RFA_AttB- Application Questions IECMHC-FINAL.pdf

Infant and Early Childhood Mental Health Consultation (IECMHC) Regional Service Provider (RSP) RFA Questions

Section A Applicant Information: Identify Your Organization

Question 1: Legal name of applicant, including any assumed business names (if different from legal name):

Question 2: Federal ID # or Tax ID #:

Question 3: Unique Entity Identifier (UEI) #:

Question 4: Address of applicant agency:

Street address:

City:

State:

Zip code:

County:

Question 5: Authorized contact person for general issues and questions about the application:

Name:

Title:

Email:

Phone Number:

Question 6: Authorized contact person for issues and questions about the program description and implementation:

Name:

Title:

Email:

Phone Number:

Question 7: Authorized budget contact person for issues and questions about the budget:

Name:

Title:

Email:

Phone Number:

Question 8: Authorized individual to sign contract. Indicate the address where the contract should be sent.

Name:

Title:

Email:

Phone Number:

Mailing Address:

Question 9: Organization/Entity Type. What type of organization or entity is the applicant?

(Choose all that apply.)

☐Child Care Resource & Referral Agency

☐Community-based organization

☐Community mental health organization

☐Coordinated Care Organization

☐Culturally specific organization

☐Disability-specific organization

☐Early Learning Hub

☐Early Intervention/Early Childhood Special Education (EI/ECSE) Contractor

☐Federally recognized Oregon Tribal Nation

☐Relief Nursery

☐Other Health Care Organization

☐Other: _________________

Regional Location

Each of Oregon’s regions and the communities within regions are unique, with its own priorities, values, and needs. As such, it is important for IECMHC Regional Service Providers to be established in and representative of the region they wish to serve.

If the answer to Q11 or Q12 (below) is no: Your organization is unlikely to be selected for this grant and you may want to consider if it is worth the effort to complete the remainder of this application. If you choose to continue with the application, the organization must present a compelling rationale for 1) how the organization is deeply connected to and representative of the region to be served, and 2) the three (3) letters of recommendation must be from early learning partners in the region to be served and must explain why your organization is uniquely suited to serve the region and is worth considering above organizations that are currently located in the region.

If applicant wishes to provide services in more than one region, a separate application is required for each region.

Question 10: Which region is the applicant applying to provide services in? ___________ ☐Blue Mountain (Union, Morrow, and Umatilla Counties)

☐Clackamas County

☐Central (Deschutes, Crook, and Jefferson Counties)

☐Eastern (Malheur, Wallowa, and Baker Counties)

☐Frontier (Grant and Harney Counties)

☐The Gorge (Gilliam, Hood River, Sherman, Wasco, and Wheeler Counties)

☐Lane County

☐Linn, Benton, and Lincoln Counties

☐Marion, Polk, and Yamhill Counties

☐Multnomah County

☐North Coast (Tillamook, Clatsop, and Columbia Counties)

☐South Central (Douglas, Klamath, and Lake Counties)

☐South Coast (Coos and Curry Counties)

☐Southern (Jackson and Josephine Counties)

☐Washington County

If you are not sure which region you are in, you may look up that information here:

• Child Care Resource and Referral Regional Map (htps://oregonccrr.org/)

Question 11: Does the applicant organization currently provide services within this region? Y/N

☐YES ☐NO

Question 12: Does the applicant organization maintain a physical location (i.e. owns or leases an office building, housed in a school building, or similar situation) in the region for which it is applying to provide services? Y/N

☐YES ☐NO

Question 13: Is the applicant organization’s headquarters (“main office” or fiscal office) located within this region? (Y/N)

☐YES ☐NO

If no, provide the location of organization’s headquarters and describe the business relationship between the regional location and headquarters, and in what https://oregonccrr.org/ https://oregonccrr.org/ way the headquarters is connected to and representative of the regional community.

Planning or Implementation Some applicant organizations may prefer the Planning Grant option to ensure they have time to build readiness for implementation or if they have not had prior experience providing IECMHC services. Applicants may indicate their preferred grant type below.

The preference indicated below neither increases nor decreases the applicant’s chances of being awarded a grant. If applicant indicates a preference for the Implementation Grant option, the Evaluation Committee may choose to award a Planning Grant if other responses within the application indicate a period of planning is needed to ensure readiness to meet Program goals.

Question 14: Indicate the applicant’s preferred grant type:

☐Planning grant ☐Implementation grant

Section B

Community Connections: The Story of Your Organization and Relationship with the Region

We would like to learn more about how your organization has evolved. The following questions will help us understand your organization's story, the people that work there, the services you provide, and the communities you serve and have relationships with.

Question 15: Share your organization's story and include a brief history of why, how and when your organization began. Share about your organization’s values, mission and purpose. Describe the current services offered in the region.

Question 16: Describe in detail the populations served by the organization and provide available demographics (i.e., who is served by age, race/ethnicity, disability status, and language,). Provide a breakdown for the number of children, parents or caregivers, and/or ECE providers served, as applicable for your organization.

Question 17: Which ECE types does your organization serve:

☐Certified Child Care Centers

☐Certified Family Child Care

☐Registered Family Child Care

☐Head Start

☐Early Head Start

☐Oregon Prenatal to Kindergarten (OPK)

☐Relief Nurseries

☐None of the above

☐Other: __

Question 18: Does your organization provide direct services in languages other than English (without interpretation)? Y/N

☐YES ☐NO

If yes, indicate in what languages staff provide services. If no, please describe how organization provides culturally responsive services to people whose primary language is other than English.

Question 19:Provide the race and ethnicity workforce demographics for your organization as indicated below. If the organization has multiple teams, work units, or locations, please provide demographics only for the specific site/team/program that supports the region for which you are applying. Race/ethnicity demographics for the region should be taken from the 2020 U.S. Census data for Oregon: https:// www.census.gov/library/stories/state-by-state/oregon-population-change-between-census-decade.html. If the organization wishes to use an alternate data set may be provided in addition to the Census data.

Additional data sources must be cited.

identify regional demographics, that data set may be provided in addition to the Census data. Additional data sources must be cited.

Staff Supervisors and Managers

Executives, Owners, Board

Members

Race/ethnicity demographics of the region

American Indian or Alaska Native Asian Black or African American

Hispanic or Latino Native Hawaiian or Pacific Islander Two or More White, not Hispanic or Latino Total

Community Endorsement

Infant and Early Childhood Mental Health Consultation (IECMHC) is inherently relationship-based work, including relationships at the individual and program-level as well as at the community and system levels. For the application to be considered, the applicant must be endorsed by the community it wishes to serve.

As evidence of endorsement, submit three (3) letters of recommendation as an attachment with your application. Letters should:

• Be written by the community partner and submitted on the letterhead of the organization endorsing your application

• Address why your organization is a good match with the community needs, priorities, and values, and

• Include details on why your organization is recommended to be the IECMHC Regional Service Provider in your region.

Question 20: Is your organization's application endorsed by the community you wish to serve?

A “Yes” answer indicates your organization has received three (3) Letters of Recommendation from community partners. Y/N

☐YES ☐NO

Section C

Coordinated System of Support: Your Organization’s Readiness to Function as Part of a Coordinated System

A critical component of a system-level strategy to prevent suspension and expulsion is establishing a coordinated system of support. This consists of two primary elements:

1) Establishing a Warmline: an online access point for ECE providers to submit a request for support. The request may be made with a specific child in mind or for help in implementing classroom or programmatic practices to promote inclusion. Regional Service Providers will be responsible for monitoring Warmline referrals and working with other system partners to determine the best person or the best role to respond. For example, in some cases, the best person to respond may be a Coach who has a pre-existing relationship with the ECE provider. In other cases, the best person to respond may be another Technical Assistance provider or the IECMH Consultant.

2) Establishing collaborative partnerships, or utilizing existing ones, among ECE system partners to provide behind-the-scenes coordination and alignment among Technical Assistance providers, IECMHC, EI/ECSE, or other partners. The goal is to ensure an ECE provider requesting support is connected to the right services for their need, and that services offered by more than one service provider are not contradictory.

Question 21: With which of the following system partners does your organization have already-established collaborative partnerships? Mark all that apply:

☐Child Care Resource & Referral (CCR&R)

☐Early Learning Hub

☐Early Intervention/Early Childhood Special Education (EI/ECSE)

☐Early Childhood Behavioral Health

☐Tribal Nations

☐Culturally-specific Organizations; Specify: _

☐None of the above

☐Other; specify: _

Question 22: Describe how you would approach the process for determining the primary technical assistance provider to respond to Warmline requests. What factors would you consider determining which role or which person should be assigned to the referral?

Question 23: Describe how you would approach coordination with other partner organizations when a member of their staff (or a role fulfilled by the organization) is determined to be the most appropriate person to respond to the referral. What inter-agency agreements or multi-disciplinary teaming processes would you want to establish?

Section D

Equity-Centered and Trauma Informed Organizational Policies and Procedures: How Your Organization Takes Care of Its People and Promotes Belonging

Question 24: Does the organization provide 1:1 supervision for staff? Y/N ☐YES ☐NO Indicate frequency below:

☐Twice weekly or more

☐Weekly

☐Bi-weekly

☐Monthly

☐Quarterly

☐Sometimes

☐Rarely or never

☐Other: _

Question 25: Does the organization financially support the professional and career development of staff? Y/N ☐YES ☐NO

Mark all that apply:

☐Paid time for training

☐Flexible work schedules

☐Reimbursement for CEU fees

☐Tuition reimbursement for undergraduate college classes

☐Tuition reimbursement for graduate school classes

☐Allowance for worktime to be used to attend training or conference sessions

☐Allowance for worktime to be used for undergraduate or graduate classes

☐None of the above

☐Other: _

Question 26: Tell us about your efforts recruiting and retaining staff who are Black, Indigenous, or other people of color. Describe your organization’s actions and any outcomes of these actions.

Question 27: Will organization’s compensation policies allow IECMH Consultants to be compensated at a minimum annual salary of $70,000-75,000 for an entry-level consultant? Y/N

☐YES ☐NO

Question 28: Will organization's compensation policies allow an incentivized compensation structure above the base salary scale that recognizes the lived experience, community knowledge, and other ways of knowing of IECMH Consultants who are Black, Brown, Indigenous or other people of color? Y/N

☐YES ☐NO

Question 29: Will organization's compensation policies allow an incentivized compensation structure above the base salary scale that recognizes the linguistic abilities of IECMH Consultants able to provide services in the first language(s) of historically underserved immigrant and diaspora communities? Y/N

☐YES ☐NO

Question 30: What policies and procedures are in place at the organization and/or program level to dismantle the systems of oppression that harm and create disparities for communities who are historically and institutionally excluded? If none, what is the organization's plan to put these policies and procedures in place?

Question 31: Describe how the organization embeds trauma-informed care into organizational policies and practices? How will these policies and procedures be applied to IECMHC?

Section E

IECMHC and Community Based Services: Readiness to Implement Equity-Centered IECMHC to Prevent Suspension and Expulsion

Knowledge and Experience with Community Based Services

Question 32: Does your organization provide community-based services (i.e., services delivered in family homes, early learning and care programs, schools, or other non-office-based settings)? services delivered in family homes, early learning and care programs, schools, or other non-office-based settings)? Y/N

☐YES ☐NO

If yes, describe how services are tailored to meet the needs of different childcare types or culturally specific programs. If no, describe how organization would gain the knowledge and resources needed to implement community-based services.

Knowledge and Experience with IECMHC

DELC is committed to selecting organizations that are the best fit with the community and the best match with the goals and priorities of the ECSEPP, regardless of whether any organization has previously implemented IECMHC services. A “no” answer to Q31 and Q32 will not eliminate the applicant from consideration, but increases the likelihood that the DELC may award a planning grant instead of an implementation grant.

Question 33: Does your organization currently offer IECMH Consultation? Y/N;

☐YES ☐NO

if yes, describe the consultation services provided, the population served, length of time these services have been provided, and how these services have prepared the organization to provide culturally responsive, equity centered IECMHC.

☐YES ☐NO

if yes, describe the services provided, the population served, length of time these services have been provided, and how these services have prepared the organization to provide culturally responsive, equity centered IECMHC.

Question 35: If the answers to Question 33 and Question 34 are “No,” describe how you would approach gaining the understanding and experience needed to implement IECMHC in your region, and how you would use grant funds to implement IECMHC after such planning.

Question 36: Describe why the applicant organization is interested in adding (or expanding) IECMHC to its service array. Please address the following points:

• How does IECMHC fit into the organization's mission and equity goals? What value will IECMHC add to the applicant organization’s service array? If expanding upon current IECMHC services, what value will this expansion offer? How will IECMHC complement and/or expand upon existing services?

• What value does the organization believe IECMHC will bring to the children, families, and ECE community in the region?

• What value does the applicant organization believe IECMHC offers as a strategy to prevent suspension and expulsion and reduce disparities in suspension and expulsion?

Question 37: Describe your approach in determining priorities in hiring and retaining IECMH Consultants. How will you recruit and retain Consultants who are people of color? (In responding to this question, please refer to pages 38-52 of Centering Racial Equity: Design Considerations for Oregon’s Statewide IECMHC Program, for a multi-dimensional discussion of considerations for the IECMHC Workforce.)

Question 34: Does your organization currently offer services that are not IECMHC, but are closely related? Y/N;

Racial Equity in the IECMHC Workforce

In its commitment to center racial equity, DELC is committed to ensuring that the IECMHC workforce is representative of the regional, racial, ethnic and linguistic communities served. Doing so requires collaboration in developing both short-term and long-term goals and strategies, at both the regional and state level. (Reference:

Centering Racial Equity: Design Considerations for Oregon’s Statewide IECMHC Program)

Organizations selected to become Regional Service Providers will be required to develop an IECMHC Equity Workforce Development Plan, in collaboration with DELC and the ECSEPP Central Entity, that identifies short- and long-term workforce equity goals and tangible action steps in the areas of: recruitment, retention and compensation; competencies and qualifications; core training, communities of practice, and ongoing professional development; and reflective supervision.

Question 38: If selected, will the organization commit to developing and implementing an IECMHC Equity Workforce Development Plan. Y/N;

☐YES ☐NO

explain your answer and include information on any previous experience related to this goal or opportunities within your region to leverage resources for this plan.