ࡱ> ;  bjbj 8ldldxOsaaaaauuu8ud^n  !"T",]]]]]]]$ad]]a%!!%%]aa 4^'''%Ra a ]'%]''PU /&FR(]4^0d^RheY&ePU+UeaVt#0I#"'k#####]]#'###d^)$$%<%e######### ': Contract Number: FORMTEXT      STATE OF NEW JERSEY DEPARTMENT OF CHILDREN AND FAMILIES Annex A PROGRAM DESCRIPTION Section 2.2 Prevention of Juvenile Delinquency (PJD) Program Name: School Name:  Please note that additional information/addenda may be required in order to complete the contract package. Any specific requirements/stipulations pertaining to the program will be forwarded as applicable. Label all answers clearly as outlined below: Provide a brief program/component description and its purpose. The description should reflect the program requirements set forth in the initial RFP and any changes that may have resulted from negotiations. The Division of Family and Community Partnerships (DFCP), Office of School-Linked Services (OSLS) contracts with social service organizations and school districts throughout the State to administer the Prevention of Juvenile Delinquency (PJD). PJD services are in public schools to enhance the services and to collaborate with DFCP-funded School Based Youth Services Program (SBYSP). All youth enrolled in the host school who display behaviors that can or have caused them to become involved with the juvenile justice system are eligible to participate. The goal of all programs within the OSLS is to implement prevention and intervention programs that are comprehensive, multifaceted, and build on the strengths of young people and assist them in achieving their educational and life goals. PJD services complement the SBYSP and focus specifically on juvenile delinquency, prevention strategies, and self-regulation skills to prevent juvenile delinquent behaviors that can impede the students achievement of their education and life goals. PJD services include: Case Management and Counseling Services; Collaboration with Local Law Enforcement, state and school and community-based agencies, Drop Out Prevention, Life and Coping Skills. In accordance with 42 U.S.C 602(a) (1)(A)(vi), to eligible Work First New Jersey, Temporary Assistance for Needy Families (TANF), students enrolled in the program will be made aware of statutory rape laws, reporting guidelines and resources. Program Availability PJD is required to provide direct services to the school community September 1st through June 30th and maintain indirect program operations in July and August. During July and August, operating hours and staffing may be amended. The following indirect program operations are expected during July and August: Programs are to independently and/or in partnership with the host school implement a transition program to acclimate new students to the school. Program staff are to use this time for professional development related to the target population and program service delivery (e.g. live or web-based trainings, conferences, etc.). Programs are to review program data (program goals, student satisfaction, outcomes, etc.) to identify the programs strength and areas of needed improvement as part of an annual Continuous Quality Improvement process. Programs are to perform administrative program tasks to conclude the school year and prepare for the upcoming year (e.g. close/open student records, organize and plan program activities, update electronic and hardcopy files, etc.). In addition, programs have the option to directly and/or in partnership with the host school provide direct service activities that align with the school-based model during July and August. Identify the target population served by this program/component (i.e. individuals who have been unemployed for the past 6-12 months). The target population is all students who display behaviors that can or have caused them to become involved in the Juvenile Justice System based on the DCF PJD Eligibility Criteria and who are currently enrolled in the host middle or high school where services are available. Detail what the program intends to address through service delivery. State the results the program intends to achieve. The PJD model utilizes a healthy youth development and mental health approach to strengthen students as they move toward adulthood. The overarching goal of the program is to promote positive youth development and reduce juvenile delinquency rates. More specifically, PJD programs strive to support youth and provide them with the skills and resources necessary to successfully graduate, gain employment or further their education without becoming involved or further involved with the Juvenile Justice System. SEE ANNEX A2.3 for the Expected Program Outcomes to be achieved. At minimum, note programs are expected to assess service delivery and outcomes through the administration of OSLS required Adolescent Self-Regulatory Inventory (ASRI) assessment tool. Middle School High School Total# of student suspensions (in school and out of school) reported during the last complete school year FORMTEXT       FORMTEXT       FORMTEXT       Describe the method of service delivery (i.e. in the community, on site, etc.). The framework for the delivery of all DFCP services is grounded in the Department of Children and Families Core Values and the New Jersey Standards for Prevention Programs: Building Success through Family Support. All contracted providers are expected to integrate these elements into their direct service operations as appropriate: DCF Core Values Children are, first and foremost, protected from abuse and neglect. Children do best when they have strong families, preferably their own, and when that is not possible, a stable relative, foster or adoptive family. Relevant services are offered to meet the identified needs of children and families and promote child development, education, physical and mental health. Most families have the capability to change with the support of individualized services. Partnerships with people and agencies involved in a childs life are essential to ensure child safety, permanency and well-being, and build strong families. New Jersey Standards for Prevention Programs The New Jersey Standards for Prevention Programs: Building Success through Family Support articulate the Departments approach to child abuse prevention and intervention services: Standards for Prevention Programs: Building Success through Family SupportConceptual StandardsPractice StandardsAdministrative Standards1. Family centered 2. Community based 3. Culturally sensitive & culturally competent 4. Early Start 5. Developmentally appropriate 6. Participants as partners 7. Empowerment and strength based approachesFlexible and responsive Partnership approach Links with informal and formal supports Universally available and voluntary Comprehensive & integrated Easily accessible Long term and adequate intensitySound program structure & practices Committed caring staff Data collection and documentation Measurable outcomes & program evaluations Adequate funding and long range plans Participant and community collaboration GENERAL operating procedures General operating procedures mirror standard social service practice and are consistent with the requirements of the School Based Youth Services Program: Effective July 1, 2016 PJD programs will engage in partnership with DFCP Office of School Linked Services (OSLS) to develop a program logic model that will guide statewide program operation, target population, level of service and program outcomes. All programs are encouraged to utilize evidence based/informed curricula, assessments and best practice strategies whenever possible. The DFCP Office of School Linked Services (OSLS) is informed of all curricula used in the program in the Biannual Program Report. Program space is designed and organized with the input of students and families. The atmosphere and dcor are professional, youth appropriate, fun, welcoming and non-stigmatizing. All PJD sites provide sufficient space to accommodate the delivery of program services. The PJD program provides and promotes services that are safe, non-stigmatizing, culturally sensitive, supportive, and appropriate. Student feedback and input are incorporated into the overall program and service delivery. The Office of School Linked Services is responsible for the administration of healthy youth development programs for school aged youth. Programs utilize a behavioral health approach to strengthen youth as they move towards adulthood. In accordance with  HYPERLINK "http://www.nj.gov/dcf/families/Keystone-Law-FAQ.pdf" NJ A3435, Boys and Girls Clubs Keystone Law signed January 19, 2016, NJ DCF ensure programs made available to school aged youth are accessible. As such, students 16 years and older are permitted to self-consent for school based programming made available to them on school grounds. Students under age 16 require parental/guardian consent to participate in the program. Regardless of consent requirement, all programs are expected to engage parents/guardians in programming. If and when students travel off school grounds, parental/guardian consent is required for all school aged youth regardless of age of consent. . Parent/Caregiver Engagement is an essential time for youth as they begin transitioning to independence. Through engagement and partnership students, parents/caregivers and other trusted adults can learn to become supportive resources for each other during this phase. If in crisis and as applicable, a student may be seen once in the life time of the program without parental consent. Signed authorization from a parent/guardian is required to continue services. PJD students may be seen once without parental consent if they are in crisis. Signed authorization from a parent/guardian is required to continue services; Signed release of information forms are valid for one (1) year and must be renewed upon expiration. All forms are retained in student records. All programs adhere to strict guidelines regarding confidentiality. Students and families are informed verbally and in writing prior to the disclosure of confidential information, about legal and ethical circumstances that will permit or require the release of such information without consent, including N.J.S.A. 9:6-8.40 which states that every citizen is mandated to report any suspected or actual incidence of child abuse or neglect. Individual student records are confidential and maintained in a locked and secure location. Progress notes and attendance logs are maintained to document student development and participation in PJD services. Programs coordinate and integrate services with host school activities whenever possible. All programs develop sustainable collaborative relationships with diverse community groups, organizations and government agencies that provide relevant services to youth and families. Programs utilize an array of outreach, program marketing and resource connection strategies to inform and educate the school community about PJD services. pjd PROGRAM Services At a minimum, all programs provide the following services: Collaboration with Local Law Enforcement: Police Station House Adjustment Program, probation services, municipal and county crisis intervention units, community based juvenile conference panels, and any juvenile justice programs in the school or community, e.g. transitional/re-entry into school programs, curricular programs used in the school district. Education and Referral Support: Referral system to community resources, workshops/training related to the effects of bullying, drugs, alcohol, gangs, sex and weapons. Dropout Prevention: Services range from prevention of truancy, suspension and school expulsion. Case Management. Life Coping and Counseling Services including individual, family and group sessions intended to develop skills related to conflict resolution, effective communication, negotiation, decision making, employment, selecting pro-social friends and behaviors. Pursuant to New Jersey statute, Administrative Code, and established practice, all counseling services are provided by licensed clinicians or other professionals under the direct supervision of a licensed clinician. Such supervision must be documented in each youths PJD program record. All PJD sites provide adequate space to conduct private counseling sessions. Students who require long-term or more in-depth mental health treatment are referred to appropriate service providers within the community. Community Awareness- effective July 1, 2016 all PJD sites are required to organize activities each October during Violence Prevention Awareness Month to encourage school staff, community providers, and students/ families to work with youth to reduce bullying and violence. Programs also ensure promotion and awareness of the NJ Strategy for Youth Suicide Prevention located on DCF web-site. Programs ensure that promotional and access information regarding New Jerseys Youth Helpline 2nd Floor is readily available to all students. Linkages including information and referral to available local, county and state supported services and resources. All programs maintain an up to date information and referral directory Collaboration with School Personnel including guidance counselor, dean/truancy personnel, teachers, etc. Program Staff PJD services are delivered by qualified staff who provide a combination of counseling, support and concrete services depending on each students unique needs. Staffing patterns vary, but all sites must have a designated Full-time PJD Program Coordinator. Full-time employees are required to work a minimum of 35 hours/week September 1st-June 30th. Work hours shall be compensated in accordance with actual hours worked on program related activities during the months of July 1st-August 31st. Qualifications include MSW, MS, MA or the equivalent in a social service related field with experience working with adolescents. PJD Coordinator attend a minimum of two (2) professional development opportunities pertaining to adolescent development and the delivery of services. Detail how customers access services. Cite any physical limitations that might preclude program admission or referral acceptance Discuss referral procedures and discharge planning with respect to the continuum of care Cite negative and planned discharge procedures Indicate specific documents needed for referrals, when applicable Only students who are currently enrolled in the host school may participate in PJD programs. Students can access services before, during and after school hours. Participation is voluntary, and students may withdraw at any time, however, every effort is made to engage youth and maintain their involvement in the program. Referrals may be received from parents/guardians, peers, or school staff, and students may self-enroll. Families may participate in counseling sessions when appropriate or at the students request. Programs support and up hold the code of conduct and behavioral expectations of the host school. Students who are suspended from school may not participate in program activities without the consent of school administrators. Describe the neighborhood(s) and the building(s) where each program site(s) is located. Detail accessibility to mass transportation. Identify the program catchment area. PJD programs are generally located on grounds or within the host school building. Please identify specific locations of PJD site funded under this contract: SITE #1:  FORMTEXT       FORMCHECKBOX  Middle School FORMCHECKBOX  High SchoolProgram Name:  FORMTEXT       Street Address:  FORMTEXT      Phone Number:  FORMTEXT      Email:  FORMTEXT       FORMCHECKBOX  Located in School Facility  FORMCHECKBOX  Located on School Campus (i.e. mobile trailer, Annex Building, etc.) Detail the programs emergency procedures. Provide any after-hours telephone numbers, emergency contacts, and special instructions. Emergency procedures for all programs are aligned with the procedures established by each local school district. In addition, all programs maintain an answering service with alternative emergency phone numbers, procedures and contact information in languages appropriate to the student population. Copies of all emergency procedures are retained on file at the PJD site. Provide the total number of unduplicated customers served in the previous contract period for each of the contracted programs. Unduplicated customers refers to the practice of counting a customer receiving services only once within a service cycle. Indicate the number of unduplicated customers achieving results. Indicate how the information was captured and measured. See the Level of Service Annex A 2.5 form to determine the minimum LOS and complete the necessary sections. All programs track the unduplicated number of students served and the number of events across the (annual) contract term. Unduplicated Students Served is a total count of all students enrolled in school base and participate in 1 or more individual, group or recreational/drop in activities. This information will be entered and tracked in the web-based management and information system supplied by DCF. Reporting Requirements Monthly Service Reports Monthly service reports are entered in the prescribed web-based management and information system (MIS) by the fifteenth day of each month for the preceding month in which services were provided. Biannual Program Reports Reports are completed twice each state fiscal year. Due January 15th for service activities taking place July 1st-December 31st and includes program outcomes from the prior complete state fiscal year. Due July 15th for service activities taking place January 1st-June 30th. The Office of School Linked Services downloads quarterly Level of Service reports from the MIS for review and distribution to the DCF Contract Administrator. COMMUNICATION All programs must maintain open lines of communication with the DCF Office of School-Linked Services, the student population and the community. To that end, all programs must have a multi-function voice mail system and internet connection with the capability to access emergency phone numbers and provide information in all languages as appropriate. All PJD Coordinators (and where appropriate, Managing Agency Chief Program Administrators) must have fully functioning email and telephonic voice mail accounts. The Office of School-Linked Services is notified of any changes in email addresses or telephone numbers. PJD program administrators are also required to attend periodic meetings convened by the Division of Family and Community Partnerships. The Office of School Linked Services and DCF Contract Administrator are notified of all changes to administrative or program operations as described and specified in this contract, including site location, student population, personnel and curricula. 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!$^a$gdA$ T^a$gdA $^a$gdA $^a$gdRRS/S2S?SLSUSWSXSTTTT TFT\T]T^ThTTT UUUUtU{UUUV´´´•´´߆znbM)h)8hAB*CJOJQJ^JaJphhACJOJQJaJh>?'CJOJQJaJhuCJOJQJaJh4MhCJOJQJaJhuCJOJQJ^JaJ h4MhCJOJQJ^JaJhCJOJQJ^JaJ h)B6hCJOJQJ^JaJhCJOJQJaJh)B6hCJOJQJaJ"h)B6h5>*CJOJQJaJVVV5W6W7WMWWi/012׭|iVA95hS[jhS[U)hAhAB*CJOJQJ^JaJph%hAhB*CJOJQJaJph%h)8hAB*CJOJQJaJphhfQB*CJOJQJaJphUh)8hACJOJQJaJh)8hA5CJOJQJaJ%h)8hAB*CJOJQJaJph,h)8hA6B*CJOJQJ^JaJph)h)8hAB*CJOJQJ^JaJph%h)8hn3B*CJOJQJaJphPurchase equipment and supplies for the site; Sub-contract with other community-based organizations for the provision of needed services; Cover administrative costs (up to a maximum of 10% of the grant funding); Cover the cost for the installation of a multi-function voice mail system with the ability to access emergency phone numbers, provide information in other languages, as appropriate, etc.; Cover costs associated with establishing an Internet connection, if the school is not connected at the time of the original grant award; and Purchase evidence based/evidence informed curricula/assessment tools. Funds May Not Be Used To: Construct a new facility; Purchase a modular unit; Purchase a vehicle, contraceptives or abortion services; Supplant or duplicate currently existing services or programs. As needed, contract modifications are to be submitted in accordance with DCF contract policies.      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