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Request for Proposals (RFP) Behavioral Health Initiative Release Date July 30, 2018 This RFP is extended to community organizations from Cottage Health. This document provides detailed information about the grants program (i.e., focus area, purpose, goals, outcomes and strategies of interest), funding guidelines, selection criteria, application instructions, and deadlines for this grant opportunity.

Request for Proposals SECTION I: DESCRIPTION OF GRANTS PROGRAM Introduction The mission of Cottage Health is to provide superior health care for and improve the health of our communities through a commitment to our core values of excellence, integrity, and compassion. The Community Partnership Grants program is one way Cottage Health strives to achieve this mission and invest in the community. This grants program is committed to funding efforts that will address community needs with evidence-based interventions. For more than 20 years, Cottage Health has been providing grants totaling more than $10 million in funding to improve the health of our community. Since 2013 Cottage Health s grants program was focused on access to care, funding grantees to address a variety of outcomes within this focus area. The 2017-2018 Community Partnership Grants marked a shift in this grants program toward an initiative-based approach. This shift is intended to lead toward collective impact by inspiring a spirit of deep collaboration among community organizations and creating alignment of efforts to address shared goals and outcomes. Behavioral Health Initiative Behavioral health was selected as the focus area for the 2017-2018 Community Partnership Grants program and will continue to be the focus for the 2019 grant cycle. We use behavioral health to refer to the broad range of mental health and substance use needs. The term includes mental health needs, such as depression and anxiety, and substance use needs, such as with alcohol or drugs. It was identified as a top five priority area in Cottage Health s 2016 Community Health Needs Assessment and Listening Tour. Additionally, results from an environmental scan of Santa Barbara County s health and health-related nonprofits revealed opportunities to support organizations in increasing access and addressing barriers to utilizing behavioral health services, which include mental health and substance use. Cottage Health defines policy and systems change as significantly altering existing or enacting new rules, procedures, guidelines, laws, codes, or other governing conditions (internal or external) that impact behavioral health services in Santa Barbara County. Purpose The grants program in 2019 will have two purposes: 1. To support the expansion and/or enhancement of existing behavioral health programs/services in one of two ways: 1) Through the integration of these programs/services into new areas/settings (e.g., schools, primary care, community settings, etc.). For example, a school could apply to enhance behavioral health services or resources provided to students by partnering with a behavioral health organization that has an existing program. 2) Through the use of innovation to improve services offered. For example, a behavioral health organization could develop a new method of providing their services or curriculum via telehealth, an app, or other method. 2. Investigating policy and system changes (internal or external) that will support the expansion and/ or enhancement of behavioral health efforts. For example, a clinic could partner with other organizations to develop new policies or procedures that address barriers to residents receiving behavioral health services.

Funding Amount and Duration The maximum award amount that applicants may request is $100,000. Funds should be aligned with proposed strategies outlined in the application. The Community Health Coordinating Committee (CHCC), an interdisciplinary group of Cottage Health staff, will review applications and may allocate grant dollars at its discretion. Indirect costs are allowed, but must not exceed 10% of the project budget. Additionally, up to 20% of the grant may be spent on capital projects that support the purchase of equipment or creating new spaces for behavioral health services. The grant period is 12 months, beginning January 1, 2019 and ending December 31, 2019. Goals, Outcomes, Target Population, and Strategies A. Goals: 1. To ensure individuals and their families struggling with behavioral health needs have improved behavioral health outcomes and improved quality of life in south and mid-santa Barbara County. 2. To gain a broad understanding of the types of behavioral health programs/services in our community including prevention and intervention for youth and adults. B. Outcomes To achieve the aforementioned goals, the initiative is working toward the following outcomes: 1. Increased access to and utilization of evidence-based behavioral health services and resources. 2. Improved knowledge and awareness of behavioral health services and resources. 3. Reduced stigma around behavioral health issues. 4. Improved policies and systems to support and sustain increased access to behavioral health services and resources. C. Target Population Intervention strategies can target: 1. Within south and mid-santa Barbara County, individuals (all ages), and their families, who need assistance with mental health and/or substance use issues. 2. The broader community within south and mid-santa Barbara County for prevention purposes. D. Intervention Strategies Strategies must be: 1. Evidence-based 2. Sustainable after the grant period 3. An incorporation of policy and systems change efforts; and 4. An improvement of an existing integrated program/service that has shown promising results or is based on promising practices; or 5. An integration of a behavioral health program/service into a new setting (e.g., clinic, school, community center, etc.) E. Demonstrated Impact As a result of the strategies implemented, grantees will be expected to demonstrate impact on the following areas: 1. Impact on individuals served, for example: # individuals served # services provided type of services provided knowledge/awareness of services provided indicators of reduced stigma, depending on your population # individuals connected to other services (e.g., housing, job training, etc.)

2. Impact on lead and partner organizations, for example: Expanded reach of programs (e.g., increased # served or different population served) Increased organizational capacity (e.g., workforce, resources, etc.) Increased sustainability of services (e.g., increased institutionalization of services, ongoing funding source secured, reimbursement model in place, level of confidence that services will be sustained, contract or MOUs in place, etc.) Demonstrated progress toward policy and system changes Evaluation and Technical Assistance As a part of this grants program, Cottage Health is pleased to provide support to grantees with evaluating their programs/services through offering workshops (no more than four), peer learning opportunities and one-on-one technical assistance. Specifics around the frequency and content of these support activities will be determined during the grant period and customized to meet the needs of grantees during the grant cycle. Evaluation consultants will provide guidance to grantees in implementing their evaluation plan that can capture process milestones as well as the impacts of strategies implemented. Grantees will be responsible for data collection. SECTION II: GENERAL GUIDELINES Application Process Please download the required application form at www.cottagehealth.org/populationhealth. Prospective applicants may also attend the Community Partnership Grant workshop on August 9, 2018 for more information and support in the grant application process. Finalists will be invited to provide a brief presentation and site visit. Additional evaluation technical assistance will be provided upon request by Population Health staff from August 9-September 4, 2018. Applications are due September 7, 2018. For any questions about the RFP and application, or to request evaluation technical assistance, please contact Ama Atiedu (aatiedu@sbch.org). Timeline: Application Workshop August 9, 2018 Evaluation Technical Assistance Available August 9 September 4, 2018 Applications Due September 7, 2018 Site Visits & Presentations from Finalists October 15 26, 2018 Grantees Notified December 2018 Grants Begin January 1, 2019 Grant Cycle January 1 December 31, 2019 Eligibility Funds can be awarded to community organizations within Santa Barbara County that have an existing behavioral health program. This includes: Nonprofit organizations, universities, hospitals, and government agencies Organizations that are not a 501(c)(3) entity can apply through partnership with a tax-exempt organization acting as the fiscal sponsor

Selection Criteria An ideal project for funding would be one that: Utilizes evidence-based or best practice models and/or program strategies Demonstrates evidence of capacity to evaluate outcomes of the proposed program Demonstrates policy and system change efforts Demonstrates collaboration among two or more organizations representing different sectors Demonstrates the potential for proposed program sustainability after the grant Grant Requirements Grantees that are approved for funding are required to: Submit a Memorandum of Understanding (MOU) with any partners identified in the grant with your application. Participate in monthly initiative-wide technical assistance and evaluation activities throughout the grant period that are tailored to the needs of the grantees. These will include workshops and one-on-one technical assistance (upon request). Submit six-month progress and expenditure reports on July 31, 2019. A final report will also be required a month after the conclusion of the grant (January 31, 2020). Participate in one site visit by Cottage Health as requested. Request for Proposals