Appendix B13.docx

APPENDIX B13

CATEGORY 4: PREVENTION AND EARLY INTERVENTION

COMMUNITY YOUTH WELLNESS CENTER - PEER SUPPORT AND ENGAGEMENT PROGRAM

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: A13 - Community Youth Wellness Center - Peer Support and Engagement Program

· Attachment Reference: N/A 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 with providing outreach, peer support, education, and employment support via a drop-in model for target population and reducing barriers to early intervention services.:

Target Populations ☐ Youth (ages 12- 15) ☐ TAY (ages 16-25) Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Confirm ability to meet the following requirements and provide supporting information:

☐ Medi-Cal Certification ☐ Documentation ☐ Billing requirements ☐ CalAIM behavioral health requirements (medical necessity criteria, documentation re-designs, 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

Indicate the applicable staff titles and qualifications required to deliver services as part of the support team:

☐ Paraprofessional Staff: [Specify] ☐ Licensed or Waivered Practitioner of the Healing Arts (LPHA): [LMFT, LCSW, Ph.D., etc.] ☐ Mental Health Rehab Specialist (MHRS): [Rehab Counselor Associate Social Worker, etc.] ☐ Other: [TBS Coaches, etc.] Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the Evidence-Based Practices (EBPs), Community Defined Evidence-Based Practices (CDEPs), and Promising Practices (PPs) used in training and treating the target population.

☐ Motivational Interviewing ☐ Individual Placement and Support model ☐ Other: [Specify] Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

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

· Organization’s Capacity and Data Collection Process Indicate the organization’s capacity to administer and collect the required outcome evaluation data. Describe how the capacity relates to either existing peer support programs or the general practice of the organization, including the tools and performance measures currently utilized by staff.

Select the data collection methods and outcome measures applicable to the program:

☐ Capacity and processes are in place to administer and collect the required outcome evaluation data, including the assessment/outcome tools and performance measures currently utilized by staff.

· End of visit surveys for satisfaction and feedback.

· Visitor tracking (e.g., tracking participation in center activities).

· Outreach tracking (e.g., tracking outreach efforts and engagement outcomes).

· Number of youths enrolled in services, linked to services, and participating in center activities.

· Supported education and employment services (e.g., tracking the success of employment and educational support services).

☐ Data results are used to inform clinical practices, service quality, and CQI.

· 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.

☐ Program reports, CQI projects or processes, and data collection methods demonstrate commitment to ongoing evaluation and outcome improvement.

· 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 the organization’s staffing and organizational strategies.

· Staffing and Continuity of Care:

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

☐ Clinical supervision plans for professional and paraprofessional staff.

☐ Compliance with Medi-Cal standards.

· 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 ☐ 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 the organization’s leadership model of inclusivity, and what tools and support are provided to improve the 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. Responses should address the following areas:

· Capacity to provide services to the target population(s) in a culturally, ethnically, and linguistically appropriate manner, including the ability to meet all County threshold languages.

· Strategies for addressing barriers when staff are unavailable to meet the County threshold languages.

· Current and future actions taken to ensure diversity and inclusion in the delivery of services.

· Capacity to provide outreach activities focused on reaching underserved, underrepresented, and/or multicultural populations.

Describe the organization’s experience in engaging the community to elicit feedback and identify needs that inform the development of appropriate service programming. Responses should include, but are not limited to, the following areas:

· Youth Feedback: Methods for engaging with youth to gather feedback and input.

· Community Feedback: Methods for engaging with the community to gather feedback and input.

· Needs Assessment: Processes used to identify and understand the community’s need through engagement and outreach.

· Program Development: How feedback and needs assessment results are utilized to develop or adapt service programming that meet community needs.

Describe experience and qualification in providing early interventions to address the following areas:

· Mental Health: Experience in providing activities to destigmatize mental health, increase access to services, and to support the development of wellness practices in youth.

· Education: Experience in providing resources, linkage, and information for youth to obtain their educational goals.

· Employment: Experience in providing resources, linkage, and information for youth to obtain their employment goals.

Describe experience and qualifications in supporting peer support staff certification and providing clinical oversight. Highlight relevant experience in the following areas:

· Peer Support Certification: Experience in certifying peer support staff according to program and regulatory requirements.

· Clinical Support and Oversight: Experience in providing clinical oversight and supervision to peer support staff, ensuring compliance with standards of care.

· Assessment and Treatment Planning: Experience in supporting peer staff with assessment and treatment planning to ensure the delivery of high-quality care.

· Lived Experience: Experience in recruiting peer support staff with lived experience to ensure staff is able to provide culturally appropriate services.

· Sustainability of Quality Care: Demonstrated ability to maintain the sustainability and quality peer support services over time.

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 6 APPENDIX B12: Community Youth Wellness Center - Peer Support and Engagement Program Evaluation Criteria and Qualifications CATEGORY 4: Prevention and Early Intervention