Attachment I.pdf

PDF 213 KB Posted

Attached to
Children, Youth, and Family System of Care Services
Solicitation number
RFSQ-BHS-FY25-0066
Issued by
Santa Clara County, California

About this file

This is a process documentation file describing the Early Childhood Mental Health (ECMH) Operational Program Component (OPC) feedback loop workflow for referral intake and service delivery coordination. The document outlines the procedural steps and timelines for processing referrals through a Referral Center, ECMH OPC Agency, and clinical providers. Key service delivery timelines include sending referral disposition notices within 48 business hours, offering first appointments to parents/caregivers within 10 business days, and completing comprehensive assessments within 60 days of intake. The process requires confirmation of referral receipt, assignment to clinical providers, connection with families, assessment completion with parental consent, and transition to treatment services with additional linkages and referrals as needed. Communication protocols include secure email feedback from providers to referring sources and comprehensive reporting to Primary Care Physicians (PCPs) including full assessment reports and status updates on service changes or discharge.

The document specifies that incomplete referral packets will require additional processing time, with the Referral Center contacting referring parties or caregivers for completion. If parent/caregiver contact cannot be established after three phone attempts or if services are declined, the ECMH OPC agency must update disposition and notify the referral source. Assessment recommendations are shared with referring sources when appropriate, with special provisions for PCP coordination including diagnostic information unless contraindicated. The process emphasizes maintaining a continuous feedback loop between clinical providers, referral sources, and families throughout the service delivery continuum.

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Appendix B8.docx DOCX document
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Appendix B17.docx DOCX document
Attachment J.pdf PDF
Appendix H.docx DOCX document
Appendix F.docx DOCX document
Attachment F.pdf PDF
Solicitation_Document.pdf PDF
Attachment A4.pdf PDF
Attachment A1b.pdf PDF
Appendix B11.docx DOCX document
Appendix B2.docx DOCX document
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Solicitation_Document_1.pdf PDF
RFSQ-BHS-FY25-0066.pdf PDF
Attachment A2.pdf PDF
Addendum 4.pdf PDF
Addendum 2.pdf PDF
Addendum 5.pdf PDF
Addendum 3.pdf PDF
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Attachment A16.pdf PDF
Appendix I.xlsx XLSX spreadsheet
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Addendum 1.pdf PDF
Attachment A10.pdf PDF
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Text version

EARLY CHILDHOOD MENTAL HEALTH FEEDBACK LOOP PROCESS

Referral Center -Referral received -Send Referral Source disposition notice within 48 business hours* that is inclusive of assigned Agency

ECMH OPC AGENCY

-Confirms receipt of referral, assigns to a clinical provider.

-Connects with parent/caregiver to offer first appointment within 10 business days**

ECMH OPC PROVIDER

-Sends secure email to referring sources to close the referral feedback loop.

-Collaborates with parent/caregiver to begin assessment process.

ECMH OPC Services -Assessment complete within 60 days of intake a, review recommendation with parent/caregiver, and obtain consent -Transition to treatment services -Supports with additional linkages and referrals as needed

Feedback to Referral Source

Clinical provider to share assessment recommendations with referral source, if not a Primary Care Physician (PCP) and as appropriate.

PCP referral sources, see next box

Primary Care Physician Coordination

-Full assessment report to PCP, inclusive of diagnosis page unless contraindicated

-Status updates (i.e., step up, step down, change in providers, discharge, additional services/referrals)

*Incomplete referral packets will take additional time to process - Referral Center will contact the referring party &/or caregiver **If parent/caregiver cannot be reached after 3 attempts by phone or declines services, ECMH OPC agency will update disposition and notify referral source.

ATTACHMENT I

Slide Number 1

File details come from the government source that posted it. Updated .