Appendix B19.docx
DOCX document 65 KB Posted
- Attached to
- Adult and Older Adult System of Care Services
- Solicitation number
- RFSQ-BHS-FY23-0210
- Issued by
- Santa Clara County, San Diego City, California
About this file
This is an evaluation criteria document for Category 4: Community Reintegration Services, specifically for Forensic, Diversion, and Reintegration Aftercare Services under RFSQ-BHS-FY23-0210: Adult and Older Adult System of Care Services, administered by a county behavioral health services department. The document outlines the qualifications and evaluation framework for organizations seeking to provide community reintegration services to justice-involved adults ages 18 and over, including older adults ages 60 and over, across multiple geographic service areas (South, Central, Eastern, and Northern regions). Services target populations with severe mental illness, co-occurring conditions, and those from underserved communities including LGBTQ+ populations and individuals with histories of trauma, violence, and neglect. Applicants must demonstrate capability to provide step-down services, transitional care, discharge planning, flexible intake, and therapy services while meeting timely reporting requirements for Medi-Cal/Medicare, CalAIM behavioral health standards, and law enforcement partner documentation needs.
The evaluation framework allocates 100 total points across five sections: Organizational Structure and Experience (70 points), Proposed Program Description (15 points), Historical Performance Analysis (5 points), Electronic Health Record Capacity (5 points), and Financial Solvency (5 points). Applicants must demonstrate staffing capabilities including paraprofessional, licensed clinical, and medical board-certified staff; evidence-based practices such as Cognitive Behavioral Therapy and justice-specific interventions like Thinking for a Change or Moral Reconation Therapy; organizational experience with outcome evaluation and data monitoring; ability to provide seven-day-per-week services with 24-hour coverage; cultural competency and linguistic capacity aligned with county threshold languages; and active collaboration plans with county departments, housing organizations, and justice system partners including probation/parole officers and judges.
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APPENDIX B19
CATEGORY 4: COMMUNITY REINTEGRATION SERVICES
FORENSIC, DIVERSION, AND REINTEGRATION AFTERCARE SERVICES
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 criteria/sub-topics in the submitted packet’s miscellaneous documents.]
| a. |
| Select all applicable boxes with the following program requirements as described in Attachment A19, Scope of Work: |
Target Populations ☐ Justice-Involved Adults (ages 18 through 59) ☐ Justice-Involved Older Adults (ages 60 and over)
Indicate geographic locations (including clinic locations) where services would be provided:
☐ South ☐ Central ☐ Eastern ☐ Northern
Additional Specialties ☐ Severe mental illness (SMI) ☐ Co-occurring conditions ☐ Underserved communities, including:
· LGBTQ+ community;
· Justice-involved populations; and
· Low social economic status.
☐ Individuals with extensive exposure to:
· Trauma;
· Violence; and
· Neglect.
| b. |
| Offeror described steps their organization will take to decrease recidivism and reduce emergency psychiatric service episodes and acute hospitalizations. |
| YES ☐ | NO ☐ |
| 5 |
| c. |
| Offeror described their ability to meet timely reporting and Medi-Cal/Medicare requirements, including: |
· 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 ☐
| d. |
| 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:
| e. |
| Offeror capable of providing appropriate step-down services, including lower levels of care or transitioning clients from justice-focused treatment programs to traditional outpatient programs. Transfers may include higher or lower level of care, or another behavioral health provider, including but not limited to: |
· Evaluate clients throughout treatment for appropriate level of care; and
· Staff to engage in Feedback Loop Process to ensure referral sources are informed of referral outcomes.
Select all applicable specialty practices inclusive in Offeror’s services, as described in Attachment A19, Scope of Work.
☐ Discharge planning ☐ Intake ☐ Flexible intake ☐ Therapy and education
| f. |
| Select all applicable licenses and certifications Offeror currently possesses to provide the services as described in Attachment A19, Scope of Work. |
☐ Joint Commission Accreditation ☐ Community Care Licensing ☐ Commission on Accreditation of Rehabilitation Facilities International ☐ Other program accreditations:
| g. |
| Offeror addressed the following topics related to their organization’s outcome evaluation data as described in Attachment A19, Scope of Work, including: |
· 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); andHow data results inform clinical practices and service quality.
| YES ☐ | NO ☐ |
| 5 |
| h. |
| Select training and treatment practices used, including the following Evidence-Based Practices (EBPs) and Promising Practices (PPs): |
☐ Cognitive Behavioral Therapy ☐ Trauma-Focused CBT ☐ Dialectical Behavioral Therapy ☐ Solution-Focused Brief Therapy ☐ Motivational Interviewing
With at least one (1) of the following EBPs specific to treatment for the justice-involved population:
☐ Thinking for a Change ☐ Moral Reconation Therapy ☐ Criminal Thinking ☐ Risk and Responsivity
| i. |
| Select the applicable boxes and include titles of staff that make up Offeror’s treatment team to deliver the services as described in Attachment A19, Scope of Work: |
☐ Paraprofessional staff:
(Milieu staff, etc.)
☐ Licensed clinical staff:
(LMFT, Ph.D., etc.)
☐ Medical Board-certified staff:
(M.D., RN, RD, etc.)
☐ Other:
(Employment Specialist, Peer Support Worker, etc.)
Offeror included their organization’s staffing-related protocols in the proposal’s miscellaneous section, addressing the following:
1. 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.
2. Staffing Plan
· 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;
· 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 the BHSD using County-provided or other tools.
| j. |
| Offeror submitted a plan to ensure the program implementation and provision of services would occur in a timely manner as described in Attachment A19, Scope of Work. Steps include, but are not limited to, the following: |
☐ 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;
☐ After-hours program contact plan for client emergencies; and ☐ Ability to hire staff who are eligible to receive required jail clearances.
| k. |
| Offeror described experience with the following services in the proposal’s miscellaneous section: |
· How the program shall accept and manage urgent and emergent referrals;
· How to engage the target population in services and prioritize referrals; and
· How the referrals are made from outpatient treatment teams.
| l. |
| Offeror provided active 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 (e.g., vaccination status tracking). |
| 5 |
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.
| a. |
| Offeror described their organization’s vision, mission, and/or values that is inclusive of promoting behaviors and practices towards a more equitable, diverse, and inclusive organizational mindset. Offeror described their organization’s leadership model inclusivity, and what tools and support is provided to improve their organization’s ability to identify and mitigate bias, respect differences, build empathetic relationships, and manage conflict. |
| 5 |
| b. |
| Offeror described and provided documentation to ensure the following cultural competency/outreach and engagement requirements can be met: |
· 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 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.
| c. |
| Offeror described types of collaborations (e.g., program designs and activities) with County departments, County-contracted Providers, and other agencies, including but not limited to: |
· 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 shall:
· Increase meaningful use of client time and abilities in work, school, and daily activities;
· Increase client ability to obtain/maintain a monthly income;
· Obtain health insurance for clients;
· Reduce utilization of inpatient hospital services;
· Reduce client recidivism rates;
· Maintain or obtain permanent supportive housing or permanent housing when clients exit the program; and
· Increase successful program discharges and graduation rates from the justice system.
| Section 3: Historical Performance Analysis Total Points: |
| 5 |
Historical data analysis will be reviewed by BHSD Program Subject Matter Experts (SMEs) and rated according to the criteria laid out in this RFSQ.
| Section 4: Electronic Health Record Capacity Total Points: |
| 5 |
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.
| Section 5: Financial Solvency Total Points: |
| 5 |
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 B19: Forensic, Diversion, and Reintegration Aftercare Services Evaluation Criteria CATEGORY 4: Community Reintegration Services
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