**PERFORMANCE WORK STATEMENT**

**FOR**

**DRUG AND ALCOHOL COUNSELING SERVICES**

**FOR THE COLLBRAN JOB CORPS CENTER**

**1. [SCOPE]{.underline}**

**1.1** The objective of this contract is to acquire contractor services
to provide drug and alcohol counseling services for the Collbran Job
Corps Center in Collbran, Colorado.

**1.2 [BACKGROUND]{.underline}**

**1.2.1** The drug and alcohol counseling services is for the Trainee
Employee Assistance Program (TEAP), a position mandated by the
Department of Labor for Job Corps Centers. The drug and alcohol
counselor provides drug and alcohol counseling for students who have had
problems with substance abuse. The drug and alcohol counselor also
provides preventive strategies for all students so no one will abuse
drugs and/or alcohol. The drug and alcohol counselor also provides
cigarette smoking cessation classes.

**1.2.2** The drug and alcohol counselor will drug test all new students
to Collbran Job Corps and submit their samples to be tested for illegal
drug use. Students who test positive will be enrolled in specific drug
education classes where they will meet with the drug and alcohol
counselor at regularly scheduled times. The drug and alcohol counselor
will test all students on suspicion for illegal drug and/or alcohol use
and will make recommendations regarding student progress and the safety
of the student and the Center.

**1.2.3** The drug and alcohol counselor will teach a drug and alcohol
class every other Monday for all new students. This is a seven-hour
class consisting of videos, lectures, and discussions. The drug and
alcohol counselor will meet with staff daily at the residential meeting
to keep them apprised of planned TEAP activities as well as update staff
on drug/alcohol issues in the community.

**2.0 [REFERENCES]{.underline}** - The following list of documents are
required in the performance of this contract:

**2.1.1** Technical Assistance Guide (TAG) 6-N, 1991, Department of
Labor, Alcohol and Other Drugs of Abuse Program. Responsibilities of the
[Trainee Employee Assistance Program Specialist]{.underline}, entire
section.

**2.1.2** Policy Reference Handbook (PRH). Chapter 6, Administrative
Support, [Center Health Services Staffing Requirements-Trainee Employee
Assistance Program Specialist]{.underline}, R-1, pages 6-39---6-44.

**2.1.3** The contractor must comply with the TAG and the PRH. Copies
are provided for guidance to the contractor.

**3.0 [TASKS]{.underline}** - The contractor shall perform the following
tasks:

**3.1.1** Report to the Center on assigned days. The contractor shall
work both evenings and days to accommodate the variety of services
performed. This will be a permanent schedule but changes will be made as
needed. The contractor will not work on Federal holidays or during the
Center's winter and summer breaks.

**3.1.2** Collect and send to the Center's contracted laboratory urine
specimens collected on all new students, new student 30-day follow up
specimens, and all specimens collected on suspicion of illegal substance
abuse. The contractor shall package these for shipment and distribute
the results to the HWM when obtained.

**3.1.3** Meet with all students with a reported history drug/alcohol
abuse and all students who test positive for illegal drug use on entry.
The contractor shall schedule these students and send out passes to the
students with the date and time of the meeting. These students will be
referrals from the HWM who obtain this information from the
psycho-social interview or mandatory medical files or students who
self-report to the HWM or the contractor.

**3.1.4** Prepare progress notes on all students the contractor meets
with to be included in their medical record. The progress notes will
include the student's history, progress, and issues of discussion.

**3.1.5** Teach one weekly class to all new students on drug and alcohol
education as part of the mandated Job Corps education requirements. The
students will be scheduled through the high school for this class.

**3.1.6** Set up activities and programs to support life long choices of
drug and alcohol education. All Center activities must be documented.

**3.1.7** Provide ongoing smoking cessation classes.

**3.1.8** Meet with the HWM at least daily to discuss students and
activities. Log daily activities on a daily basis and provide a copy to
the HWM.

**4.0 [PERFORMANCE REQUIREMENTS SUMMARY]{.underline}**

+------+----------------+--------------+------------+----------------+
| **   | **Task         | **P          | **Per      | **Minimum      |
| Task | Description**  | erformance** | formance** | Acceptable     |
| N    |                |              |            | Quality        |
| o.** |                | *            | **         | Level**        |
|      |                | *Indicator** | Standard** |                |
+------+----------------+--------------+------------+----------------+
| *    | Report on      | Meets daily  | Expected   | Complies 100%  |
| *3.1 | assigned days. | with HWM.    | to be on   | of the time.   |
| .1** |                |              | Center as  | However, in    |
|      | Collect all    | Timely       | scheduled. | case of        |
| *    | specimens on   | collection   |            | emergency,     |
| *3.1 | designated     | of specimens | Documented | contractor may |
| .2** | students       | and          | collection | make up time   |
|      | according to   | distribution | records    | on a different |
| *    | policy.        | of results   | that are   | day.           |
| *3.1 | Package and    | to the HWM.  | mandated   |                |
| .3** | send to        |              | by the PRH | Complies 100%  |
|      | contracted     | Meet with    | and TAG.   | of the time.   |
| *    | laboratory.    | HWM and the  |            | However, a     |
| *3.1 |                | caseload of  | Must meet  | back-up person |
| .4** | Meet with all  | new students | with all   | will provide   |
|      | students with  | as well as   | students   | this service   |
| *    | drug/alcohol   | established  | on the     | in the event   |
| *3.1 | history or who | students     | e          | contractor is  |
| .5** | have positive  | will be      | stablished | unavailable.   |
|      | entry tests.   | developed.   | caseload.  |                |
| *    |                | This shared  |            | Complies 100%  |
| *3.1 | Document every | document     | Must       | of the time.   |
| .6** | student        | will be the  | document   | However,       |
|      | contact for    | basis with   | each       | meetings may   |
| *    | inclusion in   | whom the     | student    | be changed as  |
| *3.1 | the medical    | contractor   | contact.   | needed but     |
| .7** | file.          | meets.       |            | contractor     |
|      |                |              | This is    | must meet with |
| *    | Teach one      | Document in  | part of    | all students   |
| *3.1 | formal         | writing each | the        | on the         |
| .8** | drug/alcohol   | student      | education  | caseload.      |
|      | awareness      | contact. The | curriculum |                |
|      | class per      | first visit  | and is     | Complies 100%  |
|      | week.          | will include | mandatory. | of the time.   |
|      |                | a history of | A list of  | However, if    |
|      | Provide Center | drug/alcohol | completed  | unforeseeable  |
|      | activities     | use.         | students   | occurrences    |
|      | related to     |              | will be    | delay written  |
|      | drug/alcohol   | Class is     | given to   | documentation, |
|      | awareness.     | mandated by  | the high   | documentation  |
|      |                | the          | school     | must be        |
|      | Provide        | Department   | principal  | provided       |
|      | smoking        | of Labor. A  | for        | within 30 days |
|      | cessation      | classroom    | student    | of when it was |
|      | classes.       | and          | credit.    | due.           |
|      |                | scheduled    |            |                |
|      | Meet at least  | students     | Must be    | Complies 100%  |
|      | daily with     | will be      | formal     | of the time.   |
|      | HWM.           | provided the | activities | However, if    |
|      |                | same day and | such as    | the contractor |
|      |                | time each    | AA, NA, or | is unable to   |
|      |                | week.        | re         | teach the      |
|      |                |              | creational | class one      |
|      |                | Ongoing      | programs   | week, it may   |
|      |                | r            | per the    | be deferred or |
|      |                | einforcement | PRH and    | a substitute   |
|      |                | of           | TAG.       | obtained.      |
|      |                | drug/alcohol |            |                |
|      |                | awareness to | Smoking    | Complies 100%  |
|      |                | enhance      | cessation  | of the time.   |
|      |                | student      | classes    | However, there |
|      |                | em           | per the    | does not have  |
|      |                | ployability. | PRH and    | to be a set    |
|      |                |              | TAG as     | schedule for   |
|      |                | There will   | well as    | each activity. |
|      |                | be regularly | other      | Flexibility to |
|      |                | scheduled    | a          | meet time      |
|      |                | and          | ppropriate | constraints    |
|      |                | advertised   | national   | are allowed.   |
|      |                | classes.     | programs.  |                |
|      |                |              |            | Complies 100%  |
|      |                | Contractor   | HWM is the | of the time.   |
|      |                | and HWM will | COR so     | However,       |
|      |                | establish    | frequent   | smoking        |
|      |                | mutually     | visits are | cessation      |
|      |                | agreed-upon  | mandated   | classes may be |
|      |                | times to     | as well as | flexible to    |
|      |                | meet on a    | necessary  | meet the needs |
|      |                | regular      | to provide | of students.   |
|      |                | basis.       | student    |                |
|      |                |              | services.  | Complies 100%  |
|      |                |              |            | of the time    |
|      |                |              |            | except for     |
|      |                |              |            | unforeseeable  |
|      |                |              |            | and/or planned |
|      |                |              |            | occurrences.   |
+------+----------------+--------------+------------+----------------+

**[POSITIVE INCENTIVES]{.underline}**

Document past performance that exceeded the standard.

Performance exceeding the standard will be considered prior to
exercising an option.

**[NEGATIVE INCENTIVES]{.underline}**

When performance is below standard for a given time period, require the
contractor to re-perform the service at no additional cost to the
Government.

Performance below the standard will be considered before and if the
Government exercises an option.

Document past performance that failed to meet the standard.

**5.0 [DATA AND REPORTS]{.underline}** - The contractor shall provide
the following data and reports as follows:

+----------+------------+------------+-------------+------------------+
| **Item   | *          | **Format** | **Medium**  | **Delivery**     |
| No./     | *Content** |            |             |                  |
| Descr    |            |            |             |                  |
| iption** |            |            |             |                  |
+----------+------------+------------+-------------+------------------+
| 1\)      | Following  | Paperwork  | Paperwork   | Send samples to  |
| Co       | chain of   | supplied   | to          | the lab via      |
| llection | evidence   | by the     | accompany   | pre-paid         |
| of drug  | collection | contracted | samples     | packaging        |
| testing  | protocols, | lab will   | will be     | supplied by the  |
| samples  | all new,   | be         | hand        | lab.             |
| from     | follow up, | completed  | written     |                  |
| s        | and        | by the     | with copies | Progress notes   |
| tudents. | suspicion  | c          | kept for    | are due within   |
|          | drug       | ontractor. | reference.  | 24 hours of      |
| 2\) All  | tests.     |            |             | student visit.   |
| student  |            | "SOAP"     | May be on   |                  |
| contacts | Initial    | charting-s | Govern      | These logs are   |
| will     | meeting    | ubjective, | ment-issued | due within 24    |
| have     | includes   | objective, | progress    | hours of the     |
| formal   | history    | a          | notes or a  | date on the log. |
| docum    | and reason | ssessment, | hard copy   |                  |
| entation | for        | and plan.  | from the    |                  |
| c        | referral.  |            | Govern      |                  |
| ompleted | Subsequent | Brief      | ment-issued |                  |
| during   | visits are | d          | computer    |                  |
| each     | progress   | escription | program     |                  |
| visit    | notes      | of each    | "WORD."     |                  |
| (see     | including  | hour and   |             |                  |
| Task     | an         | its        | May be hand |                  |
| 3.1.4).  | a          | a          | written on  |                  |
|          | ssessment. | ctivities. | a           |                  |
| 3\)      |            | Group      | Govern      |                  |
| Maintain | Log will   | sessions   | ment-issued |                  |
| a daily  | contain    | and        | progress    |                  |
| log of   | hourly     | activities | note or a   |                  |
| act      | time       | will       | hard copy   |                  |
| ivities. | frames of  | include    | from the    |                  |
|          | student    | the total  | Governme    |                  |
|          | contacts,  | amount of  | nt-supplied |                  |
|          | a          | students   | computer    |                  |
|          | ctivities, | attending. | program     |                  |
|          | and        |            | "WORD."     |                  |
|          | meetings.  |            |             |                  |
+----------+------------+------------+-------------+------------------+

**6.0 [CERTIFICATIONS AND LICENSE]{.underline}**

The contractor must provide certification and license yearly to the COR.

**7.0 [DELIVERABLES]{.underline}**

The contractor shall submit the following reports in accordance with
paragraph 5.0, "DATA AND REPORTS" and in accordance with the PRH chapter
6 and TAG-D.

**8.0 [INVOICES]{.underline}**

Send invoices to:

Colbran Job Corps Center

Attn: Linda Wheeler, CJC-150

57608 Highway 330

Colbran, CO 81624-9702

Phone: (970) 487-3576 X 3050

Fax: (970) 487-3110

**9.0 [THE CONTRACTING OFFICER'S REPRESENTATIVE (COR) IS]{.underline}:**

Linda Wheeler, CJC-150

57608 Highway 330

Colbran, CO 81624-9702

Phone: (970) 487-3576 X 3050

Fax: (970) 487-3110