CHRISTINE BARADA COMMUNITY SERVICES, HOUSING, AND COMMUNITY DEVELOPMENT DIRECTOR Spokane County Regional Support Network RECRUITMENT ANNOUNCEMENT for Appropriations of Funding for a Sixteen (16) Bed Mental Health Evaluation and Treatment Facility in Eastern Washington. Effective March 31, 2008, Spokane County Regional Support Network (SCRSN) will accept applications for capital funds to assist an eligible organization to acquire, construct, and/or furnish a facility to operate an Evaluation and Treatment (E&T) facility in Eastern Washington. The application form and instructions for eligible organizations are detailed below. BACKGROUND SCRSN receives funding from the State of Washington Department of Social and Health Services (DSHS), Mental Health Division (MHD) to provide mental health treatment services. Funding must provide needed and community-based (in Spokane County) services for residents of Washington State. DSHS has appropriated capital funding for $1,500,000 to be utilized by June 30, 2009. The purpose of the funding is to provide an E&T facility in Eastern Washington as a psychiatric inpatient diversion option to treat mentally ill individuals who would otherwise be treated in a psychiatric state hospital. The eligible organization will contract directly with DSHS; however, prior-approval is required by the SCRSN as an organization that the SCRSN would desire to contract with for E&T treatment services. Treatment providers are encouraged to offer innovative, best practice or evidence-based services designed to treat the effects of mental health, which may be offered in conjunction with alcohol and/or drug addiction treatment. The organization must demonstrate a commitment and ability to provide services for mental health consumers in the facility by July, 2009, either voluntary or involuntary, and meet all applicable Revised Codes of Washington (RCW) and Washington Administrative Codes (WAC) requirements for such services. SCRSN prefers that the majority of the services are provided to involuntary consumers. Organizations selected and offered a capital-funding contract must have and maintain sound, acceptable, sufficient, and appropriate systems and adequate staff to manage the fiscal, personnel, and program responsibilities necessary to conduct the proposed activity. Page 1 of 6 Organizations with unresolved audit findings or unresolved legal actions must disclose the circumstances in the application process and identify their efforts in correcting any noted deficiencies or problems. Failure to do so may result in immediate termination of the contract if the issue is discovered after the contract has been awarded and/or executed. Boards of directors or commissioners, business owners, or other legally designated corporate officers must approve of and agree to supervise (as appropriate or required under state laws or corporate by-laws) the proposed activity. The purpose of this Request for Information Announcement is to identify organizations that are interested and eligible to implement a sixteen (16) bed E&T facility located in Eastern Washington with the understanding that separate contracts (DSHS and SCRSN) will be necessary to provide services within the E&T facility. GENERAL INFORMATION AND REQUIREMENTS: Page 2 of 6 All inquiries shall be directed to: Suzie McDaniel, Assistant Director for Spokane County Community Services, Housing, and Community Development Phone: (509) 477-4510 Fax: (509) 477-6827 Email: smcdaniel@spokanecounty.org Applications must be received by SCRSN no later than Friday, April 25, 2008. Application Submittal Requirements: In order for an application to be considered, the applicant must adhere to guidelines and instructions that are stated in this application instruction document. Eligible Organization Requirements: See section entitled Eligible Organizations: Funding Restrictions, Public Work Requirements, and Program Requirements to determine eligibility. SCRSN Contract: Successful applicants will be required to apply for and maintain a SCRSN contract for treatment services. Attach the organization’s most recent external financial audit and a financial pro forma for the next two years. Recruitment Announcement Revisions: The SCRSN may find it necessary to seek clarification from applicants regarding any of the responses submitted. The SCRSN may, at its discretion, request that applicants submit additional information in order to permit a more informed evaluation of the application. Property of the SCRSN: Any application submitted becomes the property of the SCRSN and will not be returned to the applicant. Submittal Rejection: SCRSN reserves the right to reject any or all applications, portions or parts thereof and to waive all minor irregularities. ELIGIBLE ORGANIZATIONS The Department of Social and Health Services (DSHS) received appropriations of Mental Health Division Community Grant (Grant) funds from the Washington State Legislature. Under Engrossed Substitute House Bill 1092 (Chapter 520, Laws of 2007), Section 2012, the Washington State Legislature appropriated funding for a 16-bed mental health E&T facility in Eastern Washington. Funding Restrictions 1. The maximum funding available for the E&T facility is one million five hundred thousand dollars ($1,500,000) and is available through June 30, 2009. 2. Organizations eligible to receive Grant funds to support the provision of mental health facilities for mental health clients include: a. Local governments b. Public mental health authorities c. Certified 501 (c) nonprofit organizations d. For-profit organizations e. Native American tribes 3. Funding is eligible for the following purposes: a. Property acquisition, if necessary b. Architectural and engineering design services c. Site preparation including demolition, grading, site utilities, etc. d. Construction of a new facility or the remodel of an existing facility e. Furniture and fixed equipment necessary to operate the program 4. The applicant must commit to provide a certified E&T facility for a specified time period based on the useful life of improvements funded by the Grant. For example, if the funded improvement to a building has a useful life of 15 years, the commitment period would be 15 years. 5. Any sale or changes to the use of the E&T facility property require prior written approval from DSHS. Page 3 of 6 Public Work Requirements If the proposed project meets the definition of a “public work,” the project must be managed in compliance with Chapter 39.04 RCW. Under RCW 39.04.010 (4), public work is defined as “all work, construction, alteration, repair, or improvement other than ordinary maintenance, executed at the cost of the state or of any municipality, or which is by law a lien or charge on any property therein. All public works, including maintenance when performed by contract shall comply with chapter 39.12 RCW. “Public work” does not include work, construction, alteration, repair, or improvement performed under contracts entered into under RCW 36.102.060(4) or under development agreements entered into under RCW 36.102.060(7) or leases entered into under RCW 36.102.060(8).” DSHS may be responsible for project management if the proposed project is determined to be a public work. Program Requirements The applicant must meet the following program requirements: 1. Certification by DSHS Mental Health Division under Chapters 71.07 and 71.34 RCW and WAC 388-865-500; 2. At least one of the following licenses from the Department of Health (DOH): i. Hospital ii. Residential Treatment Facility 3. Any required construction, land use, environmental, or zoning permits, and licenses and/or certifications required for the maintenance and operation of the E&T facility as a mental health facility; Certifications and licensing required by DSHS and DOH include all applicable client and non-discrimination policies and procedures. WRITTEN RESPONSE: Organizational Summary 1. Provide a brief summary of the history and experience of your organization and its capacity to offer quality services to individuals residing in the Spokane area. 2. Describe your organization's experience and reliability in providing timely and accurate information to funding agencies. Please address your capacity to report data electronically, other communication methods, and your ability to attend regularly scheduled local meetings to provide and receive information. Page 4 of 6 3. Please describe any programs you offer that reach out to under-served populations in our community. 4. How do you ensure that your services are culturally relevant to your consumers and fully accessible to everyone? 5. What elements of "best practices" or "evidence–based practices" are included in the services offered by your agency? What makes your organization unique and innovative? 6. Please describe your organization’s services for people with co-occurring disorders. 7. What and how will your agency contribute to enhance the overall effectiveness of the system of care as a collaborative partnership of mental health treatment providers? 8. Describe the organization’s plan to fund the cost of the services. What cost per day is projected and identify the payors the organization intends to contract with for services. 9. Describe your organizational evaluation process. Is input solicited from staff, clients, and the general community and how is it incorporated into program improvement? What are your long-range plans for quality improvement? Program Design Summary Please describe the E&T facility and program services that you wish to provide. Include a summary of the program design, why it is needed, how services are provided, who will provide them, where and when the service will take place, and any other detail that will help us understand how your program is unique and necessary. 1. Identify if the E&T facility will be structured for involuntary, voluntary, or both and at what ratio. Describe your organization’s experience involving treatment service to involuntary/voluntary consumers. 2. Describe your qualifications and experience to provide for an E&T facility and services. 3. Include the number of full-time staff providing services by shift. 4. How do you ensure that the consumers experience continuity of care as they are referred to or from the facility for a continuum of services? 5. Describe your expected outcomes in terms of treatment completion rates and consumer retention. Also, describe any other outcome measures that you use internally to gauge the effectiveness of your services. Page 5 of 6 6. Describe your plans for determining the location of the facility. 7. Provide a project construction/renovation timeline ending July 2009 and implementation of service delivery. REQUIRED DOCUMENTS FOR APPLICATION SUBMITTAL _____ Applicable licensure certificates _____ List of current board members and officers with their affiliations _____ Current organizational chart _____ Articles of Incorporation _____ IRS incorporation status (501(c), etc.) _____ Current corporate by-laws and date filed _____ Non-discrimination plans for patient rights, grievance procedures, and affirmative _____ action practices _____ Types of credentials of all clinical and administrative staff that would be providing services related to this application If conducted, most recent financial audit and management letter of the organization _____ Three business letters of reference, two of which pertain to a fiscal or contractual relationship _____ Certificate of insured status HOW TO APPLY Technical Requirements of the Application: Use standard 8.5 x 11 white paper. Use 12-point font, black ink. Print your organization name as a header on all pages of the application. Insert page numbers at the bottom of the page. Staple each application, original and copy, in the upper left-hand corner. Provide one original and one copy, both as hard copies. Applications may be emailed in addition to hard copies. Email to smcdaniel@spokanecounty.org. There are no restrictions for minimum or maximum number of pages. Letters of support are not required. However, if your application is dependent on a collaborative agreement with another agency to provide services, a statement from that agency that they agree to collaborate on service delivery may be submitted. Unnecessarily elaborate responses beyond that sufficient to present a complete and effective response are not desired. This recruitment announcement can be found in the Mental Health Index on the Spokane County Community Services website: www.SpokaneCounty.org/mentalhealth Page 6 of 6