Health Start Program Solicitation BPM002372 Clarification Request (Apache County).pdf

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Master Agreement AZ|CTR050593
Contract number
CTR050593
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Arizona

About this file

The document is a Health Start Program Solicitation (BPM002372) Clarification Request from Apache County, Arizona. It involves multiple local organizations and service providers including Apache County Health Department, Little Colorado Behavioral Health, Natata Dziil Health Center, Hummingbird Early Intervention, Early Head Start, and AzEIP (Arizona Early Intervention Program). The document addresses various clarification points for a community health and home visiting program targeting prenatal, postpartum, and child health services.

The Health Start program focuses on comprehensive client services including family planning, prenatal care, child development monitoring, and mental health support. Key program elements include providing consultation from a Registered Nurse and Licensed Social Worker (specifically Laura Letendre Denali, LMSW), mental health consultation with Scott Poche (a Licensed Marriage and Family Therapist), and collaborative efforts with other local programs to avoid service duplication. The program aims to support mothers and children by ensuring developmental milestones are met, offering additional assistance for premature or developmentally challenged children, and providing holistic support across multiple community health domains.

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Health Start Program Solicitation BPM002372 – Clarification Request

Apache County Method of Approach

6.2.1.2.1. Submit examples of a prior project with activities similar to those as described in this solicitation, a description of the work performed, the approach used to complete the project, recommendations made to the clients and the project outcome. Other examples of similar projects need to be included;

Provide additional information on other similar programs, such as WIC and family planning in the service area.

Apache County is ready to provide the clients with the assistance of the reference below.

Provided in the Apache County clinic is as follows:

Vital Records, WIC, Well Woman and Family Planning, Provided in our area is as follows:

New Hope Ranch Living Hope Concho Community Assistance St Johns Food Bank Round Valley Community Assistance Natata Dziil Health Center Administration Clinic : Native American Clients in Sanders Area WIC, Family Planning, Well Child Visits and Prenatal Care

6.2.1.2.3.

Include the projection of the number of proposed prenatal and postpartum clients and children to be enrolled in the program that must live within the targeted service area, as well as the number of total enrollments, proposed prenatal and family follow-up visits, multiple-child visits provided, and proposed trainings attended for the first (1st) year. Offeror may provide number pregnancy test visit services, prenatal visit – birth doula support and classes for clients and community health education classes as an option;

Provide information on if pregnancy tests are included under family planning or Health Start. Negative pregnancy tests were included in the narrative, but not on the price sheet. Need clarification on this.

Apache County Health Start will not provide pregnancy testing working closely with our Public Health Nurses will provide pregnancy tests and will work with Health Start CHW for referral of prenatal mothers and their babies.

6.2.1.2.7.

Describe how the required four (4) or more hours of consultation from a Registered Nurse and a Licensed Social Worker or Licensed Counselor per month will be provided by whom and how Community Health Workers (CHW) will participate in the consultation meetings;

Provide information about the credentials of the staff from Little Colorado Behavioral Health who will do the mental health consultation. Is Mr. Poche a Licensed Social Worker or counselor? Need more information on how the CHW’s will participate in the meetings.

Laura Letendre Denali, LMSW will meet with us twice a month for conciliation in addition to twice a month for training to address any client needs or issues. Mrs. Denali is also endorsed for Infant Mental Health as and Infant Family Specialist. In addition to our program we continue to meet with Scott Poche a licensed Marriage and Family Therapist in the state of Arizona Family Practice for conciliation about Domestic Violence, family relationship concerns and any client needs or issues for clients mental health, suicide prevention to ensure our families are well taken care of.

6.2.1.2.8.

If another similar home visiting program exists in the neighborhood/community selected as the targeted service area that serves the same population, document the efforts of the proposed Health Start program and the other programs in the community, and how all activities will be coordinated to avoid duplication of services and staff;

The following statement is in question:

Currently there are two existing home visiting programs in southern Apache County:

Hummingbird Early Intervention and Early Head Start. To avoid duplication of services, Health Start staff will ask upon enrollment if the child is enrolled in AzEIP and if so, community health workers will decline enrollment unless the client wasn’t to join the program.

Apache County should remove this. (page 9) The Health Start Program works collaboratively with AzEIP and does not consider it a duplication.

Apache County Health Start works closely with AzEIP on client cases to make sure our infants are meeting all their developmental milestones. CHWs and AzEIP, the parent and the child form a plan to help any child who needs additional help.

We will not deny service to make sure clients are served. We have found this necessary when babies are not walking or are so premature that the extra assistance is necessary for the child. Mothers are supported with helping their child to catch developmental issues as soon as they occur so the child will continue to overcome and develop normally. We also consult and work closely with Head Start to ensure services are not duplicated we help mothers with many other target things that Head Start does not cover in their program.

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