Children, Youth, and Family Full Service Partnership Wraparound (FSPW)

The County of Sacramento Department of Health Services, Behavioral Health Services (BHS), seeks to procure an integrated Children, Youth, and Family Full Service Partnership Wraparound (FSPW) model under a single contract. Services must be available countywide, including rural and geographically isolated communities, and must actively engage tribal partners and culturally rooted supports.

The FSPW model will integrate multiple service components into a single coordinated outpatient Specialty Mental Health Services (SMHS) framework delivered through the Full Service Partnership (FSP) model and consistent with Behavioral Health Services Act (BHSA) requirements for FSPs, including provision of intensive, coordinated, community-based outpatient services for individuals with the highest behavioral health needs.

Core components of the FSPW model will include:

• Outpatient SMHS delivered through the FSP model in accordance with BHSA FSP requirements and Sacramento County Policy and Procedure for SMHS Medical Necessity.
• High Fidelity Wraparound (HFW) (see Attachment Q – Medi-Cal High Fidelity Wraparound Concept Paper).
• County-directed Evidence-Based Practices (EBPs), such as Multisystemic Therapy ( MST ) delivered in alignment with BH-CONNECT requirements and applicable model fidelity standards (see Attachment O – BH-CONNECT Evidence-Based Practice (EBP) Policy Guide).
• Flexible services and supports, including Immediate Needs, stabilization resources, and housing related supports, as authorized by County policy and All County Letters (ACL) No. 25-47 and Behavioral Health Information Notice (BHIN) 25-027 (see Attachment J), the BH -CONNECT Evidence-Based Practice (EBP) Policy Guide (see Attachment O), and other applicable state guidance.

Collectively, these components will be referred to as FSPW throughout this RFA. Additional detail regarding required components and service expectations is provided in Section 2.2 – Integrated FSPW Model Overview and associated attachments.

All timeline references are in Pacific Standard Time (PST). For instructions on submitting bids, visit https://opengov.my.site.com/support/s/ .

Sacramento County is one of eighteen counties located in the Central Region of the State of California. The State of California, Department of Finance estimates the 2022 population of Sacramento County to be approximately 1.6 million. As such, Sacramento is considered a large county, especially in comparison with the populations of surrounding counties.

Sacramento is one of the most ethnically and racially diverse communities in California. While the Wilton Rancheria Tribe is the only Federally Recognized Tribe in Sacramento County, Native Americans from local and out of state tribes currently reside in Sacramento. Historically, Sacramento County has been one of three counties with the highest number of newly arriving refugees in California. However, in recent years, Sacramento County has resettled the most Refugees and Special Immigrant Visa holders (SIVs) as compared to any other County in California. With the addition of Arabic as a threshold language in 2017 and Farsi in 2020, Sacramento County now has a total of seven threshold languages (Arabic, Cantonese, Farsi, Hmong, Russian, Spanish, and Vietnamese).

Children's Outpatient SMHS

Sacramento County BHS administers outpatient SMHS for children, youth, and families pursuant to the Medi-Cal 1915(b) waiver and Section 1115 authorities. Children’s SMHS are provided by County-operated programs and contracted community-based organizations and include outpatient and intensive community-based services designed to address functional impairment associated with diagnosed mental health conditions. Services are delivered in accordance with Early and Periodic Screening, Diagnostic, and Treatment ( EPSDT ) requirements for individuals under age 21 and focus on preventing deterioration, supporting developmental progress, and stabilizing youth in home, school, and community settings.

Sacramento County contracts for FSP programs as a core component of the children’s outpatient SMHS continuum. FSP programs deliver intensive, coordinated, and individualized services to children, youth, and families with complex behavioral health needs, including those involved with child welfare, probation, and other public systems.

Also within the children’s outpatient SMHS continuum, Sacramento County also contracts for High Fidelity Wraparound as a service delivery approach embedded within outpatient SMHS. Wraparound provides a team-based, family-driven, and strengths-focused care coordination model that supports and complements specialty mental health treatment and case management.

Current FSP and Wraparound programs represent necessary, but separate, core components of the County’s children’s behavioral health continuum. Through this procurement, Sacramento County seeks to combine FSP and Wraparound with EBPs and Flexible services and supports, including Immediate Needs, stabilization resources, and housing related supports, into a single, integrated model called Full Service Partnership Wraparound (FSPW) to reduce fragmentation, eliminate duplication, and improve engagement and outcomes for families with the highest needs. This FSPW model also brings compliance with new Behavioral Health Services Act (BHSA) mandates that FSPs and Wraparound be a combined program.

This procurement is implemented within the framework of the BHSA, which restructures the former Mental Health Services Act. BHSA prioritizes care for individuals and families with high behavioral health needs, strengthens requirements for evidence-based and community-defined practices, and standardizes FSP expectations to ensure fidelity to approved models and measurable outcomes. It also mandates counties to advance health equity, deliver culturally and linguistically responsive interventions, and use data to identify and reduce disparities.

Also aligned with BH-CONNECT, this procurement will expand access to Medi-Cal-funded, community-based behavioral health services for children and youth. BH-CONNECT promotes family-centered models that transition away from facility-based treatment toward community integration, and emphasizes workforce capacity, model fidelity, and accountability for outcomes, particularly for youth experiencing system involvement, housing instability, or critical transitions.

Sacramento County, Department of Health Services, Behavioral Health Services’ Vision, Mission, and Values

The following vision, mission statements and core values define BHS’s mental health system of care objectives. They also provide direction and guiding principles for how all services are delivered through the mental health system of care:

BHS Vision - We envision a community where people from diverse backgrounds across the life continuum have the opportunity to experience optimum wellness.

BHS Mission - To provide a culturally competent system of care that promotes holistic recovery, optimum health, and resiliency.

BHS Core Values:

• Respect, Compassion, Integrity
• Client and/or Family Driven
• Equal Access for Diverse Populations
• Cultural Competence, Adaptive, Responsive and Meaningful
• Full Community Integration and Collaboration
• Coordinated Near Home and Natural Settings
• Strength-Based Integrated and EBPs
• Innovation and Outcome-Driven Practices and Systems
• Wellness, Recovery and Resilience Focus