Appendix B13.docx

APPENDIX B13

CATEGORY 2: OUTPATIENT SERVICES

ADULT AND OLDER ADULT INTENSIVE OUTPATIENT CONTINUUM SERVICES

- JUSTICE INVOLVED

Evaluation Criteria and Qualifications

Section 1: Organizational Structure and Experience[footnoteRef:1] Total Points: [1: For all criteria in Section 1, Offeror shall:

Select “Yes” or “No” for each criteria requiring a response; and Indicate evidence of the organization’s experience with each criteria/sub-topics in the submitted packet’s miscellaneous documents.]

Target Population:

☐ Justice-Involved Adults (ages 18 through 59) ☐ Justice-Involved Older Adults (ages 60 and over)

Indicate history and experience with the following populations served:

☐ Diagnosed with severe mental illness (SMI) ☐ Co-occurring substance use treatment needs as a secondary concern ☐ Underserved communities, including justice-involved population, LGBTQ+, and low socio-economic status ☐ Individuals with extensive exposure to trauma, violence, and neglect

Indicate geographic locations (including clinic locations) where services would be provided:

☐ South County ☐ Central County ☐ East County ☐ North County

YES ☐ NO ☐

Offeror indicated the following:

· Reasons why their organization is capable of effectively delivering culturally proficient clinical services, supportive services, and the infrastructure development services required for this RFSQ;

· How their organization will provide co-occurring capable services;

· How organization proposes to accept and process clients based on level of care needs and individuals waiting to be released from in-custody;

· Described the plan to engage clients with complex risk factors that include substance use, violence, neglect, justice involvement, and/or exposure to trauma;

· Included the background and experience in providing dual diagnoses crisis response and support services;

· Described how Offeror will accomplish the objectives of the program as described in Attachment A13;

· How the proposed services are supportive of the wellness and recovery needs of the justice involved, dually diagnosed adult/older adult populations; and

· Described the plan to ensure the target population and number of clients/caseloads are reached annually.

· Certification through DHCS;

· Documentation standards;

· Billing requirements; and

· CalAIM behavioral health requirements, including but not limited to:

· Medical necessity criteria;

· Documentation re-designs;

· Co-occurring treatment;

· Standardized screening and transition tools;

· Behavioral Health current procedural terminology (CPT) coding transitions; and

· Payment reform.

YES ☐ NO ☐

Indicate history and experience with submitting reports and documentation to law enforcement agencies and justice partners:

☐ Client Status Reports ☐ Jail Assessment Coordinator List ☐ Other partners:

☐ Joint Commission Accreditation ☐ Community Care Licensing ☐ Commission on Accreditation of Rehabilitation Facilities International ☐ Other program accreditations:

· Capacity and process to administer and collect the required outcome evaluation data (e.g., assessment/outcome tools and performance measures currently utilized by staff);

· Process for staff to monitor and evaluate data (e.g., client/family satisfaction surveys, pre-/post-service tests, and culturally responsive services/practices); and

· Plan for ongoing evaluation and outcome improvement for the program (e.g., data collection and analysis); and

· How their organization’s data results inform clinical practices and service quality.

☐ Cognitive Behavioral Therapy ☐ Dialectical Behavioral Therapy ☐ Motivational Interviewing ☐ Trauma-Focused CBT ☐ Solution-Focused Brief Therapy

AND

Select the EBPs that Offeror implements specifically for justice-involved clients:

☐ Thinking for a Change ☐ Criminal Thinking ☐ Moral Reconation Therapy ☐ Risk and Responsivity

(milieu staff, etc.)

☐ Licensed clinical staff:

(LMFT, Ph.D., etc.)

☐ License-waivered staff:

(Rehab Counselor, Associate Social Worker, etc.)

☐ Medical Board-certified staff:

(M.D., RN, RD, etc.)

☐ Other:

(Employment Specialist, Peer Support Worker, etc.)

Offeror included organization’s staffing-related protocols in their submission’s miscellaneous section, addressing the following:

· Personnel Retention Plan

· Organizational strategies for ensuring that continuity of staffing and care is provided to the target population(s); and

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

· Staffing Plan

· Staff who can obtain jail clearances;

· Organizational details (including staffing chart, leadership and management structure, reporting structure, and lists for staff providing supportive housing, clinical services);

· Resumés of existing staff that indicate position titles, linguistic and cultural skills, education, experience, and certifications;

· Staff training, recruitment, and retention process;

· Plan for recruiting experienced staff to deliver co-occurring mental health and substance use treatment services to justice involved adults and older adults as described in Attachment A13;

· How staff will be involved in the planning, implementation, and evaluation phases of the program;

· Organizational practices related to recruiting, hiring, and promoting multi-lingual staff and/or a culturally or ethnically diverse workforce; and

· Organizational training requirements related to diversity, equity, and/or inclusion (e.g., LGBTQ+, cultural and linguistic capacity, racial equity).

· Additional required plans, including:

· Emergency/after-hours staffing; and

· Provision of quarterly staffing reports to the BHSD using County-provided or other tools.

· Offering services seven (7) days a week, including evening hours;

· Process for intake and admission [during business hours, after-hours, and weekends];

· Timeliness to psychiatric evaluations;

· Strategies used to engage and provide services to clients with required timelines;

· Hours of operation, clinic locations, and strategies that will be used to meet the Network Adequacy standards;

· 24-hour coverage to clients in the programs; and

· The after-hours program contact plan for client emergencies.

· How the program shall accept and manage urgent and emergent referrals received.

· How to engage the target population in services and prioritize referrals.

· How the referrals are made from outpatient treatment teams.

YES ☐ NO ☐

Given that transfers may include higher or lower level of care, or another behavioral health provider, Offeror described:

· How staff evaluates client throughout treatment for appropriate level of care.

· How staff shall complete with Feedback Loop Process to ensure referral sources are notified of the status of the referral and informed outcomes.

Section 2: Proposed Program Description[footnoteRef:2] Total Points: [2: Written response for each criteria in Section 2 is required. Please refer to the RFSQ Section IV, “Offeror’s Submission” for additional details.]

· Capacity to provide culturally, ethnically, and linguistically appropriate services to the target population(s), including capacity for all County threshold languages as described in Appendix H;

· Organization provided methods to 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 provide outreach activities focused on reaching underserved, underrepresented, and/or multicultural populations; and

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

· County Health System (primary care physicians, County clinics) and Social Services Agency;

· Housing organizations [subsidy administrators, property managers];

· Forensic, Diversion, and Reintegration [judges and probation/parole officers/admin booking]; and

· Organizational experience working successfully with system partners.

Offeror described how partner collaborations will:

· Increase meaningful use of client time and abilities in work, school, and daily activities;

· Increase client ability to obtain/maintain a monthly income;

· Reduce utilization of inpatient hospital services;

· Decrease recidivism;

· Obtain health insurance for clients; and

· Maintain or obtain permanent supportive housing or permanent housing when clients exit the program.

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

Offeror’s electronic health record (EHR) system capacity and responses as listed in Appendix I, Offeror’s Health Record Status, 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-FY23-0210: Adult and Older Adult System of Care Services Page 1 of 2 APPENDIX B13: Adult and Older Adult Intensive Outpatient Continuum Services Evaluation Criteria CATEGORY 2: Outpatient Services