Appendix B11.docx

APPENDIX B11

CATEGORY 3: OUTPATIENT SERVICES

CROSS-SYSTEMS CHILD AND YOUTH OUTPATIENT CONTINUUM

EVALUATION CRITERIA AND QUALIFICATIONS

Instructions:

When completing the evaluation criteria and qualifications below, please refer to the applicable Scope of Work (SOW) and Attachment (if applicable) of the RFSQ packet for detailed program requirements, objectives, target populations, service delivery expectations and compliance criteria:

· SOW Reference: A11 - Cross-Systems Child and Youth Outpatient Continuum

· Attachment Reference: Attachment B – Standardized Scope of Work Language Ensure that your responses align with the expectation outlined in the SOW and Attachment (if applicable). These documents provide essential context and guidelines for your submission.

Responses for Section 1 Responses for Section 1 should include direct entries and/or completion of applicable checkboxes to affirm experience. Supporting documentation must be provided in the Miscellaneous Supporting Documents section. Reference specific page numbers where relevant information is located.

Indicate experience providing comprehensive, intensive, culturally responsive, trauma-informed mental health services to Medi-Cal children, youth, and adolescents requiring intensive community-based mental health support. Describe coordination efforts in delivering these services to meet the specific needs of this population.

Target Populations ☐ Children (ages 5-10) ☐ Youth and Adolescents (ages 11-15) ☐ Transitional Aged Youth (TAY) (ages 16-20)

Additional Specialties ☐ Child Welfare Involved ☐ Juvenile Justice Involved

☐ LGBTQIA+

☐ Co-occurring Conditions (e.g. substance use and developmental disorders)

Geographic Locations Select where services would be provided.

☐ North County (Palo Alto, Los Altos and Los Altos Hills, Mountain View, and Sunnyvale) ☐ Central County (San Jose, Cupertino, Santa Clara, Los Gatos, Monte Sereno, Saratoga, and Campbell) ☐ East County (San Jose [Foothills, Berryessa] and Northeast San Jose/Milpitas areas) ☐ South County (Gilroy, Morgan Hill, and the unincorporated area of San Martin) Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the applicable items to confirm your organization’s capability to provide care planning and step-down services.

☐ Experience in delivering Specialty Mental Health Services, including assessment therapy, medication support services, crisis intervention, rehabilitation services and Intensive Care Coordination (ICC) and Intensive Home-Based Services (IHBS) through the ICPM to provide child-centered, family-focused care.

☐ Ability to deliver services through a CFT model that involves family members, caregivers, natural supports and system partners (if applicable, e.g., child welfare, education, regional center) in the development and implementation of individualized service plans.

☐ Experience in coordinating care for clients with complex needs, including collaboration with multiple agencies and stakeholders to ensure comprehensive care through the CFT process.

☐ Demonstrated capacity to use the CFT process to create individualized care plans, addressing both clinical and social determinants of health for children and families.

☐ Capability to directly provide step-down services that reduce the intensity of care based on the client’s progress, ensuring continuity of care after ICC and IHBS services.

☐ Demonstrated experience in coordinating linkages to community-based services or other providers to ensure clients receive appropriate care as they step down to lower levels of service.

☐ Experience using the CFT process to manage and coordinate transitions between different levels of care (e.g., from intensive services to outpatient or community-based services).

☐ Ability to maintain effective communication with system partners (e.g., health, education, and community service agencies) during the step-down process to ensure seamless transitions for clients and families in alignment with the Integrated Core Practice Model (ICPM).

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the applicable items below to confirm your organization’s inclusion of psychiatric services in your care model.

☐ Psychiatry services are available in-house as part of the comprehensive care package offered to children and families, ensuring psychiatric needs (e.g., medication management) are integrated into service plans.

☐ Ability to coordinate with external psychiatric services (if not provided in-house), ensuring timely and appropriate access to psychiatric care through established partnerships.

☐ Experience including psychiatrists or psychiatric providers in the CFT process, ensuring psychiatric input is considered when developing individualized care plans for clients with complex clinical needs.

☐ Capability to provide medication management as part of ongoing care coordination efforts for children and families, either directly or through collaboration with external psychiatric providers.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the applicable items below to confirm your organization’s ability to meet Medi-Cal requirements and CalAIM behavioral health standards.

☐ Medi-Cal Certification is in place for all services provided.

☐ Documentation practices meet Medi-Cal requirements, including progress notes, treatment plans, and billing practices.

☐ Staff are certified and regularly administer the Child and Family Needs Assessment (CANS) tool as part of client assessments and treatment planning.

☐ Staff are trained and regularly administer the Pediatric Symptom Checklist- 35 (PSC-35) tool to assess emotional and behavioral concerns.

☐ CalAIM Behavioral Health Requirements are met, including:

· Medical necessity criteria

· Documentation redesigns

· Co-occurring treatment

· Standardized screening and transition tools

· Behavioral Health Current Procedural Terminology (CPT) coding transitions

· Payment reform, etc.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the applicable items below to confirm your organization’s capacity for data collection, monitoring, and reporting.

· Organization’s Capacity and Data Collection Process ☐ Capacity and processes are in place to administer and collect the required evaluation data, including the assessment/outcome tools (e.g., CANS and PSC-35) and performance measures currently used by staff.

· Data Monitoring and Evaluation ☐ Staff regularly monitors and evaluates data, including client/family satisfaction surveys, pre-/post-service tests, and the implementation of culturally responsive services and practices.

· Ongoing Evaluation and Outcome Improvement ☐ Plan in place for ongoing evaluation of program effectiveness, including data collection, analysis, and strategies for continuous improvement.

☐ Provision of quarterly staffing reports to the Behavioral Health Services Department (BHSD) using County-provided or other tools.

· Data-Driven Practice and Service Quality ☐ Data results are regularly used to inform and improve clinical practices and service quality.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the applicable items below to confirm your organization’s staffing qualifications, licenses, certifications, and strategies for ensuring continuity of care and effective service delivery.

· License and Certifications Indicate the licenses and certifications held by your team members:

☐ Paraprofessional Staff: family/parent partners, etc.

☐ Licensed and Licensed-Waivered Staff: LMFT, LCSW, Ph.D., etc.

☐ Medical Board-Certified Staff: M.D., RN, NP, etc.

☐ Other: Specify

· Staffing and Continuity of Care:

☐ Organizational strategies for ensuring continuity of staffing and care to the target population(s).

☐ How the program will be staffed appropriately and in a timely manner, including plans for clinical supervision of professional and paraprofessional staff, and the ability to provide services according to Medi-Cal standards.

☐ Process for staffing and delivering Intensive Care Coordination (ICC) and Intensive Homes-Based Services (IHBS), including information about administrative, supervisory, and direct service staff responsibilities and oversight.

· Staffing Details ☐ Organizational chart detailing leadership, management, and reporting structure.

☐ Staffing chart including position titles, linguistic and cultural skills, education, experience, and certifications.

· Staff Training, Recruitment, and Retention ☐ Practices for staff training, recruitment, and retention.

☐ Practices for recruiting, hiring, and promoting a multi-lingual and/or culturally or ethnically diverse workforce.

· Diversity, Equity, and Inclusion (DEI) Training ☐ Training requirements related to DEI, including LGBTQ+ awareness, cultural and linguistic capacity, racial equity.

· Additional Required Plans ☐ Emergency/after-hours staffing plans and processes for client emergencies.

☐ Plans for delivering services 1) during a pandemic AND 2) during any emergency disaster(s), while ensuring safe protocols are followed to protect staff and clients during service delivery. Offeror indicated policies and practices in place for cooperation with County-required COVID efforts.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Responses for Section 2 require a ‘Written Response Submission’ for each criteria.

Describe the organization’s vision, mission, and/or values that are inclusive of promoting behaviors and practices towards a more equitable, diverse, and inclusive organizational mindset. Describe your organization’s leadership model of inclusivity, and what tools and support are provided to improve your organization’s ability to identify and mitigate bias, respect differences, build empathetic relationships, and manage conflict.

Describe the organization’s ability to provide and ensure cultural competency, outreach, and engagement requirements are met:

· Capacity to provide culturally, ethnically, and linguistically appropriate services to the target population(s), including capacity for all County threshold languages.

· Address barriers when staff are not available to meet the County threshold languages.

· Current and future actions and changes to ensure diversity and inclusion in service delivery.

· Capacity to effectively engage underserved, underrepresented, and/or multicultural populations which include clients in the juvenile justice system and child welfare.

· Capacity to address and serve high-risk clients with co-occurring (mental health and substance use) treatment needs.

c.

Collaboration with County Departments. Providers, and Other Agencies Describe the organization’s ability to collaborate with County departments, County-contracted providers, and other agencies. This should include:

· Collaborations with Key Partners

· Collaborations established with the Social Services Agency, Department of Family and Children’s Services, Juvenile Probation Department, education, and health providers.

· Organizational experience demonstrates successful collaboration with system partners.

· Impact of Collaborations on Client Outcomes

· Collaborations increasing meaningful use of client time and abilities in work, school, and daily activities.

· Supports provided to augment clients’ strengths and address unmet needs.

· Active participation and facilitation of Child and Family Team meetings promotes seamless service delivery, centering the voice of the client and their family, in alignment with the Integrated Core Practice Model

· Collaborations promoting social and academic growth in educational settings.

· Client wellness and recovery promoted through partner collaborations.

· Involvement in formal systems (e.g., juvenile justice, child welfare, crisis services) reduced through collaborative efforts.

· Clients’ natural support networks (families, teachers, coaches, friends, religious communities, etc.) incorporated in the planning and delivery of care, as appropriate.

Describe the organization’s plan to deliver specialty mental health services through the ICPM and CFT model.

· Provide a range of services from Intensive, Outpatient, to Wellness level of service in the community, including the client’s residence, clinic or agency, school, and other locations in the community.

· Provide assessment, therapy, medication support services, crisis intervention, rehabilitation services and other services included in SMH.

· Provide Intensive Care Coordination (ICC) and Intensive Home-Based Services (IHBS) through the ICPM to provide child-centered, family-focused care.

· Deliver services through a CFT model that involves family members, caregivers, natural supports, and system partners if applicable (e.g., child welfare, education, regional centers) in the development and implementation of individualized service plans.

· Utilization of the CFT process to create individualized care plans, addressing both clinical and social determinants of health for children and families.

· Utilization of trauma-informed evidenced based practices and promising practices, which may include Cognitive Behavioral Therapy (CBT), Motivational Interviewing, the Neurosequential Model of Therapeutics, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), or other trauma-informed practices or treatment modalities.

Describe the organization’s experience in delivering intensive, community-based mental health services to the target population (children, youth, adolescents, and TAY). Ensure that your response highlights how your service delivery aligns with the ICPM and trauma-informed, culturally responsive practices. This should include:

· Alignment with the Needs of County Beneficiaries and ICPM

· Provide examples of how your organization’s services align with the needs of target populations in Santa Clara County and with ICPM.

· Providing Accessible Services

· Detail your experience in providing accessible services, including availability during evenings, weekends, and non-traditional hours, and serving populations with complex needs.

· Operational Capacity and Efficiency

· Describe your experience in managing service delivery efficiently while meeting program requirements and maintaining high-quality care.

Historical data analysis will be reviewed by BHSD Program Subject Matter Experts (SMEs) and rated according to the criteria outlined in this RFSQ.

Offeror’s electronic health record (EHR) system capacity and responses as listed in Appendix H will be reviewed by BHSD EHR Subject Matter Experts (SMEs) and rated according to the criteria laid out in this RFSQ.

Financial records will be reviewed by the Health System Finance Department and rated according to the criteria laid out in this RFSQ.

RFSQ-BHS-FY25-0066: Children, Youth, and Family System of Care Services Page 1 of 2 APPENDIX B11: Cross-Systems Child and Youth Outpatient Continuum Evaluation Criteria and Qualifications CATEGORY 3: Outpatient Services