Boulder County’s
                    PURSUANT TO HOUSE BILL 04-1451
                                 IMPACT Partnership
                                      FY 2010

This Agreement is made by and between the BOULDER COUNTY, DEPARTMENT OF
HOUSING & HUMAN SERVICES (Social Services), located at 3400 Broadway,
(Probation), located at 1777 – 6th Street, Boulder, CO 80302; the BOULDER COUNTY
PUBLIC HEALTH DEPARTMENT (Health and MSO), located at 3450 Broadway,
Boulder, CO 80304; the BOULDER VALLEY SCHOOL DISTRICT, located at 6500
Arapahoe Avenue, Boulder, CO 80303; The MENTAL HEALTH CENTER SERVING
BOULDER & BROOMFIELD COUNTIES (Mental Health), a non-profit corporation
whose principal place of business is located at 1333 Iris Avenue, Boulder, CO 80304;
Street #100, Westminster, CO 80031; BOULDER COUNTY COMMUNITY JUSTICE
SERVICES, located at 1777 – 6th Street, Boulder, CO 80302; the 20th JUDICIAL
DISTRICT ATTORNEY’S OFFICE, located at 1777 – 6th Street, Boulder, CO 80302;
and the DIVISION OF YOUTH CORRECTIONS, located at 4255 South Knox Court,
835 North St., Boulder, CO 80304. Each signatory to this agreement is referred to as a
“Party”, and collectively as “Parties.”

WHEREAS, the Colorado General Assembly has determined that a collaborative
approach to the delivery of services to children and families may lead to the provision of
more appropriate and effective delivery of services; and

WHEREAS, the Colorado General Assembly has determined that such collaboration
may ultimately allow the agencies providing treatment and services to provide
appropriate services to children and families within existing consolidated resources; and

WHEREAS, the Colorado General Assembly has determined that it is in the best
interests of the State of Colorado to establish a collaborative management of multi-
agency services provided to children and families; and

WHEREAS, Colorado revised statutes, Section 24-1.9-101, et. seq. authorizes the
county department of social services to enter memorandums of understanding with
specific agencies for the purpose of promoting a collaborative system of local-level
interagency oversight groups and individualized service and support teams to
coordinate and manage the provision of services to children and families who would
benefit from integrated multi-agency services; and

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WHEREAS, the undersigned desire to enter into an agreement for the collaboration of
services to families and children who would benefit from integrated multi-agency
services; and

WHEREAS, the undersigned agencies include all of the agencies required by statute;

NOW THEREFORE, in consideration of the premises and mutual promises and
covenants herein contained, the Parties agree as follows:

The Agreement. This Memorandum of Understanding (“MOU” or “Agreement”) is
contained in this writing, which consists of 19 pages and 3 attachments.

Term of the Agreement. This MOU shall be effective beginning 7/1/08 and shall expire

I.    Renewal of MOU

      The Parties may renew this MOU annually subject to mutual agreement. Each
      Party reserves the right to elect not to renew the MOU after expiration of the
      current term. If any Party intends not to renew the MOU, it should give notice of
      such intent at least thirty (30) days prior to expiration of the Agreement.

II.   Population to be Served

      The Boulder County IMPACT partnership serves children, youth and families who
      reside in Boulder County and who would benefit from integrated multi-agency
      services. Our initiative focuses on children and families with complex needs who
      are involved with multiple systems or agencies.        Children or youth and their
      families who are at risk of out of home placement, children and youth who are
      placed in out of home care, psychiatric hospitalization or detention/commitment to
      DYC are a target population. Also included are children, youth and families who
      are receiving high level community services designed to prevent out of home
      placements, hospitalizations and detention/commitment. It is expected that
      through these initiatives, approximately 1700 children and youth will be served.

      Definition of IMPACT: Throughout this MOU there will be references to the
      IMPACT Team and the IMPACT partnership. The IMPACT Team refers to the
      staff team and services directly supervised by the IMPACT Director. The IMPACT
      partnership refers to the broader initiative undertaken by the partner agencies.
      These services, staff and efforts will be supervised by the partner agency under
      which the service is described although daily guidance will be provided by IMPACT
      Team members who report to the IMPACT Director.

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III.   Services and Funding Sources

       A. Social Services

          The focus of this initiative for the Boulder County Department of Social Services
          (DSS) includes all high level out of home placements and all programs and
          services that prevent those placements for all children and youth 0-18 years of
          age who are served by BCDSS. This includes the following:

          Services directly managed by the IMPACT Team:

             All PRTF, TRCCF, RCCF and CPA out of home placements
             Adolescents in Foster and Kinship Care
             Casework for juveniles who have committed sex offenses (Project REACH)
             Community Evaluation Team (CET)

          Services that are co-managed by IMPACT Team & DSS
           Financial Resources Team (FRT)
           Case Services and SEA

          Services that DSS manages & contributes to the initiative:
           Under 12 y.o. Foster Care, Kinship and Adoptions
           CHRP Placements
           Sex Abuse Team
           IFT and Life Skills
           Day Treatment
           Substance Abuse Treatment
           Day Care
           Family Preservation
           Core Expansion Grant
           Chaffee Program
           Specialized Adoption Services


          BCDSS provides 4.0 full-time caseworkers and 5.34 contract staff as members
          of the IMPACT Team.

          See attached spreadsheet #1 – “BCDSS Expenses…..” for more detail.

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     In-Kind Contributions

     Offices for IMPACT Team: administrative and support staff, Placement
     Intervention Specialist Team, Project REACH clinicians and caseworkers, DYC
     team, Adolescent Foster Care team, and CET staff.

     Phone and computer support for all of the above.

     BCDSS also provides 16.60 FTE s to provide programming listed above.

     Funding Sources

     Funding for these programs and services includes portions of Social Services’s
     Child Welfare Block, CORE Services and County Administrative block grants,
     and portions of the County appropriation and HHS/1A Fund.
     $11, 820,712.00

B.     Probation
     The goal of this initiative for the 20th Judicial District’s Probation Department is
     to provide supervision to Court ordered youth in the community, and to
     minimize the use of detention and commitment to DYC, while maintaining
     community safety. The population targeted includes:
             Youth at imminent risk of placement out of the home
             Youth at risk of detention or commitment to DYC
             Juveniles involved in JISP
             Juveniles who have committed sex offenses
             Juveniles who are abusing substances and are engaged in treatment
              through ITOP or ISIS

     The Probation Department, upon order of the Court, interviews youth and
     parent(s), completes risk and need assessments; and collect and review
     school, treatment, placement, police, court, substance use, victim impact and
     other pertinent records to determine appropriate recommendations regarding
     disposition and provides a comprehensive written Pre-Sentence Report to the

     If ordered by the Court, Probation provides supervision to juvenile offenders in
     community-based programs that are tailored to the specific risks and needs of
     each case. Probation conditions are tailored to the specific needs/risk of the
     juvenile. Juveniles may be required to meet with his/her supervision officer on a
     weekly basis. On a case-by-case basis, additional requirements may be to
     submit to substance abuse testing, participate in mental health therapy, anger
     management, Integrated Substance Abuse Intensive Supervision (ISIS),

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Intensive Teen Out-Patient Program (ITOP), or other conditions. Juveniles
must also comply with any additional requirements imposed by the Court.
Interventions utilized to ensure client’s success include the use of Intermediate
Sanctions. These interventions/sanctions range from the use of verbal
warnings, increased drug testing, referrals to support groups such as NA, AA,
MRT and anger management, house arrest, community service, referral to
Social Services Assessments/Services, BEST supervision as well as alternative
programs including Wilderness Work Camp, Weekend Detention, School/Work
Release program and Youth Opportunities Unlimited.

JISP is an intensive probation program for juveniles who either unsuccessfully
completed regular probation, who have been found guilty of serious charges,
who are at risk for out of-home placement or for commitment to the Department
of Youth Corrections (DYC). JISP is a two-phase program. The first phase
includes curfew, electric home monitoring (EHM), mandatory participation in
Cognitive Therapy, a requirement to complete weekly schedule and provide
daily accountability and drug testing. By Phase II, the juvenile should have
completed Cognitive Therapy, not be on EHM, have less restrictive curfew,
obtain/maintain school/employment, and demonstrate stability before transition
to regular supervision.


Two (2) JISP officers, 1 substance abuse specialized officers, 1.5 officer
dedicated to Project REACH & School Liaison, 1 Pre-Sentence Investigator, 1
Juvenile Female Offender Officer, 1 High Risk/Gang Offender Officer, Intake
Officer, 2 generalist officers, and 1 supervisor. There is also a part-time
collections investigator on the Juvenile Probation Team.

In-Kind Contributions

The Juvenile Supervisor attends and participates in the PRTs, Detention List
Reviews, IMPACT Planning, IMPACT Organizational Board and the DYC team
meetings. A senior officer attends the CET and SMART meetings.

Funding Sources

State Judicial, Grants and SB94.
     Personnel                                       $544,651
     Offender Services/Monitoring/Treatment          $ 30,093
     HB 1451 Incentives                              $ 75,654
     Grant                                           $ 78,276 (duplicated below)
     TOTAL                                           $728,674

                                MOU/ 5
 Public Health

     The goal of this initiative for Public Health is to reduce substance abuse and
     concurrent criminality and family dysfunction for high-risk adolescents in
     Boulder County. This is achieved through the ITOP & ISIS programs offered
     within the Addiction Recovery Centers (ARC) Division, Boulder County Public


 Comprehensive assessment and evaluation
 Group therapy, individual therapy, family therapy, family support group, and case
 Specific relapse prevention planning
 Supervision of ISIS /ITOP teams and clinical supervision of family therapist from
   Mental Health Center (in conjunction with MHC administrative supervisor).
 Use of evidence-based practices, such as cognitive-behavioral therapies,
   Motivational Interviewing, Seeking Safety and Dialectical Behavior Therapy,
   CBT-based substance abuse and criminally focused curriculum (Pathways).


                       Total of 4.1 FTE
                       3 Full time counselors
                       1 half time counselor
                        0.6 time counselor
                       .5 FTE Teen Services Team Leader

     In-Kind Contributions

              ARC Division Manager and Outpatient Services Program Coordinator’s
               oversight, participation in committees and Operations Board
              Books and subscriptions
              Program equipment - computers
              Client education materials
              Printing
              Telephone/cell phone
              Mileage reimbursement
              Employee development
              Rent

   Other BCPH Responsibilities
        Entry of data into Trails/Social Solutions database; provision of quarterly
        Attendance at weekly JITC staffings, SMART meetings and other
          staffings as schedule.

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          Provision of Incentives as indicated for non-JITC clients and incentives
           for JITC client to recognize program graduation
          JITC Steering committee meetings, Operations Board and Executive
           Board participation.

    Funding Sources

          County Appropriation/HHS-Ballot 1A            $ 100,498
          HB 1451                                       $ 108,269
          SB94/ISIS                                     $ 132,876
          Mental Health                                 $ 35,988
          TOTAL                                          $ 377,631

C. School Districts

    Boulder Valley School District

Boulder Valley School District’s commitment to this collaboration includes a
partnership with Social Services and Mental Health in order to provide Day
Treatment programs at the Elementary, Middle and High Schools as outlined

Boulder Valley also commits to having a Special Education Principal act as a
member of the IMPACT staffing teams.

Staff and In-Kind Contributions

    Elementary Program located at Sanchez Elementary (16 slots):
     2 Teachers, .3 Psychologist, .5 SLP, 2 Mental Health workers.

     Building Administrator, office support, transportation for students, educational
     supplies and educational related services (e.g. OT, PT, Speech, etc.),
     classrooms and offices.

    Middle/High School Program located at Halcyon School (34 slots):
     1 Principal, 4 Teachers, .25 Psychologist, 4 Mental Health Workers, .5

     Custodial support, educational related services (as above), educational
     supplies, school building and all services to run the building (utilities, etc.),
     transportation for students plus ½ clerical support.

Funding Sources

General fund and IDEA Grant         $1,159,174

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     and all of the in-kind contributions listed above.

    Mental Health

         The focus of this initiative for the Mental Health Center of Boulder County, Inc.
         is to serve those children and youth who have been hospitalized or who are at
         significant risk of hospitalization and all services that prevent hospitalization
         and safely treat children, youth and their families in the community.


    Day Treatment Programs – elementary and secondary schools
    Home-Based Services
    WrapAround Services
    Intensive Outpatient Services
               ° BCAFS: 32% of total child population is multi-agency involved
               ° LCAFS: 34% of total child population is multi-agency involved
               ° Lafayette: 30% of total child population is multi-agency involved
    Child Crisis: 49% of total child population is multi-agency involved
    Project REACH
    SMART Team
    Evidence-Based Therapeutic Interventions: DBT, CBT, Functional Family
     Therapy (FFT), Solution Focused treatment


         Boulder Elementary Day Treatment (EDT)
                   ° 2.125 FTE (60 hours therapy time, 20 hours team leader time, 5
                      hours support staff time)
                   ° .20 FTE Psychiatrist time
         Halcyon (Boulder Secondary Day Treatment)
                          7.75 FTE (80 hours therapy time, 20 hours team leader
                            time, 20 hours support staff time, 190 hours MHW time)
                          .25 FTE Psychiatrist time
         Home-Based Services
                   ° 16.55 FTE (3.8 FTE FFT therapy time, 40 hours team leader
                      time, 80 hours Adoption Specialist time, 185 hours youth
                      advocacy, 70 hours Wraparound, 80 hours Family
                      Advocacy/Case Management, 40 hours Outreach/Volunteer
                      Coordinator, 15 hours support staff time)
                   ° Psychiatrist time
         BCAFS (Boulder Outpatient)

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                ° 4.25 FTE (3.625 FTE therapy time, .5 FTE team leader time, 1.0
                   FTE support)
                ° Psychiatrist time
     LCAFS (Longmont Outpatient)
                ° 10.88 FTE (7.88 therapist time, .5 FTE team leader time, 1
                   case management time, 1 FTE support staff)
                ° Psychiatrist time
     Lafayette Services
                ° 2.25 FTE (1.75 FTE therapy time, .5 FTE team leader time, 1.0
                   support staff time)
                ° .25 psychiatrist time
     Child Crisis
                ° 4.5 FTE therapist time, 1 FTE team leader, .5 support staff,
                   Psychiatrist time
     Project REACH
                ° .05 psychiatrist time

     Detention Psychiatric/Medication Clinic
               ° .20 psychiatrist time

     In-Kind Services

     Staff travel, offices, phone, computers, therapeutic supplies, office supplies,
      building supplies, maintenance, dues/fees/licenses, small equipment and
      repair, indirect overhead, vehicles and maintenance, staff travel, day program
      costs, and food.
     Administrative: Personnel and accounting for IMPACT staff and budgets
     Team leader's time dedicated to CET, PRT, SMART staffings

     Funding Sources

     Funding sources include
                ° Medicaid, County General Fund, County HHS/1A dollars, State
                   Education and grants                        $2,137,864
                   Core Services (duplicates DSS above)        $1,029,321
                   HB 1451                                     $ 256,148
                                                TOTAL          $3,423,333



 Foothills Behavioral Health Partners, LLC (FBHP) is the designated Behavioral
 Health Organization (BHO) for Jefferson, Clear Creek, Gilpin, Boulder and
 Broomfield Counties. Our mission is to arrange access to, manage, and fund the
 provision of medically necessary mental health services for individuals who are

                                    MOU/ 9
 Medicaid eligible in the five county area. These services are provided by our two
 Network Mental Health Centers (i.e., Jefferson Center for Mental Health and the
 Mental Health Center Serving Boulder and Broomfield Counties and our
 Independent Provider Network consisting of individual and organizational
 providers across the five county area. The two Network Mental Health Centers
 generally serve as the frontline access point for the majority of individuals
 seeking Medicaid funded mental health services and work closely with FBH to
 maintain standards of quality and service access.

 Funding Sources

 FBH receives its funding through the Colorado Medicaid Community Mental
 Health Services Program under contract with the Department of Healthcare
 Policy and Financing. These funds are restricted to the purchase of medically
 necessary mental health services for individuals who are eligible for Medicaid
 and members of FBHP’s health plan in the five county service area..

Boulder County Community Services

  Community Justice Services (CJS), a Division of the Community Services (CS)
  Department, contributes to the IMPACT mission by working to reduce the
  number of Boulder County youth in detention. CJS provides multiple services
  that allow youth to remain safely in the community; when that is not possible,
  CJS also runs the County’s Juvenile Assessment Center, which provides
  assessment and secured lodging for detained youth. The Juvenile Center was
  created as a result of the belief that Boulder County youth would be better
  served within their own community.


   Secured Juvenile Lodging – 20 bed facility
   Alternative Sentences – Weekends and School Work Release
   Detention Screening and Bond Commissioners
   Administration of the Colorado Senate Bill 94 Juvenile Detention Screening
  and Assessment Guide and the Colorado Juvenile Risk Assessment
   Detention List – maintaining tracking, statistic, bed lending, caps
   BEST – Boulder Enhanced Supervision Team
   FOCUS – Female Opportunities Creating Unlimited Success
   Mentoring
   Community Service/Restitution Program
   Transportation Program
   Account Assistance

  CJS Juvenile Services Staff

                                  MOU/ 10
     Juvenile Center
      ° 3 FTE Supervisors and 3 FTE (swing shift) time                                              in
         managing/coordinating the Detention list and detention cap
      ° Supervisors time arranging transportation with partner agencies
      ° All Juvenile Center Staff conduct Bond Assessments and screening

          BEST Team – 1 FTE Coordinator, 3 Officers, 1 Program Provider
          Community Service/Restitution Program Coordinator – 1 FTE

 In-Kind Contributions
Community Justice Services Director ............................................. $5,622

Juvenile Services Administrator - Oversight of all CJS
programs listed above. Attends Board, planning and committee
meetings, Community Review board, and case
review meetings. Averages 8 hours per week. .......................... $21,218

Office space for BEST, WWC and FOCUS staff, supplies,
and phone/computer support .......................................................... $7,416

Transport youth from PVYC to Boulder for other
IMPACT agencies........................................................................... $1,030

Vehicle maintenance/gas ............................................................... $6,000

Detention list and oversight 16 hours a week ............................... $11,916

Mental Health Clinic provides transportation, 24 hours supervision of youth and
office space to this program. Juvenile Center staff conduct intakes
and releases etc. on all youth in the Mental Health Clinic. ........... $ 6,257

Weekends/ School/Work Release…………………………………..$ 44,557

          SUBTOTAL ................................................................... $112,291

  Funding Sources

     Boulder County Community Services Department appropriation to CJS
     Grants
      FOCUS & Mentoring                     $ 57,897
     SB 94
        BEST                                $329,116
     IMPACT Reinvestment Fund              $ 10,980
     HB 1451                               $ 25,365

                                            MOU/ 11
   SUBTOTAL                                       $423,358
                             TOTAL                              $535,649

District Attorney’s Office

   The Boulder County District Attorney’s Office contributes to the IMPACT
   mission by participating in collaborative staffings aimed at developing
   appropriate treatment plans for juvenile’s charged with committing delinquent
   acts, and through the operation of a Juvenile Diversion Program. An alternative
   to formal prosecution, the Juvenile Diversion program serves first-time juvenile
   offenders charged with committing misdemeanors and/or felonies.


   Juveniles in the Diversion program are required to meet regularly with Diversion
   staff and complete conditions such as community service, restitution, school,
   work, life skills, mental health treatment, drug tests, and substance abuse
   counseling. Upon successful completion of the program, delinquency charges
   are dismissed. The Juvenile Diversion program serves an average of 200
   juveniles per year.


   The juvenile division consists of the Assistant District Attorney, two Deputy
   District Attorneys, one paralegal, a victim advocate, two juvenile diversion case
   managers, a juvenile assessment coordinator and an alcohol diversion
   coordinator. The Deputy District Attorney’s also access office investigative staff
   for case preparation when needed.

   In-Kind Contributions

   The District Attorney sits on the IMPACT executive board, the Supervising
   Deputy District Attorney participates on the IMPACT operational board. The
   Deputy District Attorney’s attend Placement Review Team meetings, and
   Juvenile Diversion staff monitor juveniles on Diversion.

   Office space, supplies, computers and other equipment, accounting, and
   administrative services are provided by the DA’s office.

   Funding Sources

   The 2007 operational budget for juvenile diversion $77,663. The program is
   funded by Boulder County HHS/1A dollars, and in kind contributions from the
   District Attorney’s Office.

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Division of Youth Corrections

   The focus of this initiative for the Division of Youth Corrections is a contractual
   relationship with Boulder County and IMPACT to provide SB 94 funding and
   services and to provide funding and beds to support IMPACT’s management of
   Boulder youth who are committed to and paroled from DYC.

   Services and Staff

   The specific agreements around these services and staff is detailed in State
   Contract #10-IKA-00058 (SB94), Contract #10-IKA-00034 (Judicial) and
   Contract #10 IKA 00056 (IMPACT/Managed Care).

   In-kind Contributions

   Regional staff membership and attendance in IMPACT Executive and
   Operational Boards, Community Review Boards and oversight and co-
   supervision of IMPACT Client Managers.

   Funding Sources

   State funding: Boulder’s SB 94 Allocation and Managed Care line item in DYC
   budget and Medical Services.
        SB 94 (detailed in Partners above)      $ 714,890
        DYC to IMPACT                           $1,204,057
        DYC to Judicial (staff-DYC team)        $ 186,384
        Detention Clinician                     $ 14,500
               TOTAL                            $2,119,831

 E. Safehouse Progressive Alliance for Nonnviolence

   Safehouse Progressive Alliance for Nonviolence (SPAN) is a human rights
   organization committed to ending violence against women, youth and children
   through support, advocacy, education and community organizing.         The
   relationship between SPAN and IMPACT is just being developed and there are
   no agreements yet regarding contributions to the partnership.

 F. Grants Managed by IMPACT Team

      JABG: Funds .35 FTE for CJS’s FOCUS (girls accountability) program.
   .                                        $24,626
                                            $ 8,565 1451 match

      JABG: Funds .5FTE for Project REACH School Liaison
                                   MOU/ 13
                                                           $ 7,831 1451 match

                JJDP: Funds the Detention Therapist position.
                                                         $ 7,125
                                                         $14,500 fromDYC(duplicates above)
                                                         $ 24,690IMPACT reinvestment $

                 JJDP: Funds ISIS (substance abuse treatment/containment) Program
                  .                                     $ 7,125
                                                        $107,760 SB 94
                                                        $102,554 1451 dollars
                 TGYS: Funds CJS Mentor Coordinator
                                                        $33,271 from grant
                                                        $ 8,565 1451 match

       G. Other Programs/Services Directly Managed by IMPACT Team

                 Project REACH – Staff and contract therapists        $136,900 1451
                 CET                                                  $ 26,710 SB94
                 SB 94 support, administrative staff and operations   $ 55,375 SB 94
                 IMPACT Team support and Admin Staff                  $204,345 reinv.

IV.   Oversight Group

      The Parties agree that there is hereby created an Interagency Oversight Group,
      “IOG”, whose membership shall be comprised of a local representative of each
      Party to this MOU, each such Party having voting member status. Membership
      requirements are: The IOG in Boulder will be the IMPACT Executive Board. This
      Board is comprised of the Executive level managers from each of the partner
      agencies. This includes the executive directors of MHCBC, BCDSS, BCCS, BCPH,
      the Chief Probation Officer of the 20th Judicial District, and the Northeast Regional
      Director of the State DYC. Senior management staff from the Boulder Valley and
      St. Vrain Valley School Districts, Public Defenders and District Attorney’s Office
      and Local Law Enforcement will also be members. There will be one voting
      member from each partner agency.

      Officers of the IOG (Chair and Co-Chair) are elected by the IOG members. The
      IMPACT Director will be the facilitator of the Board meetings.

      Procedures for resolving disputes by a majority vote of those members authorized
      to vote are: The IMPACT Board commits itself to strive for consensus in decision-
      making. In the event that consensus cannot be reached, it is agreed that a vote
      will be taken and a majority vote will prevail. If a serious impasse is reached, it is

                                             MOU/ 14
      agreed that the group will enter into a mediation process to attempt to resolve that

      In the event that the IOG identifies a need for a subcommittee group, the following
      process shall be followed for creation of such subcommittee: The IMPACT
      Executive Board has created and empowered two other sub-bodies to do the daily
      work of the project. The IMPACT Operational Board is comprised of Administrative
      or Supervisor representatives from each of the partner agencies. This Board is
      tasked with the development, implementation and monitoring of policies,
      procedures, budgets and programs essential to the partnership. They report to the
      Executive Board. The IMPACT Planning Team is comprised of Supervisors of
      each of the partner agencies. This team is tasked with the daily oversight of
      partnership programs and projects. They are directly responsible for the
      development and oversight of subcommittees. The Planning Team reports to the
      Operational Board. The IMPACT Director is the Chair of both subcommittees.

V.    Collaborative Management Processes

      We are continuing to refine our collaborative management process and will
      document processes developed in an IMPACT Policy & Procedure Manual. Please
      see Attachment #2 attached for detailed Collaborative Management Process.

VI.   Individualized Service and Support Teams
      These teams have been developed and are overseen by the 4 interagency review
      teams which are: 1)The Placement Review Team (PRT), 2) Community Evaluation
      Team (CET), 3) Substance Abuse Multi-agency Review Team (SMART) and
      4)Project REACH. The Placement Review Team oversees all children and youth
      placed in CPA's, RCCF's, TRCCF's, PRTF’s and our County Group Homes. Each
      of these youth is assigned a placement interventionist who coordinates the care for
      the youth and coordinates the individualized treatment team. The Community
      Evaluation Team provides case consultation, flexible funding and brokers all the
      community based resources across our partnership that prevent out of home
      placement. The Substance Abuse Multi-agency Review Team (SMART) is a multi-
      agency team that provides assessment, consultation and case coordination for all
      youth with significant substance abuse and with co-occurring substance
      abuse/mental health issues. The Project REACH team is a multi-agency treatment
      and containment team for youth who have committed sex offenses. They also
      offer an integrated case management approach.

VII. Authorization to Contribute Resources and Funding

      Each Party to this MOU represents that it has the authority to approve the
      contribution of time, resources, and funding to solve problems identified by the IOG
      in order to create a seamless, collaborative system of delivering services to

                                         MOU/ 15
      Recipients. The resources and funding to be contributed are identified on pages 2-
      15, Section III.

VIII. Reinvestment of Moneys Saved & Incentive Funds

      (The IOG will create a procedure, subject to the approval of the head or director of
      each Party agency, to allow any moneys resulting from waivers granted by the
      federal government and any state general fund savings realized as a result of the
      implementation of services provided to Recipients pursuant to this MOU to be
      reinvested by the Parties to this agreement in order to provide appropriate services
      to Recipients. The IOG will also create a procedure, subject to the approval of the
      head or director of each Party agency, to allow incentive moneys received by the
      DHS, and allocated pursuant to Section 24-1.9-104, C.R.S> to be reinvested by
      the Parties to provide appropriate IMPACT services to Recipients.)

      The IMPACT Executive Board (our IOG), which is comprised of the Directors of
      each Party agency, makes the final decision on the reinvestment of moneys saved,
      incentive moneys and on any new grants/funding sources that are pursued. They
      have established a process of receiving proposals from the IMPACT Operational
      Board and Agency Partners, that are evaluated along with outcome data. Funded
      programs are required to submit an operational plan annually and quarterly data
      and outcome reports. These documents help support the decision making process
      for funding of programs and services. Decision-making is generally made by
      consensus, but if that is not possible, a majority vote is taken.

IX.   Performance-Based Measures

      The Parties hereby determine that they will meet performance measures specified
      by the Department of Human Services (DHS) and elements of collaborative
      management as defined by rule of the State Board of Human Services, (State

      The performance measures for this fiscal year will be:

       1. Child Welfare: CFSR Medical/Dental – Did the child receive a medical exam,
          medical screening or was a medical exam scheduled within two weeks of
          initial placement. And, … Dental exam scheduled within 8 weeks. Goal: 95%
          Data source: ARD

       2. Juvenile Justice System: Average Daily Populuation in DYC (Commitment).
          The goal will be to maintain current low commitment ADP with no more than a
          20% variance* in ADP. Data source: IMPACT currently tracks these ADPs
          which can be cross-checked by DYC’s data. Baseline is 22 youth.

                                         MOU/ 16
       3. Education: 75% of Children & Youth enrolled in our day treatment programs
          will remain in the community and avoid hospitalization, out of home
          placement or commitment. Data source: programs will keep rosters that can
          be cross checked in Trails and CMHC.

       4. MH/ADAD: Engagement in Treatment – research demonstrates significantly
          improved outcomes for clients that stay in substance abuse treatment at least
          90 days. Therefore the goal will be for at least 65% of youth participating in
          our Intensive Outpatient programs (ITOP & ISIS) to remain in treatment for 90
          days or more. This data is maintained by ADAD in the statewide DACODS

      We will also be utilizing the Boulder Outcomes Tracking Survey as an additional
      measure of improved outcomes for children, youth and families. Dimensions
      measured include:

      1)   Anger management & conflict resolution
      2)   Relationships with Peers & Adults
      3)   Substance Use/Abuse – youth & parent
      4)   Self-harming behaviors
      5)   Parental support & skills
      6)   Safe & stable home environment
      7)   General measures of well-being

X.    Confidentiality Compliance

      Parties agree that the Parties and IOG shall follow State and Federal law
      concerning confidentiality. Any records used or developed by the IOG or its
      members or by the ISST that relate to a particular person are to be kept
      confidential and may not be released to any other person or agency, except as
      provided by law. The approved IMPACT Authorization to Share Information form
      will be used as a single release of information to cover the confidentiality needs of
      all Parties to better facilitate the exchange of information.

XI.   Termination of MOU

      The Parties acknowledge that withdrawal from this MOU of any statutorily required
      Party will result in the automatic termination of this Agreement and termination of
      the collaborative system of delivery of services developed hereunder. The
      withdrawing Party shall assist the other Parties to achieve an orderly dissolution of
      the collaborative system with as little disruption as possible in the delivery of
      services provided to Recipients.

      A. Withdrawal/Termination

                                         MOU/ 17
          Any Party may withdraw from this Agreement at any time by providing 30 days
          written notice to all other Parties.

        B. For Loss of Funds

          Any Party may withdraw from this Agreement, or modify the level of its
          commitment of services and resources hereunder, effective immediately, in the
          event of loss or reduction of resources from its funding source identified herein.
          Any Party withdrawing due to loss of funds will provide notice of withdrawal, in
          writing within 30 days.

XII.     Each signatory to this MOU shall indemnify and hold harmless all other parties
         from and against all losses, claims, demands, payments, suits, actions,
         recoveries and judgments of every nature and description brought or recoverable
         against the parties by reason of any act or omission of any signatory to this
         MOU, its agents or employees, in the execution of or in consequence of their
         performance under this MOU.

XIII.    Waivers

          See Waiver #1 Attached.

IN WITNESS WHEREOF, the Parties hereto, through their authorized representatives
have executed this Memorandum of Understanding effective for the dates written

By:                                                              Date:
Its:     Frank Alexander

By:                                                              Date:
Its:     Greg Brown

By:                                                              Date:
Its:     Jeff Zayach

                                          MOU/ 18
By:                                              Date:
Its:   Karen Daly

By:                                              Date:
Its:   Barbara Ryan

By:                                              Date:
Its:   Donald Rohner

By:                                              Date:
Its:   Robin Bohannan

By:                                              Date:
Its:   Stan Garnett

By:                                              Date:
Its:   Joe Thome

By:                                              Date:
Its:   Anne Tapp

                                  MOU/ 19

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