Appendix B17.docx

APPENDIX B17

CATEGORY 3: FULL SERVICE PARTNERSHIP SERVICES

FORENSIC ASSERTIVE COMMUNITY TREATMENT

Evaluation Criteria and Qualifications

Section 1: Organizational Structure and Experience[footnoteRef:2] Total Points: [2: 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 topic in the submitted packet’s miscellaneous documents.]

Target Populations ☐ Justice-Involved Adults (ages 26 through 59) ☐ Justice-Involved Older Adults (ages 60 and over)

Santa Clara County Geographic Locations (including clinic locations for services) ☐ South ☐ Central ☐ Eastern ☐ Northern

Additional Specialties ☐ Severe Mental Illness (SMI) ☐ Co-occurring Conditions ☐ Justice-Involved Populations

Complex Risk Factors, including:

☐ Abuse/Violence ☐ Substance Use ☐ Psychological Trauma ☐ Intergenerational Impacts of Incarceration ☐ Substance Use ☐ Homeless/At-risk of Homelessness ☐ LGBTQ+ Community ☐ Low social economic status ☐ Underserved, Underrepresented, and Unserved Ethnic and Cultural Populations

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

· How the organization will motivate and provide services to individuals who have previously failed multiple intensive outpatient programs;

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

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

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

· How organization will accomplish the objectives of the program as described in Attachment A17, Scope of Work;

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

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

· Certification,

· Documentation,

· 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 ☐

Select all applicable report and document submission experience with law enforcement agencies and justice partners:

☐ Client Status Reports ☐ Jail Assessment Coordinator List

☐ 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);

· 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 (CBT) ☐ Trauma-Focused CBT ☐ Dialectical Behavioral Therapy ☐ Solution-Focused Brief Therapy ☐ Motivational Interviewing ☐ Other:

EBPs specific to the justice-involved population:

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

(milieu staff, etc.)

☐ Licensed/License-Registered clinical staff:

(LMFT, Ph.D., etc.)

☐ Medical Board-certified staff:

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

☐ Other:

(Employment Specialist, Peer Support Worker, etc.)

1. Personnel Retention Plan

· Organizational strategies for ensuring continuity of staffing and care 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.

2. Staffing Plan

· Staff 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;

· Process for providing intensive case management services at project-based sites (e.g., administrative, supervisory, and direct service staff information);

· 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).

3. Additional Required Plans

· Emergency/after-hours staffing; and

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

· Staff compliance with County jail clearances required to provide outreach and engagement in custodial settings;

· Twenty-four (24)-hour crisis intervention services and immediate support;

· 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;

· Providing services 24/7 with structured monitoring of withdrawal symptoms and medical referral if necessary;

· Providing orientation to substance use treatment continuum;

· Maintaining data collection related to client requests for placements and completed client placements;

· Ability to provide appropriate related Step-Down services; and

· Discharge planning process and documentation in clinical record.

· 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.

· Client transfers to a different level of care or another behavioral health provider.

· Staff evaluation process for each client for appropriate level of care throughout treatment.

· How staff will communicate to ensure referral sources are notified of the status of the referral and informed outcomes.

Section 2: Proposed Program Description[footnoteRef:3] Total Points: [3: 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, Cultural Competence Form;

· Organization 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, which include outreach and engagement efforts to clients in carceral settings; and

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

· County Health System (primary care physicians, County clinics), Adult Custody Health, Pharmacy, Forensic, Diversion, and Reintegration, and Social Services Agency;

· Justice System (judges, public defender, district attorney, and probation/parole officers/admin booking);

· Housing organizations (subsidy administrators, property managers); 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 EHR 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 B17: Forensic Assertive Community Treatment Evaluation Criteria CATEGORY 3: Full Service Partnership Services