Appendix B2.docx

APPENDIX B2

CATEGORY 2: FULL SERVICE PARTNERSHIP

YOUTH FULL SERVICE PARTNERSHIP CONTINUUM

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: A2 - Youth Full Service Partnership Continuum

· 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 experience providing intensive SMHS with a “whatever it takes” philosophy to meet the needs of youth with serious emotional disorder (SED). Select all that may apply.

Target Populations ☐ Youth (ages 6-15)

Additional Specialties ☐ Clients Experiencing a First Episode of Psychosis (FEP) ☐ Juvenile Justice-Involved ☐ Child Welfare-Involved

Geographic Locations Select where services would be provided.

☐ 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:

☐ Medi-Cal 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

Indicate possessed licenses and certifications for team members as required by the FSPC service model (Personal Service Coordinator, Clinical Therapist, Case Manager, Family Support, Occupational Therapist, and Psychiatrist or Psychiatric Nurse Practitioner).

☐ Paraprofessional Staff: Rehab counselor, etc.

☐ Licensed or Waivered Practitioner of the Healing Arts (LPHA): LMFT, LCSW, Ph.D, ASW, AMFT, etc.

☐ Mental Health Rehab Specialist (MHRS): Rehab Counselor, Occupational Therapist, etc.

☐ Medical Board-certified: M.D., RN, NP, etc.

☐ Other: Employment Specialist, Peer Support Worker, etc.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the Evidence-Based Practices (EBPs), Community Defined Evidence-Based Practices (CDEPs), and Promising Practices (PPs) used in treating the target population, including programmatic models.

☐ Cognitive Behavior Therapy ☐ Cognitive Behavior Therapy for Psychosis ☐ Motivational Interviewing ☐ Wellness and Recovery Action Plan (WRAP) ☐ Multi-Family Support Groups ☐ Seeking Safety ☐ Other Trauma Informed EBPs: Specify ☐ Other: Specify

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the applicable items below to confirm your 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 ☐ 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 your organization’s capacity for data collection, reporting, and continuous quality improvement.

· Organization’s Capacity and Data Collection Process ☐ Capacity and processes are in place to administer and collect the required outcome evaluation data, including the assessment/outcome tools and performance measures not limited to:

· Child and Adolescent Needs and Strengths (CANS)

· Partnership Assessment From (PAF)

· Key Event Tracker (KET)

· Quarterly Assessment (3M)

· Structured Interview for Psychosis Risk Syndromes (SIPS) or Mini SIPS; and/or

· Prodromal Questionnaire – Brief Version (PQ-B).

☐ Data results are used to inform clinical practices, service quality, and CQI.

· 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.

☐ Program reports, CQI projects or processes, and data collection methods demonstrate commitment to ongoing evaluation and outcome improvement.

· 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 provide outreach activities focused on reaching underserved, underrepresented, and/or multicultural populations which include outreach and engagement efforts to clients in carceral settings.

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

· Capacity to integrate developmental stage, delays, and regressions into service delivery.

Describe your organization’s experience in serving youth and their families with varying levels of needs (e.g., homelessness, substance use, developmental delays, FEP) through an MDT approach including Occupational Therapist and Family Partner. Include in your experience in collaborating with Emergency Psychiatric Services (EPS), Crisis Stabilization Units, Psychiatric hospitals, and system partners such as child welfare, juvenile justice, the San Andreas Regional Center, and education institutions. Additionally, describe your efforts in providing targeted community outreach and engaging youth and their families.

Detail your experience and processes for care coordination, including stepping up/down services as needed and ensuring a feedback loop for all relevant parties. Describe your experience in providing warm handoffs and training staff in these areas. Include how your organization facilitates transitions to appropriate levels of care, either within your agency or through linkage to external services, based on the needs of the client. Additionally, explain how your process ensures that all relevant parties receive timely feedback to support client care.

Describe the organization’s ability to provide and maintain EBPs, PPs, CDEPs to fidelity, specific to the target population and practices and models. Describe the organization’s ability to provide ongoing training and support for new and existing staff, including a list of EBPs, PPs, and CDEPs.

Describe your organization’s ability to integrate the WRAP approach, and your experience with the ICPM. Explain how you deliver services that include young adults, their caregivers, and significant relationships, incorporating the principles of ICPM. Additionally, detail your use of a Child and Family Team (CFT) approach, including the providing of Intensive Care Coordination (ICC) and Intensive Home-Based Services (IHBS).

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 B2: Youth Full Service Partnership Continuum Evaluation Criteria and Qualifications CATEGORY 2: Full Service Partnership