Common use of Required Activities Clause in Contracts

Required Activities. Infrastructure development refers to the cross-agency administrative structures and procedures that awardees must implement on a phased schedule throughout the 6-year Federal funding period. This cross-agency system change must be designed to increase the capacity of States, tribes or communities to provide a broad array of services and supports for children and youth with a serious emotional disturbance and their families. Some key administrative structures and procedures that awardees must develop include the following: • Establishment of a governance body (either through a newly created structure or by building on the strengths of existing interagency structures); • Establishment of processes for communication between the local project and the State or tribal organization; • Multi-agency integration of functions, processes and policies; • Development of financing approaches that promote the provision of a seamless cross-agency service delivery system; • Creation of flexible funds with agency policy support; • Interagency collaboration; • Engagement of workforce development activities to improve access to qualified providers of services and supports; • Integration of services provided by agencies that address the health and well- being of children, youth and families; • Development of a care coordination process for linking strengths and needs with services and supports; • Development of care review approaches that promote service quality and fiscal accountability; • Development or expansion of clinical provider networks, inclusive of a broad array of evidence-based, culturally and linguistically competent services and supports; • Increased capacity for cross-training among agencies; • Establishment of an administrative team responsible for managing grant activities; • Development of performance standards and quality assurance processes for monitoring, reporting and addressing strengths and challenges to infrastructure development and service delivery; • Adoption of a management information system that supports system of care principles; • Creation, adoption or changing of public policy or of agency specific internal policies as a means to support and sustain the work accomplished through the grant award; • Development and implementation of intergovernmental consultation policies between tribal governments when Indian tribes are located within the geographic area to be served by a grantee or when tribes are direct grantees; • Methods for ensuring on-going support from State, tribal or community leaders and child, youth and family advocates; • Mechanisms for ensuring the full participation of families, youth and family run organizations in decision-making, governance and evaluation; • Mechanisms for ensuring the development, implementation and evaluation of cultural and linguistic competence at the system, organizational and direct service levels of care. Certain mental health and support services are required and must be provided by awardees. Other services are optional. Some non-mental health services need to be included in the individualized plan of care, even though funds from the cooperative agreement cannot be used to purchase them. (Note: see non-mental health services section below)

Required Activities. Infrastructure development refers Project LAUNCH Expansion grant funds must be used primarily to support the following activities: • Within the first three months of award, identify a Project Director and select/hire a State/Tribal Lead, Local Pilot Lead, and an Evaluation Lead for the expansion grant. To the extent possible, grantees are encouraged to include staff who were successful in working on the original LAUNCH grant in order to maximize the carryover of knowledge and expertise to the cross-agency administrative structures Expansion grant. • Selection of the three (or more) elements of the state/tribe's original Project LAUNCH grant that will be implemented in new communities through the Expansion grant. One of these elements must involve systems improvements at the state/tribal and procedures that awardees must implement on a phased schedule throughout the 6-year Federal funding periodlocal levels. This cross-agency system change The other two elements must be designed to increase Project LAUNCH Core Strategies. (Grantees should choose two of the capacity Core Strategies that they were most successful in implementing in the original Project LAUNCH grant. The Core Strategies are: developmental and behavioral screening in a range of States, tribes or communities to provide a broad array of services child-serving settings; mental health consultation in early care and supports for children and youth education; enhanced home visiting with a serious focus on social and emotional disturbance development; family strengthening and their familiesparent support; and integration of behavioral health into primary care). Some key administrative structures • FOR STATES: Selection of three (or more) communities, beyond the original pilot community, (which will be identified during the application process), that will be the focus of the expansion grant. In selecting communities, grantees should consider the service and procedures infrastructure needs and gaps in the communities of interest; the behavioral health disparities that awardees exist within those communities that might be addressed by the expansion grant; and the appropriateness of the chosen elements for the communities being considered. FOR TRIBES: A tribal grantee that implemented Project LAUNCH tribal-wide in the original LAUNCH grant will select at least one additional tribe in which the three elements will be implemented. In selecting an additional tribe the grantee should consider the service and infrastructure needs and gaps in the tribe of interest; the behavioral health disparities that might be addressed by the expansion grant; and the appropriateness of the chosen elements being considered. The tribal grantee should also specify how it intends to use up to 20 percent of grant funds to build upon and expand the three elements within its own tribe. • A partnership between the state Title V agency and the local lead agency in the original pilot community that specifies roles and responsibilities of each. A signed Memorandum of Agreement between the state and local lead agency must develop include be included in Attachment 4 of your application. Applicants who do not submit a signed Memorandum of Agreement (MOA) in Attachment 4 will be screened out, [NOTE: for a tribal grantee who implemented tribal-wide in the following: • Establishment original grant, a signed Letter of a governance body (either through a newly created structure or by building Intent between the original LAUNCH tribal grantee and the tribe that will be participating in the Expansion grant must be included in Attachment 4 of your application. The Letter of Intent should demonstrate all parties’ commitment to participate on the strengths grant and in required grant activities. Tribal applicants who do not submit a Letter of existing interagency structures); Intent in Attachment 4 will be screened out. • Establishment No more than three months after award, convene an Expansion Oversight Council (EOC) at the state/tribal level that is responsible for overseeing expansion activities and systems improvements, and which meets at least quarterly for the duration of processes for communication between the grant. The Expansion Oversight Council shall be co-led by the state/tribal and original pilot community leads, and should build on the Project LAUNCH Councils on Young Child Wellness (including original members from the state/tribal and local project Councils) to the extent possible. • The Expansion Oversight Council must include at least 10 percent parent representation. Parent input should be part of all aspects of the grant, including planning, implementation, and evaluation. • The Expansion Oversight Council, and the State or tribal organization; • Multi-agency activities of the grant, should be integrated with complementary federal, tribal, and state initiatives such as Race to the Top (Early Learning Challenge grants), Maternal, Infant and Early Childhood Home Visiting (MIECHV), Early Childhood Comprehensive Systems (ECCS), and Child Care Development and Mental Health Block grants. Examples of integration of functionscould include joint oversight bodies, processes joint policy initiatives, and policies; • Development of financing approaches that promote the provision of a seamless cross-agency joint data efforts where goals and activities align and can be leveraged for more efficient and effective service delivery system; and/or outcomes. • Creation Required members of flexible funds the Expansion Oversight Council shall include representatives of the health, behavioral health (including substance abuse), child care, and education sectors, and Medicaid. A Letter of Intent or a signed Memorandum of Agreement from each required Council member must be submitted in Attachment 1 of your application. (Letters of Intent must be finalized as Memoranda of Agreement within three months of award). Additional private sector representatives from related areas are strongly recommended. NOTE FOR TRIBES: all of the above sectors that are applicable at the tribal level are required, and the Tribal Expansion Oversight Council should include representation from the Tribal Council if at all possible. • While the state Title V agency is the lead state agency on this grant, this agency is expected to partner with the lead children’s mental health agency policy support; • Interagency collaboration; • Engagement in the state on activities of workforce development activities to improve access to qualified providers this grant. The children’s mental health agency shall serve as a member of services and supports; • Integration of services provided by agencies the Expansion Oversight Council. Tribal grantees shall also ensure that address the both health and well- being mental health leadership is involved in the planning and execution of children, youth and families; • Development of a care coordination process for linking strengths and needs with services and supports; • Development of care review approaches that promote service quality and fiscal accountability; • Development or expansion of clinical provider networks, inclusive of a broad array of evidence-based, culturally and linguistically competent services and supports; • Increased capacity for cross-training among agencies; • Establishment of an administrative team responsible for managing grant activities; • Development of performance standards and quality assurance processes for monitoring, reporting and addressing strengths and challenges to infrastructure development and service delivery; • Adoption of a management information system that supports system of care principles; • Creation, adoption or changing of public policy or of agency specific internal policies as a means to support and sustain the work accomplished through the grant program. • No more than six months after award; • Development , submit a Comprehensive Expansion Plan that identifies the Project LAUNCH practices and implementation of intergovernmental consultation policies between tribal governments when Indian tribes are located within the geographic area systems improvement strategies to be served by replicated; a grantee or when tribes are direct granteestimeline for implementation; • Methods for ensuring on-going support from State, tribal or community leaders scope of the expansion; as well as goals and child, youth and family advocates; • Mechanisms for ensuring the full participation of families, youth and family run organizations in decision-making, governance and evaluation; • Mechanisms for ensuring the development, implementation and evaluation of cultural and linguistic competence at the system, organizational and direct service levels of caredesired outcomes. Certain mental health and support services are required and must Technical assistance will be provided by awardeesto assist with completion of the Expansion Plan. Other services are optionalThe Expansion Plan requires review and approval from the Government Project Officer. Some non-mental health services need Examples of the types of strategies to be included in the individualized Expansion Plan are: o Tools and resources that will be developed to ensure successful expansion, o Technical assistance strategies for successful expansion, o Workforce development plans for successful expansion, o Plans for parental involvement in oversight,decision-making, and evaluation planning, o Strategies for improving access to services, use of services, and behavioral health outcomes for the subpopulation identified in the Disparities Impact Statement.  No more than eight months after award, begin implementation of expansion activities.  In the final year of the xxxxx, xxxxx recipients shall develop a sustainability plan that details the commitment of carethe state/tribe to continue expansion of early childhood systems improvements and prevention/promotion practices, even though funds from the cooperative agreement cannot identifying additional communities to be used to purchase them. (Note: see non-mental health services section below)involved and a timeline for rollout.

Required Activities. Infrastructure development refers to the cross-agency administrative structures and procedures that awardees must implement on a phased schedule throughout the 6-year Federal funding period. This cross-agency system change must be designed to increase the capacity of States, tribes s or communities to provide a broad array of services and supports for children and youth with a serious emotional disturbance and their families. Some key administrative structures and procedures that awardees must develop include the following: •  Establishment of a governance body (either through a newly created structure or by building on the strengths of existing interagency structures); •  Establishment of processes for communication between the local project and the State or tribal organization; •  Multi-agency integration of functions, processes and policies; •  Development of financing approaches that promote the provision of a seamless cross-agency service delivery system; •  Creation of flexible funds with agency policy support; •  Interagency collaboration; •  Engagement of workforce development activities to improve access to qualified providers of services and supports; •  Integration of services provided by agencies that address the health and well- being of children, youth and families; •  Development of a care coordination process for linking strengths and needs with services and supports; •  Development of care review approaches that promote service quality and fiscal accountability; •  Development or expansion of clinical provider networks, inclusive of a broad array of evidence-based, culturally and linguistically competent services and supports; •  Increased capacity for cross-training among agencies; •  Establishment of an administrative team responsible for managing grant activities; •  Development of performance standards and quality assurance processes for monitoring, reporting and addressing strengths and challenges to infrastructure development and service delivery; •  Adoption of a management information system that supports system of care principles; •  Creation, adoption or changing of public policy or of agency specific internal policies as a means to support and sustain the work accomplished through the grant award; •  Development and implementation of intergovernmental consultation policies between tribal governments when Indian tribes are located within the geographic area to be served by a grantee or when tribes are direct grantees; •  Methods for ensuring on-going support from State, tribal or community leaders and child, youth and family advocates; •  Mechanisms for ensuring the full participation of families, youth and family run organizations in decision-making, governance and evaluation; •  Mechanisms for ensuring the development, implementation and evaluation of cultural and linguistic competence at the system, organizational and direct service levels of care. Certain mental health and support services are required and must be provided by awardees. Other services are optional. Some non-mental health services need to be included in the individualized plan of care, even though funds from the cooperative agreement cannot be used to purchase them. (Note: see non-mental health services section below)

Required Activities. Infrastructure development refers to the cross-agency administrative structures and procedures that awardees must implement on a phased schedule throughout the 6-year Federal funding period. This cross-agency system change The NTAC funds must be designed to increase the capacity of States, tribes or communities used primarily to provide a broad array technical assistance and knowledge development to CMHI grantees to support systems of services care, including State/Tribe infrastructure development and supports for children and youth with a serious emotional disturbance and their families. Some key administrative structures and procedures that awardees must develop include systems transformation, including the following: • Establishment x Needs assessment x Strategic planning x Identification and dissemination of policies and financing strategies to support systems of care development x Financing/coordination of funding streams x Organizational/structural change (e.g., to create locus of responsibility for a governance body (either through a newly created structure specific issue/population, or by building on the strengths of existing interagency structures); • Establishment of processes for communication between the local project and the State to increase access to, or tribal organization; • Multi-agency integration of functionsefficiency of, processes and policies; • services) x Development of financing interagency coordination mechanisms x Provider/network development x Policy development to support needed service system improvements (e.g., rate-setting activities, establishment of standards of care, development/revision of credentialing, licensure, or accreditation requirements) x Quality improvement efforts x Performance measurement development x Workforce development (e.g., training, support for licensure, credentialing, or accreditation) x Coordinate the development of strategies and approaches that to sustaining and expanding systems of care x Create training forums and materials (e.g. conference call, web-based data and technical assistance resources, policy briefs) x Implement major meetings and activities to promote infrastructure/service capacity expansion (e.g. leadership development) x Data infrastructure/management information systems (MIS) development Additionally, the provision NTAC must: x Provide technical assistance to the seven grantees funded under the Healthy Transitions Initiative. In addition to technical assistance, the NTAC will plan and coordinate Federal Partners meetings and one annual grantee meeting. Additional information about the Healthy Transitions Initiative is available at the following link: xxxx://xxxxxx.xxx/Grants/2010/sm_10_006.aspx. x Participate in meetings and workgroups convened by the Council on Collaboration and Coordination (CCC) for the cooperative agreements funded under the CMHI. The CCC is organized by CMHS/SAMHSA to minimize the duplication of a seamless cross-agency service effort in the delivery of technical assistance. x Focus specific attention and dedicate resources on strategies to improve cultural and linguistic competence and responsiveness, and to eliminate racial ethnic, gender, sexual minority and geographic disparities within the health care delivery system; • Creation of flexible funds . This includes demonstrating the ability to provide technical assistance to ensure that culture, gender, language, disability, sexual orientation and literacy are addressed. x Coordinate technical assistance efforts with agency policy support; • Interagency collaboration; • Engagement of workforce development activities other national organizations to improve access help build knowledge and skills in child, adolescent and family mental health. x Participate in, facilitate and support the efforts outlined in the Joint Resolution in the Building Bridges Initiative to qualified providers of services and supports; • Integration of services provided by agencies ensure that address the health and well- being of children, youth and families; • Development of families have access to a care coordination process for linking strengths flexible, well coordinated and needs with services and supports; • Development of care review approaches that promote service quality and fiscal accountability; • Development or expansion of clinical provider networks, inclusive of a broad comprehensive array of evidence-based, culturally appropriate and linguistically competent services and supports; • Increased capacity for cross-training among agencies; • Establishment of an administrative team responsible for managing grant activities; • Development of performance standards and quality assurance processes for monitoring, reporting and addressing strengths and challenges to infrastructure development and service delivery; • Adoption of a management information system that supports system of care principles; • Creation, adoption or changing of public policy or of agency specific internal policies as a means to support and sustain the work accomplished through the grant award; • Development and implementation of intergovernmental consultation policies between tribal governments when Indian tribes are located within the geographic area to be served by a grantee or when tribes are direct grantees; • Methods for ensuring on-going support from State, tribal or community leaders and child, youth and family advocates; • Mechanisms for ensuring the full participation of families, youth and family run organizations in decision-making, governance and evaluation; • Mechanisms for ensuring the development, implementation and evaluation of cultural and linguistic competence at the system, organizational and direct service levels of care. Certain individualized mental health and support services are required and must be provided by awardeesservices. Other services are optional. Some non-mental health services need to be included in the individualized plan of care, even though funds from the cooperative agreement cannot be used to purchase them. (NoteAdditional information about this Initiative is available at: see non-mental health services section below)xxxx://xxx.xxxxxxxxxxxxx.xxxxxx.xxx/hottopics/irt.aspx.