R-23-15VILLAGE OF DEERFIELD
RESOLUTION NO. 2023- R-23-15
A RESOLUTION APPROVING AN AGREEMENT FOR PROFESSIONAL THERAPY
SERVICES WITH FIRST RESPONDERS WELLNESS CENTER, LLC
WHEREAS, the Village desires to provide support services to Village police officers
to help cope with the stress of being a police officer ("Services'); and
WHEREAS, the Village has budgeted sufficient funds in the 2023 fiscal year for the
Services; and
WHEREAS, the Village has identified and negotiated a agreement with the First
Responders Wellness Center, LLC ("Consultant") to provide the Services at a cost of $175.00
per employee with a cost not to exceed $10,000.00 ("Agreement"); and
WHEREAS, the Village Board has determined that it will serve and be in the best
interests of the Village and its residents to approve and enter into the Agreement with
consultant;
NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE BOARD OF
DEERFIELD, LAKE AND COOK COUNTIES, ILLINOIS, as follows:
SECTION 1: RECITALS. The Village Board hereby adopts the foregoing recitals as
its findings, as if fully set forth herein.
SECTION 2: APPROVAL OF AGREEMENT. The Village Board hereby approves
the Agreement by and among the Village and Consultant in substantially the form attached
to this Resolution as Exhibit A and in a final form approved by the Village Manager.
SECTION 3: AUTHORIZATION TO EXECUTE AGREEMENT. The Village
Board hereby authorizes and directs the Village President and the Village Clerk to execute
and seal, on behalf of the Village, the final Agreement.
SECTION 4: EFFECTIVE DATE. This Resolution shall be in full force and effect
from and after its passage and approval according to law.
[SIGNATURE PAGE FOLLOWS]
{00131303.11
AYES: Benton, Berg, Jacoby, Metts-Childers, Oppenheim, Seiden
NAYS: None
ABSTAIN: None
ABSENT: None
PASSED: March 20, 2023
APPROVED: March 20, 2023
RESOLUTION NO: R-23-15
- -- - b--- -- - -
Daniel C. Shapiro, Mayor
ATTEST:
Kent h. Street, VillagJ Clerk
100131303.11 2
EXHIBIT A
Agreement
{00131303.11
FIRST RESPONDERS WELLNESS CENTER
477 E. Butterfield Rd. Suite 408 Lombard IL 60148
100 Tri State International Suite 260 Lincolnshire, IL 60069
1412 W. Washington Blvd. 2nd floor Chicago, IL 60607
Main: 630-909-9094 Fax: 630-597-2583
Agreement for Professional Therapv Services for Wellness Prove ram
This Agreement was made on this 01 March 2023 between the First Responders Wellness
Center (Hereafter "Contractor") and Deerfield Police Department (Hereinafter "Agency").
Whereas "Contractor" is an independent therapy provider formed to render therapeutic Officer
and/or Firefighters Yearly Wellness Checks as part of an overall police and/or fire wellness
program which incorporates therapeutic services, psychoeducation, and building coping strategies
for individual law enforcement officers, firefighters, and personnel who work for the Agency.
Whereas Agency is desirous of securing the services of Contractor and the Contractor will provide
services to individuals of the Agency. The Agency will not be privy to the content or
conversations during the sessions or any therapeutic notes. The Agency will only be given a brief
written or verbal notification that an individual member of the Agency, has attended and completed
their wellness check on a specific date. The Agency will not have access to any other documents
or information about a specific individual member of the Agency.
In consideration of the mutual covenants and conditions hereinafter expressed, and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, and parties
hereto covenant and agree as follows:
DUTIES OF CONTRACTOR: jFIRST RESPONDERS WELLNESS
CENTER? hereby appoints contractor to serve and perform therapeutic officer
wellness checks to each member of the Agency in a confidential meeting space
(477 E. Butterfield Road Suite 408 Lombard, IL 60148, 100 Tri State
International Suite 260 Lincolnshire, Illinois 60069, 1412 W. Washington Blvd.
2na floor Chicago, Illinois 60607, telehealth, or agreed upon location). During this
time, the contractor will spend 55 minutes in a therapeutic, private office to assess
the individual of the Agency's psychological strengths and weaknesses to increase
the member's coping skills, give the member psychoeducation about any specific
needs and/or trauma, and/or give suggestions for overall mental wellness during
the term of this Agreement. The Contractor will not diagnose a member of the
Agency with a mental illness or determine their psychological suitability nor
fitness for police work during the wellness check. The contractor will not provide
any information or notes to the Agency other than attendance of the member.
2. CERTIFICATION/LICENSE_: Contractor shall at all times be duly
certified/licensed to practice in the state of Illinois.
3. RELATIONSHIP BETWEEN PARTIES:
A) In the performance of the work, duties, responsibilities, and obligations
involving Contractor under this agreement, it is expressly understood and
agreed between the parties that Contractor shall at all times act and perform as
an independent contractor, specializing in the provision of wellness check
therapeutic services. Nothing in this agreement shall be deemed to constitute
the parties as joint ventures or partners or anything other than independent
contractors.
B) As an independent contractor, Contractor will not be eligible to participate in
any employee benefit program of agency and will not be eligible for vacation
or holiday compensation.
C) Agency shall neither have nor exercise any control or direction of the methods
by which Contractor's work is performed, except that Contractor agrees to
perform at all times in strict accordance with the currently approved practice
of police psychology and ethics. Furthermore, Contractor shall follow all
guidelines, policies, and procedures of Agency.
D) Contractor assumes all liabilities and responsibilities concerning the
withholding of federal, state, and local taxes and social security taxes,
worker's compensation, disability, and unemployment insurance obligations if
applicable. Contractor agrees to indemnify agency for any liability (including
legal fees and costs) incurred as a result of Contractor not withholding income
tax and social security or any other taxes, worker's compensation, disability
and unemployment compensation obligations or contractor's failure to pay
required income tax and social security or any other taxes, worker's
compensation, disability, and unemployment obligations.
4. WRITTEN ALLOCATION AGREEMENT AND ACCESS TO RECORDS:
Contractor agrees to not maintain any records for Wellness Checks to the Agency
other than the name and date of attendance of service. The Contractor will not
maintain any records or notes for individuals of the Agency other than exceptions
that are in accordance with Illinois law, these exceptions are if they are immediate
harm to themselves or others, or report that they are abusing a child, elderly or
disabled person. Exception see below.
Exce,r tion•
If a member of the Agency discloses to the Contractor that the member is an
immediate harm to themselves or another, is abusing a child, elderly or disabled
person, the Contractor may have to contact 911 or the nearestpolice department
and/or hospital to ascertain their safety. Additionally, if a member of the Agency
discloses that they are abusing a child, disabled or an elderly person. The
Contactor will notify the appropriate agency and limit the disclosure to the
minimum necessary to achieve the purpose and to be in compliance with Illinois
law. If this exception would occur the Contractor will keep a report of the actions
taken to be in compliance with the law and within the limits of confidentiality and
HIPPA.
5. INSURANCE:
A) Contractor shall, at its own expense, carry and maintain occurrence type
professional liability insurance in amounts not less than one million dollars
($1,000,000.00) per occurrence and three million dollars ($3,000,000.00) in
the aggregate. If occurrence type liability insurance is not available,
Contractor shall purchase claims -made type professional liability insurance
amounts not less than one million dollars ($1,000,000.00) per occurrence and
three million dollars ($3,000,000.00) in the aggregate. Upon request,
contractor shall provide to Agency certificates of insurance evidence of the
above coverage and renewals thereof.
B) Upon termination of this agreement for any reason if Contractor
shall have purchased and carries claims -made professional liability insurance
during the term of this Agreement pursuant to subparagraph (a) above,
Contractor shall purchase all professional liability coverage in amounts no less
than one million dollars ($1,000,000.00) per occurrence and three million
dollars ($3,000,000.00) in the aggregate covering the acts and omissions of
Contractor in the event that it terminates its Claims Made Policy or ceases to
be insured in the State of Illinois.
6. TERAHNATION: Either party may terminate this Agreement at any time
without cause, upon no less than (30) day's written notice given to the other party.
In the event of termination, the final check shall be released 90 days after all
required documentation is submitted to the agency.
7. DISAGREEMENTS: All matters of policy, rules, regulations, services, fees,
and other items of induct. wherein Contractor may be involved in carrying out
responsibilities, shall be jointly determined by Contractor and Agency.
8. TERM: The term of this Agreement shall be for a period of twelve (12) months
once the first wellness check has been scheduled.
9. AMENDMENTS: This agreement may be amended at any time by written
instructions executed by the authorized official of Agency and Contractor.
10. LOCATION OF SERVICES. If the location of services will be at a location
other than the FRWC offices, it is required that there will be a minimum of six
members during the daytime hours or four members in the evening or weekend
hours to be seen consecutively on the date the therapist is scheduled to meet at the
department with a usual goal of 7-8 members. Generally, wellness check
meeting times can be scheduled between 0800-2000 hours, but they will need to
be consecutive meeting times. For example, 0800-1630 or 1200-2030 hours if
seeing eight members. FRWC may be able to meet outside of these hours based
on clinicians' availability.
11. AMENDMENTS: This agreement may be amended at any time by written
instructions executed by the authorized official of Agency and Contractor.
12. BILLING: The Agency will pay bills within the requirements of the Local
Government Prompt Payment Act (50 ILCS 505/). A wellness check is $175.00 per
50-55 minute session with one person.
13. CANCELLATIONS/NO-SHOW: We require a 24-hour notice for cancelations
of wellness checks. We do understand that your department works in emergency
services, so if there is an emergency, we suggest you have a backup for each
wellness check. We will grant up to two (2) emergency absences, but all others
will be a charge of $75.00. If there is a no show with no emergency, there is a
$75.00 fee for the therapists time.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day and year
first above written.
AGENCY: Deerfield Police Department
Authorized Official for Agency: .^� OK1a SG / D �� Date: 3 .9 V
Signature: /-%-� _ 4
CONTRACTOR: First Reslxonders Wellness Center/Dr. Carrie Steiner
Authorized Official for Contractor: Dr. Carrie Steiner Date: 03/01/2023
Signature: C/-ti— 5'-
Signs you may need
help:
• Changes in appetite &/or
sleep
• Weakness/Fatigue
• Anxiety/Panic attacks
• Depression/Sadness
• Headaches
• Nausea and
stomachaches
• Muscle Tension/
Twitches
• Changes in sexual
function or libido
• Poor concentration/
Forgetfulness
• Flashbacks
• Daymares/nightmares
• Anger, irritability
• Low frustration
tolerance
• Intrusive memories
• Avoiding others or places
• Crying/Unexpected
crying
• Hypersensitivity
• Burnout
• Lack of enjoyment
y
FIRST
RESPONDERS
WELLNESS
�CENTER
Officer Wellness
Brochure
Main: 630-909-9094
Fax: 630-909-9094
wwxv.firstresponderswellnesscenter.com
info@firstresponderswellnesscenter.cbm
Our Services
We offer Individual, couples, &
group therapy for first
responders, veterans and their
family members.
Eye Movement Desensitization
and reprocessing (EMDR):
EMDR is well studied therapy to
help resolve unprocessed
traumas in the brain through
bilateral stimulation.
Cognitive Behavior Therapy is
designed to help change your
feelings, thinking and behaviors.
Psious Virtual Reality Exposure
provides over 80 immersive
environments to decrease
anxiety and physical reactivity.
Prolonged Exposure Therapy
will work on developing an
anxiety hierarchy to gradually
work towards fears, anxiety and
trauma(s).
• Wellness Checks for preventive
care.
® Critical Incident Debriefing for
an individual or groups.
• Public Speaking, Training &
Consultation.
• We see clients for a variety of
needs including the following:
anxiety, panic attacks,
depression, post -traumatic
stress disorder, trauma, loss and
grief, adjustment, addictions,
divorce, preventive wellness and
more.
Wellness Checks
Wellness Checks are offered for
every member of a police or fire
departments as well as for
individual officers.
A 'wellness check' is a 55 minute
one-on-one session with a licensed
mental health professional to
exlpore an officer's current abilities
to cope with job stressors and to
learn additional healthy ways to
deal with these and future stressors.
The wellness check is not a fitness
for duty evaluation and is not a
form of punishment. The wellness
check is not intended to screen for a
mental health diagnosis or disorder.
The wellness check offers an
opportunity for an officer to discuss
coping strategies and solutions to
deal with the various stressors of
being a first responder as well as be
given psychoeducation about
individual mental health wellness.
What may be covered during a
wellness check:
+Proactive wellness strategies
+Education about sleep hygiene E
nutrition
+Practice relaxation exercises
+Learn common reactions to trauma
+Create a family wellness plan for a
critical incident
+Develop your support system
j f rJ Deerfield
••' • • ' •
nt
Date: March 20, 2023
To: Kent Street, Village Manager
From: John J. Sliozis, Chief of Police
Subject: Request for Board Action — Resolution Approving an Agreement for
Professional Therapy Services with First Responder Wellness Center LLC.
On March 20, 2023 at the regularly scheduled meeting of the Mayor and Board of Trustees, the
Police Department will seek authorization to enter into an "Agreement for Professional Therapy
Services for Wellness Checks" with First Responders Wellness Center, of Lombard, IL. 60148.
BACKGROUND
As part of Officer and Staff Wellness the Police Department desires to begin scheduling all
employees for a "Wellness Check" with staff from the First Responders Wellness Center of
Lombard, Illinois. The "check" is a 55 minute one -on one session with a licensed mental health
professional to evaluate an employee's current abilities to cope with job stressors and to offer
additional healthy ways to deal with current and future stress. The clinicians are primarily former
first responders which helps build a professional rapport during the wellness check which is not a
fitness for duty evaluation, is not a form of punishment, and is not intended to screen for a
mental health diagnosis or disorder. The department is not given any information that is shared
in session unless of an emergency nature or required by law. Department and union
representatives have met with Center personnel to discuss session benefits and methodology and
are in agreement concerning the checks.
This will be the third time scheduling these "Wellness Checks" with the First Responders
Wellness Center and meets the requirements of the Illinois SAFE-T Act.
The cost is not expected to exceed $10,000 and is included in the FY 2023 Budget. The
agreement has been reviewed by Village Counsel.
RECOMMENDATION
The Department recommends the Mayor and Board of Trustees approve the Resolution
authorizing the Police Department to enter into the agreement to provide a Wellness Check for
each employee of the Police Department. This service will be provided by First Responders
Wellness Center, Lombard, IL 60148.
John J. diozis
Chief of Police