HomeMy WebLinkAboutC13-135 Colorado West, Inc. Grant AgreementGrant Recipient:Colorado West Inc.DBA Colorado West Regional Mental Health Grant Amount:$40,000.00 Grant Period:January 1,2013 —December 31,2013 Whereas,Eagle County works to promote the health,safety,and welfare of Eagle County citizens of all ages;and Whereas,among the services Eagle County provides in order to promote such health,safety,and welfare are grants-in-aid to local organizations whose work assists the County in accomplishment of the goal to create and sustain a safe,healthy,and socially diverse community;and Whereas,Colorado West Regional Mental Health Eagle County (hereinafter referred to as “Grant Recipient”)has agreed to provide services that create and sustain a healthy and socially diverse community in Eagle County;and Whereas,Grant Recipient acknowledges that pursuant to the terms of C.R.S.§24-76.5-10 1,et seq.,Eagle County is prohibited from providing certain public benefits to illegal aliens over the age of eighteen. Now,therefore,in consideration of the foregoing premises and the following promises,Eagle County and Grant Recipient enter into this Agreement for payment of the grant award in the amount of Forty Thousand Dollars ($40,000.00)to Grant Recipient. A.Grant Recipient agrees that funds awarded by Eagle County may be used and expended solely for providing emergency mental health services including crisis intervention and assessment,case management,safety planning,behavior management techniques,immediate referrals for more intensive care and additional services as intended to support the coping with crisis as specified in the 2013 Community Service Grant Application and Grant Application Budget Section.All funds will be expended in the specified grant period. B.In return for the award of the $40,000.00 grant,Grant Recipient agrees to submit a report discussing how the funds were expended,deliverables as outlined in the Grant Application,and how they tie back to creating and sustaining a healthy and socially diverse community.The report will be due no later than December 31,2013 or submitted along with the submission of your application for 2014, whichever is first.In addition,if work under the Grant is performed between submission of an application for 2014 and December 31,2013 a supplemental report can be requested.Grant Recipient agrees to use a modified version of the Colorado Common Grant (CCG)Report format which must be downloaded and printed from the following website:Grants!. GRANT RECIPIENT AGREEMENT BETWEEN EAGLE COUNTY AND GRANT RECIPIENT /12 C.Payment of the Grant Amount will be made in one installment. D.Grant funds under this Grant Agreement are to be used and expended within the Grant Period. Any funds not used or expended during the Grant Period must be returned to Eagle County. F.If,after payment of the Grant Award,Eagle County reasonably determines that payment was improper because the purposes for which the payment was made were misrepresented,or the terms of this Agreement were breached,then upon written notice of such determination and request for reimbursement from Eagle County,Grant Recipient shall forthwith return such payment to Eagle County. F.In the event of litigation in connection with this Agreement,the prevailing party shall be entitled to recover all reasonable costs incurred,including attorney fees,costs,staff time and other claim related expenses. G.Grant Recipient shall comply at all times and in all respects with all applicable federal,state and local laws,resolutions and codes;and specifically,with the requirements of the Civil Rights Act of 1964 and Section 504,Rehabilitation Act of 1973,concerning discrimination on the basis of race,color,sex, age,religion,political beliefs,national origin or handicap. H.Grant Recipient shall not assign any of its rights or duties under this Grant Agreement to a third party without the prior written consent of County.County shall terminate this Grant Agreement in the event of any assignment without its prior written consent,in which case,any unused Grant Funds must be returned to County. I.Grant Recipient agrees that no agent,employee or volunteer of Grant Recipient shall be deemed an agent,employee or volunteer of County. J.Grant Recipient shall maintain,for a minimum of three (3)years,adequate financial and programmatic records for reporting to County on perfonnance of its responsibilities hereunder.Grant Recipient shall be subject to financial audit by federal,state or county auditors or their designees.Grant Recipient authorizes County to perfonn audits or to make inspections during normal business hours,upon 48 hour notice to Grant Recipient for the purpose of evaluating performance under this Grant Agreement. Grant Recipient shall cooperate fully with authorized Health and Human Services representatives in the observation and evaluation of the program and records.Grant Recipient shall have the right to dispute any claims of misuse of funds and seek an amicable resolution with County. K.This Agreement shall be governed by the laws of the State of Colorado.Jurisdiction and venue for any suit,right or cause of action arising under,or in connection with this Agreement shall be exclusive in Eagle County,Colorado. L.This Grant Agreement supersedes all previous communications,negotiations,and/or agreements between the respective parties hereto,either verbal,or written,and the same not expressly contained herein are hereby withdrawn and annulled. M.This Grant Agreement does not,and shall not be deemed or construed to confer upon or grant to any third party or parties any right to claim damages or to bring any suit,action or other proceeding against either Grant Recipient or County because of any breach hereof or because of any of the tenns, covenants,agreements and conditions contained herein. N.Invalidity or unenforceability of any provision of this Grant Agreement shall not affect the other provisions hereof,and this Grant Agreement shall be construed as if such invalid or unenforceable provision was omitted. 0.Grant recipient agrees to the following: (a)Mandatory Reporting.Grant Recipient shall notify Health and Human Services (“HHS”)immediately of all reports of suspected child abuse or neglect involving Grant Recipient,including,but not limited to,employees,volunteers and clients.HHS partners are considered to be mandatory reporters for suspected child abuse and neglect and are to make those reports directly to HHS Children and family Services -(970)328-8840. P.Grant Recipient shall carry workers compensation and such other insurance as is necessary in carrying out its performance under the Grant Agreement. Q.If Grant Recipient (hereinafier “Contractor”for purposes of this Paragraph Q)has any employees or subcontractors,Contractor shall comply with C.R.S.§8-17.5-101,et seq., regarding Illegal Aliens —Public Contracts for Services,and this Contract.By execution of this Contract,Contractor certifies that it does not knowingly employ or contract with an illegal alien who will perform under this Contract and that Contractor will participate in the E-verify Program or other Department of Labor and Employment program (“Department Program”)in order to confirm the eligibility of all employees who are newly hired for employment to perforn-i work under this Contract. (a)Contractor shall not: (i)Knowingly employ or contract with an illegal alien to perform work under this contract for services;or (ii)Enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under the public contract for services. (b)Contractor has confirmed the employment eligibility of all employees who are newly hired for employment to perform work under this Contract through participation in the E-verify Program or Department Program,as administered by the United States Department of Homeland Security. Information on applying for the E-verify program can be found at: http ://www.dhs .gpv/xprevprot/programs/gcl 185221678150.shtrn (c)The Contractor shall not use either the E-verify program or other Department Program procedures to undertake pre-employment screening ofjob applicants while the public contract for services is being performed. (d)If the Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien,the Contractor shall be required to: (i)Notify the subcontractor and the County within three (3)days that the Contractor has actual knowledge that the subcontractor is employing or contracting with an illegal alien;and (ii)Terminate the subcontract with the subcontractor if within three (3)days of receiving the notice required pursuant to subparagraph (i)of paragraph (d)the subcontractor does not stop employing or contracting with the illegal alien;except that the Contractor shall not terminate the contract with the subcontractor if during such three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. (e)The Contractor shall comply with any reasonable request by the Department of Labor and Employment made in the course of an investigation that the department is undertaking pursuant to its authority established in C.R.S.§8-17.5-102(5). (f)If a Contractor violates these prohibitions,the County may terminate the contract for a breach of the contract.If the contract is so terminated specifically for a breach of this provision of this Contract,the Contractor shall be liable for actual and consequential damages to the County as required by law. (g)The County will notify the office of the Colorado Secretary of State if Contractor violates this provision of this Contract and the County terminates the Contract for such breach. R.Grant Recipient shall indemnify County for,and hold and defend the County and its officials,boards,officers,principals and employees harmless from all costs,claims and expenses,including reasonable attorney’s fees,arising from claims of any nature whatsoever made by any person in connection with the negligent acts or omissions of,or presentations by, the Grant Recipient in violation of the terms and conditions of this Grant Agreement. S.The signatories aver that to their knowledge,no employee of the County has any personal or beneficial interest whatsoever in the service or property described in this Grant.The Grantee has no interest and shall not acquire any interest,direct or indirect,that would conflict in any manner or degree with the performance of Grantee’s services and Grantee shall not employ any person having such known interests. T.Grant Recipient certifies that it has read the Agreement,understands each and every term and the requirements set forth herein,and agrees to comply with the same. funds will not be disbursed without a signed Grant Recipient Agreement.Please complete this page and return to the Eagle County Administration Department.%) (r ) /INameSignatureI— C() Title Date (:f_.u/3Lhc 1 Mailing Address City,State,Zip COUNTY OF EAGLE,STATE OF COLORADO By and through the Ea e County Board of Commissioners By _____________________________________ ACKNOWLEDGMENT STATE OF COLORADO ss. COUNTY OF A7s_ The foregoing instrument was acknowledged before me this /3t1 day of ,2Oi’by ,as _________________ (Title)of ___________________________ WITNESS MY HAND AND OFFICIAL SEAL. MY COMMISSION EXPIRES: _____________ /I 2 Notarl’Public JAN18 NORRS NOTARY PUBLIC STATE OF COLORADO NOTARY ID #20f 24020926 MVC Silon EXpireAptiI 10,2016 t I ‘flJ8u M <JTATt j jç,I v%tATQM CokiriclocomrnonGrantApplicatlon SUMMARY SHEET 1?ORM Legal Name of Organization:- Colorado West,Inc. OBA (if applicab]e):Colorado West Regional Mental Health 1 Mailing Address (and Physical Address if it is different and not confidential): 6916 Highway $2,P0 Box 40 Glenwood Springs,CO 81602 Phone:970-945-2241 ]Fax:970-945-5523 uN:84-0625890 -7 Website:[iw.cwrmhc.org : Organization Email Address:[communicationscwrmhcorg Name of CEO or Executive Director:Sharon Raggio I Phone:f_970-384-3032 Email:[sraggio@cwnulic.org Application Contact &TitLe (if not the CEO or Executive Director): Susan Rodget,Program Director —Eagle County Phone:J 970-476-0930 srodgcrcwrmhcorg Organization Information Year Founded:Ij72 1 Mission Statement Geographic Area Served (specific to this proposal): Eagle County,CO I To create access to quality mental health and substaace abuse services,enhaning recovery and resilience within our communities. 2010 Colorado Common t3rnt Application Page 3 of6 Colorado Common Giant Application Ta Exemption Status: x 5Ol(c)(3) Li Using a fiscal agent/fiscal sponsor hh ,Name of fiscal agent/sponsor I 1 I U Other than 501 (c)(3),describe: I _____________________________________________________ ..c .::.‘9:J ::r’:’. Number of Employees:full4irne:ParttIme: _______________ Grant Request Information Type ofGrant Requested (select one):Amount of Request: U Genera]Operating Support )c Program or Project Support nIt•‘j]i] Name of Program or Proje.t jp ,ri i j n1lW Ii E1 Capital Request (Check with the grantmaker as to whether they prefer the CGA-Capital) Li Other I I i Describe what the grant wifi be used for: I J Financial Information Budget numbers houId match the numbers presented tu Attachments ifs)&(b). Orgarnzataon’s Current Budget for Ficca Year Ending _____________ Income:Expenses: ______________________________ AND,if other than a general operating request, Program or Project Budget _______________ Dates from __________ to ‘i J)PI1 Income tih 1II Ii ]t I lb Expenses By signing belo’v I cei’tify that the infonntion contaijied in this application is true and corred to the bcsi of my knowledge.9 November 6,2012 CEO/Executive Director I)ate 2010 Colorado Common Grant AppLication Page 4 of Section III:Narrative 1.Organization Background In 1970,the town of Granby,CO was impacted by four suicides within a short time period.One result of these tragedies was the formation of the community mental health center known today as Colorado West Regional Mental Health (CWRMH).Our doors were opened in 1972, funded by the National Institute for Mental Health (NIMH)for the first eight years until fiscal support for mental health shifted to individual states.Today,we are dependent upon revenue from federal and state contracts,client fees (including a sliding fee scale)and insurance,local government,foundation,and corporate grants,and the generosity of a growing number of donors. We provide mental health,wellness,substance abuse,psychiatric,and crisis/emergency services across ten counties,with outpatient offices in 13 locations and the only psychiatric hospital on the Western Slope.The psychiatric hospital opened in Grand Junction in 2005 in reaction to the closure of psychiatric units at St.Mary’s Hospital in Grand Junction and two other ho5pitals in Montrose and Durango. CWRMH was recently ranked Number 1 in the state for its effectiveness in reducing symptom severity and for successful completion of treatment by the Colorado Department of Human Services Office of Behavioral Health. In Eagle County,CWRMH has provided response to mental health emergencies since 1972. Prior to February 2008,CWRMH had employed full-time clinical staff to cover both Eagle and Summit County emergencies.Both counties were able to share the budget expense for this cost.In 2007,the number of emergency calls doubled in Eagle County,making this shared position no longer feasible.With the assistance of the Eagle County Community Service Grant in 2008,CWRMH was able to employ full-time staff in Eagle County only.This allowed a more timely response to crises,greater knowledge of local resources,and increased satisfaction for all stakeholders. 2.Goals Organizational goals for the current fiscal year include: •Strength created through local partnerships with collaboration and education •Integrity and accountability in all we do •Outcomes-driven •Leadership in physical and behavioral health care integration •Responsible financial stewardship Key goals for FY2013 involve continued alignment with strategic partners and increased community outreach.We are currently testing the effectiveness of integrated health care with the ultimate goal of making behavioral health sustainable in primary care with the potential to reduce the rate of growth in health care expenditures.An example of this initiative in Eagle County is the implementation of a Chronic Pain Management group program at the Shaw Regional Cancer Center.The potential benefits of motivational interviewing are being utilized by training health care providers to spend time asking patients how they want to change their lives.This skill can help to change unhealthy behaviors which lead to poor health outcomes. As health care options change under the proposed Accountable Care Act,our goal is to assure CWRMH’s position as the provider of choice for behavioral health and substance abuse services on the Western Slope of Colorado. 3.Current Programs In addition to providing emergency mental health response,CWRMH in Eagle County offers a full spectrum of outpatient mental health,substance abuse,and psychiatric services. Outpatient Counseling:Outpatient counseling includes individual,couples/marital,family,and group counseling,as well as specialized counseling and play therapy for children.Group therapy offers a cost-effective modality for meeting treatment needs while providing group support.Current active groups are Dialectical Behavior Therapy (DBI)and a new Chronic Pain Management program. Substance Abuse Programs:Our Substance Abuse Program comprises DUI Level I and II Education,DUI Level II Therapy,COPES,Aftercare Group,substance abuse evaluations,and individual and family therapy.The DUI Programs meet court and DMV requirements.The COPES enhanced outpatient program for substance dependence includes eight months of twice-weekly treatment and enables clients to remain at home and continue working while receiving an intensive level of treatment. Psychiatric Services:Psychiatric services are available for adults,adolescents,and children to evaluate medication needs as part of the treatment plan.Our providers include medical doctors and nurse practitioners who routinely collaborate with primary care physicians in order to integrate mental and physical health services.In Eagle County,a full-time Nurse Practitioner and Medical Case Manager are employed,dividing their time between the Vail and Eagle offices. Population and Statistics:In FY12 (7/1/11-6/30/12),1390 unduplicated clients were served in Eagle County.Of this number,153 were clients in crisis with 45 involuntary psychiatric hospital admissions.The number of hospital admissions is increasing,with nearly one admission per week.The most common diagnoses are Mood Disorders (Bipolar,Depression),Alcohol Disorders,and Anxiety Disorders. 4.Program Request This request is for financial support to augment funding for Emergency Services to sustain access to and availability of mental health crisis response in Eagle County,24 hours a day,365 days a year.Activities can include crisis intervention and assessment;case management;safety planning;utilizing community resources;behavior management strategies;immediate referral for more intensive mental health services including outpatient treatment,hospitalization, medication evaluations,or any additional service to promote adequate coping with the crisis. In the United States,suicide is the third leading cause of death.The goal of emergency mental health response is ultimately to save lives.When the risk of harm to self or others is detected in a timely fashion and treatment is implemented,suicide (and homicide)can be preventable. To this end,having access to on-site,prompt,local access to emergency crisis services is imperative to the survival of Eagle County residents.Often escalation of the crisis is prevented and the emergency contact also serves as the first point of contact for many people in treating their mental illness.Mental health emergencies can be lengthy and complex,at times requiring up to eight hours or more of care (if dealing with hospitalization or if beds are not immediately available).A prompt response and a thorough mental status evaluation are necessary in order for law enforcement,hospital staff,and other personnel to return to other job duties. 5.Evaluation Specific to Emergency Services,the clinician utilizes different assessment tools to assist with the evaluation.The Suicide Risk Assessment,a standardized suicide risk measure,assists clinicians in making the best possible treatment decisions,considering the client’s risk factors,protective factors,and modifiable/non-modifiable considerations.The LOCUS (Level of Care Utilization System)provides a tool to guide assessment and to determine level of care placement recommendations,including care environment,clinical service,support services,and crisis resolution and prevention.The GAF (Global Assessment of Functioning)is also utilized to help determine level of care and treatment planning. Upon admission,CWRMH utilizes the BASIS-24 (Behavior and Symptom Identification Scale). This instrument is designed to assess treatment outcomes by measuring symptoms and functional difficulties experienced by respondents.This tool is again administered at one month of service and again at three months of service.The scores are compared to assess change and to follow treatment, 6.Collaboration Law enforcement,Vail Valley Medical Center,and Ambulance District personnel are often the first responders to a mental health crisis.CWRMH works closely with law enforcement, hospital staff,and paramedics to assure that the crisis is dealt with promptly,professionally, and in the least restrictive environment.Emergency Services also involves communication and collaboration with staff members at Eagle County schools,Colorado Mountain College,Avon and Gypsum Urgent Care facilities,physicians and therapists in private practice,Bright Future Foundation,Department of Health and Human Services,the Eagle County Detention Center, and any other organization where a mental health emergency may occur. 7.Volunteers Due to HIPAA regulations designed to protect the privacy of individuals’health-related information,and the level of training/expertise required for an Emergency Services clinician, CWRMH does not use volunteers. 8.Planning CWRMH utilizes a strategic planning model to assess the strengths,weaknesses,opportunities, and threats of the organization and its programs.Current planning efforts are focused on developing increasingly accurate data and improved standardization across all practices within the company. In planning for the provision of emergency mental health services in Eagle County,it will be important to continue to track overall utilization,to explore the apparent increase in involuntary hospital admissions,and to maintain involvement in the prevention and treatment of substance abuse disorders which are closely linked to mental health emergencies.As noted in the Report section,an emerging challenge relates to transportation when clients require psychiatric inpatient treatment in either Grand Junction or Denver and the transportation providers of law enforcement and Ambulance District are unable to do so.This question will involve close collaboration and problem-solving by all stakeholders. Opportunities for mental health crisis response could include a variety of scenarios.The increased utilization of our Telehealth network offers the potential of connecting the Vail Valley Medical Center Emergency Department to the Colorado West Psychiatric Hospital in Grand Junction,increasing the possibility of avoiding costly inpatient admissions and transportation in some cases.Another opportunity closely related to early intervention in mental health emergencies is the facilitation by CWRMH staff of Mental Health First Aid,a rapidly-growing international protocol for training community members in recognizing and responding to mental health situations.