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Home My WebLink AboutAgreements/Contracts - JuvenileGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: Juvenile/Youth Services DATE: 05/09/2025 REQUEST suanniT-rED BY: Suhail Palacios CONTACT PERSON ATTENDING ROUNDTABLE: Suhail Palacios CONFIDENTIAL INFORMATION: ❑YES *NO PHONE: 509 754 5690 ext.4430 owl 11 1111]1. i ga" --- -- ----- ---------- ®Agreement / Contract 1 ❑AP Vouchers ❑Appointment / Reappointment — ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants - Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation ❑Professional Serv/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB on- e c Requesting permission to sign an updated agreement with the SSODA contractor due to changes in his service rates for providing treatment to youth on the sex offender caseload. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? YES ❑ NO ❑ N/A t> i a K4- DATE OF ACTION: 5"107�G 'o�.S� DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D1: D2:-Y� D3: 4/23/24 WITHDRAWN: RECEIVED MAY - 9 2025 GRANT COUNTY COMMISSIONERS S ONERS eac�laloc aun caHusuusitcy �¢ ryacctl� & pmdw ae e�wwened aKd ; , �°'a „ GRANT COUNTY JU VENIL COURT &k. YOUTH SE �,RVICES Su&a J atac ", juueni& emvd admmb tvttoA J ew a e u 4v d, quautian ad Bitem CZdminb ttcat n Scatt ffiaa, Pwenite Smfim ManageA J eppu B. J e&utd, Uffke Afaaagn May 9, 2025 SPECIALIZED DIAGNOSTIC AND TREATMENT SERVICES CONTRACT "Ze The Grant County Juvenile Court &Youth Services, (department) by and through its Administrator or designee, and Ken Schafer (contractor), a certified sex offender treatment provider, hereby enter into a contract for the provision of services as listed to the Grant County Juvenile Court &Youth Services. The parties agree that the contractor will perform the following services and be reimbursed at the following rates: • Individual Sex Offender counseling sessions $110.00 per session • Psychosexual Evaluations requiring travel $3,0000.00 • Psychosexual Evaluation (Polygraph not included). $2,500.00 • Psychosexual Evaluation registration dismissal (polygraph not included) $1,.200.00 • Psychosexual Evaluation (Post Release; Polygraph not included). $1,200.00 The contractor will be allowing use of the office in Grant County Moses Lake building located at 1525 E. Wheeler Rd, Moses Lake, WA and or the Ephrata Office at 303 Abel Rd, Ephrata WA to meet with clients contracted through Grant County, Adams County and Juvenile Rehabilitation/Department of Social and Health Services. The contractor will provide the department with quarterly progress, revocation and termination reports as outlined: • Quarterly Reports on youth's progress in treatment including o Dates of attendance o Youth's compliance with requirements o Treatment activities P.O. Box 8181303 ABEL ROAD * EPHRATA, WA 98823 * PHONE (509) 754-5690 1 EFAx 1-509-754-5797 [Type text) o Progress in treatment Revocation Reports <> Dates of attendance o Youth's non-compliance with requirements a Treatmwt actlAties o Progress Ire 'trestment Termination Reports o Summary of youth's progress in -treatme nt The contractor will be available for monthly reAtew with department staff regarding the status of -clients, The contractor will be respon-sible. to bill no later than the 10" Of eaCh month for services pro.vilded the pre vIOUS month ch Popper "reterud, Office Manag.er po. Box 81% Ephrata, WA 98823, The dates. -and times of appolntmafti will be facilitated b-.y department staff. This a .ent contaim ali the terms and condition-s are upon by the parties, no other understanding, oral or ath-arwise, reprding the subject m -eeme t h b d emed to atter of this agr A S all exist or to bind any of theparties hereto. Th-15. oontract may be. termin-ated by mutt" 'a] 89ro-ament of the partlins hereto, or by any pa -fly f. r good cause end upon reasonable noti-ce to the other party. Agreed to thi-s Jay of 2.025. Presented by: e00 018cioes Juvenile 109, Juvenile Court Aft. In-Istrato-r Ken Schafer, Certified Tre-atment Provi'der KEN S CHA FER &ASSOCIA TES INC. Counseling For Adaptive Change 8E Washington Ave. suite.103 6 South Buchanan Ave 601 C Knight Street Yakima WA. 98903 Wenatchee WA. 98801 Richland WA. 99352 Email: kenschafergkenschaferandassociates.com Phone: 509-470-7063 or 206 355-6997 SPECIALIZED DIAGNOSTIC AND TREATMENT SERVICES Sexual Deviance * Offender Therapy * Victim Therapy* Interpersonal, Emotional, and Cognitive Behavioral Skills Training FEES FOR SERVICES RENDERED Specialized Diagnostic and Treatment Services In order to assure your understanding of payment policy with Ken Schafer & Associates the following information is provided. Prior to participation in a consultation, evaluation or treatment, you must agree to accept full responsibility for costs. Signatures are required on last page. ALL SERVICES RENDERED FOR THE CLIENT OR FAMILY MEMBER INCURS A FEE. Psychosexual Evaluations requiring travel $390000.00 Psychosexual Evaluation (Polygraph not included). $2,500.00 Psychosexual Evaluation registration dismissal (polygraph not included) ' 1200.00 Psychosexual Evaluation (Post Release; Polygraph not included). $1200.00 All other non -offense specific evaluations $100.00 per hour including file review, interview, testing, and evaluation write up. *POLYGRAPH NOT INCLUDED IN PSYCHOSEXUAL EVALUATION* *Evaluations normally require a minunum of 30-60 days to complete. Delayed or extensive evaluations will require additional fees. *The payment policy for the psychosexual evaluation requires that the client or payee pays the entire cost of the evaluation prior to the completion of the said evaluation. * Fees for individual therapy; couples; family and or support group meetings are cash or check payment $110.00 per hour. $60.00 per half hour. Group fees $60.00 per session. IF A CLIENT NO SHOWS AND DOES NOT CALL AT LEAST TWO HOURS AHEAD OF TIME FOR MISSED APPOINTEMNTS, YOU WILL BE CHARGED FOR A HALF SRSSION. * IF A CLIENT ENCRUES OVER $500.00 IN AN OUSTANDING BALANCE SUSPENSION OF SERVICES WILL OCCUR UNTIL THE OUTSTANDING BALANCE IS PAID IN FULL. I HAVE READ THIS CREDIT POLICY AND THE FEES RENDERED FOR SERVICES SHEET. I UNDERSTAND THAT REGARDLESS OF ANY INSURANCE COVERAGE I MAY HAVE, I AM REPSONSIBLE FOR THE PAYMENT OF MY ACCOUNT. I AGREE THAT IN THE EVENT, COSTS AND/FEES ARE INCURRED IN CONNECTION WITH THE COLLECTION OF MY ACCOUNT, I WILL PAY ALL SUCH COSTS AND FEES, INCLUDING ATTORNEYS FEES AND COURT COSTS. IT IS MY UNDERSTANDING THAT I AM ULTIMATELY RESPONSIBLE FOR FEES INCURRED FOR SERVICES RENDERED THROUGH THIS OFFICE. Client's Signature Date