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2020-RSAT-MONR-1-D2-002_3rd Adjustment Office of Criminal Justice Grants Florida Department of Law Enforcement 2331 Phillips Road Tallahassee, Florida 32308 Residential Substance Abuse Treatment Subgrantee: Monroe County Board of Commissioners Project Title: MEN'S JAIL IN-HOUSE DRUG ABUSE TREATMENT PROGRAM Grant Number: 2020-RSAT-MONR-1-D2-002 Adjustment Number: 3 Nature of Clear Special Condition To Subgrantee: Pursuant to your request of 11/21/2019, the following change, amendment or adjustment in the above grant project is approved subject to such conditions or limitations as may be set forth below. Retain this Grant Adjustment Notice as part of official project records. Electronically Signed By: Tennille E Robinette Date 11/21/2019 Authorized Official Rona Kay Cradit Administrator OCJG Adjustment Special Condition number S41086 is cleared. NOTE: Retain this grant Adjustment Notice as part of official project records. Application Ref#2019-RSAT-123 Contract#2020-RSAT-MONR-1-D2-002 Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment The contract executed between Monroe County and the treatment provider Guidance Care Center has been submitted to the Office of Criminal Justice Grants per Special Condition number S41086. By electronically submitting this adjustment, I hereby certify that I have reviewed the changes and find them necessary for program activities. I am the signing authority or have been delegated as such by the appropriate official. Information regarding the signing authority is Electronically Signed By: 11/21/2019 Susan Adams Date Authorized Official or Designated Representative Application Ref# 2019-RSAT-123 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Subgrant Recipient Organization Name: Monroe County Board of Commissioners County: Monroe Chief Official Name: Sylvia Murphy Title: Mayor Address: 1100 Simonton Street City: Key West State: FL Zip: 33040-1100 Phone: 305-453-8787 Ext: Fax: 305-453-8789 Email: murphy-sylvia@monroecounty-fl.gov Chief Financial Officer Name: Kevin Madok Title: Clerk of Court Address: Post Office Box 1980 City: Key West State: FL Zip: 33041-1980 Phone: 305-295-3130 Ext: Fax: Email: kmadok@monroe-clerk.com Application Ref#2019-RSAT-123 Section#1 Page 1 of 2 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Implementing Agency Organization Name: Monroe County Board of Commissioners County: Monroe Chief Official Name: Sylvia Murphy Title: Mayor Address: 1100 Simonton Street City: Key West State: FL Zip: 33040-1100 Phone: 305-453-8787 Ext: Fax: 305-453-8789 Email: murphy-sylvia@monroecounty-fl.gov Project Director Name: Janet Gunderson Title: Senior Grants and Finance Analyst Address: 1100 Simonton Street Room 2-213 City: Key West State: FL Zip: 33040-3110 Phone: 305-292-4470 Ext: Fax: 305-292-4515 Email: Gunderson-Janet@monroecounty-fl.gov Application Ref#2019-RSAT-123 Section#1 Page 2 of 2 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment General Project Information Project Title: MEN'S JAIL IN-HOUSE DRUG ABUSE TREATMENT PROGRAM Subgrant Recipient: Monroe County Board of Commissioners Implementing Agency: Monroe County Board of Commissioners Project Start Date: 7/1/2019 End Date: 6/30/2020 Problem Identification Description of the need/issue required to be addressed: South Florida, including Monroe County and the Florida Keys, continues to have the unfortunate distinction of being designated as a high-intensity drug trafficking area and, as such, is a leading illicit drug importation area. This has increased the availability of illicit drugs in Monroe County resulting in drug abuse rates higher than both the state and national averages. The Monroe County Sheriff's Office recorded 3,727 drug-related arrests for males during the six-year period of 2012 through 2017. Approximately 570 males were arrested on drug-related charges in 2012, which grew to 1,100 in 2017 (a 93% increase). In Monroe County, the number of accidental deaths caused by prescription drugs increased 75% in one year(from 12 in 2015 to 21 in 2016) according to the Florida Department of Law Enforcement (FDLE) Medical Examiners Annual Report. Cocaine deaths in Monroe County increased to historically high levels as well and in 2016 and 2017 were among the highest rates of accidental deaths in the state with more than 25 per 100,000 individuals. The FDLE 2017 Medical Examiners Commission Drug Report also indicates a rise in Monroe County from 40 prescription drug-related deaths to 48 deaths (20% increase) from 2016 to 2017. Opioid-related accidental deaths continue to remain a significant problem in Monroe County as well with morphine (9 deaths), oxycodone (9 deaths), hydrocodone (8 deaths), fentanyl (6 deaths), and heroin (4 deaths) accounting for at least 36 deaths. The Monroe County Sheriff's Office, Public Defender, and State Attorney's office have indicated a need for additional diversion and treatment services including programs which will allow the county to decrease the number of days' individuals spend incarcerated. Monroe County has over twice the state average for DUI arrests and, consequently, almost three times the state average for vehicular deaths involving drug use. For drug involved parents, statistics from the Florida Department of Children and Families indicate that 34% of Monroe County foster care placements between October 2017 to September 2017 were as a result of parental substance abuse. Opioid and crack cocaine addiction also continues to ravage the community and lead addicts quickly into the criminal justice system. South Florida, including Monroe County and the Florida Keys, like many areas of the country has seen an influx of opiate related deaths and increase in opiate abuse. The project proposed by the service provider supports Monroe County's strategic plan that addresses an identified priority in reducing criminal recidivism related to substance use. Repercussions/impact if need/issue is not addressed: Research has concluded that conditions are ripe for the opioid epidemic to Application Ref#2019-RSAT-123 Section#2 Page 1 of 5 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment worsen in the coming years and that current efforts to reduce misuse of prescription opioids are unlikely to have a significant effect on the number of opioid overdose deaths in the near future. What's needed, they wrote, is a multipronged approach that includes not only programs that monitor and restrict prescriptions, but one that also improves access to treatment, expands the number of interventions that reduce the harms associated with opioid use, and reduces exposure to illicit opioids. [1] [1] Devitt, Michael, "Research Shows Nation's Opioid Epidemic Is Far from Over, More Comprehensive Approach Is Needed to Reduce Opioid Use, Deaths; For family physicians who grapple with the effects of the opioid epidemic on a daily basis, there's new evidence that things may, unfortunately, get worse before they start to get better", 20 Feb, 2019. American Academy of Family Physicians (AAFP) <https://www.aafp.org/news/health-of-the- public/20190220opioidprojections.htmI> Summary of project accomplishments from pre-existing subgrant (2018-RSAT-MONR-1-U4-004) that have been achieved: Data reported in "Completions" and "Reincarcerations" sections the Quarterly Performance Report from the most recent grant period, January 1, 2018 through December 31, 2018 *Q2. Completions - "How many successful RSAT completions were released in the community during the reporting period?" Jan-18 to Mar-18 = 7; Apr to June = 8; Jul to Sept = 10; Oct to Dec = 14; Total Successful Completions = 39 *Q5. Completions - "During the reporting period, how many successful RSAT completions were released into the community with a continuity of care arrangement, re-entry and/or transitional plan?" Jan-18 to Mar-18 = 7; Apr to June = 8; Jul to Sept = 10; Oct to Dec = 14; Total Successful Completions Released with a Continuity of Care Arrangement = 39 (100%) *Q1. Reincarcerations - "How many successful RSAT completions were released, and subsequently reincarcerated on a new criminal charge during the reporting period?" Jan-18 to Mar-18 = 1; Apr to June = 0; Jul to Sept = 0; Oct to Dec = 3; Total Successful Completions Released then Reincarcerated = 4 (10% of successful completions) In the proposal of 2018-RSAT it was estimated that 8% of the successful completions would be reincarcerated for a new criminal charge; data results from 2018-RSAT indicate a successful outcome of a 10% recidivism rate. Note: The shortfall for the estimated number of successful completions is likely due to the aftermath of Hurricane Irma. In summary, based on new evidence that the opioid epidemic may, unfortunately, get worse before it starts to get better and the belief that what's needed is a multipronged approach that includes not only programs that monitor and restrict prescriptions, but one that also improves access to treatment, expands the number of interventions that reduce the harms associated with opioid use, and reduces exposure to illicit opioids; this program is more important now, than ever. Application Ref#2019-RSAT-123 Section#2 Page 2 of 5 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Thus, an increase in funding for the 2019-RSAT program is requested. Project Summary (Scope of Work) The Jail-In House Drug Treatment Program (JIP) located within the Monroe County Detention Center began in 1992. It remains today as one of the few such programs operated within a county jail in Florida and the only opportunity for some men to receive intensive drug abuse treatment within Monroe County. Moreover, these men are able to get treatment quickly instead of being one of the 66% of substance abusing Florida residents who desire help but are unable to access treatment due to Florida's lengthy waiting list for substance abuse services as reported by the Florida Department of Children and Families. This program has been able to attain and maintain a very low recidivism rate (under 25%)for participants in the last 8 years with the addition of evidence-based practices and special attention to the unique needs of substance abusing men. The program has a very close relationship with county judges, attorneys, and the administration of the Monroe County Detention Center as well as city and county authorities. Men who complete treatment are often granted early release from incarceration to begin rebuilding their lives, thereby saving the county the expense of their continued detainment. Clients are taught coping skills to manage stress, anxiety, triggers to relapse. Groups also coverjob interviewing skills, resume creation, professionalism, budgeting, opening a bank account and household management skills. These skills attained within the context of treatment increases the chances of sustained recovery, healthier family and other personal relationships and safer communities; as they have successfully completed an intensive, comprehensive treatment program. JIP was developed in order to provide substance abuse treatment services to county inmates to lay the foundation for sustained recovery. The majority of clients are court ordered by the Drug Court, Circuit Court and County Court Judges in Monroe County. The rest enter the program as volunteers who have met the criteria for drug/alcohol treatment and will be in the county jail a minimum of 182 days. JIP will serve 70 male inmates. Clients must have a minimum of 6 months' jail time to complete the program, agree to follow all program rules including the absence of disciplinary infractions while incarcerated and complete all program assignments and attend groups 5 days per week. Once clients have been referred to JIP, a biopsychosocial and program orientation is completed to determine treatment needs within 7 days of receiving court order. Additional assessments are conducted including Mental Health Status and the Post Traumatic Check List (PCL-5)which identify suicide risk levels, trauma and impairments in functioning. If a mental health diagnosis is identified as part of the assessment, the client receives a referral for mental health services. These clients continue to participate in the JIP to address the substance use disorder and criminal thinking and behavior. During client treatment, JIP program staff will collaborate with other service providers, since treatment of co-occurring disorders are seen as a vital part of recovery from substance abuse. Admission policies are welcoming to individuals with co-occurring disorders, learning disabilities, illiteracy and other special individualized needs allowing access for all who probably otherwise would not receive services. Client-centered individualized treatment plans, funded by this RSAT program are tailored to the needs of men, are a cornerstone of gender-responsive treatment. Following completion of the comprehensive assessment the JIP counselors and clients collaboratively develop a person- centered Wellness Plan in the first month of service. Application Ref#2019-RSAT-123 Section#2 Page 3 of 5 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment This plan is continuously being developed and then reviewed and updated with the participant every 30 days throughout the course of the program. JIP treatment services are delivered by 3 program staff and a program coordinator. Groups are facilitated 5 days per week. In addition, each program participant is assigned a primary counselor/case manager for monthly individual sessions, to assist with treatment planning, provide comprehensive case management and to monitor progress and discharge planning. Treatment services use several evidence-based practices including Cognitive Behavioral Therapy (CBT) curriculum entitled "Substance Abuse and Criminal Conduct: Strategies for Self- Improvement and Change, Pathways to Responsible Living" authored by Harvey Milkman and Kenneth Wanberg which includes a client workbook for them to keep. Moral Reconation Therapy (MRT), is also used to decrease recidivism among criminal offenders by increasing moral reasoning. Additionally, treatment in the correctional setting incorporates trauma-informed and gender- responsive treatment through the use of the evidenced-based. "Seeking Safety" treatment model to promote the healing and edification of the human spirit. These relational models support the development of healthy relationships with self, significant others, and the community at large in order to reduce the risk of relapse and recidivism. An evidenced-based Relapse Prevention Therapy program will also be incorporated. Clients are required to complete all program service components in 2 phases in a minimum of 6 months. Each phase of treatment includes phase specific"dorm-work" assignments that are reviewed and graded by program staff. Clients are only allowed to phase up to level 2 and successfully graduate the program once all assignments are completed and presented to staff and peers. Clients are required to submit daily homework assignments, attend groups and maintain their behavior in the dorm and groups. When clients move from one phase to the next is not pre- determined and the timeline is individualized based on progress. To ensure the program achieves its intended outcomes and community impact, outcome data is collected from the electronic health record so the program can monitor deliverables; assess where it needs improvements; and make timely adjustments to address the desired outcomes more effectively and efficiently. JIP staff submit monthly status report to Jail Program Director. Program coordinator submits quarterly and annual reports to the County grant administrators. Treatment in the program is a minimum of 6-months and a maximum of one year. Successful program completion rate will be 80% or higher. Recidivism will be collected and monitored post- discharge using the county arrest data system. JIP staff plan for the client's discharge. Aftercare services are encouraged as a part of re-entry planning and last up to 6-months once the client is released. Aftercare includes both mental health and substance abuse needs. Clients are given appointments with a psychiatrist as part of aftercare and assigned a case worker to help them with appointments, treatment adherence, accessing of community services and medication assistance. If MAT (Medication Assisted Treatment) is needed it will be added to discharge planning to occur post release. Corrections staff conduct random drug testing of program participants with tests provided by the contracted services. If a client tests positive for drugs, there is disciplinary action resulting in 30 days in lock down and a return to court for judicial Application Ref#2019-RSAT-123 Section#2 Page 4 of 5 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment review of the case. Tests used are the Reditest icup which is a 10 panel dip sticks testing for amphetamine, benzodiazepines, cocaine, opiates, synthetic opiates, THC, PCP, barbiturates, and MDMA. The JIP program has been evaluated and accredited by the Council on Accreditation for Rehabilitation Facilities (CARF) over the past 9 years. JIP met the highest CARF standards and received recognition for its positive relationships between correctional staff and program staff. Application Ref#2019-RSAT-123 Section#2 Page 5 of 5 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment General Performance Info: Performance Reporting Frequency: Quarterly Prime Purpose Area: 0001 - Residential Substance Abuse Treatment State Purpose Area: 0001 - Residential Substance Abuse Treatment Activity Description Activity: Other Drug Treatment Target Group: Adult Males Geographic Area: State of Florida Location Type: Jail Objectives and Measures Objective: 1 -The subrecipient must complete the Performance Measures Worksheet and submit to the Office of Criminal Justice Grants (OCJG)on April 30, July 30, August 30, and January 30. Measure: 3 The subrecipient must complete the Performance Measures Worksheet and submit to the Office of Criminal Justice Grants (OCJG) no later than April 15, July 15, October 15 and January 15. Goal: Yes Objective: PSO-01 - Continuance of the success, reflected by a low recidivism rate, of the Men's Jail In-house Drug Abuse Treatment Program, a multi-pronged approach to substance abuse treatment that includes: Psychosocial Assessment, Individual Counseling, Group Therapy and Case Management, including Aftercare Planning; thus providing substance abusing men the tools for a sustained recovery, healthier family and safer communities. Application Ref#2019-RSAT-123 Section#3 Page 1 of 2 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Section Questions: Question: How many beds/slots will receive RSAT services? Answer: 70 Question: What is the total population of the facility in which the RSAT program is located. Answer: 596 Question: Provide the physical address(es)for the facility in which the RSAT program is located. Answer: Monroe County Detention Center 5525 College Road Key West, FL 33040 Question: How many participants are anticipated to complete the RSAT program within the subgrant period? Answer: 65 Question: How many participants are anticipated to enter the RSAT program within the subgrant period? Answer: 70 Application Ref#2019-RSAT-123 Section#3 Page 2 of 2 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment General Financial Info: Note: All financial remittances will be sent the Chief Financial Officer of the Subgrantee Organization. Financial Reporting Frequency for this Subgrant: Quarterly Is the subgrantee a state agency?: No FLAIR/Vendor Number: 596000749 Budget: Budget Category Prime Match Total Salaries and Benefits $0.00 $0.00 $0.00 Contractual Services $100,000.00 $33,334.00 $133,334.00 Expenses $0.00 $0.00 $0.00 Operating Capital $0.00 $0.00 $0.00 Outlay Indirect Costs $0.00 $0.00 $0.00 --Totals -- $100,000.00 $33,334.00 $133,334.00 Percentage 74.9996 25.0003 100.0 Project Generated Income: Will the project earn project generated income (PGI)? No Application Ref#2019-RSAT-123 Section#4 Page 1 of 6 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Budget Narrative: Budget Detail: Salaries and Benefits $0 Contractual Services: *Assessments 221 quarter hours @ $20.80 = $ 4,597 *Individual Counseling 1,737 quarter hrs.@$16.77 = $29,129 *Group Therapy 11,241.58 quarter hours @ $4.19 = $47,102 *Case Management 2,312 quarter hours @ $22.71 = $52,506 Total Contractual Services $133,334 Expenses $0 Operating Capital Outlay $0 Indirect Costs $0 Total Budget $133,334 Budget Narrative: The budget reflects costs directly associated with the provision of substance abuse treatment, mental health and educational services to inmates in the Monroe County Detention Center. The unit cost rates were derived by using the hourly rates from the FY 2019-20 State funding contract for Substance Abuse and Mental Health (SAMH) services and dividing by 4 to arrive at the quarter hour(.25) rates. A contract with the service/treatment provider will be developed to be utilized during the established grant period. The contract period with the service provider will be within the subgrant period. The contract with the service provider will be provided to FDLE upon execution of the agreement. Psychosocial Assessment: Monroe County through a contracted service/treatment provider will interview all program participants for the purposes of data collection of educational, employment, criminal, medical, family, substance abuse and mental health histories to assist in the determination of the inmates' appropriateness for the program and to update treatment plans. Unit of Service: Client direct service quarter hour(.25) Unit Rate per qtr. hr.: $20.80 Units Requested: 221 quarter hours to be paid for by this grant. Total Cost: $4,596.80 Individual Counseling: Monroe County through its contracted service/treatment provider will provide one-on-one counseling to all program participants to review progress and develop treatment plans and work on treatment plan goals and objectives. Unit of Service: Client direct service quarter hour(.25) Unit Rate per qtr. hr.:$16.77 Units Requested: 1,737 quarter hours to be paid for by this grant. Total Cost: $29,129.49 Group Therapy: Monroe County through its contracted service/treatment provider will provide group therapy to all program participants weekly. Group counseling among program participants will be conducted to include the introduction of"Self-help Application Ref#2019-RSAT-123 Section#4 Page 2 of 6 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Budget Narrative (Continued): groups" and their attendance to establish an ongoing support network. Unit of Service: Client direct service quarter hour(.25) Unit Rate per qtr. hr.: $4.19 Units Requested: 11,241.58 quarter hours to be paid for by this grant. Total Costs: $47,102.22 Case Management: Monroe County through its contracted service/treatment provider will provide the coordination of adjunctive services, discharge and aftercare planning, communication with collateral contacts, linkage with other treatment resources to all program participants. Unit of Service: Client direct service quarter hour(.25) Unit Rate per qtr. hr.: $22.71 Units Requested: 2,312 quarter hours to be paid for by this grant. Total Cost: $52,505.52 TOTAL PROGRAM COST $133,334.00 (rounded) Monthly invoices will be provided to Monroe County by the service/treatment provider detailing services performed during the period for which they seek payment. These are reviewed by Monroe County staff prior to approval of payment. Basis for Unit Cost: Each service is based on the cost centers cited in the Florida Department of State Administrative Code (FAC); Department of Children and Families; Division of Mental Health, Chapter: Community Substance Abuse and Mental Health Services; Financial Rule No. 65E-14.021 (Unit Cost Method of Payment). Financial Rule 65E-14.021, Schedule of Covered Services was updated on 4/27/2016. https://www.firuies.org/gateway/RuieNo.asp?title=COMMUNITY%20SUBSTANCE%20ABUSE%20 AND%20MENTAL%20HEALTH%20SERVICES%20-%20FINANCIAL%20RULES&ID=65E-14.021 Psychosocial Assessment Description -This Covered Service includes the systematic collection and integrated review of individual-specific data, such as examinations and evaluations. This data is gathered, analyzed, monitored and documented to develop the person's individualized plan of treatment and to monitor recovery. Psychosocial assessment specifically includes efforts to identify the person's key medical and psychological needs, competency to consent to treatment, history of mental illness or substance use and indicators of co-occurring conditions, as well as clinically significant neurological deficits, traumatic brain injury, organicity, physical disability, developmental disability, need for assistive devices, and physical or sexual abuse or trauma. Unit of Measure: Direct Staff Hour Treatment Provider Contract: $83.18 Subgrant Application: $20.80 per quarter(.25) hour Individual Counseling Description - Outpatient services provide a therapeutic environment, which is designed to improve the functioning or prevent further deterioration of persons with mental health and/or substance abuse problems. These services are usually provided Application Ref#2019-RSAT-123 Section#4 Page 3 of 6 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Budget Narrative (Continued): on a regularly scheduled basis by appointment, with arrangements made for non-scheduled visits during times of increased stress or crisis. Outpatient services may be provided to an individual or in a group setting. The group size limitations applicable to the Medicaid program shall apply to all Outpatient services provided by a SAMH-Funded Entity. This covered service shall include clinical supervision provided to a service provider's personnel by a professional qualified by degree, licensure, certification, or specialized training in the implementation of this service. Unit of Measure: Direct Staff Hour Treatment Provider Contract: $67.09 Subgrant Application: $16.77 per quarter(.25) hour Group Therapy Description - Outpatient services provide a therapeutic environment, which is designed to improve the functioning or prevent further deterioration of persons with mental health and/or substance abuse problems. These services are usually provided on a regularly scheduled basis by appointment, with arrangements made for non-scheduled visits during times of increased stress or crisis. Outpatient services may be provided to an individual or in a group setting. The group size limitations applicable to the Medicaid program shall apply to all Outpatient services provided by a SAMH-Funded Entity. This covered service shall include clinical supervision provided to a service provider's personnel by a professional qualified by degree, licensure, certification, or specialized training in the implementation of this service. Unit of Measure: Direct Staff Hour Treatment Provider Contract: $16.77 Subgrant Application: $4.19 per quarter(.25) hour Case Management Description - Case management services consist of activities that identify the recipient's needs, plan services including aftercare, link the service system with the person, coordinate the various system components, monitor service delivery, and evaluate the effect of the services received. This covered service shall include clinical supervision provided to a service provider's personnel by a professional qualified by degree, licensure, certification, or specialized training in the implementation of this service. Unit of Measure: Direct Staff Hour Treatment Provider Contract: $90.84 Subgrant Application: $22.71 per quarter(.25) hour Application Ref#2019-RSAT-123 Section#4 Page 4 of 6 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment Section Questions: Question: What percentage of the total cost of this project is being funded by sources other than this award? Answer: 25 Question: What is the expiration date of the current SAM.gov registration? Answer: 10/08/2019 Question: What is the Operating Capital Outlay threshold used by the subgrantee? Answer: 0 Question: Does the subgrantee receive a single grant in the amount of$750,000 or more from the U.S. Department of Justice? Answer: No Question: If the budget contains salaries and benefits, will this project result in a net personnel increase, or continue to fund a prior federally grant funded net personnel increase? Answer: No Question: If indirect cost is included, has the subrecipient included its approved Indirect Cost Plan with the application? Answer: No Question: If contractual services in the budget are based on unit costs provide a definition for each cost and the methodology or basis for the unit cost. Answer: Basis for Unit Cost: Each contractual service is based on the cost centers cited in the Florida Department of State Administrative Code (FAC); Department of Children and Families; Division of Mental Health, Chapter: Community Substance Abuse and Mental Health Services; Financial Rule No. 65E-14.021 (Unit Cost Method of Payment). Financial Rule 65E-14.021, Schedule of Covered Services was updated on 4/27/2016. https://www.firuies.org/gateway/RuieNo.asp?title=COMMUNITY%20SUBSTANCE%2 OABUSE%20AND%20MENTAL%20HEALTH%20SERVICES%20- %20FINANCIAL%20RULES&ID=65E-14.021 *Psychosocial Assessments 221 quarter hours @ $20.80 = $4,597 Definition of Psychosocial Assessment: An interview will be conducted all program participants for the purposes of data collection for educational, employment, criminal, medical, family, substance abuse and mental health histories to assist in determination of the inmates' appropriateness for the program and to update treatment plans. *Individual Counseling 1,737 quarter hours @ $16.77= $29,129 Definition of Individual Counseling: The provision of one-on-one counseling for all program participants to review progress and develop treatment plans and work on treatment plan goals and objectives. *Group Therapy 11,241.58 quarter hours @ $4.19 = $47,102 Definition of Group Therapy: Provision of group counseling for all program participants to include the introduction of"Self-help groups" and Application Ref#2019-RSAT-123 Section#4 Page 5 of 6 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005) Application for Funding Assistance Florida Department of Law Enforcement Residential Substance Abuse Treatment their attendance to establish an ongoing support network. *Case Management 2,312 quarter hours @ $22.71 $52,506 Definition of Case Management: The coordination of adjunctive services, discharge and aftercare planning, communication with collateral contacts, linkage with other treatment resources. Total Contractual Services = $133,334 Application Ref#2019-RSAT-123 Section#4 Page 6 of 6 Contract# 2020-RSAT-MONR-1-D2-002 OCJG-005(rev.April 2005)