Licensed Substance Abuse Treatment Continuum of Care for Women with Dependent Children Bidder’s Conference November 6, 2014

2 Department of Children and Families (DCF) Created in July 2006 First Cabinet-level Department devoted exclusively to serving and safeguarding children and families Ensure the safety, well-being and success of children, youth, families and communities

3 Department of Children and Families (DCF) Four Major Operating Divisions: Child Protection and Permanency Children's System of Care Family and Community Partnerships Women

4 Child Protection and Permanency (CP&P) Formerly the Division of Youth and Family Services (DYFS) Investigates allegations of child abuse and neglect and addresses child welfare concerns Child Abuse Hotline (State Central Registry) operates 24-hours a day, 7-days a week.

5 Child Protection and Permanency (CP&P) 46 Local Offices 9 Area Offices

6 Children’s System of Care (CSOC) DCF's Children's System of Care, CSOC, (formerly the Division of Child Behavioral Health Services) serves children and adolescents with emotional and behavioral health care challenges and their families; and children with developmental and intellectual disabilities and their families. PerformCare, the Administrative Service Organization (ASO) for Children's System of Care, is the single point of access for Children’s System of Care services.

7 Family and Community Partnerships DCF's Family and Community Partnerships (FCP) promotes the health, well-being and personal safety of New Jersey's children and families by working together with parents, caregivers, organizations and communities to ensure an effective network of proven support services, public education and community advocacy to prevent maltreatment. Offices include: –The Office of Early Childhood Services –The Office of School-Linked Services –The Office of Family Support Services –The Office of Domestic Violence Services

8 Women The New Jersey Division on Women (DOW) is a pioneering state agency that advances public discussion of issues critical to the women of New Jersey and provides leadership in the formulation of public policy in the development, coordination and evaluation of programs and services for women. DOW evaluates the effectiveness of program implementation and plans for the development of new programs and services.

9 Background A significant proportion of families involved in the child welfare system are affected by substance use disorders, with national estimates ranging from 40% to 80%. Children of substance abusing parents are more likely to experience sexual, physical, or emotional abuse and/or neglect; and are more likely to be placed in foster care and remain there longer than children from non- substance abusing families.

10 Background However, research has shown that mothers are more likely to be reunified with their children when they are able to enter treatment faster, remain in treatment longer, and successfully complete at least one treatment episode. Furthermore, women tend to have higher rates of treatment completion and better outcomes when they are allowed to live with their children in residential programs and when their treatment includes comprehensive and supportive services to meet their range of needs.

11 Program Overview The funds in this RFP will be awarded to develop a comprehensive continuum of integrated care to promote the safety and wellbeing of families and children affected by substance use and other co-occurring disorders.

12 Program Overview The continuum of care shall include licensed residential and outpatient services for CP&P involved women with up to three dependent children, ages birth through twelve (12), per woman. It may also include non-residential substance abuse treatment services for CP&P involved fathers.

13 Applicant Requirements Applicants must currently operate at least one residential substance abuse treatment facility currently licensed by the New Jersey Department of Human Services’ (DHS) Office of Licensing (OOL). Applicants must deliver the proposed services in one or more of the following counties: Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Ocean and Salem.

14 Services to be Funded Substance use disorder treatment delivered by licensed residential AND outpatient substance abuse facilities Medication-assisted treatment, including buprenorphine, methadone, and naltrexone, must be available as clinically indicated Residential treatment services must be operational within 120 days, and outpatient services must be operational within 45 days Licensed treatment services will be funded at current DMHAS rates

15 Services to be Funded Supportive services (at a minimum): –Continuous, comprehensive service planning for the family –Trauma-informed, integrated treatment for substance use and mental health disorders –Concrete services to remove barriers to participation in treatment (e.g., transportation, child care) –Education, skill building, and other supportive services to help clients transition to community supports –Therapeutic interventions for the client, children, and family –Recovery management and supports –Wellness activities (e.g., nutritional counseling, meal planning, fitness)

16 Collaboration The awarded agency will be expected to partner closely with CP&P, including: –Timely communication of emerging or urgent issues –Participation in client case conference with CP&P workers no less than every 30 days, or more frequently as required to support treatment and service planning for all family members –Assistance with arranging visitation for other children in out-of-home placement –Participation in CP&P teaming meetings and Child Welfare Consortia meetings (where applicable)

17 Evaluation At a minimum, the awarded provider will be expected to monitor and report on items such as: –Client engagement and retention –Utilization of treatment slots –Client and child wellbeing and progress towards treatment goals –Improved parent/family functioning as indicated by progress towards family case planning goals

18 Funding Information Annualized amount of $1,800,000 in funding During the initial contract year, up to 20% of these funds may be used for start-up costs such as recruitment and hiring of staff, securing equipment, and minor renovations and refurbishing. One proposal will be funded under this program. Proposals that demonstrate the leveraging of other financial resources will receive additional consideration.

19 CHANGES to RFP The following slides describe AMENDMENTS and ADDITIONS to the RFP. Please note that your application must address any additional questions or provide requested materials. These corrections will also be posted in the Q & A document released following this bidders conference.

20 Funding Information Page 12, the sentence “Proposed beds must be new or non-funded capacity not repurposed bed capacity” is revised to state the following: “Bed capacity currently contracted by DHS- DMHAS or DCF may not be repurposed for this program. Bed capacity currently licensed by DHS- OOL (and not contracted by DHS or DCF) may be repurposed for this program.”

21 Funding Information There are four options to propose residential capacity for this program: 1) A new facility – requires a new facility licensure application to OOL 2) Adding additional new beds to an existing facility – requires an application to OOL for an amended license 3) Changing the specification of existing licensed beds within a facility - requires an application to OOL for an amended license 4) Utilizing existing licensed beds – does not require a new or amended facility licensure application be submitted to OOL

22 Section II – Application Instructions: Part A (pages 18-24) In addition to the existing questions found in Section II: Part A of the RFP, please respond to the following additional questions or requests for information in your application. Your response to these additional questions will count towards your score in each of the relevant categories.

23 Program Approach (pages 19-21) Please propose your intended level of service, including the number of residential treatment beds and level of care dedicated to the program, the number of clients to be served in each licensed level of care at any one time, the anticipated length of stay in each level of care, the anticipated volume of service units (bed days, treatment units), and the total number of clients served annually. The average daily census in any given modality should not fall below 90%.

24 Program Approach (pages 19-21) If your agency is licensed to provide residential substance abuse treatment and is proposing to establish a new licensed facility (option 1) within the specified counties, please respond to the following: 1. Provide an attestation that the appropriate certificate of occupancy for the new physical site has been or can be obtained from the local municipality. 2. Provide an attestation that within 30 days of receiving a final award of a successful bid, an application to license the facility (including the required fee) will be submitted to the DHS OOL.

25 Program Approach (pages 19-21) If your agency is licensed to provide residential substance abuse treatment and is proposing to establish a new licensed facility (option 1) within the specified counties, please respond to the following (continued from previous slide): 3. Request a preapplication functional review with OOL and provide a description of the feedback the applicant has received from DHS licensing regarding the ability of the designated site to comply with licensing standards for the proposed services. 4. Provide an attestation that within 30 days of receiving final award of a successful bid, co-occurring policies and procedures for the new facility will be submitted to OOL for review and approval.

26 Program Approach (pages 19-21) If your agency is proposing to increase licensed capacity (option 2) or change the licensure specifications within an existing facility/program (option 3), please respond to the following: 1. Describe the agency’s current DHS OOL license, including level of care, number of slots, and site address. 2. Provide an attestation that an appropriate certificate of occupancy, if required for the physical site, has been or can be obtained from the local municipality. 3. Provide an attestation that within 30 days of receiving final award of a successful bid, an application (including the required fee) will be submitted to the DHS OOL for the amended license.

27 Program Approach (pages 19-21) If your agency is proposing to increase licensed capacity (option 2) or change the licensure specifications within an existing facility/program (option 3), please respond to the following (continued from previous slide): 4. Request a preapplication functional review with OOL and provide a description of the feedback the applicant has received from DHS licensing regarding the ability of the designated site to comply with licensing standards for the proposed services. 5. Indicate if the facility has been approved by DHS OOL to provide co-occurring services. If not, provide an attestation that within 30 days of receiving final award of a successful bid, co- occurring policies and procedures will be submitted to OOL for review and approval.

28 Program Approach (pages 19-21) If your agency is proposing to utilize existing licensed beds for the program (option 4) please respond to the following: 1. Indicate if the facility has been approved by DHS OOL to provide co-occurring services. If not, provide an attestation that within 30 days of receiving final award of a successful bid, co-occurring policies and procedures will be submitted to OOL for review and approval.

29 Program Approach (pages 19-21) If the applicant is proposing to change the specification of existing licensed beds within a facility or utilize existing licensed capacity with no change in specifications (option 3 or 4) please include an attestation that the existing beds are not currently contracted by DCF or DHS to provide services as one of the required proposal appendices.

30 RFP Inquiries Deadline for inquiries: TODAY, November 6, 2014 by midnight

31 RFP Submission Deadline for receipt of proposals: (NOTE CHANGE IN DATE!!) January 16, 2015 by 12:00 PM

32 Questions