N0018924RZ1120004 Combined Synopsis-Solicitation Amendment 0004.pdf

This is a COMBINED SYNOPSIS/SOLICITATION for commercial services prepared in accordance with the information in FAR Subpart 12 in conjunction with 15, as supplemented with the additional information included in this notice. This announcement constitutes the only solicitation; a written solicitation will not be issued. Paper copies of this solicitation will not be available. This combined synopsis/solicitation will be posted on both Contract Opportunities (https://sam.gov) and NECO

(https://www.neco.navy.mil).

The reference number is N0018924RZ112. The proposed contract action is for commercial services, in accordance with the Performance Work Statement. The NAICS code is 541690 Other Scientific and

Technology Consulting Services. and the Small Business Standard is $19 million. It is the responsibility of the contractor to be familiar with the applicable clauses and provisions. The clauses may be accessed in full text at these addresses: https://www.acquisition.gov/browse/index/far and http://www.acq.osd.mil/dpap/dfars/index.htm.

The Naval Supply Systems Command (NAVSUP) Fleet Logistics Center Norfolk (FLCN) BUMED/FMC

Directorate intends to solicit for Knowledge Based Services in accordance with the Performance Work

Statement (PWS) via 100% Full and Open Competition.

THIS SOLICITATION IS BEING ISSUED USING PROCEDURES, IN ACCORDANCE WITH FAR

PART 12 and 15.Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 9 Months Psychological Health Outreach Program

FFP

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 September 2024 - 19 June 2025

FOB: Destination

PSC CD: R499

NET AMT

https://www.acquisition.gov/browse/index/far http://www.acq.osd.mil/dpap/dfars/index.htm

0002 Lot Travel

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 September 2024 - 19 June 2025

ESTIMATED COST

0003 Lot Marketing Materials

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 September 2024 - 19 June 2025

1001 12 Months OPTION Psychological Health Outreach Program

FFP

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2025 - 19 June 2026

1002 Lot OPTION Travel

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2025 - 19 June 2026

1003 Lot OPTION Marketing Materials

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2025 - 19 June 2026

2001 12 Months OPTION Psychological Health Outreach Program

FFP

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2026 - 19 June 2027

2002 Lot OPTION Travel

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2026 - 19 June 2027

2003 Lot OPTION Marketing Materials

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2026 - 19 June 2027

3001 12 Months OPTION Psychological Health Outreach Support

FFP

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2027 - 19 June 2028

3002 Lot OPTION Travel

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2027 - 19 June 2028

3003 Lot OPTION Marketing Materials

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2027 - 19 June 2028

4001 12 Months OPTION Psychological Health Outreach Support

FFP

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2028 - 19 June 2029

4002 Lot OPTION Travel

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2028 - 19 June 2029

4003 Lot OPTION Marketing Materials

COST

In accordance with the Performance Work Statement (PWS).

Period of Performance: 20 June 2028 - 19 June 2029

The purpose of this post closing amendment is to answer questions, update the PWS, update FAR 52.212-2, and to update Addendum 52.212-1 The solicitation closing date has been extended to 1200 eastern 15 July 2024.

Addendum 0004 Questions and Answers

1. PWS 5.4.2 states the contract will require one (1) Database Developer, one (1) IT Project Manager, one (1)

Web Developer, and one (1) database/software.

a. One (1) database/software what? Database/software Administrator? Database/software Architect?

Database/software Engineer? Please further define the title of the last labor category listed in

PWS 5.4.2.

i. See update to 5.4.2

b. Are the labor category requirements listed in PWS 5.4.2 currently at a Government site or

Contractor site?

i. The Solicitation is clear on its face. Please review PWS 5.3

2. PWS 5.5 provided additional minimum qualification requirements for the personnel utilized by the

Contractor in the performance of the anticipated contract.

a. Outreach Coordination and Outreach team members are referenced in this section and must possess certain degrees, licenses and certifications. This section further states Outreach

Coordinators must have a minimum of 2 years of full-time post-Master’s degree supervisory clinical experience. Are all 53 FTEs embedded at 30 CONUS sites Outreach Coordinators or any of the positions considered a different labor category, for example Outreach Coordinator Lead. If any of the contingent of 53 FTEs embedded at 30 CONUS sites are not Outreach Coordinators, please provide the relevant labor category(s).

i. The Solicitation is clear on its face. Moreover, this is a performance based acquisition, accordingly, it is the contractor’s determination to staff the FTEs as they see fit to fulfill the requirements of the PWS tasking.

b. PWS 5.5 presents the qualifications of Workshop Facilitators. Are Workshop Facilitators included or not included with the 53 FTEs embedded at 30 CONUS sites? If they are not included in the personnel count of 53 FTEs embedded at 30 CONUS sites, how many Workshop

Facilitators are there and are they at a Government or Contractor site(s)?

i. The Solicitation is clear on its face. Moreover, this is a performance based acquisition, accordingly, it is the contractor’s determination to staff the FTEs as they see fit to fulfill the requirements of the PWS tasking.

3. PWS 4.2.3 states, “contractor shall place personnel for the Psychological Health Outreach Program at the following locations” and then list 26 different locations. PWS 5.4.1 states the effort will require fifty-three

(53) full time support members embedded across 30 CONUS sites.

a. Please provide the location of the other 4 sites not listed in PWS 4.2.3 that are a part of the 30

CONUS sites referenced in PWS 5.4.1.

i. See updates to PWS 4.2.3

b. Please confirm all 53 FTEs are embedded at the 30 CONUS sites referenced in PWS 5.4.2.

i. The Solicitation is clear on its face. Please see PWS 5.3

QUESTIONS AND ANSWERS

PHOP Questions

1. The PHOP solicitation details travel/outreach requirements to USNR/USMCR NRCs and HTCs but does not specify the principal duty locations of full time contractor-provided personnel. Para 5.4.1 details that this effort will require 53 full time outreach support members “embedded” across 30 sites, however, para

5.3 indicates that 60% of work is performed at contractor locations. Request that the government provide greater detail surrounding the required duty locations of full-time personnel and how much of the decision-making is at the discretion of the contractor. If the government requires that personnel be located in proximity to USNR/USMCR operating locations (or at BUMED HQ), we request that the government details these locations for contractor hiring-related actions.

a. Refer to Item 3 Scope which identifies average case load and approximate number of HTCs and

NRCs. As stated, the numbers will fluctuate.

b. Contractor personnel shall be embedded within Navy Reserve and Marine Corps Reserve

Commands in conjunction with Command need and location to facilitate contact with Reserve service members and to facilitate coordination of outreach services. The Outreach Team members shall work with Reserve leadership and staff in coordination of their daily activities, including the scheduling of visits to the Navy NOSCs and Marine Corps Reserve Home Training Centers

(HTCs), and assessment and outreach services to reservists. Historically, the average case load is approximately 300 per staff member annually, but some staff screen/manage up to 600-700 per year.

c. The contractor shall place personnel for the Psychological Health Outreach Program at the following locations:

i. Everett, WA

ii. Joint Base Lewis-McChord, WA

iii. Spokane, WA

iv. Portland, OR

v. Camp Pendleton, CA

vi. Los Angeles, CA

vii. Miramar, CA

viii. Sacramento, CA

ix. San Diego, CA

x. Phoenix, AZ

xi. Buckley AFB, CO

xii. Fort Worth, TX

xiii. Houston, TX

xiv. San Antonio, TX

xv. Broken Arrow, OK

xvi. Kansas City, MO

xvii. Minneapolis, MN

xviii. Great Lakes, IL

xix. New Orleans, LA

xx. Marietta, GA

xxi. Jacksonville, FL

xxii. Charlotte, NC

xxiii. Norfolk, VA

xxiv. Washington, DC

xxv. Fort Dix, NJ

xxvi. Fort Devens, MA

2. Para 5.5 details the fact that minimum qualifications to include experience and education must be met.

Upon review of the entire solicitation, no detailing of experience or education (to include licensure requirements if applicable) are found. We request that the government detail all minimum qualifications for personnel. Further, are all personnel assumed to be “Outreach Coordinators” as referenced in the solicitation or is a labor mix with differing qualifications prescribed by the government (across the 53 full time personnel plus 2 part-time “on call” outreach support members (per para 5.4)?

a. All Outreach Coordination and Outreach team members must possess a Master's degree and be licensed as either a Licensed Clinical Social Worker, a Licensed Professional Counselor, a

Licensed Mental Health Counselor or a Licensed Marriage and Family Therapist. There are several types of professional mental health credentials or licenses that providers may have that the vendor will be responsible for ensuring providers have currently as outlined in the PWS but providers are not credentialed nor privileged by the government.

b. Each of the Outreach Coordinators must have a minimum of 2 years of full-time post-Master’s degree supervisory clinical experience.

c. Workshop Facilitators shall be Licensed Clinical Social Workers, Registered Nurses with a Mental

Health background, Licensed Professional Counselors, Licensed Mental Health Counselors, Licensed Marriage and Family Therapists, or previous experience as military Chaplains.

3. Are any of the task requirements presented in the Psychological Health Outreach Program and Returning

Warrior Workshop Support Services Performance Work Statement currently being provided by an organization other than service members or civil service? If so, what is the name of the contractor providing services and what is the contract number?

a. The current incumbent is Serco Inc. under contract N0018919CZ065

4. PWS 5.3 states approximately 60% of work will be done in the contractor’s office, by phone or teleconference and approximately 40% of work will be onsite at the NRCs and HTCs located across the country. PWS 5.41 states that the anticipated effort will require fifty-three (53) Full time outreach support members embedded across 30 sites across the Continental United States and two (2) part-time on-call outreach support members. Do the fifty-three full time outreach support members embedded across 30

CONUS sites and two part-time on-call outreach support members represent the approximately the 40% of work to be performed onsite at the NRCs and HTCs? If so, does that mean approximately 80 Full time outreach support members will be working at the contractor’s office? If not, are the fifty-three outreach support members travelling and temporarily working at the NRCs and HTCs 40% of the time and the other

60% of the time working at contractor offices and/or teleworking from home?

a. Fifty-three outreach support members traveling and temporarily working at the NRCs and HTCs

40% of the time.

5. PWS 4.3 details the requirements of the Returning Warrior Workshop Facilitator Support states all contractor personnel supporting this direct task shall attend a one-day facilitator training prior to the workshop and historically there have been approximately six workshops held each year? Historically on average how many contractor personnel have supported this direct task in total? Historically on average how many contractor personnel have supported each individual workshop? At what location(s) have the approximately six workshops been traditionally held?

a. The number of facilitators varies depending upon the number requested by the Regional YRRP

Coordinator, locations this year Louisville KY, National Harbor DC, San Antonio TX, Charleston

SC, Seattle WA, Las Vegas NV. Locations have to cover all REDCOMS MA-GL, MA-VA, SE-

TX, SE-FL, NW and SW.

6. The solicitation incorporates FAR 52.222-41 and 52.222-44. Would the government provide the Service

Contract Act labor category(s) currently providing outreach support services? Also, would the government provide the Area Wage Determinations applicable to the contract to be awarded?

a. Subject RFP is for professional services, therefore the SCA is not applicable. These clauses will be omitted from the amendment.

7. The solicitation incorporates FAR 52.222-42 and includes the content of the clause in the solicitation.

However, no Employee Class nor Monetary Wage-Fringe Benefits is provided. Please provide the applicable Employee Class nor Monetary Wage-Fringe Benefits applicable to the contract to be awarded.

a. Subject RFP is for professional services, therefore the SCA is not applicable. These clauses will be omitted from the amendment.

8. Please provide education and experience requirements for Client and Command Outreach Support Team members.

a. All Outreach Coordination and Outreach team members must possess a Master's degree and be licensed as either a Licensed Clinical Social Worker, a Licensed Professional Counselor, a

Licensed Mental Health Counselor or a Licensed Marriage and Family Therapist. There are several types of professional mental health credentials or licenses that providers may have that the vendor will be responsible for ensuring providers have currently as outlined in the PWS but providers are not credentialed nor privileged by the government.

b. Each of the Outreach Coordinators must have a minimum of 2 years of full-time post-Master’s degree supervisory clinical experience.

c. Workshop Facilitators shall be Licensed Clinical Social Workers, Registered Nurses with a Mental

9. Will the Government specify the type of computers they will provide for outreach personnel?

a. Government equipment may be furnished at the NRCs or HTCs however they are not guaranteed.

Contractor provide laptops and software for employees as 60% of work is from home or telework.

10. Will the Government clarify that the Volume I page limit only applies to the Performance Approach?

a. The solicitation has a limit of 7 pages total for the Volume I submission. This includes

Performance Approach, Past Performance, and Socio-Economic Plan combined.

11. Will this Combined Synopsis-Solicitation be treated as information only?

a. The solicitation is clear on its face.

12. Could the Government provide the most current technical specifications of the DoD CMS and the eBHS systems within the PHOP program, including a list of modules currently in use?

a. DoD CMS and eBHS require CAC access

13. Would the Government consider allowing the response to the performance approach to be 10 pages?

14. Would the Government consider excluding the past performance forms and socio-economic data plan from the page limit for the performance approach?

15. Would the Government consider allowing the past performance forms be 2 pages each, separate from the page count for the performance approach?

16. Would the Government provide a list of the 30 sites to which F/T outreach support members will be embedded?

a. Refer to Item 3 Scope which identifies average case load and approximate number of HTCs and

NRCs. As stated, the numbers will fluctuate.

b. Contractor personnel shall be embedded within Navy Reserve and Marine Corps Reserve

Commands in conjunction with Command need and location to facilitate contact with Reserve service members and to facilitate coordination of outreach services. The Outreach Team members shall work with Reserve leadership and staff in coordination of their daily activities, including the scheduling of visits to the Navy NOSCs and Marine Corps Reserve Home Training Centers

(HTCs), and assessment and outreach services to reservists. Historically, the average case load is approximately 300 per staff member annually, but some staff screen/manage up to 600-700 per year.

c. The contractor shall place personnel for the Psychological Health Outreach Program at the following locations:

i. Everett, WA

ii. Joint Base Lewis-McChord, WA

iii. Spokane, WA

iv. Portland, OR

v. Camp Pendleton, CA

vi. Los Angeles, CA

vii. Miramar, CA

viii. Sacramento, CA

ix. San Diego, CA

x. Phoenix, AZ

xi. Buckley AFB, CO

xii. Fort Worth, TX

xiii. Houston, TX

xiv. San Antonio, TX

xv. Broken Arrow, OK

xvi. Kansas City, MO

xvii. Minneapolis, MN

xviii. Great Lakes, IL

xix. New Orleans, LA

xx. Marietta, GA

xxi. Jacksonville, FL

xxii. Charlotte, NC

xxiii. Norfolk, VA

xxiv. Washington, DC

xxv. Fort Dix, NJ

xxvi. Fort Devens, MA

17. Would the Government reconsider the requirement for in-person annual training to include a hybrid mixture of in- person and virtual training?

a. No

18. The Requirements for Proposal Content section of the RFP allows offerors to identify up to three (3) PPIFs for contracts to demonstrate relevancy. In using the PPIF template provided, each PPIF could consume at least one (1) page of the Non-Price volume, leaving only four (4) pages for a solution. Would the

Government please consider making the PPIFs exempt from the seven (7) page limit?

19. The previous Request for Proposal in 2019 provided specific minimum requirements for the Outreach

Coordination team members to possess a Master's degree and be licensed as either a Licensed Clinical

Social Worker, a Licensed Professional Counselor, a Licensed Mental Health Counselor, or a Licensed

Marriage and Family Therapist and a minimum of 2 years of full-time post-Master's degree supervised clinical experience. The current RFP does not cite these qualification requirements. Can the Government define the required Outreach Coordination team member qualifications for education, licensing, and experience to establish a minimum level of competence for the contractor's Outreach Coordination staff?

Otherwise, Offerors will replace the existing incumbent Outreach Coordination team with less qualified and less experienced staff.

a. PWS has been modified

b. All Outreach Coordination and Outreach team members must possess a Master's degree and be licensed as either a Licensed Clinical Social Worker, a Licensed Professional Counselor, a

Licensed Mental Health Counselor or a Licensed Marriage and Family Therapist. There are several types of professional mental health credentials or licenses that providers may have that the vendor will be responsible for ensuring providers have currently as outlined in the PWS but providers are not credentialed nor privileged by the government.

c. Each of the Outreach Coordinators must have a minimum of 2 years of full-time post-Master’s degree supervisory clinical experience.

d. Workshop Facilitators shall be Licensed Clinical Social Workers, Registered Nurses with a Mental

20. The previous Request for Proposal in 2019 provided specific minimum requirements for the Outreach team members to possess a Master's degree and be licensed as either a Licensed Clinical Social Worker, a

Licensed Professional Counselor, a Licensed Mental Health Counselor, or a Licensed Marriage and Family

Therapist. The current RFP does not cite these qualification requirements. Can the Government define the required Outreach team member qualifications for education and licensure to establish a minimum level of competence for the contractor's Outreach team staff? Otherwise, Offerors will replace the existing incumbent Outreach team with less qualified and less experienced staff.

a. PWS modified.

21. The previous Request for Proposal in 2019 provided specific minimum requirements for the Workshop

Facilitator to be a Licensed Clinical Social Worker, a Registered Nurse with a Mental Health background, a Licensed Professional Counselor, a Licensed Mental Health Counselor, a Licensed Marriage and Family

Therapist, or previous experience as a military Chaplain. The current RFP does not cite these qualification requirements. Can the Government define the required Workshop Facilitator qualifications for licensure to establish a minimum level of competence for the contractor's Workshop Facilitation staff? Otherwise, Offerors will replace the existing incumbent Workshop Facilitators with less qualified and less experienced staff.

a. PWS modified to reflect request.

22. Will the Government furnish cell phones and laptops for contractor staff since section 5.3 Place of

Performance indicates they will work in the contractor's office approximately 60% of the time yet will need to access DoD CMS and other Government systems to perform work in addition to traveling to complete tasks across multiple locations? If not, is the contractor expected to provide cell phones and laptops to staff?

a. The contractor is expected to provide cell phones and laptops to staff.

23. Section 4.2.3, Is the contractor required to fund the toll-free number service under ODCs?

a. yes

24. Can the government clarify how many command leaders (or visits) are expected to be met within 90 days?

a. CNRF, Norfolk REDCOM, Jacksonville REDCOM, Great Lakes REDCOM, Forth Worth

REDCOM, Everett REDCOM, San Diego REDCOM, MARFORRES, 4th Marine Division, 4th

Marine Logistics Group, 4th Marine Airwing, Force Headquarters Group

25. Previous PHOP RFPs cited specific staffing estimates for the Program Management Team, Support Staff

(including Data Analysis, Referral Administration, and Training/QA), and RWW Facilitator staff. Can the

Government please confirm the estimated staffing requirement in Section 5.4 includes these additional

Program Management, Support Staff and RWW Facilitator positions? If not, can the Government provide staffing estimates for the Program Management Team, Support Staff, and RWW Facilitators?

a. It is anticipated this effort will require one (1) Database Developer, one (1) IT Project Manager,

(1) Web developer, and (1) database/software . PWS modified to reflect.

26. Will the government extend the deadline for quoters?

27. Please validate the total NRCs, HTCs/HTCs listed at https://www.thereserveforce.com/navy/nrc/ and clarify if the total HTC count includes the 6 Marine Reserve HTCs?

a. Refer to Item 3. Scope (160 HTCs and 127 NRCs) Numbers will fluctuate.

PERFORMANCE WORK STATEMENT

Performance-Based Work Statement for

Navy and Marine Corps Reserve Psychological Health Outreach Program and Returning Warrior Workshop

Support Services

In support of Chief, Bureau of Medicine and Surgery (BUMED)

29 March 2024

1. Introduction https://www.thereserveforce.com/navy/nrc/

The Navy Bureau of Medicine and Surgery (BUMED) is the headquarters for the Navy Medicine enterprise. Under the leadership the Navy surgeon general and chief, BUMED, Navy Medicine ensures Sailors, Marines and their families and retirees are healthy, ready and on the job – be it on land or sea. The Mental Health (N10C3) mission is to sustain and support the psychological readiness of an integrated American Naval Power through a robust continuum of high-quality mental health care programs and resources accessible to Sailors and Marines from accession to retirement or separation. The BUMED Psychological Health Outreach Program (PHOP) is an all encompassing program dedicated to providing Reservists full access to appropriate psychological health care services, increasing resiliency, and facilitating recovery, which is essential to maintaining a ready military force.

2. Background

PHOP directly supports approximately 128 Navy Reserve Centers (NRC) & 180 Home Training Centers (HTC) as well as the six(6) Marine Force Reserve HTCs. PHOP is required for Readiness as Reservists returning from deployments face unique challenges that can cause increased stress in their lives and exacerbate deployment stress injuries such as Post Traumatic Stress Disorder (PTSD) or Traumatic Brain Injury (TBI). Reservists face access to care challenges, since their eligibility and access to military or Veteran Affairs (VA) health care is dependent on many factors. BUMED uniquely designed PHOP to serve the needs of Reservists and their families and to address long-term needs for support identified by Congress, multiple Task Forces and reports and studies without creating a new entitlement.

3. Scope

BUMED requires services to provide Psychological Health (PH) Outreach support for both individual Reservists and command units within Navy Reserve Force Commands (NAVRESFOR or NR) and Marine Forces Reserve

(MARFORRES or MFR) as part of BUMED’s PH Reserve Program. The goals of the PHOP are: 1) to create a PH

“safety net” for Reservists and their families, who are at risk for not having stress injuries identified and treated in an expeditious manner; 2) to improve the overall PH of Reservists and their families; and 3) to identify long-term strategies to improve PH support services for Reservists and their families.

BUMED also requires facilitation support for each of approximately six (6) annual Navy Returning Warrior

Workshops conducted across the continental United States and its territories. The 2-day weekend workshop is designed to support re-integration of deployed service members and their family using a program that: 1) assists members and their families to identify immediate and potential PH issues during post-deployment reintegration; 2) provides resources to assist with PH-related issue resolution; 3) encourages members to share common experiences in a nonthreatening safe environment; 4) honors members and families for sacrifices endured; and 5) engages members and families in process improvement.

Historically, the average case load is approximately 300 per staff member annually, but some staff screen/manage up to 600-700 cases per year. There are approximately 160 Marine HTCs and 127 Navy NRCs. The number of HTCs, NRCs, and Reservists and their families will fluctuate.

4. Tasks

4.1. Client Outreach Support

4.1.1. Assess the stressors and needs of approximately 15,000 Reservists annually who are referred to them from a Deployment Health Assessment or PHA screening, Medical Department Representatives, unit

Commanding Officer, the NRC/HTCs staff, self-referral, family members or friends, or by other means.

4.1.1.1. Shall make initial contact with the referred Service member within 24 hours of receipt of the referral and determine any PH issues that may require mental health care services or other psychosocial intervention.

4.1.1.2. All data is to be input on Qualtrics.

4.1.1.3. Assessment forms are available on Qualtrics.

4.1.1.4. Referral and Case Management data maintained on DoD CMS and requires CAC to access.

4.1.2. Assist the Reservist with Line of Duty (LOD) determination processing, if the reason for referral is suspected to be service connected, and help the Reservist to receive required care through the

Military Health System, Veterans Health Administration, or other Federal and State or local civilian assets, following the proper Navy Reserve administrative protocols provided by the Government.

4.1.3. If the psychological health issue is not service connected, the contractor shall assist the Reservist with obtaining needed services either from the Veterans Health Administration (if eligible), TRICARE Reserve Select providers (if enrolled), civilian mental health care providers, or other local community services (chaplain, support groups, etc.), as appropriate.

4.1.4. Coordinate with the Reserve Force Surgeon, Medical Department Representatives, or Reserve

PostDeployment Health Assessment (PDHA) program manager to identify those reservists who were provided referrals to mental health and medical care as a result of the PDHRA or other assessments

(e.g., PHA), and contact these reservists with follow-up phone calls or other means of contact to encourage them to keep their appointments.

4.1.4.1. The government estimates there to be approximately 36,000 follow-ups completed across the program annually.

4.1.4.2 May be appointed Installation DPH by the Commanding Officer of the NRC/HTC to provide

Psychological Health outreach support for reservist and commands.

4.1.5. Follow each referred Reservist through to the resolution of that member’s case. For seriously injured

Reservists with PH issues that are referred, follow-up may continue through rehabilitation, recovery and reintegration, whether it is return to active reserve status, or resolution through the Disability

Evaluation System.

4.1.5.1. The contractor shall document all cases as to reason for referral, services provided (e.g., assistance with LOD, assistance with appointments at MTF, VA, civilian health care provider, chaplain, other), follow up with member on status, resolution of psychological health issues.

4.1.5.2. Follow up is based on a level of risk assessment - more frequent follow up on higher risk, based on the Operational Stress Continuum (OSC) rating scale, which has four categories:

Green/Ready, Yellow/Reacting, Orange/Injured, and Red/Ill:

4.1.5.2.1. The following timeline for outreach is utilized:

4.1.5.2.2. Green/Ready: Initial outreach within 72 hours and biweekly thereafter.

4.1.5.2.3. Yellow/Reacting: Initial outreach within 72 hours and biweekly thereafter.

4.1.5.2.4. Orange/Injured: Initial outreach within 48 hours and weekly thereafter.

4.1.5.2.5. Red/Ill: Initial outreach within 24 hours and 2 times per week thereafter.

4.1.6. Provide approximately 750 monthly outreach telephone calls across the program to all Reservists identified as having returned from deployment within the past six months to determine whether they require additional assessment for any possible psychological health issues.

4.1.7. Facilitate access to PH/resilience and family support resources for Reserve family members.

4.1.8. Provide a minimum of one brief at each NRC/ HTC visit and in response to incidents at Navy and

Marine Corps Mobilization Processing Sites and NRC/HTC sites to demobilizing Reservists on the identification of signs and symptoms of stress related issues, suicide prevention, other psychological health/resilience topics requested or identified as appropriate and on the Reserve Psychological

Health Outreach Program.

4.1.8.1. For FY 23, approximately 13,272 referrals were processed, 656 on-site visits were conducted, and 1,007 briefs were conducted.

4.1.9. Support deployment cycle (pre and post) command activities for reservists and their families, including providing screening, briefings and education/training (e.g. RWWs, DRTs or other Yellow

Ribbon Reintegration Program events, etc.).

4.1.9.1. FY 23 support was provided for 35 virtual events, 27 in-person events, and 351 other visits/meetings.

4.1.10. Maintain and publicize an after-hours telephone watch bill to accept and respond to communications from clients and commands.

4.1.10.1. Currently, the telephone system offers simultaneous ring to all staff members in a geographic region during regular business hours. After business hours, the system offers ring to staff members that are on-call at any given time. “After hours” refers to the time outside normal business hours as defined by PWS section 5.3.

4.1.10.2. FY 23 average calls 1,200

4.2. Command Outreach Support

4.2.1. Provide outreach visits to every NRC/HTC location, by at least one team member, at least twice per year of contract performance. During these visits, the contractor shall provide psychological health outreach and educational/training services, including Operational Stress Control Awareness and

Suicide Prevention to Medical Department Representatives (MDRs), Reserve Unit Leadership and

Reserve service members and families, assess unit members to detect possible stress injuries using

BUMED-approved PH screening tools, and assist members identified as needing referrals to get the necessary follow-up care with an expected reach of 40,000 Reservists and their family members.

4.2.1.1. 256 On-Site NRC/HTC visits made in FY 23

4.2.1.2. 359 On-Site Visits to HTCs

4.2.2. Contractor personnel shall be embedded within Navy Reserve and Marine Corps Reserve Commands in conjunction with Command need and location to facilitate contact with Reserve service members and to facilitate coordination of outreach services. The Outreach Team members shall work with

Reserve leadership and staff in coordination of their daily activities, including the scheduling of visits to the Navy NOSCs and Marine Corps Reserve Home Training Centers (HTCs), and assessment and outreach services to reservists. Historically, the average case load is approximately 300 per staff member annually, but some staff screen/manage up to 600-700 per year.

4.2.3. The contractor shall place personnel for the Psychological Health Outreach Program at the following locations:

4.2.3.1. Everett, WA

4.2.3.2. Joint Base Lewis-McChord, WA

4.2.3.3. Spokane, WA

4.2.3.4. Portland, OR

4.2.3.5. Camp Pendleton, CA

4.2.3.6. Los Angeles, CA

4.2.3.7. Miramar, CA

4.2.3.8. Sacramento, CA

4.2.3.9. San Diego, CA

4.2.3.10. Phoenix, AZ

4.2.3.11. Buckley AFB, CO

4.2.3.12. Fort Worth, TX

4.2.3.13. Houston, TX

4.2.3.14. San Antonio, TX

4.2.3.15. Broken Arrow, OK

4.2.3.16. Kansas City, MO

4.2.3.17. Minneapolis, MN

4.2.3.18. Great Lakes, IL

4.2.3.19. New Orleans, LA

4.2.3.20. Marietta, GA

4.2.3.21. Jacksonville, FL

4.2.3.22. Charlotte, NC

4.2.3.23. Norfolk, VA

4.2.3.24. Washington, DC

4.2.3.25. Fort Dix, NJ

4.2.3.26. Fort Devens, MA

4.2.3.27 Columbus, OH

4.2.3.28 Indianapolis, IN

4.2.3.29 Mt. Clemens, MI

4.2.3.30 Puerto Rico

4.2.4. Refer any reservist identified as needing follow-up PH care to the Client Outreach Support Team for continued assistance and follow up. On average, the contractor could provide 3 referrals/resources to each of the 15,000 persons attempted to assess.

4.2.5. Provide support to an afterhours telephone watch to accept and respond to communications from clients via a toll-free number. The contractor will assume responsibility of the existing phone number.

4.2.5.1. All marketing materials and messaging related to the contractor clearly states that they are not a crisis program and do not provide emergency services.

4.2.5.2. The contractor must have an automated message set up on the toll-free line to redirect callers to the appropriate agency if they are currently in crisis or experiencing an emergency. All other non-emergency calls or emails can be responded to within 24 hours.

4.2.6. The contractor shall support the Resiliency Check-in process including creation of the After Action

Reports (AAR), creating cases, uploading behavioral health screenings, etc. The contractor shall also assist with the tracking and dissemination of referrals from sources such as PDHRAs, SAIL, MIP, SITREPs, etc. to ensure timely follow-up and follow through to case completion. The DoD Case

Management System is a referral database that may be used by the contractor. PHOP is designed with a tiered approach to care. A reservist may self-refer or be referred by another source such as the

Command, Sailor Assistance and Intercept for Life (SAIL), Marine Intercept Program (MIP), serial

Deployment Health Assessments, Returning Warrior Workshop, Deployment Readiness Training events, Force Surgeons, Family Days, Chaplains, a family member, or peer.

4.2.7. Provide psychological support, assessment or training using BUMED-approved tools (e.g. Combat

Operational Stress First Aid) of Reservists and their family members in the aftermath of a natural disaster (such as a Hurricane), terrorist attack or other crisis/emergency (e.g. command request for support or assistance after a suicide or other death in the unit). The PHOP project manager will review with the contractor any requirements from the Command or Navy or Marine Reserve leadership or BUMED that is received.

4.2.8. When other local services are not immediately available, and when determined to be an emergency, the contractor personnel shall provide crisis counseling and emergent PH interventions.

4.3. Returning Warrior Workshop Facilitation Support

4.3.1. All contractor personnel supporting this direct task shall attend 1-day facilitator training on the

Friday prior to the scheduled Workshop. Historically, there are approximately 6 workshops per year.

The government will conduct facilitator training.

4.3.2. Workshop Facilitator will be a Licensed Clinical Social Worker, a Registered Nurse with a Mental

Health background, a Licensed Professional Counselor, a Licensed Mental Health Counselor, a

Licensed Marriage and Family Therapist, or previous experience as a military Chaplain.

4.3.3. Monitor and assess attendees for any psychological health issues that may arise during the Workshop and refer if necessary to Chaplains in attendance or elsewhere if required.

4.3.4. Notify PHOP of any service member identified as needing further evaluation for mental health services.

4.3.5. At Awards Banquet, the contractor shall facilitate conversations and assist with awards.

4.3.6. Observe, analyze, and make recommendations for improvements to the facilitating process.

4.4. Program Management

4.4.1. The contractor shall ensure attendance at other meetings a minimum of once a month to support the

BUMED Program Manager, which has historically be done via teleconference, or as part of Outreach

Coordinators serving in the role of the Regional Reserve Director of Psychological Health to support reservists and their families PH/resilience (e.g., State Meetings for Guard and Reserve PH, Family

Readiness Coordinating Committees, Force Preservation Councils/Committees, Command Resilience

Team Meetings, Department Head Meetings, etc.

4.4.2. Site Visits

4.4.2.1. Within 90 days after the contract award, the contractor must complete site visits to meet command leadership.

4.4.2.2. Conduct site visits to each Reserve CO on an annual basis for onsite review of the program deliverables and progress to date.

4.4.3. Data Analysis/Statistics: The contractor shall organize and analyze the program data from Qualtrics.

The data shall be provided in a monthly progress report that both enumerates and provides qualitative data on the number of outreach services, to include virtual, the contractor provides at each of the sites. The monthly report shall include the following information:

4.4.3.1. For Client Outreach Support:

4.4.3.1.1. Number of reservists referred to PHOP, broken out by source of referral: PDHRA screening; referred by Commanding Officer; self-referral; referred by family member; or other; date of referral; and date of initial contact.

4.4.3.1.2. Number of recently returned Reservists provided to PHOP for outreach services and follow up.

4.4.3.1.3. Number of client contacts made by phone calls, actual visits.

4.4.3.1.4. Status of each case being tracked - referred to mental health services in military facilities, VA facilities, civilian providers, Military One Source, chaplains, etc.

4.4.3.1.5. When available, the number and status of Reservists being processed for an LOD, determinations by their parent Reserve activity, and the status of those LODs.

4.4.3.1.6. Number of family support requests.

4.4.3.1.7. Site visits or other approved Travel: locations, dates, team members who made the visit, activities performed.

4.4.3.1.8. Number/type of outreach services provided by PHOP to demobilizing Reserve units, number of unit members assessed during visits, and the number of reservists requiring referrals and follow care.

4.4.3.1.9. Number/type of outreach services provided by Team members to Reservists and their family members who experience psychological trauma as a result of a natural disaster

(such as Hurricane) or terrorist attack, or other full crisis/emergency (e.g., post suicide event).

4.4.3.1.10. Number of RWW Facilitators provided for each Workshop that was held.

4.4.3.1.11. Number of referrals made to PHOP by RWW Facilitators.

4.4.3.1.12. Referral outcomes and analysis on Reservists to include suicide/high risk behaviors.

4.4.3.2. For Command Outreach Support

4.4.3.2.1. Client satisfaction with PHOP services (pre and post screening and referral) using a web-based survey mechanism and/or point of service outcome measure—coordinate with COR

4.4.3.2.2. Command Satisfaction

4.4.3.2.3. Perception of change and impact (pre and post screening and referral) coordinate with

COR

4.4.3.2.4. Psychological Impact --pre and post screening and referral

4.4.3.2.5. Assessment of level of risk as it relates to clients presenting with suicidal or homicidal ideation, suicide attempts, and completions.

4.4.3.2.6. Client satisfaction post psycho-educational education briefs (ex. OSC Awareness brief, Suicide Prevention Brief, other PH/resilience training).

4.4.3.2.7. Demographics and data collected via Behavioral Healthcare Screenings or other any other assessment tools approved by BUMED or required for Program Evaluation by the government. Creation and updating of Standard Operating Procedures (SOPs).

4.4.4. On an annual basis, the contractor shall submit a written report on the successes and challenges with the program. The report should also address gaps in services, and recommendations to address the needs of the target population both short term and long term. The COR shall receive the report 30 days after completion of each Fiscal Year within the current contract year.

4.4.5. Training/Quality Assurance: The contractor shall support Quality Assurance checks of Client and

Command Outreach Support Team member proficiency, skills, documentation, and knowledge as well as ongoing training needed to ensure the highest quality of outreach and case management services.

4.5. Advertising Support

4.5.1. The contractor shall advertise services available under this contract through the provision of marketing material, including printed informational items and marketing material supporting the program goals and PH/resilience.

4.5.2. The contractor shall develop and distribute printed material (brochures and additional marketing materials), approved by COR, to advertise PHOP, providing a description of the services and contact information for each PHOP team. These brochures will be distributed during site visits and other opportunities (RWWs, DRT, demobilization briefs, etc.).

4.5.2.1. Marketing materials may include:

4.5.2.1.1. Glossy trifold PHOP brochures.

4.5.2.1.2. 2-sided 8 X11 glossy PHOP fliers.

4.5.2.1.3. Closed back PHOP table throws with carrying case for 6-foot draped tabletop displays.

4.5.2.1.4. Retractable PHOP banner displays with carry case for travel to the PHOP teams.

4.5.3. Contractor shall maintain supply of brochures, information materials and fliers needed to meet the demand of clients and commands assigned.

4.5.4. Provide informational marketing materials subject to Government approval on psychological health/resilience topics (e.g. PTSD, Reintegration, Sleep, etc.) shall be obtained/developed and distributed during NRC/HTC site visits and other opportunities (DRT, RWW, family events, demobilization briefs, etc.) or mailed to provide awareness information to commands, service members or their families. Printed marketing items include:

4.5.4.1. 250 Complete Unit Engagement/Visit Package with Program Printed Marketing items (e.g.

stress balls, journals, tissues, folders, note pads, etc.) supporting visit topics such as Resilience, PTSD, TBI, Psychological Health, Stress, etc.

4.5.4.2. Client Engagement Items with Program Printed Marketing (e.g. stress balls, journals, tissues, folders, note pads, etc.) supporting visit topics such as Resilience, PTSD, TBI, Psychological

Health, Stress, etc.

4.6. Training Support

4.6.1. The contractor shall provide their staff with an annual training course of approximately 24 hours (3 days) duration on the Reservist healthcare benefits and systems. The agenda will be approved by the

COR and the government will assist with planning as needed to ensure that all relevant information is covered. VTC is not an acceptable method of training. The initial training would be scheduled within

90 days after the start of contract and one course will be conducted annually during all option years thereafter, to be attended by all contractor staff. Additional attendance to specific psychological health/resilience/suicide prevention conferences and training seminars focusing on issues impacting

Reservists may be authorized by the COR in response to incidents or needs of the unit.

5. Other Pertinent Information

5.1. Acronyms

Abbreviation Definition AAR After Action Report

ACOR Alternative Contracting Officer Representative BUMED The Bureau of Medicine and Surgery

CAC Common Access Card CO Commanding Officer

COR Contracting Officer Representative DRT Deployment Readiness Training DoD Department of Defense CMS Case Management System DPH Director of Psychological Health eBHS Electronic Behavioral Health Screening

HIPAA Health Insurance Portability and Accountability Act HTC Home Training Center

IA Individual Augmentee IMR Individual Medical Readiness LOD Line of Duty

MARFORRES Marine Forces Reserve MDR Medical Department Representatives MIP Marine Intercept Program MS Microsoft

MTF Military Treatment Facilities NAVRESFOR Navy Reserve Force Commands

NRC Navy Reserve Center OSC Operational Stress Continuum ODC Other Direct Costs PTSD Post Traumatic Stress disorder PDHA Reserve Post-Deployment Health Assessment

PDHRA Post Deployment Health Reassessment PII Personally Identifiable Information

PHA Periodic Health Assessment PHI Protected Health Information PH Psychological Health

PHOP Psychological Health Outreach Program POC Points of Contact PWS Performance-Based Work Statement RWW Returning Warrior Workshop SAIL Sailor Assistance and Intercept for Life

SITREP Situation Report SM Service Member

SOP Standard Operating Procedure TBI Traumatic Brain Injury

VA Veterans Affairs VTC Video Teleconferencing

5.2. Period of Performance—The base period of performance for this requirement is 20 September 2024 through 19 June 2025. The resultant contract will feature four (4) one-year option periods consecutively following the base period.

5.3. Place of Performance: Majority, approximately 60%, of work will be done in the contractor’s office, by phone or teleconference. Approximately 40% of work will be onsite at the NRCs and HTCs located across the country.

5.3.1. A complete list of NRCs may be found at: https://www.mynrh.navy.mil/#/map

5.3.2. A complete list of HTCs may be found at: https://www.marforres.marines.mil/

5.3.3. Normal operating hours are 0700-1700 Monday through Friday, excluding Federal Holidays.

5.4. Estimated Staffing Requirements— The following information represents the estimated staffing requirements the contractor is obligated to provide in performing the services required in the PWS; vendor can increase or decrease the number of FTE or part-time employees accordingly to meet all requirements defined. FTE is based on a 1,912 hour work year. All monthly invoices shall be based on a calendar month.

5.4.1. It is anticipated this effort will require fifty-three (53) Full time outreach support members embedded across 30 sites across the Continental United States and two (2) part-time on-call outreach support members.

5.4.2. It is anticipated this effort will require one (1) Database Developer, one (1) IT Project Manager, (1)

Web Developer, and (1) Database/Software Administrator.

5.5. Minimum Qualifications— Personnel assigned to or utilized by the Contractor in the performance of this contract shall, as a minimum, meet the experience, educational, or other background requirements set forth below and shall be fully capable of performing in an efficient, reliable, and professional manner. If the quoter does not identify the labor categories listed below by the same specific title, then a cross-reference list should be provided in the quoter’s non-price quote identifying the different naming convention.

Additionally, any deviations below the minimum qualification requirements of this section shall be addressed by the quoter in its offer.

All Outreach Coordination and Outreach team members must possess a Master's degree and be licensed as either a Licensed Clinical Social Worker, a Licensed Professional Counselor, a Licensed Mental Health

Counselor or a Licensed Marriage and Family Therapist. There are several types of professional mental health credentials or licenses that providers may have that the vendor will be responsible for ensuring providers have currently as outlined in the PWS but providers are not credentialed nor privileged by the government.

Each of the Outreach Coordinators must have a minimum of 2 years of full-time post-Master’s degree supervisory clinical experience.

Workshop Facilitators shall be Licensed Clinical Social Workers, Registered Nurses with a Mental Health background, Licensed Professional Counselors, Licensed Mental Health Counselors, Licensed Marriage and Family Therapists, or previous experience as military Chaplains.

If the Contracting Officer questions the qualifications or competence of any person performing under the contract, the burden of proof to sustain that the person is qualified as prescribed herein shall be upon the

Contractor.

The Contractor must have the personnel, organization, and administrative control necessary to ensure that the services performed meet all requirements. The work history of each Contractor employee shall contain experience directly related to the tasks and functions to be assigned.