BONITA HOUSE, INC - 4TH AMEND (#2023218)

Fourth Amendment Page 4 EXHIBIT B We are delighted to propose a model for the ARMH Unit that is designed to meet the needs of ALL community members in the city of Pleasanton. We have a team of experienced crisis clinicians who currently operate the Community Assessment and Transport Team (CATT) and believe we have the experience to be successful in serving the community of Pleasanton. Our team of behavioral health clinicians will be 100% field-based and fully equipped with several advanced technologies with the ability to transport individuals to alternative disposition sites to meet their current needs. In our experience this will reduce the need for a 5150/5585 for individuals who are in crisis solely due to having a lack of immediate care and referral options. It is our goal to provide calming patient-centered sensory-management behavioral health and comfort interventions while enroute. We believe that this multimodal and holistic approach to assisting individuals in crisis will result in a higher degree of client satisfaction with emergency psychiatric care. Further, it will greatly increase their chances of accessing the least restrictive environment needed to recover from their crisis. Our team will use Professional Assault Crisis Training (Pro-ACT) as a guide for crisis intervention. All clinicians will be trained by certified Pro-ACT trainers for common issues contributing to psychiatric emergencies and how to manage crises in a variety of settings. Our clinicians will all be 5150/5585 certified in Alameda County and go through extensive training in crisis response through our current CATT program including but not limited to cultural humility, vicarious trauma, working with adolescent and minors, working in school-based settings, motivational interviewing, brief assessment and intervention, crisis de- escalation and documentation. The CATT program trainings will be available to the City of Pleasanton officers. Clinicians hired for this project will be selected for their professional ability and experience in managing crises that occur across the lifespan. Staff will be certified in Pro-ACT Crisis de-escalation, assessment process, trauma-informed care, working with minors in school-based settings, motivational interviewing, community resources and linkage processes, and other topics identified above. All staff are trained through our CATT Crisis Academy as well. We will also coordinate training activities with the County's training department and collaborate with ARMH’s officers to identify areas of interest and need for ongoing training. Documentation will be completed during any available downtime within a service and immediately afterward at the destination site in most cases, with any remaining documentation and follow-up reserved for the end of the shift. It is our experience that documentation completed immediately after a service is highly efficient, accurate and easily accessible for future reference. Our Clinicians will document in our agency’s Electronic Health Records system, to maintain up-to-date records that meet service and billing standards. Clinicians will also have access to the Alameda County Community Health Record (CHR), an application with curated information from different organizations involved in consumer care, to improve care coordination. Bonita House has a thorough knowledge of Medi-Cal documentation requirements. We have a Clinical Quality Review Team (CQRT) for each program that meets weekly. Every staff member receives initial and ongoing training in the documentation. We also have a current data analyst who has experience with collecting and quantifying data around crisis work in our current CATT team. We also believe that dynamic clinical teams, particularly those operating primarily in the field, require effective and consistent supervision. To achieve this, we will schedule a 1-hour block once per week (i.e., 7a-8a). This will enable a weekly all-staff 1-hour structured team meeting. Team meetings will follow a predetermined agenda (e.g., safety issues, collaboration with community partners, planned service improvements, etc.), with longer discussions tabled until the end of the meeting to enable all to stay on track and adhere to time constraints. Clinicians will meet once weekly with the clinical supervisor to discuss clinical concerns and facilitate professional development. This is considered best practice and will ensure community members continually receive high quality mental health services. Attachment 1 Docusign Envelope ID: 53BFF5F5-9181-464A-919B-7D23D1B4080A