The purpose of this RFQ is to contract for Culturally Specific Mental Health Services. The intent of Culturally Specific mental health treatment services are to offer culturally and linguistically appropriate services to communities of color, and immigrants and refugees generally provided by individuals of similar cultural background as the client and in their primary language. Treatment services may include therapy, case management, and must include the capacity to provide medication management. a. Client Description Clients served in this program are typically immigrants or refugees from a variety of countries outside of North America. Generally these individuals speak a language other than English and may have limited community integration. Affective disorders and PTSD are common, though clients may present with any of the ‘above the line’ OHP approved diagnoses. Clients may be uninsured or indigent Clackamas County residents. Individuals in this program often have experienced very traumatic events which may have contributed to relocating to the United States. b. Clinical Criteria Contractor shall provide medically necessary mental health services to individuals who are assessed as having a mental health condition “above-the-line” in the “Prioritized List of Mental Health Conditions”. A DSM, non-substance use diagnosis, is the focus of the needed mental health treatment and the client cannot be adequately served through other community resources such as primary care. Contractor shall assign clients to a level of care consistent with the document Levels of Care for Culturally Specific Services. c. Service Description i. Services in this program shall be provided whenever possible by clinicians who speak the same language of the consumer and who have a thorough understanding and respect for cultural considerations. Clinicians shall be familiar with historical experiences that individuals may have been subjected to including war, persecution and the challenges of integrating into an unfamiliar society as either an immigrant or refugee. Services may include evaluation, consultation, assessment, interpreter services, clinical service coordination, case management, crisis intervention, skills training, medication evaluation and management, individual, family and group therapy. Services may be provided in a mental health clinic, in other facilities, in the consumer’s home or other community settings, as prescribed by the plan of care and level of care assignment. Flexible service approaches will also be incorporated, tailored to the specific treatment needs of each individual. Clients shall be included in all service planning and delivery. ii. Contractor shall adopt a treatment approach that encourages consumer responsibility, builds upon client strengths, encourages the development and use of natural supports and is focused on decreasing client dependence on the mental health system. Goals shall focus on long-term gains in functioning in multiple areas of a client’s life. Contractor shall employ a system of internal review to evaluate the care being provided within the agency, to modify treatment plans, adjust level of care being provided and consider duration of treatment. Services shall be reviewed critically to determine if medically necessary and modified to reflect the consumer’s need rather than to simply maintain the status quo. Any service not determined to be medically necessary shall be eliminated or transitioned to other community providers such as support groups, religious organizations, consumerrun programs, etc.
