Project Title: Substance Abuse Prevention
Project #: RFPQ-104-2019
Issued by: Multnomah County view agency website
Publish Date: 4/5/2019
Due Date: 5/6/2019 This opportunity has closed.

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Description

PRE-PROPOSAL CONFERENCE There will be a pre-proposal conference for this solicitation on April 18th, 2019 at 2:45 P.M. at 501 S.E. Hawthorne Portland, Oregon 97214, Fourth Floor, Elm Conference Room. Attendance is: Optional SERVICE DESCRIPTION, FUNDING AND CONTRACTING INFORMATION PURPOSE AND OVERVIEW The Multnomah County Health Department (MCHD), Mental Health and Addictions Services Division (MHASD) is seeking proposals from whom it may purchase substance abuse prevention services. The purpose of this RFPQ is to qualify one or more prevention providers who are interested in partnering with MHASD on developing, implementing, and evaluating prevention services to Multnomah County residents. The services need to be focused on underage drinking and other community substance use issues, with the goal of preventing  substance abuse, by reducing of risk factors and increasing protective factors associated with alcohol, tobacco and other drugs. The prevention services sought need to include evidence-based strategies, be data driven, and include flexibility in order to best meet prevailing community needs throughout the course of the contract period. INTRODUCTION AND PROGRAM HISTORY Prevention services are an integrated combination of strategies designed to prevent substance use/abuse and problem gambling, as well as  its associated effects regardless of the age of participants. Prevention strategies are activities targeted to a specific population or the larger community that are designed to be implemented before the onset of problems as a means to prevent substance abuse and problem gambling or their associated detrimental effects from occurring. Multnomah County’s Alcohol and Drug Prevention Education Program (ADPEP) is developed and implemented following the prevention principles and strategies defined by the Institute of Medicine (IOM), Center for Substance Abuse Prevention (CSAP), and Strategic Prevention Framework (SPF). See, the Scope of Services section below for a description of these models. Historically, the ADPEP programming worked predominately with selective populations and strategies including education prevention and alternative activities. In recent years, the MHASD transitioned their goals to focus on universal populations and environmental prevention strategies. ADPEP uses Federal Substance Abuse Prevention and Treatment (SAPT) Block Grant funds to address risk and protective factors associated with youth substance use that can lead to alcohol, tobacco, or other drug addiction. The 2019-2021 key focus areas are to address alcohol, cannabis, and tobacco use among youth and young adults. Priorities include increasing capacity for prevention work in local schools, increasing family communication around substance use, and decreasing access to the above mentioned substances for individuals under the legal age of 21 years old.  GOALS, VALUES AND OTHER IMPORTANT CONSIDERATIONS The work of the ADPEP program is guided by the MCHD mission to work in partnership with the communities it serves, and to assure, promote, and protect the health of the people of Multnomah County. This mission serves to work toward our collective vision of healthy people in healthy communities. We maintain the following values in carrying out this work: ●      We believe that health is a "state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity." (World Health Organization, 1978) ●      We honor the diversity of the individuals and communities we serve and value their differing approaches to health and well-being. ●      We believe in partnerships to improve the health of our communities. ●      We believe the department's actions should assist our communities in addressing underlying factors that affect good health. ●      We value effective leadership as a fundamental tool to improve the health of our communities. ●      We believe in being responsible stewards of the public trust and resources. ●      We value a diverse staff and believe our staff should be selected with care, treated with respect, held accountable for their performance and encouraged in their personal growth. ●      We believe in continuously improving the quality of our work. ●      We believe in balancing scientific knowledge and practical experience with the wisdom and beliefs of those we serve to improve the health of our communities. ●      We emphasize prevention, health promotion and early intervention. The goals of the ADPEP program are developed to be alignment with the priorities of the Oregon Health Authority’s Health Promotion and Chronic Disease Prevention (OHA-HPCDP) section, the Oregon Alcohol and Drug Policy Commission, and federal Substance Abuse and Mental Health Services Administration (SAMHSA) guidelines and recommendations. Multnomah County uses both community-level and state-level data resources to inform biennial prevention plans for our county, with the assistance of program partners (contractors). Goals are developed and assessed annually. Key goals for the program include: ●      Building and increasing capacity of local school districts and community organizations to address substance use issues, including: â—‹      Increasing participation of our local schools in state-wide surveys (including but not limited to; Youth Risk Behavior Surveillance System, Oregon Healthy Teen Survey, and/or Oregon Student Health Survey). â—‹      Advocating for evidence-based prevention programming into school curricula. ●      Reducing risk factors and working to bolster protective factors within the County to allow for our communities to thrive. ●      Ensuring that all County prevention programming is culturally responsive. Encouraging and fostering culturally grounded approaches across the County. ●      Working to reduce stigma associated with substance use disorders. Proposers should identify and align with the values and goals listed above when responding to the proposals questions.. In addition, Proposers must be able to speak to their prevention framework and agency’s commitment to prevention programming and practices.Additionally,, in accordance with OAR 415-056-0045, Prevention Program staff must be culturally competent to serve the identified populations, and the number of prevention staff must be sufficient to provide the proposed services for the number of participants the program intends to serve. Program staff providing more than 0.5 FTE hours of direct prevention services must: ●      Have a Certified Prevention Specialist (CPS) certification, or must acquire the certification within two years of hire; and ●      Have a workforce development plan utilized to ensure compliance with the State OARs and to ensure each staff has opportunities to advance their prevention knowledge and skills. Information on obtaining and renewing a CPS certification can be found at the Mental Health and Addiction Counseling Board of Oregon website:https://www.mhacbo.org/en/certifications/. TARGET POPULATION SERVED The Multnomah County ADPEP seeks to reduce underage drinking and substance use among youth. The target populations for this funding are youth (K-12th grade), their families and the agencies that serve them (schools, community and faith-based organizations, etc.). The prevention program seeks to serve all Multnomah County citizens in a culturally responsive manner. Multnomah County defines culturally responsive services as general services that have been adapted to honor and align with the beliefs, practices, cultural and linguistic needs of diverse consumer/client populations and communities whose members identify as having particular cultural or linguistic affiliations by virtue of their place of birth, ancestry, or ethnic origin, religion, prefered language or language spoken at home. Culturally responsive services also refer to services provided in a way that is culturally responsive to the varied and intersecting “biological, social, and cultural categories such as gender identity, class, ability, sexual orientation, religion, caste, and other axes of identity”. Agencies that are provided funding through this procurement are expected to be culturally responsive. Multnomah County Prevention Statistics The statistics in the following section are broken down to show current trends among specific community subpopulations, but are not intended to be the only focus of this funding. Proposals should speak to the way in which specific sub-populations will be targeted based on current pertinent local data around use, access, and opportunities. Past 30 day use among youth in Multnomah County 6th Grade 8th Grade 11th Grade Alcohol 4.9% 15.6% 29.7% Alcohol (Binge Drinking) 1% 5.3% 14.6% Marijuana 2% 8.8% 24% E-cigarette or Vape pen**question not asked at younger grade level 18.4% Combined Tobacco use(includes cigarettes/other tobacco products/hookah) 1.1% 3.9% 10.3% Used prescription drugs(without doctor’s orders) 1.3% 4% 5.1% Additional statistical information can be located in the Buyer Attachment labeled as Attachment 1, Statistics, are broken down to show current trends among youth use rates, but are not intended to be the only focus of this funding..  Sources:  Multnomah County, Contracting and Procurement for Culturally Specific and Responsive Services. 2017 2018 Oregon Student Wellness Survey https://oregon.pridesurveys.com/dl.php?pdf=Multnomah_Co_2018.pdf&type=county GEOGRAPHIC BORDERS/LIMITATIONS & SERVICE AREAS Service limitations are within Multnomah County total geographic area with a primary focus in East County.  FUNDING Funding for prevention services is estimated to be $1,140,000.00 cumulatively for the total 6 year procurement period. Funding of the work described in this RFPQ is not predetermined or guaranteed. Fluctuations in funding year to year should be expected. The County cannot ensure that any particular level of work will be provided and the contract will permit the County to add or remove work as necessary depending on availability of funding. If, during the term of any Contract subsequent to this RFPQ, Contractor delivers less than the anticipated level of service or other required deliverables upon which payments were calculated, the County may unilaterally reduce the amount of the remaining payments for that service. MATCH REQUIREMENTS Not applicable to this sourcing event. SCOPE OF SERVICES MHASD is seeking providers to increase awareness and provide education to prevent substance use  (with a priority on underage drinking) among youth, as well as substance misuse across the County. Multnomah County uses the IOM Continuum of Health Care Model to provide a strategic framework for defining target populations and activities addressed by various addictions prevention efforts. Services must be classified as Promotion, Universal, Selective, or Indicated according to the IOM Model, and should be implemented through one or more of the CSAP strategies. Current Oregon Administrative Rule (OAR 415-056-0035) define the IOM and six C CSAP strategies as follows: Addictions Prevention Services are defined as an integrated combination of strategies designed to prevent substance abuse and/or problem gambling and associated effects regardless of the age of participants.  Prevention Services fall within one of four prevention elements of the IOM Continuum of Care Model.  The IOM prevention elements include Promotion, Universal, Selective, and Indicated Prevention.  Promotion typically addresses the entire population and strategies are aimed to enhance individuals’ ability to achieve developmentally-appropriate tasks (competence) and a positive sense of self-esteem, skills mastery, well-being, and social inclusion, and strengthen their ability to cope with adversity.  Universal prevention addresses the entire population with messages and programs aimed at preventing or delaying substance abuse and/or problem gambling.  Selective prevention targets subsets of the total population that are deemed to be at risk for substance abuse or problem gambling by virtue of the membership in a particular population segment.  Indicated prevention is designed to address underage drinking, tobacco use, substance use or gambling in individuals who have engaged in those behaviors but who do not meet diagnostic criteria for substance use or gambling disorders. Addictions Prevention Services are implemented through one or more CSAP strategies.  The six strategies with examples of services are: ●      Information Dissemination: This strategy provides knowledge and increases awareness of the nature and extent of alcohol and other drug use, abuse and addiction, as well as their effects on individuals, families and communities. It also provides knowledge and increases awareness of available prevention and treatment programs and services. It is characterized by one-way communication from the source to the audience with limited contact between the two. Examples: media campaigns, school assemblies, informational brochures; ●      Education: This strategy builds skills through structured learning processes. Critical life and social skills include decision making, peer resistance, coping with stress, problem solving, interpersonal communication and systematic and judgmental abilities. There is more interaction between facilitators and participants than in the information dissemination strategy. (Examples: school curricula, parenting education, skill building); ●      Alternatives: This strategy provides participation in activities that exclude alcohol and other drugs and gambling. The purpose is to identify and offer healthy activities and to discourage the use of gambling, alcohol and drugs through these activities (Examples: youth leadership and community service projects); ●      Problem Identification and Referral: This strategy aims at identification of individuals who have indulged in illegal or age-inappropriate use of tobacco or alcohol or gambling and those individuals who have indulged in the first use of illicit drugs in order to assess if the individual's behavior can be reversed through education. ●   Community Based Processes: This strategy provides ongoing networking activities and technical assistance to community groups or agencies. It encompasses neighborhood-based or industry led, grassroots, empowerment models using action planning and collaborative systems planning. (Examples: community coalitions, Communities That Care); ●      Environmental: This strategy establishes or changes written and unwritten community standards, codes and attitudes, thereby influencing alcohol and other drug use and gambling by the general population. (Examples: school/workplace policies and community laws concerning alcohol, tobacco and other drugs and/or gambling). Prevention Services must be classified as Promotion, Universal, Selective, or Indicated according to the IOM Continuum of Care Model. Services will be implemented through one or more of the CSAP six strategies. Prevention Contractor(s) will be required to meet with MHASD Addictions Prevention Coordinator for the purpose of identifying these strategies and write an ADPEP Biennial Implementation Plan to be submitted for approval by OHA-HPCDP. The County’s priorities include (but are not limited to) the following strategies: information dissemination, prevention education, and implementing environmental strategies that work to establish or change community norms surrounding substance use. Prevention contractors will be responsible for reporting program outcomes on at least a semi-annual basis, as required by County contract. Reporting requirements are subject to change based on annual or semi-annual plans developed and approved by OHA. Future funding of this project will depend, in part, on OHA assessment of the project’s success in meeting goals and outcomes identified in the indicated Alcohol and Drug Prevention Education Program’s (ADPEP) Implementation Plan. FISCAL REQUIREMENTS AND REPORTING Proposed Prevention Services 12 Month Budget Proposers must provide a 12-month annual budget and budget narrative for the proposed first 12 months of providing services. Budget should be based on the Proposer's best estimates of prevention services provided. Attach Packet to Supplier Attachments. During contract negotiations the submitted budget will be reviewed and total funding award will be based on contract negotiation decisions and allocations and not on what is proposed during the procurement process. Contract recipients shall prepare and submit monthly Expenditure Reports and shall include: ●      Agency name ●      Contract number ●      An itemized list of program expenses for the subject period (such as personnel, fringe, travel, supplies, indirect, etc.) ●      Any additional information agreed upon during contract negotiation. Budget adjustments of up to 10% of contracted award amount are allowable between or within budget categories and line items. No County approval is needed for such adjustments, but recipient shall notify Addictions Prevention Coordinator of all such changes. Budget adjustments exceeding 10% of the cumulative contract amount between or within budget categories and line items require prior approval of the OHA Agreement Administrator. PERFORMANCE MEASURES/PERFORMANCE CONTRACTING Contractor(s) will meet with the County Addictions Prevention Coordinator to assist in developing Annual or Biennial Implementation Plans, according to State OHA requirements, as described in Scope of Services. Performance measures will vary depending on scope of work. Examples of typical performance measures include (but are not limited to): ●      Reach (number of participants, demographics, location) ●      Success rate (retention, program completion) ●      Content (topics covered, projects completed) ●      Program fidelity (adherence to a specified curriculum or program model) ●      Program outcomes (impacts on participants and community; changes in policies, systems, and environments; strength of partnerships) The contractor(s) will be required to provide written or phone updates on a monthly basis to the County Addictions Prevention Program Coordinator. Written semi-annual reports describing progress made in completing activities and achieving the goals and objectives set forth in the OHA approved plan(s) will be required. CONTRACT NEGOTIATION Once selected in the allocation process, The County will initiate contract negotiations with the Proposer. Multnomah County may, at its option, elect to negotiate general contract terms and conditions, services, pricing, implementation schedules, and such other terms as the County determines are in the County’s best interest. If negotiations fail to result in a contract, the County reserves the right to terminate the negotiations and initiate contract negotiations with another qualified Proposer(s). This process may continue until a contract agreement is reached. CONTRACT AWARD AND ALLOCATION PROCESS This is a formal, competitive, Request for Programmatic Qualifications (RFPQ) process as provided under authority of PUR-1. No contracts will be issued as a result of this RFPQ process. Our intent is to establist pools of qualified vendors who will be eligible for potential contract awards. There is no limit on the number of vendors that may be qualified under this RFPQ process. “Multnomah County strongly encourages the participation of Minority-Owned, Women-Owned, and Emerging Small Businesses and Organizations in providing these services. ALLOCATION PROCESS Entirely separate from this qualification process, MHASD will initiate and award requirements contracts to those qualified providers who demonstrate the desired experience, skills, proficiency, certifications (e.g. see OAR 415-056-0045), and area of specialty that will meet the needs of the Alcohol and Drug Prevention Education Program. MHASD will conduct a rigorous funds allocation process to distribute available funds according to known system requirements and priorities. Allocations will only be made to providers who previously qualified under this RFPQ. The funding allocation process will be a formal one, requiring MHASD to document their findings and determinations in writing that lead to specific funding allocations or to the continuation of funding allocations. Vendors may not protest funding allocation decisions. Funding allocation decisions will be made from an overall County system of care perspective. Allocation priorities and selection criteria may include: ●      County and Department strategic priorities ●      Overall system of care needs and deficiencies ●      RFPQ proposal information and evaluation input from the RFPQ raters ●      Provider/system stability ●      Provider experience ●      Number and type of funded slots/beds ●      Funder imposed requirements or restrictions (i.e. nonprofit, designated vendor, etc.) ●      Specific population coverage ●      Geographic service coverage ●      Ability to leverage additional funding ●      Client needs and trends ●      Provider economy of scale ●      Past performance (recidivism rates, engagement, etc.) ●      Certification status; and ●      Other factors as deemed appropriate by the funding allocation team Since the allocation process considers a variety of factors, funding may go to qualified Proposers who did not earn the highest overall RFPQ qualified score. Therefore, it will be possible to qualify under this RFPQ process and not receive a funding allocation due to resource limitations and other factors. The Department cannot predict a case load for these services and does not guarantee any particular volume of business will be offered to any applicant who qualifies to provide services, nor is there any guarantee that the MHASD will use the services of any applicant who is issued a contract by virtue of this application. After Purchasing provides written solicitation results to all Proposers and with the completion of the separate allocation process by MHASD, MHASD staff will contact the successful and qualified Proposer(s) who will receive an allocation for contract negotiations. The County will be awarding Requirements Contracts for these services. Requirements Contracts do not guarantee any level of funding and funding levels may change from year to year. All Proposers seeking to provide services must submit a proposal and receive a minimum 70% of the total points possible in order to qualify. The County reserves the right to qualify additional suppliers for these services as it deems necessary. All qualified suppliers will be added to one vendor pool, from which contracts will be awarded through the allocation process. CONTRACT TERM Fixed term.  The contract term shall be six (6) years. The effective date of any resulting contracts shall be approximately July 1, 2019, or later if other contracts are qualified after the initial allocation process. The end date shall be June 30, 2025. COMPENSATION AND METHOD OF PAYMENT Prevention services and compensation/method(s) of payment will be negotiated with Proposer at time of contracting. Contractors are typically reimbursed under a Cost Reimbursement payment structure. Payment made on a Cost Reimbursement basis means that payment is made for exact costs incurred. An annual budget is required to validate the maximum reimbursement amount awarded by the County.  Example: Contractor is awarded an estimated maximum of $50,000 per year over the five (5) year contract. For each year of the contract, the Contractor will be paid an estimated $50,000 per year to provide problem gambling prevention services. If, at the end of each Fiscal Year (June 30), Contractor’s expenditures are less than the annual contracted amount, County may recover any unexpended funds from Contractor. COOPERATIVE PURCHASING   Not applicable to this sourcing event. INSURANCE REQUIREMENTS The Proposer awarded a Contract as a result of this RFPQ and the following allocation process will be required to provide the insurance described in Exhibit 2, located in the Buyer Attachments page of this sourcing event. In addition to the Sample Exhibit 2, the State may require additional insurance, depending on the contract amounts, as shown below. This contract is currently funded under the 2017-2019 State of Oregon Intergovernmental Grant Agreement, Agreement # 154980 and all future related agreements. This document can be found in the Buyer attachments and all future agreements will be posted to the county’s website at: https://multco.us/mhas/addiction-provider-resources.  In addition to the County insurance requirement minimums, per Exhibit 2, this contract requires any additional insurance requirements as outlined by the Intergovernmental Agreement (see agreement, including Exhibit C - Subcontractor Insurance Requirements) or as otherwise required by the state.   MINIMUM REQUIREMENTS  At the time of proposal submission, Proposers must meet the following minimum requirements. Failure to provide any of the required documents or meet any of the below requirements shall result in rejection of the proposal. The Proposal response must be received by Multnomah County Purchasing no later than 4:00 P.M. local Portland time on the proposal submission deadline. Proposer Representations and Certifications  The Proposer must certify that they agree to the Proposers Representation and Certification terms in the Pre-requisite page of the Sourcing Event. At the time of Contracting, Proposers must meet the following minimum requirements. Failure to provide any of the required documents or meet any of the below requirements shall result in cancellation of the contract Proposers must be legal entities, currently registered to do business in the State of Oregon (per ORS 60.701). Proposers must submit verification that all insurance requirements are met. Proposers must have a completed Pre-Award Risk Assessment if federal funds are used for this Sourcing Event. (See Procedural Instructions in the Buyer Attachments page of this Sourcing Event)

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Multnomah County cares about equity in purchasing and contracting. We are committed to working with State Certified Firms and encourages Minority, Women and Emerging Small Business (MWESB), Service Disabled Veteran (SDV) firms and Disadvantaged Business Enterprises (DBE) to compete for our contracting opportunities.

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