San Francisco Bay Area-based organizations that provide comprehensive primary care services to underserved pediatric populations are eligible to apply. The Bay Area includes the following nine counties: Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma. Organizations do not have to be headquartered in one of these Bay Area counties, but operate at least one site there to be eligible. Qualifying organizations include:
- Federally Qualified Health Centers (FQHCs) and FQHC Look-Alikes.
- Community clinics, rural health clinics, and free clinics.
- Ambulatory care clinics owned and operated by public hospitals.
- Indian Health Services Clinics.
- Pediatric practices caring for majority underserved patients (uninsured and Medicaid).
Regional clinic consortia and statewide clinic associations are not eligible to apply.
What Makes a Strong Applicant?
- Experience and Strong Interest in Addressing Trauma: Successful applicants will have started their journey to address trauma at clinical and organizational levels, and are committed to leveraging this support to advance their efforts. Organizations must have some level of experience in integrating practices to address trauma (vs. not starting from scratch) and an early implementation of practices to promote resilience and address multigenerational trauma (at the clinical and/or organizational level).
- Evidence of Partnerships with Community-Based Organizations: Successful applicants will be able to demonstrate evidence of existing (even if early) partnerships with community-based organizations focused on addressing childhood adversity or other related topics (i.e., early childhood development or social determinants of health). Examples could include referral networks (e.g., Help Me Grow), community advisory councils, or clinics participating in community-organized efforts.
- Prior Work on Care Delivery Transformation: Successful applicants will already be committed to care transformation efforts involving building robust teams, using data to drive change, and strengthening community-based partnerships
- Strong Pediatric Focus: Successful applicants do not have to have dedicated pediatric care clinics. However, the organization must have sites providing pediatric care, with the ability to address care for children ages 0-5 and their caregivers.
This program is intended to be flexible and responsive to the needs of participants, so we ask each organization to act as a partner in shaping the program by committing to the following:
- Leadership Buy-In: Successful organizations will require leadership that is committed to addressing childhood adversity and understanding how a trauma-informed approach relates to both organizations and clinical interventions. This includes support for an all-staff, clinic-wide training on trauma-informed care. We expect strong leadership support from the CMO and COO at a minimum, as demonstrated through the Letter of Leadership Support.
- Continuity and a Dedicated Team: At least four individuals are required to be committed to the core program team to promote continuity, with a maximum of six members per organization participating in core network activities (i.e., in-person convenings and evaluation interviews). The team should include:
- At least one senior leader with decision-making authority who is responsible for communicating with leaders and frontline staff within the organization;
- Two management-level staffer who have a significant role in your organization’s trauma-informed care efforts; and
- At least one frontline staff or provider who can inform and lead the operational and clinical implementation within the organization.
- Participation in Program and Evaluation: Team members are expected to fully participate in program webinars and convenings, and share lessons learned by presenting examples of project successes and challenges. Teams are expected to work closely with an external evaluator to identify metrics, collect data, and share stories about the impact of the work.
- Feedback: Teams are expected to provide feedback to CCI and program evaluators to refine and improve the program content and delivery methods as the program progresses.
How to Apply
STEP 1: ATTEND INFORMATIONAL WEBINAR (OPTIONAL)
Interested organizations are encouraged to participate in an informational webinar on April 4, 2018 to hear a detailed description of the program and ask questions.
STEP 2: APPLY ONLINE
Your proposal and budget must be submitted online by Monday, April 23, 2018 by 5pm.
Applications should include the following:
- Application Submission Form
- Application Narrative: Narrative responses to the eight questions listed below.
- Budget Template
- Tax Status Documentation
- Letter of Leadership Support: This letter should demonstrate organizational commitment to addressing childhood adversity and trauma. This includes support for an all-staff, clinic-wide training on trauma-informed care and dedicated time for the core team to fully participate in program convenings, activities, and implement changes at the clinical and organizational level. The letter should come from someone at the CMO or COO level at a minimum.
Application Narrative Questions
Please limit responses to a maximum of 7 pages, using at least 11-point font and 1-inch margins. Upload this with your application form submission.
- Timeliness and Alignment: Why is it important for your organization to address this topic at this point in time? How does this program align with your broader organizational goals and transformation efforts? How have you already started building robust care teams that could be leveraged for this effort?
- Organizational Commitment to Trauma-Informed Care: What past or current work has your clinic engaged in to understand and address childhood adversity and trauma-informed care? What training has your staff undergone in this area?
- Assess and Address Trauma-Related Needs: How do you currently assess for trauma in children 0-5 years at your organization? What tools or approaches do you use to assess patients? Who at your organization assesses patients? If a patient screens positive, what is the next step at your organization to address trauma? What are the options available for treatment or referrals?
- Prevention: What are you currently doing to prevent trauma and promote resilience in your patient population? Are resilience and protective factors integrated into care? If so, how?
- Collaboration and Coordination: Please note any key external collaborators your organization is currently or planning to work with to address trauma and non-medical needs. For example, how will you be involving external community partners? How will you involve patients and families in service delivery, planning, and implementation?
- Core Focus: If selected into this program, what core practice(s) would you like to further develop or strengthen? How would you prioritize your efforts? (For example, you may have already developed a process to assess patients for trauma but want to use the opportunity to strengthen community partnerships or treatment options).
- Looking Ahead: What challenges would you expect to face in participating in this program? What can CCI do to help address these potential constraints? For example, what resources might you need to implement your project (i.e., expertise, coaching, technology or other outside partners)?
- Core Team: Organizations must appoint a “Core Team” to participate in the program. At least four individuals should be committed to promote continuity. Who will you include on your team? Please list the name, title, and project responsibilities of each member of this core team.
Resilient Beginnings Collaborative: Application Submission Form
CCI and our program partners will review proposals. Our intent is to select an engaged group of 5-7 clinics that have already started their journey to address trauma at clinical and organizational levels, and are committed to leveraging this support to advance their efforts. The cohort will be announced via email on Friday, May 25, 2018.