Welcome to the Respite Partnership Collaborative Proposers Conference May 29, 2013 1
Proposers Conference Agenda RPC Overview The Funding Opportunity Competitive Criteria How to Apply Questions and Answers 2
Sierra Health Foundation: Center for Health Program Management A nonprofit public corporation promoting improved health and wellness in California 3
The goal of the RPC is to increase local mental health respite service options to offer alternatives to psychiatric hospitalization for community members experiencing a crisis in Sacramento County. 4
Overview The RPC is funded through the Sacramento County Mental Health Services Act (MHSA) Innovation component. The 2010 Innovation Workgroup proposed that funding be used to develop respite programs throughout Sacramento County and be located in neighborhoods or home-like settings. 5
Respite Partnership Collaborative Done Through Partnership of Sacramento County Division of Behavioral Health Services Sierra Health Foundation: Center for Health Program Management is the administrative entity Respite Partnership Collaborative 6
Overview The RPC, comprised of 22 diverse community stakeholders, works collaboratively to: Make recommendations about RPC membership and governance structure Participate in monthly RPC meetings and ongoing standing committee meetings, attend quarterly RPC events and represent the RPC at community stakeholder meetings Define and recommend funding for new and existing respite services using innovative approaches as outlined in the Sacramento County MHSA Innovation Plan Participate in the respite program selection process Participate in RPC project evaluation 7
What We Will Fund Projects that offer respite as an alternative to psychiatric hospitalizations for Sacramento County community members experiencing a mental health crisis 8
The RPC utilizes the Innovation Workgroup s definition of mental health crisis: Mental Health Crisis is as a crucial stage or turning point in a person s life. It is an individual experience that can be defined by personal and cultural perceptions. A crisis can refer to any situation in which an individual (adult or child) experiences a loss of her/his ability to use, find or access effective problem solving, coping or internal and external resources. 9
Respite care is not just desirable, respite care is necessary for those of us living with mental illness or caring for persons with mental illness so we can receive the support and appropriate care we need to maintain our wellness. - Leslie Napper, RPC Member 10
Types of Projects: The What Mental health respite services Projects that provide respite services to one or more of the five target populations as identified in the Sacramento County MHSA Innovation Plan Services located in Sacramento County and serving Sacramento County residents 11
Types of Projects: The What Five Target Populations: refers to the five target populations identified in the respite Sacramento County MHSA Innovation Plan that are to be provided RPC-funded services. 1. Children with complex mental health needs who are in crisisparents need a break 2. Specialized, cultural or ethnic populations 3. Teens or transitional age youth (TAY) 4. Adults or older adults in crisis 5. Adults in crisis who have dependent children 12
Types of Projects: The What Planned Respite: refers to a preventive respite that serves to reduce the risk for mental health crisis through scheduled events or programming by providing limited time outs from the triggers that lead to may lead to a mental health crisis. Crisis Respite: refers to safe and holistic environment where undergoing a mental health crisis can stabilize with professional support and may also include peer support. Peer-Run Respite: refers to a safe respite environment facilitated and coordinated by mental health consumers as peers. In this setting, individuals learn to manage crisis in a warm, welcoming, home-like environment that is facilitated by one s peers. 13
Types of Projects Encouraged: The What A range of small to medium to large projects in community settings Collaboration within projects that demonstrate partnerships that lead to referrals and linkages to ensure the delivery of an array of services for individuals and their families/caregivers in need Projects that address co-occurring disorders in the program design 14
Types of Projects Encouraged: The What Projects that demonstrate cultural competency, sensitivity and knowledge about cultural issues impacting the Sacramento community Projects that integrate a peer component of persons with lived mental health experience in the planning and/or facilitation of mental health respite services 15
The Funding Opportunity The RPC will release up to three funding rounds through 2015. This is the second of the three funding rounds to support the provision of mental health respite services. A total of $1,000,000 is available for planned and crisis mental health respite services in the Round 2 RFP. 16
The Funding Opportunity (continued) Year 1 funding awards range from a minimum of $15,000 to a maximum of $300,000. Projects can be for new or an expansion of an existing mental health respite service. 17
The Funding Opportunity (continued) The number of grant awards will be dependent on the award size of those selected and the quality of the proposals submitted. Awards are for one-year of funding, renewable for up to one additional year of funding. 18
The Funding Opportunity (continued) The second year of funding is contingent on successful completion of year-one deliverables and available resources. 19
Competitive Criteria 20
Eligibility 501(c)(3) nonprofit agencies and 509 (a)(2) or 509 (a)(1) organizations Public agencies Groups that are not nonprofits may partner with a nonprofit organization as defined above. The nonprofit organization must be the applicant and submit all the application with attachments. Services provided within Sacramento County. Proposer organizations/proposed projects must serve Sacramento County residents who qualify as one or more of the target populations as identified in the Sacramento County MHSA Innovation Plan. 21
Selection Criteria Competitive proposals will: Organizational Capacity Demonstrate an organizational commitment to mental health respite, trauma-informed care and wellness and recovery principles Clearly explain why the proposed organization has the capacity to be successful in implementing the proposed project Include a reasonable project scope of work that identifies mental health respite activities that create alternatives to hospitalization 22
Selection Criteria (continued) Competitive proposals will: Organizational Capacity Include a reasonable project budget that supports the activities identified in the scope of work Demonstrate an organizational capacity to track progress toward performance measures and have the ability to participate in RPC evaluation activities Leverage resources, if applicable, for the sustainability of funded services 23
Selection Criteria (continued) Competitive proposals will: Mental Health Respite Approach Provide mental health respite services that address mental health crisis with the aim to reduce psychiatric hospitalization for one or more of the five target populations identified in the Sacramento County MHSA Innovation Plan. Refer to the definition of Target Populations in the Key Definitions section of this document and/or the Sacramento County MHSA Innovation Plan located at www.sierrahealth.org/rpc Demonstrate approaches to preventing and/or alleviating mental health crisis 24
Selection Criteria (continued) Competitive proposals will: Mental Health Respite Approach Demonstrate the use of promising practices in the mental health respite program design Articulate the ability to integrate a peer component of persons with lived mental health experience in the planning and/or facilitation of mental health services Address co-occurring disorders (mental health, substance abuse and primary care) in the program design with a focus on the mental health issues 25
Selection Criteria (continued) Competitive proposals will: Collaboration Demonstrate experience working effectively in collaborative partnerships Demonstrate ability to make effective mental health, substance abuse and primary care referrals and linkages with community partners 26
How to Apply 27
Respite Services Application Form 28
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Proposal Narrative Writing Tips Answer all questions clearly and concisely. Cleary explain your proposed project. Provide concrete information on project design, timeframe, duration of the service, the intake and referral process, etc. Information provided in the Proposal Narrative should support the Selection Criteria Responses in the Proposal Narrative should be consistent with the Scope of Work, Preliminary Performance Measure Target table, Budget and Budget Narrative Refer to the Sacramento County MHSA Innovation Plan Attachment A as a resource available at http://www.sierrahealth.org/rpc 31
Proposal Questions for A. Organizational Capacity (two pages) 1. Provide a brief overview of your organization: a) when it was established, b) your organization s mission, c) whom you serve, and d) the types of relevant programs you provide. 2. Why is your organization interested in providing mental health respite services? Why do you think your organization is suited to implement a mental health respite project? 32
Proposal Questions for A. Organizational Capacity (continued) 3. What is your organization s understanding of mental health crisis and ability to address mental health crisis? 4. Describe your organizational capacity to track performance measures and participate in evaluation activities. 33
Proposal Questions for B. Project Design and Rationale (five pages) Project Design 1. Provide a general overview of the mental health respite service you propose to provide. Explain in your overview if the proposed respite service is a new service or an expansion of an existing mental health respite service. If the proposed service is an expansion, identify in what ways this funding will expand upon the existing service. 2. Describe your respite approach. Describe your experience and rationale for proposing this approach to respite, such as any promising practices researched for the proposed respite program model. Refer to the Sacramento County MHSA Innovation Plan Attachment A, page 3 for reference to examples of types of respite. 34
Proposal Questions for B. Project Design and Rationale (continued) Project Design 3. Provide a description of the mental health respite service by describing the project components. Your description of the project components must include but does not need to be limited to respite service eligibility, duration of the respite service, referral process, intake process, project location, transportation accessibility, staffing structure, respite approach or approaches and referrals, and, if applicable, triage component, collaboration involvement, contractor(s) role, support services for families and/or caregivers and a peer component. Refer to the Sacramento County MHSA Innovation Plan Attachment A, page 3 for reference. 35
Proposal Questions for B. Project Design and Rationale (continued) Project Design 4. Describe your organizational understanding of trauma-informed care and wellness and recovery principles. How would your organization incorporate these approaches into your delivery of respite? 36
Proposal Questions for B. Project Design and Rationale (continued - five pages) Staffing 5. What staffing team is needed to make this project successful? Identify the current staff, their experiences and their direct responsibilities for this project. 6. Identify if there will be a need to hire new staff specifically for this project. What project activities will new staff be responsible for? What new skill sets are needed to achieve these staffing responsibilities? 37
Proposal Questions for B. Project Design and Rationale (continued) Staffing 7. Will a peer component be included in this project? If so, provide a description of how the peer component will inform the planning and/or facilitation of mental health respite services. Describe how people with lived mental health experience will be engaged in staff and/or volunteer roles. 38
Proposal Questions for C. Populations to be Served (three pages) 1. Describe the population(s) to be served through the proposed respite service. Provide a clear picture of their circumstances by describing their ages, genders, ethnicities, neighborhood(s) and situations specific to this population. Refer to the Sacramento County MHSA Innovation Plan Attachment A, page 1 for reference to target populations. 2. Why has your organization identified this population to receive respite services? Explain why respite services are critical to addressing mental health crisis for this population. Identify your community outreach strategy to promote respite services with this specific population. 39
Proposal Questions for C. Populations to be Served (continued) 3. Describe your organizational history in providing services to this specific population. Describe your past successes in outreaching to this population. 4. Define how many total unduplicated clients you project to serve in year one of your project. Please articulate how you developed this projection for year one. 5. If the proposed service will be an expansion of an existing respite project, please describe how you propose to outreach to and serve new clients through this higher level of service. 40
Proposal Questions for C. Populations to be Served (continued) 6. If appropriate, will there be any alternative healing approaches or culturally specific practices integrated into program delivery? Describe your organization s experience and successes in implementing these identified approaches or practices. 41
Proposal Questions for D. Risk Assessment, Triage and Linkage (one page) 1. Describe how your project will specifically identify substance abuse and primary care issues and triage to available services as needed. 2. What kind of crisis do you anticipate could occur in your setting? What plans will you have in place to manage such a crisis situation that could occur in your setting? 42
Proposal Questions for E. Collaborations and Linkages (two pages) 1. If collaborative relationships are a part of your project, describe what collaborative relationships you have in place or will develop to ensure successful outcomes for users of respite services. Refer to the Innovation Plan Attachment A, page 3. 2. If collaborative relationships are a part of your project, describe who the identified partners are for this project. Have relationships already been established? How long have relationships been in place? What skills, resources, etc. do the partners bring to the project? 43
Proposal Questions for E. Collaborations and Linkages (continued) 3. If collaborative relationships are a part of your project, describe the activities within the respite service delivery that each partner will be responsible for. Provide a detailed description of the roles and responsibilities of the collaborative partners. 4. If collaborative relationships are not necessary for your project, please explain. 44
Proposal Questions for F. Leveraging and Sustainability (one page) 1. What resources are you able to leverage to strengthen the program? Will you have the ability to leverage any state or federal funding? Please describe. 2. If funded, how might this program be sustained beyond the RPC funding term? 45
Proposed Project Budget 46
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Proposed Project Budget Year 1 Funding Period: October 2013- September 2014 Year 2 Funding Period: October 2014- September 2015 Identify the project period List each budget line item Submit a two-year budget Second year of funding is contingent on successful completion of year-one deliverables and available resources. 48
Proposed Project Budget (continued) The budget should support project activities described in the Proposal Narrative and the Scope of Work Identify the responsible staff, collaborators and contractors Identify other funding if applicable 49
Proposed Project Budget Narrative Describe the purpose of each line item Describe the roles and responsibilities of identified staff, collaborators and contractors 50
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Performance Measures Requirement: Provide a preliminary list of potential performance measures Where: In the Scope of Work section in the application form 52
Scope of Work Year 1 Funding Period: October 2013- September 2014 Year 2 Funding Period: October 2014- September 2015 Identify the project period Identify the activities, timeframe and the lead partner agency who will carry out each step to implement the proposed service during the project period. The identified activities should support the information provided in the Proposal Narrative, the Budget and the Budget Narrative. 53
Scope of Work (continued) Activities/Milestones: What steps are needed to implement the proposed services? Timeframe: During what months of the Year 1 and Year 2 24-month project period will the steps be implemented? Responsible Partner: Identify the lead partner agency responsible for each activity. 54
Preliminary Performance Measure Targets Identify Year 1 and Year 2 Performance Measure targets Identify the required RPC Performance Measures targets as provided In addition, you may develop unique performance targets specific to the proposed respite service delivery model 55
Preliminary Performance Measure Targets (cont d) Output measure = quantify the activities Examples 2 planned partnerships in place within six months 18 referrals made to partners 56
Evaluation Awardees will be required to cooperate with the Center s evaluation director and the selected external evaluator. 57
Follow Proposal Instructions Submit all Required Materials 58
Checklist Review Proposal Instructions and Criteria Completed Respite Services Application Form (use the Microsoft Word form), which includes: Application Cover Sheet form Proposal Narrative Proposed Year 1 Project Budget and Budget Narrative Proposed Year 2 Project Budget and Budget Narrative Scope of Work Preliminary Performance Measure Targets table 501(c)(3) determination letter (if a public agency, please note in the space provided on the application cover sheet form) PDF format Most recent statement of financial activity that shows revenue and expenses for a full fiscal year PDF or Excel format (not the entire IRS Form 990) Email required documents by the deadline: noon on Monday, June 24, 2013 59
Respite Services Round 2 Funding Timeline May 2013: June 24, 2013: September 2013: Late September 2013: Round 2 Funding Announced Proposals Due Awards Announced Contracts Executed 60
Questions? 61
Contacts and Resources E-mail questions to: rpc@sierrahealth.org Sierra Health Foundation: www.sierrahealth.org\rpc 62
Thank you! 63