Appendix G.docx

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Attached to
Behavioral Health Treatment Facility Continuum of Care
Solicitation number
RFSQ-BHS-FY23-0225
Issued by
California

About this file

This is a Cultural Competence Form from the County of Santa Clara Behavioral Health Services Department for RFSQ-BHS-FY23-0225: Behavioral Health Treatment Facility Continuum of Care. The form requires offerors to document their ability to apply cultural, gender, and language-specific competencies to the services provided under this solicitation. Offerors must identify their staffing capabilities across multiple demographic categories, including African American/African Ancestry, Latinx, Native American/Indigenous People, Asian American, Pacific Islander, and LGBTQ+ staff. Additionally, offerors must specify language capabilities in Spanish, Vietnamese, Mandarin/Cantonese, Farsi, Tagalog, Russian, and any other languages. For each competency area, offerors indicate whether the capability is included in their staffing work plan or identify a contracted agency arrangement to respond to referrals requiring these specific competencies.

The form establishes that services must be made available in a minimum of seven threshold languages: Spanish, Vietnamese, Mandarin, Tagalog, Cantonese, Farsi, and Russian. Offerors are required to demonstrate cultural competence either through direct staffing or through documented arrangements with other agencies, including those currently contracted with the Behavioral Health Services Department. This requirement ensures that the continuum of care services can effectively serve Santa Clara County's diverse population and meet the cultural and linguistic needs of the communities served.

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Appendix I.docx DOCX document
Attachment A3a.docx DOCX document
Attachment A3b.doc DOC document
Appendix B4a.docx DOCX document
Addendum 6.pdf PDF
Addendum 9.pdf PDF
Appendix B4b.docx DOCX document
Attachment A4b.docx DOCX document
Attachment C1.pdf PDF
Attachment F.pdf PDF
Attachment C4.pdf PDF
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Appendix D.docx DOCX document
Attachment C5.pdf PDF
Attachment G.pdf PDF
Addendum 4.pdf PDF
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Solicitation_Document_1.pdf PDF
Addendum 5.pdf PDF
Attachment B.pdf PDF
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Attachment A3d.pdf PDF
Appendix B2a.docx DOCX document
Attachment E.pdf PDF
Appendix B5.docx DOCX document
Attachment C2.pdf PDF
Appendix C.docx DOCX document
Appendix F.docx DOCX document
Appendix B4c.docx DOCX document
Attachment C3.pdf PDF
Addendum 1.pdf PDF
Attachment C7.pdf PDF
Addendum 2.pdf PDF
Attachment A4a.docx DOCX document
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Attachment A1.pdf PDF
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Attachment D.pdf PDF
Appendix H.docx DOCX document
Appendix K.docx DOCX document
Appendix B2b.docx DOCX document
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Appendix E.docx DOCX document
Appendix L.docx DOCX document
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Attachment A4c.docx DOCX document
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APPENDIX G

County of Santa Clara – Behavioral Health Services Department RFSQ-BHS-FY23-0225: Behavioral Health Treatment Facility Continuum of Care

CULTURAL COMPETENCE FORM

Offeror Name:

Program Category:

Identify the Offeror’s ability to apply cultural, gender, and language specific competencies to the RFSQ services provided by checking all that apply and/or provide the name of Agency that you have an arrangement with to respond to these referrals.

Cultural, Gender, and/or Language Competence
Have staff

1 2 Name of any agency, including BHSD contracted agencies, with which you have an arrangement to respond to these referrals.

Included in staffing work plan
Not included in staffing work plan (Explain below)

African American/African Ancestry Staff

Latinx[footnoteRef:1] Staff [1: Latino/Latina/Latinx]

Native American/Indigenous People Staff

Asian American Staff

Pacific Islander Staff

Other cultural competencies:

LGBTQ+ Staff

Spanish

Vietnamese

Mandarin/Cantonese

Farsi

Tagalog

Russian

Other Language(s)[footnoteRef:2]: [2: At minimum, services shall be made available in the seven (7) threshold languages (Spanish, Vietnamese, Mandarin, Tagalog, Cantonese, Farsi and Russian).]

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