Appendix B1a.docx

APPENDIX B1a

CATEGORY 1: CRISIS

MOBILE RESPONSE AND STABILIZATION SERVICES

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: A1a - Mobile Response and Stabilization Services

· Attachment Reference: Attachment B – Standardized Scope of Work Language 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 the organization’s experience providing mobile crisis services and comprehensive, intensive, culturally responsive, trauma-informed mental health services to Medi-Cal children, youth, adolescents, and young adults. The organization should also confirm the availability of a certified writer, 24/7, for assessments and evaluations under WIC 5585 and WIC 5150.

Target Populations ☐ Children (ages 4-9) ☐ Youth (ages 10-12) ☐ Adolescents (ages 13-17) ☐ Young Adults (ages 18-20)

Additional Specialties ☐ Child Welfare-Involved ☐ Justice-Involved

☐ LGBTQIA+

☐ Co-Occurring Conditions ☐ Clients Requiring Crisis Intervention/Stabilization Geographic and Clinic Locations Select areas within Santa Clara County where the organization has provided services and indicate if you have clinic locations in these areas.

Geographic Areas (select all that apply) ☐ North County (Palo Alto, Los Altos and Los Altos Hills, Mountain View, and Sunnyvale) ☐ Central County (Alviso, San Jose, Cupertino, Santa Clara, Los Gatos, Monte Sereno, Saratoga, and Campbell) ☐ East County (San Jose [Foothills, Berryessa] and Northeast San Jose/Milpitas areas) ☐ South County (Gilroy, Morgan Hill, and the unincorporated area of San Martin)

Clinic Locations (select if applicable) ☐ We have clinic locations in these areas.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Confirm the organization’s experience with the Integrated Core Practice Model (ICPM) and delivering services using the Child and Family Team (CFT) Model approach, including Intensive Care Coordination (ICC) and Intensive Home-Based Services (IHBS).

YES ☐ NO ☐

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Confirm the organization’s capability to provide appropriate follow-up care, related resources, and safety planning. Confirm that the organization is capable of providing or coordinating access to step-down and step-up services, as discussed through the CFT process.

YES ☐ NO ☐

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

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

☐ Certification ☐ Documentation ☐ Billing requirements ☐ Crisis Assessment Tool (CAT) Certification and Administration ☐ 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 the applicable items below to confirm the organization’s capacity for data collection, monitoring, and reporting.

· Capacity for Data Collection ☐ Capacity and processes are in place to administer and collect the required outcome evaluation data, including assessment/outcome tools (e.g., CAT) and performance measures currently used by staff, along with baseline data for reducing hospitalizations, completed suicides, and non-crisis mobile responses.

· 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 Evidence-Based Practices (EBPs) and Promising Practices (PPs) used in treating and engagement.

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

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 Clinical Staff: [Specify] ☐ Licensed-Waivered Staff: [Specify] Staffing and Organizational Strategies Select the applicable items below to confirm the organization’s staffing and organizational strategies:

· Staffing and Continuity of Care:

☐ Organizational strategies are in place to ensure continuity of staffing and care for the target population(s).

☐ Clinical supervision plans for professional and paraprofessional staff are included.

☐ 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 are established.

☐ Practices for recruiting, hiring, and promoting multi-lingual and/or culturally or ethnically diverse staff.

· 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 are in place.

☐ 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

Select the applicable items below to confirm the organization’s strategies and processes for ensuring the timely implementation of the program and provision of services:

· Timely Service Delivery ☐ Strategies are in place to engage and provide services to clients within the required timelines (within 60 minutes of dispatch).

☐ Follow-up contacts are made within 72 hours of referral and first contact.

· Clinical Protocols ☐ Clinical protocols and documentation standards are used in the treatment planning and progress determination process.

· Care Transitions and After-Hours Support ☐ The program is able to provide appropriate transfers to a different level of care or another Behavioral Health provider, including warm hand-offs.

☐ After-hours processes are in place for handling client emergencies, including contact workflows and procedures.

· Discharge Planning ☐ Discharge planning processes and documentation are integrated into the clinical record.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Responses for Section 2 require a ‘Written Response Submission’ for each criteria.

Describe your 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 your organization’s leadership model of inclusivity, and what tools and support are provided to improve your organization’s ability to identify and mitigate bias, respect differences, build empathetic relationships, and manage conflict.

Describe your ability to provide and ensure cultural competency, outreach, and engagement requirements are met:

· Capacity to provide culturally, ethnically, and linguistically appropriate services to the target population(s), including capacity for all County threshold languages.

· 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 effectively engage underserved, underrepresented, and/or multicultural populations, including clients in the juvenile justice and child welfare systems.

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

Describe the organization’s collaborations with County departments, County-contracted providers, and other agencies. This should include:

· Collaborations with Key Partners

· Collaborations with key partners, including the Social Services Agency, Department of Family and Children’s Services, Juvenile Probation Department, Law Enforcement, and health providers.

· Outreach and coordination efforts with acute psychiatric facilities/hospitals, EPS, CSU, and other crisis-based service providers.

· Organizational experience working successfully with community-based organizations responsible for clients' behavioral health treatment upon discharge from the program.

· Impact of Collaborations on Client Outcomes Describe how these collaborations will:

· Reduce incidents of Mobile Response and Stabilization Services (MRSS) responses, re-hospitalization, and support clients' post-crisis stabilization, helping them remain in community or home-based settings.

· Increase meaningful use of client time and abilities in work, school, and daily activities.

· Provide supports to augment the strengths and address the unmet needs of both clients and their families.

· Promote seamless service delivery through facilitation and active participation in Child and Family Team meetings, centering the voice of the client and their family.

· Ensure warm hand-offs are made to providers as clients transition to both lower and higher levels of care.

· Promote social and academic growth in educational settings.

· Work with partners to identify the strengths and needs of clients and coordinate assessments, safety planning, and care planning.

· Promote client wellness and family recovery.

· Reduce involvement or reinvolvement in formal systems (e.g., juvenile justice, child welfare, crisis services) through collaborative efforts.

· Incorporate clients’ natural support networks (families, teachers, coaches, friends, religious communities, etc.) into care and service planning.

Describe the organization’s operational plan and strategy for delivering services. The plan should demonstrate alignment with the needs of Santa Clara County beneficiaries and include:

· A clear approach to providing services at times, days, and locations that best meet the needs of the client and their families.

· Assurance that the services will be delivered in a manner that effectively meets the needs of the target population.

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 APPENDIX B1a: Mobile Response and Stabilization Services Evaluation Criteria and Qualifications CATEGORY 1: Crisis