Office of the Controller
CITY SERVICES AUDITOR
REQUEST FOR QUOTES FOR
BEHAVIORAL HEALTH TRAINING SERVICES
RFq #CON2012-10
CONTACT: Richard Kurylo, , 415-554-7577
Background
The San Francisco Controller’s Office in collaboration with the Department of Public Health is soliciting quotes from vendors with experience providing train-the-trainer services in brief, evidence-based interventions addressing depression and anxiety, specifically Problem-Solving Treatment-Primary Care (PST-PC) and Behavioral Activation (BA). The vendor shall provide training to up to eight staff, including three supervisors, working in San Francisco’s Department of Public Health’s (DPH) primary care settings and the San Francisco General Hospital (SFGH).
The training will provide participants with a solid understanding of PST-PC and BA, provide multiple opportunities to practice the intervention and receive feedback on their performance as well as practice training these interventions. Upon completion of the training, participants will able to instruct and coach others on PST-PC and BA. / Maximum Cost:
$49,995
Desired Start Date:
December 1, 2012
Estimated Contract Term:
The estimated contract term is one year with the goal to have all work completed within six (6) months. Actual contract term may vary depending upon service and project needs.
Subcontracting Requirement:
There is no Human Rights Commission (HRC) Local Business Enterprise (LBE) subcontracting goal for this Request For Quotes and resulting contract(s).
Schedule*
RFq Issued
Deadline for RFq Questions
Deadline for RFq Answers
Deadline for RFq proposals
Pre-qualification notification
*Each date subject to change. / 9-21-2012
9-26-2012
(12 pm PT)
10-3-2012
(5 pm PT)
10-10-2012
(12 pm PT)
10-24-2012 / Questions and Communications
To ensure fair and equal access to information about this Request For Quotes, e-mail your questions to . Questions must be in writing and received by the Deadline for RFq Questions. No questions will be accepted after this time with the exception of City vendor requirement questions.
A summary of the questions and answers pertaining to this Request For Quotes will be e-mailed by the Deadline for RFq Answers to each firm that e-mailed questions, as well as other potential Proposers.
Controller’s Office ● City Hall, Room 316 ● 1 Dr. Carlton B. Goodlett Place ● San Francisco, CA 94102 ● 415.554.7500 http://www.sfgov.org/controller
11-07
1. Introduction
1.1 General terms and acronyms used in this RFq:
· Behaviorist – A behavioral health provider with a Master’s or Doctoral degree who operates in a consultative role as part of the primary care team. The Behaviorist provides recommendations regarding behavioral interventions to the referring physician, conducts brief interventions with referred patients on behalf of the referring physician, and refers patients to specialty behavioral health as needed.
· Behavioral Activation (BA) - A behavioral health treatment approach that teaches patients how to plan and take action by engaging in certain behaviors and activities.
· Behaviorist Assistant – A member of the primary care team who supports the Behaviorist. Behaviorist Assistants also connect patients to relevant social services and programs that may address patients’ biopsychosocial needs.
· DPH – Department of Public Health.
· PCBH – Primary Care Behavioral Health.
· Problem Solving Therapy–Primary Care (PST-PC) – A behavioral health treatment approach designed specifically for patients in primary care that teaches patients how to use a systematic method for solving problems.
· Program Staff – Supervisory staff of the Primary Care Behavioral Health (PCBH) Service, which includes the PCBH Supervisor and the PCBH Manager who oversee all elements of the PCBH Service at multiple primary care clinics.
· SFGH – San Francisco General Hospital.
· TTT – Train the Trainer.
1.2 Background on the Department of Public Health’s Primary Care Behavioral Health Integration
Beginning in 2009, the Department of Public Health in collaboration with the Controller’s Office and an expert consultant began integrating behavioral health services into primary care clinics to increase patient access to behavioral health services, improve coordination of care, and improve the health outcomes of patients. As a result of this integration, primary care physicians can refer patients to a Behaviorist or Behaviorist Assistant within their primary care clinic for a range of behavioral and biopsychosocial health issues, such as depression, anxiety, weight management, disease self-management, substance abuse, linkage to community resources, and care coordination.
As of September, 2012, PCBH services have been implemented at nine DPH primary care clinics: Castro Mission, Chinatown, Curry, Larkin Street, Maxine Hall, Ocean Park, Potrero Hill, Silver Avenue, and Southeast Health Centers. Plans are currently being discussed for future implementation of PCBH services at two additional DPH primary care clinics that will be merged into one clinic.
PCBH staff provide brief intervention services for patients and consultation services to primary care providers. Services include behavioral health interventions, assistance with problem-solving, enhancement of self-management and other skills, linkage to community resources, and care coordination, aimed at improving patients’ quality of life. PCBH staff have an open schedule and are available to see patients during their primary care medical appointments or upon referral from their primary care provider. The most common reasons for referrals to Behaviorists across all clinics are depression and anxiety. The most common reasons for referrals to Behaviorist Assistants are needs for assistance with entitlements, housing, and medical equipment.
1.3 Background of the City Services Auditor
Proposition C, passed in November 2003 amended City Charter Section 3.105 to instruct the City’s Controller to serve as City Services Auditor. This role makes the Controller’s Office responsible for providing objective, rigorous measurement of City service levels and effectiveness and authorizes it to contract with outside, independent experts for a variety of consultant services. For more information regarding City Services Auditor roles and responsibilities, visit http://www.sfcontroller.org/.
2. Scope of Work
Training Overview
The City is seeking a vendor with experience providing Train the Trainer (TTT) services to staff in Problem Solving Treatment (PST-PC) and Behavioral Activation (BA), evidence-based interventions targeting depression and anxiety. Although not a requirement, the City desires a vendor with experience training staff in behavioral health treatment of the consequences of trauma or in trauma-informed care. The vendor shall provide TTT services to up to eight staff, including three supervisors, working in San Francisco’s Department of Public Health’s (DPH) primary care settings and the San Francisco General Hospital (SFGH). The training will occur at a central location in San Francisco. The training shall include didactic instruction, role-plays and feedback and coaching on PST-PC and BA skills,
Training Approach
The vendor shall utilize a two-pronged approach when providing TTT services to staff.
The vendor shall:
1) Provide participants with a solid understanding of how to implement PST-PC and BA, including opportunities to practice these interventions, tools for assessing patient adherence to PST-PC and BA, and individualized feedback on participants’ performance implementing these services.
2) Provide participants with the following:
· Paper and electronic copies of a training manual for the trainers, with detailed and specific step-by-step instructions on how to deliver training workshops on PST-PC and BA.
· Paper and electronic copies of a training manual for the staff who will be providing the interventions with patients, with detailed and specific step-by-step instructions on how to deliver PST-PC and BA interventions.
· Opportunities to co-lead staff trainings and role plays in PST and BA with an expert trainer.
· Expert feedback on their training performance and recommendations for improvement.
· Assessment tools and training on how to assess staff and provide feedback on their performance in implementing PST and BA services.
· Other training materials as requested by the Controller’s Office Project Lead.
Upon completion of this training, participants will be able to instruct and coach PCBH staff on PST-PC and BA as well as assess and provide feedback on their performance.
To achieve these goals, the vendor shall perform the following activities:
1. Conduct interview(s) with up to eight staff, including three supervisors working in San Francisco’s Department of Public Health’s (DPH) primary care settings and the San Francisco General Hospital (SFGH), to determine their training strengths and needs and tailor the training accordingly.
2. Create and print all necessary training materials, including PST-PC and BA training manuals with reference materials, agendas and training handouts. Provide an electronic version of the manuals. All materials shall have copy authorization.
3. Participate and collaborate with Project Lead at the Controller’s Office, the DPH, and SFGH on regular in-person or phone meetings to manage the project and ensure appropriate training delivery and follow-up.
4. Deliver on-site TTT trainings at City facilities, most likely at the DPH or City Hall. The City will provide all needed tables, chairs, boards, markers and audio-visual equipment. The Contractor shall provide copies of all training materials, including manuals, needed for the training.
5. Provide participants with multiple opportunities to practice the intervention in a non-clinical setting and give individualized feedback on their performance (e.g. through role-play, group exercises, or another form of simulation).
6. Provide participants with at least one opportunity to co-lead, in a practice format, key elements of the PST-PC and BA trainings with an expert trainer and give individualized feedback on their performance.
7. Provide training, including opportunities to practice, in how to assess PCBH staff in their delivery of PST-PC and BA and provide constructive feedback to improve service delivery.
8. Participate in post-training debrief with training participants to debrief on training and provide suggested next steps.
QUOTE SUBMISSION REQUIREMENTS AND EVALUATION CRITERIA
Quotes will be evaluated in accordance with the criteria below. Evaluation criteria shall be collectively worth 100 points.
1. An outline of the proposed training plan, including descriptions of proposed activities and timeline (20 points)
2. A description of the firm’s experience providing similar training services, including:
· Description of prior experience training staff in PST-PC and BA.
· Description of prior experience providing TTT services for PST-PC and BA.
· Experience developing tailored training curriculum and training materials.
· The outcome of similar training projects undertaken in the past, and how this was measured.
· Two samples of relevant work, such as training manuals, handouts, agendas, or other materials.
· Two references for prior work on similar training projects – including name of reference, email address, phone contact, project topic, length, and completion date.
(30 points total)
3. Description of your firm’s approach to training adult learners applicable to the proposed activities (10 points)
4. A price quote including estimated hours and cost for each deliverable and total estimated hours and costs. (30 points)
5. Staffing plan for the training, including background and experience of key staff. (10 points)
Please email with any questions about this Request For Quotes by Wednesday, September 26, 2012 (12 pm PT). We will share the questions and our written responses with each firm that e-mailed questions, as well as our list of potential Proposers by Wednesday, October 3, 2012 (5 pm PT). Final quotes must be received by Wednesday, October 10, 2012 (12 pm PT) via e-mail to . Documents must be submitted in writeable format such as MS Word or Searchable PDF.
Terms and Conditions for this Request for Quotes
There is no guarantee of a minimum amount of work or compensation for any Proposer selected for contract negotiations.
The City reserves the right to accept other than the lowest price offer and to reject all quotes.
The selection of any Proposer for contract negotiations shall not imply acceptance by the City of all terms of the Quote, which may be subject to further negotiation and approvals before the City may be legally bound thereby.
The City, in its sole discretion, has the right to approve or disapprove any staff person assigned to the firm’s projects before and throughout the contract term. The City reserves the right at any time to approve, disapprove, or modify proposed project plans, timelines, and deliverables.
If a satisfactory contract cannot be negotiated in a reasonable time with the selected Proposer, then the Controller’s Office, in its sole discretion, may terminate negotiations and utilize contractor solicitation and/or selection methods, or it may determine that no contract or project will be pursued.
Reference Checks
Reference checks may be used to determine the applicability of Proposer experience to the services the City is requesting and the quality of services and staffing provided to prior clients, as well as adherence to schedules/budgets and Proposer’s problem-solving, project management, and communication abilities, as well as performance on deliverables and outcomes, as well as effectiveness in meeting or exceeding project objectives.
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