APPENDIX B17

CATEGORY 6: RESIDENTIAL

YOUTH CRISIS RESIDENTIAL

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: A17 – Youth Crisis Residential

· 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 experience providing culturally responsive, trauma-informed mental health services to clients requiring 24/7 crisis care and supervision within a licensed therapeutic milieu, enabling them to transition safely to a less restrictive, home-based setting.

Target Population ☐ Adolescents (ages 12-17)

Additional Specialties ☐ Child Welfare-Involved ☐ Justice-Involved

☐ LGBTQIA+

☐ Co-Occurring Conditions ☐ Clients Requiring Crisis Intervention/Stabilization

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

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

☐ 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

Select training and treatment practices used, including one or more of the following Evidence-Based Practices (EBPs) and Promising Practices (PPs) for engagement and treatment:

☐ Cognitive Behavioral Therapy (CBT) ☐ Dialectical Behavioral Therapy ☐ Motivational Interviewing ☐ Solution-Focused Brief Therapy ☐ Trauma-Focused CBT ☐ Other Trauma-Informed EBP: Specify 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.

☐ Paraprofessional Staff: milieu staff, etc.

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

☐ Licensed-Waivered Staff: Rehab Counselor, Associate Clinical Social Worker, etc.

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

- AND -

· Staffing and Continuity of Care ☐ Organizational strategies for ensuring continuity of staffing and care for 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, onsite psychiatric services by a Certified Board Psychiatrist(s), and the ability to provide services according to 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 of all clinical providers, including the required psychiatrist(s).

☐ Ability to maintain appropriate staff-to-client ratios as mandated by California Department of Social Services (CDSS), including having qualified and trained staff available 24/7 to supervise, support, and care for clients at the facility.

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

☐ Process for providing Intensive Care Coordination (ICC) and Intensive Home-Based Services (IHBS), including administrative, supervisory, and direct service staff details.

☐ 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 ☐ Crisis Intervention specific to California Welfare & Institutions Code (WIC) 5150 process.

☐ 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 capacity to deliver Crisis Residential Services to youth, including an overview of the approach and infrastructure that ensures high-quality, family-inclusive services. Responses should address the following areas:

· Capacity to provide clinical services, psychiatry, and infrastructure for supportive services and prosocial activities.

· Implementation of the Integrated Core Practice Model (ICPM) and service delivery through a Child and Family Team (CFT) approach.

· Provision of crisis residential treatment and medication support services 24 hours a day, seven days a week.

· Process for intake, assessment, diagnosis, and admission, including coverage during business hours, evenings/after-hours, and weekends.

· Timely response to referrals, including providing referral disposition within 24-48 hours and offering expedited admission processes for hospital discharges.

· Capacity to deliver integrated treatment for co-occurring conditions.

· Discharge planning process, including documentation and follow-up.

· Ability to provide appropriate Step-Down services, including warm hand-offs to other care providers.

· Compliance with all relevant Community Care Licensing (CCL) regulations and any other licensing regulatory requirements.

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, including 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.

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 capacity to deliver Crisis Residential Services and its ability to monitor, evaluate, and improve service delivery. Response should address the following:

· Experience in delivering similar programs, including staffing, service delivery methods, and care coordination.

· Processes for administering and collecting required outcome evaluation data (e.g., CAT certification and other assessment/outcome tools).

· Capacity to administer and monitor performance measures, including client/family satisfaction surveys, pre-/post-service tests, and culturally responsive services/practices.

· Processes for providing daily and weekly updates on available capacity.

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

· 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 results are regularly used to inform and improve clinical practices and service quality.

· Capacity to provide services at times and days that best meet the needs of clients and their families, as outlined in the Scope of Work.

· Examples of how past programs met the needs of Santa Clara County clients and were tailored to the County’s target populations and service delivery expectations.

· Plans for ongoing program evaluation, outcome improvement, and how data results inform clinical practices and service quality.

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 B17: Youth Crisis Residential Evaluation Criteria and Qualifications CATEGORY 6: Residential