Common use of Therapeutic Services Clause in Contracts

Therapeutic Services. 24 1) CONTRACTOR shall provide structured day and evening services seven (7) days a 25 week which will include individual, group therapy, and community meetings amongst the Clients and 26 crisis residential staff. 27 2) CONTRACTOR shall provide group counseling sessions at least four (4) times daily 28 to assist Clients in developing skills that enable them to progress towards self-sufficiency and to reside in 29 less intensive levels of care. Topics may include, but not be limited to: self-advocacy, personal identity, 30 goal setting, developing hope, coping alternatives, processing feelings, conflict resolution, relationship 31 management, proper nutrition, personal hygiene and grooming, household management, personal safety, 33 therapeutic process groups will be facilitated by a licensed clinician. 34 3) CONTRACTOR shall provide individual therapeutic sessions provided by a licensed 35 clinician at least one time a day to each Client and these sessions will be clearly documented in the chart. 36 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 19 of 82 EXHIBIT A 1 4) CONTRACTOR shall support a culture of “recovery” which focuses on personal 2 responsibility for a Client’s mental health management and independence, and fosters Client 3 empowerment, hope, and an expectation of recovery from mental illness. Activities and chores shall be 4 encouraged and assigned to each Client on a daily basis to ▇▇▇▇▇▇ responsibility and learning of independent 5 living skills. These chores will be followed up on by residential staff, in the spirit of learning, who will 6 also assist the Client in learning the new skills and completing the chores as needed. 7 5) CONTRACTOR’s program shall be designed to enhance Client motivation to 8 actively participate in the program, provide Clients with intensive assistance in accessing community 9 resources, and assist Clients developing strategies to maintain independent living in the community and 10 improve their overall quality of life. Therapeutic outings (to local museums, art galleries, nature centers, 11 parks, coffee shops) will be provided for all Clients in support of these goals. 12 6) CONTRACTOR shall assist the Client in developing and working on a WRAP 13 throughout their stay at the program and will promote Client recovery on a daily basis via individual 14 and/or group sessions. This will assist Clients in monitoring and responding to their symptoms in order 15 to achieve the highest possible level of wellness, stability and quality of life. Topics may include but not 16 be limited to: building a wellness toolbox or resource list, symptom monitoring, triggers and early warning 17 signs of symptoms, identifying a crisis plan, etc. 18 7) CONTRACTOR shall engage both the Client and family/support persons in the 19 program whenever possible. CONTRACTOR shall document contact with family/support persons or 20 document why such contact is not possible or not advisable. 21 8) CONTRACTOR shall support a Dual Disorders Integrated Treatment Model that is 22 non-confrontational, follows mental health principles, considers interactions between mental health 23 disorders and substance abuse and has gradualexpectations of abstinence. 24 CONTRACTOR shall provide, on a regularly scheduled basis, education via individual and/or group 25 sessions to Clients on the effects of alcohol and other drug abuse, triggers, relapse prevention, and 26 community recovery resources. Twelve (12) step groups and Smart Recovery groups will be encouraged 27 at the facility on a regular basis. 28 9) CONTRACTOR shall support a culture that supports a smoke free environment in 29 the facility and on the campus. CONTRACTOR shall provide educational groups regarding tobacco 30 cessation and provide viable alternatives such as tobacco patches and other approved methods that support 31 tobacco use reduction and cessation. 32 10) CONTRACTOR shall assist Clients in developing prevocational and vocational 33 plans to achieve gainful employment and/or perform volunteer work if identified as a goal in the service 34 plan. 35 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 20 of 82 EXHIBIT A 1 11) CONTRACTOR shall provide crisis intervention and crisis management services 2 designed to enable the Client to cope with the crisis at hand while maintaining his/her functioning status 3 within the community and to prevent further decompensation or hospitalization. 4 12) CONTRACTOR shall have individuals who are clinicians and mental health 5 specialists designated by COUNTY to provide assessments for involuntary hospitalization when 7 13) CONTRACTOR shall provide information, support, advocacy education, and 8 assistance with including the Client’s natural support system in treatment and services. 9 14) CONTRACTOR shall sustain a culture that supports Peer Support 10 Specialist/Counselors in providing supportive socialization for Clients that will assist Clients in their 11 recovery, self-sufficiency and in seeking meaningful life activities and relationships. Peers shall be 12 encouraged to share their stories of recovery as much as possible to infuse the milieu with the notion that 13 recovery is possible. 14 15) CONTRACTOR shall provide close supervision and be aware of Clients’ 15 whereabouts at all times to ensure the safety of all Clients. Every clinician and residential counselor shall 16 have an assigned caseload and be responsible for the monitoring of the assigned individuals. 17 CONTRACTOR shall provide routine room checks in the evening and document observations. Rounds 18 are completed by staff on regular intervals. 19 16) CONTRACTOR shall actively explore, research and present ideas for additional 20 evidence-based practices in order to continually improve and refine aspects of the program.

Therapeutic Services. 24 3 1) CONTRACTOR shall provide structured day and evening services seven (7) 4 calendar days a 25 week which will include individual, group therapy, and community meetings amongst 5 the Clients and 26 crisis residential staff. 27 6 2) CONTRACTOR shall provide group counseling sessions at least four (4) times 7 daily 28 to assist Clients in developing skills that enable them to progress towards self-sufficiency and to 8 reside in 29 less intensive levels of care. Topics may include, but not be limited to: self-advocacy, personal 9 identity, 30 goal setting, developing hope, coping alternatives, processing feelings, conflict resolution, 10 relationship 31 management, proper nutrition, personal hygiene and grooming, household management, 11 personal safety, 33 symptom monitoring, etc. These groups will be clearly documented in the individual’s 12 chart. All therapeutic process groups will be facilitated by a licensed clinician. 34 13 3) CONTRACTOR shall provide individual therapeutic sessions provided by a 14 licensed 35 clinician at least one time a day to each Client and these sessions will be clearly documented in 15 the chart. 36 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 19 of 82 EXHIBIT A 1 16 4) CONTRACTOR shall support a culture of “recovery” which focuses on personal 2 17 responsibility for a Client’s mental behavioral health management and independence, and fosters Client 3 18 empowerment, hope, and an expectation of recovery from mental illness. Activities and chores shall be 4 19 encouraged and assigned to each Client on a daily basis to ▇▇▇▇▇▇ responsibility and learning of 20 independent 5 living skills. These chores will be followed up on by residential staff, in the spirit of 21 learning, who will 6 also assist the Client in learning the new skills and completing the chores as needed. 7 22 5) CONTRACTOR’s program shall will be designed to enhance Client motivation to 8 23 actively participate in the program, provide Clients with intensive assistance in accessing community 9 24 resources, and assist Clients developing strategies to maintain independent living in the community and 10 25 improve their overall quality of life. Therapeutic outings (to local museums, art galleries, nature 26 centers, 11 parks, coffee shops) will be provided for all Clients in support of these goals. 12 27 6) CONTRACTOR shall assist the Client in developing and working on a WRAP 13 28 throughout their stay at the program and will promote Client recovery on a daily basis via individual 14 29 and/or group sessions. This will assist Clients in monitoring and responding to their symptoms in order 15 30 to achieve the highest possible level of wellness, stability and quality of life. Topics may include but 31 not 16 be limited to: building a wellness toolbox or resource list, symptom monitoring, triggers and early 32 warning 17 signs of symptoms, identifying a crisis plan, etc. 18 33 7) CONTRACTOR shall engage both the Client and family/support persons in the 19 34 program whenever possible. CONTRACTOR shall document contact with family/support persons or 20 35 document why such contact is not possible or not advisable. 21 36 8) CONTRACTOR shall support a Dual Disorders Integrated Treatment Model that is 22 37 non-confrontational, follows mental health behavioral principles, considers interactions between mental behavioral health 23 1 disorders and substance abuse and has gradualexpectations gradual expectations of abstinence. 24 CONTRACTOR shall 2 provide, on a regularly scheduled basis, education via individual and/or group 25 sessions to Clients on the 3 effects of alcohol and other drug abuse, triggers, relapse prevention, and 26 community recovery resources. Twelve (12) step groups and Smart Recovery groups will be encouraged 27 at the facility on a regular basis. 28 9) CONTRACTOR shall support a culture that supports a smoke free environment in 29 the facility and on the campus. CONTRACTOR shall provide educational groups regarding tobacco 30 cessation and provide viable alternatives such as tobacco patches and other approved methods that support 31 tobacco use reduction and cessation. 32 10) CONTRACTOR shall assist Clients in developing prevocational and vocational 33 plans to achieve gainful employment and/or perform volunteer work if identified as a goal in the service 34 plan. 35 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 20 of 82 EXHIBIT A 1 11) CONTRACTOR shall provide crisis intervention and crisis management services 2 designed to enable the Client to cope with the crisis at hand while maintaining his/her functioning status 3 within the community and to prevent further decompensation or hospitalization. 4 12) CONTRACTOR shall have individuals who are clinicians and mental health 5 specialists designated by COUNTY to provide assessments for involuntary hospitalization when 7 13) CONTRACTOR shall provide information, support, advocacy education, and 8 assistance with including the Client’s natural support system in treatment and services. 9 14) CONTRACTOR shall sustain a culture that supports Peer Support 10 Specialist/Counselors in providing supportive socialization for Clients that will assist Clients in their 11 recovery, self-sufficiency and in seeking meaningful life activities and relationships. Peers shall be 12 encouraged to share their stories of recovery as much as possible to infuse the milieu with the notion that 13 recovery is possible. 14 15) CONTRACTOR shall provide close supervision and be aware of Clients’ 15 whereabouts at all times to ensure the safety of all Clients. Every clinician and residential counselor shall 16 have an assigned caseload and be responsible for the monitoring of the assigned individuals. 17 CONTRACTOR shall provide routine room checks in the evening and document observations. Rounds 18 are completed by staff on regular intervals. 19 16) CONTRACTOR shall actively explore, research and present ideas for additional 20 evidence-based practices in order to continually improve and refine aspects of the program.

Therapeutic Services. 24 34 1) CONTRACTOR shall provide structured day and evening services seven (7) 35 calendar days a 25 week which will include individual, group therapy, and community meetings amongst the 36 Clients and 26 crisis residential staff. 27 37 2) CONTRACTOR shall provide group counseling sessions at least four (4) times daily 28 1 to assist Clients in developing skills that enable them to progress towards self-sufficiency and to reside in 29 2 less intensive levels of care. Topics may include, but not be limited to: self-advocacy, personal identity, 30 3 goal setting, developing hope, coping alternatives, processing feelings, conflict resolution, relationship 31 4 management, proper nutrition, personal hygiene and grooming, household management, personal safety, 33 6 therapeutic process groups will be facilitated by a licensed clinicianclinician or clinically supervised 7 registered/waivered clinicians. 34 8 3) CONTRACTOR shall provide individual therapeutic sessions provided by a an MD, 9 DO, NP, licensed 35 clinician or clinically supervised registered/waivered statt at least one time onetime a day to each 10 Client and these sessions will be clearly documented in the chart. 36 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 19 of 82 EXHIBIT A 1 11 4) CONTRACTOR shall support a culture of “recovery” which focuses on personal 2 12 responsibility for a Client’s mental behavioral health management and independence, and fosters Client 3 13 empowerment, hope, and an expectation of recovery from mental illness. Activities and chores shall be 4 14 encouraged and assigned to each Client on a daily basis to ▇▇▇▇▇▇ responsibility and learning of independent 5 15 living skills. These chores will be followed up on by residential staff, in the spirit of learning, who will 6 16 also assist the Client in learning the new skills and completing the chores as needed. 7 17 5) CONTRACTOR’s program shall will be designed to enhance Client motivation to 8 18 actively participate in the program, provide Clients with intensive assistance in accessing community 9 19 resources, and assist Clients developing strategies to maintain independent living in the community and 10 20 improve their overall quality of life. Therapeutic outings (to local museums, art galleries, nature centers, 11 21 parks, coffee shops) will be provided for all Clients in support of these goals. 12 22 6) CONTRACTOR shall assist the Client in developing and working on a WRAP 13 23 throughout their stay at the program and will promote Client recovery on a daily basis via individual 14 24 and/or group sessions. This will assist Clients in monitoring and responding to their symptoms in order 15 25 to achieve the highest possible level of wellness, stability and quality of life. Topics may include but not 16 26 be limited to: building a wellness toolbox or resource list, symptom monitoring, triggers and early warning 17 27 signs of symptoms, identifying a crisis plan, etc. 18 28 7) CONTRACTOR shall engage both the Client and family/support persons in the 19 29 program whenever possible. CONTRACTOR shall document contact with family/support persons or 20 30 document why such contact is not possible or not advisable. 21 31 8) CONTRACTOR shall support a Dual Disorders Integrated Treatment Model that is 22 32 non-confrontational, follows mental health behavioral principles, considers interactions between mental behavioral health 23 33 disorders and substance abuse and has gradualexpectations gradual expectations of abstinence. 24 CONTRACTOR shall provide, 34 on a regularly scheduled basis, education via individual and/or group 25 sessions to Clients on the effects of 35 alcohol and other drug abuse, triggers, relapse prevention, and 26 community recovery resources. Twelve 36 (12) step groups and Smart Recovery groups will be encouraged 27 at the facility on a regular basis. 28 37 9) CONTRACTOR shall support a culture that supports a smoke free environment in 29 1 the facility and on the campus. CONTRACTOR shall provide educational groups regarding tobacco 30 2 cessation and provide viable alternatives such as tobacco patches and other approved methods that support 31 3 tobacco use reduction and cessation. 32 4 10) CONTRACTOR shall assist Clients in developing prevocational and vocational 33 5 plans to achieve gainful employment and/or perform volunteer work if identified as a goal in the service 34 6 plan. 35 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 20 of 82 EXHIBIT A 1 7 11) CONTRACTOR shall provide crisis intervention and crisis management services 2 8 designed to enable the Client to cope with the crisis at hand while maintaining his/her functioning status 3 9 within the community and to prevent further decompensation or hospitalization. 4 10 12) CONTRACTOR shall have individuals who are clinicians and mental health 5 specialists designated by COUNTY to provide assessments for involuntary hospitalization whenwhen 11 necessary. This service must be available twenty-four (24) hours per day, seven (7) days per week. 7 12 13) CONTRACTOR shall will provide information, support, advocacy education, and 8 13 assistance with including the Client’s natural support system in treatment and services. 9 14 14) CONTRACTOR shall sustain a culture that supports Peer Support 10 Recovery 15 Specialist/Counselors in providing supportive socialization for Clients that will assist Clients in their 11 16 recovery, self-sufficiency and in seeking meaningful life activities and relationships. Peers shall be 12 17 encouraged to share their stories of recovery as much as possible to infuse the milieu with the notion that 13 18 recovery is possible. 14 19 15) CONTRACTOR shall provide close supervision and be aware of Clients’ 15 20 whereabouts at all times to ensure the safety of all Clients. Every clinician and residential counselor shall 16 Residential Counselor will 21 have an assigned caseload and be responsible for the monitoring of the assigned individuals. 17 22 CONTRACTOR shall provide routine room checks in the evening and document observations. Rounds 18 23 are completed by staff on regular intervals. 19 24 16) CONTRACTOR shall will actively explore, research and present ideas for additional 20 25 evidence-based practices in order to continually improve and refine aspects of the program.

Therapeutic Services. 24 21 1) CONTRACTOR shall provide structured day and evening services seven (7) 22 calendar days a 25 week which will include individual, group therapy, and community meetings amongst the 23 Clients and 26 crisis residential staff. 27 24 2) CONTRACTOR shall provide group counseling sessions at least four (4) times daily 28 25 to assist Clients in developing skills that enable them to progress towards self-sufficiency and to reside in 29 26 less intensive levels of care. Topics may include, but not be limited to: self-advocacy, personal identity, 30 27 goal setting, developing hope, coping alternatives, processing feelings, conflict resolution, relationship 31 28 management, proper nutrition, personal hygiene and grooming, household management, personal safety, 33 30 therapeutic process groups will be facilitated by a licensed clinicianclinician or clinically supervised 31 registered/waivered clinicians. 34 32 3) CONTRACTOR shall provide individual therapeutic sessions provided by a 33 MD/DO/NP, licensed 35 clinician clinician, or clinically supervised registered/waivered staff at least one time a day 34 to each Client and these sessions will be clearly documented in the chart. 36 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 19 of 82 EXHIBIT A 1 35 4) CONTRACTOR shall support a culture of “recovery” which focuses on personal 2 36 responsibility for a Client’s mental behavioral health management and independence, and fosters Client 3 37 empowerment, hope, and an expectation of recovery from mental illness. Activities and chores shall be 4 1 encouraged and assigned to each Client on a daily basis to ▇▇▇▇▇▇ responsibility and learning of independent 5 2 living skills. These chores will be followed up on by residential staff, in the spirit of learning, who will 6 3 also assist the Client in learning the new skills and completing the chores as needed. 7 4 5) CONTRACTOR’s program shall will be designed to enhance Client motivation to 8 5 actively participate in the program, provide Clients with intensive assistance in accessing community 9 6 resources, and assist Clients developing strategies to maintain independent living in the community and 10 7 improve their overall quality of life. Therapeutic outings (to local museums, art galleries, nature centers, 11 8 parks, coffee shops) will be provided for all Clients in support of these goals. 12 9 6) CONTRACTOR shall assist the Client in developing and working on a WRAP 13 10 throughout their stay at the program and will promote Client recovery on a daily basis via individual 14 11 and/or group sessions. This will assist Clients in monitoring and responding to their symptoms in order 15 12 to achieve the highest possible level of wellness, stability and quality of life. Topics may include but not 16 13 be limited to: building a wellness toolbox or resource list, symptom monitoring, triggers and early warning 17 14 signs of symptoms, identifying a crisis plan, etc. 18 15 7) CONTRACTOR shall engage both the Client and family/support persons in the 19 16 program whenever possible. CONTRACTOR shall document contact with family/support persons or 20 17 document why such contact is not possible or not advisable. 21 18 8) CONTRACTOR shall support a Dual Disorders Co Existing Integrated Treatment Model that is 22 non-non- 19 confrontational, follows mental health behavioral principles, considers interactions between mental behavioral health 23 disorders 20 and substance abuse and has gradualexpectations gradual expectations of abstinence. 24 CONTRACTOR shall provide, on a 21 regularly scheduled basis, education via individual and/or group 25 sessions to Clients on the effects of 22 alcohol and other drug abuse, triggers, relapse prevention, and 26 community recovery resources. Twelve 23 (12) step groups and Smart Recovery groups will be encouraged 27 at the facility on a regular basis. 28 24 9) CONTRACTOR shall support a culture that supports a smoke free environment in 29 25 the facility and on the campus. CONTRACTOR shall provide educational groups regarding tobacco 30 26 cessation and provide viable alternatives such as tobacco patches and other approved methods that support 31 27 tobacco use reduction and cessation. 32 28 10) CONTRACTOR shall assist Clients in developing prevocational and vocational 33 29 plans to achieve gainful employment and/or perform volunteer work if identified as a goal in the service 34 30 plan. 35 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 20 of 82 EXHIBIT A 1 31 11) CONTRACTOR shall provide crisis intervention and crisis management services 2 32 designed to enable the Client to cope with the crisis at hand while maintaining his/her functioning status 3 33 within the community and to prevent further decompensation or hospitalization. 4 34 12) CONTRACTOR shall have individuals who are clinicians and mental health 5 specialists designated by COUNTY to provide assessments for involuntary hospitalization whenwhen 35 necessary. This service must be available twenty-four (24) hours per day, seven (7) days per week. 7 36 13) CONTRACTOR shall will provide information, support, advocacy education, and 8 37 assistance with including the Client’s natural support system in treatment and services. 9 1 14) CONTRACTOR shall sustain a culture that supports Certified Peer Support 10 Specialist/Counselors Specialists in 2 providing supportive socialization for Clients that will assist Clients in their 11 recovery, self-sufficiency and 3 in seeking meaningful life activities and relationships. Peers shall be 12 encouraged to share their stories of 4 recovery as much as possible to infuse the milieu with the notion that 13 recovery is possible. 14 5 15) CONTRACTOR shall provide close supervision and be aware of Clients’ 15 6 whereabouts at all times to ensure the safety of all Clients. Every clinician and residential counselor shall 16 Residential Counselor will 7 have an assigned caseload and be responsible for the monitoring of the assigned individualsClients. 17 CONTRACTOR 8 shall provide routine room checks in the evening and document observations. Rounds 18 are completed by 9 staff on regular intervals. 19 10 16) CONTRACTOR shall will actively explore, research and present ideas for additional 20 11 evidence-based practices in order to continually improve and refine aspects of the program.

Therapeutic Services. 24 7 1) CONTRACTOR shall provide structured day and evening services seven (7) days a 25 8 week which will include individual, group therapy, and community meetings amongst the Clients and 26 9 crisis residential staff. 27 10 2) CONTRACTOR shall provide group counseling sessions at least four (4) times 11 daily 28 to assist Clients in developing skills that enable them to progress towards self-sufficiency and to 12 reside in 29 less intensive levels of care. Topics may include, but not be limited to: self-advocacy, personal 13 identity, 30 goal setting, developing hope, coping alternatives, processing feelings, conflict resolution, 14 relationship 31 management, proper nutrition, personal hygiene and grooming, household management, 15 personal safety, 33 symptom monitoring, etc. These groups will be clearly documented in the individual’s 16 chart. All therapeutic process groups will be facilitated by a licensed clinician. 34 17 3) CONTRACTOR shall provide individual therapeutic sessions provided by a 18 licensed 35 clinician at least one time a day to each Client and these sessions will be clearly documented in 19 the chart. 36 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 19 of 82 EXHIBIT A 1 20 4) CONTRACTOR shall support a culture of “recovery” which focuses on personal 2 21 responsibility for a Client’s mental behavioral health management and independence, and fosters Client 3 22 empowerment, hope, and an expectation of recovery from mental illness. Activities and chores shall be 4 23 encouraged and assigned to each Client on a daily basis to ▇▇▇▇▇▇ responsibility and learning of 24 independent 5 living skills. These chores will be followed up on by residential staff, in the spirit of 25 learning, who will 6 also assist the Client in learning the new skills and completing the chores as needed. 7 26 5) CONTRACTOR’s program shall will be designed to enhance Client motivation to 8 27 actively participate in the program, provide Clients with intensive assistance in accessing community 9 28 resources, and assist Clients developing strategies to maintain independent living in the community and 10 29 improve their overall quality of life. Therapeutic outings (to local museums, art galleries, nature 30 centers, 11 parks, coffee shops) will be provided for all Clients in support of these goals. 12 31 6) CONTRACTOR shall assist the Client in developing and working on a WRAP 13 32 throughout their stay at the program and will promote Client recovery on a daily basis via individual 14 33 and/or group sessions. This will assist Clients in monitoring and responding to their symptoms in order 15 34 to achieve the highest possible level of wellness, stability and quality of life. Topics may include but 35 not 16 be limited to: building a wellness toolbox or resource list, symptom monitoring, triggers and early 36 warning 17 signs of symptoms, identifying a crisis plan, etc.. 37 // 18 1 7) CONTRACTOR shall engage both the Client and family/support persons in the 19 2 program whenever possible. CONTRACTOR shall document contact with family/support persons or 20 3 document why such contact is not possible or not advisable. 21 4 8) CONTRACTOR shall support a Dual Disorders Integrated Treatment Model that is 22 5 non-confrontational, follows mental health behavioral principles, considers interactions between mental behavioral health 23 6 disorders and substance abuse and has gradualexpectations gradual expectations of abstinence. 24 CONTRACTOR shall 7 provide, on a regularly scheduled basis, education via individual and/or group 25 sessions to Clients on the 8 effects of alcohol and other drug abuse, triggers, relapse prevention, and 26 community recovery resources. 9 Twelve (12) step groups and Smart Recovery groups will be encouraged 27 at the facility on a regular 10 basis. 28 11 9) CONTRACTOR shall support a culture that supports a smoke free environment in 29 12 the facility and on the campus. CONTRACTOR shall provide educational groups regarding tobacco 30 13 cessation and provide viable alternatives such as tobacco patches and other approved methods that 14 support 31 tobacco use reduction and cessation. 32 15 10) CONTRACTOR shall assist Clients in developing prevocational and vocational 33 16 plans to achieve gainful employment and/or perform volunteer work if identified as a goal in the service 34 plan. 35 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 20 of 82 EXHIBIT Aservice 1 18 11) CONTRACTOR shall provide crisis intervention and crisis management services 2 19 designed to enable the Client to cope with the crisis at hand while maintaining his/her functioning status 3 20 within the community and to prevent further decompensation or hospitalization. 4 21 12) CONTRACTOR shall have individuals who are clinicians and mental health 5 specialists designated by COUNTY to provide assessments for involuntary hospitalization whenwhen 22 necessary. This service must be available twenty-four (24) hours per day, seven (7) days per week. 7 23 13) CONTRACTOR shall will provide information, support, advocacy education, and 8 24 assistance with including the Client’s natural support system in treatment and services. 9 25 14) CONTRACTOR shall sustain a culture that supports Peer Support 10 Recovery 26 Specialist/Counselors in providing supportive socialization for Clients that will assist Clients in their 11 27 recovery, self-sufficiency and in seeking meaningful life activities and relationships. Peers shall be 12 28 encouraged to share their stories of recovery as much as possible to infuse the milieu with the notion 29 that 13 recovery is possible. 14 30 15) CONTRACTOR shall provide close supervision and be aware of Clients’ 15 31 whereabouts at all times to ensure the safety of all Clients. Every clinician and residential counselor shall 16 32 will have an assigned caseload and be responsible for the monitoring of the assigned individuals. 17 33 CONTRACTOR shall provide routine room checks in the evening and document observations. Rounds 18 34 are completed by staff on regular intervals. 19 35 16) CONTRACTOR shall will actively explore, research and present ideas for additional 20 36 evidence-based practices in order to continually improve and refine aspects of the program.. 37 //

Therapeutic Services. 24 1) CONTRACTOR shall provide structured day and evening services seven (7) calendar days a 25 week which will include individual, group therapy, and community meetings amongst the Clients and 26 crisis residential staff. 27 2) CONTRACTOR shall provide group counseling sessions at least four (4) times daily 28 to assist Clients in developing skills that enable them to progress towards self-self- sufficiency and to reside in 29 less intensive levels of care. Topics may include, but not be limited to: self-advocacy, personal identity, 30 goal setting, developing hope, coping alternatives, processing feelings, conflict resolution, relationship 31 management, proper nutrition, personal hygiene and grooming, household management, personal safety, 33 symptom monitoring, etc. These groups will be clearly documented in the individual’s chart. All therapeutic process groups will be facilitated by a licensed clinicianclinician or clinically supervised registered/waivered clinicians. 34 3) CONTRACTOR shall provide individual therapeutic sessions provided by a an MD/DO/NP, licensed 35 clinician clinician, or clinically supervised registered/waivered staff at least one time a day to each Client and these sessions will be clearly documented in the chart. 36 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 19 of 82 EXHIBIT A 1 4) CONTRACTOR shall support a culture of “recovery” which focuses on personal 2 responsibility for a Client’s mental behavioral health management and independence, and fosters Client 3 empowerment, hope, and an expectation of recovery from mental illness. Activities and chores shall be 4 encouraged and assigned to each Client on a daily basis to ▇▇▇▇▇▇ responsibility and learning of independent 5 living skills. These chores will be followed up on by residential staff, in the spirit of learning, who will 6 also assist the Client in learning the new skills and completing the chores as needed. 7 5) CONTRACTOR’s program shall will be designed to enhance Client motivation to 8 actively participate in the program, provide Clients with intensive assistance in accessing community 9 resources, and assist Clients developing strategies to maintain independent living in the community and 10 improve their overall quality of life. Therapeutic outings (to local museums, art galleries, nature centers, 11 parks, coffee shops) will be provided for all Clients in support of these goals. 12 6) CONTRACTOR shall assist the Client in developing and working on a WRAP 13 throughout their stay at the program and will promote Client recovery on a daily basis via individual 14 and/or group sessions. This will assist Clients in monitoring and responding to their symptoms in order 15 to achieve the highest possible level of wellness, stability and quality of life. Topics may include but not 16 be limited to: building a wellness toolbox or resource list, symptom monitoring, triggers and early warning 17 signs of symptoms, identifying a crisis plan, etc. 18 7) CONTRACTOR shall engage both the Client and family/support persons in the 19 program whenever possible. CONTRACTOR shall document contact with family/support persons or 20 document why such contact is not possible or not advisable. 21 8) CONTRACTOR shall support a Dual Disorders Integrated Treatment Model that is 22 non-confrontational, follows mental health behavioral principles, considers interactions between mental behavioral health 23 disorders and substance abuse and has gradualexpectations gradual expectations of abstinence. 24 CONTRACTOR shall provide, on a regularly scheduled basis, education via individual and/or group 25 sessions to Clients on the effects of alcohol and other drug abuse, triggers, relapse prevention, and 26 community recovery resources. Twelve (12) step groups and Smart Recovery groups will be encouraged 27 at the facility on a regular basis. 28 9) CONTRACTOR shall support a culture that supports a smoke free environment in 29 the facility and on the campus. CONTRACTOR shall provide educational groups regarding tobacco 30 cessation and provide viable alternatives such as tobacco patches and other approved methods that support 31 tobacco use reduction and cessation. 32 10) CONTRACTOR shall assist Clients in developing prevocational and vocational 33 plans to achieve gainful employment and/or perform volunteer work if identified as a goal in the service 34 plan. 35 37 STARS BEHAVIORAL HEALTH GROUP INC., DBA 20 of 82 EXHIBIT A 1 11) CONTRACTOR shall provide crisis intervention and crisis management services 2 designed to enable the Client to cope with the crisis at hand while maintaining his/her functioning status 3 within the community and to prevent further decompensation or hospitalization. 4 12) CONTRACTOR shall have individuals who are clinicians and mental health 5 specialists designated by COUNTY to provide assessments for involuntary hospitalization whenwhen necessary. This service must be available twenty-four (24) hours per day, seven (7) days per week. 7 13) CONTRACTOR shall will provide information, support, advocacy education, and 8 assistance with including the Client’s natural support system in treatment and services. 9 14) CONTRACTOR shall sustain a culture that supports Peer Support 10 Recovery Specialist/Counselors in providing supportive socialization for Clients that will assist Clients in their 11 recovery, self-sufficiency and in seeking meaningful life activities and relationships. Peers shall be 12 encouraged to share their stories of recovery as much as possible to infuse the milieu with the notion that 13 recovery is possible. 14 15) CONTRACTOR shall provide close supervision and be aware of Clients’ 15 whereabouts at all times to ensure the safety of all Clients. Every clinician and residential counselor shall 16 Residential Counselor will have an assigned caseload and be responsible for the monitoring of the assigned individualsClients. 17 CONTRACTOR shall provide routine room checks in the evening and document observations. Rounds 18 are completed by staff on regular intervals. 19 16) CONTRACTOR shall will actively explore, research and present ideas for additional 20 evidence-based practices in order to continually improve and refine aspects of the program.