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2020-RSAT-MONR-1-D2-002_6th 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: 6 Nature of Revised Budget Narrative To Subgrantee: Pursuant to your request of 12/28/2020, 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: Date 01/06/2021 Cody Menacof Authorized Official Rona Kay Cradit Administrator The following revised budget is approved: Current New Approved Approved Budget Category Difference Budget Salaries and Benefits $0.00 $0.00 $0.00 Contractual Services $133,334.00 $0.00 $133,334.00 Expenses $0.00 $0.00 $0.00 Operating Capital $0.00 $0.00 $0.00 Indirect Costs $0.00 $0.00 $0.00 Total Project Costs $133,334.00 $0.00 $133,334.00 Prime Match Total Funds New Approved Budget $100,000.00 $33,334.00 $133,334.00 OCJG Adjustment The revised budget narrative is approved. 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 Due to an outbreak, in November(2020), of COVID-19 in the Monroe County Detention Center there was a discontinuation of Group Therapy services. Therefore, we are requesting a budget adjustment to decrease Group Therapy services by 900 quarter hours (.25) of service and increasing Case Management services by 166.05 quarter hours (.25)of service. 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: 12/28/2020 Michelle Coldiron 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 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: Contractual Services: *Assessments 221 quarter hours @ $20.80 = $ 4,597 *Individual Counseling 1,737 quarter hrs.@$16.77 = $29,129 *Group Therapy 10,341.58 quarter hours @ $4.19 = $43,331 *Case Management 2,478.05 quarter hours @ $22.71 = $56,277 Total Contractual Services = $133,334 Total Grant = $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 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: 10,341.58 quarter hours to be paid for by this grant. 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): Total Costs: $43,331.24 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: 2,478.05 quarter hours to be paid for by this grant. Total Cost: $56,276.14 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 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 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): 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: 4/13/21 Question: What is the Operating Capital Outlay threshold used by the subgrantee? Answer: 1000 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 10,341.58 quarter hours @ $4.19 = $43,331.24 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 2,478.05 quarter hours @ $22.71 $56,276.14 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)