Appendix G.docx

This is a Cultural Competence Form appendix for the County of Santa Clara Behavioral Health Services Department's Request for Statements of Qualifications (RFSQ-BHS-FY25-0176) for Behavioral Health Training Services. The form is designed for offerors to demonstrate their ability to provide culturally, gender, and language-specific competencies in delivering behavioral health training services to County clinical staff and County-contracted Provider staff. Offerors must identify their staffing capabilities across multiple cultural competencies, including African American/African Ancestry, Latinx, Native American/Indigenous People, Asian American, Pacific Islander, and LGBTQ+ staff, and indicate whether these competencies are included in their staffing work plan or through arrangements with partnering agencies.

The form requires offerors to document language capabilities in seven threshold languages: Spanish, Vietnamese, Mandarin, Cantonese, Farsi, Tagalog, and Russian, as well as any additional languages offered. Offerors must specify whether language competencies are part of their internal staffing or obtained through formal arrangements with other agencies, including existing Behavioral Health Services Department contracted agencies. Pricing terms, contract duration, renewal options, and other financial details are not addressed in this cultural competence form, which serves as a supplemental qualification requirement for the overall behavioral health training services contract opportunity.