Appendix B8.docx

APPENDIX B8

CATEGORY 3: OUTPATIENT SERVICES

EARLY CHILDHOOD MENTAL HEALTH 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: A8 - Early Childhood Mental Health 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 culturally and age-appropriate Specialty Mental Health Services (SMHS) with a range of services that include Family Partner, Family Specialist and Therapeutic Services. Offeror indicated their ability to meet the needs of the child and family and provide promotion of wellness, prevention of behavioral health disturbances, and treatment of behavioral health problems that interfere with the child’s optimal development, including critical social-emotional milestones and healthy relationships.

Target Populations ☐ Children (birth through 5) ☐ Caregivers

Additional Specialties ☐ Child Welfare Involved ☐ Early Education

☐ LGBTQIA+

☐ Early Childhood Development

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 ☐ 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

Select Evidence-Based Practices (EBPs) and Promising Practices (PPs) for engagement and treatment.

☐ Child Parent Psychotherapy (CPP) ☐ Positive Parenting Program (Triple P) ☐ Circle of Security ☐ Celebrating Families 0-5!

☐ Developmental, Individual Differences, Relationship (DIR/Floortime) ☐ Motivational Interviewing ☐ Trauma -Focused CBT ☐ 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 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 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 CQI.

· 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 including but not limited to:

· Child and Adolescent Needs and Strengths – Early Childhood (CANS-EC)

· Pediatric Symptoms Checklist 35 (PSC-35)

· Keys to Interactive Parenting Scale (KIPS)

· Ages and Stages Questionnaire (ASQ) ☐ 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 the 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 the organization’s experience with IFECMH approach, including your application of the ICPM. Outline how services are delivered that include a focus on the parent-child relationship, and how your organization incorporates the principles of the ICPM. Provide details on your utilization of a Child and Family Team (CFT) approach, including how you deliver Intensive Care Coordination (ICC) and Intensive Home-Based Services (IHBS).

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

· Collaborations with Key Partners

· Collaborations are established with the Social Services Agency, Department of Family and Children’s Services, an Andreas Regional Center, Early Education, and health providers.

· Organizational experience demonstrates successful collaboration with system partners.

Describe your organization’s ability to deliver EBPs, PPs, and CDEPs with fidelity, tailored to the target population. Include your capacity to provide ongoing training, supervision, and support for both new and existing staff. Detail your efforts toward obtaining IFECMH endorsement.

Describe your organization’s experience in care coordination, internal and external to your organization, and your capabilities to provide a warm handoff. Include your approach to training staff in these areas.

• Detail your organization’s ability to step-down or step-up clients to an appropriate level of care based on client needs.

· Describe the ability to integrate psychiatric services into overall service delivery and ensure appropriate care coordination across providers and services.

• If services are not available within your organization, describe how you facilitate linkage to appropriate step-up or step-down services, as determined by the child and family’s needs.

• Explain your process for ensuring a feedback loop with all relevant parties 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 B8: Early Childhood Mental Health Outpatient Continuum Evaluation Criteria and Qualifications CATEGORY 3: Outpatient Services