Attachment J.pdf

PDF 359 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 file is an Attachment J document that outlines a Full Service Partnership and Outpatient Continuum feedback loop process for mental health or behavioral health services delivery. The document describes a three-stage referral and service coordination workflow involving a Referral Center, participating agencies, and clinical providers. The referral process begins when a Referral Center receives a referral, identifies an appropriate program and agency, and submits the referral through MyAvatar. The receiving agency must contact the parent or caregiver to offer a first appointment within 10 business days. If the parent or caregiver cannot be reached after three phone attempts or declines services, the agency documents the disposition and notifies the referral source. The clinical provider then conducts a comprehensive assessment, reviews recommendations with the parent or caregiver, obtains necessary releases of information for care coordination, and transitions the client to treatment services while providing additional linkages and referrals as needed.

The feedback loop process includes clinical providers sending secure communications to referring sources to close the referral cycle. For Primary Care Physicians (PCPs), the process includes sharing the full assessment report with the diagnosis page unless contraindicated, along with status updates regarding service level changes, provider changes, discharge, or additional services. This structure ensures continuous coordination and information sharing between the referral source, service provider, and family throughout the service delivery continuum.

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Appendix B8.docx DOCX document
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Appendix B17.docx DOCX document
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Attachment F.pdf PDF
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Attachment A4.pdf PDF
Attachment A1b.pdf PDF
Appendix B11.docx DOCX document
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Addendum 4.pdf PDF
Addendum 2.pdf PDF
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Text version

FULL SERVICE PARTNERSHIP and OUTPATIENT CONTINUUM

FEEDBACK LOOP PROCESS

Referral Center -Referral received

- Identify appropriate program and agency for linkage.

- Referral sent through MyAvatar.

AGENCY

-Receive referral through MyAvatar CCinbox.

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

PROVIDER

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

-Collaborates with parent/caregiver to begin assessment process.

Services -- Complete assessment and review recommendation with parent/ caregiver. Inclusive of obtaining ROI for care coordination needs.

-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)

**If parent/caregiver cannot be reached after 3 attempts by phone or declines services, FSP/OPC agency will note disposition and notify referral source.

ATTACHMENT J

Jennifer Pham Cross-Out

Slide Number 1

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