1.01Introduction and Program Description
The Department of Health and Social Services (DHSS/Department), Division of Office of Children's Services (OCS), is requesting proposals from eligible applicants to provide Early Intervention for Young Children services for the State of Alaska in FY2016 thru FY2018. Program Services are authorized under 7 AAC 78 Grant Programs. Access State of Alaska statutes and regulations at http://www.law.state.ak.us/doclibrary/doclib.html or through the contact person listed on the cover page of this RFP.
A growing body of research has confirmed that the foundations for lifelong mental and physical health are substantially built from conception through early childhood. The reduction of childhood adversities; the early identification of health, mental health and developmental concerns; and access to quality, age-appropriate services are key ingredients for supporting families and ensuring the development of a healthy child and adult. Services for young children should be focused on early intervention, reflect developmentally appropriate practice, and be supportive of stable and responsive relationships with parents and caregivers. Mental health providers, family support workers, parent educators, early interventionists, early childhood educators and medical providers all have a role to play.
The Early Intervention for Young Children project is designed to support professionals and programs that work with young children and their families. Early care and learning providers need support in helping young children develop social and emotional competence as well as addressing social emotional distress or challenging behaviors. All too frequently young children are expelled from early childhood programs due to lack of caregiver skill or characteristics of programs. Mental health services for young children must be empirically-supported, family responsive and culturally and linguistically competent. They should address the specific needs of this age group, which are different from those of older children and youth. Practitioners need to be informed about the impacts of trauma and other early childhood adversities.
During FY 2009-2012 OCS funded two pilot projects, the Early Childhood Mental Health Consultation Project and the Early Childhood Learning Network. In FY 2012-2015 these services were expanded and supported the development of a statewide system for linking locally provided services through the Early Intervention for Young Children program. The successful applicants for this proposal will implement a package of early childhood mental health consultation to early childhood programs and provide training, consultation and reflective practice opportunities for professionals focused on supporting the social emotional development and mental health of young children. Additionally, all applicants may offer brief behavioral services as described below.
There is an Early Intervention for Young Children - Early Childhood Mental Health (ECMH) Technology Transfer Project Request For Proposal (RFP) issued concurrent with this RFP.
1.04Program Evaluation Requirements and Reporting
Applicants must upload an evaluation plan to measure project success (see Requirement #3 in subsection 4.04). Proposed evaluation plans must include clear statements of activities and outcomes in addition to indicators and data collection strategies. Applicants must demonstrate the way in which the proposed project’s outcomes will have a direct and positive impact on the skills and expertise of the professionals engaged, as well as the outcomes for the children served. Applicants must also upload a timeline for the project that includes performance measures and when they will be implemented (see Requirement #4 in subsection 4.04).
It is intended that the three awarded proposers will come to consensus on evaluation instruments and data collection processes. However, proposals must include proposed evaluation plans and describe the agencies commitment to working with successful applicants and the State of Alaska to finalize the evaluation process.
Grant Reporting
Required reporting for this grant will include:
1) Cumulative Fiscal Report (overall grant and match expenditures are reported quarterly by budget line item);
2) Program Reports submitted quarterly in the format prescribed by the grantor. Project evaluation and program reports will include, at a minimum, the following data grouped by project component:
A. Learning Network-
i. the number and positions of professionals participating in training
ii. the location, hours, and topics of trainings
iii. the number of consultations provided outside of early care and learning programs
iv. the number of professionals participating in Reflective Facilitation groups
v. the number of hours of facilitation provided (per professional average)
vi. the levels of participant satisfaction in the consultation and training activities and practice changes that have occurred as a result
vii. through the professionals served, the number of children impacted by the learning network and training activities
B. Early Childhood Mental Health Individual Child Consultation-
i. the number of programs requesting individual child consultation
ii. the number of programs receiving individual child consultation
iii. the number of children receiving individual child consultation
iv. the number of children receiving individual child consultation who remained in their early care and learning programs or find placements that more appropriately meet their needs
v. the number and positions of professionals engaged by individual consultation
vi. the number of children impacted (number of children who are in classrooms in which consultation occurs)
vii. the impact of the consultation on the individual children receiving consultation
viii. the satisfaction of the early childhood professional requesting individual child consultation
ix. the satisfaction of the parent requesting individual child consultation
C. Early Childhood Mental Health Program Consultation-
i. the number of programs that received program consultation
ii. the number of classrooms impacted by program consultation
iii. the number of children in the classrooms impacted by program consultation
iv. the hours provided per program engaged in program consultation
v. training topics provided
vi. the number of professional engaged in program consultation
vii. the level of program staff satisfaction in the consultation and training activities
viii. changes in the early care and learning program as a result of the program consultation
ix. impact to the children in programs with intensive program consultation
D. Brief Behavioral Services-
i. the number of children screened
ii. the number of children eligible for services
iii. the number of children receiving On-Site Behavioral Services
iv. the hours of On-Site Behavioral Services provided per child
v. the number of families receiving Family Training, Education and Support
vi. the hours of Family Training, Education and Support provided per family
vii. the number of referrals to additional services
viii. level of client satisfaction of services- perceived changes in child, adults more knowledgeable and competent
3) A year-end report will summarize the achievements, opportunities, barriers, and program outcomes.
Results Based Accountability Framework
Grant programs will be required to align with the department’s priorities and core services. Utilizing a results based management/budgeting framework, grantees will use performance measures to evaluate progress in order to meet meaningful outcomes and initiate data collection and reporting consistent with department priorities. Below are the Department Priorities, Core Services, Objectives, and Effective and Efficiency Performance Measures for this program.
Department Priorities
- 1 Health & Wellness Across the Life Span
- 3 Safe & Responsible Individuals, Families & Communities
Department Core Services
- 1.2 Provide Quality of Life in a Safe Living Environment for Alaskans
- 3.1 Strengthen Alaska Families
Department Objective
- 1.2.1 Improve the Safety of Children Receiving Department Services
- 3.1.2 Increase the Number of Alaska Families with Access to Safe, Affordable Child Care
Division Core Service
Performance Measures
- 1.2.1a Effectiveness: Percentage of participants receiving consultation or training that report an increased capacity to deal with children's behaviors and support social/emotional development.
- 1.2.1.b Efficiency: Cost of participant receiving individual consultation and/or training.
- 3.1.2a Effectiveness: Number of children receiving individual consultation who remain in programs or find placements that more appropriately meet their needs.
- 3.1.2b Efficiency: Average time to respond to referral for individual consultation.
1.06Program Funding
Anticipated funds available for this program in FY 2016 total $344,900 in State General Funds. It is the intent to issue one award for the Anchorage and/or Matanuska-Susitna Valley area, one award for the Fairbanks area and one award for the Juneau area. Services will be awarded at $90,000 to $100,000 per area.
Proposed Budget: The proposal must contain both a detailed and narrative budget for the first fiscal year of the grant fully compliant with the limitations described in 7 AAC 78.160 (Costs), and supports program staffing and service delivery requirements stated in this RFP. The GEMS portal provides applicants instructions and the ability to enter budget details and narrative for the project budget. More detailed instructions can be accessed in the DHSS Budget Guidelines available online at https://gems.dhss.alaska.gov/Home/Documents.
Indirect Costs: If the proposed budget includes indirect costs, 7 AAC 78.160(p) requires a copy of the agency’s current federally approved Indirect Cost Rate Agreement. Agencies with current DHSS grant agreements can review the Indirect Cost Rate Agreement information in GEMS. Agencies without current grant agreements with the Department must upload a copy of the Indirect Cost Rate Agreement in the "Agency Administration" tab of the GEMS portal. Help instructions are available in the portal to upload and review such documents.
Grant Income: Applicants providing Medicaid reimbursable services must also have a Medicaid Provider Number, or apply to obtain one, and seek Medicaid reimbursement for all eligible services. In the applicant’s proposed budget, both anticipated receipts and expenditures for all grant income must be clearly evident in both the detailed and narrative budgets and actual receipts and expenditures must be reported on a quarterly basis.