Appendix B1b.docx

APPENDIX B1b

CATEGORY 1: CRISIS

POST CRISIS 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: A1b - Post Crisis 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 in delivering comprehensive, intensive, trauma-informed, and culturally responsive mental health services to Medi-Cal children, youth, and adolescents. Include the organization's experience with intensive community-based crisis mental health services and its ability to serve these populations through culturally responsive approaches and trauma-informed care.

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

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 (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) ☐ North County (Palo Alto, Los Altos and Los Altos Hills, Mountain View, and Sunnyvale) ☐ Central County (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)

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 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 ☐ 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 for ensuring continuity of staffing and care.

☐ Clinical supervision plans for professional and paraprofessional staff.

☐ 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.

☐ 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

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, including offering intakes within 48 hours of receipt of referral.

· 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.

· Capacity for Data Collection, Monitoring and Evaluation ☐ Capacity and processes are in place to administer and collect the required outcome evaluation data, including assessment/outcome tools and performance measures currently used by staff.

☐ 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

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 ability to collaborate and/or form collaborations with County departments, County-contracted providers, and other agencies to fulfill the program’s purpose. This should include:

· Collaborations with Key Partners

· Collaborations established with the Social Services Agency, Department of Family and Children’s Services, Juvenile Probation Department, health providers, and other relevant agencies.

· Outreach and coordination efforts with Mobile Response and Stabilization Services (MRSS), acute psychiatric facilities/hospitals, Emergency Psychiatric Services (EPS), Crisis Stabilization Unit (CSU), and other crisis-based service providers.

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

· Impact of Collaborations on Client Outcomes

· Collaborations that reduce incidents of re-hospitalization and support clients' post-crisis stabilization, helping them remain in community or home-based settings.

· Collaborations aimed at increasing meaningful use of client time and abilities in work, school, and daily activities.

· Supports provided to augment the strengths and address the unmet needs of both clients and their families.

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

· Warm hand-offs to providers during the stabilization period to avoid gaps in service as clients transition to a lower level of care.

· Collaborations promote social and academic growth in educational settings.

· Strengths and needs of clients identified through partnerships, enabling seamless coordination of assessments, safety planning, and care planning.

· Collaborations promoting client wellness and family recovery.

· Involvement or reinvolvement 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 into care and service planning.

Describe the organization’s operational plan and strategy for delivering services. Confirm that the program aligns with the needs of Santa Clara County beneficiaries and adheres to the Integrated Core Practice Model (ICPM). The operational plan should include:

· A clear approach to implementing services, including responding to referrals in a timely manner.

· A strategy to provide services at times and on days that best meet the needs of the child/youth and their families.

· Assurance that the implementation of the program and provision of services will occur in a timely manner.

Offeror describes experience and approach in utilizing the Integrated Core Practice Model (ICPM) and Child and Family Team (CFT) Model as foundation for service delivery. Confirm how the organization will implement the CFT Model to deliver services, including Intensive Care Coordination (ICC) and Intensive Home-Based Services (IHBS). Offeror clearly describes the delivery of Care Coordination, monitoring of progress, transition and discharge planning. Offeror is capable of providing appropriate related step-down services (lower level of care) or support linkage to appropriate stepdown services, which are discussed through the CFT process. If higher level of care services is needed, Offeror describes how this would be managed, clearly articulating the warm-hand-off process.

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 B1b: Post Crisis Stabilization Services Evaluation Criteria and Qualifications CATEGORY 1: Crisis