Appendix G.docx
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- 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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Text version
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).]
File details come from the government source that posted it. Updated .