ALCOHOL AND DRUG ADDICTION SERVICES
BOARD OF LORAIN COUNTY
REQUEST FOR INFORMATION
TREATMENT PROGRAMS
STATE FISCAL YEARS 2019-2020
Distribution Date: December 7, 2017
Submission Date: March 9, 2018
NON-DISCRIMINATION
In accordance with TITLES VI AND VII, CIVIL RIGHTS ACT OF 1964, AS AMENDED, and SECTION 504, REHABILITATION ACT OF 1973 AND THE AGE DISCRIMINATION ACT OF 1975, THE OMNIBUS BUDGET RECONCILIATION ACT OF 1981, where applicable and the AMERICANS WITH DISABILITIES ACT OF 1992, no person shall, on the grounds of race, color, religion, sex, age, national origin, or handicap, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Alcohol & Drug Addiction Services Board of Lorain County receives federal and/or state financial assistance, except where such discrimination is a bona fide, documented business necessity.
ALCOHOL AND DRUG ADDICTION SERVICES
BOARD OF LORAIN COUNTY
REQUEST FOR INFORMATION – Treatment Programs
STATE FISCAL YEARS 20178-2019
Introduction
The Request for Information State Fiscal Years 2019-2020 represents the Alcohol and Drug Addiction Services Board’s (ADAS Board) intent partner with providers for the provision of services that will positively impact customer behavioral change and assist the ADAS Board in its achievement of goals that within a complete continuum of care in a Recovery Oriented Community. Emphasis for treatment services are individually based and creates the most successful opportunities for recovery. Funding that is being sought from providers should be focused on those services that are not funded elsewhere and are leveraged with Medicaid and other payer sources.
Provider responses to this RFI will assist the Board in its required duties, pursuant to Chapter 340.033 of the Ohio Revised Code. Additionally, this represents the ADAS Board’s intent to implement outcome focus into the alcohol and other drug treatment and recovery services’ system.
In summary, the Request for Information (RFI) for SFY 2019-2020 emphasizes the clarity of outcomes and results- within an investment framework that is integrated throughout the provider system. Providers are to implement programs that are consistent with ADAS Board Investor Targets.
Guidelines for Submission of Information Packet
Provider must submit one original set of forms (beginning with the signed face sheet; clipped only –no staples or binding), and one electronic version to be submitted to: . The financial budget forms can be found on the ADAS Board’s website: http://www.lorainadas.org/media_category/documents/
RFI must be submitted no later that 4:00 pm 03/09/2018, in person or via US mail only. Incomplete, late copies, FAX copies and/or extension requests will not be considered.
PAGE NUMBERS AND AGENCY NAME MUST BE INCLUDED ON THE HEADER OF EACH PAGE.
Information Review Process
Board staff will review each RFI packet submitted for completeness and accuracy, requesting clarification or revision if necessary from the Provider within three working days of review; should any clarification and/or revision be necessary, provider will have seven (7) working days to complete responses to the Board. All providers submitting an RFI will be expected to participate in interviews and finalization sessions with Board staff.
Allocations and recommendations may be based upon a combination of the following elements/considerations:
1) Provider’s program alignment with ADAS Board’s Investor Targets.
2) Provider’s ability to implement course corrections from the programs that have experienced a variance of outcomes (+/- 20%) from the 2017-2018 years to attain a more direct result of successful outcomes (if the provider is current recipient of Board contracted services).
3) Provider’s cost for specific services to be purchased and cost to successful outcome ratio.
4) Results of other Board deliberations and considerations, including but not limited to, quality of care and cost effectiveness. (ORC 340.033 (c)).
If necessary, the ADAS Board may request the Provider to make a formal presentation regarding its request. It is anticipated that the decisions for contract funding will be made by the ADAS Board no later than at its June meeting of each year.
Purpose for Requesting Information
This request for information is not a formal contract proposal. It represents the continuation of the Board’s role as an Investor utilizing the Outcomes Framework stratagem. Any provider that is awarded funding will enter into a contract (agreement) with the Board.
RFI Update
The Request for Information Update is included with this document and will be due to the Board on January 30, 2019.
Face Sheet
The following provider information must be included on the face sheet:
1) Name – the legal name of the applicant provider.
2) Address – the current mailing (street or PO Box) address, city, state and zip code.
3) CEO/Executive Director – the chief executive officer of the provider (not project or program supervisor).
4) Telephone/Fax Number– the separate listing of each, as available.
5) E-mail address: For the contact person preparing this RFI and for Provider executive, if appropriate.
6) Federal Tax ID (EIN) – the provider “employer identification number” assigned by the US Internal Revenue Service.
7) Certification – for those programs which require certification by the Ohio Department of Mental Health and Drug Addiction Services, indicate by check mark, the type(s) of ODADAS certification currently in effect, plus other certification and/or accreditation, if appropriate.
8) Program Information – include a check mark for the Original/Revision, fiscal year, and program (component(s)) for which the RFI is inclusive.
9) Authorization: This face sheet must be signed and dated by both the chief volunteer (Board) and the chief executive officer of the provider.
REQUEST FOR INFORMATION SFY 2019-2020
Treatment Programs
For the period July 1, 2018 through June 30, 2020
FACE SHEET
PROVIDER INFORMATION
Provider Name:
Address:
Federal Tax ID (EIN): UPI:
CEO/Executive Director:
Telephone # () - Fax # () -
E-mail address: @
CERTIFICATION(s) (check all that apply):
OMHAS:______CARF JCAHO Other: ______
PROGRAM INFORMATIONDetox, Partial Hospitalization, Residential Treatment
(Adult) (Adolescent)
Outpatient Treatment
(Outpatient Adult) (Outpatient Adolescent)
Recovery Support Service
AUTHORIZATION
I hereby certify by my signature that this REQUEST FOR INFORMATION has been approved for submission by this Provider’s governing authority.
______
Board Chairman/President Date Provider CEO/Executive Director Date
Part I. Outcome Management
The Board is utilizing the ODADAS Outcomes Management stratagem. As such, the Board has established investor targets and target areas for SFY 2017-2018 to carry out its responsibilities as an investor which is aligned with the National Outcome Measures. It is expected that providers will design programs, report upon overall performance objectives and provide semi-annual milestones (anticipated and actual). Standardized reporting & formatting is required for this RFI. This is the only format that will be accepted for Board' review. For EACH program on the Face Sheet, a complete response (including core features, program targets and milestones, and a budget) will be required to be submitted.
Givens/Assumptions
Investor Expectations:
Givens:
“Givens,” are the general requirements, those aspects of the program that are not negotiable and must be met to be considered for funding. The responses to the RFI must address how the program upholds and meets all the requirements. The following are the “general requirements” of the ADAS Board of Lorain County:
1) Providers must abide by all federal, state, assurances, guidelines, policies, and contract requirements.
2) All programs will have performance targets that contribute to investor targets and correspond with investor target areas.
3) Programs that leverage resources, are a more effective ADAS investment.
4) Programs should emphasize the use of evidence-based practices in their service-delivery strategies. {The Institute of Medicine (2001) defines evidence-based practice as, “the integration of the best research evidence with clinical expertise and patient values.” Two other related terms of equal importance are promising practices and practice-based evidence.
Promising practices refers to interventions that have some research evidence to indicate that they produce positive outcomes for children and adolescents. Promising practices require additional supporting research evidence to be considered evidence-based practices.
Practice-based evidence is another term frequently used in discussions of evidence-based practices. Isaacs, Huang, Hernandez, and Echo-Hawk (2005) define practice-based evidence “as a range of treatment approaches and supports that are derived from, and supportive of, the positive cultural attributes of the local society and traditions.”}
5) Programs must provide services that align with SAMHSA’s Working Definition of Recovery (“A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential” inclusive of the 10 Guiding Principles of Recovery (Recovery emerges from hope, Recovery is person-driven, Recovery occurs via many pathways, Recovery is holistic, Recovery is supported by peers and allies, Recovery is supported through relationship and social networks, Recovery is culturally-based and influenced, Recovery is supported by addressing trauma, Recovery involves individual, family, and community strengths and responsibility, and Recovery is based on respect).
6) Programs must adhere to Recovery Oriented System’ focus – with the primary focus on the individuals in need of recovery services and their families, building on their strengths, and incorporating a coordinated and collaborative approach across the community.
Assumptions:
The following “Assumptions” and knowledge about Alcohol, Tobacco, and Other Drugs (ATOD) services and customers serve as a guide for applicants and are offered in the spirit of helping develop or maintain a quality project. They reflect current national and/or state research and represent what has been learned over the years regarding evidence based and effective ATOD based programs and services.
1) Programs that emphasize engagement and motivational enhancements show better opportunities for higher retention rates and lower administrative discharges.
2) Programs that provide global (focused on the whole life), asset-based and continual assessments over the span of the service relationship will show better customer outcomes.
3) Programs that emphasize the necessity and right of the person(s) (who) is seeking recovery will show better outcomes for their customers.
4) Programs that engage customers with peer-based recovery support services are more effective.
5) Providers that implement recovery management components (stage-appropriate recovery education and coaching, assertive linkage to local communities of recovery and when needed, early re-intervention) will show better customer outcomes.
6) Programs that address age, race, ethnicity, gender that are developmentally and culturally appropriate are most effective.
7) Systems that assertively “hand-off” clients at level of care transitions are more likely to garner higher client retention and better customer outcomes.
8) Providers that develop, implement, or partner, in process improvement initiatives designed to (a) get more people into treatment using existing resources, (b) remove organizational barriers that limit treatment access, (c) reduce high rates of premature drop-out from treatment, and; (d) support and improve the service delivery infrastructure; are most adept at using funds efficiently and effectively.
9) Programs that seek to increase a person’s Recovery Capital are strengths-based and person-centered.
10) For any Levels of Outpatient Care submitted (i.e. Non Intensive Outpatient and/or Intensive Outpatient Treatment) – the Board will give priority consideration to the proposal(s) which:
a. Provide assertive linkages/referrals during transitions (using peer-based recovery support staff and volunteers) to appropriate treatment modalities, levels of care and other recovery support services
b. Include interim services for people on waiting lists
c. Use a variety of approaches in early engagement including offering pre-treatment services for those not ready to commit to services or are on waiting lists
d. Use empirically supported clinical practices during intake and engagement such as motivational interviewing, contingency management, stages of change and cognitive behavioral techniques
e. Use empirically supported process improvement tools (such as NiaTx model) to reduce waiting list and to remove obstacles for those who seek help only during a crisis or will not follow through with care if it has been delayed
f. Has specific protocol(s) for those with co-occurring psychiatric disorders, are pregnant, individuals with pain, adolescents, criminal justice connected, sexual preference and language issues
g. Identify and use empirically supported brief screening instruments for a variety of challenges (e.g substance use disorders, depression, problem gambling, post traumatic stress disorder and other anxiety disorders)
h. Provide low-intensity care for those who would not benefit from high-intensity treatment at that time
i. Use family and peer supports and volunteers in outreach efforts, and the design and evaluation of programs and continuing care
j. Offer services that are tailored to or are sensitive to the needs of participants in a person-first (culturally competent) manner
k. Offer Evidence-based services for family and allies – including parenting
l. Offers peer run leisure activities and recognition
m. Shows evidence of collaborative referrals for
i. Primary Health – integrate and coordinate
ii. Basic Needs
iii. Recovery Support including Vocational, Peer Support, Housing, etc
iv. Wellness and self management
m. Use peer specialists to help assess each individual’s protective factors, resilience factors and recovery capital (individual, family and community)
n. Include wellness approaches, primary care community support groups and peer support in service (treatment plans)
Glossary of Terms - Treatment
The Board is including this glossary to further refine investor clarity for treatment programs. In the past many of the following terms have had multiple and/or ambiguous meanings within the ADAS system. Hence, in the spirit of consistency, the Board will be operating from these definitions on this request for information and subsequent outcomes and quality improvement reports. Providers are expected to adopt these terms within the framework of targets, milestones and core features stated throughout the Performance Target Outline responses for treatment programs. Any use of these terms other than these defined below must be approved in writing by ADAS Board staff prior to the submission of the RFI on the due date.
1. Engagement: Defined as service delivery, engagement is defined as three successful services contacts within 30 days of full assessment.
2. Initiation: Defined as at least one service contact within 14 days of full assessment.
3. Family (and/or ally) participation: A customer’s family (and/or ally)being directly involved in the treatment experience.