STARK COUNTY MENTAL HEALTH AND ADDICTION RECOVERY
REQUEST FOR PROPOSALS – TREATMENT/RECOVERY SUPPORT/GOVT ENTITY Page 4 of 8
REQUEST FOR PROPOSALS
TREATMENT and RECOVERY SUPPORT SERVICES/GOVERNMENT ENTITIES:
ALCOHOL AND OTHER DRUG and MENTAL HEALTH
STATE FISCAL YEAR 2019
Guidelines for the period July 1, 2018 through June 30, 2019
November 1, 2017
To be considered for funding, applicants must complete and submit one (1) signed RFP response via email
to
by
12:00 PM on Thursday, December 28, 2017
Via email, Face Sheet pages including copies of insurance, accreditations, and certifications may be sent as an Adobe document. All other documents must be submitted as
a Word or an Excel file. RFP Narratives and Program Budgets must use the required file naming convention.
In addition, the Face Sheet must be received either in person or via US Mail as the original document with original signatures.
If your agency is unable to submit the RFP response via email, please
SUBMIT INFORMATION IN PERSON OR VIA US MAIL ONLY TO:
John R. Aller
Executive Director
Stark County Mental Health and Addiction Recovery
121 Cleveland Ave. SW
Canton, Ohio 44702
NON-DISCRIMINATION
In accordance with TITLES VI AND VII, CIVIL RIGHTS ACT OF 1964, AS AMENDED, and SECTION 504, REHABILITATION ACT OF 1973 AND THE AGE DISCRIMINATION ACT OF 1975, THE OMNIBUS BUDGET RECONCILIATION ACT OF 1981, where applicable and the AMERICANS WITH DISABILITIES ACT OF 1992, no person shall, on the grounds of race, color, religion, sex, age, national origin, or handicap, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Stark County Mental Health and Addiction Recovery receives federal and/or state financial assistance, except where such discrimination is a bona fide, documented business necessity.
STARK COUNTY MENTAL HEALTH AND ADDICTION RECOVERY
REQUEST FOR PROPOSALS – TREATMENT/RECOVERY SUPPORT/GOVT ENTITY Page 4 of 8
BOARD PLANNING
The Stark County Mental Health and Addiction Recovery (StarkMHAR) serves as the planning agency for mental health and alcohol, tobacco/other drugs (AToD) treatment and prevention services for Stark county residents. As such, the StarkMHAR continues to review and gather information regarding treatment and prevention programs and services for the state fiscal year 2019 beginning July 1, 2018.
In accordance with the procedures and guidelines established by Ohio Mental Health and Addiction Services (OhioMHAS), and Ohio Revised Code (ORC), the StarkMHAR shall:
a. Evaluate and assess community needs for mental health and alcohol and drug addiction programs and facilities;
b. Set priorities and develop plans for the operation of mental health and alcohol and drug addiction programs in cooperation with other local and regional planning and funding bodies and with relevant ethnic organizations;
c. Consider the cost effectiveness of services provided by the program and the program’s quality and continuity of care. The Board may review cost elements, including salary costs, of the services provided by the program.
Any applicant agency that receives StarkMHAR funding will enter into a contract with the StarkMHAR prior to any payment of allocated funds to the applicant agency. A utilization review process shall be established as part of the contract for services. The StarkMHAR may establish this process in any way that it considers to be the most effective and efficient in meeting local needs.
PURPOSE FOR REQUESTING INFORMATION
It is requested that local providers of alcohol and drug addiction treatment and mental health services respond to this Request for Proposals (RFP), providing information regarding their programs for State Fiscal Year 2019. Provider responses to this Request for Proposal will assist the Board in its required duties as noted above and identified in the ORC, Chapter 340.
This Request for Proposal is not a formal contract proposal. It is anticipated that final decisions for the allocation of StarkMHAR funds shall be made by resolution of the StarkMHAR no later than the June 2018 Board meeting. Any provider that is so awarded funding for State Fiscal Year 2019 will enter into a contract with StarkMHAR prior to receipt of any payments related to such contract. Providers will be required to submit OhioMHAS Agency Assurances. All decisions of StarkMHAR on the allocation of funds are final and are contingent upon the receipt of allocations from OhioMHAS. StarkMHAR reserves the right to qualify allocation decisions based on acceptable performance target outcomes.
INFORMATION REVIEW PROCESS
StarkMHAR will not consider RFP responses for funding that do not have every question answered completely or that are not received on time. It is anticipated that staff will review each RFP packet submitted for completeness and accuracy, requesting clarification or revision if necessary from the provider. Consideration of community-wide service needs and financial resources will be central to such review. Staff will then provide summary information for each provider and services to a Committee of the Board at a scheduled meeting for discussion and review. It is anticipated that the Committee will recommend contract funding to the full Board for consideration no later than the June Board meeting.
AGENCY MANAGEMENT
Please include in this section a table of organization indicating key relationships within your total agency. It should be clear from this table of organization what the relationship of sites and programs are within the organization as a whole. In the financial section, please submit information for each program, including administration, which identifies staff by name, position, and credentials.
A descriptive page should be added to clarify agency administrative offices and separate program locations and hours of operation, if there is more than one site or location for various operations and/or cost centers.
Annual SFY2019 Request for Proposals
Our goal is to improve outcomes for our most disadvantaged populations who do not have resources to access needed services. There is no guarantee that new programmatic requests or increased funding requests will be funded. New programmatic requests or increased funding requests to existing programs will compete within the new funding rubric.
· Programmatic requests must serve one or more priority population(s).
· Agencies may submit new programmatic requests that include existing program expansion, existing program enhancements, adjunct services that support existing programs, completely new programs, and existing programs within the continuum.
Stark County Mental Health and Addiction Recovery’s allocation decisions are contingent upon the receipt of funds from levy proceeds and OhioMHAS. In situations where funding is no longer available from the state or other funders (ex. Strong Families Strong Communities, Women’s Set Aside, etc.), proposals for those programs will compete to be funded.
Proposed programs should impact the below priority areas and priority populations and demonstrate equity, efficiency, and effectiveness:
Priority Area / Target Population / Category Name / DefinitionPriority 1 / Hard Mandates / Services we are legally required to provide.
Priority 2 / Everyone in Behavioral Health population / Urgent Risk / 1) Risk of urgent and imminent harm includes need for emergency or urgent services due to danger to self/others or inability to care for self, 2) Potential life threatening symptoms resulting from withdrawal from substances.
Priority 3 / Priority Populations Only / High Risk / 1)Loss of basic self-care skills (secondary to Priority Population) which results in an inability to manage functioning, 2) Likely degeneration of condition that would result in imminent risk, 3) Identified public safety risks.
Priority 4 / Priority Populations Only / Serious Risk / Significant functional issues related to SPMI/SMI/SED/SEVERE SUD; that, without intervention, would likely result in degeneration to a higher level risk at some point in the non-imminent future.
Priority 5 / Priority Populations Only / Important Needs / Needs re: social functioning, higher cognitive development, employment success.
Priority Populations - We are a safety net provider, which means that we must prioritize risk to SAFETY. Priority Populations for adults include SPMI/SMI/SEVERE/MODERATE SUD (excluding caffeine and nicotine) who does not have access to alternative sources of services. Priority Populations for youth and adolescents include SED/SEVERE/MODERATE SUD (excluding caffeine and nicotine) who does not have access to alternative sources of services.
Non-priority populations include youth, adolescents, and adults with mental illness and/or mild substance use disorders.
GENERAL INSTRUCTIONS
Each item response must be numbered and lettered (if applicable). Keep responses brief and targeted towards your proposed project. Limit responses to 7 pages per program with one inch margins and a 12 point font. List the program name first.
Treatment Programs must answer the following questions: 1, 2a-f, 3, 3a-b, 4, 4a, 5, 6, 7, 8, 9. Complete the program budget documents.
Recovery Support Programs must answer the following questions: 1, 2a-f, 3, 3a, 3c, 4, 4a, 5, 6, 7, 8. Complete the program budget documents.
Government Entity Programs must answer label the following questions: 1, 2a-f, 3, 3a, 4, 4a, 6, 7. Complete the program budget documents.
1. Please describe the program using only 200 characters, including spaces and punctuation. Your official program description will be posted on the Board website and distributed to media, among other uses. The Board reserves the right to edit your description for length and content.
Example: This confidential program allows adults to drop off medications in all forms including pills, liquids, creams, as well as syringes and tubing. Officers are on site to secure and hold all medications.
2. Briefly answer the following items about your proposed program:
a. What is the average length of stay in the program for successful completion?
b. What age range does the program serve?
c. What geographic area/location does the program serve? If the proposed program is related to permanent supportive housing, please also list the address(es) of where the proposed program will be provided.
d. What demographics by race, ethnicity, cultural group, preferred language of the people served in the program?
e. What is the maximum number of people who can be served by this program at any given time?
f. What is the average wait time to begin receiving services in the program?
3. Explain how your organization will be providing the proposed program to one or more of the aforementioned priority populations including what specific services will be provided and how they will be implemented with the population served.
a. Complete the chart below to show what number of clients and what percentage of the program’s budget serves each priority level. The total number at the bottom should equal the number of clients the program is projecting to serve in the upcoming fiscal year.
Priority Area: Number of Clients Served: Percentage of Program Budget:
Priority 1Priority 2
Priority 3
Priority 4
Priority 5
Total
b. For treatment programs, complete each chart below with the estimated annual numbers that will be served in the proposed program. (Non-Medicaid funds should only be used to pay for services provided to people who meet the criteria for one or more of the priority populations.)
Non-Medicaid Clients: Est. # Clients to Serve:
SPMISMI
SED
Severe Substance Use
Co-Occurring
All Other Populations
All Other Clients: Est. # Clients to Serve:
SPMISMI
SED
Severe Substance Use
Co-Occurring
All Other Populations
c. For programs/agencies that only provide recovery supports, please complete the following chart instead and document how the program knows it serves the client population(s) endorsed below.
Clients: Est. # Clients to Serve: Documentation:
SPMISMI
SED
Severe Substance Use
Co-Occurring
All Other Populations
4. Explain to StarkMHAR how your program/services will improve the expected outcomes for our most disadvantaged populations who do not have other resources to access services.
a. Complete the chart below. List up to 6 outcomes per program. Outcomes should be found in the evidence based or evidence supported model the program is using such as benchmarks and/or hard data.
Citation of Where Percent Attaining Outcome Projected Percent Attaining
Outcome Statement: Outcome Was Found: per the Model: Outcome in this Program:
5. What evidenced based or evidence supported model(s) are you implementing/using in this program? If this model is already being implemented in your agency, to what degree of fidelity is it followed?
6. Either explain how this program proposal does not duplicate a service already being provided in our community OR if the program is duplicative, then explain how this program proposal will increase access and outcomes of an underserved population.
7. Please explain whether the proposed interventions for the program have been researched and found effective and appropriate for the racial, ethnic and other cultural groups that will be served?
a. Will the program require cultural or linguistic adaptations? If so, what is the plan to address adaptions?
b. Please attach the organization’s Language Access Plan as an Appendix.
8. Please explain if and how this program is meeting any of the four elements of what the Substance Abuse and Mental Health Services Administration (SAMHSA) considers to be a Trauma-Informed Approach*:
1. Realizes the widespread impact of trauma and understands potential paths for recovery;
2. Recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system;
3. Responds by fully integrating knowledge about trauma into policies, procedures, and practices; and
4. Seeks to actively resist re-traumatization."
*(Retrieved 10/31/17 from https://www.samhsa.gov/nctic/trauma-interventions)
9. Agencies should build in coverage for client financial hardship within the funding request. Client financial hardship must be determined by a provider agency designed form that clearly documents the hardship. Funds used to pay for services in cases where financial hardship is determined may cover co-pays and co-insurance for clients in priority levels 1-4 only.
Please indicate the amount of money and services the program anticipates using to pay for client services resulting from financial hardship below and include this amount within the “Other” category on the program budget.
a. Attach the form your agency uses to document and prove financial hardships.
INSTRUCTIONS – FISCAL FORMS & AGENCY PROGRAM BUDGET
The budget forms appended to this RFP are the standard StarkMHAR package of forms, for SFY19, required for the agency as a whole. The printed forms attached here are for illustration purposes only and may have hidden columns and/or rows for easy viewing. Please open the files in Excel and use the worksheets in a way which best illustrates your own programs. All programs submitted for funding consideration must have a completed Agency Program Budget. Instructions are listed on the first tab of the Program Budget Template document.