Anne Arundel County Mental Health Agency, Inc

1 1 anne Arundel County Mental Health agency , Inc PO Box 6675, MS 3230 Sponsor of anne Arundel County s Web Site: 1 Truman Parkway, Suite 101 information website: Email: Annapolis, MD 21401 Phone: 410-222-7858 Francis A. Sullivan, LCSW-C, Executive Director Fax: 410-222-7881 CRISIS INTERVENTION SERVICES I. Request For Proposal (RFP) Overview A. Purpose The purpose of this RFP is to identify a Mental Health provider to operate Crisis Intervention Services (CIS) that consist of Mobile Crisis Teams (MCTs), Hospital Diversion, and 10 Urgent Care psychiatric evaluation slots per week as part of anne Arundel County s Crisis Response System (CRS).

2 The CRS is part of a larger Community Behavioral Health System. It is designed with an operations hub and three (3) levels of interventions ( See Appendix A , Community Mental Health Services). The CRS consists of the following: Mobile Crisis Teams, Hospital Diversion, the Operations Center, Consumer Outreach, Entitlements, and Care Coordination, and Urgent Care. The CRS was created with the goal of improving community response to persons with Mental illness who experience a crisis. It was designed to develop a systemically integrated approach that would assist the police and fire officers who frequently are the first to be called for a wide variety of crises.

3 At first, t he above was accomplished by using MCTs consisting of two Mental Health professionals who carry police radios and have received police training about 911 operations, police procedures, and safety protocols. In 2008 a second goal, Hospital Diversion (HD), was added. The goal of HD was to decrease the number of repeat visits to an Emergency Department (ED), reduce unnecessary in-patient admissions, lower average length of stay of those admissions, and reduce the number of persons re-admitted within 30 days. Hospital Diversion staffing is included as part of the Mobile Crisis Teams. The expectation of the anne Arundel County Mental Health agency , (AACMHA), also known as the Core Service agency (CSA), is that MCTs will respond to the EDs or inpatient units as part of Hospital Diversion.

4 The Operations Center (OPS), including the telephone warmline, data collection, and care management, will be carved out of the existing CRS grants and will be staffed and managed directly by the CSA as follows: 1. The CRS program director position will be a CSA staff person. 2. The Operations Director will be a CSA staff person. 3. A Care Coordinator with at least a . degree will coordinate, monitor, collect data, complete and manage reports on High Utilization Frequent Emergency Department (HUFED) consumers. 2 4. The current number of telephone warmline full-time employees will be maintained at seven. 5. Staff to provide administrative and data functions and support will be a part of OPS.

5 6. A consultant Psychiatrist will provide case consultations by phone and/or live case conferences. 7. If the CSA cannot develop an agreement to use Department of Aging and Disabilities to provide transportation between service components or to and from clinical services, a driver and vehicle will be provided by the CSA as part of the Operations Center. 8. Consumer Outreach, Entitlements, and Care Coordination (COECC) services will not be rebid. The provider, Partnership Development Group (PDG), will be expected to be a consistent partner of CIS, particularly in assisting with Care Coordination and entitlements follow-up. 9. 10 slots for Urgent Care psychiatric evaluations will be required by the successful bidder for use by the OPS staff and are included in this one RFP.

6 B. Applicant Qualifications Applicants must meet the following criteria to be eligible for funding: 1. Be a state-certified and/or licensed Mental Health treatment provider and must be in good standing with the Office of Health Care Quality (OHCQ) and/or the AACMHA. Copies of all applicable state certifications and licenses and any OHCQ Site Visit Reports, including statements of deficiencies, must be included as an Appendix. 2. Have organizational capacity to bill the fee-for-service Public Mental Health System, , collect revenue from the State of Maryland Administrative Service Organization (ASO). 3. Have the ability to assist with persons in stress, experiencing issues related to trauma, and be certified to conduct Critical Incident Stress Management (CISM) debriefings or defusings.

7 4. Have a commitment to provide high quality services to the diverse population of anne Arundel County . C. Proposal Timeframes and Specifications1 a. Timeline a. Pre-bid Conference - 04/19/13, 1:00 , Department of Health , 1 Harry Truman Parkway, Annapolis, MD 21401, Partnership Conference Room. Attendance by applicants is strongly recommended. All interested applicants are encouraged to send questions in advance of the conference to the AACMHA email at In the Subject line list Questions to RFP. Questions received prior to the pre- bid conference will be answered at the conference, as well as questions posed at the conference.

8 Full 1 Anticipated dates, subject to change at the sole discretion of the anne Arundel County Mental Health agency 3 responses to all questions will be posted on the AACMHA website ( ). b. Proposal Submission Deadline Monday, May 13, 2013 by 3:00 c. RFP Review Committee Pick-up Tuesday, May 14, 2013 d. RFP Review Committee Meeting - Wednesday, May 22, 2013, 10:00 , Department of Health , 1 Harry Truman Parkway, Annapolis, MD 21401, Partnership Conference Room. e. RFP Decision presented to the Board of Directors for approval Tuesday, May 28, 2013 f. Contract Award Wednesday, May 29, 2013 g.

9 Work Commences Monday, July 1, 2013 D. Contract Terms of Agreement and Funding It is anticipated that funding will be available for Fiscal Year 2014 (July 1, 2013 to June 30, 2014). AACMHA anticipates stable or increased funding in future years. AACMHA may annually renew the contract awarded as a result of this RFP for up to four years. II. Scope of Service As a result of the CRS reorganization, the AACMHA is issuing this Request for Proposals (RFP) for Crisis Intervention Services (CIS). CIS consists of three services: Mobile Crisis Teams, Hospital Diversion, and Urgent Psychiatric Evaluation Availability. A. Mobile Crisis Teams (MCT) a.

10 Four (4) Mobile Crisis Teams (MCT), each consisting of either two licensed or one licensed and one Masters level unlicensed/intern staff, is required. Each team operates an average of 40 hours per week, and coverage hours and days will be based upon the anne Arundel Police Department (AAPD) needs. These four MCTs are expected to provide overnight coverage and Hospital Diversion as part of their MCT duties. An MCT Coordinator should be specified and should provide direct service. Shifts are defined as an average coverage of hours per day each. Coverage hours and days will be based upon the anne Arundel County Police Department needs. However coverage for 17 hours per day, seven days per week must be available.