West Slope Dialectical Behavior Therapy (DBT) & First Episode Psychosis (FEP) Services

Agency: El Dorado County
State: California
Type of Government: State & Local
NAICS Category:
  • 611430 - Professional and Management Development Training
  • 611710 - Educational Support Services
  • 621340 - Offices of Physical, Occupational and Speech Therapists, and Audiologists
Posted Date: Oct 24, 2019
Due Date: Dec 6, 2019
Solicitation No: 20-918-029
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Due Date:
New Date:
Issued: 10/25/2019

Contact: Kady Leitner

West Slope Dialectical Behavior Therapy (DBT) & First Episode Psychosis (FEP) Services

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Procurement & Contracts
ATTN: Purchasing Agent
2850 Fairlane Court
Placerville, CA 95667
DUE: 3:00 PM December 6, 2019
Sealed Proposals must be clearly marked on
the outside of the package with:
“RFP #20-918-029 – DO NOT OPEN”
West Slope Dialectical Behavior Therapy (DBT) &
First Episode Psychosis (FEP) Services
The County of El Dorado Office of Procurement and Contracts, through its Health and Human Services
Agency (also referred to as “County”), is requesting proposals for school and community-based
Dialectical Behavior Therapy services and First Episode Psychosis services on El Dorado County’s
West Slope. El Dorado County is an equal opportunity employer (EOE). Minorities, females, and
handicapped are encouraged to participate.
This Request for Proposal (RFP) defines the scope of services and outlines the requirements that
must be met by Proposers interested in providing such services. Proposers shall carefully examine
the entire RFP and any addenda thereto, and all related materials and data referenced in the RFP or
otherwise available, and shall become fully aware of the nature and the conditions to be encountered in
performing the service. Proposers are advised to read all sections of this RFP prior to submitting
a proposal.
Table of Contents
I. Background
II. Scope of Services
III. Eligibility
IV. Proposal Content
V. Proposers’ Questions
VI. Proposal Submittal
VII. Public Records Act
VIII. Valid Offer
IX. County’s Rights
X. El Dorado County Website Requirements
XI. Evaluation
XII. Award
XIII. Business License Requirement
XIV. Public Agency
Exhibits: “A” Sample Agreement for Services
“B” Travel Policy
Procurement and Contracts
Page 2
Notice to Proposers
The Procurement and Contracts Division does not mail out hard copy letters advising
participating Proposers of RFP results. For RFP results, please visit our website at:
RFP results will be posted within approximately fourteen (14) business days after the RFP
opening deadline date. The timeline for posting RFP results may vary depending on the nature
and complexity of the RFP.
I. Background: El Dorado County is located in Northern California and is bordered by
Sacramento, Placer, Amador, and Alpine counties in California and Douglas County,
Nevada. The two incorporated Cities in El Dorado County are Placerville and South Lake
Tahoe. In the 2000 census, El Dorado County's population was determined to be 156,299.
El Dorado County’s population is projected to reach 243,000 by 2025, an increase of over
80,000 new residents.
A. Overview:
National trends indicate increases in the population of seriously emotionally disturbed
children and adolescents. A number of these youth engage in high risk behaviors including
self-harm, use of mood/mind altering substances, and suicidal behaviors. Many of the
youth often experience family, relational, and school difficulties.
The County’s Health and Human Services Agency, Behavioral Health Division, receives
federal funding from the US Department of Health and Human Services, Substance Abuse
and Mental Health Services Administration’s (SAMHSA) Community Mental Health
Services Block Grant (CMHSBG). The CMHSBG has target populations that include
Adults with serious mental illness (SMI), and Children/adolescents with Serious Emotional
Disturbances (SED).
As a pass-through entity for this federal funding, the Behavioral Health Division is required
to submit a plan annually that articulates how the CMHSBG funding will be used to further
SAMHSA’s program goals. As a part of the Fiscal Year 2019/2020 application process, the
Behavioral Health Division successfully proposed funds be used to collaborate with other
public and private organizations to address the needs of Transition Age Youth (TAY) with
serious emotional disturbance on the West Slope (approximately 80% of clients reside in
areas West of Echo Summit).
To accomplish the program goals, the County is seeking a vendor who can provide
Dialectical Behavior Therapy (DBT) at eligible high schools on the West Slope and First
Episode Psychosis (FEP) services supporting the NAVIGATE Model to eligible youth on
the West Slope.
Procurement and Contracts
Page 3
FEP services will include early intervention and engagement with the TAY population to
ameliorate the occurrence of further episodes and/or improve the trajectory of the
condition, thus allowing the individual and his/her family to maintain stability within the
Although population statistics and prevalence rates equate to approximately one hundred
fifty (150) TAY per year in El Dorado County who may experience a FEP, the actual
number of participants in this program has historically been much lower and is anticipated
to be no more than eight (8) individuals per year. Individuals in need of high level of
Specialty Mental Health Services for FEP beyond the capacity of this project may be
referred to the Health and Human Services Agency’s Behavioral Health Division.
To be successful in the performance of activities related to this solicitation, the selected
Proposer will be required to work closely with the El Dorado County Office of Education as
well as the Health and Human Services Agency’s Behavioral Health Division.
B. Federal Funding Requirements:
As services resulting from this solicitation will funded as a part of a federal award,
proposers are highly encouraged to be aware of requirements related to the administration
of said funding, found commonly in Title 2 of the Code of Federal Regulations, Part 200, or
otherwise (specifically to SAMHSA awards) in Title 45 of the Code of Federal Regulations
Parts 75 and 96, as well as Part B, Subparts I, II, and III of Title XIX of the Public Health
Services Act. Information related to this funding, including rules and restrictions, can be
found here: https://www.samhsa.gov/grants/block-grants/mhbg.
Additionally, as a subrecipient of federal funding, the selected Proposer may be required to
demonstrate active registration with the federal System of Award Management
(www.sam.gov) in order to demonstrate the vendor is neither debarred nor suspended
from receiving federal funding. Proposers are highly encouraged to obtain a DUNs
Number and register said number with the System of Award Management as soon as
possible, if the Proposer has not already done so, in order to prevent delays in the
development and execution of the contract resulting from this solicitation.
II. Scope of Services: The selected Proposer will be required to enter into an agreement for
services with the County substantially similar in form to that attached hereto as Exhibit "A,"
marked "Sample Agreement for Services," for an initial term that will expire June 30, 2020,
and thereafter be contingent upon subsequent funding awards and provider
performance. Any reference in this RFP to specific terms of the agreement are for illustrative
purposes only and shall not limit the scope of the obligations to be assumed by the selected
Proposer under the agreement. In the event of any conflict between a provision of this RFP
and the provisions of the agreement attached as Exhibit "A," the terms of the agreement shall
govern. The services standards for this solicitation shall include the following:
Procurement and Contracts
Page 4
A. Target Populations
1. DBT activities proposed in response to this RFP must specifically target age 14-19
year old high school students who are presenting with symptoms consistent with
diagnoses of Bipolar Disorder, Major Depression/Anxiety or Schizophrenia, Serious
Emotional Disturbance (SED), Serious Mental Illness (SMI), and/or engaging in high
risk behaviors (suicidal ideation/attempt, self-harm, substance, abuse), many of
whom will be dually diagnosed individuals. The youth being served may or may not
be eligible for Medi-Cal and/or may be uninsured.
2. FEP activities proposed should target individuals aged 14 to 24, regardless of
insurance status, who have experienced or are experiencing the symptoms of early
psychosis, including but not limited to:
a. Onset of psychotic symptoms in the past 24 months;
b. Subthreshold symptoms of psychosis;
c. Recent deterioration in youth with a parent/sibling with a psychotic disorder; and
d. May or may not have a concurrent substance use disorder.
The youth meeting criteria for this program may be served regardless of insurance
status (e.g., private insurance, Medi-Cal, Medicare, uninsured).
B. Outcomes/Goals:
1. The Behavioral Health Division has the following goals related to the DBT services
solicited in this RFP:
a. Each participant can verbally identify one skill from each module of the DBT Skills
b. Participants stay enrolled in and consistently attend/engage in school (e.g. a
decrease in unexcused absences and incomplete homework); and
c. Assessments are completed using the Child and Adolescent Needs and Strengths
(CANS) or Adults Needs and Strengths Assessment (ANSA), as age appropriate,
every three (3) months.
2. The Behavioral Health Division has the following goals related to the FEP services
solicited in this RFP:
a. Engagement
Participants will continue to engage with their case manager in an effort to
achieve their treatment goals.
For those attending school, participants will stay enrolled in and consistently
attending and engaging in school (e.g., excused absences only, completion of
For those working, participants will remain employed to the extent that continued
employment is within the participant control (e.g., quitting job vs. company
Procurement and Contracts
Page 5
For those seeking employment, participants will utilize the services at the County
Connections & Employment Resource Center at least two (2) times per week.
For those volunteering, participant will continue to volunteer to the extent that
such activity does not interfere with their treatment.
b. Participants will maintain medication compliance and attend all medication support
c. Reduction in the number of days hospitalized and/or incarcerated (working towards
a goal of none).
d. Graduation from FEP services into a lower level of services while achieving the
above-identified outcome objectives.
e. Use of Child and Adolescent Needs and Strengths (CANS) or Adult Needs and
Strengths Assessment (ANSA), as age appropriate, every three months.
Proposers are encouraged to develop their own evaluative measures in addition to any
requirements specified in the resulting agreement, for the purposes of being able to
measure the success of these outcomes.
C. Mandatory Program Components
1. Dialectical Behavior Therapy (DBT) Services
a. Structure of DBT Services
Services must be provided by a licensed, waivered, or registered mental health
professional (“Clinician”). Additional services and/or supports may be provided by a
para-professional with experience providing mental health rehabilitation services.
As a part of the plan submitted by the County’s Behavioral Health Division to
SAMHSA, the County proposed DBT services to be conducted using Alec Miller’s
Model designed for an Outpatient Adolescent population. As a result, any proposer
responding to this solicitation must be able and willing to use this model in the
performance of DBT Services at the selected service sites.
In performing DBT Services, the selected vendor will be required to conduct
reoccurring, five (5) module groups over a 12 14 week span. In addition to the
reoccurring DBT groups, a six-week Parent/Family DBT Skills Group must also be
provided and include DBT Participants as well as their caregivers, for the purposes
of ensuring participants are given a supportive environment as well as to encourage
skills-based learning.
DBT services will be provided while schools are in session. During school summer
break, winter break, or other times of school closures or holidays (collectively
referred to as “school holiday periods”), DBT therapeutic social and recreational
groups may be provided to offer participants the opportunity to practice their DBT
skills in a more relaxed recreational environment.

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