are attached to the referral packet. Priority Placement Boxes: Review “Criminogenic Needs” section of the DOC-1336. Consider all checked boxes and determine how many of “The Top Four” are checked or otherwise listed on the current DCC Case Plan and the offenders current supervision level to determine Priority 1,2 or 3. Same as with criminogenic needs in regard to the case plan. PART B: Vendor is Responsible for completion Created 10/25/2013 Exhibit 3 DEPARTMENT OF CORRECTIONS Division of Community Corrections DOC-1088 (Rev. 4/2010) WISCONSIN OFFENDER REPORT – MONTHLY COMMUNITY - BASED PROGRAMS and SERVICES AGENCY NAME TELEPHONE NUMBER REPORTING PERIOD (Month/Year) PURCHASE ORDER NUMBER PROGRAM NAME FEDERAL FUNDING Yes REPORT COMPLETED BY (Signature/Title) I Total Number of Offenders L Other Information J Total Units Provided B6 OWI 3rd B5 OWI 2nd B4 CER B3 PAT B OFFENDER NAME B2 ATR A DOC # REPORT REVIEWED BY DCC Staff (Signature) DATE SIGNED Use this form for all Community-based programs and services except Halfway House, use DOC-386 and Day Treatment, use DOC-1088A. Letters A through F must be completed; all other columns may be required in accordance with the agency’s contract/grant agreement or at the direction of the Contract Administrator. An asterisk notes all columns that require a code. All codes for the completion of this form are listed on the back of the form. B1 DOB INSTRUCTIONS: DATE SIGNED No C AGENT AREA # D ADMISSION DATE E* TYPE OF SERVICE G* STATUS Discharge F SERVICE DATE OR DATES Date K Are Alcohol and Other Drug Abuse Services Provided Under This Contract/Grant Code Yes H OFFENDER FEES COLLECTED THIS MONTH No Exhibit 3 INSTRUCTIONS AND CODES FOR DOC-1088 A Enter Offender DOC Number as given to provider on Part A, "Referral for Service Form" (DOC-1336). B Enter Offender Last Name, First Name and Middle Initial as given to approver agent on Part A, "Referral of Services Form" (DOC-1336). B1 Enter Offender Date of Birth as given by agent on Part A, "Referral of Services Form" (DOC-1336). B2 Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply. B3 Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply. B4 Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply. B5 Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply. B6 Enter Offender Referral Type as given by agent on Part A, "Referral of Services Form" (DOC-1336). Check all that apply. C Enter DOC Agent Area Number as given to provider on Part A, "Referral for Services Form" (DOC-1336). D Enter Admission Date. E Enter Code number which applies. If your agency provided more than one type of service under the contract/grant during the month, use a separate line on the form to report each type of service provided to each offender. (507-30) Group counseling, outpatient (606) Emergency housing (507-10) Outpatient counseling, Individual (607-10) Employment, on-the-job (507-20) Outpatient counseling, family (607-20) Employment - evaluation (603) Intake assessment (607-30) Employment - job placement (604) Evaluation (607-40) Employment - job preparation (605) Sex offender treatment (608) Education F List each separate date on which service was provided. As an example, if service was provided on May 5, 10 and 16, list 5/5, 5/10 and 5/16. Do not list a range of dates such as 5/5 through 5/10. G Enter Status Code for each program participant under the DOC contract or grant. If two codes apply, enter highest code number. Enter date of Status Change for all codes except 01. 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 H Continues in program Completed Service - Significant improvement in most or all areas has occurred and the offender is approaching or has attained full recovery (Good) Completed Service - Improvement in some areas has occurred but the degree of improvement is minimal (Fair) Completed Service - No positive change has occurred (Poor) Referred to another Agency Behavioral Termination - Staff / Program decision to terminate due to breaking internal program rules Withdrew Against Staff Advice Funding / Authorization Expired (service not completed) Program Hold - When offender is temporarily not involved in service. Each program hold incident must be 30 days or less Positive urinalysis screen, positive breathalyzer test or other indication of drugs Absconding Rules Violation - Other than drug / alcohol use or absconding New Offense Hospitalized Death Other (specify in Field L "Other Information" at bottom of form) Enter total amount of offender fees collected this month for each offender. Total amount of fees collected are reflected as a total monthly offender fee reduction on the “Unit Service Monthly Report” (DOC-1026). I Total number of offenders provided direct service this month. J Total units of service provided this month. The total units provided, (for example, number of hours, days or group sessions provided) are dependent upon the payment arrangement with the Department of Corrections. K Are alcohol and drug abuse services provided under this contract/grant? This is necessary to verify confidential status of form. L Use this space to note codes which need to be specified from Field E and Field G. EXHIBIT 4 DEPARTMENT OF CORRECTIONS Division of Community Corrections DOC-1026 (Rev. 2/97) WISCONSIN Wisconsin Statutes Section 301.08 UNIT SERVICE MONTHLY REPORT AGENCY NAME VENDOR ID NUMBER PURCHASE ORDER NUMBER PROGRAM NAME TELEPHONE NUMBER DOC CONTACT SIGNATURE REPORTING PERIOD (Month / Year) As the authorized representative of the above named agency, I request that my agency is reimbursed for units of service provided to eligible Correctional offenders. UNIT OF SERVICE(S) PROVIDED UNIT DESCRIPTION NUMBER OF UNITS COST PER UNIT Less Billing to Other Agencies Less Offender Fees Collected NET REIMBURSABLE TOTAL = I understand that my agency is required to submit a Offender Monthly Report within 30 days after the final day of the month for which this Unit Service Report is due. I certify that the unit of services indicated for claiming State reimbursement are just, true and correct in the amount stated and have not been reimbursed, and represent actual services delivered and reimbursable under the laws, rules and regulation of the Wisconsin Department of Corrections. CONTRACTOR AGENCY CONTACT SIGNATURE DISTRIBUTION: Submit original and 2 copies to Grant/Contract Administrator DATE SIGNED EXHIBIT 5 DEPARTMENT OF CORRECTIONS Division of Adult Institutions Division of Community Corrections DOC-1577 (Rev.7/2010) WISCONSIN SEX OFFENDER ASSESSMENT REPORT Check One: Initial Report REPORT DATE Re-evaluation Report COUNTY OR AGENT # Definitions and Instructions for this form are found in DOC-1577-Instructions OFFENDER NAME (Last, First, MI) DOC NUMBER DATE OF BIRTH MR / PMR / ES DATE DISCHARGE DATE PART I: SEXUAL OFFENDING HISTORY List convictions, with dates of offenses, in chronological order: Details of sexual offenses. Describe for each offense, in the order listed above: (a) sex and DOB or age of victim(s), (b) victim relationship to offender and any specific vulnerability factors, (c) brief description of assault(s) including location, any weapons used, threats and injuries, any sadistic behavior, and any other pertinent history. Offender’s account of offenses (detected and undetected) and amenability for sex offender treatment: PART II: PRIMARY INDICATED TREATMENT LEVEL FACTORS Factor Prior sexual convictions for Category A offenses (do not count most recent offense) Emotional identification with children OR sexual deviance related to sexual offending behavior Any known unrelated victims of sexual assault A B Not assessed or unable to determine C 0 1 2+ No indication of pattern Some indication, degree unclear Clear indications No 1 2+ Any known stranger victims of sexual assault Use or threatened use of a weapon in any sexual offense Any known male victims of sexual assault No 1 2+ No 1 2+ Any victims of sexual assault ages 0-12 Other typically victimless deviant sexual interests (e.g. fetishes, transvestism, other paraphilias) No 1 2+ No indication of pattern Some indication, degree unclear Clear indications No Yes PART III: POTENTIAL MODIFYING FACTORS Factor A Related victim(s) only, and no force involved (Check N/A if any unrelated victims or force) Juvenile sexual offending (charges, convictions, or substantive allegations) (check N/A if no juvenile sexual offending) Factor Prior sexual convictions for Category B offenses (do not count most recent offense) Prior sexual charges (category A or B) not resulting in conviction (do not count most recent offense) C None Reoffending after SOT participation only Reoffending after completed prior SOT 6+ years 3 to 6 years 0 to 3 years 1 victim, 0-4.9 years younger 2+ victims, all within 0-4.9 years younger Any victims 5+ years younger than offender at the time 1 victim, single occasion 1 victim, 2 or more occasions Multiple related victims Juvenile only, no force used Juvenile only, but (1) force used, OR (2) 2+ victims 5+ years younger than offender at the time Juvenile and adult sexual offending Sexual reoffending after previous SOT (Check N/A if no previous SOT) Time in community with no self-admissions of, allegations of, or detected sexual reoffending (Check N/A if 1st offense) Only victim(s) 13-15 years old and no force involved in these offenses (Check N/A if any victims out of this age range, or if force was involved) B PART IV: OTHER HISTORICAL FACTORS A B C 0 1-2 3+ 0 1-2 3+ Any noncontact sex offense convictions No Additional allegations of sexually inappropriate behavior involving victims Sexual offense committed while on supervision for offense of any type None known None known Yes Yes, uncertain credibility Potentially credible allegation(s) only Yes, likely credible Yes (charges or convictions) N/A, not assessed or unable to determine Not assessed or unable to determine EXHIBIT 5 (no new charges) Use of sexually explicit material involving adult subjects None known, or some soft porn, no violent themes Some use, with some violent themes Use or making of sexually explicit material involving child (pre- or early pubescent) subjects None known Some use or making of Use of Internet in offense (apart from sexually explicit materials coded above) None known Other evidence of sexual preoccupation None known Frequent use, collecting behavior, or frequent violent themes Frequent use, making of, or collecting behavior Yes, known use of internet for sexual offending Possible or probable but uncertain Possible or probable but uncertain Yes (describe): ADDITIONAL COMMENTS/DETAILS/OFFENDER INTERVIEW NOTES RECOMMENDATIONS (CHECK ONE BOX ONLY) No SOT Education (SO-1a) Short-term (SO-2) Aftercare (SO-1b) Short-term Special Needs (SO-2) – Lighthouse ATR/Short-term Intensive (SO-3) Short-term Spanish-speaking (SO-2) Long Term / Intensive Residential (SO-4) Long Term / Intensive Residential Special Needs (SO-4)- GOALS Comments/Rationale: Treatment recommendations deferred (Why:) ADDITIONAL CONSIDERATIONS Reading comprehension may be below 6th grade level IQ may be below 80 Hearing impaired Current mental health status code: Other identified program needs: Other/Details: MH-0 Language barrier Unstable psychiatric status (refer) Evidence of serious social skills impairment due to developmental or psychiatric disorder MH-1 Anger Management MH-2A MH-2B Domestic Violence AODA CGIP [THIS SECTION FOR RE-EVALUATIONS DURING CURRENT PERIOD OF INCARCERATION ONLY - ONE BOX MUST BE CHECKED] Different treatment recommendation: previous evaluator consulted and agreement reached regarding new recommendation on (date): Different treatment recommendation: consultation with previous evaluator was not available Different treatment recommendation: change being made by SOAP evaluator as part of a Differing Opinions Resolution Process (DORP) PRINTED or TYPED CLINICIAN’S NAME CLINICIAN’S SIGNATURE DATE PRINTED or TYPED SUPERVISOR’S NAME (if necessary) SUPERVISOR’S SIGNATURE (if necessary) DATE DISTRIBUTION: Original - (Facility) PSU Record, Ch. 980 Program Data/Reports Section / Client File (Community Provider); Copy – DCC Agent; Copy - Facility BOCM Office; Copy - Social Services File, Confidential Envelope Double click on icon below to access instructions for this form (DOC-1577): DOC-1577 INSTRUCTIONS Exhibit 6 DEPARTMENT OF CORRECTIONS Division of Adult Institutions Division of Community Corrections DOC-1423 (Rev. 2/2010) WISCONSIN SEX OFFENDER PROGRAM REPORT REPORT TYPE Initial REPORT DATE Progress OFFENDER NAME (Last, First, MI) FACILITY/AGENCY ENTRY DATE AGENT NUMBER or COUNTY Discharge / Exit DOC NUMBER PROGRAM NAME / PHASE EXIT DATE DATE OF BIRTH PROGRAM TYPE MR / PMR / ES DATE DISCHARGE DATE FACILITATOR NAME(S) PROGRAM HOURS COMPLETED STATUS OF TREATMENT NEEDS SEVERITY OF TREATMENT NEEDS Level I: Denial / Minimization Knowledge of Victim Impact Knowledge of Deviant Cycle Cognitive Distortions Knowledge of Reoffense Prevention Level II: High Medium High Medium COMMENTS (Optional) Low Low / NA Deviant Arousal Anger Control Criminal Thinking Deceptiveness Impulsivity Lack of Appropriate Social Skills Sexual Sadism Sexual Knowledge Own Victimization Lack of Healthy Relationships Negative Peer Influence Mental Health Issues Substance Abuse Other: REOFFENSE RISK INDICATORS (Check all that apply) The presence of any of the items listed below may indicate an increased risk of sexual offense for this specific offender. Negative social influences Job / school problems Frequenting areas visited by children Unstable or absent intimate relationship Angry / resentful mood state Unapproved contact with minors Isolation / rejection from support system Sexual preoccupation / use Unsupervised/unapproved computer use of sex as coping mechanism Increase in impulsive / reckless behavior Use of pornography Decline in problem-solving ability Substance use / abuse Deviant fantasies / sexual interests Other: PROGRAM STATUS / WICS CODES (Check one only) Enrolled/Continuing Completed Completed – Aftercare Recommended Terminated – No Fault: Inappropriate Placement Terminated – Staff: Chemical Use Withdrew COMMENTS/RATIONALE Page 1 of 2 Exhibit 6 PROGRESS OR DISCHARGE SUMMARY (Narrative) DISCHARGE RECOMMENDATIONS (This section required only upon completion, withdrawal, or termination) No further Sex Offender Treatment recommended at this time Continued Sex Offender Treatment or Aftercare recommended (specify location, level, and any special needs): Location: Institution Community Level: SO1a (Education) SO1b (Aftercare) SO2 (Short-term) SO3 (ATR) SO4 (Intensive/Long term) Special needs: Cognitive or severe literacy limitations Spanish-speaking Additional considerations: MH-1 MH-2a MH-2b Other (describe): COMMENTS/RATIONALE REOFFENSE PREVENTION PLAN (DOC-2456 or 2456A) COMPLETED BY OFFENDER AND SENT TO SUPERVISING AGENT PRINTED or TYPED CLINICIAN’S NAME CLINICIAN’S SIGNATURE DATE PRINTED or TYPED SUPERVISOR’S NAME (if necessary) SUPERVISOR’S SIGNATURE (if necessary) DATE DISTRIBUTION: (DAI Facilities) Original - PSU Record, SOT/Ch. 980 Section; Copy – Social Services File Confidential Envelope; (Discharge/Exit Report only) Copy – DCC Case File (DCC) Original – Client File (Community Provider); Copy – DCC Case File Double click on icon below to access instructions for this form (DOC-1423): DOC-1423 INSTRUCTIONS To access the Sex Offender Treatment Reoffense Prevention Plan, double click on icon for the DOC-2456 (SO4 Programs) or DOC-2456A (SO2 Programs): DOC-2456 (SO4 Programs) DOC 1423 DOC-2456A (SO2 Programs) Page 2 of 2 EXHIBIT 7 DEPARTMENT OF CORRECTIONS OFFICE OF THE SECRETARY DOC-1923 (Rev. 5/2012) WISCONSIN Wisconsin Statutes § 48.981, 51.30,146.81-84, 252.15, 938.78 Federal Regulations 42 CFR Part 2 45 CFR Parts 160, 162 and 164 LIMITS OF CONFIDENTIALITY OF HEALTH INFORMATION NOTE: DAI uses WICS ORPT170/DOC-2468 for inmates upon admission to a DAI facility. DAI Psychological Services Units, DJC facilities and DCC may use this form, as appropriate. OFFENDER NAME DOC NUMBER THIS FORM EXPLAINS YOUR CONFIDENTIALITY RIGHTS FOR HEALTH CARE INFORMATION. READ IT CAREFULLY 1. Department of Corrections (DOC) health care providers include physicians, nurses, psychiatrists, psychology staff, dentists, physical therapists, other health professionals, and staff supervised by those providers. 2. Health care providers document every interaction with you in your Health Care Record such as your Medical Chart, Dental Record and Psychological Services Unit Record, and in limited circumstances in your Social Services File and Field Case File. 3. You have a right to limited confidentiality of your health information within the DOC. DOC staff with a job-based “need to know” may have access to health information contained in your Health Care Record, Social Services File, and Field Case File. 4. Health care providers have the right to access your health information to meet your health care needs. 5. Non-health care staff such as wardens/superintendents, members of the Earned Release Review Commission, probation/parole agents, Inmate Complaint Examiners and others involved in processing inmate complaints, social workers, Bureau of Offender Classification and Movement specialists, and security staff may have access to limited health information in order to make decisions related to your custody level, safety, movement and release, and to resolve your complaints. 6. Health care providers must report information to the appropriate DOC authorities if it raises concern about a threat to you, a correctional facility, community corrections operations, and/or public safety. This may include the following: a. Overt/covert threats or harm to yourself or others. b. Reports of any alleged sexual activity between an inmate and any other person. c. Reports of any sexual assault or intimidation between an inmate and any other person. d. Plans to riot or escape and possession of drugs or weapons. e. Suspicious or unexplained deaths (homicides, suicides). f. Unknown past criminal conduct that increases the potential risk to a facility, community corrections operations and/or the pubic, including self-reported acts of homicide, attempted homicide, or 1st/2nd degree sexual assault. 7. DOC shall not permit individuals outside the DOC to access health information about you unless one of the following applies: a. You sign an Authorization for Use and Disclosure of Protected Health Information (DOC-1163A), or equivalent form, authorizing the disclosure. b. A judge issues a valid court order authorizing the DOC to disclose the information. c. A Wisconsin or federal law permits the access without a signed authorization from you. I have read (or had read to me) the above information and have been given the opportunity to ask questions. I understand the limits of confidentiality of my health information explained in this document. OFFENDER SIGNATURE DATE SIGNED WITNESS SIGNATURE (DOC or Contract Agency Staff) DATE SIGNED WITNESS JOB CLASSIFICATION / TITLE DISTRIBUTION: DOC LOCATION or CONTRACT AGENCY NAME/ LOCATION Original (DCC) - Field Case File; Copy (DCC) – Contract Agency File (if applicable); Copy - Offender Original (DJC) - PSU Record, Legal Documents/Consents/Outside Records Section when completed in DJC; Copy - Offender Original (DAI PSU) - PSU Record, Legal Documents/Consents/Outside Records Section; Copy – Offender EXHIBIT 8 DEPARTMENT OF CORRECTIONS Division of Adult Institutions DOC-2507 (Rev. 11/2009) OFFENDER NAME (Last, First, MI) INFORMED CONSENT SEX OFFENDER TREATMENT DOC NUMBER DATE OF BIRTH MR / PMR / ES DATE WISCONSIN DISCHARGE DATE Participation in a sex offender treatment program (SOT) within the Department of Corrections is voluntary. You may withdraw from the SOT program at any time. There may be consequences to withdrawal, including but not limited to the following. Loss of any potential eligibility for early or Presumptive Mandatory Release (PMR). Loss of any potential eligibility for minimum custody classification. There is a potential risk of increases in, or development of, feelings of distress, sadness, guilt, anger, frustration, loneliness, embarrassment, and/or other emotional reactions due to your participation in the program. Usually, these feelings are temporary. If you have severe and ongoing difficulties, you will be referred for psychiatric evaluation and possible treatment. There are also potential risks to treatment that could last longer or be permanent. Examples include (but are not limited to) discovering things about yourself that you do not like, or experiencing changes to important relationships in your life that you may not expect or like. There are potential tangible benefits of participation in the program. That is, in addition to psychological and psychosocial benefits of treatment (such as more positive feelings about oneself, improved selfcontrol, self-awareness, and self-understanding, better behavior toward and understanding of others, improved interpersonal relationships), there may be benefits such as possible earlier release (if not a Truth in Sentencing case) and potential eligibility for minimum custody classification. Completion of a sex offender program: Does not guarantee approval of specific visitors. Does not guarantee permission or approval for contact with any specific individual or class of individuals (for example, children). Does not provide any guarantee of early release. Note: If PMR applies, the offender may be held beyond MR at the discretion of the Parole Board. Does not provide any guarantee of exemption from possible involuntary civil commitment under chapter 980. Treatment records from SOT may be used in Chapter 980 evaluations and proceedings. Does not provide any guarantee of exemption from participation in or referral to sex offender or other types of psychological or alcohol and other drug abuse (AODA) treatment in the community or institution. Within the Department of Corrections, Division of Adult Institutions, treatment alternatives may include pharmacological treatment. However, your SOT Program Need will not be met unless you participate in the programming that is recommended for you. By signing this document, you indicate that you understand all of the above, have asked any questions necessary to clarify your understanding, and that you agree to participate in DOC Sex Offender Treatment. PRINT OFFENDER”S NAME OFFENDER’S SIGNATURE DATE PRINT or TYPE STAFF NAME STAFF SIGNATURE DATE DISTRIBUTION: PSU Record, Legal Documents/Consents/Outside Records Section EXHIBIT 9 WISCONSIN DEPARTMENT OF CORRECTIONS Division of Adult Institutions DOC-2508 (10/2009) SEX OFFENDER TREATMENT CONTRACT OFFENDER NAME (Last, First, MI) DOC NUMBER DATE OF BIRTH MR / PMR / ES DATE DISCHARGE DATE You have been accepted into the following sex offender treatment program: , located at Correctional Institution. The goal of the program is to reduce your likelihood of future sexual offending. Group treatment sessions are scheduled to occur times a week, for hours each session. This schedule may vary from week to week depending on staffing concerns or other issues that come up during the course of the treatment. You are expected to be at every session unless you have an excused absence. Excused absences are typically for illness or court appearances only. Only one of the following should be checked: The program is scheduled to last about months. The total length of the program may be shorter or longer than was originally planned. The program is open-ended. That is, you will be expected to attend the program until the treatment provider discharges you from it. The Sex Offender Treatment will consist of group psychotherapy, lectures, homework assignments, and group discussions and exercises. You may be expected to read materials or watch videos. You may be given standardized tests or assessments. Special procedures may be used, such as audio- or videotaping, polygraph, or penile plethysmograph. Your treatment provider(s) will tell you ahead of time about any special tests or procedures, at which time you may ask any questions you may have. During the treatment program, you will be expected to: Fully disclose all of your sexual offenses whether or not they were detected or adjudicated, and whether or not you understood those actions to be sexual offenses at the time. Participate in detailed discussion of sexual fantasies, urges and behaviors. Disclose (admit to) and discuss your non-sexual criminal offending history (detected and undetected) and other aspects of your personal and social history. You will be given information on when past undetected offenses that you reveal would have to be reported to authorities by your treatment provider. Staff will complete periodic evaluations of your progress. Results of those evaluations will be shared with you. You may occasionally be given individual feedback on other occasions as well. If you have difficulty reading or writing, additional assistance may be available for completion of written assignments. PRINT or TYPE OFFENDER NAME OFFENDER SIGNATURE DATE SIGNED PRINT or TYPE STAFF NAME STAFF SIGNATURE DATE SIGNED PRINT or TYPE SUPERVISOR NAME (if necessary) SUPERVISOR SIGNATURE (if necessary) DATE SIGNED DISTRIBUTION: PSU Record, SOT/Ch. 980 Section EXHIBIT 10 Evidence-Based Correctional Program Checklist The Correctional Program Checklist (CPC) is a tool developed to assess the extent to which correctional treatment programs adhere to the known principles of effective intervention. It is designed to evaluate the integrity of a program, not outcomes. The CPC is based on the results of over 500 program assessments and three large outcome studies. The CPC is divided into two basic areas: Capacity and Content. The Capacity area is designed to measure whether a correctional program has the capability to deliver evidence-based interventions and services for offenders. There are three domains in the capacity area: CAPACITY 1. Quality Assurance • Program monitoring activities • Reassessment of offenders • Evaluation 2. Staff Characteristics • Education of the staff • Experience of the staff • Assessment & training of the staff 3. Leadership & Development • Involvement and qualifications of program director • Implementation and design of the program • Support for the program The Content area has two domains and focuses on the substantive domains of Offender Assessment and Treatment Characteristics, and the extent to which the program meets the principles of risk, need, responsivity, and treatment. CONTENT 4. Offender Assessment • Selection of offenders • Assessment of offenders 5. Treatment Characteristics • Targeting of criminogenic needs • Type of interventions used • How treatment is delivered • Provision of aftercare Information is gathered through structured interviews with selected program staff and program participants and observation of groups and staff. Other sources of information include policy manuals, program curriculum, schedules review of case files, surveys, & other selected program materials There are several advantages to the CPC: 1. All of the indicators included in the CPC have been found to be correlated with reductions in recidivism. 2. The process provides a measure of program integrity and quality; it provides insight into the “black box” of a program, something that an outcome study alone does not provide. 3. The results can be obtained relatively quickly; usually the process takes a day or two and a report is generated within a few weeks. 4. It identifies both the strengths and weaknesses of a program and provides recommendations designed to improve the integrity of the program and to increase effectiveness. Prepared by the WI Department of Corrections Page 1 of 2 Office of Research & Project Management EXHIBIT 10 Evaluation Steps 1. Schedule site visit with program and program evaluators. 2. Day of site visit: Interview program/treatment director Interview staff Interview program participants Review case files Review program manuals and curricula Review assessment instruments Observe treatment group(s) 3. Day after the site visits the evaluation team meets to determine the final scores for the program evaluation. 4. Within one or two weeks after the site visit a draft report detailing evaluation results and recommendations is sent to the program. 5. Program is given 30 days to respond to the draft report in writing, noting any information that is incorrect or that was missed. 6. Evaluation team takes program’s response into consideration, then compiles a final report and sends it to program and anyone else who needs to see it. 7. Within 30 days, the program submits to the Department a “corrective action plan” detailing the steps it will take to address areas needing improvement based on evaluation recommendations. 8. A follow-up evaluation is done within one year if the program scores below the “effective” category, within three years if it scores in the “effective” category, and within five years if it scores in the “highly effective” category. Prepared by the WI Department of Corrections Office of Research & Project Management Page 2 of 2 Exhibit 11 PROGRAM GUIDELINES: Programs using evidence based curriculum for groups and training the staff in the delivery of that curriculum will increase program fidelity. Several factors are noted to be essential to program success as measured by the difference in recidivism between treatment and control groups. The National Institution of Correction’s curriculum Offender Risk Reduction: Evidence Based Practice and Cognitive Behavioral Interventions Standard Operating Procedures (Dec 2001) were used as a reference in the development of these guidelines. Characteristics consistently associated with program efficacy: 1. Sound Conceptual Model. Programs based on a cognitive-behavioral theoretical model were the most beneficial when applied in appropriate dosage according to offender risk and need measurements. 2. Multifaceted Programming. Multifaceted programs, which incorporated a variety of techniques in their intervention strategy, were more beneficial than those correctional programs that relied on a single method. 3. Targeting “criminogenic risk factors.” In successful programs, program targets were factors linked with recidivism such as social cognitions or antisocial attitudes. 4. Responsivity Principle. Program efficacy was dependent on matching styles and modes of service to the learning styles, characteristics and abilities of offenders based upon identified risks and needs. 5. Role Playing/Modeling. In successful programs, correctional worker/agents modeled anti-criminal attitudes and behavior. Modeling and role-playing techniques were used to train offenders in empathy, interpersonal problem solving and social skills, which enabled them to cope pro-socially with adverse or criminogenic environmental experiences. 6. Social Cognitive Skills Training. Including program techniques that could have an impact on the offender’s thinking was of critical importance. Characteristics that make cognitive behavioral programs effective: A. Group/Class Setup 1. The facilitator is present; with the necessary materials adequately organized, and prepared to greet arriving participants several minutes ahead of the scheduled group time. 2. Attendance and tardiness are accurately and efficiently documented. 3. Homework (as required by specific programs) is reviewed, checked, and appropriately reinforced. 4. Each lesson is introduced so participants have an overview of the session. 5. The introduction of each lesson should include reasons why content or process should be valued by the participants and should be tailored to address each participant’s perspective. B. Specific Skill Development 1. The facilitator should define the skill or concept being introduced. 2. The facilitator should explain why the skill or concept is important and how it is related to other material previously covered. 3. The facilitator should present the thinking and actions that make up the specific skill. 4. The facilitator should model the skill correctly. 5. The facilitator should ask questions and make sure all participants understand the specific skill before moving on to a new skill. 6. The facilitator should use examples and scenarios that are simple and easy to follow and directly relevant to the criminogenic (crime-producing behavior) needs of participants. 7. The facilitator should allow participants to practice skills as much as possible and devote a significant portion (at least two-thirds) of a session to practice and exercises. 8. The facilitator should provide feedback to participants with at least 80% being positive and reaffirming. 9. During the summary session, the facilitator should include a review of what the group is learning, why the information is important to participants, and in what specific situations the skills can be used. 10. The facilitator should always follow the lesson plan and assign homework as directed by the curriculum. Exhibit 11 C. Classroom Management 1. The facilitator should start the session precisely on time. 2. The facilitator should identify and address (but not judge) any pro-criminal responses and behaviors (allowing these responses and behaviors to going on without addressing them undermines the intent of the curriculum). 3. The facilitator should maintain a clearly defined set of group participation rules with simple, specific consequences for violation. 4. The facilitator should enforce class rules and boundaries. 5. The facilitator should acknowledge the need for and expect a different level of performance based on the individual skills and abilities of the participants. 6. The facilitator should take the necessary steps (both structural and situational) to insure each participant is involved in each session. 7. The facilitator should use humor appropriately throughout each session. 8. The facilitator should use the necessary equipment and materials (i.e., flipcharts, chalkboards, overheads, TV/VCR, workbook, stapler, paper clips, pens, pencils, and paper) appropriately throughout each session in addition to access to a copy machine in preparation for sessions. 9. The program participants should have a workbook or folder to hold loose workbook pages or additional information, additional paper for note taking, and each participant should be provided with a pen or pencil. D. Participant Involvement 1. Participants should be actively and voluntarily engaged and paying attention throughout each session. 2. Participants should be able to demonstrate their understanding of the content and processes used throughout each session. 3. Participants should provide positive and innovative input to the session. 4. Participants should adequately complete class activities and homework assignments. 5. Participants should demonstrate some understanding of their individual risk factors. E. Documentation and Accountability The facilitator should have a clear and effective system to document the following items: __ Intake interview process (in addition to pre-testing instrument) __ Attendance __ Tardiness __ Homework (as required by specific programs) __ Session participation levels __ Ongoing motivation, skill and participation issues __ Exit interview process (in addition to post-testing instrument). F. Standards 1. The specific cognitive based curriculum must be followed exactly within the guidelines of that individual program. a. There will be no addition or deletion of content materials. b. The program time frame will be adhered to: e.g., number of sessions suggested completing the program, and time frame regarding the specific amount of time to complete each session. If the program suggests twenty-two sessions at 1 1/2 to 2 hours per session, then it shall be delivered in that manner.