Lapeer County Community Mental Health Center 1570 Suncrest Drive, Lapeer, Michigan 48446

Lapeer County Community Mental Health Current Requests For Proposal   Children's System of Care Planning RFP         Date:               October 8, 2008 (original issuance date)                         November 20, 2008 (reissued)            To:                   Interested Parties                  From:              Michael Vizena                         Executive Director                        Re:                  RFP – System of Care Planning Services  Lapeer County CMH Services has been awarded a children’s system of care planning grant for FY09.  The advisory group for the grant has developed the attached Request for Proposal (RFP) to identify a person to provide staffing and facilitation support services for this planning process.  The advisory group hopes to identify a respondent to this RFP with the following background: Understanding of and experience with a children’s system of care planning process Experience with Michigan’s publicly funded mental health services for children with serious emotional disturbance (SED) and their families Familiarity with Lapeer County, or a county with demographics similar to Lapeer County. Responses to the RFP are due December 19, 2008.   Anyone with questions regarding this information or the attached RFP should contact Michael Vizena at (810) 245-8256.  Thank you for your interest.  c.   Advisory Group               ___________________________   REQUEST FOR PROPOSAL (RFP) Children’s System of Care Planning Services October 6, 2008 Updated November 20, 2008    Section I.      Background Information  Lapeer County Community Mental Health Services (CMH) is a publicly funded department of county government which provides a range of community-based behavioral healthcare services in Lapeer County.   Services are provided through a combination of directly operated and contracted programs.    There is a main service site location through which directly operated outpatient, case management, psychiatric, assertive community treatment, developmental disabilities day activity, and children’s home-based services are provided.  In addition to its main service site, a psychosocial rehabilitation treatment program and a consumer-run drop in center service are provided out of other locations.  Contracted services include inpatient, specialized residential, wraparound children’s services, supported employment, day activity, and respite services to adults and children with developmental disabilities and children with serious emotional disturbances.     For the past eleven years, Lapeer CMH has been part of a multi-county affiliation, the Thumb Alliance Prepaid Inpatient Health Plan (PIHP).   This alliance includes the St. Clair County CMH Authority and the Sanilac County CMH Authority.  Section II.   Specific Services Requested  Lapeer CMH has received FY09 children’s block grant funding to support a system of care planning process related to services for children with serious emotional disturbance (SED) and their families.    Lapeer CMH is seeking an experienced consultant to provide staffing and leadership services to facilitate this planning process. Section III.   Anticipated Work Plan  The intent of this RFP is to identify a contracted vendor to provide staffing services to support the anticipated work plan of the approved children’s block grant.   That work plan is enclosed with this RFP, labeled as ATTACHMENT A.  Section IV.   Specifications for Information Requested  Individuals or organizations interested in providing a response to this RFP should include the following information, organized and labeled consistent with the format outlined below:  A.            Description of Vendor  Describe the individual’s background and experiences related to the provision of services as detailed in Sections II. and  III.   This description should include the following information:  Describe your experience(s) in facilitating a planning process with multiple community participants. Describe your experience(s) in working with organizations or agencies that provide services to children with serious emotional disturbance and their families. Describe your experience(s) working in the Lapeer County community, and/or communities with demographics comparable to Lapeer County. Based on your review of the anticipated work plan (Attachment A), describe what specific actions you would recommend to: Actively engage community partners in the planning process. Solicit feedback from community partners (including families receiving services) regarding the county’s current system of care for children with serious emotional disturbance and their families. Provide an example of a report you have written related to the experiences you have outlined above. Describe how you would propose to evaluate the system of care planning process. B.                 Costs  Lapeer CMH will develop a professional services contract with the selected individual or agency.     The contract will include estimated hours for the contracted work plan at an hourly rate of reimbursement.  Please provide the proposed hourly rate and an estimate of the anticipated hours per the work plan outlined above.  C.               References  Provide the name, address, and contact person for three references regarding the indiviual’s or organization’s professional services as outlined above.    Also, please provide a copy of the plan developed/facilitated for one of these references.  PERSONS OR AGENCIES INTERESTED IN SUBMITTING A RESPONSE TO THIS REQUEST SHOULD FORWARD THE INFORMATION OUTLINED ABOVE TO LAPEER CMH SERVICES, ATTN. M. VIZENA, 1570 SUNCREST DR., LAPEER, MI, 48446, NO LATER THAN DECEMBER 19, 2008.   RESPONSES MUST BE RECEIVED WITHIN THE CMH OFFICES NO LATER THAN 5:00 P.M. ON THAT DATE.   RESPONSES RECEIVED AFTER THAT TIME WILL NOT BE ACCEPTED.  Section IV.            General Information Regarding the RFP Process  A.    Contract Award  The contract entered into will be that contract most advantageous to the Lapeer CMH Board.   CMH reserves the right to consider modifications of any proposals received at any time before a contract is awarded, if such action is in the best interest of CMH.  B.     Rejection of Proposals  CMH reserves the right to reject any and all proposals received as a result of this RFP.  C.   Incurring Costs  CMH is not liable for any cost incurred by the contractors prior to issuance of a contract.  D.   Disclosure of Proposal Contents  Proposals are subject to disclosure under the Michigan Freedom of Information Act (P.A. 1976, No. 442), once the RFP cycle is complete.   After a contract has been awarded, CMH may release copies of the RFP responses consistent with FOIA requirements.  E.    Evaluation Process for RFP Responses  The system of care advisory group will establish a committee to review the responses to this RFP.    Potential contractors may be required to meet with this committee or members of the CMH management team to review their proposal.   The review committee will evaluate each response based on the experience and references of the vendor and the projected anticipated cost of services.  Any questions related to this RFP should be directed to Michael Vizena, Executive Director, Lapeer CMH Services, at (810) 245-8256.  ________________________________                           _____________________________________   FY09 Children’s System of Care Planning and Mental Health Block Grant Funding STATEMENT OF WORK/NARRATIVE (dated 5/22/08) Priority #1 Title of Proposed Service/Intervention – System of Care Planning Grant   DESCRIPTION OF PROPOSED SERVICE/INTERVENTION AND PURPOSE The proposal is to provide grant funds to support a local planning process. There would be a fourfold purpose for the planning process: Review the current mental health access system for SED children/families and recommend improvements. 2. Assess the current CMH funded children’s services for model fidelity to best and/or evidenced based practices for wraparound and home based services. 3. Work with the current children/family service providers and Community Collaborative partners to identify: A sustainable process for collecting current service and support information for children with special needs (including children with SED); and A distribution process to get this information out to providers and families. 4. Work with CMH, DHS, Juvenile Court, and the schools to: Identify the characteristics of the children/families most difficult and costly to serve; and Identify the most appropriate evidenced based practice to implement to improve outcomes for this group of children and families. Lapeer CMH believes a planning grant to assess the current system of care is needed based on the following: The system of care assessment process in preparation for this grant submission identified concerns with the current CMH access system for children. There have been operational issues and problems raised regarding the transition of the wraparound services from a MIFPI funded project to an enrolled CMH service program, which would appear to be largely supported by Medicaid and GF funding in the future. Lapeer CMH has reorganized home-based services and added capacity in infant/young children services. These services need to be assessed for their model fidelity and for their linkages within the county’s system of care continuum. There will be retirement-related turnover in key leadership personnel at DHS in the next several months. New personnel with new perspectives in these positions should be included in system of care review. COLLABORATION Lapeer CMH organized this year’s system of care planning process as follows: Announced the initiation of the planning process at the March, 2008 Community Collaborative meeting; invited interested participants. Distributed a short community survey concerning access to current mental health services and unmet mental health needs (see attached survey). Summarized feedback from survey and held a follow up meeting to discuss (see attached summary). A listing of the participating organizations and representatives in the survey and/or follow up meeting is also attached. The anticipated outcomes identified in the project summary were identified through review of the survey responses and during the follow up planning meeting discussion. A letter of support from the Community Collaborative is enclosed with the proposal. TARGET POPULATION The target population for objectives 1-3 are children with serious emotional disturbance and their families. The target population for identifying the "preferred" evidenced based practice is SED children/families served without successful or sustainable outcomes and/or requiring out of home care. OUTCOMES AND EVALUATION Access to mental health services should be increased and/or simplified for children/families. Improved communication of available services and supports to families of children with special needs. Shared consensus on an evidenced based practice to pursue in FY2010 should be identified. ORGANIZATIONAL CAPACITY & OVERSIGHT An advisory group made up of senior leadership from CMH, DHS, Juvenile Court, Community Collaborative administration, and Schools will be formed. This group will approve an RFP developed by the CMH to locate a facilitator(s) to lead the planning process. The advisory group will select the planning facilitator, receive periodic reports, and approve the outcomes of the planning grant. TRAINING AND TECHNICAL ASSISTANCE This section is not applicable for a one year planning grant. FUNDING FY 07 funded wraparound services is in its second year of block grant funding. Medicaid resources are providing most of the local contribution funding in the 2nd year. The FY08 funded Infant/young child services have been fully implemented. Following the initial phase of marketing and community awareness building, service requests for very young children have increased. The Juvenile Court will provide a portion of the local contribution match required in the planning grant. CHILD, YOUTH, & FAMILY INVOLVEMENT Feedback from and involvement of children and families served would be incorporated into the planning process. This would include membership on the advisory group of at least one parent. It would also include the use of several focus groups composed of children and families from the targeted populations. WORK PLAN WITH ACTION STRATEGIES FY08 Fourth Quarter Based on notification of grant funding in the 4th quarter of FY08, Lapeer CMH will organize the advisory group membership and tentative meeting/work plan agenda for review by identified advisory group participants. FY09 First Quarter Conduct initial advisory group meeting. Develop RFP based on input from advisory group, consultation with other CMHSPs with successful planning grant experience. Distribute RFP, evaluate applicants, select facilitator(s) to assist in planning process FY09 Second Quarter Conduct periodic advisory group meetings. Hold focus groups with targeted population children and families Review CMHSPs, MDCH input for best practices related to access process (including review of performance benchmarking initiative outcomes, site visits). Review CMHSPs, MDCH input for best practices related to wraparound and home based services. Survey local community collaborative partners for improving information and service engagement support for families with children with special needs, including children with serious emotional disturbance. Identify evidenced based practice(s) best suited to address Lapeer County SED children in out of home care, most at risk for out of home care, or without successful outcomes. FY09 Third Quarter Conduct periodic advisory group meetings. Lapeer CMH leads the Community Collaborative effort to develop any FY10 children’s block grant funding requests which have stemmed from FY09 planning grant process. Facilitator(s) develop draft reports for review and approval by advisory group. Approved reports and recommendations are shared with community and governance bodies as required. Beginning the process of implementing recommending changes in access, wraparound, and home based services as identified. FY09 Fourth Quarter Conduct periodic advisory group meetings. Continue implementation of changes in access, wraparound, and home based services as identified. Complete evaluation of initial service delivery changes.   BUDGET NARRATIVE Contractual – Facilitator(s) to provide staffing support, investigation, and assessment services of current system of care and CMH services for children with SED and their families. Cost estimate based on 250 hours of service @ $100 per hour. Supplies and Materials – Supplies and materials for information sharing (reports and analysis materials for advisory group and community collaborative partners). Other Expenses – Projected costs to support six(6) advisory group meetings, three (3) focus group meetings, and two (2) site visits "best practice" locations.

Executive Summary of the Strategic Plan   LAPEER COUNTY COMMUNITY MENTAL HEALTH SERVICES FY06-08 STRATEGIC PLAN Executive Summary March 31, 2006   In October, 2005, an ad hoc committee of the Lapeer County Community Mental Health Services (CMH) Board was appointed to update the Board’s strategic plan. This committee organized and convened a series of planning groups, made up of over 70 persons representing consumers, families, staff, providers, and other interested community partners. With leadership from members of the ad hoc committee, these groups met up to four times and developed recommended goals and action steps to be included in the plan. The ad hoc committee then met to review all recommendations from the planning groups. These recommendations were discussed and organized into five major goal areas with identified action steps. Management staff then met and developed more detailed implementation steps and a proposed budget for the plan. This plan was reviewed and approved by the CMH Board at its 3/30/06 meeting. The five goal areas include: Improve Clinical Services Major objectives in this goal area include: 1) Expand after-hours clinical services to work with law enforcement to assist with crisis situations involving persons with mental health disabilities; and 2) Improve out-of-home respite and crisis services to children; and 3) Improve parent support services by developing mentoring services and support groups for parents. Enhance Advocacy Efforts The major objective in this goal area is creation of a Customer and Family Resource Center at the CMH facility, with administrative services support and funding to maintain a resource library and staffing by trained consumers and family members. CMH staff will work with advocacy organizations [including Thumb Group, St. Clair ARC, local National Alliance for the Mentally Ill (NAMI) chapters, Association for Children’s Mental Health (ACMH)] to plan specific advocacy and educational opportunities for consumers and families to be organized and delivered through this center. Improve Community Collaboration The major objectives in this goal area are: 4) Improved transitional services to students with special needs leaving school-based settings; and 5) Increasing early treatment intervention services for children; and 6) Increasing outreach to families with children with special needs. Expand Community Education and Anti Stigma Efforts The strongest and most frequently identified recommendation across all planning groups was to increase community education efforts regarding mental health-related issues. The purpose of these education activities is to improve awareness of CMH services and to reduce stigma regarding mental health-related disabilities. The Board will increase staffing and support resources to expand agency publications, establish a speakers’ bureau, and improve communications within the community regarding mental health-related issues. Enhance Physical Environment This goal includes improvements in the children’s areas and the waiting room of the main service building and the exterior grounds. The purpose of these improvements is to make the facility more customer-friendly and inviting to the persons and families who use services.       The projected costs for implementation of this strategic plan for FY06 are $42,250. The projected full year costs for FY07 are $124,300. The CMH Board will receive and review semi-annual reports on implementation of the strategic plan. The plan will be updated and modified as necessary based on these reviews.       Persons interested in receiving a full copy of the strategic plan should contact Michael Vizena, Executive Director, LCCMH, 1570 Suncrest Dr., Lapeer, MI, 48433. Telephone # (810) 245-8256.     I. Goal - Improve Clinical Services Goal Objectives Action Plan Implementation Steps Responsible Parties Time Frames A. Establish a liaison/case worker on call after regular business hours                   B. Expand Respite Care program                       C. Enhance Crisis/Emergency out-of-home for children and adolescents       D. Enhance Parent Support Services 1. Train qualified clinician to work in crisis situations in collaboration with community law enforcement in after hours situations                   1. Establish respite care problem solving team 2. Evaluate training/incentives/bonuses for caregivers 3. Explore children’s out-of-home respite house 4. Explore adult respite out-of-home opportunity 5. Seek grant funds           1. Evaluate need for additional child crisis bed capacity within alliance         1. Develop mentoring program for parents 2. Develop support groups for parents a. Meet with Lapeer City and County Sheriff leadership to identify enhanced after hours needs. b. Provide training updates for police and sheriff re. current afterhours capacity and procedures. c. Provide afterhours with connection to electronic records d. Establish contracted enhancement as directed from law enforcement feedback. e. Evaluate outcomes   a. Appoint planning group –A. Schroeder chair, include staff, consumers, providers. b. Identify facilitator to assist with staffing planning activities. c. Survey feedback on current experiences with respite/crisis – families, staff, and providers d. Review Alliance partners’ respite/crisis protocols e. Develop draft of revised/new respite and crisis protocols f. Implement new protocol g. Evaluate new protocol       (Same as above)         1. See Goal II.A. Implementation Steps 4,5,6, and7. Mike/Roy     Roy/Triage Staff     Lauren/Roy   Mike   Mike/Board   Mike/Andrea/Roy   Planning Group   Planning Group, Facilitator   Planning Group, Facilitator Planning Group, Facilitator   Staff Planning Group           Lauren Emmons 4/1/06 - 6/30/06     4/1/06 - 6/30/06     4/1/06 - 6/30/06   7/1/06 - 12/31/06   1/01/07 - 3/31/07   4/1/06 - 4/30/06   5/1/06 - 6/30/06   7/1/06 – 9/30/06     7/1/06 - 9/30/06 10/1/06 - 12/30/06     1/1/07- 6/30/07 7/1/07- 9/30/07           4/1/06 - 9/30/06           II. Goal - Enhance Advocacy Efforts Goal Objectives Action Plan Implementation Steps Responsible Parties Time Frames A. Enhance Advocacy Efforts                                                                         B.   Promote and Support availability of public transportation 1. Administration and Board members advocate with legislators 2. Administration and Board members advocate with MACMHB 3./4. Get input from users on issues considered by legislators, Board Association. 5. Develop advocacy training for parents 6. Establish a family advisory council                                                       1. Establish transportation/problem solving team     2. Work with the local transportation authority to assess the need and capacity of transportation services.   3. Support voter registration for persons with disabilities   1. Develop a survey to distribute to consumer family members to seek input, solicit interested individuals and to identify any potential barriers to participation in advocacy and advisory groups. 2. Identify space; provide basic office equipment and supplies to operate a resource room on site at the agency. 3. Establish budget to support equipment, supplies, educational resources, and staffing support for family resource center 4. Continue participation in the Thumb Group and support their efforts to expand advocacy and educational opportunities on behalf of the consumers in the Thumb Area. 5. Collaborate with the ARC of St. Clair County and the state level ARC to utilize their resources through CMH Family Resource Center. 6. Collaborate with the Lapeer Area NAMI group in conjunction with the Blue Water NAMI and the state level NAMI to utilize their resources through CMH Family Resource Center. 7. Collaborate with Association for Children’s Mental Health to utilize their resources through CMH Family Resource Center. 8. Recruit family members, peers to staff Family Resource Center. 9. Open and operate Resource Center 10. Evaluate Resource Center outcomes   a. Participation in Friends of Public Transportation initiative.   b. Continued participation on public transportation planning group      c. Staff and contract providers review   voter registration status with consumers, assist with securing ID and voter registration as necessary. Lauren Emmons           Lauren Emmons     Mike Vizena       Lauren Emmons           Lauren Emmons       Lauren Emmons/Mike       Mike       Mike/Lauren/Staff             Mike       Lynn Van Norman     Case management staff Survey completed by 4/30/06 and distributed in May 2006.       6/1/06 -8/30/06       6/1/06 -8/30/06       4/1/06 -9/30/06           4/1/06 -9/30/06       4/1/06 -9/30/06         4/1/06 -9/30/06       6/1/06 -9/30/06   10/1/06 -9/30/07   10/1/07 -12/30/07     4/1/06 -8/30/06       Ongoing     4/1/06 -7/1/06 III. Goal-Improve Community Collaboration Goal Objectives Action Plan Implementation Steps Responsible Parties Time Frames A. Improve collaboration with community partners defined as stakeholders and community organizations                                               B. Increase CMH line staff participation in collaborative meetings/planning                     C. Increase opportunities for early treatment interventions for children 1. Improve transitional services to students leaving school and 2. Collaborate with school personnel involved with students with special needs.                   3. Increase knowledge of children’s services among CMH staff. and 4. Increase knowledge of CMH services among community partners.   5. Improve linkage with Web based Human Services Calendar.   1. Attend/participate in network/luncheons of MPCB 2. Assign staff to attend collaborative meetings   3. Include the importance of collaboration in new staff orientation.   4. Develop standardized acronym list of other agencies for assisting CMH staff                     1.  Increase utilization of building after hours for children/adolescents a. Meet with school transition and special needs personnel to identify opportunities for improvement. (both Lapeer and Genesee ISD). b. Establish revised protocols for transition services based on feedback. c. Implement new protocols. d. Solicit feedback on new protocols - staff, families   a.  Review opportunities for joint meetings with school personnel a. (see above) b. (see Goal IV.)   Linkage on CMH Web page             Share information via email postings       Incorporate into new staff orientation and training.   Available - Being Updated     a. Expand elementary school based services contracts to all five school districts (Almont and Dryden) b. Implement Child Care Expulsion Program contract with 4Cs.   a. Improve linkages with other community organizations supporting enrichment activities for children with special needs. Mike/Andrea/Roy           Mike/Andrea/Roy / School personnel     CMH, school personnel       Mike/Roy with ISD administration         Kay Fanson           Mike         Jackalyn/Supervisors             Mike/School Superintendents                 Resource Center/ Management staff 4//1/06-6/30/06           6/30/06-8/31/06   9/1/06-6/1/07   6/1/07-8/31/07       4/1/06- 6/30/07         Ongoing             Ongoing         4/1/06-Ongoing             9/1/06     4/1/06             8/1/06-12/31/06 IV. Goal - Expand Community Education and Anti Stigma Efforts Goal Objectives Action Plan Implementation Steps Responsible Parties Time Frames Create Communications Coordinator’s Position* to:                             A. Expand knowledge of mental health services           B. Institute successful anti-stigma campaign- increase opportunities for people to become better informed about mental illness               C. Enhance image of CMH by developing "friendly face" and increasing community awareness                                   1. Improve internal/external communication 2. Expand agency newsletter 3. Increase public presentations   1. Establish advocacy group 2. Establish speakers bureau including staff and consumer speakers 3. Improve opportunities to share information a. Websites (including linkages to other community partner websites-state & local b. Enhance Resource Center including videos and publications. 1. Increase advertising a. Placemats b. Radio Spots c. Ads in Theaters d. Billboards e. Posters/collages in school settings. 2. Expand the variety of printed brochures 3. Develop distinctive "logo" 4. Develop improved method(s) of disseminating information a. Write a Request for Proposal (RFP) b. Review and select provider from RFP c. Orientation for contracted vendor. d. Prioritize educational activities and develop proposed budget based on prioritized plan. e. Implement prioritized plan f. Evaluate expanded education services Mike   Selection Committee   Contracted Vendor Management team/Board     Contracted Vendor/ Management Team Management Team/ Board 4/1/06-5/15/06   5/15/06-7/15/06   7/15/06-8/15/06   8/15/06-9/30/06       10/1/06-9/30/07   10/1/07 –12/31/07   *Additional staffing support to address objectives outlined in this goal was the single strongest recommendation across all planning groups.   V. Goal - Enhance Physical Environment Goal Objectives Action Plan Implementation Steps Responsible Parties Time Frames A. Enhance physical environment                                                 1. Painting with more color 2. Collage of activities/staff 3. Utilize artwork 4. Revive furniture 5. Fix kids corner 6. Re evaluate glass 7. Organize posters/notices better 8. Plantings outdoors/benches 9. Better signage 10. Lighting issues-exterior                             1. Play Therapy Room remodeling. Paint walls and furnishings using more colors with murals by Lapeer West Art Students. New floor and counter top. 2. Remodeling of the children’s area of the waiting room. Identify a distinct area with tile floor, more colorful walls, and new furnishings. 3. Maintain affiliation with the Master Gardeners program in conjunction with the Lapeer County Building and Grounds Department to develop and implement a plan to beautify the grounds surrounding the building. Investigate partnership with Lapeer Schools vocational programs. 4. Provide financial resources in the form of a budgeted amount to support the grounds beautification project. 5. Utilize the proposed Resource Room as the identified area to post notices related to consumer education and involvement. 6. Update the waiting room with fresh paint, new furniture and furnishings. This would include an organized solution to display notices and other important information. Lauren Emmons with consultation from children’s services staff. Work completed by County B&G staff. Lauren Emmons with consultation from children’s services staff. Work completed by County B&G staff. Lauren Emmons             Mike Vizena   Lauren Emmons       Lauren Emmons In process-expected completion by 3/31/06.     Target completion date 6/30/06     4/1/06-9/30/06             6/1/06   10/01/06       4/1/06-8/30/06