Common use of Non-Discrimination and Equal Opportunity Clause in Contracts

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxxxx Xxxxxxx, Ph.D. Juvenile Probation Officer Date Date Signer must have legal authority to bind company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08-026 Contract Description: Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department for CY2008 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs Outputs

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge _ Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxxxx XxxxxxxXxxxx, Ph.D. LPC Juvenile Probation Officer Date Date (Signer must have legal authority to bind company.contract) EL PASO COUNTY LEGAL REVIEW FORM KK-08-026 074 Contract Description: Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department for CY2008 Sex Offender Treatment/JPD/Xxxxxxx Xxxxx,LPC/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs OutputsApproved

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief J. Xxxxxxx XxxxxxxXxxxxxxxx M. Ed., Ph.D. LPC Juvenile Probation Officer d/b/a Henneburg Counseling Center Date Date (Signer must have legal authority to bind the company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08-026 076 Contract Description: Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department for CY2008 Individ & Fam Group Psych Counseling /Henneburg/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs OutputsApproved

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section Section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: Approved this the day of , 2009. ATTEST: THE COUNTY OF EL PASOBy: County Clerk Xxx. Xxxxxxxxx Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORMJUVENILE PROBATION DEPARTMENT: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx.El Paso Mental Health and Mental Retardation Xxxxx Xxxxxxxx, Chief Xxxxxxx Xxxxxxx, Ph.D. Xxxx Xxxxxxxxxx Juvenile Probation Officer Chief Executive Officer Date Date Signer must have legal authority to bind company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08FORM‌ KK-09-026 320 Contract Description: Professional JPD/Interlocal/EPMHMR/On-SiteOutreach Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department for CY2008 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Xxxxxx Assistant County Attorney Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - December 8, 2009 Texas Juvenile Probation Commission‌‌ Private Service Provider Contractual Monitoring and Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs OutputsReport1

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxx Xxxxxxxx Chief X. Xxxxxxx Xxxxxxx XxXxxxxxxxx X. Ed., Chief Xxxxxxx Xxxxxxx, Ph.D. LPC Juvenile Probation Officer d/b/a Henneburg Counseling Center Date Date (Signer must have legal authority to bind the company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08FORM‌ KK-10-026 343 Contract Description: Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations Contract between El Paso County, on Juveniles for behalf of the Juvenile Probation Department and J. Xxxxxxx Xxxxxxxxx, d/b/a Henneburg Counseling Center, P.C. for CY2008 individual and family group psychological counseling services COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Xxxxxxxxx Xxxxxxx Assistant County Attorney EL PASO COUNTY JUVENILE PROBATION DEPARTMENT Plan of Service Name: Admissions Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs OutputsPID: DOB: JPO: Projected Discharge Date: Diagnosis & Presenting Problem(s): Axis I: Axis II: Axis III: Axis IV: Axis V: Presenting problem(s): Juvenile and//or Family Strengths: Possible Barriers to Treatment & Intervention Strategies: Presenting Problem 1: Treatment Goal 1: Intervention(s): Frequency of service: Projected Completion Date: Presenting Problem 2: Treatment Goal 2: Intervention(s): Frequency of service: Projected Completion Date: Presenting Problem 3: Treatment Goal 3: Intervention(s): Frequency of service: Projected Completion Date: Prognosis: Resources: Community Linkage: Crisis Plan (identification of high risk situations/behaviors; alternate activities; emergency contacts and resources): Signatures indicate participation in the development of this plan and receipt of a copy of the plan: Youth: Date: Parent/Guardian: Date: Parent/Guardian: Date: Therapist: Date: JPO: Date: Caseworker: Date: Other: Date: Other: Date: EXHIBIT 2 MONTHLY ATTENDANCE / PROGRESS REPORT Participant Summary for the Month of Juvenile’s Last Name: Xxxxxxxx’s First Name: Date of Admission: P.O.: Juvenile Referred For: ❑ Substance Abuse Counseling ❑ Anger Management ❑ Cognitive Skills ❑ Prevention Intervention ❑ Family Counseling ❑ Individual Counseling Number of Session Scheduled: Treatment Goal(s) Date of Sessions Attended Type of Service Services performed directly by: (Print name) Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress:: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: EXHIBIT 2 Treatment Goal(s) Date of Sessions Attended Type of Service Services performed directly by: (Print name) Session ❑ Ind ❑ Group ❑ Family Goal . Identify progress or lack of progress: Session ❑ Ind ❑ Group ❑ Family Goal Identify progress or lack of progress: No Show Appointments: Reason for missed appointments: Reschedule Appointment by Contractor: Reason for reschedule: PLAN OF ACTION Juvenile Signature Date Parent /Guardian Signature Date Therapist Signature Date Signature above indicates juvenile and/or parents participated in the services indicated above. El Paso County Juvenile Probation Department DISCHARGE SUMMARY Name: Discharge Date: PID: DOB: JPO: Admissions Date: Successful Discharge: Unsuccessful Discharge:

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxxxx XxxxxxxChilo X. Xxxxxx, Ph.D. LCDC Juvenile Probation Officer Chief Executive Director Date Date (Signer must have legal authority to bind the company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08-026 077 Contract Description: Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department for CY2008 Individ & Family Group Psych Counseling/ JPD/Aliviane/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs OutputsApproved

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge of El Paso Date Date APPROVED AS TO FORM: CONTRACTOR: Assistant County Attorney Xxxxx Xxxxxx, CEO Providence Service Corp. of Texas, Inc. Date Date (Signer must have authority to bind the company) APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxxxx Xxxxxxx, Ph.D. Juvenile Probation Officer Date Date Signer must have legal authority to bind company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08-026 028 Contract Description: Professional Services Agreement with Amanecer Psychological Providence Corporation of Texas, Inc. to Provide Crisis Intervention Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department JPD for CY2008 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 CRISIS INTEVENTION MENTAL HEALTH ASSESSMENT Identifying Information: Name: DOB:(m/d/yy) Date of assessment:(m/d/yy) Address: Phone: Parent( s)/Guardian( s): Referring JPO: Current Status: Client statements of presenting problems/concerns: Social History: Current Living Arrangement: Family/Peer: Work/Education: Medical: Psychiatric history and current status: Drug and alcohol history and current assessment: Developmental History: (include prenatal care that assesses for FAS/FAE if applicable) Mental Status Exam: Clinical Impressions: Axis I Axis II Axis III Axis IV Axis V GAF (current) GAF (past year) Diagnostic Impressions: Problem Summary List: Strengths/resources: Services the family wants: Recommendations: (with justification for recommended services and needs): Eligibility summary (discuss justification for functional recommended): Prognosis: Follow up Information: Clinician’s Name: Print Clinician’s signature, credentials and date: Juvenile’s Name : Print Juvenile’s Signature: Parent/Guardian(s) Name(s) : Print Parent/Guardian(s: Signature PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Crisis Intervention Evaluation Inputs OutputsOutputs Outcomes – Impact ● All referral scoring a on the Massachusetts Youth Screening Instrument - 2. MAYSI-2. Contract with Providence Corporation to address children and families who appear to have mental or emotional problems. Priorities To provide a brief follow- up of children who have been identified as having mental or emotional problems that may require immediate attention. What we invest Short Term Screening Medium Term Assessment Long Term Evaluation Identify youth who Through Assist the Court to are at an increase individualized determine how best to risk of disorders that data collection, meet the child’s needs warrant immediate such as through specific attention, psychological treatment needs and intervention or more testing, clinical service comprehensive interviewing as recommendation evaluation within 72 well as obtaining which shall address hours of an past records from psychological, evaluation. other agencies. emotional mental, interpersonal learning and behavioral disorders and whether these needs can be met in the community or whether the child requires placement services. Providence Corporation shall also provide a projected date of meeting these needs. Activities Participation Refer children Only referrals and families meeting criteria meeting criteria for Full Battery to Providence Assessment Corporation ●Any Court for Crisis ordered juveniles Intervention ●Any Court Services. ordered parent/guardian Providence Corporation Program Development/01-11-08

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge _ Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxxxx XxxxxxxXxxxx X. Xxxx, Ph.D. LCSW, LSOTP Juvenile Probation Officer d/b/a Xxxx & Associates Date Date (Signer must have legal authority to bind company.contract) EL PASO COUNTY LEGAL REVIEW FORM KK-08-026 075 Contract Description: Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department for CY2008 Sex Offender Treatment/JPD/Xxxxx Xxxx/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs OutputsApproved

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx.Xxxxx Xxxxxxxx Chief Xxxxx X. Xxxx, Chief Xxxxxxx Xxxxxxx, Ph.D. LCSW Juvenile Probation Officer d/b/a Xxxx & Associates Date Date (Signer must have legal authority to bind the company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08FORM‌ KK-10-026 342 Contract Description: Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations Contract between El Paso County, on Juveniles behalf of JPD, and Xxxx & Associates for the Juvenile Probation Department for CY2008 Individual and Family Group Counseling COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Xxxxxxxxx Xxxxxxx Assistant County Attorney EL PASO COUNTY JUVENILE PROBATION DEPARTMENT Plan of Service Name: Admissions Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs OutputsPID: DOB: JPO: Projected Discharge Date: Diagnosis & Presenting Problem(s): Axis I: Axis II: Axis III: Axis IV: Axis V: Presenting problem(s): Juvenile and//or Family Strengths: Possible Barriers to Treatment & Intervention Strategies: Presenting Problem 1: Treatment Goal 1: Intervention(s): Frequency of service: Projected Completion Date: Presenting Problem 2: Treatment Goal 2: Intervention(s): Frequency of service: Projected Completion Date: Presenting Problem 3: Treatment Goal 3: Intervention(s): Frequency of service: Projected Completion Date: Prognosis: Resources: Community Linkage: Crisis Plan (identification of high risk situations/behaviors; alternate activities; emergency contacts and resources): Signatures indicate participation in the development of this plan and receipt of a copy of the plan: Youth: Date: Parent/Guardian: Date: Parent/Guardian: Date: Therapist: Date: JPO: Date: Caseworker: Date: Other: Date: Other: Date: EXHIBIT 2 MONTHLY ATTENDANCE / PROGRESS REPORT Participant Summary for the Month of Juvenile’s Last Name: Juvenile’s First Name: Date of Admission: P.O.: Juvenile Referred For: ❑ Substance Abuse Counseling ❑ Anger Management ❑ Cognitive Skills ❑ Prevention Intervention ❑ Family Counseling ❑ Individual Counseling Number of Session Scheduled: Treatment Goal(s) Date of Sessions Attended Type of Service Services performed directly by: (Print name) Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress:: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: Session ❑ Ind. ❑ Group ❑ Family Goal Identify progress or lack of progress: EXHIBIT 2 Treatment Goal(s) Date of Sessions Attended Type of Service Services performed directly by: (Print name) Session ❑ Ind ❑ Group ❑ Family Goal . Identify progress or lack of progress: Session ❑ Ind ❑ Group ❑ Family Goal Identify progress or lack of progress: No Show Appointments: Reason for missed appointments: Reschedule Appointment by Contractor: Reason for reschedule: PLAN OF ACTION Juvenile Signature Date Parent /Guardian Signature Date Therapist Signature Date Signature above indicates juvenile and/or parents participated in the services indicated above. El Paso County Juvenile Probation Department DISCHARGE SUMMARY Name: Discharge Date: PID: DOB: JPO: Admissions Date: Successful Discharge: Unsuccessful Discharge:

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxxxx XxxxxxxXxxxx Xxxxxx, Ph.D. Clinical Director Juvenile Probation Officer Pinnacle Services Date Date (Signer must have legal authority to bind the company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08-026 078 Contract Description: Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department for CY2008 Individual & Fam Group Psych Counseling /JPD/Pinnacle/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs OutputsApproved

Non-Discrimination and Equal Opportunity. Contractor certifies that it will comply fully with the non-discrimination and equal opportunity provisions of Title VII of the Civil Rights Act of 1964, as amended; section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; the Americans with Disabilities Act of 1990, as amended; and with all applicable requirements imposed by or pursuant to regulations that implement those laws. WITNESS THE FOLLOWING SIGNATURES AND SEALS: ATTEST: THE COUNTY OF EL PASO: By: County Clerk Xxx. Xxxxxxx Xxxxx County Judge Date Date APPROVED AS TO FORM: Assistant County Attorney Date APPROVED AS TO CONTENT: CONTRACTOR: Xxxxxxx Xxxxxxx Xx., Chief Xxxxxxx XxxxxxxXxxxx X. Madrid, Ph.D. LCDC Juvenile Probation Officer Chief Executive Director Date Date (Signer must have legal authority to bind the company.) EL PASO COUNTY LEGAL REVIEW FORM KK-08-026 077 Contract Description: Professional Services Agreement with Amanecer Psychological Services to Provide Full Battery Psychological Evaluations on Juveniles for the Juvenile Probation Department for CY2008 Individ & Family Group Psych Counseling/ JPD/Aliviane/08 COUNTY ATTORNEY ACTION** **Requested Amendments/Clarifications: Please list We assume you have submitted any questions or comments you have regarding the terms of the contract, as well as any specific provisions to which you object, or which you want to have changed. X Approved as to Form as Submitted Approved as to Form with Amendments/Modifications/Reservations Noted Below* Not Approved This document has been given legal review by the El Paso County Attorney’s Office on behalf of the County of El Paso, its officers, and employees. Said legal review should not be relied upon by any person or entity other than the County of El Paso, its officers, and employees. Xxxxx X. Xxxxx Assistant County Attorney Date: 1/22/08 PROGRAM DEVELOPMENT Planning –Implementation - Evaluation Program Action - Logic Model – Psychological Battery Evaluation Inputs OutputsApproved