2020-RSAT-MONR-1-D2-002_2nd Adjustment 10/24/2019 Kevin Madok, cPA
•' �' Clerk of the Circuit Court&Comptroller—Monroe County, Florida
DATE: July 22, 2020
TO: Janet Gunderson Herbener
Senior Grant& Finance Analyst
FROM: Pamela G. Hanco*-C.
SUBJECT: ,July 15'BOCC Meeting
Attaclied is an electronic copy of the following item for your handling:
C22 2'Amendment to Agreement with Guidance/Care Center to extend dic project
period to December 31, 2020 (six-months) for the Residential Substance Abuse Treatment
Program.
Sbould you liave any questions please feel free to contact me at (305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PKIROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
AMENDMENT 2 TO THE RESIDENTIAL SUBSTANCE ABUSE
TREATMENT (RSAT) FUNDS AGREEMENT
THIS AMENDMENT is made and entered into this 15th day of July 2020, between the
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA,hereinafter referred to as
"COUNTY,"and Guidance/Care Center, Inc.,hereinafter referred to as"AGENCY".
WHEREAS, the Florida Department of Law Enforcement has awarded a sub-grant of
Residential Substance Abuse Treatment Funds to the COUNTY to implement a program that
provides residential substance abuse treatment services to offenders held in local correctional
facilities who have at least six months and no more than twelve months of their sentence left to
serve; and
WHEREAS,the COUNTY is in need of an implementing agency to provide said services
under this Program; and
WHEREAS,the AGENCY is the sole provider of this program; and
WHEREAS,the COUNTY has agreed to disburse the Residential Substance Abuse
Treatment funds to the AGENCY in accordance with the COUNTY'S application for the Residential
Substance Abuse Treatment Funds;and
WHEREAS, the COUNTY and AGENCY entered into an Agreement ("Agreement") on
October 16, 2019 for the AGENCY to implement said services under the program; and
WHEREAS, due to the outbreak of the COVID-19 pandemic in the U.S., Executive Ordered
guidelines for social distancing were established by State and Local officials in order to help
contain the spread of the COVID-19 virus,thus, slowing the progress of the RSAT Program;and
WHEREAS, the Florida Department of Law Enforcement has approved the COUNTY'S
request to adjust the project period and has implemented the need for the COUNTY to meet the
special requirements;
NOW THEREFORE IN CONSIDERATION of the mutual promises and covenants contained
herein,it is agreed as follows:
1. Section 1 TERM, Paragraph 1 of the Agreement shall be amended to reflect the new term
of Agreement from July 1, 2019 through December 31, 2020.
2. In all other respects the Agreement dated October 16, 2019 remains in full force and
effect.
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
I
In WITNESS WHEREOF each party hereto has caused this contract to be executed by its duly
authorized representative.
(SEAL)
BOARD OF COUNTY COMMISSIONERS
ATTEST: KEVIN MADOK,CLERK OF MONROE COUNTY, FLORIDA
By By
As Deputy Clerk Mayor/Chairman
MONROE COUNTY ATTORNEY
/fir
[ ",SLrPPR¢YEll AS TO u"
CHRISTME LWSERT-BARROW S
"DAi��Z/14/2a" Guidance/Care Center. Inc. a Florida
501(c)(3) not-far-profit corporation
{Federal ID No. ��gs$324 }
Witness
BY
Witness Executive Director
Guidance/Care Center, Inc.,a Florida
So1(c)(3)not for-profit corporation
TO BE COMPLETED BY NOTARY(in accordance with State notary requirements)
State of H o d6L
Countyof ISKIf` _
rra o
The foregoing instrument was acknowledged before me,by means of�gphysical presence of donliZ Fri
na�
notarization,this eay of��L[month],�D_[year],by ( ma of offci"ter o
agent,title of officer or agent)o (name of entity). G
r Personally Known
Produced Identification: Type of ID and Number on ID
[SEAL]
NaueY PutRc s ��"` Signa ❑f Nota
ih, Maryanne L Jnhnaon
luly Cornrsu�slpn GG 575345
aR Fleprreaq�Is5M2x
Name of Notary(Typed,stamped or Printed)
Notary Public,State of
2
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: 2
Nature of Add Special Conditions
To Subgrantee:
Pursuant to your request of 10/18/2019, 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:
Date
10/24/2019 Rona Kay Cradit
Authorized Official
Rona Kay Cradit
Administrator
OCJG Adjustment
Special conditions S41086, S41087, and S41088 are added to this agreement.
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
Addition of special condition S41086, S41087, and S41088 relating to the management of contractual
services with a tiered subrecipient.
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:
10/18/2019 Tennille E Robinette
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)