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CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190
AMENDMENT NO:
1
Page 1 of 7
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
by and through
DEPARTMENT OF PUBLIC HEALTH
and
Terros Health
I.
The above-named contract is hereby amended as specified below:
A. Section 1.0 CONTRACT TERM shall be updated to reflect a new expiration date of August
31, 2025.
B. An additional $65,000 shall be added for the additional year as outlined in Exhibit A, Year 2
Budget & Budget Narrative, beginning on page 2 of this amendment. The revised not to
exceed (NTE) amount shall be updated to $132,495.
C. Exhibit B, Scope of work, shall be replaced with the updated Scope of Work, Year 2 Project
Narrative, and Year 2 Project Timeline beginning on page 3 of this amendment.
II.
All other terms and conditions of the original contract shall remain in full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF
MARICOPA COUNTY
FOR AND ON BEHALF OF
TERROS HEALTH
By:
By:
Chairman, Board of Supervisors
Terros Health
Date
Date
ATTEST
Clerk of the Board
Date
APPROVED AS TO FORM
Attorney for Maricopa County
Date
Karen Hoffman Tepper (Jul 19, 2024 10:29 PDT)
Jul 19, 2024
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190
AMENDMENT NO:
1
Page 2 of 7
EXHIBIT A
YEAR 2 BUDGET & BUDGET NARRATIVE
YEAR TWO BUDGET SHEET
Total
Personnel
Salaries
Emergency Management Specialist
$8,000
Community Health Worker
$8,233
Children’s Operations Assistant
$4,6111
Total Salaries
$20,844
Fringe Benefits (ERE Rate: 25.89%)
$5,397
Personnel Subtotal
$26,241
Operating
Travel
$2,000
Outreach
$3,000
Supplies/Materials
$33,759
Operating Subtotal
$38,759
DIRECT COSTS (Personnel + Operating)
$65,000
INDIRECT COSTS (0%)
$0
TOTAL BUDGET (Direct + Indirect)
$65,000
Year 2 Budget Narrative
Program Personnel: $26,241
Emergency Management Specialist (10% Level of Effort - $8,000)
Orders, stores and distributes Narcan and other program supplies. He provides training on the use of
Narcan and supports overall program functions directly to clients and requesting groups or organizations.
Community Health Worker (20% Level of Effort - $8,233)
Provides internal and external training for OUD, HIV/STI and stimulant abuse, provide outreach and
connectivity to patients with OUD/SUD and HIV, and participate in virtual and/or live community events.
Children’s Operations Assistant (10% Level of Effort - $4,611)
Participates in tabling events, trainings, and is available to enroll patients into care at events or provide a
warm hand off to her other Operations Assistants for enrollment.
Travel: $2,000
Travel reimbursement will be provided to the Community Health Worker and Emergency Management
Specialist to provide training services throughout the community and navigation support to Terros Health
members for OUD/SUD treatment and connection to other community resources. Based off of travel
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190
AMENDMENT NO:
1
Page 3 of 7
reimbursement totals for FY2024, our expected amount for travel reimbursement for FY2025 will be 3,053
miles x .655/mile.
Education and Outreach: $3,000
Collaboration with community organizations for teen outreach and services. We will continue our
substance use prevention education and Narcan distribution events and will expand our youth outreach
through these activities.
Supplies/Materials: $33,3759
Print flyers, brochures, and posters for community events, tabling and trainings. ($1,000).
Health promotion items such as sunscreen or hand sanitizer ($2,795)
We will purchase Narcan to provide to those receiving our Narcan training within the community. Per
current rates, 60 cases at $500.00/case. ($30,000)
Indirect Costs: $0
Exhibit B
REVISED SCOPE OF WORK, YEAR 2 PROJECT NARRATIVE, YEAR 2 PROJECT TIMELINE
REVISED SCOPE OF WORK
Contractor shall:
3.1
Facilitate family education support sessions for members of the community.
Activities/topics should include, but are not limited to:
3.1.1
Substance misuse & prevention
3.1.2
Stages of Relapse
3.1.3
Peer support & exchange of experiences/stories
3.2
Distribute opioid reversal medications and provide training on its administration.
3.3
Submit any training or educational materials to MCDPH for review and approval prior to
implementation/dissemination. Any material with the Maricopa County brand is also
subject to review and approval prior to use.
3.4
Evaluation
3.4.1
Collaborate with MCDPH on an evaluation plan that includes metrics for how
success will be measured and opportunities for improvement.
3.4.2
Complete quarterly and annual reports using tools (ex. templates, Envisio
software) provided by MCDPH. Reports will include components such as:
•
Narrative description of project activities achieved during the specified
timeframe
•
Accomplishments (“success stories”) and challenges
•
Staffing changes
•
Current budget and description of over or underspending
•
Evaluation metrics
3.4.3
Complete any additional reporting requirements that may be requested.
3.5
Participate in, at minimum, one monthly meeting with MCDPH.
3.6
Submit invoices and supporting documentation for work completed during the month by
the 15th of the following month.
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190
AMENDMENT NO:
1
Page 4 of 7
3.7
Maintain client confidentiality in alignment with applicable state and federal laws that
protect client confidentiality of medical, behavioral health, and drug treatment information.
3.8
Provide documentation that any staff working with minors has secured and maintained an
Arizona Department of Public Safety Level 1 Clearance Card and completed a
background check.
3.9
Allowable expenses:
Direct, operational, and indirect costs associated with the provision of activities and
services as detailed and accepted in the Scope of Work, Budget, and/or Budget
Narrative. Indirect expenses may not exceed ten percent (10%).
MCDPH shall:
3.10
Provide technical assistance in developing an evaluation plan and support for ongoing
evaluation.
3.11
Ongoing review of the establishment and implementation of activities and measures for
accomplishing the goals of this agreement.
3.12
Participating, as appropriate, in conference calls and meetings that are conducted during
the project period.
3.13
Review training and education materials prior to implementation/dissemination.
3.14
Review and approve the use of any materials or items with the Maricopa County
branding.
YEAR 2 PROJECT NARRATIVE
The Terros Health Year 2 MCDPH Narcan Education funding project will continue to provide substance
use education, outreach, and Narcan distribution events across Maricopa County with the focus on the
East Valley. We will leverage our experience providing prevention, education, substance use disorder and
mental health treatment in Maricopa County – including from our direct work with this population at
Stapley Health Center in Mesa, and through our Café 27 adolescent substance use treatment program in
Phoenix—to meet the goals of our project. We will continue to outreach youth and families in the
community to support efforts to discourage or prevent misuse of opioids through evidence-based,
evidence informed and promising programs and strategies. Our project creates sustainable change with a
focus on reducing health disparities and reaching at risk underserved populations in the community. As a
main project component, we use evaluation strategies and collaborate with our Terros Health data and
analytics, quality management, and clinical teams to monitor, analyze, and track the success of our
education and outreach activities.
We will continue to work with children, families, and individuals in partnership with AHCCCS, Arizona
Complete Care (ACC) Health Plans, private health insurers, the Division of Developmental Disabilities
(DDD), the Department of Child Safety (DCS), the Regional Behavioral Health Authority (RBHA) in
Maricopa County, school districts, community agencies, hospitals, providers, and stakeholders. Terros
Health has successfully implemented SAMHSA and other stakeholder funded behavioral health projects
focused on Narcan and other substance use education and outreach and prevention projects including
the Mercy Care State Opioid Response (SOR) project for Narcan distribution and education; the Minority
HIV/AIDS Funded (MHAF) project known as the Portable Clinical Care Pilot Project, one of three such
funded projects in the nation; our Certified Clinical Behavioral Health Center (CCBHC) at our 27th Avenue
location (2021, refunded in 2023); the Certified Mental Health Center (CMHC) (2022) for persons with
serious mental illness; the AHCCCS Targeted Investment (TI) Program (2019, refunded in 2024) for
justice involved individuals; Turning the Tide II (2022) for HIV and substance use prevention outreach;
and the HIV Navigation project (2020) that provides AIDS and STI testing, connection to care, substance
use education and Narcan distribution. Terros Health has proudly partnered with the Arizona Department
of Child Safety (DCS) in the Arizona Families F.I.R.S.T. (AFF) Program since its inception over 23 years
ago. Terros Health, the largest AFF provider in the state, offers substance use treatment and prevention
education activities to substance impacted parents and families.
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190
AMENDMENT NO:
1
Page 5 of 7
During year 2 of the project, we will continue to engage other non-profits, faith-based communities,
families, school employees, school athletic programs, parent-teacher and student associations, and
others as systems to support prevention, evidence-informed school and community education programs,
and campaigns for students. The aim is meaningful collaborations to offer school-based or youth-focused
strategies and programs that have demonstrated effectiveness in preventing drug misuse and are
effective in preventing the uptake and use of opioids. Our approach will continue to develop and sustain
community-based education or intervention services for families, youth, and adolescents at risk for OUD
and any co-occurring SUD/mental health conditions, co-usage, or co-addiction. Although this Terros
Health funding is not specified for treatment, we will continue to support and refer adolescents and their
families to evidence-informed programs or curricula to address mental health needs of young people who
are or may be at risk of misusing opioids or other drugs, including emotional regulation and resilience
skills. Understanding that frequently substance use and mental health conditions are co-occurring, we
support greater access to mental health services and related care for young people, including services
provided by school nurses or other school staff, to address mental health needs of youth that, when not
properly addressed, increase the risk of opioid or other drug misuse.
In our most current collaboration, Terros Health is partnering with the Arizona Department of Education
and Mayo Clinic in the STOP-IT Narcan Task Force. Schools across the state will have Narcan on school
campus sites in case of an opioid overdose. In addition to stocking Narcan at schools, the task force will
focus on educating students on the growing crisis of fentanyl-related deaths among youth. The STOPIT
task force will be comprised of representatives from schools, health care, law enforcement and other
agencies and organizations that will work together to combat the crisis.
2.1.1 Prevent substance/opioid use onset, misuse, and use disorder in youth
ACTIVITIES/DELIVERABLES
Family Education Support Sessions
Attendees are invited to attend sessions to share their experiences and hear from others in recovery.
There is education on topics such as the fentanyl epidemic, managing conflict, communication,
codependency, and stages of relapse. Attendees are welcome to come with a support person if they’d
like. Some meetings are set-up as mock support meetings, so members get a feel of what attending a
community support group is like.
ACTIVITIES
Activity
Activity Type
Projected # of individuals to
be served during year 2
Family Education Support
Sessions
Youth & Parent Prevention
Education
60
TARGET POPULATION & SERVICE AREA
Our proposed project is focused on the target population of youth ages 12 to 17 years-old and to provide
education and training to those who are supporting youth with substance use needs, including
community-based organizations. Our project also targets populations in communities who are most
affected by overdose risk and other harms caused by substance use including the following sub
populations: LGBTQ+, communities of color, people who are uninsured or underinsured, and people
experiencing housing insecurity or poverty.
OUTCOMES
•
Parents, caregivers, and youth have increased knowledge and skills in building family norms (e.g.
monitoring youth behavior, creating rules around substance use) that are protective against youth
substance use and developing a substance use disorder
2.1.3 Prevent overdose deaths and other harms (harm reduction)
ACTIVITIES/DELIVERABLES
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190
AMENDMENT NO:
1
Page 6 of 7
Through our continued substance use education, outreach, and Narcan distribution events we support
efforts to prevent or reduce overdose deaths or other opioid-related harms through strategies that may
include, but are not limited to:
•
Increasing the availability and distribution of naloxone/Narcan and other opioid overdose reversal
medications for youth and their families, first responders, overdose patients, opioid users, families
and friends of opioid users, schools, community navigators and outreach workers, drug offenders
upon release from jail or prison, or other members of the general public.
•
Training and education for youth and their families, first responders, overdose patients, patients
taking opioids, schools, and other members of the general public regarding naloxone/Narcan and
other opioid overdose reversal medications.
•
Enabling school nurses and other school staff to respond to opioid overdoses, and provide them
with naloxone/Narcan, training, and support.
•
Public education related to emergency responses to overdoses.
•
Public education related to immunity and Good Samaritan laws.
•
Educating first responders regarding the existence and operation of immunity and Good
Samaritan laws.
•
Providing training in treatment and recovery strategies to healthcare providers, students, peer
recovery coaches, recovery outreach specialists, or other professionals that provide care to
persons who use opioids or persons with OUD and any co-occurring SUD/mental health
conditions, co-usage, or co-addiction.
We will continue to provide monthly outcome metrics to measure our project's success, which is
continuously monitored and updated as needed, to best determine effectiveness and adjust services to
meet the goals of community youth and families and of MCDPH.
ACTIVITIES
Activity
Activity Type
Projected # of individuals to
be served during year 2
Naloxone Education
Naloxone Training
100 events
•
30 will be at youth-
specific events
•
5 will target the Hispanic
population
Naloxone Distribution
Distribute Naloxone
1,000
TARGET POPULATION & SERVICE AREA
Our proposed project is focused on the target population of youth ages 12 to 17 years-old and to provide
education and training to those who are supporting youth with substance use needs, including
community-based organizations. Our project also targets populations in communities who are most
affected by overdose risk and other harms caused by substance use including the following sub
populations: LGBTQ+, communities of color, people who are uninsured or underinsured, and people
experiencing housing insecurity or poverty.
OUTCOMES
•
Reduce stigma regarding Naloxone uses
•
Increased knowledge of how to use Naloxone for a suspected overdose
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190
AMENDMENT NO:
1
Page 7 of 7
Maricopa County Dept. of Public Health
Amendment to Contract For Narcan and
Substance Use Education
Final Audit Report
2024-07-19
Created:
2024-07-15
By:
Kate Demboski (Kate.Demboski@terros.org)
Status:
Signed
Transaction ID:
CBJCHBCAABAAs6PEFgFbwscFDgyHbjvMotbPmmhXatcM
"Maricopa County Dept. of Public Health Amendment to Contrac
t For Narcan and Substance Use Education" History
Document created by Kate Demboski (Kate.Demboski@terros.org)
2024-07-15 - 5:50:10 PM GMT
Document emailed to jennifer.nye@terroshealth.org for approval
2024-07-15 - 5:51:08 PM GMT
Email viewed by jennifer.nye@terroshealth.org
2024-07-15 - 5:52:35 PM GMT
Signer jennifer.nye@terroshealth.org entered name at signing as Jennifer Nye
2024-07-15 - 5:52:58 PM GMT
Document approved by Jennifer Nye (jennifer.nye@terroshealth.org)
Approval Date: 2024-07-15 - 5:53:00 PM GMT - Time Source: server
Document emailed to michael.marion@terroshealth.org for approval
2024-07-15 - 5:53:03 PM GMT
Email viewed by michael.marion@terroshealth.org
2024-07-19 - 5:01:14 PM GMT
Signer michael.marion@terroshealth.org entered name at signing as Michael Marion
2024-07-19 - 5:02:14 PM GMT
Document approved by Michael Marion (michael.marion@terroshealth.org)
Approval Date: 2024-07-19 - 5:02:16 PM GMT - Time Source: server
Document emailed to karen.tepper@terroshealth.org for signature
2024-07-19 - 5:02:18 PM GMT
Email viewed by karen.tepper@terroshealth.org
2024-07-19 - 5:29:25 PM GMT
Signer karen.tepper@terroshealth.org entered name at signing as Karen Hoffman Tepper
2024-07-19 - 5:29:51 PM GMT
Document e-signed by Karen Hoffman Tepper (karen.tepper@terroshealth.org)
Signature Date: 2024-07-19 - 5:29:53 PM GMT - Time Source: server
Agreement completed.
2024-07-19 - 5:29:53 PM GMT