Prevention Services Requirements

16.1 ASSESSMENT

The Contractor shall:

16.1.1 Complete and submit to ADHS a written, formal, comprehensive regional Needs Assessment Summary within six (6) months of contract award and six (6) months prior to issuing an RFP for prevention services.

16.1.2 Complete the Needs Assessment according to the format and required components established by ADHS.

16.1.3 Repeat the Needs Assessment at minimum once every three (3) years:

The Contractor shall:

16.1.3.1 Submit to ADHS within thirty (30) days of completion of the assessment, a summary of the findings;

16.1.3.2 Not delegate the Needs Assessment requirement to prevention subcontractors or providers; and

16.1.3.3 Include in the assessment regional data related to substance abuse prevalence, morbidity, mortality and suicide.

16.2 ADMINISTRATIVE CAPACITY

The Contractor shall:

16.2.1 Have representation in all ADHS-facilitated Prevention Administrator meetings.

16.2.2 Assemble prevention administration teams to have at least one (1) staff person or more staff persons based upon the needs within the GSA.

16.2.3 Request ADHS written approval of the appointment or designation of all Contractor prevention staff and personnel prior to hire or assignment to prevention services.

16.3 PREVENTION SERVICES IMPLEMENTATION

The Contractor shall:

16.3.1 Implement prevention programs and services that do not endanger the health, safety, or welfare of persons served.

16.3.2 Provide services that are respectful, in a non-exploitive manner that incorporates the cultural competency requirements in service delivery.

16.3.3 Meet, at a minimum, the following safety requirements:

16.3.3.1 Demonstrate documentary evidence that all staff, contractors, volunteers or other persons delivering prevention services to persons under the age of 18 have applied for or received a Class I fingerprint clearance card before providing prevention services in accordance with ARS § 36-425.03; and

16.3.3.2 Persons denied a Class I fingerprint clearance card shall not provide unsupervised services to youth in prevention programs.

16.3.4 Report to ADHS the following, at a minimum:

16.3.4.1 Contractor shall report any allegation of sexual abuse perpetrated by provider employees or volunteers on a program participant to law enforcement immediately and to ADHS within twenty-four (24) hours;

16.3.4.2 Death of a prevention program participant or staff while involved in prevention activities; and

16.3.4.3 Suicide or attempted suicide of prevention program participants and prevention services staff.

16.3.5 Comply with Provider Manual Section 7.4, Reporting of Incidents, Accidents and Deaths.

16.3.6 Demonstrate documentary evidence that at least one staff member current in First Aid Certification and at least one staff member current in Cardio Pulmonary Resuscitation Certification (CPR) is present at all times on facility premises, on field trips, or while transporting children in a facility's motor vehicle or a vehicle designated to transport children. A staff member with current certification in both first aid and CPR may meet this requirement.

16.3.7 Maintain a current first aid kit accessible to staff members.

16.3.8 Prohibit the use or possession of the following items when a prevention program participant is on facility premises, during hours of operation, or in any motor vehicle when used for transportation of program participants:

16.3.8.1 Any beverage containing alcohol;

16.3.8.2 A controlled substance; and

16.3.8.3 A firearm or other lethal weapon

16.3.9 Demonstrate documentary evidence that the following health and safety inspections take place for any facilities owned, leased, or rented to provide prevention services, according to the following schedules, and make any repairs or corrections stated on an inspection report:

16.3.9.1 Sanitation; every twelve (12) months by a local health department;

16.3.9.2 Gas inspections; every twelve (12) months by a plumber holding a plumbing business license issued by a local government; and

16.3.9.3 Fire inspections; every thirty-six (36) months by a local fire department or the State Fire Marshal.

16.3.10 Require prevention program premises and furnishings to be free from dirt, disease, and odor. Exceptions to requirements for facilities may be made at the discretion of ADHS.

16.4 PREVENTION SERVICES TRANSPORTATION

The Contractor shall:

16.4.1 Have motor vehicle insurance and a current registration with the Arizona Department of Transportation,

16.4.2 Not permit any person to be transported in a truck bed, camper, or trailer attached to a motor vehicle,

16.4.3 Require all vehicle passengers to use age and size appropriate restraint systems,

16.4.4 Carry a first aid kit, fire extinguisher, and water sufficient for the needs of each passenger, and

16.4.5 Carry active, written consent from a parent or guardian for each youth transported.

16.5 PREVENTION SERVICES, SUSPECTED ABUSE OR NEGLECT

The Contractor shall:

16.5.1 Document and immediately report all suspected or alleged cases of child abuse or neglect to Tribal Social Services, Child Protective Services, and Adult Protective Services or to a local law enforcement agency, as applicable.

16.6 PREVENTION SERVICES MONITORING

The Contractor shall:

16.6.1 Conduct at least one visit to one hundred percent (100%) of prevention sites or providers each year, with additional visits as needed.

16.6.2 Complete interview(s) with program staff, observe program activity, and review training and supervision records during site visits.

16.6.3 Participate in site visits by ADHS as requested.

16.6.4 Provide written feedback to each prevention subcontractor noting successes recommendations for improvement.

16.6.5 Monitor and evaluate the totality of prevention programs instead of individual components.

16.7 PREVENTION SERVICES EVALUATION

The Contractor shall:

16.7.1 Use the ADHS/DBHS Arizona Prevention Evaluation Database to enter individual level data for each State Outcome Measure used.

16.7.2 Include in the evaluation an analysis of process and outcome data. All ADHS prevention programs, whether operated by the Contractor or subcontracted provider must be evaluated for outcomes at least once annually. Each program must report at least one outcome unless the Contractor receives written approval from ADHS to not complete an outcome evaluation for a specific program.

16.7.3 Use the State Outcomes Measure instruments below to evaluate programs.

16.7.4 Request and obtain ADHS written approval to require subcontractors to use additional evaluation tools or measures.

State Outcome Measures

Name of Scale

Prevention programs serving the following populations must use this instrument

Adolescent program

evaluation Youth in grade 8 to age 21 Parenting program

evaluation Parents

Coalition survey Coalition Members Older adult program

survey Older adults (55+) Suicide prevention

program evaluation tool

Any gatekeeper training activities

Early Identification and Referral Form

Any person who has been referred to behavioral health treatment assessment or other services

16.7.5 Request written, active, parental consent in accordance with A.R.S. §15-104, to conduct any survey, analysis, or evaluation of students that is administered in a school if it includes questions about substances, suicide, or sexual behavior. Parental consent is not required to participate in the program itself.

16.7.6 Use the ADHS Active Consent template to gain parental consent for youth to participate in an evaluation of school based prevention programs. An alternative consent form may only be used with prior written approval from ADHS.

16.7.7 Submit program evaluations in a format prescribed by ADHS. Required elements of the annual evaluation report will be designated by ADHS each year; The Contractor’s annual report contains three parts, a regional evaluation, workforce evaluation and programmatic evaluations.

16.8 PREVENTION SERVICES SUSTAINABILITY

The Contractor shall:

16.8.1 Support sustainable prevention efforts, by encouraging prevention providers or subcontractors to leverage prevention funds from multiple sources.

16.8.2 Contractor shall not prohibit receipt of funds from multiple grant and contract sources to support the same program or same activities in a community.

16.9 PREVENTION SERVICES PERIODIC REPORTING

The Contractor shall submit:

16.9.1 An Annual Prevention Plan, two (2) months prior to the start of the contract year. The plan shall contain three (3) parts; Part 1: Regional Strategic Plan (1 per GSA) and Part 2: Program Description; Part 3: Program Monitoring Protocol.

16.9.2 An Annual Prevention Report, three (3) months following the end of the contract year. The plan shall contain four (4) parts; Part 1: Regional Evaluation (1per GSA), Part 2: Evaluation of workforce capacity (1 per GSA), Part 3: Program Evaluation (1 per program); Part 4: (16.9.8) Evaluation outcomes and

supplemental information as requested, annually no later than August 1st to ADHS via the ADHS/DBHS prevention evaluation database.

16.9.3 On an ad hoc basis the Needs Assessment Summary, six (6) months prior to issuing an RFP for prevention and six (6) months following contract award, once every three years thereafter.

16.9.4 On an ad hoc basis the description and plan for new prevention programs which commence midyear thirty (30) days prior to program commencement.

16.9.5 Submit to ADHS for review and approval in writing all Contractor solicitations and amendments for prevention services fourteen (14) days before they are released publicly.

16.9.6 Submit to ADHS for review and approval in writing the proposal evaluation and award of contract to provide prevention services, upon request.

16.9.7 Submit allegations of attempted suicide, sexual abuse, and death incident report s within five (5) business days of the incident coming to the RBHA’s attention.