Appendix B6.docx

APPENDIX B6

CATEGORY 3: OUTPATIENT SERVICES

OUTPATIENT 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: A6 - Outpatient 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 Specialty Mental Health Services (SMHS) services across a range of services, including Intensive, Outpatient, and Wellness. Describe your ability to meet clients’ needs and address impacts across life domains such as education, employment, living situation, personal wellbeing, interpersonal relationships, substance use, and community functioning. Select all that apply.

Target Population ☐ Children and Youth (ages 6-20)

Additional Specialties ☐ Substance Use Treatment

Levels of Care ☐ Outpatient ☐ Intensive Outpatient ☐ Wellness

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:

☐ Certification ☐ Documentation ☐ Billing requirements ☐ Child and Adolescent Needs and Strengths (CANS) certification and administration ☐ Pediatric Symptoms Checklist-35 (PSC-35) training 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

Indicate the applicable staff titles and qualifications required to deliver services as part of the support team:

☐ Paraprofessional Staff: [Specify] ☐ Licensed or Waivered Practitioner of the Healing Arts (LPHA): [Specify] ☐ Mental Health Rehab Specialist (MHRS): [Specify] ☐ Medical Board-Certified: [Specify] ☐ Other: [Specify] Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select Evidence-Based Practices (EBPs) and Promising Practices (PPs), with fidelity to the requirements for Mental Health Services Act (MHSA) Community Services and Supports (CSS) as set forth in the California Code of Regulations (CCR) CSS Title 9, Chapter 14, Article 6, Sections 3610-3620.10 and 3640.

☐ Seeking Safety ☐ Motivation Interviewing ☐ Cognitive Behavioral Therapy (CBT) ☐ Trauma- Focused CBT ☐ Other Substance Use Treatment EBP: [Specify] ☐ Other trauma informed EBP: [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 service delivery during a pandemic and/or emergency disasters, including 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 currently utilized by staff.

☐ 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.

Describe your experience in providing a continuum of services with intensive, outpatient, and wellbeing levels of care, and your ability to support co-occurring substance use needs when delivering services within a program.

Describe your ability to provide EBPs, PPs, to fidelity, specific to the target population. Include your ability to provide ongoing training and support for new and existing staff to ensure fidelity and sustainability of EBPs, PPs.

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.

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 B6: Outpatient Continuum Evaluation Criteria and Qualifications CATEGORY 3: Outpatient Services