Appendix B16.docx

APPENDIX B16

CATEGORY 6: RESIDENTIAL

SHORT-TERM RESIDENTIAL THERAPEUTIC 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: A16 - Short-Term Residential Therapeutic Program

· Attachment Reference: Attachment B – Standardized Scope of Work Language Ensure that the responses align with the expectation outlined in the SOW and Attachment (if applicable). These documents provide essential context and guidelines for the 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 the organization’s experience in providing comprehensive, intensive, culturally responsive, trauma-informed mental health services to Medi-Cal clients requiring 24/7 care and supervision within a licensed therapeutic milieu to stabilize their behavioral health and support their transition to a home-based setting. Select all that apply:

Target Populations ☐ Youth (ages 10-12) ☐ Adolescents (ages 13-17)

Additional Specialties ☐ Child Welfare-Involved ☐ Justice-Involved

☐ LGBTQIA+

☐ Co-Occurring Conditions ☐ Survivors of Sexual Abuse/Exploitation Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Confirm the ability to meet the following Medi-Cal 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.)

☐ Child and Adolescent Needs Assessment (CANS) Certification and Administration ☐ Pediatric Symptom Checklist 35 (PSC-35) Training and Administration Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Confirm the organization’s current licensure status:

☐ Fully licensed as an STRTP.

☐ Provisionally licensed as an STRTP, if not fully licensed.

☐ Current STRTP Mental Health (MH) Program Approval Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the applicable items below to confirm your organization’s capacity to administer and collect the required outcome evaluation data, including:

· Organization’s Capacity and Data Collection Process ☐ 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, such as the CANS and PSC-35.

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

· 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: milieu staff, etc.

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

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

· 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, reporting structure, and lists for staff providing clinical services.

☐ 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 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 effectively engage underserved, underrepresented, and/or multicultural populations which include clients in the juvenile justice system and child welfare; and

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

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.

Provide information on the following:

· Experience Service Delivery

· Describe ability and experience in delivering similar programs, including staffing, service delivery methods, and intensive care coordination, using the Integrated Core Practice Model.

· Alignment with County Needs

· Demonstrate how past and current programs meet the needs of Santa Clara County clients.

· Highlight how previous services were tailored to the County’s target populations and service delivery expectations.

· Training and Treatment Practices

· Describe the treatment modalities to be used in engagement and treatment, which may include Cognitive Behavioral Therapy (CBT), Motivational Interviewing, Dialectical Behavioral Therapy, Seven Challenges, Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Neurosequential Model of Therapeutics, or other trauma-informed practices or treatment modalities (specify).

Describe your organization’s ability to deliver the following services:

· Clinical Services (i.e. crisis intervention, intensive care coordination, individual, family and group treatment, care planning, intensive home-based services, psychiatry)

· Daily Care and Supervision

· Supportive Services

· Prosocial Activities Inclusion of Psychiatry Services

· 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.

Capability to Provide Step-Down Services Describe your organization’s capacity to provide or support linkage to appropriate step-down services, as discussed through the CFT process, including transition planning to a home-based setting.

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 B16: Short-Term Residential Therapeutic Program Evaluation Criteria and Qualifications CATEGORY 6: Residential