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Department of State Health Services Mental Health and Substance Abuse Division

Department of State Health Services Mental Health and Substance Abuse Division. Request for Information (RFI) on Substance Abuse Services for Fiscal Year 2016 . 2016 Request for Proposals. Substance Abuse Services for FY2016 procurement

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Department of State Health Services Mental Health and Substance Abuse Division

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  1. Department of State Health Services Mental Health and Substance Abuse Division Request for Information (RFI) on Substance Abuse Services for Fiscal Year 2016

  2. 2016 Request for Proposals • Substance Abuse Services for FY2016 procurement • All treatment services – youth, adult, specialized female • Outreach, Screening, Assessment and Referral (OSAR) services • Co-occurring Psychiatric and Substance Use Disorder (COPSD) services

  3. 2016 Request for ProposalsTimeline • Two requests for information (RFIs) • Today’s RFI will cover proposed changes to service delivery system • May 2014 – Second RFI – posting of draft RFP document • RFP is expected to be posted in October 2014 • Contracts awarded to begin September 1, 2015

  4. 2016 Request for ProposalsRFI • DSHS is proposing several changes to the service delivery system: • Youth services – outpatient curricula • Youth services – day treatment • Youth services – transitional and recovery services • Youth services – specialized female • Buprenorphine services • Overdose prevention education

  5. 2016 Request for ProposalsYouth services – outpatient curricula • DSHS is proposing that Cannabis Youth Treatment (CYT) be an optional curriculum for Youth Outpatient Treatment • Providers could continue to use CYT alone or in conjunction with another evidence-based curriculum • Providers would continue to be required to use at least one evidence-based curriculum

  6. 2016 Request for ProposalsYouth services – day treatment • DSHS is proposing to add Adolescent Day Treatment to the youth treatment service array • Requires specific licensure from DSHS Regulatory Division • Facilities providing day treatment must provide at least 15 hours of services perweek, comprised of at least: • one hour of individual counseling; and • 14 hours of additional counseling, chemical dependency education, life skills training, and relapse prevention education. Attendance in school may not be counted toward this requirement.

  7. 2016 Request for ProposalsYouth services – transitional and recovery services • DSHS is proposing to fund transitional and recovery services in communities to which youth clients are returning after treatment services • Governmental or non-profit entities would be eligible respondents (not limited to licensed treatment providers) • Services would be curriculum-based and would assist adolescents in sustaining their recovery after treatment

  8. 2016 Request for ProposalsYouth services – specialized female • DSHS currently issues a specific and separate contract for pregnant and parenting youth • Expenditures and numbers served have been very low in these contracts due to lack of demand for the services • DSHS is proposing to eliminate this separate contract • Pregnant and parenting youth will be able to access standard youth treatment services • DSHS is proposing to procure one statewide youth Women and Children Residential program

  9. 2016 Request for ProposalsBuprenorphine services • DSHS is proposing to increase the ability of clients to access certain opioid substitution services (buprenorphine) outside of licensed narcotic treatment programs • Physicians with a waiver from The Drug Addiction Treatment Act of 2000 (DATA 2000 waiver) are able to prescribe buprenorphine outside of a licensed narcotic treatment programs • DSHS is considering making a subservice type rate for physician services available for outpatient and residential providers to facilitate client access to DATA 2000 waivered physicians

  10. 2016 Request for ProposalsOverdose Prevention • DSHS is proposing to add service requirements for providing overdose prevention education to clients during treatment or at discharge • Overdose prevention education for all clients as a part of treatment education requirements • Specific overdose prevention activities with clients with opioid use disorders and those clients that use drugs intravenously to include: • Education on naloxone (including possible local access) • Referral of clients with IV drug use history to HIV Outreach services • Referral to local community resources that work to reduce harm associated with high risk behaviors associated with drug use

  11. 2016 Request for ProposalsInstructions for Comment • DSHS will be accepting comment from stakeholders about these proposals and will consider feedback as the draft RFP is developed for posting in May 2014 • Stakeholdersmust submit comments and other feedback using the attached stakeholder feedback form: • Send the completed form to:SA-RFI@dshs.texas.gov • Feedback must be received no later than April 18, 2014 by 5:00 PM CST

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