REQUEST FOR PROPOSALS FOR DIALECTICAL BEHAVIORAL THERAPY (DBT) TRAINING AND CLINICAL SUPERVISION CONSULTANT SERVICES PHMC RFP #: IHW-2012-001 RELEASE DATE: MARCH 27, 2012 PROPOSAL DEADLINE: MONDAY, APRIL 17, 2012
PHMC RFP #: IHW-2012-001 Page 1 REQUEST FOR PROPOSALS FOR DIALECTICAL BEHAVIORAL THERAPY (DBT) TRAINING AND CLINICAL SUPERVISION CONSULTANT SERVICES PHMC RFP #: IHW-2012-001 RELEASE DATE: MARCH 27, 2012 PROPOSAL DEADLINE: MONDAY, APRIL 17, 2012 Through this Request for Proposals (RFP), Public Health Management Corporation (PHMC) is inviting bids for consultant services to provide training and clinical supervision in Dialectical Behavioral Therapy (DBT) at PHMC s Interim House West (IHW) site for a two-year period. A. Background: Public Health Management Corporation (PHMC) is a non-profit public health institute that builds healthier communities through partnerships with government, foundations, businesses and community-based organizations. PHMC s mission is to improve the health of the community by providing outreach, health promotion, education, research, planning, technical assistance, and direct services. PHMC s Interim House West (IHW) is a residential treatment program for women with substance abuse and mental health disorders and their children. Interim House West serves up to 22 pregnant and parenting women, and up to 45 children under the age of 12. Participants are offered a range of comprehensive services. Services for children include an on-site clinical pre-school and after-school program. Through this Request for Proposals (RFP), PHMC is inviting bids for consultant services to provide training and clinical supervision in Dialectical Behavioral Therapy (DBT) at Interim House West, under the auspices of a two-year grant. Dialectical Behavioral Therapy (DBT), developed by Marsha Linehan, Ph.D. of Behavioral Tech, LLC, is one of the few evidence-based treatment practices with demonstrated effectiveness for the treatment of individuals with Borderline Personality Disorders (BPDs) and/or histories of self-harming behaviors. IHW s goal in training its clinical staff in DBT techniques is to be able to institutionalize an evidence-based clinical tool that will help IHW clients to better understand, regulate and settle their emotions, develop better interpersonal skills and tolerate negative feelings and offer a critical tool in addressing BPD symptoms that contribute to women abusing substances and engaging in criminal activity. B. About Interim House West and the Population Served Interim House West is a long-term residential substance abuse treatment program for 22 women at a time and up to three of their children (under age 12). IHW serves approximately 86 women per year. Located in the Parkside neighborhood of West Philadelphia, IHW serves families from all areas of Philadelphia, as well as surrounding counties, nearly 100% of IHW clients are low-income Medicaid recipients, and approximately 80% are homeless at intake. Almost 60% of IHW s clients are younger than 30 years old. Three-quarters of adult residents are African American, 13% are White and 13% are Hispanic. In calendar year 2010, 44% of adult residents were pregnant at admission. Most clients have four or more children, although only children up to age 12
PHMC RFP #: IHW-2012-001 Page 2 may live with in residence at IHW, and each woman may have a maximum of three children living with them at IHW while they are in treatment. In recent years, close to 60% of women are admitted with polysubstance abuse or dependence. The most commonly used drugs among IHW s residents are PCP, cocaine, prescription drugs and marijuana. The vast majority of IHW clients present with co-occurring mental illness, including depression, post traumatic stress disorder, anxiety disorders, borderline personality disorder, and bi-polar disorders. Approximately 70% are formally diagnosed with Borderline Personality Disorder (BPD) over the course of their treatment at IHW. Many more meet the criteria for BPD, even though they have not been in treatment long enough to receive a formal diagnosis. Typical clients are young and have difficulty managing emotions. They can be violent when they feel frightened or threatened. For most this is their first attempt at recovery following a long addiction. Many enter IHW because they are fearful that they may lose custody of their children. Simply put, Interim House West serves some of the most vulnerable women in the region. C. Scope of Work for this RFP: Under the auspices of this RFP, PHMC will award one contract for consultant services to provide training and clinical supervision in Dialectical Behavioral Therapy (DBT) to the clinical staff at Interim House West. IHW s DBT training and implementation project has the following clinical and organizational goals: I. Decrease substance abuse among pregnant and parenting women a. Improve retention rates for residential substance abuse program b. Ensure that at least 80% of clients complete a bi-weekly DBT course group c. Reinforce clients use of DBT exercises and techniques designed to decrease impulsive behaviors that lead to substance use II. Improve psycho-social outcomes among pregnant and parenting women a. Decrease prevalence of depressive symptoms b. Decrease self-injurious behaviors c. Decrease impulsivity d. Improve social and interpersonal functioning III. Enhance quality of clinical services at IHW a. Increase staff knowledge of and ability to implement DBT practices and techniques b. Implement on-going bi-weekly DBT skills groups for clients c. Integrate DBT practices and principles into IHW institutional culture d. Improve staff morale The DBT training and clinical supervision consultant will be expected to perform the following scope of work: 1. Develop a curriculum, create materials and facilitate an initial training retreat to train IHW s 13 to 15 clinicians and therapists in Dialectical Behavioral Therapy. The initial retreat is anticipated to encompass three half-day sessions. Consultant will be expected to utilize DBT training materials (implementation manuals and DVDs such as Skills Training Manual for Treating Borderline Personality Disorder ) from Behavioral Tech, LLC, the developers of DBT (Marsha Linehan, et al). If applicant proposes other training texts or manuals, these alternate texts should be clearly identified and referenced in the proposal response, as well as the rationale for using materials other than those specified in this RFP.
PHMC RFP #: IHW-2012-001 Page 3 2. Provide weekly on-site clinical supervision to 4 to 6 therapists and on-going training on DBT over a two-year period. Weekly supervision is anticipated to be four hours per week and should include: a) On-going individual and group supervision of clinical staff to ensure that DBT is integrated into the institutional culture and to ensure fidelity to the DBT model; b) Observation of DBT clinical groups run by IHW therapists with clients, to provide feedback to therapists on implementation of DBT techniques and to ensure fidelity to the DBT model; c) Review and feedback on therapist clinical notes and documentation; d) In-service training for all direct service (non-clinical) staff at IHW on how direct service staff can reinforce the principles of DBT throughout program operations. 3. Coordinate with IHW Program Director, IHW Clinical Director, and Psychiatrist on implementation of DBT model techniques. 4. Coordinate with project evaluator concerning outcomes and tracking of necessary data for outcome measures to assess impact of DBT on IHW clients and IHW staff. The chosen consultant will be expected to work with a flexible schedule (primarily daytime hours, but including some evening hours) to train and provide regular clinical supervision to IHW s staff over the two year project period. PHMC will contract with a DBT training and clinical supervision consultant on a cost reimbursement basis, based on hourly rate(s) for actual time worked, up to a maximum contract amount. Bidders are expected to provide with their proposal a budget with an hourly rate (or rates), which will be subject to negotiation with PHMC if the proposal is chosen. D. Qualifications: PHMC is seeking a DBT training and clinical supervision consultant with the following minimum qualifications: 1) A psychologist (Ph.D. preferred) licensed to practice in Pennsylvania; 2) Clinical experience in use of Dialectical Behavioral Therapy (DBT) as a treatment modality; 3) Experience in training and supervising professional and paraprofessional staff in DBT treatment practices and principles; 4) Clinical experience working with the unique population served by IHW (pregnant and parenting women with mental health diagnoses receiving residential substance abuse treatment) and/or demonstrated understanding of the clinical issues faced by IHW s population. E. Review Criteria PHMC will evaluate proposals based on criteria including, but not limited to cost, proposed timetable/workplan, bidder s overall experience, and bidder s experience working with IHW s clinical population. The contract will not necessarily be awarded solely the basis of the most economically advantageous proposal. PHMC reserves the right to reject any proposal.
PHMC RFP #: IHW-2012-001 Page 4 The lowest cost/priced proposal will not necessarily be accepted and PHMC is not legally obliged to accept the lowest or any proposal. PHMC reserves the right to reject in whole or in part, any or all proposals received. A single contract will be awarded to an individual or agency. If more than one individual or agency is to be part of a given proposal, only one proposal should be submitted, with the lead individual/agency clearly identified, and all subcontractor individuals or agencies clearly identified. Bidders are expected to provide with their proposal a budget with an hourly rate (or rates), which will be subject to negotiation with PHMC if the proposal is chosen. F. Proposal Deadline: One signed original plus four (4) copies (five copies total) of each complete proposal, clearly marked Proposal for Interim House West DBT Consultant, must be received not later than 5:00 pm on Monday, April 17, 2012. The completed proposal packet shall be enclosed in a sealed envelope, with return address clearly marked on the envelope. Proposals should be addressed to: Jay Wussow Director of Operations Behavioral Health Services Public Health Management Corporation (PHMC) 260 South Broad Street, 18 th Floor Philadelphia, PA 19102 Hand deliveries are acceptable. Late, faxed or e-mailed proposals will be automatically disqualified. Non-compliant proposals may be disqualified. G. Proposal Bid Package to Be Submitted: Proposals should include the following information, in the order presented below: 1) Cover Letter / Applicant Information: A Cover Letter should be submitted with the Bid Packet, clearly identifying the lead applicant, and any additional project participant(s) to the proposal. Contact information should be clearly identified, including name of primary contact, mailing address, phone number, and e-mail address. The RFP Title and the PHMC RFP Number should be noted on the Cover Letter. 2) Proposal Narrative a. Qualifications: Applicant should describe their qualifications, being sure to address all qualification issues noted in Section D of this RFP. b. Scope of Work and Schedule/Timeline Applicant should describe how they intend to meet the scope of work outlined in Section C of this RFP. Applicant also should provide a timeline/schedule for implementing the noted training and weekly supervision. 3) Budget and Budget Narrative A two-year budget must be provided that clearly identifies all costs and hourly rates for consultant(s), as well as materials, administrative costs, and any other costs necessary to
PHMC RFP #: IHW-2012-001 Page 5 complete the project. The budget should identify costs for Year 1, Year 2, and Total Contract Budget for the two-year project. A budget narrative explaining all costs also must be provided. 4) Attachments a. References: Please provide a list of at least two (2) professional references of similar work completed by the bidder that PHMC may contact. The following information should be provided for each reference: Name of Company, Agency or Organization; Contact Name; Contact Information (Telephone number, email address, and mailing address); and Brief summary of work completed (no more than 2 paragraphs). b. Resume and/or curriculum vitae of key consultant(s). c. Copies of any training materials proposed for use, especially if different from the specific materials highlighted in this RFP. d. Statement of Funder Compliance: Funding for this project is being provided under the auspices of a grant from the Pennsylvania Commission on Crime and Delinquency (PCCD). The chosen consultant will be expected to comply with all requirements of the funder, as well as PHMC s internal procedures, including reporting, documentation, invoicing, and reporting/documentation of hours worked. Applicants will be expected to provide a statement of their willingness to comply with the funder (PCCD) and PHMC s reporting and other requirements. All proposals must be typed and double-spaced, with one-inch (1") margins, on standard 8 ½" x 11" paper. A clearly legible font, such as Times or Ariel, should be used, in a font size of at least 12 pt. in the narrative portion of the bidders response. Timelines, workplans, and spreadsheets may use a smaller font size if necessary for formatting purposes; however, bidders should ensure that all materials are clearly legible and readable. H. Questions: PHMC will answer, to the best of its ability, any questions concerning this RFP posed in writing prior to 5:00 pm on Wednesday, April 4, 2012. Questions must be submitted in writing by e- mail to jwussow@phmc.org. Inquiries may be made by phone, however, to ensure accuracy of questions and answers and a fair distribution of answers to all potential applicants, questions should be e-mailed to: jwussow@phmc.org. Unless otherwise notified, all questions will be answered in writing by Friday, April 6, 2012. All individuals who have been mailed a copy of this RFP and all individuals who e-mail a question will receive a copy of the Answers. Otherwise, to receive a copy of the Questions and Answers, please e-mail a request to jwussow@phmc.org.
PHMC RFP #: IHW-2012-001 Page 6 I. RFP Timetable: The timetable established for review of the specifications, submission and answering of questions, and applicant submission of bid documents is as follows: Release of RFP: Tuesday, March 27, 2012 Deadline for Submission of Questions: Wednesday, April 4, 2012 at 5:00 pm All questions must be submitted in writing, by e-mail to: jwussow@phmc.org Questions Answered: Friday, April 6, 2012 Deadline for Submission of Bids: Anticipated Notification of Contract Award: Monday, April 17, 2012 at 5:00 pm PHMC expects to make a decision within fifteen (15) business days of the submission date. J. Confidentiality of Proposals Information relating to the examination, clarification, evaluation, and comparison of proposals will not be disclosed to Bidders or other external individuals. Confidential information shall not be disclosed at any time unless under Freedom of Information Acts. PHMC undertakes to use its best endeavors to hold confidential, any information provided by the Bidder in this proposal subject to its obligation under law. K. Contact Information: Inquiries concerning this RFP may be made to: Jay Wussow Director of Operations Behavioral Health Services Public Health Management Corporation (PHMC) 260 South Broad Street, 18 th Floor Philadelphia, PA 19102 Telephone: 215-985-2575 E-mail: jwussow@phmc.org