Memorandum of Understanding for Brokers by apt23289


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

This Agreement is made by and between the BOULDER COUNTY, DEPARTMENT OF
SOCIAL SERVICES (Social Services), located at 3400 Broadway, Boulder, CO 80304;
1777 – 6th Street, Boulder, CO 80302; the BOULDER COUNTY PUBLIC HEALTH
DEPARTMENT (Health and MSO), located at 3450 Broadway, Boulder, CO 80304; the
ST. VRAIN VALLEY SCHOOL DISTRICT (School District), located at 395 South Pratt
Parkway, Longmont, CO 80501; the BOULDER VALLEY SCHOOL DISTRICT, located
at 6500 Arapahoe Avenue, Boulder, CO 80303; the MENTAL HEALTH CENTER OF
BOULDER COUNTY, INC. (Mental Health), a non-profit corporation whose principal
place of business is located at 1333 Iris Avenue, Boulder, CO 80304; FOOTHILLS
BEHAVIORAL HEALTH (now BHO, formerly MHASA) located at 9101 Harlan Street
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,
Denver, CO 80236. 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

                                         MOU/ 1
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 18 pages and 5 attachments.

Term of the Agreement. This MOU shall be effective beginning 7/1/06 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 (or need involvement) with multiple systems or agencies. Children or
      youth (and their families) who are at risk of out of home placement, psychiatric
      hospitalization or detention/commitment to DYC are a primary target population.
      Also included would be 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 initiative or partnership. The IMPACT Team
      refers to the staff team and services directly supervised by the IMPACT Director.
      The IMPACT initiative or partnership refers to the broader initiative undertaken by
      the partner agencies. In general, these services, staff and efforts will be overseen
      by the partner agency under which the service is described.

                                         MOU/ 2
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. This includes the following:

          Services directly managed by the IMPACT Team:

             All PRTF, TRCCF, RCCT and CPA 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


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

          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. For details on which agency
          provides which team with computers, phones, cell phones, pagers, mileage
          reimbursement, etc., see attached spreadsheets #2 & 3 –“IMPACT Team….”

                                          MOU/ 3
  Funding Sources

  Funding for these programs and services includes portions of Social Services’s
  Child Welfare Block, CORE Services and Administrative blocks, and portions of
  the County appropriation and HHS/1A Fund.                $11,089,771

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),
  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 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 alternative programs
  including Wilderness Work Camp and School/Work Release program

                                   MOU/ 4
   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, 1.5 substance abuse specialized officers, 1 officer
   dedicated to Project REACH, 1 Pre-Sentence Investigator, 1 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 and the DYC team meetings. A senior officer
   attends the CETs and SMART meetings.

   Funding Sources

   State Judicial, Grants and SB94.
        Personnel                                     $185,384
        Offender Services/Monitoring/Treatment        $ 18,047
        DSCIP Grant                                   $ 38,806
        TOTAL                                         $242,237

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 –
   programs within the Behavioral Health Division, Boulder County Public Health.


      Assessment and evaluation
      Weekly groups, individual sessions when indicated, family groups, and case
      Specific relapse prevention planning
      Cognitive workbook groups
                                  MOU/ 5

      Total of 3.5 FTE
      3 Full time counselors
      1 half time counselor
      .5 FTE Clinical Coordinator

   In-Kind Contributions

      Division Manager’s oversight, participation in committees and Board
      SB 94 funds only covers part of the cost of one FTE
      Books and subscriptions
      Client and program supplies
      Program equipment - computers
      Client education materials
      Printing
      Telephone/cell phone
      Mileage reimbursement
      Employee development
      Rent

   Funding Sources

    County Appropriation/HHS-Ballot 1A          $ 75,396
    IMPACT Reinvestment Fund                    $ 62,952
    ADAD/MSO                                    $ 63,589
    DSS                                         $ 7,748
    DCSIP Grant                                 $ 28,462
   TOTAL                                         $238,147

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 below.

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

       Staff and In-Kind Contributions

          Elementary Program located at Sanchez Elementary (12 slots):
                                     MOU/ 6
        ° 2 FTE Special Education Teachers
        ° 1.5 FTE Para Educators
        ° 1 FTE Coordinator

        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 (20 slots):
        ° 3 FTE Special Education Teachers
        ° 3 (.34) Elective Teachers
        ° 1 FTE Building Administrator
        ° .5 FTE Administrative Assistant
        ° Coordinator

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

    Funding Sources

    General fund          $620,441 plus all the in-kind contributions listed

   St. Vrain Valley School District

    The St. Vrain Valley School District has and will continue to work with the
    Boulder County Social Services and the Mental Health Center of Boulder
    County, Inc. to support the Day Treatment programs for our elementary and
    secondary aged students.
    St. Vrain also commits to having a Special Education coordinator act as a
    member of the IMPACT staffing teams.

    Staff and In-Kind Contributions

       Elementary Program located at Burlington Elementary
        ° 2 Full time Special Education Teachers
        ° 2 Full time para-educators
        ° transportation of students
        ° facility to house the program; classrooms, quiet rooms, office space,
           heat, lights, phone, custodial support, etc. This is provided to this
           program during the academic school year and during the summer
        ° Budget for academic support of the students.
        ° Building Principal, office support staff

                                 MOU/ 7
          Secondary Program located at Summit Facility
           ° $180,000 annual financial allocation plus $80,000 for on grounds
             excess costs
           ° Lunch, computers for staff and students, technology support, phone,
             district mail, DIMC services, supplies/materials and transportation to
             and from the school
           ° .5 FTE to serve as the School Program Supervisor.


          General Fund                                                  $450,000,
                                    plus 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: 30% of total child population is multi-agency involved
      ° LCAFS: 43% of total child population is multi-agency involved
      ° Lafayette: 48% of total child population is multi-agency involved
     Child Crisis: 48% 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)
      ° 32.66 FTE (60 hours therapy time, 20 hours team leader time, 15 hours
        support staff time)
      ° .20 FTE Psychiatrist time
     Longmont EDT
      ° 3 FTE (60 hours therapy time, 20 hours team leader time, 40 hours
        program assistant time, 20 hours support staff time)
      ° .20 FTE Psychiatrist time
                                    MOU/ 8
   Halcyon (Boulder Secondary)
    ° 6 FTE (80 hours therapy time, 20 hours team leader time, 40 hours
       community outreach, 20 hours support staff time, 80 hours MHW time)
    ° .25 FTE Psychiatrist time
   Summit (Longmont Secondary)
    ° 9 FTE (80 hours therapy time, 20 hours team leader time, 100 hours
       teacher time, 140 hours of MHW time, 20 hours support staff time)
    ° .25 FTE Psychiatrist time
   Boulder/Lafayette Home-Based
    ° 8.1 FTE (2 FTE therapy time, 40 hours team leader time, 35 hours family
       advocacy, 55 hours youth advocacy, 80 hours Wraparound, 15 hours
       Case Management, 40 hours Outreach/Volunteer Coordinator, 20 hours
       support staff time)
    ° Psychiatrist time

   Longmont Home-Based
    ° 6.375 FTE (1.5 FTE therapy time, .5 team leader time, hours family
       advocacy, hours youth advocacy, support staff time, case management
    ° Psychiatrist time
   BCAFS (Boulder Outpatient)
    ° 5.625 FTE (3.625 FTE therapy time, .5 FTE team leader time, 1.5 FTE
    ° Psychiatrist time
   LCAFS (Longmont Outpatient)
    ° 5.3 FTE (therapist time, .5 FTE team leader time, case management
       time, 2 FTE support staff)
    ° Psychiatrist time
   Lafayette Outpatient
    ° 7.25 FTE (4 FTE therapy time, 1 FTE team leader time, 1.5 support staff
       time, 36 hours case management time)
    ° .25 FTE psychiatrist time
   Child Crisis
    ° 4.5 FTE therapist time, 1 FTE team leader, .5 support staff, Psychiatrist
   Project REACH
    ° 1 FTE (40 hour team leader/ therapist),
    ° .05 psychiatrist time
    Detention Psychiatric/Medication Clinic
    ° .20 psychiatrist time

                                MOU/ 9
  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
     Day Treatment program costs including: Summit Building and maintenance,
      Office space for BEDT

  Funding Sources

  Funding sources include
     ° Medicaid, County General Fund, County HHS/1A dollars, State
        Education and grants                    $2,394,012
     ° Core Services (duplicates DSS above)     $ 960,680



 Foothills Behavioral Health (FBH) is the designated Behavioral Health
 Organization (BHO) for Jefferson, Clear Creek, Gilpin, Boulder and Broomfield
 Counties. Our mission is to arrange access to and reimburse for the provision of
 medically necessary mental health services for individuals who are 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, currently estimated at $25 million for the five
 county area are restricted to the purchase of medically necessary mental health
 services for individuals who are eligible for Medicaid and members of FBH’s
 health plan.

                                   MOU/ 10
Community Justice Services

   The focus of this initiative for Boulder County Community Justice Services is to
   reduce the number of youth in detention by providing services that allow the
   youth to remain safely in the community. When this is not possible, CJS also
   runs the County’s Juvenile Assessment Center, which provides assessment
   and temporary holding of youth.


      Juvenile Assessment Center
      BEST – Boulder Enhanced Supervision Team
      WWC – Wilderness Work Camp
      FOCUS – Female Opportunities Creating Unlimited Success
      Transportation Services
      Diversion Program


      Juvenile Center
       ° Supervisors time in managing/coordinating the Detention list and
          detention cap
       ° Supervisors time arranging transportation
       ° All Juvenile Center Staff conduct Bond Assessment
      CJS Diversion Program
       ° .5 FTE for the DA’s diversion program

  In-Kind Contributions
 Community Justice Services Director ............................................. $5,459

 Juvenile Services Administrator - Oversight of all CJS
 programs listed above. Attends Pilot board, planning,
 detention list, Community Review board, and case
 review meetings. Averages 8 hours per week. .......................... $20,600

 Office space for BEST, WWC and FOCUS staff, supplies,
 and phone/computer support .......................................................... $7,200

 Juvenile Diversion Program .......................................................... $34,175

 Transport youth from PVYC to Boulder for other
 IMPACT agencies........................................................................... $1,000

 Vehicle maintenance in 2004.......................................................... $7,739

                                             MOU/ 11
 Provide oversight of transport program M-F .................................. $8,034

 Detention cap oversight 8 hours a week ....................................... $11,569

 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.
 45 Youth in 2005 here 1 day at #135.00 per day ......................... $ 6,075

 Weekends/ School/Work Release…………………………………..$ 43,260

          SUBTOTAL ................................................................... $139,652

   Funding Sources

    Boulder County appropriation
       Juvenile Assessment Center
       Juvenile Diversion Program
   ° Grants
       FOCUS                                                 $ 18,538
       Weekends/School/Work Release
    SB 94
       BEST                                                  $344,173
       Wilderness Work Camp                                  $106,891
    IMPACT Reinvestment Fund
       Detention/Placement Transportation                    $ 16,200
       Grant Match for FOCUS                                 $ 35,938
   SUBTOTAL                                                                             $521,740

District Attorney’s Office

   The Boulder County District Attorney’s Office contributes to the IMPACT
   mission by operating a Juvenile Diversion Program and employing a Juvenile
   Assessment Coordinator. An alternative to formal prosecution, the Juvenile
   Diversion program serves first-time juvenile offenders charged with committing
   misdemeanors and/or felonies.       The Juvenile Assessment Coordinator, a
   position shared with the Boulder Probation Department, acts as one entry point
   for youth entering the juvenile justice system. Results of the assessments
   administered by the coordinator are available to IMPACT partner agencies for
   risk assessment and case planning.


   Juveniles in the Diversion program are required to meet regularly with Diversion
   staff and complete conditions such as community service, restitution, school,
                                          MOU/ 12
   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 served 180 youth and families
   thus far in 2005, with an average annual number served of 200.


   The juvenile division consists of the elected District Attorney, the Chief Deputy
   District Attorney, two Deputy District Attorneys, one paralegal, a restitution case
   manager, a victim advocate, two juvenile diversion case managers, a juvenile
   assessment coordinator and an alcohol diversion coordinator. See attached

   In-Kind Contributions

   The elected District Attorney sits on the IMPACT executive board, the Chief
   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 2006 operational budget for juvenile diversion and the juvenile assessment
   program is $89,060. The program is funded by Boulder County HHS/1A dollars
   and in kind contributions from the District Attorney’s Office.

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 #C-NR-060052 (SB94), Contract # 07-IKA-00034(Judicial) and
   Contract #C-NR-060059 (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.

                                   MOU/ 13
         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)      $ 562,785
              DYC to IMPACT                           $1,175,998
              DYC to Judicial (staff-DYC team)        $ 141,292
              Detention Clinician                     $ 12,500

      J. Grants Managed by IMPACT

            JAIBG: At the time of this writing, funds part of 1 FTE for CJS’s FOCUS
             (girls accountability) program; it is unclear at this time if any funding will be
             available next fiscal year for this program. If re-funded, this grant will be a
             part of this MOU. (See funding details under CJS)
            DSCIP/JAG: Currently funds the ISIS substance abuse program and ITOP
             probation officer. Current funding:$43,531 from Grant; $33,469 from
             IMPACT Reinvestment.
            SAMHSA: Currently funds WrapAround and Functional Family Therapy.
             Grant due to run out end of September. It is the intent of the IMPACT
             partnership to keep these evidenced based programs funded and they will
             be part of this MOU. Current funding: $122,341 from IMPACT reinvest.
            JJDP: Currently funds the Detention Therapist position. We are currently
             re-applying for the coming fiscal year and it is unclear the extent to which
             this will be re-funded. This position will be a part of this MOU. Current
             expected funding:                             $20,000 from the grant
                                                           $12,500 from DYC (duplicates
                                                           $18,663 from IMPACT reinvest.

       K. Other Programs/Services Directly Managed by IMPACT Team

             Project REACH – Staff and contract therapists              $160,051    IMPACT
             CET                                                        $ 62,661    SB94
             SB 94 support & administrative staff and operations        $ 30,679    IMPACT
             Truancy Case Manager                                       $ 75,000    Grant &

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
                                          MOU/ 14
     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 shall were elected by the IOG members. The IMPACT Director
     will be the facilitator of the Board and 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
     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.

V.   Collaborative Management Processes

     We are continuing to refine our collaborative management process and will
     document. The IMPACT executive board will draft a document setting out a
     collaborative management procedure. The document will be completed by
     10/31/06 and will be incorporated into this agreement as Exhibit E. Our former
     Integrated Care Management Plan will lay the foundation for this. Risk sharing and
     resource pooling will also be addressed in the CM plan. Outcomes are measured
     through the IMPACT Outcomes Tracking Survey. All IMPACT programs are
     utilizing this instrument and quarterly reports are available to the IOG and
     programs. IMPACT has developed a staff training curriculum to orient new staff in
     our partnership to our mission, values and services. On-going trainings are
     developed by the IMPACT Planning team.

                                         MOU/ 15
VI.   Individualized Service and Support Teams
      These teams have been developed and are overseen by the 4 interagency review
      teams. 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 an intensive case manager 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
      Recipients. The resources and funding to be contributed are identified on pages 2-
      13, Section III.

VIII. Reinvestment of Moneys Saved

      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 Executive Board makes the final decision on the reinvestment of moneys
      saved and on any new grants/funding sources that are pursued. They have
      established a process of receiving proposals from the Operational Board and
      Agency Partners, that are evaluated along with outcome data. 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 attempt to 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 Board).

                                         MOU/ 16
      The IOG will 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 services to Recipients.

      Please see attached Boulder’s Proposed Outcomes. Please note that we need
      the State Advisory Board to approve our methods of collecting the data
      before these are final.

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

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

         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.

                                         MOU/ 17
XII.   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:   Paula McKey

By:                                                     Date:
Its:   Greg Brown

By:                                                     Date:
Its:   Chuck Stout

By:                                                     Date:
Its:   Bev Rosenshine

By:                                                     Date:
Its:   Mary Sires

By:                                                     Date:
Its:   Barbara Ryan
By:                                                     Date:

                                    MOU/ 18
Its:   Donald Rohner

By:                                             Date:
Its:   Robin Bohannan

By:                                             Date:
Its:   Bruce Langer

By:                                             Date:
Its:   Joe Thome

                                  MOU/ 19

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