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HomeMy WebLinkAbout47-88 RESOLUTION • RESOLUTION NO. 47-88 SG . A RESOLUTION AUTHORIZING THE MAYOR AND CITY CLERK TO EXECUTE A CONTRACT WITH THE UNIVER- SITY OF ARKANSAS PSYCHOLOGICAL CLINIC FOR AN EMPLOYEE ASSISTANCE PROGRAM. BE IT RESOLVED BY THE BOARD OF DIRECTORS OF THE CITY OF FAYETTEVILLE, ARKANSAS: That the Mayor and City Clerk are hereby authorized and directed to execute a contract with the University of Arkansas Psychological Clinic for an employee assistance program. A copy of the contract authorized for execution hereby is attached hereto marked Exhibit "A" and made a part hereof. PASSED AND APPROVED this 21st day of June , 1988 . APPROVED By: LnA May • oL�r� f , ATT.FyST s ,l t 7(/ ti l N. •;' i Clerk t FAYETTEVILLE . ') }Ct®FiIMED THE CITY OF FAYETTEVILLE,ARKANSAS July 22 , 1988 Dr. Brenda Mobley Director of Psychological Clinic Memorial Hall 111 University of Arkansas Fayetteville, Arkansas 72701 RE: Extension of Term for Employee Assistance Program Contract Dear Dr. Mobley: Pursuant to paragraph 3 of the Employee Assistance Program Contract between the City of Fayetteville and the University of Arkansas Psychological Clinic, you are hereby notified that the City elects to extend the term of the contract for an additional period of one ( 1 ) year. Sincerely, ` r) 994- Marilyn Johnson MAYOR MJ:kn cc: Mr. James L. Pennington, City Manager Mr. Rex Morris, Personnel Officer 113 WEST MOUNTAIN 72701 501 521-7700 MEMORANDUM TO: City of Fayetteville Board of Directors THRU: James L. Pennington, City Manager FROM: Judy Huffaker, Interim Purchasing Officer DATE: June 2, 1988 RE: Employee Assistance Program Agreement Please find attached a copy of the 1987 University of Arkansas proposal and contract for the Employee Assistance Program. I recommend that the Board extend the contract for an additional one year term to begin on May 1, 1988. As stipulated in item three of the attached contract, the City may extend the term of the contract for up to three additional one-year terms. If you should have any questions, please do not hesitate to contact me. Thank you. 4 EMPLOYEE ASSISTANCE PROGRAM CON TACT _ 3-1- THIS AGREEMENT is made this 07/-- day ofaiiiii , a Munic ipal by and between The City of Fayettevill , Arkansas, cipal Corporation, hereafter referred to as "CITY", and The University of Arkansas Psychological Clinic located at Memorial Hall, Department of Psychology, University of Arkansas, Fayetteville campus, hereafter referred to as "CONTRACTOR". WHEREAS, the City desires to contract with Contractor to operate the City's Employee Assistance Program (the Program) for the period set forth below; and WHEREAS, the Contractor desires to operate the program on the terms and conditions set forth below; NOW, THEREFORE in consideration of the mutual promises and covenants provided herein and other good and valuable consideration, the City and Contractor agree as follows: 1. Appointment of Program Coordinator--The City shall designate an employee or other person to act as the Program Coordinator for the City to monitor the Program for the City, to cooperate with Contractor in their operation of the Program, and to perform the other services required of the Program Coordinator in this Agreement. 2. Services Provided by Contractor--During the term of this Agreement, Contractor agrees to operate the Program as provided in this Agreement and in accordance with the written ,Proposal For Employee Assistance Program (EAP) , attached hereto, marked Exhibit "A" and made a part hereof. 3. Term--The term of this Agreement shall be for one year commencing on the date of , 19 The City may extend the term of this contract under the terms prescribed hereby for up to three additional one-year terms by giving the Contractor written notice of at least 30 days prior to the expiration date of the original term or any extended term. This Agreement may be terminated by either party upon sixty days written notice of termination to the other party. 4. Fees--In consideration of the services provided by Contractor under this agreement, the City agrees to pay Contractor the fees set forth in Exhibit "A" attached hereto and incorporated herein by reference. The Contractor shall provide services at no charge for the remaining term of this contract if the City's total obligation hereunder and the employee's Blue Cross-Blue Shield health insurance benefits are exceeded. 5. Exclusive Provider of Services--The City agrees that during the term of this Agreement Contractor shall be the exclusive provider of services for or with respect to the Program. 6. Records--All records and data maintained by Contractor concerning the Program, including client records, shall be the sole property of Page Two EAP Contract cont. Contractor, regardless of their physical location, and shall be confidential. Except in the (-vase of government agency or court order, client records shall not be released to the City or anyone else without the written authorization of the employee or family member involved. —�-3 Contractor shall mainta n, during the tc Agreement, liability insuran s or negligence or malpractice based on er to employees o o�fsmil 8. Assignment--This Agreement may not be assigned by either party without the written consent of the other party. 9. Entire Agreement--This Agreement constitutes the entire agreement between the parties hereto and may not be modified or amended except in writing signed by both parties hereto. Contractor shall provide services under this Agreement upon execution. 10. Severability--If any part or provisions of this Agreement is held invalid or unenforceable under applicable law, such invalidity or unenforceability shall not in any way affect the validity or enforceability of the remaining parts and provisions of this Agreement. 11. Nonwaiver--Forbearance or indulgence by either party in any regard whatsoever shall not constitute a waiver of the condition or covenant to be performed to which the same may apply, and until complete performance of said condition or covenant such party shall be entitled to invoke any remedy available to it under this Agreement or by law or in equity despite said forbearance or indulgence. 12. Offset--The City hereby waives any and all existing and future claims and offsets against any fee or other payment due hereunder and agrees to pay the fee and all other amounts hereunder regardless of any offset or claim which may be asserted by the City or on its behalf. 13. Governing Law--This Agreement and the rights, obligations and remedies of the parties hereto shall in all respects be governed by and construed in accordance with the laws of the State of Arkansas. IN WITNESS WHEREOF, the parties heave executed this Agreement on the date first - ..ve written. BOARD OF 4STEES UNIVERSI�OF • -i` 3 CITY BY 4I II I rir ar NAdir b e l n TI r E ive Vice President ifyp/2 ATTEST h ATTEST: C PSYCHOLOGICAL CLINIC •Memorial Hall 111 Department of Psychology PI Fayetteville,Arkansas 72701 (501)575-4258 LIP UNIVERSITY OF ARKANSAS • J. William Fulbright College of Arts and Sciences April 06, 1987 . k Jeanette Crumpler ` _ � Personnel Director City of Fayetteville It 113 W. Mountain (` Fayetteville, Arkansas 72701 Dear Ms. Crumpler: Enclosed please find the University of Arkansas Psychological Clinic' s proposal (bid) for the Employee Assistance Program, announcement issued March 20, 1987. If the submitted proposal is of the general nature of what the City would want, I will be happy to clarify issues or attempt to find substitute procedures that would better meet the perceived needs. I would be able to meet with you should that prove desirable. Thank you again for your time the other day to help me develop the pic- ture of the City' s situation. If I can be of further help in this matter, do not hesitate to call upon me. Sincep,ely, / i , ' , C14f8/0 L. Hi sch, Ph.D. C.I. r____ Associate Pro essor and Direc The University of Arkansas is an equal opportunity/affirmative action institution. PROPOSAL FOR EMPLOYEE ASSISTANCE PROGRAM (EAP) , PSYCHOLOGICAL SERVICES, FOR THE CITY OF FAYETTEVILLE PROVIDED BY THE UNIVERSITY OF ARKANSAS PSYCHOLOGICAL CLINIC DESCRIPTION OF PROVIDER The proposed provider is the Psychological Clinic of the University of Arkansas Department of Psychology. This facility is located in Memorial Hall on the University Fayetteville campus at the corners of Maple Street and Cam- pus Drive. Reserved parking for Clinic clients is provided on Campus Drive facilitating access. In addition, the Clinic is handicapped accessible. The Psychological Clinic is situated in renovated, modern facilities com- plete with extensive video equipment for treatment and training, individual consultation rooms, small and large group rooms, and a playroom for child evaluation and treatment. All space is modern, comfortably furnished, and cas- ual , except the main office, which is more formal in appearance. The Psychological Clinic is the training facility of the Department of Psychology's American Psychological Association approved clinical training program (a national level certified program) . There are generally about twen- ty-five graduate students in training at a particular time, and they are sup- ervised by eight full-time, licensed, clinical psychologist, faculty members. The faculty members' areas of expertise include adults, adolescents, and chil- dren, and include problem orientations such as cognitive-behavioral , behavior modification, interpersonal , and psychodynamic. Although some services are provided directly by faculty members, the majority of services are provided by faculty clinician/graduate clinician teams. Early in their training, graduate students receive one-to-one supervision or greater, that is, one hour or more of supervision for every hour of client direct contact. As graduate clinicians become more advanced, the intensity of supervision is reduced appropriately. Supervision is facilitated in most cases by the use of videotape. In some instances clients object to this procedure; for the purposes of this EAP, such objections will be honored, and the case will be assigned to an advanced grad- uate clinician or a faculty clinician obviating the need for the videotape procedure. The Psychological Clinic is a training facility. The Clinic' s general policy manual and handbook states, " . . . the Clinic's major function is that of fulfilling training and service needs. The Psychological Clinic operates on the premise that these needs are complementary, and our major goal is excel- lence in the provision of both quality psychological services to Clinic clien- tele, and a varied range of professionally relevant experiences to stu- dents. . . " The Clinic' s experience is that its clients may occasionally find their treatment plan developing a session slower because of the training -2- aspect of the Clinic. However, the very limited disadvantages of working with a training facility are much outweighed by the very real advantages of small case loads for clinical teams insuring clients of in-depth consideration, the broad range of expertise available, and the ever renewed state of clinical knowledge assuring that the Clinic remains at the forefront of developments in the mental health field. The Clinic provides a full range of psychological services including a 24 hour emergency/urgency call team. The Clinic also has facilitated access to inpatient hospital services through its affiliation with Ozark Guidance Center, which also provides accommodated psychiatric consulta- tion. Other regular working relationships from which Clinic clientele poten- tially benefit include Youth Bridge, a facility for troubled adolescents, Washington County Headstart, and the various local courts. PROVIDER EAP EXPERIENCE As a part of its affiliate agreement with Ozark Guidance Center, The Psy- chological Clinic has provided an employee assistance program to the Center' s employees since January, 1974. Under this program all Ozark employees and their immediate family members are eligible for psychological services, including psychiatric consultation, through the Psychological Clinic either by using their employee health insurance as sole payment or at no fee at the employee' s option. The no-fee option has been provided to deal with some employee concern about possible diminution of confidentiality through the insurance claim processing at the Center. Indeed, Ozark employees are given the option of referral by the Director of Clinical Services for the Center, supervisor referral , or self-referral . When record sensitivity has been a con- cern by the employee, the Clinic has provided especially secured record hand- ling and other procedures, such as special peer review, to allay any fear that personnel in the Clinic who also deal with the Center on a regular basis might present a threat to confidence. In other words, the Clinic has done what is in its power to accommodate Center employees so they may comfortably pursue the psychological services to which they are entitled and welcome. Ozark Guidance Center has handled internal marketing of the program itself, though the Clinic would become involved if that were seen as desirable. To date, it has not. Records exist in the Psychological Clinic regarding Ozark Guidance Center employee and family use of the employee assistance program. However, these records are currently caught in a change of data handling procedures that makes access by computer impossible and manual access not cost-effective. The Psychological Clinic has received many informal expressions of thanks from Center employee-clients. The Clinic has never received a formal or informal complaint about services or the program per se from individuals or administra- tion. Concerns about record handling and other matters of confidentiality have occurred, especially early when there was no grapevine track record to which employees could turn. The Clinical Director at the Ozark Guidance Center can be contacted for information regarding the Center' s experience with this EAP. Please use the following information: Travis Jenkins, M.D. Director of Clinical Services Ozark Guidance Center 219 South Thompson Springdale, AR 72764 (501) 751-7052 -3- COMPREHENSIVE PLAN OF SERVICE Case Finding and Referral . Generally, employees and their families will be informed of the existence of the EAP and the nature of the services available through various avenues (see later section captioned "Internal Marketing Plan") . Subsequent to these various case finding activities, employees and their families will be poten- tially self-referred, supervisor referred, co-worker referred, etc. The Psy- chological Clinic will accept self and/or family referral , physician referral , and supervisor referral ; the latter only as necessary. Co-worker referrals will not be accepted under most circumstances, because generally such actions are counterproductive in regard to confidence and are open to abuse. In all instances it is highly desirable from a clinical point of view that referrals be self-referrals whenever possible. However, there are cases in which physi- cian, supervisor or spouse referral make it easier for the troubled individual to enter the intervention system. Also, there are clearly times when others, such as supervisors or family members, may require professional assistance to arrange services for the resistant troubled person or the person unable to act in the interest of their own welfare. Clinic Contact and Intake. Contact with the Psychological Clinic will be initiated by telephone and will be encouraged to occur during regular working hours. At times of emer- gency/urgency, contact will occur by phone with the on-call team. Emer- gency/urgency management is only within the purview of the clinical team pro- viding the service. More usual requests for service will result in some brief data gathering and information provision. An appointment for an intake inter- view will be given. Requests received during the working week will be sche- duled for intake interview to occur in less than 24 hours. Requests received on weekends will be scheduled for the intake interview to occur in less than 48 hours. The intake interview will consist of structured activities involving providing the troubled individual or family with initial information about the Clinic, about clinical services, and the goals of the intake. These goals will include being able to arrive at a preliminary understanding of the client's problem to facilitate disposition planning and to begin to relieve client indisposition. To these ends, about 50 minutes will be required for individual contacts and about 90 minutes for couples and families. During the intake procedure the client will be introduced to various consent forms including those dealing with permission for intervention, conditions of and exceptions to confidentiality, etc. Intake will be followed by a Clinic staffing proce- dure which will result in a disposition, that is, assignment for further diag- nostic work, assignment for treatment, etc. The staffing procedure consists of the intake clinician presenting the information obtained in the intake inter- view to a group of clinicians for discussion, further refinement of under- standing of the troubled employee and the problem, provisional diagnosis, and development of a suggested intervention method. The case is then assigned to a treatment team based on the team' s perceived expertise to deal with the indi- vidual and the problem. An appointment for the first intervention session will be offered to the troubled employee within no more than 48 hours and usually within 24 hours, constrained largely by the occurrence of weekends and by the availability of the employee for telephone contact and the actual appointment. -4- The Clinic provides appointment times both during the daytime and several eve- nings a week to facilitate appointments while minimizing the need for the employee to miss work activity. Assessment Intervention. When the problem presented by the employee and/or family involves a request for diagnostic or assessment information (for example, is it the child' s problem or the family's or the school ' s problem?, is it depression or a physical disorder?, etc. ) , or when the problem needs further clarification beyond the intake information, the client(s) will be assigned to an assessment or diagnostic modality. Some of the more frequently encountered diagnostic modalities in the Clinic include child diagnosis (is the child developmentally delayed?) , family diagnosis (is the child' s poor school performance the result of all the conflict in the family?) , school assessment (why does the child not read at grade level?) , neuropsychological diagnosis (what is the nature and extent of the intellectual deficit secondary to the brain injury from that accident?) , long-term treatment assessment (the diagnosis warrants long-term treatment; can the person profit from such a course?) , second opinion assess- ment (is the school right that the child needs to be removed from the regular classroom?) , marital assessment (why is this marriage not working and what can be done?) , and clinical diagnosis (is this an anxiety reaction or something more serious?) . Treatment Intervention. After appropriate assessment activities and when treatment is indicated, or when the problem is understood at intake and treatment is recommended, the employee-client and or family member(s) will be assigned to a treatment modal- ity in keeping with the understanding of their problem and its best treatment. Treatment intervention modalities frequently encountered in the Psychological Clinic include crisis intervention to help people cope with unusually intense stressor situations such as multiple losses of important people, the experi- ence of rape or assault, civilian disaster, etc. A number of types of individ- ual therapy are regularly employed based on the personality of the troubled person, the nature of the current problem, and the estimated cost- effectiveness of the different possible interventions. As with the modalities described above, these modalities or procedures are not necessarily mutually exclusive. Some individual treatment procedures include: short-term psycho- therapy (the personality of the client and the nature of the problem are such that help with development of additional specific coping skills will alleviate the situation and/or distress in a short period without trying to influence the person' s personality per se to any great extent) , behavioral (the person is taught to relax) , bio-feedback (the person is taught to relax using feed- back concerning the physiological state of their muscles, they are taught to use relaxation and other procedures to control migraine headaches) , expressive or psychodynamic psychotherapy (the person is helped to deal with emotional traumata of the historical past which contribute to present interpersonal problems and/or symptomatology) , and hypnosis (the person is taught this skill to control or eliminate problems, especially those not under conscious con- trol ) . Individual psychotherapies are usually provided on an outpatient basis. They can be and are also provided on an inpatient basis. The Psychological Clinic' s use of hospital facilities is judicious. The Clinic minimizes the -5- number of hospitalizations and the length of those that do occur, but the Clinic also recognizes that hospitalization may be the procedure of choice for all involved in some instances. It is, then, the Clinic's goal to make the hospital stay as productive as possible, that is, seeing that things change with the hospitalized client in an active way and that problems are also being ameliorated in the environment that the client will return to. This is in con- trast to using the hospital for simple restraint or protection. Conjoint modalities of treatment are used at the Psychological Clinic. These are treatment modalities that focus on problems of an interpersonal nature and deal with those problems through interpersonal strategies includ- ing, but not limited to, communication analysis and restructuring. The most frequent of these modalities include marital , family, and group psychotherapy. Group therapy involves people with interpersonal problems in a group process with others with similar problems, and who often have a dearth of people available to them with whom they can learn to solve their problems and modify their unproductive interpersonal styles. Skills groups are often available through the Psychological Clinic. These are group processes focused on specific problem areas that are common in cur- rent industrial , dehumanized society. It is assumed that people benefit from these procedures for a number of reasons including finding that they are not alone in their experience of problems of a particular nature, sharing experi- ence to learn from it, and being provided information that group discussion helps them to understand and integrate into their lives. Those skills groups that can be offered in the Clinic include, but are not limited to, the follow- ing: stress management, interpersonal communication skills, assertiveness, anger/hostility management, and parent effectiveness. Though third parties often do not reimburse for these services, they will be provided to individu- als and their family members covered by this EAP free of charge (not including minor expenses for the cost of materials that become the property of the client) . Informed Consent and Intervention Planning. As early in the intervention process as possible, all EAP clients will participate in a formal informed consent procedure. When psychological assess- ment occurs, the informed consent procedure will be a part of the interpretive interview with the client(s) . When formal assessment has not been necessary, the informed consent will occur as a part of the required treatment planning process. The informed consent will consist of the clinical team sharing with the client, or responsible adult when a minor is involved, information that is imperative to the client(s) for making an informed decision about further par- ticipation. The informed consent will include a written document discussed with the client, or the client' s representative, to the client's satisfaction and providing the client with the following information: 1. A statement of the nature of the client' s problem, including person- ality function when appropriate, as understood by the clinical team. 2. A statement and explanation of the recommended intervention. 3. A statement and explanation of other possible but not recommended interventions and the reasons to prefer that which was recommended. -6- 4. Reasonably expectable outcomes of the recommended intervention. 5. Possible negative concomitants (side-effects) of the recommended intervention. 6. Costs to the patient in terms of time, energy, discomfort, and money. This informed consent will be signed by the client and the clinical team and will be renewed if and when substantial changes in the understanding of the client and the client' s problems dictate. Intervention planning is a further informed consent procedure that will occur with EAP clients that provides the client with more detail of the pro- cesses to be experienced than does the general procedure and provides the basis for regular review of progress toward goals, changes in goals as the intervention proceeds, etc. Intervention planning at the formal level also provides the informational vehicle for quality assurance/peer review without unduly compromising the client' s right to privacy. The concepts of quality assurance and peer review will be presented in the next section. Intervention planning proceeds differently for diagnostic or assessment planning as compared to treatment planning. For diagnostic planning, the intervention plan is to be formally dealt with no later than the end of the second session. It provides the client with the reason for assessment, the planned evaluation procedures, and the expected number of sessions and prob- able cost of the assessment plan. The client and the clinical team sign this plan (see Attachment A for a copy of the form used) . Treatment intervention planning occurs no later than the third treatment session. It provides the client with a further description of the presenting problem as understood by the clinical team, a description of the treatment goals, a statement of the concrete goal attainment indicators (the means or signs by which progress or its absence are to be recognized) , and a descrip- tion of the treatment procedures to be used. The client indicates the degree of concurrence with this plan and signs it. The clinical team also signs the plan (see Attachment B for a copy of the form used) . Further treatment planning via formal treatment reports occurs at the loth, 24th, 40th, and 60th sessions and every 20th session beyond the 60th (see Attachment C for a copy of the form used) . Quality Assurance and Peer Review. Quality assurance review consists of a system that documents the services provided to clients, documents the evaluation of the quality of those ser- vices, and contributes to quality itself by recognizing certain types of clients who require special procedures. Quality assurance also aims at opti- mizing utilization, and thereby maximizing general client well being, includ- ing physical and mental health, while minimizing the cost to clients, employers, and other third parties. -7- • Quality assurance reviews occur in the Psychological Clinic in the fol- lowing areas: 1. General quality and cost/utilization. Cases are reviewed at regular stipulated intervals to see that the treatment goals are being met, and that more recent goals and treat- ment procedures are appropriate and congruent. Issues of the need for treatment, informed consent and ethics are also evaluated. 2. Lethality. When clients are perceived to be dangerous to themselves and/or._ oth- ers, special review conditions pertain to lessen the probability of lethality, to aid the primary treatment team, and to provide safety for everyone with the least amount of restriction of the client' s freedom and rights. 3. Dysfunctionality. When a client' s ability to function in any of the areas of personal care, interpersonal relations, or vocation (school , work, household duties, etc. ) are rated as decreasing, special review conditions per- tain to minimize the loss of function, to aid the primary treatment team, and to preserve the client's rights and integrity. 4. Personnel disagreement. When clinical personnel seriously disagree about matters that will possibly influence a client' s welfare and treatment outcome, this means is provided to develop another point of view and judgement more independent of the day-to-day involvement in the treatment. 5. Records. As record keeping is a vital clinical and legal matter, all Clinic records in active cases are reviewed according to specific profes- sional standards once every two weeks, and action is taken to correct any mistakes and/or deficiencies. Quality assurance reviews in situations one through four above are car- ried out at various levels, all of which involve both faculty and graduate level clinicians, thus peer review. At each level of review, the reviewers become more independent of the particular case under consideration and more representative of the total scope of practice in the Psychological Clinic. Records review is carried out by the Clinic's Assistant Administrator in con- sultation with the Clinic Director. The above briefly described quality assurance system maximizes the bene- fits of review to everyone, including third parties, while minimizing the threat to the integrity of the treatment found in other review procedures cur- rently in use in the mental health/insurance industry. -B- OTHER EAP BENEFITS - NONREIMBURSABLE SERVICES - In the interest of enhancing the benefits of this EAP to both the pro- vider and the subscriber, all psychological services deemed necessary and/or relevant in the sole judgement of the Psychological Clinic, that are within its capabilities to deliver, and that are nonreimbursable by the involved third party, will be provided to the employee participants of the City of Fayetteville on a no-fee basis. Examples of these services might include: 1. Skills groups 2. Preventive education 3. Legal opinions and testimony 4. School visits INTERNAL MARKETING PLAN The Psychological Clinic's internal marketing activities will be of five types: 1. One oral presentation per quarter to the City of Fayetteville's administrators, supervisors, or other employees, or a combination of these, covering the nature of the EAP, access to it, indications for use, etc. 2. One oral presentation per quarter to City of Fayetteville employees or subgroup of employees to be designated by the contractee of mate- rial related to common mental health problems like depression and suicide, reducing work stress, etc. The specific topics will be arrived at in consultation with City of Fayetteville administration. The presentations will be supplemented with information about the EAP, how to use it for the problem under consideration and in gen- eral , what an employee with that particular problem would encounter in seeking and getting help through the EAP, etc. 3. One mailing every six months to the employees' homes of a brochure describing the EAP. 4. One distribution every quarter to the employees in their pay enve- lopes, or by other means, of a brochure on a mental health topic of general interest and information on the EAP. 5. Availability of the Director of the Psychological Clinic on a conti- nuing basis to City of Fayetteville personnel to facilitate referral , problem solve, case find, and generally consult about any matter relevant to the EAP. ETHICAL STANDARDS The Psychological Clinic functions in accordance with the American Psy- chological Association' s Ethical Standards of Psychologists, the Standards for -9- Providers of Psychological Services, and Act 129 of the Statutes of the State of Arkansas (the licensure act for psychologists) . Though confidentiality is only one of the ethical standards, it is recognized as the cornerstone of pro- fessional work and the clinical delivery of services; it is assured. COSTS STATEMENT Psychological services will be delivered by the University of Arkansas Psychological Clinic under this contract for an EAP rate of $55.00 per service unit (approximately 50 minutes of client contact or the equivalent) . Of this amount, the City of Fayetteville will pay the Clinic $25.00 per service unit up to and including $3200.00 for the contract period maximum, and regardless of the cost of further service units, and regardless of the Blue Cross/Blue Shield (BC/BS) deductible paid by the employee per the Blue Cross/Blue Shield (BC/BS) contract for the City of Fayetteville. After the employee paid deduc- tible, BC/BS will pay the Psychological Clinic 50% of the service unit charge per service unit for reimbursable services per the BC/BS contact for the City of Fayetteville up to a maximum of $4000.00 per employee for the contract period and not including the deductible. Services provided by the Psychologi- cal Clinic beyond these specific cost reimbursement limits will be without charge to the employee or members of the employee' s immediate family. These rates will not be subject to change during the contract period. - The costs of the Internal Marketing Plan described above shall be treated as indirect services, the expense of which is subsumed under the direct ser- vices costs described, i .e. , there will be no direct cost to the City of Fayetteville for these services. The cost statements made here apply only to those services supplied directly by the University of Arkansas Psychological Clinic and in no way rep- resent the services or costs incurred through its affiliates. PROGRAM EVALUATION Quarterly and yearly reports will be submitted to the City of Fayette- ville, the nature of which will be jointly decided by the Psychological Clinic and the City of Fayetteville. The purpose of the reports will be to measure the effectiveness of the program, and it will consist of numbers for statisti- cal purposes or other abstract statements in keeping with program effective- ness evaluation. Under no circumstances shall any of the data or statements in any way compromise the employee-client' s confidentiality. -10- SUNMARY An Employee Assistance Program for the City of Fayetteville is proposed that will provide the psychological services of psychological assessment and treatment in a number of modalities for a broad range of psychological prob- lems, including those requiring hospitalization. Performance time standards are set, the mechanism of case finding, referral , intervention, quality assur- ance, and internal marketing are described. Cost statements and expectations of program effectiveness evaluation are provided. / � G s � l � n, P� oat 277 i al P yc logist Ass iat Pr essor and Director Appendix A University of Arkansas 3/84 (17) Psychological Clinic Evaluation Planning Form Client Name: Client Number: Client Age: Dace of Plan: REASON FOR ASSESSMENT: EVALUATION PROCEDURES PLANNED: EXPECTED NUMBER OF SESSIONS: PROBABLE COST OF EVALUATION: The above plan has been explained co my satisfaction. I understand that in the interpre;:ation of nest results that I will receive, I will not be told specific test scores. Client and/or Guardian Signature Date Faculty Clinician Signature Da a Graduate Clinician Signature Date • Appendix B UNIVERSITY OF ARKANSAS 08/86 (55) PSYCHOLOGICAL CLINIC PSYCHOLOGICAL TREATMENT PLANNING FORM Client Name: Client Number: Date of Plan: Number of Sessions to Date: Client Age: DESCRIPTION OF THE PRESENTING PROBLEM: DESCRIPTION OF TREATMENT CONCRETE GOAL ATTAINMENT GOALS: INDICATORS: TREATMENT PROCEDURES ( sessions per week expected. Expected total number of sessions [including past sessions] is ) Client's Concurrence: Client's or Guardian's Signature Date Full Partial Graduate Clinician's Signature Date **MUST BE TYPED** Faculty Clinician's Signature Date . . •._ ie. • . . , . . ' ' ' • " . '- * • . ' . 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Date _ , .. . ‹Ti• -77.-5. ,..t...,. •-s-...,-. :.4.,. ‘, / • - A - 1 tlient1s or Guardian's Signature Full - artial . . ._. . --.•--.A. 4s1-•-•-•t ;e•,-•-•;,--••••:,,,- ,--- -:---;. - • . . . - - • • ',:t- "°- '' '• :.. :-- - - ,- - -•• ':''';'" •••?''' :-. •- • . , , Graduate Clinician's Signature Date . -,- . . BE TYPED** . • ... , , _ ... . • . , • _ , . - ... . •. Faculty Clinician's Signature Date • . . _ . . • • . . r FAYETTEVILLE, ARKANSAS 7r" e„ad t + , II f I.O.DMWEII F T2701 (i01l un•noo "'9syiy� �+ i CITY OF FAYETTEVILLE, ARKANSAS�ONtO�= REQUEST FOR PROFESSIONAL PROPOSALS EMPLOYEE ASSISTANCE PROGRAM 'ISSUED: 3-20-87 The City of Fayetteville Purchasing Office will accept sealed •� professional proposals from licensed Arkansas health professionals qualified in the field of industrial psychology or psychiatry for the purpose of perfecting an Employee Assistance Program for the City of Fayetteville. The structure of the program and guidelines for submission of a proposal may be obtained at the Purchasing Office at 113 West Mountain Street, Second Floor, City Administration Building. All bid proposals are due no later than 10:00 A.M. on April 7, 1987. at the City Purchasing Office. Any proposal received after the date and time set for receiving proposals will not be considered. Any questions regarding the format and content of the proposal should be directed to Jeanette Crumpler, Personnel Director, 113 W. Mountain, Fayetteville, AR 72701, or call 575-8279. . Only proposals will be accepted from persons who have satisfactorily completed a course of study in Psychiatry and/or Psychology. Persons submitting proposals shall be appropriately licensed to practice in the State of Arkansas. Whether the proposal is submitted by a Psychiatrist or a Psychologist, the City would like for the person submitting the proposal to be the person who signs the proposals in their own handw-riting and submit with the proposal, a list of clients whom they have served in the Employee Assistance Program area in the past three years. We are especially interested in looking into proposals that have been set up for other area agencies in Northwest Arkansas. It is anticipated that the fee schedule will consist of Blue Cross/Blue Shield Insurance plus a fee not to exceed $25.00 per visit, $25.00 which is to be paid by the City of Fayetteville. Deductible is to be met by the employee or family member of employee as per BCBS contract. This will be the case until benefits for mental health services are exhausted for the year. After that time, services are to be provided for the maximum fee of $25.00 per visit, fee wh'_ch is to be assumed by the City of Fayetteville, until insurance benefits become available again. The fees submitted shall be guaranteed maximums and the fees ' shall be good and firm and shall not be subject to change for a period of one year after the date of bid award. kThe City's health care plan provides a maximum per year fee schedule of j $4,000.00 not including deductible. The City's total fee in any ► contract year shall not exceed $3,200.00 regardless of per visit charges stated herein. After the City has evaluated all proposals submitted, a recommendation will be perfected and presented to the City Board of Directors for approval. Upon approval by the City Board of Directors, the City's Attorney, Jim McCord, will perfect a brief contract incorporating therein, by reference, the attached Employee Assistance Program guidelines and the actual proposal accepted by the City. Any proposal Page2 - accepted by the City will be as stated above and formalized in a contract to be executed by both the City and the Contractor. Any verbal statements, written proposals or letters, memorandum, sales literature, or other brochures submitted to the City of Fayetteville prior to the date scheduled for opening the bid proposals shall not be considered in any way in the drafting of the proposal being requested by this invitation. Nothing submitted previously to any City employee or nothing said to any City employee will in any way be construed by } either party as a guarantee or acceptance of or the establishment of any term or condition surrounding the proposed Employee Assistance Program for the City of Fayetteville. The only statements which should govern the preparation of a proposal should be the statements made in these instructions and statements outlined in the attached employee Assistance Program dated March 20, 1987 If anyone has any questions regarding the technical aspects of this invitation, please contact Sturman Mackey, Purchasing Officer at 575- 8281 during normal business hours. 1 � t v? airke FAYETTEVILLE, ARKANS.AS rX�• � t X� AJ‘ tk 727o' Melt un+- oo t' f 1 1�7 113 W. Mountain St. March 20, 1987 CITY OF FAYETTEVILLE EMPLOYEE ASSISTANCE PROGRAM 1) Provide an Employee Assistance Program for the City of Fayetteville in accordance with the policies of the City. This program will emphasize comprehensive services to all employees and family members of the City. This proposal describes a comprehensive Employee Assistance Program. 2) Continue to uphold the written policy statement that integrates an Employee Assistance Program into the current policies and procedures of the city. 3) Aid in the development of an internal marketing plan which will outline meetings between personnel of the organization on a regular basis. These will take place at such places as safety meetings and departmental meetings. 4) Arrange for treatment for troubled employees. Therefore, a close relationship will be developed with treatment resource. 5) Provide timely services: (a) initial intake interview will be scheduled within seven (7) working days from the time of request; (b) referral to the appropriate professional for recommended services will be scheduled within seven (7) working days of initial intake interview; (c) employees will be seen on a regular schedule as determined by their specific needs, but usually on a weekly basis; and (d) visits will be approximately 50 minutes long. 6) Ethical standards including conditions of confidentiality will be strictly adhered to. 7) Provide a quarterly and yearly report. The organization and the city will jointly decide how effectiveness is to be measured and will monitor whatever information is necessary to provide this. This report will consist strictly of numbers of patients seen, whether or not they were supervisor referrals, family members, etc. This data is to be used strictly for statistical purposes, again to measure the effectiveness of the program.