Respite Partnership Collaborative. Respite Services Request for Proposals Proposers Conference

Respite Partnership Collaborative Respite Services Request for Proposals Proposers Conference Tuesday, September, 30 2014 1 p.m. to 4 p.m. Agenda 12:45 p.m. Registration 1:00 p.m. Welcome Uma K. Zykofsky, LCSW, Deputy Director, Sacramento County Division of Behavioral Health Services Robert Phillips, Director of Health Programs, Sierra Health Foundation: Center for Health Program Management Lyn Corbett, Member, Respite Partnership Collaborative 1:10 p.m. A Community Perspective on the Need for Mental Health Respite Michelle Saeteurn, Member, Respite Partnership Collaborative Arden Tucker, Member, Respite Partnership Collaborative 1:30 p.m. The Funding Opportunities: Respite Services Request for Proposals Myel Jenkins, Program Officer, Sierra Health Foundation: Center for Health Program Management 2:30 p.m. Questions and Answers 2:45 p.m. Break 3:00 p.m. Mental Health Respite Learning Lessons from the Field: Respite Service Grantee Panel Respite Partnership Collaborative: Respite Service Grantees 3:40 p.m. Questions and Answers 3:50 p.m. Closing Remarks Ebony Chambers, Co-Chair, Respite Partnership Collaborative Grant funding for the Respite Partnership Collaborative Project provided by Mental Health Services Act Sacramento County Innovation funds and managed by Sierra Health Foundation: Center for Health Program Management

Respite Services Request for Proposals Proposers Conference Tuesday, September 30, 2014 Participant List First Name Last Name Organization Email Address Phone Number Windy Acosta La Familia Counseling Center, Inc. windya@lafcc.org (916) 452-3601 Roy Alexander Sacramento Children s Home roy.alexander@kidshome.org (916) 290-8100 Julie Bornhoeft WEAVE jbornhoeft@weaveinc.org (916) 319-4911 Alma Sharon Caravarin Chandler Community Impact Center of Sacramento alma@cic-sacramento.org (916) 563-9229 Yes2Kollege Education Resources, Inc. shabarney@aol.com (916) 563-9229 Jinky Dolar Crossings TV jinky.dolar@crossingstv.com (916) 203-3707 Suzi Dotson Wind Youth Services suzi@windyouth.org (916) 532-5185 Jill Fox VOA-NCNN jfox@voa-ncnn.org (916) 265-3976 Grant funding for the Respite Partnership Collaborative Project provided by Mental Health Services Act Sacramento County Innovation funds and managed by Sierra Health Foundation: Center for Health Program Management Sierra Health Foundation: Center for Health Program Management 916 922-4755 rpc@sierrahealth.org www.shfcenter.org 1

First Name Last Name Organization Email Address Phone Number Susan Gallagher, MMPA Mental Health America of Northern California sgallagher@mhanca.org (916) 366-4600 Kimberlee Homer Vagadori Bridget's Dream Unavailable Unavailable Miriam Houghton Saint John s Program for Real Change Unavailable Unavailable Ben Hudson Gender Health Center ben@ghcmail.org (916) 520-3554 Robert Laura Hughes Jacobs North Sacramento Grandparents Support Group Unavailable Unavailable Liberty Towers Campus - DBA as Community Impact Center Unavailable Unavailable Carrie Johnson Stanford Youth Solutions cjohnson@youthsolutions.org (916) 344-0199 Kevin Johnson The Lazarus Group kjohnson6735@yahoo.com (916) 807-7357 Palvinder Kaur Jakara Movement palvinder@jakara.org (209) 980-7454 Cora Keeton North Sacramento Grandparents Support Group ckeeton@northsacramentograndparentssupport.or g (916) 927-4196 Grant funding for the Respite Partnership Collaborative Project provided by Mental Health Services Act Sacramento County Innovation funds and managed by Sierra Health Foundation: Center for Health Program Management Sierra Health Foundation: Center for Health Program Management 916 922-4755 rpc@sierrahealth.org www.shfcenter.org 2

First Name Last Name Organization Email Address Phone Number Lauren Kocher International Rescue Committee Northern California lauren.kocher@rescue.org (510) 452-8222 Amanda Leon Mental Health America aleon@mhanca.org (909) 398-9871 Livia Landersjonez G.O.A.L.S. for Women Unavailable (916) 205-7546 Vannessa Lindsey Another Choice Another Chance Unavailable Unavailable Chris McCarty Sacramento Children s Home chris.mccarty@kidshome.org (916) 549-1148 Sarah Mullins Wind Youth Services sarah@windyouth.org (916) 822-5877 Karen Nichols Liberty Towers DBA Community Impact Center karen@cic-sacramento.org (530) 613-1538 Angelita Rivera Harm Reduction Services alpha2omega7god@aol.com (916) 456-4849 Roman Romaso Slavic Assistance Center romanromaso@yahoo.com (916) 595-4383 Rebecca Rush Terkensha Associates rushr@terkensha.net (916) 922-9868 x 209 Aleem Shabazz Northeast Health Resource Center aleem82001@yahoo.com (916) 753-2505 Grant funding for the Respite Partnership Collaborative Project provided by Mental Health Services Act Sacramento County Innovation funds and managed by Sierra Health Foundation: Center for Health Program Management Sierra Health Foundation: Center for Health Program Management 916 922-4755 rpc@sierrahealth.org www.shfcenter.org 3

First Name Last Name Organization Email Address Phone Number John Skeel Asian Pacific Community Counseling jskeel@apcounseling.org (916) 383-6783 Sandi Snelgrove Another Choice Another Chance ssnelgrove@acacsac.org (916) 879-2396 Kim Speers Crossroads Diversified Services kim@crossroadsdiversified.com (916) 242-4106 J. Miguel Suarez Health and Life Organization, Inc. j.m.suarez@sbcglobal.net (916) 642-1872 Mandy Jessie Taylor Vang Sacramento LGBT Community Center mandy.taylor@saccenter.org (916) 442-0185 Lao Family Community Empowerment leeyang@lfcempowerment.org (916) 921-8247 Leo Vasquez Ready4Change r.u.ready4change@live.com (916) 821-9090 Shawn Vaughan-Williams Preparing People for Success pp4success@gmail.com (916) 575-8851 Jessica Walker Mom in Me Network notes2jaw@gmail.com (916) 690-8530 Jennifer Whelan Crossroads Diversified Services jennifer@crossroadsdiversified.com (916) 563-5145 Vernon Williams All of Us or None Unavailable Unavailable Grant funding for the Respite Partnership Collaborative Project provided by Mental Health Services Act Sacramento County Innovation funds and managed by Sierra Health Foundation: Center for Health Program Management Sierra Health Foundation: Center for Health Program Management 916 922-4755 rpc@sierrahealth.org www.shfcenter.org 4

First Name Last Name Organization Email Address Phone Number Doretha Williams-Flournoy A Church for All doretha.flournoy@gmail.com (916) 205-2416 Mai Xiong Lao Family Community Empowerment Unavailable (916) 921-8247 Gulshan Yusufzai MAS Social Services Foundation gyusufzai@gmail.com (916) 202-0707 Grant funding for the Respite Partnership Collaborative Project provided by Mental Health Services Act Sacramento County Innovation funds and managed by Sierra Health Foundation: Center for Health Program Management Sierra Health Foundation: Center for Health Program Management 916 922-4755 rpc@sierrahealth.org www.shfcenter.org 5

Respite Service Grantees First Name Last Name Organization Email Address Phone Number Susan Barron Saint John s Program for Real Change sbarron@saintjohnsprogram.org (916) 453-1482 Karen Brockopp TLCS, Inc. kbrockopp@tlcssac.org (916) 441-0123 Kim Brown Capital Adoptive Families Alliance capadoptfam@yahoo.com (916) 834-3700 Paul Cecchettini Turning Point Community Programs paulcecchettini@tpcp.org (916) 567-4222 x 3390 Erin Johansen TLCS, Inc. ejohansen@tlcssac.org (916) 441-0123 x 1015 Susun Saephanh Iu-Mien Community Services, Inc. ssaephanh@unitediumien.org (916) 383-3083 Anne Spaller Del Oro Caregiver Resource Center aspaller@deloro.org (916) 728-9333 Kao Thun Iu-Mien Community Services kthun@unitediumien.org (916) 383-3083 Duane Wright TLCS, Inc. dwright@tlcssac.org (916) 247-7345 Grant funding for the Respite Partnership Collaborative Project provided by Mental Health Services Act Sacramento County Innovation funds and managed by Sierra Health Foundation: Center for Health Program Management Sierra Health Foundation: Center for Health Program Management 916 922-4755 rpc@sierrahealth.org www.shfcenter.org 6

Respite Partnership Collaborative Members Dirulislam Abdullah Marianela Appelgren La Familia Counseling Center Alexis Bernard Program Director Turning Point Community Programs Ebony Chambers Director of Family and Youth Partnership Stanford Youth Solutions Lyn Corbett Executive Pastor Center of Praise Ministries Beth Hassett Executive Director WEAVE Iffat Hussain Clinical Director Turning Point Community Programs Susan McCrea Family Member Mental Health Board Roman Romaso Executive Director Slavic Assistance Center Michelle Saeteurn School Social Worker Elk Grove Unified School District Arden Tucker Marriage and Family Therapist Trainee Life Practice Counseling Group Sacramento County Division of Behavioral Health Services Website: http://www.dhhs.saccounty.net/bhs/pages/bhs-home.aspx Jane Ann LeBlanc MHSA Program Manager Sierra Health Foundation: Center for Health Program Management Phone: (916) 922-4755 Email: rpc@sierrahealth.org Leslie Cooksy Evaluation Director Lisa Hailey Contract Specialist Robert Phillips Director of Health Programs Christine Smith Program Assistant Myel Jenkins Program Officer Grant funding for the Respite Partnership Collaborative Project provided by Mental Health Services Act Sacramento County Innovation funds and managed by Sierra Health Foundation: Center for Health Program Management Sierra Health Foundation: Center for Health Program Management 916 922-4755 rpc@sierrahealth.org www.shfcenter.org 7

1 Welcome to Respite Partnership Collaborative Proposers Conference Webinar September 30, 2014

2 Sierra Health Foundation: Center for Health Program Management

RPC Background 3

Respite Partnership Collaborative Overview The RPC is funded through the Sacramento County Mental Health Services Act (MHSA) Innovation component. The 2010 Innovation Workgroup proposed that Innovation funding be used to develop respite programs throughout Sacramento County and be located in neighborhoods or home-like settings. The Innovation Plan proposed establishing a communitydriven collaborative (RPC) to support mental health respite options in Sacramento County. 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

RPC Overview The RPC, comprised of 22 diverse community stakeholders, works collaboratively to: Make recommendations about RPC membership and governance structure Define and recommend funding for new and existing respite services as outlined in the Sacramento County MHSA Innovation Plan Participate in the respite grantee selection process Participate in the RPC project evaluation 7

Definition of Mental Health Respite 8

What We Will Fund Projects that offer mental health respite as an alternative to psychiatric hospitalizations for Sacramento County community members experiencing a mental health crisis 9

Mental Health Crisis The RPC utilizes the Innovation Workgroup s definition of mental health crisis Mental Health Crisis is 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. 10

RPC Working Definition of Mental Health Respite Serves individuals at risk of or in the midst of a psychiatric crisis Provides an alternative to emergency departments or psychiatric hospitalization Is a short-term, limited-time break in a safe environment that provides time to stabilize Mental health respite services provision is not limited to mental health professionals 11

Four Dimensions of Respite Mental & physical break Not alone Respite Safe place Looking forward 12

13 The Funding Opportunities

The Funding Opportunity These are the last two funding opportunities to be released in the final of the three rounds Only one grant proposal per organization will be considered Current RPC grantees can apply as part of a collaborative application but cannot be the lead applicant 14

Respite Services Continuum: Current Funded Services Children with Complex Mental Health Needs in Crisis-Parents Need a Break 1. Capital Adoptive Families Alliance Adults/Adults in Crisis who have Dependent Children 1. Saint John s Program for Real Change Teens/TAY in Crisis Specialized Cultural or Ethnic Population 1. Iu Mien Community Services Adults/Older Adults in Crisis 1. Del Oro Caregiver Resource Program 2. Turning Point Community Program 3. TLCS, Inc. 15 Teens/TAY Funding Available: up to $350,000 Unserved and Underserved Funding Available: up to $225,000

The Funding Opportunity Teens and Transition-Age Youth Funding Opportunity At least $350,000 is available for mental health respite services for Teens and Transition-age Youth (TAY) at risk of or in a mental health crisis Organizations can apply up to $350,000 The number of grant awards will be dependent on the award size of those selected and the quality of the proposals submitted 16

The Funding Opportunity (continued) 17 Teens and Transition-Age Youth Funding Opportunity Teens and TAY are defined as ages 13 to 25 Proposers can make a case to serve a subset of the 13 to 25 age range with justification Organization proposes respite service design/implementation approach (i.e.: duration, frequency and location) in application Awarded Teens and TAY respite service contracts will be 15 months (December 2014 to March 2016)

The Funding Opportunity (continued) Unserved and Underserved Population Funding Opportunity At least $225,000 is available for mental health respite services for unserved and underserved populations at risk of or in a mental health crisis Organizations can apply for up to $75,000 18

The Funding Opportunity (continued) Unserved and Underserved Population Funding Opportunity The number of grant awards will be dependent on the award size of those selected and the quality of the proposals submitted Organization proposes respite service design/implementation approach (i.e.: duration, frequency and location) in application Awarded Unserved and Underserved respite services contracts will be 13 months (February 2015 to March 2016) 19

Division of Behavioral Health Services Definition: Underserved Cultural Populations The RPC utilizes the Sacramento County Division of Behavioral Health definition of Underserved Cultural Populations: Defined as those who are unlikely to seek help from any traditional mental health services whether because of stigma, lack of knowledge, or other barriers (such as being members of ethnically/racially/culturally diverse communities; gay, lesbian, bisexual, transgender communities, etc.) and would benefit from programs and interventions 20

Types of Projects: Mental Health Respite Mental health respite services: Offer alternatives to hospitalizations for community members at risk of or experiencing or a mental health crisis Are culturally responsive Incorporate the four dimensions of mental health respite Support learning about the development and implementation of respite Are new or an expansion of an existing mental health respite service 21

Types of Projects: Mental Health Respite 22 Planned Respite: refers to a preventive respite that serves to reduce the risk for mental health crisis for individuals through scheduled events or programming by providing limited timed breaks from the triggers that may lead to a mental health crisis. (Example: overnight respite camp) Crisis Respite: refers to a safe and holistic environment where an individual undergoing a mental health crisis can stabilize with professional support and may also include peer support. (Example: 24 hour/7 day a week crisis respite center) 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. (Example: Drop-in respite center in neighborhood location )

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Eligibility 501(c)(3) nonprofit agencies and 509(a)(2) or 509(a)(1) organizations Public agencies Groups that are not nonprofit organizations can apply in collaboration with a nonprofit organization, as defined above. The tax-exempt organization must be the applicant Respite services provided in Sacramento County Proposed projects must serve Sacramento County residents as identified as either teens and TAY or unserved/underserved population(s) as outlined by the specific RFP 24

RPC encourages proposals from: Organizations that have a mission to serve unserved/underserved cultural populations and are led by staff and boards representative of those populations Multiple organizations working in collaboration 25

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Respite Services Application Form 27

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Proposal Component Writing Tips 30 Answer all questions clearly and concisely Clearly explain your respite service idea Respond to the Proposal Component within the six page limit. Responses in the Proposal Component 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.shfcenter.org/rpc

Proposal Components Teens/TAY and Unserved and Underserved RFPs 1) Describe the population you propose to provide mental health respite to, including age and any demographic information 31

Proposal Components Teens/TAY RFP: a. Give two examples of how you currently work with teens and/or TAY between the ages of 13 to 25 Unserved and Underserved RFP a. How do the characteristics of the population relate to the RPC s emphasis on services for unserved/underserved populations? 32

Proposal Components Teens/TAY and Unserved and Underserved RFPs 2) What are the population s mental health respite needs? 33

Proposal Components 34 Teens/TAY and Unserved and Underserved RFPs 3) What are the components of your proposed mental health respite services? You can describe this question by using a scenario that describes: 1. How someone in the proposed population who is at risk of a mental health crisis would access this service 2. What would they experience (activities, services) 3. How those activities could reduce the risk of mental health crisis In your description, provide as many details as possible, including specific activities, peer involvement in service design/implementation, service duration and/or frequency, outreach, location, etc.

Proposal Components Teens/TAY and Unserved and Underserved RFPs 4) How would the project (proposed mental health respite services) provide the four dimensions of respite described in Section I? 35

Proposal Components Teens/TAY RFP 5) How will your proposed mental health respite services be responsive to needs and interests of teens and/or TAY? 36

Proposal Components Teens/TAY RFP 6) What is your organization s capacity (staffing, experience, etc.) to provide culturally responsive mental health respite services to the intended population? Unserved and Underserved RFP 5) What is your organization s capacity (staffing, experience, etc.) to provide culturally responsive mental health respite services to the intended population? 37

Proposal Components Teens/TAY RFP 7) Do the proposed respite services involve collaboration with other agencies or community groups? If so, what will be the responsibilities of each agency and/or community group? Unserved and Underserved RFP 6) Do the proposed respite services involve collaboration with other agencies or community groups? If so, what will be the responsibilities of each agency and/or community group? 38

Proposal Components Teens/TAY RFP 8) Is this an expansion of an existing mental health respite program? If so, describe how this will be an expansion. Unserved and Underserved RFP 7) Is this an expansion of an existing mental health respite program? If so, describe how this will be an expansion. 39

Proposal Components 40 Teens/TAY RFP 9) How quickly would your organization be able to launch the proposed respite services? What steps will your organization take to be ready to launch respite services in less than three months? Unserved and Underserved RFP 8) How quickly would your organization be able to launch the proposed respite services? What steps will your organization take to be ready to launch respite services in less than three months?

Proposal Components Teens/TAY RFP 10) Does your respite model require licensing and/or permits? If so, what steps will your organization take in order to have the required licenses or permits by the time services are ready to launch? 41

Proposed Project Budget 42

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Proposed Project Budget 44 Teens and TAY Funding Period: December 2014 March 2016 Unserved/Underserved Funding Period: February 2015 March 2016 Identify the project period List each budget line item The budget should support project activities described in the Proposal Component and the Scope of Work Identify the responsible staff, collaborators and contractors Identify other funding if applicable

Proposed Project Budget Narrative Describe the purpose of each line item Describe the roles and responsibilities of identified staff, collaborators and contractors Identify any in-kind expenses 45

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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 47

Scope of Work Teens and TAY Funding Period: December 2014 March 2016 Unserved/Underserved Funding Period: February 2015 March 2016 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 Component, the Budget and the Budget Narrative 48

Scope of Work (continued) Activities/Milestones: What steps are needed to implement the proposed services? Timeframe: During what months of the project period will the steps be implemented? Responsible Partner: Identify the lead partner agency responsible for each activity. 49

Preliminary Performance Measure Targets Identify funding term and 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 50

Preliminary Performance Measure Targets (continued) Output measure = quantify the activities Examples Number of planned partnerships in place within six months Number of referrals made to partners 51

Evaluation Awardees will be required to cooperate with the Center s evaluation director and the selected external evaluator 52

Follow Proposal Instructions Submit all Required Materials 53

Checklist 54 Review Proposal Instructions and Criteria Completed Respite Services Application Form (use Microsoft Word form), which includes: Application Cover Sheet form Proposal Component 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 October 17, 2014 (Teens/TAY) or noon on October 24, 2014 (Unserved/Underserved)

Insurance Requirements Review Insurance Checklist document and Insurance Sample If awarded, be prepared to meet all insurance requirements by the contracting period for contracting purposes Teens and TAY: December 2014 Un/Underserved: February 2015 55

Proposal Process Phase 1 Submit application Application reviewed in peer review screening process Phase 2 Selected organizations present proposed service idea to Review Team 56

Respite Services Teens/TAY Funding Timeline September 2014: October 17, 2014: Early November: November 2014: December 2014 : Funding Announced Proposals Due Selected Proposers present to Review Team Awards Announced Contracts Executed 57

Respite Services Unserved/Underserved Funding Timeline September 2014: October 24, 2014: Mid November: January 2015: February 2015: Funding Announced Proposals Due Selected Proposers present to Review Team Awards Announced Contracts Executed 58

59 Questions?

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 60

Contacts and Resources Email questions to: rpc@sierrahealth.org Sierra Health Foundation: www.shfcenter.org/rpc 61

Welcome to Respite Partnership Collaborative Proposer s Conference Webinar September 30, 2014

1 Learning Lessons from Field Panel

Presenters Kim Brown, Capital Adoptive Families Alliance Susan Barron, Saint John s Program for Real Change Paul Cecchettini, Turning Point Community Programs 2

Respite Services Continuum: Current Funded Services Children with Complex Mental Health Needs in Crisis-Parents Need a Break 1. Capital Adoptive Families Alliance Adults/Adults in Crisis who have Dependent Children 1. Saint John s Program for Real Change Teens/TAY in Crisis Specialized Cultural or Ethnic Population 1. Iu Mien Community Services Adults/Older Adults in Crisis 1. Del Oro Caregiver Resource Program 2. Turning Point Community Program 3. TLCS, Inc. 3

Respite Service Grantees Capital Adoptive Families Alliance Del Oro Caregiver Resource Center Turning Point Community Programs Iu-Mien Community Services TLCS, Inc. Saint John s Program for Real Change 4

5 Questions and Answers

Respite Partnership Collaborative 2014 Respite Services Funding Insurance Checklist Those selected for grant awards will be required to submit the listed documentation to fulfill their grant agreements with Sierra Health Foundation: Center for Health Program Management. Grant agreements cannot be fully executed until all requirements are met. Teens/TAY funding opportunity proposers will be notified of grant selection in November 2014 with the expectation of starting services in December 2014. Unserved and Underserved funding opportunity proposers will be notified of grant selection in January 2015 with the expectation of starting services in January 2015. A portion of the grant award will be distributed within 30 days of fully executed contracts. Grant Agreement Checklist Post-Award Insurance Requirements Verification of Coverage Copies of required endorsements must be attached to the provided certificate with the endorsement page as additional coverage. Please refer to attachment as an example. Minimum Scope of Insurance o General Liability form CG 0001 o Automobile Liability form CA-0001 o Workers Compensation o Professional Liability Minimum Limits of Insurance o General Aggregate $2,000,000 o Products Comp/Op Aggregate $1,000,000 o Personal & Adv. Injury $1,000,000 o Each Occurrence $1,000,000 o Fire Damage $100,000 o Sexual Molestation and Abuse $250,000/$1,000,000 Automobile Liability o Commercial Automobile Liability for corporate/business owned vehicles including nonowned and hired $1,000,000 Combined Single Unit o Personal Lines Automobile Liability for individually owned vehicles $250,000 per person, $500,000 each accident, $100,000 property damage Workers Compensation o Statutory Employer s Liability o $1,000,000 per accident for bodily injury or disease 1

Professional Liability or Errors and Omissions Liability o $1,000,000 per claim and aggregate, including Sexual Molestation or Abuse (unless coverage provided by Commercial General Liability Policy.) Sexual Molestation or Abuse may be included under Professional Liability with a sublimit not less than $250,000 per person or occurrence and $1,000,000 annual aggregate. Fingerprinting Grantee shall conduct background checks including fingerprinting, on all staff and volunteers who are reasonably anticipated to have direct contact with recipients of services. 2

Please note: All insurance documents must include Sierra Health Foundation and Sierra Health Foundation: Center for Health Program Management as endorsees. ATTACHMENT 3

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Respite Services Request for Proposals 2014 Funding Announcements Teens/TAY Funding Opportunity Unserved and Underserved Funding Opportunity Frequently Asked Questions The Respite Partnership Collaborative is a Sacramento County Mental Health Services Act (MHSA) Innovation project. In part, the learning objective for this innovation project is to increase voluntary community-based local mental health respite service options to offer a variety of alternatives to psychiatric hospitalization for community members experiencing a crisis in Sacramento County. It is doing this by providing time-limited funding for the sole purpose of developing and trying out new respite practices and/or approaches. For any additional questions, please email rpc@sierrahealth.org. FUNDING FOCUS Q: What is the focus of the Respite Partnership Collaborative? A: The RPC was officially formed in May 2012 to support the development and provision of a continuum of respite services in Sacramento County. For the purposes of community grant awards, the goal of the RPC is to increase local respite service options that offer alternatives to hospitalization for community members experiencing mental health crisis in Sacramento County. Q: Does an individual need to be in the midst of a crisis to receive services? Can the respite serve to reduce crisis for individuals that regularly experience crisis? A: The respite service is to provide an opportunity to reduce the risk of crisis or for those in crisis to stabilize. It is up to proposers to propose their service models. Proposers are asked to describe their reasons for proposing their service model approach in the Proposal Component. 2014 Respite Services Request for Proposals/ FAQ 1

Q: How (if at all) does respite differ from crisis and crisis residential services? A: There is a difference between crisis, respite and crisis residential services. The Respite Partnership Collaborative is utilizing the Sacramento County Mental Health Services Act Innovation Plan definition of Mental Health Crisis in which crisis is defined 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. Respite services refer to services that provide an opportunity for an individual to reduce the risk of a mental health crisis. The respite provides an opportunity to take a limited time break and stabilize in a safe environment with supportive services for those at risk a mental health crisis or in the midst of a mental health crisis. Crisis residential services refers to a temporary live-in program when people are in a crisis. A crisis residential model provides more intensive services for those experiencing a mental health crisis than respite services. It is up to the proposer to propose their respite service model and justify the service model approach in the Proposal Component. Q: Will substance abuse crisis qualify for mental health crisis services? A: No Q: Can a proposal enhance existing programs? A: Yes, a proposal can enhance an existing mental health respite program. Identify in the Proposal Component and the Preliminary Performance Measure Target table how the current mental health respite services will be enhanced. Q: Since we are a small nonprofit without a track record of administering large sums of money, do we have a better chance of attaining funding if we request a small sum? A: Programs are to put forth a funding request based on the individual organizational capacity to effectively manage the grant award and the proposed scope of work. The Review Committee will select grantees based on information submitted in the application. Awards will be based on the merit of proposals submitted. 2014 Respite Services Request for Proposals/ FAQ 2

REQUIREMENTS Q: Does the applicant have to be a medical certified provider? A: No. Proposers do not have to be a medical certified provider in order to submit a proposal. Q: Can a Federally Qualified Health Center (FQHC) apply? A: Yes, an FQHC provider can submit a proposal. Q: Do you require a good neighbor policy for a residential respite site? A: Yes. All awardees will have to provide a good neighbor policy when contracts are signed. A list of insurance policy and other contract requirements are available at www.shfcenter.org so that proposers are knowledgeable of the contract requirements. Q: What are the insurance requirements? A. Please refer to the previous answer. Q: Does RPC expect any type of 71-J challenge? A: No, these awards are made by Sierra Health Foundation: Center for Health Program Management and not subject to 71-J. Q: Are the scope of work, budget and budget narrative counted in the total six pages or are these documents in addition to the six page narrative? A: The scope of work, budget and budget narrative are in addition to the six page narrative required of the Proposal Component. Q: Will the audited financial statement satisfy the statement of financial activity requirement? A: Yes. 2014 Respite Services Request for Proposals/ FAQ 3

COLLABORATION AND LINKAGE Q: Does the clinical/psychiatric provider need to be the lead agency? A: In a collaborative proposal, the clinical/psychiatric provider does not need to be the lead agency. Q: How will linkage occur for the clients at the respite center in terms of linkage upon leaving the center? Who will provide ongoing support? A: It is up to proposers to develop service models that provide services to clients and, as needed, referrals, linkages and other supports. When describing the proposed model, proposers are asked to articulate the reason for the proposed approach and, if collaborative relationships are in place, to describe the identified partners within the Proposal Component and identify the collaborative relationships within the Budget, Budget Narrative and the Scope of Work. Q: Will proposers be required to include a Memorandum of Understanding (MOU) of partners or can they just be listed? A: Proposers are not required to include a MOU from partners. If proposers are working in collaboration, the partners should be identified in response to questions in the Proposal Component. Please also articulate the collaborator role in the Budget, Budget Narrative and Scope of Work. Q: Can we participate in one proposal with partners and respond on our own with another? A: An agency is limited to submitting one proposal as the lead agency per funding opportunity. However, the same agency can participate in collaborative proposals as a partner agency but not as the lead applicant. Q: Can an organization submit an application for the TAY population and the unserved/underserved or just one of them? A: Yes an organization can submit one application for either or both funding opportunities. 2014 Respite Services Request for Proposals/ FAQ 4

Q: Can an individual organization submit separate applications which if funded reflect a collaborative approach to serving a particular population? A: An organization can only be the lead applicant on one proposal for the Teens/TAY funding opportunity and one proposal for the unserved/underserved funding opportunity. Q: May a small organization partner with a larger organization on more than one proposal, each with a different target population? A: An agency is limited to submitting one proposal as the lead agency per funding opportunity. An agency may collaborate as a partner agency to multiple proposals if each proposal has a different lead agency. Q: If a collaborative of nonprofits proposes for a single project, is each nonprofit required to submit its most recent financial statement for a full year? A: The lead agency is the only agency required to submit the 501 (c)(3) determination letter and most recent financial statement. Q: Can an agency be part of more than one collaborative if they are an in-kind partner for one of the collaboratives? A: Yes, an agency can participate in more than one collaborative. An agency is limited to submitting one proposal as a lead agency per funding opportunity. Q: Is there a limit to how many agencies we partner with? A: No. But one agency must be the lead agency. TARGET POPULATION, RESIDENCY AND SERVICE LOCATION Q: How is Sacramento residency determined if those to be served are homeless? A: It is understood that it may be difficult to determine Sacramento County residency when serving the homeless. Applicants should provide their best justification using the information available. Services must still be provided within Sacramento County. 2014 Respite Services Request for Proposals/ FAQ 5

Q: Do 100% of families served have to be from Sacramento County? A: All services must be provided to Sacramento County residents. Q: We would like to serve all Sacramento County adopted children (as well as kinship and guardianship). After adoption, the children still receive services through Sacramento County no matter where they live. For example, they have Medi-Cal for both medical and mental health issues. Families would call Sacramento County's ACCESS team for help with therapy, etc. Can we serve these Sacramento County children's families if they live in a nearby county? A: For the purposes of proposed projects, all families receiving respite services must reside within Sacramento County. Q: Does a person need to be a legal resident of the US to receive services? Must they show documents? A: Individuals do not have to be legal residents of the United States to receive services. Individuals do not have to show documentation. Q: Do you have to have the location already before the grant approval? A: No. However, the organization must be able to launch services within a timely manner of the start of the contract for services. Q: Can an applicant for one target population offer services to only one ethnic group (e.g., senior adults only Latino Spanish-speaking)? A: Yes, a proposer can offer services to one ethnic group. It is up to the proposers to propose the service model and the target population. Q: Do eligible individuals need to be linked to county behavioral health services? A: No. Eligible individuals do not have to be linked to county behavioral health services. The RPC does encourage proposers to develop partnerships that provide linkages and, when necessary, triage to other services. 2014 Respite Services Request for Proposals/ FAQ 6

Q: Can one organization submit multiple proposals if they are looking at providing services to more than one target populations? A: An organization can submit only one proposal as a lead agency per funding opportunity. An organization can propose one mental health respite service project which utilizes multiple approaches to delivering respite services. Q: In serving SED children, do we need to qualify them? A: No. Q: Do the clients being served already have to be a part of the county mental health plan? A: Clients do not have to be a part of the county mental health plan. Q: Within the population (targeted) are we serving everyone or those in a home-specific setting (e.g., homeless? medical?)? A: It is up to the proposers to propose the mental health respite approach, the target population to be served and the setting/location. Proposers are asked to describe their reasons for proposing their service model approach in the Proposal Component. Q: Do we determine who we intake? Does that mean we define intake criteria in the proposal? A: The RPC is seeking proposals for mental health respite services. It is up to proposers to submit a proposal that includes a respite service approach, identified target population, and intake and referral process. Proposers are asked to describe their reasons for proposing their service model approach in the Proposal Component. EXPECTATIONS Q: Is it expected that the applicant would provide the space? A: The RPC recognizes that there are different types of methods to administer mental health respite services and that not all types require a physical space. If a space is necessary based on the proposed project model, then it is expected that the proposer will secure a space. An acceptable option is to work with partners to leverage a space through collaboration. It is expected that the proposer will address how and where mental health respite will be administered when answering the Proposal Component. 2014 Respite Services Request for Proposals/ FAQ 7

Q: Is there an expectation that the applicant would provide psychiatric and clinical support? A: It is expected that the mental health respite will provide supportive services that help those at risk or in crisis to stabilize. The level of services is dependent on the organizational capacity to administer services and the services available through collaboration, referrals and linkages. It is up to the proposers to propose the service model, project design and support. Proposers are asked to describe their reasons for proposing their service model approach in the Proposal Component. Q: Is care coordination/navigate a funded activity? A: This may be funded as a component of a respite program but would not qualify as respite alone. Q: Is therapy considered treatment? Is it allowed? A: It is possible that time-limited therapy would be allowed as an element of the respite program but not as stand-alone respite service. Q: Does respite care have to include overnight stays? A: No, respite does not have to include overnight. Q: Can a respite location be in a religious center? A: Yes the mental health respite location should be addressed in response to the Proposal Component. Please note that the RPC is unable to fund requests for respite activities that exclusively benefit the members of sectarian or religious organizations or if specific religious activities are required of participants. (This answer has been updated since the September 2014 Proposers Conference.) Q: Is there a possibility of funding for post-partum depression in mothers? A: It is important for the proposer to define the mental health respite service approach, and make the case for the population s need. 2014 Respite Services Request for Proposals/ FAQ 8

Q: I noticed on the Respite Partnership Collaborative website that it mentions that respite should not include either PEI or treatment services. Please explain as some of these services certainly seem preventative in nature. A: Examples of non-respite activities can be found on page four of the RFPs. Examples of what the RPC will not fund include workshops, warm lines or case management. These examples do not align with RPC working definition of mental health respite and the four dimensions of respite on page four of the RFP. Q: Will funding be considered for stress and workshops in underserved communities and housing projects? A: Examples of non respite activities can be found on page four of the RFPs. Respite should not include workshops, warm lines or case management. It is important for the proposer to define mental health respite services and make the case for the population s need based on the four elements of respite on page four of the RFP. Q: Would services to juvenile detention center teens qualify? A: It is important for the proposer to define the mental health respite service approach and make the case for the population s need. Please refer to the four elements of respite found on page four of the RFP. Note - mental health respite services must be voluntary and cannot be provided in a locked facility. (This answer has been updated since the September 2014 Proposers Conference.) Q: Would home visits to teens or adults qualify? A: It is important for the proposer to define the mental health respite service approach and make the case for the population s need. Please refer to the four elements of respite found on page four of the RFP. Q: Can peer-to-peer services have clinical staff on their leadership team? Can the center be entirely peer run? A: A peer component of persons with lived mental health experience in the planning and/or facilitation of mental health respite services. An agency may submit a proposal for peer-run respite. Please refer to the Key Definitions section. Proposers are asked to describe their reasons for proposing their service model approach in the Proposal Component. 2014 Respite Services Request for Proposals/ FAQ 9

Q: Are any agencies currently providing planned or peer-run respite that could be used as example models? A: Yes, the existing respite grantees include planned and crisis respite services. A list of currently funded respite service grantees is available at www.shfcenter.org. Q: Can a proposal be for training staff on specific risk assessment or does it have to be for services? A: Yes. Training staff for risk assessment can be included in the budget. Q: What is the expected length of stay at the respite center? Is it expected to operate 24/7? A: For the purposes of this RFP, it is up to the proposers to propose their service model inclusive of length of stay for the target population. It is important for the proposer to define mental health respite services and make the case for the population s need. Q: Does expansion of existing respite services refer only to previously Innovation funded programs? Or any respite programming? A: This refers to an expansion of existing mental health respite services outside of the RPC Innovation Project funding. Q: If the project begins up to 3 months into the funding period, does the 15 month contract still have a March 2016 end date? A: Yes. The end period will be March 2016 regardless of the project start date. Q: We are a project (separate board and financials) under a non-profit agency and we used their 501(c)(3) is that allowed? A: The qualifying 501(c)(3) would be the applicant applying for the award. 2014 Respite Services Request for Proposals/ FAQ 10

FUNDING DISTRIBUTION Q: Is this a fee-for-service or cost reimbursement contract? A: This is not a fee-for-service or cost reimbursement contract. First year contract awards are on a payment distribution schedule. Within 30 days of the contract being signed, the first portion of the grant award will be distributed to grantees. The remainder of grant award payments will be distributed at the time of approval of progress reports by the RPC. The progress reports and award payments schedule will be shared at the time of contract signing. Q: Is it possible that a successful project could be funded ongoing through the Sacramento County MHSA Community Services funding after the initial period? A: We are unable to answer that at this time; that would be dependent on future funding. Q: So does one time funding mean that after the 13 or 15 months there will be no additional funding? A: Yes this project provides time-limited funding. Programs will have to identify other funding for sustainability. Q: What the rationale for limiting the funding amount for organizations in the unserved/underserved population to $75,000? A: The community-driven Respite Partnership Collaborative determined this funding amount to provide as many funding award opportunities as possible with limited resources. Q: If the applying organization is using a fiscal administrator who submits the financial statement? A: Groups that are not nonprofits may partner with a nonprofit organization but not use a fiscal administrator. The nonprofit organization must be the lead applicant and submit all the application with attachments. Q: Is funding delivered through allotments? A: Yes. The awards will be delivered in allotments. Please see previous answers more information. 2014 Respite Services Request for Proposals/ FAQ 11

Q: If funded will funds be released immediately or in increments? A: Please see previous answer. PERFORMANCE MEASURES Q: Is there an evaluation component Sierra Health will provide or should we build an outcomes evaluation component into the scope of work/budget? A: Grantees will be required to cooperate with Sierra Health Foundation s Evaluation Director and an external evaluator. In addition, proposers should identify their targets for performance measures identified by the RPC. The targets should be appropriate for the proposers organizational capacity and enhance information provided in the Proposal Component section of the application. Proposers should also incorporate unique performance measures that are specific to their proposed respite service delivery model. Please visit http://www.shfcenter.org/rpc to reference the RPC Logic Model and Performance Measures. PROPOSED BUDGET Q: Can food be included in the budget? A: Yes, food can be included as a proposed budget item. Q: Can we write into our proposal that clients pay a percentage of fees for service? A: No. Funding for the respite services is provided by the Sacramento County Mental Health Services Act Innovation Component. Due to the nature of the funding, clients cannot pay for services. Q: Can the cost of a consultant to write the grant be an acceptable budget cost? A: No. The cost of a consultant to write the respite services grant proposal cannot be included in the budget. Q: Can grant consultant fees come from the grant if declared in the proposal budget? A: Grant consultant fees to support project services can come from the grant if declared in the proposed budget and fees are justified in the Proposal Component. Describe in detail all expenses and tie consultant fees back to the project need as articulated in the Proposal Component. 2014 Respite Services Request for Proposals/ FAQ 12