2013-2014 Request for Proposals Mental Health Therapy RFP...

Document Number: 156198 Document Name: RFP 14-010: MH Redesign 8/12/2014 12:00:00 AM

Children’s Services Council of Palm Beach County Request for Proposals 14-010 of 30

Request for Proposals

Children’s Services Council of Palm Beach County

2300 High Ridge Road Boynton Beach, Florida 33426

561-740-7000

www.cscpbc.org

2013-2014

Mental Health Therapy

RFP: 14-010

http://www.cscpbc.org/



Table of Contents

SECTION 1: PROPOSED SCHEDULE ........................................................................................................3

SECTION 2: INTRODUCTION .................................................................................................................4

2.1 WHAT WE ARE SEEKING ............................................................................................................................ 4 2.2 THE COUNCIL ............................................................................................................................................ 5 2.3 OVERVIEW OF THE CHILDREN’S SERVICES COUNCIL ................................................................................. 5

SECTION 3: REQUEST FOR PROPOSAL ...................................................................................................6

3.1 SCOPE OF SERVICES ................................................................................................................................... 6 3.2 TARGETED GEOGRAPHIC AREAS ............................................................................................................... 6 3.3 LINKAGES & PARTNERSHIPS ...................................................................................................................... 6

SECTION 4: PROGRAM IMPLEMENTATION ............................................................................................8

4.1 STAFFING REQUIREMENTS...................................................................................................................... 14

SECTION 5: CSC REVIEW AND SELECTION PROCESS ............................................................................. 15

5.1 MINIMUM ADMINISTRATIVE REQUIREMENTS ....................................................................................... 15 5.2 EVALUATION OF QUALIFICATIONS .......................................................................................................... 15 5.3 SELECTION CRITERIA ............................................................................................................................... 16 5.4 NOTICE OF SELECTED PROPOSER(S) FOR INTERVIEW(S) ......................................................................... 16 5.5 NOTICE OF SELECTED PROPOSER(S) FOR CONTRACT(S) DISCUSSIONS ................................................... 16

SECTION 6: RFP PROCESS ................................................................................................................... 17

6.1 LIMITATIONS ON CONTACTING CSC PERSONNEL ................................................................................... 17 6.2 PROPOSER DISQUALIFICATION ............................................................................................................... 17 6.3 INQUIRIES ............................................................................................................................................... 17 6.4 ACCEPTANCE OF PROPOSALS .................................................................................................................. 18 6.5 FINAL STEPS............................................................................................................................................. 18 6.6 IMPORTANT REMINDERS ........................................................................................................................ 18 6.7 FREQUENTLY ASKED QUESTIONS ............................................................................................................ 19 6.8 REFERENCES ............................................................................................................................................ 19

SECTION 7: RFP SUBMISSION INSTRUCTIONS AND FORMS .................................................................. 20

SECTION 8: LIST OF REQUIRED SUPPLEMENTAL MATERIALS ................................................................ 21

SECTION 9: MENTAL HEALTH THERAPY REFERENCES ........................................................................... 21

RFP FORMS ....................................................................................................................................... 23

COVER PAGE .................................................................................................................................................... 24 RFP QUESTIONS ............................................................................................................................................... 25 PROPOSAL CERTIFICATION .............................................................................................................................. 27 CSC NEPOTISM POLICY .................................................................................................................................... 29



SECTION 1: PROPOSED SCHEDULE

08/18/2014 Advertisement of RFP appears in the Palm Beach Post and CSC website: www.cscpbc.org/openprop

08/18/2014 – 09/29/2014 RFP packets are available on CSC website: www.cscpbc.org/openprop

09/03/2014 09/15/2014

RFP Proposers' Conference Time: 9:00 AM to 12:30 PM will be held at: Children’s Services Council of Palm Beach County 2300 High Ridge Road Boynton Beach, FL 33426 Deadline for submitting RFP questions; answers posted on website by 09/19/2014

09/29/2014 Deadline for Email Submission of Proposals is 2:00 PM at: [email protected] Subject: RFP #14-010

Proposals are opened publicly beginning at 2:01 PM

09/29/2014 Stage 1: CSC conducts a technical review of proposals; verifies required documentation submitted

09/30/2014 – 10/17/2014 Stage 2A: CSC conducts due diligence and review written proposals

10/20/2014 – 11/7/2014 Stage 2B: Interviews are conducted with Proposers selected through Stage 2A review process

11/10/2014 – 12/23/2014 Stage 3: CSC negotiates contracts with Proposers selected through Stage 2B interview process

12/04/2014 Recommendations presented to the Council

12/05/2014 Notice of Intent to award contracts posted on CSC website

01/01/2015 Contract Period Begins

CSC reserves the right to adjust the timetable and any adjustments will be made available on the CSC

website.



mailto:[email protected]



SECTION 2: INTRODUCTION

2.1 WHAT WE ARE SEEKING

Children’s Services Council of Palm Beach County is systematically working to develop a continuum of services aimed at promoting socio-emotional well-being and mental health for children and families, targeting the prenatal period through early childhood years. This continuum, when fully established, will encompass universal prevention programs with targeted intervention services addressing trauma, toxic stress, and parent-child attachment concerns. The Council’s commitment extends beyond simply funding the services to also include the continued development of workforce capacity and expertise of the providers delivering the services and assuring fidelity to the various program models. Over the next 18 months, a series of Request for Proposals will be released focusing on these services. RFPs in this series include: Child First Mental Health Therapy Incredible Years Light Touch/ Support Groups

The focus of this Request for Proposal is regarding the Mental Health Therapy Services. The Children’s Services Council of Palm Beach County (CSC) is seeking not-for-profit, for-profit, and/or government organization(s) to implement and deliver mental health therapy that will promote positive mental health and social-emotional outcomes for children and families in Palm Beach County. Expectant families and/or children birth to five and their families identified as needing services will receive evidence-based mental health therapy in their homes or other community locations as preferred. Treatment approaches will target the child, child-parent dyad, or parent. The primary client will be determined through a comprehensive clinical assessment process. Therapy will address issues such as depression, stress and trauma, anger management/domestic violence, child abuse/neglect, parent/child bonding, attachment, relationships, parenting concerns, grief and loss, and social-emotional competence. Reflective supervision is a core supportive component of the therapy model. Treatment will be reviewed for client progress and fidelity to the evidence-based practice treatment model.

Incredible Years

Parenting Series

Universal, Promotion

Light Touch/ Support Groups

Universal, Prevention

Mental Health Therapy Targeted, Early

Intervention

Child First Targeted, Intensive

Intervention



2.2 THE COUNCIL

Children’s Services Council of Palm Beach County (Council), a special district created by Palm Beach County voters in 1986, provides leadership, funding and research on behalf of the county’s children so they grow up healthy, safe and strong. For information about the November 2014 reauthorization vote on Children’s Services Council, please click link: http://www.cscpbc.org/reauthorization

2.3 OVERVIEW OF THE CHILDREN’S SERVICES COUNCIL

The Council invests resources in programs and services that support the physical, social-emotional and psychological development of children. In order to have an impact in those areas, the Council has four goals: children are born healthy, remain free from abuse and neglect, are ready for kindergarten, and have access to quality afterschool and summer programming.

Supported by a blend of federal, state and local funding, our programs and systems are designed to achieve our goals by providing seamless, efficient, and accountable prevention and early intervention services to Palm Beach County’s children and families. These systems include:

Healthy Beginnings (HB), which provides comprehensive, integrated direct services to pregnant women, infants, and young children (ages 0 - 5 years).

Quality Counts, which provides services to increase the quality of child care and afterschool providers.

BRIDGES, which is a neighborhood-based strategy to achieve CSC’s goals at a population level. BRIDGES address such issues as adult literacy, father involvement, maternal depression, teen pregnancy prevention, cyclical poverty and child development.

The Council believes that by offering families the right approach – and combinations of programs and services – at the right time, in the right place, we will achieve our goals. By strengthening the system of care, which is built upon sound research and strong data, we can achieve our child outcomes.

For additional information regarding CSC, please visit www.cscpbc.org.

http://www.cscpbc.org/reauthorization




SECTION 3: REQUEST FOR PROPOSAL

3.1 SCOPE OF SERVICES

Evidence-based mental health therapy models to be implemented will include: Play Therapy, Filial Play Therapy, Trauma-Focused Cognitive Behavioral Therapy, Child-Parent Psychotherapy, Cognitive-Behavioral Therapy, and Interpersonal Psychotherapy. Best practice strategies will entail clinical assessments, client engagement strategies, and reflective supervision. The Child and Adolescent Needs and Strengths Tool Birth to Five (CANS), the Depression Anxiety Stress Scales (DASS-21), the Outcome Rating Scale, and Session Rating Scale will be utilized as functional assessment tools and outcome measures.

3.2 TARGETED GEOGRAPHIC AREAS

The target population includes expectant families or families with children ages birth through five years of age referred through the Healthy Beginnings System and identified as needing behavioral health intervention to address issues related to depression, stress and trauma, anger management/domestic violence, child abuse/neglect, parent/child bonding, attachment, relationships, parenting concerns, grief and loss, and social-emotional competence. The program will serve children and families from all backgrounds and ethnicities; speaking English, Spanish, or Creole; and living in all areas of Palm Beach County including the western communities in the Glades. Aggregate data for mothers, infants, and children entering the Healthy Beginnings system indicate that approximately 24% are African-American, 13% are Caucasian, 19% are Haitian, and 30% are Hispanic and 14% fall under other Ethnicity. Data for primary languages spoken indicate that approximately 58% speak English, 14% speak Haitian-Creole, 25% speak Spanish and 3% speak other languages. Services will be provided to approximately 450 clients per fiscal year. We do not anticipate awarding a contract to serve less than 100 clients annually.

3.3 LINKAGES & PARTNERSHIPS

Through a thorough outreach, screening and assessment process, the Healthy Beginnings Entry Agencies (Healthy Mothers, Healthy Babies Coalition of Palm Beach County, Inc. and HomeSafe) will refer families to mental health therapy. The Healthy Start Prenatal and Infant Risk Screens, along with other risk screening assessments, will be used to determine eligibility for referral. In addition, other providers in the Healthy Beginnings System will make direct referrals for therapy using current Healthy Beginnings protocols. Refer to the referral flow chart Intensive Outreach by HB System on page 7. It is expected that the Entry Agencies and other referring providers will work together and conduct a “warm transfer” to the Mental Health provider(s). This warm transfer involves having the provider make a referral and connect parents directly to mental health providers on that same day or very shortly following. All providers must work collectively to assist with quick enrollment and engagement in services once a referral has been made.



Intensive Outreach by HB System

PrenatalRisk Screen

(PRS)

Ages & Stages Questionnaire

(ASQ-3)

InfantRisk Screen

(IRS)

Mental Health Therapy

Assessments

Assessments - IRS - ASQ-3- ASQ:SE- EPDS- PSI- CES-D- CBCL

- PRS- EPDS

Healthy Mothers/Healthy Babies

Home Safe

Other HB Providers

Legend:

PRS = Prenatal Risk ScreenEPDS = Edinburgh Postnatal Depression ScaleIRS = Infant Risk ScreenASQ-3 = Ages & Stages Developmental ASQ:SE = Ages & Stages Social Emotional QuestionnairePSI = Parenting Stress IndexCES-D = Center for Epidemiology Studies Depression ScaleCBCL = Achenbach Child Behavior Checklist

Referrals to Mental Health Therapy

will be dependent on a combination

of scores on screens, assessments as

well as other factors that may

influence the need for services.

Healthy Beginnings (HB) providers

are able to make direct referrals for

Mental Health Therapy.



SECTION 4: PROGRAM IMPLEMENTATION The Core Program Components include the following:

Strategies to Promote Client Engagement in Services: Many barriers prevent the successful engagement of clients in behavioral health treatment. Therefore, professionals involved with families must work together to ensure that clients understand the treatment available and its value so that they can make an informed choice regarding their willingness to engage. Strategies for engagement may differ depending on the client. Collaborative relationships and ongoing communication among agencies and providers who work with families are critical for supporting positive client outcomes. A “Warm Transfer Process for Referrals” can support increased engagement in treatment (Schultz, Reynolds, Sontag-Padilla, Lovejoy, Firth, & Pincus, 2013). This warm handoff or transfer process is a key component of the mental health services to increase client enrollment and engagement. Providers will need to develop protocols that describe how they will work jointly with their referral sources.

Clinical Assessment: The assessment process will guide whether the primary client for therapy services will be the child, child-parent dyad, or the parent. The presented mental health issues, review of screening and assessment results, collection of collateral information, and consideration of ecological factors affecting the child and family will assist with this decision. After the mental health clinician determines who will receive therapy services and client goals, he/she will select the most appropriate evidence-based treatment protocol. If the child is the primary client, the clinician must involve the family in these services. If the parent is the primary client, the therapist must address parenting and child-parent relationship issues.

Evidence-Based Therapy for Child, Child-Parent Dyad, or Parent: Qualified therapists from contracted agency(ies) will be required to treat the target population of children, adults, and families using the appropriate evidence-based therapy method selected from the following methods described in this section. The agency(ies) must have the capacity to use evidence-based therapies to treat clients based on their individualized needs. Each agency must have the capacity and skilled, experienced clinicians to serve children, parent-child dyads, families, and adults. All providers must have the capacity to provide Play Therapy and Trauma-Focused Cognitive Behavioral Therapy for children. In addition, providers must be able to deliver Cognitive Behavioral therapy or Interpersonal Psychotherapy to treat adult depression. It is not expected that every therapist within this program will be trained in all the evidence-based therapy models listed below.

Play Therapy Play therapy refers to a large number of treatment methods, all applying the therapeutic benefits of play. The Association for Play Therapy (APT) defines play therapy as "the systematic use of a theoretical model to establish an interpersonal process wherein trained play therapists use the therapeutic powers of play to help clients prevent or resolve psychosocial difficulties and achieve optimal growth and development." Play therapy helps children become more responsible for behaviors and develop more successful strategies, develop new and creative solutions to problems, develop respect and acceptance of self and others, learn to experience and express emotion, cultivate empathy and respect for thoughts and feelings of others, learn new social skills



and relational skills with family, and develop self-efficacy and thus a better assuredness about their abilities (http://www.a4pt.org/ps.playtherapy.cfm?ID=1653).

Filial Play Therapy Filial therapy is a therapeutic intervention model in which a trained play therapist teaches and supervises parents to use client-centered play therapy methods with their children (Bratton, Ray, Rhine, & Jones, 2005).

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a well-validated and established evidence-based and manualized psychosocial treatment approach designed to treat post-traumatic stress and related emotional behavioral problems in children and adolescents between ages 3 and 18 years (NREPP SAMHSA; NCTSN; Duke Evidence-Based Practice). It was originally designed to address trauma associated with sexual abuse, but it has been adapted for children who have experienced a wide range of traumatic experiences including physical abuse, domestic violence, community violence, the loss of a loved one, accidents, hurricanes, and terrorist attacks (Child Welfare Information Gateway, 2012; NCTSN). Parents, who are non- offending, are involved in treatment with the child. The treatment itself combines elements from cognitive therapy, behavioral therapy, and family therapy. TF-CBT is a short-term treatment typically provided in 12 to 18 sessions of 50 to 90 minutes (Child Welfare Information Gateway, 2012).

Child Parent Psychotherapy (CPP) Child Parent Psychotherapy (CPP) is an evidence-based model for children ages 0-5 who have experienced at least one traumatic event (e.g. maltreatment, the sudden or traumatic death of someone close, a serious accident, sexual abuse, exposure to domestic violence) and/or are experiencing mental health, attachment, and/or behavioral problems including posttraumatic stress disorder (PTSD) (Child-Parent Psychotherapy Overview). Therapeutic sessions include the child or parent or primary caregiver. The primary goal of CPP is to support and strengthen the relationship between a child and his/her caregiver as a vehicle for restoring the child’s sense of safety, attachment and appropriate affect and improving the child’s cognitive, behavioral, and social functioning. Treatment is generally conducted by a master’s or doctoral-level therapist or a supervised trainee with at least two years of clinical experience. At this time, CPP is the most highly regarded therapy model in the field of Infant Mental Health for addressing trauma, mother/child relationship issues and the effects of those issues on child development (CPP: Child-Parent Psychotherapy; Gerwin, 2013).

Cognitive-Behavioral Therapy (CBT) Cognitive-Behavioral Therapy (CBT) is a manualized treatment that focuses on helping clients with depression modify distorted patterns of negative thinking and make behavioral changes that enhance coping and reduce distress (Fitelson, Kim, Baker, & Light, 2011). Cognitively, it focuses on identifying and changing unrealistic, distorted thinking. Behaviorally, it focuses on developing skills such as the following: behavioral activation, scheduling of pleasant activities, problem solving, addressing depression-like interpersonal interaction styles, and developing social skills. It is skills-based, present-focused, goal-oriented, and time-limited, with treatment typically delivered over the course of 12 to 20 weeks (cebc4cw, 2014).

http://www.a4pt.org/ps.playtherapy.cfm?ID=1653



Interpersonal Psychotherapy (IPT) Interpersonal Psychotherapy (IPT) is an evidence-based, time-limited, and manualized therapy approach for treating mild to moderate depression and other behavioral health disorders. IPT consists of approximately 12 to 16 sessions that focus on the interpersonal changes and challenges that women experience during their lives (Grigoriadis & Ravitz, 2007). Goals of IPT include reducing depressive symptoms, improving relationships, and promoting better use of social supports (Grigoriadis & Ravitz, 2007). It has been adapted to address the relationship between a mother and her infant and a mother’s transition back to work (Fitelson, Kim, Baker, & Leight, 2011).

Reflective Practice and Supervision: The organizational culture of an agency to support reflective practice is critical. Agencies funded to provide mental health therapy for children birth through five years and their families must provide evidence that their entire organization operates within this culture of practice. Leading experts in the early childhood mental health field agree that reflective supervision is a critical part of providing effective services (Colorado Department of Human Services). Reflective supervision is a relationship-based supervisory approach that supports various models of relationship-based service delivery that can be done on an individual basis or in a group where the supervisor creates a safe and welcoming space for staff members to reflect on and learn from their work (Heffron & Murch, 2010).

Assessment: The Provider(s) will include the following assessments into their practices to guide treatment, evaluate progress, and report outcomes.

Child and Adolescent Needs and Strengths 0 to 5 (CANS) The CANS 0 to 5 is an evidence-based functional assessment measure designed to capture a wide range of information regarding a child to assist in planning evidence-based treatment. The measure serves as a guide for coordinating services among multiple professionals who work with a child. Clinicians use it as a tool to assist family members in understanding a child’s behavioral health care strengths, needs, and progress over time. Researchers use it as a tool for evaluating child progress in treatment, and funders are increasingly using data from the CANS as an outcome measure.

The measure evaluates a child’s functioning in the areas that are critical to include when assessing the social and emotional needs of infants, toddlers, and families. Information is collected in the following six categories of dimensions: Functioning (including sensory), Problems (including attachment, anxiety, regulatory problems, and adjustment to trauma), Risk Factors (including abuse/neglect), Care Intensity and Organizations, Family/Caregiver Needs and Strengths, and Strengths. This instrument will serve as a critical component for treatment planning, a method for quality assurance, and as outcome measure for determining child progress.

Depression, Anxiety, and Stress Scales (DASS-21) The DASS is a quantitative measure of distress along the three axes of depression, anxiety, and stress. The DASS-21 consists of three 7-item self-report scales taken from the full version of the DASS. The Scale contains 21 items and a scoring rubric for calculation of factor scores, with higher



scores indicating greater symptomology. For clinical purposes, the authors have developed cut-off scores for defining mild/moderate/severe/extremely severe scores for each DASS scale. The DASS-21 has been shown to possess adequate construct validity and high reliabilities. Practical advantages of the DASS-21 compared to the full version include shortness of length and greater acceptability for clients with limited concentration (Henry & Crawford, 2005).

Outcome Rating Scale (ORS) The ORS (Miller & Duncan, 2000) is a brief measure administered at the beginning of each therapy session to assess a client's therapeutic progress (through ratings of psychological functioning and distress) and the client's perceived benefit of treatment. In a 4-item self-report, the scale asks how the participant is doing individually (personal well-being), interpersonally (family, close relationships), socially (work, school, friendships), and overall (general sense of well-being).

Session Rating Scale (SRS) In order to assist therapists in evaluating their relationships with their clients, clients will complete the SRS Version 3.0 (Miller, Duncan, & Johnson, 2002), a clinical tool to measure the alliance between a client and a therapist. This tool is designed to encourage clients to share their thoughts about the therapeutic process so that the clinician may change to better fit client expectations. At the end of each session, clients rate four items that assess Relationship, Goals and Topics, Approach or Method, and Overall.

Funding for the Provision of Mental Health Services: Clients eligible to receive payment coverage through private insurance, Medicaid, or other independent sources of coverage must receive coverage through that payor. The Children’s Services Council (CSC) will provide payment for services to clients referred through a Healthy Beginnings Entry Agency or through Healthy Beginnings providers when another payor source is not available and participants are unable to self-pay. CSC agrees to pay for units of service (activity) at the applicable unit rate. The agency(ies) may bill CSC for a maximum of 26 CSC-funded sessions per client. The number of sessions will be based upon the treatment model and client progress. CSC will compensate up to 20% of a data entry/administrative support position, however no indirect costs will be associated with this contract.



Activity Code

Activity Description

Activity Definition Unit Rate Maximum Number of Units to be Purchased per Client

6001 Face to Face Individual – CSC Funded

Healthy Beginnings (HB) mental health services which are provided face to face that are CSC Funded. One hour equals one unit of service (session).

$84.00 per hour or $21.00 per fifteen minutes which represents a ¼ unit of service

26

6003 Bio-psychosocial Assessment – CSC Funded

The Bio-psychosocial administered at the initiation of services that are CSC Funded

$48.00 per Assessment

1

6005 Telephone Crisis Intervention – CSC Funded

HB services which are provided over the phone that are CSC Funded

$84.00 per hour or $21.00 per fifteen minutes which represents a ¼ unit of service

6 per every six months

6006 Treatment Plan – CSC Funded

A face-to-face activity associated with the development of a treatment plan, intervention plan, or other service delivery plan that are CSC Funded

$97.00 per Treatment Plan

1

6007 Treatment Plan Review – CSC Funded

A face-to-face activity associated with the review and update of a treatment plan, intervention plan, or other service delivery plan that are CSC Funded

$48.50 per Treatment Plan

1 per every six months

6008 Psychiatric Evaluation – CSC Funded

The Psychiatric Evaluation administered at the initiation of services that are CSC Funded

$210.00 per Psychiatric Evaluation

1

6009 Medication Management – CSC Funded

Following a Psychiatric Evaluation, a medication review/management visits

$60.00 per visit 6 per every six months



N/A Training Core Training Requirements only $50 per hour of training (excluding travel time and lunch time) or $12.50 per fifteen minutes of training (excluding travel time and lunch time)

N/A

N/A Reflective Supervision

Reflective Supervision takes place between the supervisor and the therapist and will be compensated jointly.

$60 for the Supervisor and $50 for the therapist

One group session and

one individual session with

each therapist monthly

Data Collection: Implementing agencies will be required to collect and enter ongoing data for all clients referred through the Healthy Beginnings System regardless of payor source. Data will be used for decision making and evaluating outcomes. Contracted provider(s) will enter specific data into the Healthy Beginnings Data System (HBDS), irrespective of any other data collection processes an agency uses. The Provider(s) is responsible for documenting in HBDS in a timely manner all activity codes, assessment scores, and other required information as stipulated in the contract or in the Healthy Beginnings System Manual located at: http://cdn.trustedpartner.com/docs/library/ChildrensServicesCouncilProviders2011/CSC_DOCS-%23146662-v1-Healthy_Beginnings_System_Manual_--_FINAL.pdf. Specific clients’ psychotherapy notes will NOT be documented in HBDS by the Provider(s). Training on HBDS will be provided to program staff.

Mental Health Therapy Service Provision Documentation: Chart Documentation Client records must include program consent(s), demographic information, referral source, presenting problem, financial eligibility, and individual with primary responsibility for treatment, screening and assessment information, service plan, progress notes, medication profile, release of confidential information, discharge reports, treatment plans, and outcome measures.

Screening, Intake, and Engagement Screening and intake procedures will be developed in accordance with the Healthy Beginnings (HB) System Manual and to facilitate a timely and smooth process to encourage client engagement in services. A primary therapist must be assigned to each client.

http://cdn.trustedpartner.com/docs/library/ChildrensServicesCouncilProviders2011/CSC_DOCS-%23146662-v1-Healthy_Beginnings_System_Manual_--_FINAL.pdf

http://cdn.trustedpartner.com/docs/library/ChildrensServicesCouncilProviders2011/CSC_DOCS-%23146662-v1-Healthy_Beginnings_System_Manual_--_FINAL.pdf



Assessment and Treatment Plan Development An assessment and treatment plan must be completed, and the actions specified in the plan must be initiated for each active client within 30 days after completion of intake. The assessment must, with input from the client, include information from a variety of sources about the client’s current and potential strengths and needs and other factors that may contribute to the course of treatment. Information should be gathered from a variety of sources, including the CANS and other relevant assessment tools. All of this information should be used to derive treatment plan goals and objectives.

Program Monitoring and Evaluation Participation in evaluation of funded programs is required by CSC. Evaluation is an important tool for learning how an agency or organization is performing and for developing ways to improve program services and outcomes. Evaluation does not only include rigorous, scientific evaluation of the program’s impact but also assessing in order to ensure quality and guide improvement. Implementing agencies will be assessed and monitored regularly during implementation for fidelity to the therapy model by Children’s Services Council staff. CSC uses the Comprehensive Program Performance Assessment (CPPA) to assess contract compliance and agency performance. The agency or organization selected for funding will be required to participate in both process and outcome evaluations. Current plans for mental health outcomes and outcome measures include the following:

1. Children are safe from abuse and neglect with no maltreatment findings during services or

during a 12-month follow-up. 2. Children will show progress in treatment as evidenced by improvement in scores on the Child

and Adolescent Needs and Strengths Tool, Birth – 5 (CANS 0-5). 3. Parents/Caregivers who complete mental health therapy will have a reduction in depression

and mental health symptoms from entry into the program to discharge of services as measured by the Depression scores and Total Scores, respectively on the Depression Anxiety Stress Scales (DASS-21).

4. Parents in dyads receiving Child-Parent Psychotherapy (CPP) will show improvement in their use of positive parenting practices and interaction styles as evidenced by improvement in scores on the Child and Adolescent Needs and Strengths Tool, Birth – 5 (CANS 0-5).

Additional measures may be required by CSC and/or selected measures may be changed.

4.1 STAFFING REQUIREMENTS

To effectively meet the needs of individual families and children while delivering the program, the proposer must describe the efforts they will take to hire:

1. Highly qualified staff (e.g., training, education, skills and experience acquired),

2. A staff that is diverse, culturally competent, multi-lingual and that reflects the community they will

be serving.



CSC will coordinate with the Provider(s) for staff training resource needs to ensure that clinical staff have the appropriate training in Infant Mental Health and reflective supervision. CSC will also partner with the provider to ensure that the agency has the capacity to provide the following evidence-based therapies with treatment fidelity: Play Therapy (child as client), Filial Therapy (child as client), TF-CBT (child as client), CBT (adult as client), and IPT (adult as client). Agencies will be responsible to select committed therapists who have a passion for connecting with their clients using the Touchpoints model and a reflective practice framework. Therapists must be open to continuous growth and learning as professionals. Hiring therapists who best fit this model of services is critical to the success of the agencies in achieving positive outcomes.

Position Title Minimum Qualifications

Mental Health Supervisor Master’s degree from an accredited college or university in mental health, social work or related social services field and be licensed (LMHC, LCSW or LMFT) in the State of Florida. Experience in Infant Mental Health preferred. Must have at least 5 years of experience providing clinical services to at-risk populations. Must be trained or willing to receive training in CPP.

Mental Health Therapist Master’s degree from an accredited college or university in mental health, social work or related social services field and be licensed (LMHC, LCSW or LMFT) or license eligible in the State of Florida.

SECTION 5: CSC REVIEW AND SELECTION PROCESS

5.1 MINIMUM ADMINISTRATIVE REQUIREMENTS

Proposer acknowledges and agrees to:

Individual mental health practitioners are not eligible to apply.

Have at least two (2) years’ experience within the last five (5) years in providing similar services as outlined in the Scope of Services within this RFP.

Have strong board oversight and proven fiscal capability.

Submit accurate and timely information, data and reports as required.

Be an approved Medicaid Provider.

Not-for-profit organizations will be required to obtain Certification from Nonprofits First. Proposers not currently certified must obtain certification within the timeframe set by CSC – currently, within 18 months of receipt of CSC funding.

Comply with CSC’s Nepotism Policy as outlined in the FORMS Section of this document.

5.2 EVALUATION OF QUALIFICATIONS

A Review Committee will convene, review, and discuss all proposals submitted.



The Review Committee will assign points throughout the evaluation process in accordance with the selection criteria outlined below.

The Review Committee reserves the right to interview any or all Proposers and/or require a formal presentation with key people who will administer the contract and who will be assigned to work on the contract. This interview is to be based upon the written proposal received from the Proposer.

The Review Committee will make a recommendation to the Council for approval and award of contract(s) to the successful Proposer(s).

5.3 SELECTION CRITERIA

A Review Committee will utilize the following evaluation criteria in selecting a Proposer to perform the services requested by the RFP.

Criteria Total Points

Proposer Agency Experience and Capacity 15 Proposer Agency Ability to Function as a System Partner 10 Capacity to Engage, Assess, and Triage Clients 20 Proposer Agency Ability to Deliver Evidence-Based Treatment Proposer Agency Staffing, Qualifications, and Supervision Evaluation and Accountability Funding

20 20 10 5

Total Possible Points 100 After completion of the scoring process based on the review criteria, CSC will determine which, if any, Proposers meet the minimum requirements deemed necessary by CSC for interviews. Assuming that such minimum requirements have been met, CSC will require face-to-face interviews from one or more proposers.

5.4 NOTICE OF SELECTED PROPOSER(S) FOR INTERVIEW(S)

CSC will post a list of selected proposer(s) for interview(s) after October 17, 2014 on the CSC website.

5.5 NOTICE OF SELECTED PROPOSER(S) FOR CONTRACT(S) DISCUSSIONS

CSC will email selected Proposer(s) for contract(s) discussion(s) after November 7, 2014. Proposers who were interviewed, but not selected for negotiations, will be notified by email.

THE CHILDREN’S SERVICES COUNCIL RESERVES THE RIGHT TO REJECT ANY AND ALL

PROPOSALS OR INFORMALLY NEGOTIATE CERTAIN PROVISIONS OF THE FINAL AGREEMENT WITH A QUALIFIED PROPOSER.



SECTION 6: RFP PROCESS All proposals are to be signed by an official/individual who is legally authorized to bind the Proposer to the proposed activity.

6.1 LIMITATIONS ON CONTACTING CSC PERSONNEL

This Request for Proposals is issued by the Children’s Services Council of Palm Beach County. The contact person listed below is the sole point of contact for this RFP:

Jennifer Hardy, Administrative Assistant III [email protected]

All contact shall be by email only and all replies will be posted and available to the public on CSC’s website at: www.cscpbc.org/openprop.

6.2 PROPOSER DISQUALIFICATION

Proposers are prohibited from contacting CSC personnel or board members regarding this solicitation other than the person identified above. Any occurrence of a violation may result in the disqualification of the Proposer.

Failure to have performed any contractual obligations with CSC in a manner satisfactory to CSC will be sufficient cause for disqualification. To be disqualified as a proposer under this provision, the Proposer must have:

Previously failed to satisfactorily perform in a contract with CSC, been notified by CSC of unsatisfactory performance, and failed to correct the unsatisfactory performance to the satisfaction of CSC; or

Had a contract terminated by CSC, by any other county or state agency, or by any Children’s Services Council for cause.

6.3 INQUIRIES

All inquiries requesting clarification regarding this RFP must be made in writing and emailed to the identified contact person by September 15, 2014. During the RFP period, the Proposer must not submit any forms of marketing or promotional materials that would raise the Proposer’s profile or give the Proposer an advantage or benefit not enjoyed by other prospective proposers. Answers to all inquiries that require clarification and/or addenda to the RFP will be made available no later than 5 PM, September 19, 2014, on CSC’s website.


http://www.cscpbc.org/openprop



6.4 ACCEPTANCE OF PROPOSALS

All responses must be received by CSC, via email, no later than September 29, 2014 by 2:00 PM. Sign, scan and attach all required document(s) in PDF format to email and send to:

[email protected]

Subject: RFP 14-010

No changes, modifications or additions to the responses submitted will be accepted by, or binding on CSC after the deadline for submissions has passed.

CSC reserves the right to reject any and all responses or to waive minor irregularities when doing so would be in the best interest of CSC. A minor irregularity is defined as a variation from the RFP terms and conditions that do not affect the price of the application, or do not give the Proposer an advantage or benefit not enjoyed by other prospective proposers, or do not adversely impact the interest of CSC.

6.5 FINAL STEPS

Be sure to follow the instructions in this RFP. Complete the checklist provided with this packet to ensure that you have completed and included all the required information. Make sure you obtain signatures, package and submit your proposal for receipt by the deadline.

6.6 IMPORTANT REMINDERS

All contact with CSC beginning with the effective date of publication of the RFP and ending on the date agreements are approved by the Council, shall be in writing only and submitted to the CSC Contact listed in this document.

Failure to respond to any item is considered a fatal flaw and will result in the disqualification of the Proposal for further consideration.

Proposals will be accepted until 2:00 PM on the deadline date. Any Proposal received after this time and date will not be considered and will be returned unopened to the Proposer.

ALL EMAIL COMMUNICATIONS ARE DATE AND TIME STAMPED BY CSC’S EMAIL SERVER. RESPONSES NOT RECEIVED AT THE SPECIFIED LOCATION AND BY THE

SPECIFIED DATE AND TIME WILL NOT BE ACCEPTED BY CSC.




6.7 FREQUENTLY ASKED QUESTIONS

Q: Do agencies need to re-apply each year for CSC funding? A: No. Contracts are renewable at CSC’s discretion based on the Provider’s performance and continued

certification by Nonprofits First, if applicable. Q: During the application process, if someone has a question, will that question be posted? A: Yes, all questions and answers will be posted on the CSC website up after the date specified in Section

1. Q: If someone submits their proposal and CSC recognizes that forms are missing; will CSC request the

agency submit the missing forms? A: Proposers have until the deadline date and time to submit any forms that they recognize have been

omitted. CSC will not accept any forms after the deadline. Q: Once an agency submits a proposal, does CSC ask for additional information or explanations? A: CSC may need to obtain clarification as part of the proposal review process.

6.8 REFERENCES

Proposers who are not currently funded by CSC may be asked to supply contact information, including email addresses and telephone numbers, for current and past funders. Reference checks may be conducted in an effort to assert that the Proposer has the capacity and consistency in meeting performance objectives, timely data submission, fiscal and administrative stability, and capacity for system work and teamwork. Submission of a reply to the RFP indicates the Proposer understands that funders may share information. Past funding relationships with CSC may be taken into consideration when reviewing this RFP.



SECTION 7: RFP SUBMISSION INSTRUCTIONS AND FORMS All responses must be submitted on the forms included in this package (forms available on the CSC website www.cscpbc.org/openprop). All responses are to be signed by an official who is legally authorized to bind the Proposer to the proposed activity.

IMPORTANT: All responses must be received via email no later than 2 PM per the deadline provided in the RFP. Proposers will receive an auto-generated confirmation email acknowledging receipt of the proposal. Do not respond to this email. This receipt does not verify that CSC has received a complete proposal – that will be determined after opening all proposals at the time set forth in this RFQ.

CSC is not responsible for the email reputation of the Proposer’s email account which may cause delays or undeliverable messages if your server has been blacklisted. To check your sender score, please utilize an email reputation service or use a service like http://www.senderbase.org/ to confirm that you have a good email reputation. CSC’s email server has the capacity to accept large files but in some cases the Proposer’s email server may delay sending email based on the size of attachments. Please ensure you allow ample time for transmission of files. CSC will not be responsible for emails received after the deadline. Proposals received after the deadline will not be considered.

Cover Page

Complete this entire document; sign, scan and include with response.

RFP Questions

This RFP seeks specific answers to direct questions. Simply answer the questions in as clear and direct a manner as possible.

Job Descriptions & Resumes Please provide the resume of the individual(s) who will be holding the Mental Health Supervisor position. Scan into PDF format and attach to email submission.

Proposal Certification

Please read and complete this form carefully. It must be signed by the agency’s Executive Director. The signature of the Executive Director represents authorization to bind the agency to the proposal. If the Executive Director is not authorized to bind the agency to the proposal, the Proposal Certification form is to be signed by the Board Chair or President. By submitting a proposal to this RFP, you are certifying acceptance of all terms and conditions.

CSC Nepotism Policy

All agencies wishing to receive funding from CSC must comply with the CSC Nepotism Policy. Sign, scan into PDF format and attach to email submission.


http://www.senderbase.org/



Compliance with 287.133 Florida Statutes

In accordance with §287.133, Florida Statutes, persons and affiliates who have been placed on the convicted vendor list may not submit responses, contract with, or perform work (as a contractor, supplier, subcontractor or consultant) with CSC in excess of the threshold amount provided in §287.017, Florida Statute, for Category Two for a period of thirty-six (36) months from the date of being placed on the convicted vendor list. Any response received from a person, entity or affiliate who has been placed on the convicted vendor list shall be rejected by CSC as unresponsive and shall not be further evaluated.

SECTION 8: LIST OF REQUIRED SUPPLEMENTAL MATERIALS In addition to the items listed under Section 7 above, the following items are required and should be included as (PDF format) attachments to the Proposer’s email submission:

Audit & Management Letter for the past 2 years (Not-for-Profit only)

As noted in the Proposal Certification form, CSC reserves the right to request and inspect additional records of the Proposer in effort to gain clarity or in support of the Proposer’s response to this RFP.

SECTION 9: MENTAL HEALTH THERAPY REFERENCES Bratton, S. C., Ray, D., Rhine, T., & Jones, L. (2005). The Efficacy of Play Therapy with Children: A Meta-

Analytic Review of Treatment Outcomes. Professional Psychology: Research and Practice, 36(4), 376.

Child-Parent Psychotherapy Overview. Retrieved 6/30/2014 from Child Trauma Research Program UCSF,

http://childtrauma.ucsf.edu/CPP%20Training%20Summary.pdf.

Child Welfare Information Gateway. (2012). Trauma-focused cognitive-behavioral therapy for children

affected by sexual abuse or trauma. Washington, DC: U.S. Department of Health and Human Services,

Children’s Bureau.

Colorado Department of Human Services (2012). Best Practices in Early Childhood Mental Health

Services: Creating Continuity in Early Childhood Mental Health Services between Medicaid and Other

Funding Sources. http://www.colorado.gov/cs/Satellite?c=Page&childpagename=CDHS-

BehavioralHealth%2FCBONLayout&cid=1251581866179&pagename=CBONWrapper

CPP: Child-Parent Psychotherapy. Treatment description retrieved on 10/23/2013 from The National

Child Traumatic Stress Network, http://www.nctsn.org/sites/default/files/assets/pdfs/cpp_general.pdf.

Fitelson, E., Kim, S., Baker, A. S., & Leight, K. (2011). Treatment of postpartum depression: clinical,

psychological and pharmacological options. International journal of women's health, 3, 1.Child Welfare

Information Gateway, 2012



Gerwin, C. (May 30, 2013). Listening to a Baby’s Brain: Changing the Pediatric Checkup to Reduce Toxic

Stress. Center on the Developing Child, Harvard University.

http://developingchild.harvard.edu/resources/stories_from_the_field/tackling_toxic_stress/listening_to

_a_baby_s_brain/

Grigoriadis, S., & Ravitz, P. (2007). An approach to interpersonal psychotherapy for postpartum

depression Focusing on interpersonal changes. Canadian Family Physician, 53(9), 1469-1475.cebc4cw,

2014

Heffron, M. C., & Murch, T. (2010). The Reflective Supervisor's as Team Leader and Group Supervisor.

Zero to Three (J), 31(2), 51-58.

Henry, J. D., & Crawford, J. R. (2005). The short‐form version of the Depression Anxiety Stress Scales

(DASS‐21): Construct validity and normative data in a large non‐clinical sample. British Journal of Clinical

Psychology, 44(2), 227-239.

Miller, S., & Duncan, B. (2000). Outcome Rating Scale (ORS).

Miller, S., Duncan, B., & Johnson, L. (2002). Session Rating Scale (SRS v.3.0).

Schultz, D., Reynolds, K., Sontag-Padilla, L., Lovejoy, S., Firth, R., & Pincus, H. A. (2013). Improving

Cross-System Care for Parental Depression and Early Childhood Developmental Delays.

TF-CBT: Trauma-Focused Cognitive Behavioral Therapy. Treatment description retrieved on 10/23/2013

from The National Child Traumatic Stress Network,

http://www.nctsn.org/sites/default/files/assets/pdfs/tfcbt_general.pdf.

Trauma-Focused Cognitive Behavioral Therapy. Intervention summary retrieved on 11/6/2013 from the

Substance Abuse and Mental Health Services Administration's National Registry of Evidence-based

Programs and Practices, http://www.nrepp.samhsa.gov/viewintervention.aspx?id=135NCTSN about TF-

CBT.

Trauma-Focused Cognitive Behavioral Therapy. Retrieved 11/6/2013 from the Duke Evidence-based

Practice Implementation Center Duke University School of Medicine,

http://epic.psychiatry.duke.edu/our-work/projects/trauma-focused-cognitive-behavioral-therapy.



RFP FORMS



COVER PAGE

APPLICANT AGENCY

Name of Agency:

Click here to enter text.

Name of Program:


Address: Click here to enter text.


Telephone: Click here to enter text. Email: Click here to enter text.

Contact Person Name:


Title: Click here to enter text.

Signature:

Date: Click here to enter text.

AGENCY TYPE

☐ Government

☐ Nonprofit (copy of IRS 501(c)(3), (4), (6), (7), or (10) Approved Certificate must be submitted with Proposal)

☐ For-Profit

NONPROFITS FIRST CERTIFICATION STATUS

☐ Agency is certified by Nonprofits First

☐ Agency is not certified (will be required to be certified within 18 months of award of contract)

☐ Application for Nonprofits First Certification is pending

☐ N/A (For-Profit or Governmental Proposer)

PROGRAM

Program Lead: Click here to enter text.

Name of Program: Click here to enter text.

Address: Click here to enter text.


Telephone: Click here to enter text. Email: Click here to enter text.



RFP QUESTIONS

Page Limit – 25 pages (single space and 11 font size)

1. Proposer Agency Experience and Capacity

a. Describe how your agency’s mission statement supports promoting socio-emotional well-

being and mental health for children and families, targeting the prenatal period through early

childhood years.

b. Describe how your agency has served expectant parents/caregivers and parents/caregivers

with children through the age of five in the past 5 years. Please include both therapy and

other prevention/intervention programs.

c. Describe how your agency has provided mental health therapy services to vulnerable, high-

risk, and potentially hard-to-reach children and families. Please address your agency’s

experience and capacity to serve families from diverse cultural and linguistic backgrounds.

d. Describe how your agency has provided home-based therapeutic services to any population.

Indicate programs, as applicable.

e. List specific areas of the county you propose to serve.

2. Proposer Agency Ability to Function as a System Partner

a. Describe in detail how your agency proposes to work with the Healthy Beginnings Entry

Agencies and other HB Providers to ensure a timely, smooth, warm transfer from referral to

services.

b. Describe your agency’s process for collaborating internally and with other agencies in clinical

work with children and families, especially pediatric primary care, early care and education,

and child welfare.

3. Proposer Agency Capacity to Engage, Assess, and Triage Clients

a. Describe the process your agency utilizes when receiving a mental health referral. Please

include associated key staff, timelines, and assessment protocols. Address any challenges

that can impact your process and the steps your agency will take to address these challenges.

b. How do you propose to promote the engagement of clients in therapy services? Please

address any challenges that can impact continued client engagement in therapy and the

steps your agency will take to address these challenges.

4. Proposer Agency Ability to Deliver Evidence-Based Treatment

a. Describe your experience replicating evidence-based therapy models.

b. How is fidelity to the therapy model ensured on an ongoing basis?

c. Describe your agency’s experience and capacity to implement the following:

1) Manualized Cognitive Behavioral Therapy for Maternal/Caregiver Depression

and/or Manualized Interpersonal Therapy for Maternal/Caregiver Depression

2) Play Therapy for Birth to Five

3) Filial Play Therapy for Birth to Five



4) Trauma-Focused Cognitive Behavioral Therapy for Preschoolers

5) Child-Parent Psychotherapy

6) Any other evidence-based therapy models.

d. Describe your agency’s philosophy regarding ongoing learning and evolving as research

identifies best practices.

5. Proposer Agency Staffing, Qualifications, and Supervision

a. Describe the composition of your current therapists who will be providing mental health

therapy. Please include information regarding: language, cultural diversity, level of education,

tenure with the agency and tenure in the field of work.

b. Describe how you will recruit qualified therapists. How will you ensure staff are diverse,

culturally competent, and multi-lingual and that reflect the communities that will be served

by the Mental Health Therapy program?

c. Please summarize training the therapists and supervisors have had in the following areas:

1) Cognitive Behavioral Therapy and/or Interpersonal Therapy for Depression

2) Play Therapy

3) Filial Therapy

4) Trauma-Focused Cognitive-Behavioral Therapy

5) Child-Parent Psychotherapy

d. What is the rate of staff turnover in your agency? How do you promote a positive staff

climate?

e. How will your agency demonstrate its ongoing commitment to reflective supervision?

6. Evaluation and Accountability

a. How does your agency currently evaluate client progress?

b. Describe how you use data to guide decisions in your agency’s daily operations.

7. Funding

a. What is the amount of funding you are requesting? Please describe in detail how you arrived at

this amount including the number of clients you intend to serve?

b. How many years have you provided mental health services?

c. In addition to Medicaid, how many payor sources do you contract with?

d. What is your fund balance or retained earnings balance as of your most recently ended fiscal

year?

e. What are your total revenues as of your most recent ended fiscal year?



PROPOSAL CERTIFICATION

In submitting this application to CSC

Click here to enter text. Agency Name

certifies that: 1. The agency board of directors has approved this application at a meeting on ____________.

(Date)

If approval is pending at the time of submission, please check here. ☐

2. All agency decisions regarding recruitment, hiring, promotions, release, and conditions of employment will be made without regard to consideration of race, creed, religion, gender, country of national origin, age, physical or mental handicap, marital status, sexual orientation or any other factor which cannot lawfully be used as a basis for an employment decision;

3. The agency agrees to negotiate, if deemed necessary, with CSC to refine service levels, procedures, outcomes, budget, and any other relevant matter for incorporation into a contract;

4. The applicant agency does not intend by this application to replace existing funding resources with CSC funds;

5. Nonprofit agencies must maintain 501c(3), (4), (6), (7) or (10) tax exemption status; 6. Nonprofit agencies must ensure the following documents are available and, upon request by CSC, will

be produced by the applicant agency within five (5) working days, but do not need to be submitted with this proposal:

A. Articles of Incorporation B. Certificates of insurance and bonding C. Licenses to operate Agency/Program

7. NO litigation is threatened or pending which could impair the applicant agency’s ability to fulfill the

provisions of this application; and 8. NO adverse action is pending or threatened by any regulatory, licensing, or oversight agency which

could impair the applicant agency’s ability to fulfill the provisions of this application.



If any of the above documents are not available or any of these statements cannot be made, please explain below: OFFICIALS AUTHORIZED TO SIGN AND BIND AGENCY TO APPLICATION: Authorized officials recognized by CSC are the Board Chair, President or Executive Director. Only the signature of Executive Director is needed if Executive Director has legal authority to bind the Proposal.

__________________________________________ Signature of Executive Director

Click here to enter text. Click here to enter text. __________________________________________ Date: _________________________ Print Name

__________________________________________ Signature of Chair or President

Click here to enter t ext. Click here to enter text. __________________________________________ Date: _________________________ Print Name



CSC NEPOTISM POLICY

“No individual shall be employed, serve as a member of the Board of Directors, or be hired as a consultant, vendor or contractor by any agency, with respect to any Children’s Services Council of Palm Beach County (CSC) funded program, which will (i) result in the existence of a subordinate-superior relationship between such individual and any family member of such individual through a direct line of authority or (ii) result in multiple family members serving as members of the Board of Directors. The Executive Director, or other person authorized to bind the organization, will present certification of compliance to CSC as part of all Requests for Proposals (www.cscpbc.org/openprop). Agency must continue to be in compliance throughout the course of the contract.” This Policy will be effective as of November 1, 2008 and will apply to: (i) all agencies funded for the first time by CSC after the effective date, and (ii) all agencies applying for a CSC ITN or RFP (i.e. agencies must be in compliance with this policy to apply) after the effective date. All other CSC-funded agencies will be controlled by CSC Council Policy 0001, last updated August 19, 2004. Note: this policy would not apply to governmental entities (which are governed by State law), for-profit entities, or Special Initiatives. For the purpose of the above outlined policy the following definition applies: Nepotism - The employment of family member(s) in direct line of authority; the utilization of family member(s) as consultants, vendors or contractors; and/or the involvement of multiple family member(s) as members of the Board of Directors. Family Member – An individual who is related to another as father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half-brother, half-sister, grandmother, grandfather, great grandparent, great grandchild, step grandparent, step great grandparent, step grandchild, step great grandchild, person who is engaged to be married to a person in a direct line of authority who otherwise holds himself or herself out as or is generally known as the person whom the employee, in a direct line of authority, intends to marry or with whom the person, in direct line of authority, intends to form a household, or any other person having the same legal residence as the person in direct line of authority.

CSC funding is contingent upon Agency being in full compliance with CSC Nepotism Policy.

is in compliance with CSC Nepotism Policy.

Executive Director Date




PROPOSAL CHECKLIST

The following checklist outlines all required documents AND supplemental materials to be submitted with your Proposal. The omission of any one of these documents constitutes a fatal omission and disqualifies your Proposal from further review and consideration.

PROPOSAL CHECKLIST

PROPOSAL DOCUMENTS INSTRUCTIONS

☐ Cover Page Complete, sign and attach to email submission

☐ Response to all RFP Questions All questions are answered and included

☐ Resumes Scan and attach to email submission

☐ Proposal Certification Complete, sign by authorized agency official, scan and attach to email submission

☐ CSC Nepotism Policy Complete, sign, scan and attach to email submission

SUPPLEMENTAL MATERIALS INSTRUCTIONS

☐ Copy of IRS 501(c)(3), (4), (6), (7), or (10) Exemption Letter (Not-for-Profit agencies only)

Scan and attach to email submission

☐ Audit & Management Letter for past 2 years; or letter authorizing Nonprofits First (if applicable) to release this information to CSC (Not-for-Profit agencies only)

Scan and attach to email submission

2013-2014 Request for Proposals Mental Health Therapy RFP...

Documents

Transcript of 2013-2014 Request for Proposals Mental Health Therapy RFP...