TOBACCO TREATMENT AND RECOVERY IN BEHAVIORAL HEALTH

Transcription

1 TOBACCO TREATMENT AND RECOVERY IN BEHAVIORAL HEALTH Request for Proposals January 2016

2 BACKGROUND The Kansas Health Foundation s mission is to improve the health of all Kansans. KHF strives to make Kansas the healthiest, most productive, most livable state in the nation. To guide our work towards that mission, one of our areas of focus is decreasing tobacco use and exposure among Kansans. Smoking remains one of the leading causes of preventable death and illness in Kansas. Nearly one-in-five Kansas adults (19.4%) still smoke, and one-in-five high school students report smoking or using other tobacco products. 1 Research shows that this issue disproportionately affects individuals with a mental health diagnosis, who are significantly more likely to smoke than the general population. 2 A study published in 2014 found that the smoking rate among Kansans who reported experiencing serious mental illness in the previous thirty days was at 45.7%, compared to those without mental illness at 17.3%. 2 This high rate of smoking contributes to why on average individuals with serious mental health conditions die 25 years earlier than their counterparts in the general population. 3 Smoking among Kansas Adults, 2014 Without Mental Illness 17.30% With Mental Illness 37.80% With Serious Mental Illness 45.70% 2 In an effort to address this significant health disparity, KHF convened 22 stakeholders from around the state to examine, discuss, and prioritize strategies to reduce the use of tobacco products by Kansans with severe and persistent mental illness. The following Request for Proposals (RFP) is intended to advance some of the priorities that emerged from those discussions. 1 Sources: 2012 Behavioral Risk Factor Surveillance System (BRFSS) and 2011 Youth Risk Behavior System (YRBS) 2 RTI, Tobacco Use among Kansans with Mental Illness, April National Association of State Mental Health Program Directors, Medical Directors Council, July 2006; Miller et al,

3 INTRODUCTION Specifically, through this RFP, KHF will provide funds to nonprofit organizations within the behavioral health system in Kansas through two tracks. 4 Proposed projects should, where possible, be based on evidence-based principles of tobacco treatment and may build on successful implementation strategies. For a listing of resources that may be helpful to interested organizations, please see Resources for Applicants on page 10. TRACK ONE is intended to support behavioral health organizations in changing their culture and the culture of the behavioral health system around tobacco, as well as strengthen approaches to reduce tobacco use among individuals with a mental health diagnosis. Track One activities may include but are not limited to: - Establishing tobacco free grounds; - Integrating peer-to-peer programs to reduce smoking by individuals with a mental health diagnosis; - Implementing best practices for tobacco dependence treatment; and/or - Piloting other policy/environment changes that will contribute to a tobacco-free culture for consumers and staff in the behavioral health system. TRACK TWO is intended to support work with behavioral health insurance plans, providers, state government agencies, legislators, and/or others who can influence the strength of treatment coverage in Kansas. Under this track, one agency will be funded to implement and/or coordinate advocacy efforts for changes to tobacco dependence treatment coverage and usage. An example of an activity eligible under this track is advocacy with insurance providers, government agencies, legislators, etc. for more robust behavioral and pharmacological coverage of tobacco dependence treatment. WHO SHOULD APPLY Eligible applicants are nonprofit and government organizations well-positioned to implement strategies related to the RFP objectives. These include but are not limited to: - Community mental health centers; - Nonprofit organizations in the behavioral health system (including mental health and substance use treatment programs); - Nonprofit consumer run organizations (CROs); and - State and local government departments/programs in the behavioral health system. To avoid any real or perceived conflicts of interest, KHF reserves the right to not fund organizations that contract with or receive funding from, including grants or sponsorships, tobacco companies. Applications must include a signed statement describing any financial relationship with tobacco companies. 4 Please note, for the purposes of this RFP behavioral health system includes both mental health and substance abuse services/organizations. 3

4 LETTER OF INTENT Applicants are required to notify the Foundation of their intent to submit a proposal by 5:00PM CST on February 12, Proposals submitted by organizations that do not submit a letter of intent by the deadline will not be reviewed. Organizations that submit a letter of intent are not required to submit a full proposal. Letters of intent must be submitted using KHF s online proposal module via the following link: The letter of intent must include: - Name and address of the applicant organization; - Primary contact person s name, title, and contact information; - Identification of which track applicant is applying for; - Description of proposal (should be two paragraphs or less). Upon receipt of the letter of intent, KHF will provide the link to complete the online proposal. RFP WEBPAGE Applicants will find a webpage dedicated to information about this RFP at In addition to basic details about the RFP, this site also includes registration for the informational webinar being offered, links to required attachments, and a list of Frequently Asked Questions about the RFP. RFP Dates Letter of Intent: 5:00PM on February 12, 2016 Informational Webinar: 9:00AM on February 3, 2016 Proposal Due Date: 5:00PM on March 7, 2016 Awards Announced: April 8, 2016 *All times are in Central Standard INFORMATIONAL WEBINAR Potential applicants are strongly encouraged to participate in a pre-proposal webinar that will provide an overview of the RFP, describe the application process and answer applicant questions. The webinar will be held on Wednesday, February 3, 2016 at 9:00AM. Please register for the webinar through KHF s website at: For those unable to attend the webinar when it is offered, it will be recorded and available for later viewing at the RFP webpage. 4

5 AVAILABLE FUNDING AND GRANT PERIOD A total of $500, annually will be available for allocation, for a total of up to three years. Applicants are eligible to apply for an award of up to $100,000 annually. The maximum grant period is 36 months beginning May 1, 2016 and ending April 30, Applicants are welcome to propose a shorter project period than the maximum 36 months. It is anticipated that large and small grant awards will be made. GRANT EXCLUSIONS Grant funds may not be used to support any of the following activities: o Contributions to capital campaigns o Operating deficits or retirement of debt o Endowment programs not initiated by KHF o Vehicles, such as vans or buses o Medical equipment o Real estate acquisitions Applicants proposing to integrate tobacco dependence treatment into existing systems of care are eligible to apply for up to 10% of the grant award for the purchase of FDA-approved smoking cessation medications. Applicants requesting funds under Track 2 are ineligible for funding smoking cessation medications. MEETING AND REPORTING REQUIREMENTS Grantees will be required to participate in annual meetings with KHF and other organizations funded through this RFP. Applicants should budget for one, two-day meeting in Wichita per year. The proposed budget should include travel, food, and lodging for at least one individual to attend these meetings. Grantees must submit grant reports according to the schedule outlined in the grant agreement. By submitting a proposal, the grantee also agrees to participate in any independent and/or additional evaluation requested by KHF. Grantees will be expected to report on a quarterly basis the progress being made toward their stated goals. 5

6 PROPOSAL REQUIREMENTS Proposals should be submitted using KHF s online proposal module. To be considered, submissions must include: A. Cover page (completed online) B. Proposal Narrative (attached/uploaded with online proposal) C. Proposal Objectives Template (attached/uploaded with online proposal) D. Budget and Justification Template (attached/uploaded with online proposal) E. Financial Relationship Statement Template (attached/uploaded with online proposal) F. Acknowledgement of Agreement Review (attached/uploaded with online proposal) G. Financial Documents (if applicable) Applicants must request funding for all necessary technical assistance, communications support, and any other assistance required to successfully implement the proposed activities. A. Cover Page The cover page is completed online and requires the following information: - Organization information (name, address, phone, , etc.) - Contact information - Project title - Project term - Person authorized to sign the grant agreement - Project director (The person responsible for attending meetings and sharing information related to the RFP, and serving as the primary contact for grant funded activities) B. Proposal Narrative The proposal narrative is limited to 14 single-spaced pages and must be developed using 12-point Times New Roman font and one-inch margins. Clearly organize the proposal narrative using the following four sections. Within the Proposal Narrative, please only respond to 4a (Track 1) or 4b (Track 2). 1. Executive Summary (up to one single-spaced page) - This section is not scored but should provide KHF staff and reviewers with an overview of the proposed activities and intended outcomes - Provide the following on the Executive Summary page: - Project title - Requested funding amount - Brief narrative overview of the proposal, including which track the project falls under (KHF will likely draw from this narrative when announcing grant awards) - Goal(s) of the project 6

7 2. Applicant Capacity and Experience (up to three single-spaced pages) - Describe applicant organization s mission and how the proposed effort is related to that mission. - Describe applicant s capability and resources to ensure timely start-up and implementation of the proposed activites. - Identify and describe qualifications and related experience of the project director and other key personnel who would implement the grant-funded activities. - Identify any other organizations that will serve as partners in key roles for the project, with a clear delineation of roles and mechanisms for ensuring accountability when necessary. 3. Population and Statement of Need (up to two single-spaced pages) - Identify the specific problem or issue to be addressed by the proposed activities. - Identify and describe the population and/or organizations that would be impacted by the proposed activites. - Substantiate statement of need using relevant data. 4a. Track 1- Organizational Culture Change: Proposed Project Plan and Timeline (up to eight singlespaced pages) - Please note, this section has one of the highest point values for the proposal. Ensure adequate detail is provided to enable reviewers to clearly understand the proposed project. - Identify which track the proposal is being submitted under. - Provide a narrative description of the proposed strategies and implementation plan. - Describe specifically how this effort will contribute to creating a behavioral health system that encourages and supports staff and/or consumers to be tobacco free. - Discuss how the efforts and/or anticipated outcomes will be sustained beyond the funding period. - Provide an overview of the evidence to support the proposed strategies. Cite reports, publications, or evaluation findings to support the proposed strategies. - If your proposal includes a plan to pilot a new program, delivery model, etc. please describe how you will demonstrate the program s effectiveness, including evaluating and reporting on: - Implementation barriers and successes - Project results throughout the grant - Potential for replication - On a single page (included in the eight total for this section) provide a timeline that clearly identifies the major activities that would occur during each quarter of the grant term. Include how much time will be devoted to planning for successful implementation. 4b. Track 2- Advocacy for Improved Benefit Coverage/Usage: Proposed Project Plan and Timeline (up to eight single-spaced pages) - Please note, this section has one of the highest point values for the proposal. Ensure adequate detail is provided to enable reviewers to clearly understand the proposed project. - Identify which track the proposal is being submitted under. - Describe the applicant organization s experience with advocacy, collaboration and coalition building, and affecting policy change. - Include the advocacy strategies used by the organization in the past to advance policy priorities. - Provide a narrative description of the proposed advocacy strategies. - On a single page (included in the eight page total for this section) provide a timeline that clearly identifies the major activities that would occur during each quarter of the grant term. Include how much time will be devoted to planning for successful implementation. 7

8 C. Proposal Objectives Template Provide five to ten SMART (specific, measurable, attainable, relevant, and time-bound) objectives for the proposal using the Proposal Objectives Template. Refer to KHF s guidance document for developing SMART objectives available at the RFP webpage, Proposal objectives should reflect what the applicant organization expects to achieve and will be able to measure and report on over the course of the grant term. When developing objectives, consider: - What will be different because of this project? (i.e. measurable changes in the target population, system, etc.) - How will we know the project is making progress and was ultimately successful? Grantees proposed objectives will be used to assess the progress and impact of the funded grants. Applicants will be expected report on progress on a quarterly basis. D. Budget and Justification Template The Budget and Justification Template must be submitted with the proposal. Provide a clear budget narrative and justification for all potential costs. Applicants should note that any necessary techincal assistance should be included in the proposal budget as appropriate. E. Financial Relationship Statement Template To avoid any conflicts of interest, applicants must disclose any financial relationships with tobacco companies by submitting a signed Financial Relationship Statement Template. KHF reserves the right not to fund organizations for which existing financial relationships appear to conflict with the goals of the RFP. F. Acknowledgement of Agreement Review To ensure the applicant organization is able to accept a grant from the Kansas Health Foundation, the organization must submit a signed Acknowledgement of Agreement Review. G. Financial Documents (Required unless applicant is a government entity) - IRS Form Most recent unaudited financial statement (balance sheet) - Most recent audited financial statement 8

9 RFP REQUIREMENT CHECKLIST Applicants can use the following checklist to make sure all requirements are included in their proposal: Document Cover Page Proposal Narrative Proposal Objectives Template Budget and Justification Template Financial Relationship Statement Template Acknowledgement of Agreement Review Financial Documents (if applicable) Included? Please see Letter of Intent on page 4 for the instructions on how to obtain the link for submitting the final proposal. Proposals are due by 5:00PM CST on March 7, TIMELINE AND SCORING PROCESS Following is the anticipated timeline for the RFP: RFP Released January 21, 2016 RFP Informational Webinar February 3, 2016 Letter of Intent Due February 12, 2016 Proposals Due March 7, 2016 Grant Awards Announced Week of April 18, 2016 Grant Term Begins May 1, 2016 Final Grant Term Ends April 30, 2019 unless applicant requests shorter grant term Scoring Process The Kansas Health Foundation has organized a team of knowledgeable stakeholders invested in this project to review and recommend proposals for funding under this RFP. Proposals receiving the highest overall scores and meeting all proposal requirements will be eligible for funding. Point values for scoring are outlined in the table below: Scoring Table Proposal Section Maximum Score Page Limit Executive Summary Not Scored 1 Applicant Capacity and Experience 20 3 Population and Statement of Need 20 2 Proposed Project Plan, Timeline, and Evidence 30 8 Proposed Project Objectives 15 NA Budget 10 NA TOTAL pgs and Objectives and Budget sections 9

10 CONTACT INFORMATION Submit questions regarding the RFP to Nadine Long at Questions and responses will be listed on a Frequently Asked Questions (FAQ) document on the RFP webpage at RESOURCES FOR APPLICANTS The following resources may be useful to applicants for identifying evidence-based strategies and/or principles for treating tobacco dependence treatment and creating organizational change: Morris et al. (2009). Smoking Cessation for Persons with Mental Illness: A Tool Kit for Mental Health Providers. Colorado Department of Public Health and Environment. PDF available at: Tobacco Free Living in Psychiatric Settings: A Best Practices Toolkit. (2010). NASMHPD. PDF available at: CHOICES is a consumer-driven program for smokers with mental illness in New Jersey. Its goal is to increase awareness of the importance of addressing tobacco use and to create a strong peer support network that encourages mental health consumers to make a positive healthy lifestyle change by addressing smoking and tobacco use. The CHOICES website is found at: American Psychiatric Nurses Association, Tobacco Dependence Information Center. This is a website with the APNA position statement, toolkits, and training resources devoted to integrating tobacco treatment into psychiatric mental health nursing. The website is found at: New York State Tobacco Recovery Resource Exchange. This is a website with videos, toolkits, and training resources devoted to integrating tobacco treatment into chemical dependence treatment. The website is found at: The SAMHSA Center for Integrated Health Solutions has a website section devoted to tobacco dependence treatment. It has a large number of resources/ideas for integrating tobacco treatment into behavioral health services and can be found at: Treating Tobacco Use and Dependence: 2008 Update. This website offers important information about effective clinical treatments for tobacco dependence. Information is provided from the clinician, system decisionmaker, and tobacco user perspective. Find this site here: 10