Safe Harbor / No Wrong Door Regional Navigator and ...



Safe Harbor / No Wrong Door Regional Navigator and Supportive Service grant request for proposal (RFP)Minnesota Department of HealthPO Box 64882St. Paul, MN 55164-0882651-201-5492Caroline.Palmer@state.mn.ushealth.state.mn.usReleased February 10, 2020Updated March 18, 2020To obtain this information in a different format, call 651-201-4989. Printed on recycled paper.Table of Contents TOC \o "1-3" \h \z \u Safe Harbor / No Wrong Door Regional Navigator and Supportive Service PAGEREF _Toc31032389 \h 1RFP Part 1: Overview PAGEREF _Toc31032390 \h 31.1General Information PAGEREF _Toc31032391 \h 31.2Program Description PAGEREF _Toc31032392 \h 31.3Funding and Project Dates PAGEREF _Toc31032393 \h 51.4Eligible Applicants PAGEREF _Toc31032394 \h 61.5Questions and Answers PAGEREF _Toc31032395 \h 7RFP Part 2: Program Details PAGEREF _Toc31032396 \h 72.1Priorities PAGEREF _Toc31032397 \h 72.2Eligible Projects PAGEREF _Toc31032398 \h 8Regional Navigators PAGEREF _Toc31032399 \h 8Supportive Service PAGEREF _Toc31032400 \h 132.4Grant Provisions PAGEREF _Toc31032401 \h 182.5Review and Selection Process PAGEREF _Toc31032402 \h 21RFP Part 3: Application and Submission Instructions PAGEREF _Toc31032403 \h 243.1Application Deadline PAGEREF _Toc31032404 \h 243.2Application Submission Instructions PAGEREF _Toc31032405 \h 243.3Application Requirements and Submission PAGEREF _Toc31032406 \h 25RFP Part 4: Forms PAGEREF _Toc31032407 \h 27Budget Summary PAGEREF _Toc31032408 \h 39RFP Part 1: OverviewGeneral InformationAnnouncement Title: Safe Harbor/No Wrong Door Regional Navigator and Supportive Service Grants Request for Proposal (RFP). Letter of Intent: Organizations intending to submit a proposal should email a Letter of Intent by 11:59 p.m. (CST), February 21, 2020. Letters of Intent are not required, but they are appreciated. Letters of Intent (LOI) are used by the Minnesota Department of Health (MDH) to assist staff in planning for adequate agency resources to complete the proposal review process. Please email the Letter of Intent to Tasha Scott at Tasha.scott@state.mn.us. Minnesota Department of Health (MDH) Safe Harbor Program Website: MDH Safe Harbor () Application Deadline: April 1, 2020 The complete application(s), if sent by email, must be submitted to Tasha.scott@state.mn.us by 11:59 p.m. (CST) on April 1, 2020The complete application(s), if sent by mail or hand delivered, must be delivered to the appropriate address listed below by 4:30 p.m. (CST) on April 1, 2020 (Please see Section 3.2) Late or incomplete applications will not be accepted. Therefore, it is important that all applicants ensure that all sections of their application are complete to avoid the possibility of failing an evaluation phase or having their score reduced for lack of information. Please see Part 3 of the RFP for detailed requirements. Program DescriptionThe No Wrong Door model underlying the Safe Harbor system operates on the assumption that no single system or profession is adequate to identify and address the needs of at-risk and exploited youth. Youth deserve a trauma-informed multidisciplinary response from all intersecting community and system partners. Intersecting partners can include, but are not limited to, law enforcement, child protection/child welfare, prosecutors, juvenile justice professionals, youth serving community agencies, domestic and sexual violence agencies, child advocacy centers, homeless serving organizations, school professionals, mental health, health care, and chemical dependency providers, and possibly more depending on the community. Three state agencies distribute Safe Harbor and related funds: the Minnesota Department of Health (MDH); the Department of Human Services (DHS); and the Department of Public Safety (DPS). MDH administers funds for Regional Navigators, Supportive Services, and protocol implementation. DHS administers funds for outreach, emergency shelter, supportive housing, and specialized foster care. Additionally, DPS administers funds to local and county law enforcement entities to aid in the investigation and coordination of sex trafficking cases. All funded Safe Harbor agencies are expected to collaborate with one another as much as possible for referrals, services, trainings, evaluation, and meetings. In addition, Safe Harbor agencies should work in collaboration with system responders in their service area. MDH uses a public health approach to support a multidisciplinary response that ensures effective trauma-informed intervention and encourages prevention. Communities should look at factors that increase the risk of the sexual exploitation of Minnesota youth and adults. MDH continues to enhance the Safe Harbor system where Regional Navigators are striving to develop, strengthen, and maintain effective community and system responses for youth, while service providers offer accessible and effective services specialized for each community. Sexual exploitation occurs when someone engages in commercial sexual activity. Commercial sexual activity occurs when anything of value or promise of anything of value (e.g., money, drugs, food, shelter, rent, or higher status in a gang or group) is given to a person by any means in exchange for any type of sexual activity. A third party may or may not be involved. The guiding focus of the Safe Harbor system is providing support and services to youth who are victims/survivors of sexual exploitation and trafficking, or at risk for these harms. In addition, Safe Harbor funds support cross-discipline prevention and intervention approaches to sexual exploitation and trafficking. Safe Harbor grantees must use funds solely for these purposes. MDH prioritizes health equity and seeks to ensure underserved or disproportionately affected populations have equitable opportunities to achieve their desired health and wellness outcomes. Among MDH’s goals with this RFP is to support grants that further expand Safe Harbor access in underserved areas and populations. The 2019 “Evaluation of the Safe Harbor Initiative in Minnesota – Phase 3, Evaluation Report” by the Amherst H. Wilder Foundation found that while Safe Harbor provides services that would otherwise be unavailable and that have a positive impact on youth served, there remain “service and training gaps, systemic challenges, and information gaps [that] decrease Safe Harbor’s reach and impact.” It is MDH’s intent to broaden Safe Harbor’s reach and impact through funding for applicants serving community needs that would benefit from greater attention; increasing funds to tribal nations; and providing support for Regional Navigators to build more partnerships in their service areas.Please note this RFP does not include the set aside for specific tribal funding, which encompasses prevention, regional navigation, direct services, collaboration building, and/or training. Another process funds tribes to develop and implement a cohesive response to human trafficking through Safe Harbor. However, tribal organizations are also eligible to apply for the Regional Navigator and/or Supportive Service grant funding within the parameters of this RFP.Funding and Project DatesFundingFunding will be allocated through a competitive process. If selected, a grantee may only incur eligible expenditures when the grant agreement is fully executed. Duration of FundingFor both Regional Navigators and Supportive Services grants: New Applicants (those who have never received Safe Harbor funds from MDH) may apply for a 24-month period from July 1, 2020 to June 30, 2023. (These grantees may be eligible for continuation funding beyond June 30, 2023 for one additional year to June 30, 2024, which will be contingent on the grantee’s satisfactory performance). Applicants reapplying for funds may apply for a 36-month period from July 1, 2020 to June 30, 2023. Regional Navigator FundingEstimateEstimated Amount to Grant per yearApproximately $925,000Estimated Number of AwardsUp to 9Estimated Award Maximum per year$110,000Supportive Service FundingEstimateEstimated Amount to Grant per yearApproximately $1,921,667Estimated Number of AwardsUp to 25Estimated Award Maximum per year$180,000The estimated number of awards and grant maximums reflect MDH’s intent to broaden Safe Harbor’s reach and impact by building upon effective existing system responses as well as opening the door for additional grantees, especially from communities and populations currently underserved by Safe Harbor. For additional information, see Section 1.2.Match Requirements There is no match requirement for this grant. Project DatesRegional Navigator Funds: July 1, 2020 - June 30, 2023 (Total duration of all funds available) Supportive Service Funds: July 1, 2020 - June 30, 2023 (Total duration of all funds available) Funding RestrictionsGrant funds can be used to cover costs of personnel, supplies, grant-related travel, and other grant-related costs. Grant funds cannot be used for building alterations or renovations, construction, fund raising activities, political education or lobbying. Program Implementation, Training, and Monitoring RequirementsThe implementation and monitoring of this program is a collaborative effort between MDH and the grantees. Below is an outline of MDH and grantee duties.MDH will:Review, revise, and approve the program objectives, outcome measures, and work plan after notice of grant award and before program funded work begins. Provide grantees with training, support, resource information, and technical assistance on Safe Harbor program implementation, best practices, and grant requirements. Provide access and training on Apricot database for quarterly progress reports and non-identifying data on individual youth served. Use grantee data to communicate Safe Harbor progress and accomplishments to the legislature, the public, and grantees. Additionally, MDH may use data to inform the needs and priorities of Safe Harbor services.Strongly encourage or mandate training for grantees, including supervisors, with every effort made to keep the cost of registration fees low or free whenever possible. Efforts will be made to reduce the amount of travel by hosting trainings in central locations or offering regional trainings. Trainings may be offered on-line or in-person. New grantees will need to participate in additional trainings.Grantees will: Report on a quarterly basis to MDH, in a format provided by MDH, on progress and benchmarks – including process and outcome evaluation measures included in the approved work plan. Budget for MDH trainings in terms of travel, lodging costs, and registration. (Estimate of $2,500 over a 36-month three-year grant period).Consistently and accurately enter client information into the provided database. Basic client information includes non-identifying demographic information, intake, eligibility, check-in forms, and services.Assist MDH in gathering information and working with evaluators on Safe Harbor needs, strengths, and connections in Minnesota in relation to the statutorily mandated biannual report.Produce a final report at the end of the grant cycle as directed by MDH.Eligible ApplicantsOrganizations eligible to apply in this competitive process include, but are not limited to, local public health, social service agencies, nonprofit organizations, tribal governments, units of government, schools and/or school districts, health care organizations, and other interested agencies demonstrating experience and/or expertise in working with sexually exploited youth and/or youth at-risk for sexual exploitation.CollaborationAlthough collaborations are not required, they are highly recommended. Preference will be given to organizations that formally collaborate with Regional Navigators and other Safe Harbor partners. Questions and AnswersAll questions regarding this RFP must be submitted by email or phone to tasha.scott@state.mn.us or at 651-201-5439. In the subject line of the email, include the phrase: “Safe Harbor Grant RFP Question.” Applicants may also submit questions by phone during the informational call described below. Answers will be posted within two business days at Safe Harbor Regional Navigator and Supportive Services Request for Proposals ()( Please submit questions no later than 4:30 p.m. Central Time, on March 27, 2020.To ensure the proper and fair evaluation of all applications, other communications regarding this RFP including verbal, telephone, written or internet initiated by or on behalf of any applicant to any employee of MDH, other than questions submitted as outlined above, are prohibited. Any violation of this prohibition may result in the disqualification of the applicant.RFP INFORMATIONAL CALLAll applicants who are interested in further information and/or have questions regarding the current Safe Harbor/No Wrong Door RFP are welcome to join the informational conference call. Attendance is encouraged, but not required. Questions and answers from the call will be available at: Questions and Answers for Safe Harbor Regional Navigators and Supportive Services ()Date: February 18, 2020 Time: 11:00 a.m. to 12:30 p.m. (CST) Location: Access the meeting by calling in toll-free number: 1-415-655-0003 (US) Conference Code: 268 763 706RFP Part 2: Program DetailsPrioritiesHealth Equity PrioritiesIt is the policy of the State of Minnesota to ensure fairness, precision, equity and consistency in competitive grant awards. This includes implementing diversity and inclusion in grant making. The Policy on Rating Criteria for Competitive Grant Review () establishes the expectation that grant programs intentionally identify how the grant serves diverse populations, especially populations experiencing inequities and/or disparities. The vision of MDH is for health equity in Minnesota, where all communities are thriving and all people have what they need to be healthy. Achieving health equity means creating the conditions in which all people have the opportunity to attain their highest possible level of health. For more information on health equity, please link to the MDH Center for Health Equity ().Other Competitive PrioritiesProjects that utilize collaborations will be given preference during review. Applicants who show a strong capacity to collaborate with partners to achieve project goals will be reviewed favorably. For example, the required letter(s) of support in this RFP should demonstrate community relationships as well as provide examples of collaborations.Eligible Projects Regional NavigatorsBACKGROUND Since the start of Regional Navigator grants in 2014, the state and community have gained a better understanding of what is needed from the Regional Navigator position. Accordingly, over the past six years, MDH, in consultation with the Regional Navigators, has shifted the tasks and focus of these grants to fulfill the identified needs. For some current Safe Harbor grantees, these needs may be a change from current practices. Each region of the state is unique; therefore, MDH, during the first grant cycle in 2014, encouraged flexibility between Regional Navigator positions to conform to the individual needs of the region. While allowing some flexibility for each region remains important, it is equally important to create consistency between grantees in order to have standards and expectations for those within the system and professionals external to it. Regional Navigator grants differ from traditional victim service grants in that, separate from providing services, they focus on facilitating the process of local, county, and state systems changing their interaction with the responses for at risk and sexually exploited youth. Past interactions and responses with this population frequently include the juvenile justice and child protection/welfare systems. Regional Navigator grants work to create trauma-informed responses with community-based and system providers. The Regional Navigator grants will serve: Regional Navigator agencies will serve community and system providers and professionals from intersecting disciplines and tribes working with at-risk or sexually exploited youth up to 24 years of age. This can include law enforcement, child protection/child welfare, prosecutors, juvenile justice professionals, youth serving community agencies, domestic and sexual violence agencies, child advocacy centers, homeless serving organizations, school professionals, health care professionals, public health, mental health and chemical dependency providers, and others working with youth. Regional Navigator agencies will often work with youth up to 24 years of age on a short-term or emergency basis. However, the Regional Navigator agencies’ main focus is on providing referrals for long-term services and building connections between appropriate service providers, youth, and other system stakeholders. REGIONS For this RFP, MDH has increased the Regional Navigator geographic regions to a total of nine. This RFP does not include funding for Tribal Navigators. Separate funds have been allocated and will be part of a separate process determined in coordination between MDH and tribal grantees. Nevertheless, Regional Navigator agencies are expected to coordinate and collaborate with tribes located within their geographic regions. The Minnesota regions are divided by counties as follows: Region 1 (Northwest MN): Counties of Kittson, Roseau, Marshall, Lake of Woods, Pennington, Red Lake, Polk, Norman, Beltrami, Mahnomen, Clearwater, and Hubbard.Region 2 (Northeast MN): Counties of Koochiching, Itasca, St. Louis, Lake, Cook, and Carlton.Region 3 (West Central MN): Counties of Clay, Becker, Wilkin, Otter Tail, Grant, Douglas, Pope, Swift, Chippewa, Traverse, Stevens, Big Stone, Kandiyohi, Meeker, and Lac Qui Parle. Region 4 (East Central MN): Counties of Cass, Wadena, Todd, Crow Wing, Morrison, Atkin, Pine, Kanabec, Mille Lacs, Sterns, Benton, Sherburne, and Wright. Region 5 (Southwest MN): Counties of Yellow Medicine, Lincoln, Lyon, Redwood, Pipestone, Murray, Cottonwood, Rock, Nobles, Renville, and Jackson. Region 6 (South Central MN): Counties of McLeod, Sibley, Nicollet, Le Sueur, Brown, Watonwan, Blue Earth, Waseca, Martin, and Faribault. Region 7 (Southeast MN): Counties of Rice, Goodhue, Wabasha, Steele, Dodge, Olmsted, Winona, Freeborn, Mower, Fillmore, and Houston. Region 8 (East Metro MN): Counties of Ramsey, Anoka, Dakota, Isanti, Chisago, and Washington. Region 9 (West Metro MN): Counties of Hennepin, Scott, and Carver.After all applications for this RFP have been submitted, if any region that does not have proposed representation, MDH may request proposed regions to be adjusted so the entire state of Minnesota is covered by Regional Navigator and/or Supportive Service organizations. REGIONAL NAVIGATOR GRANTS OUTCOMES WILL INCLUDE:Goals:Activities (can include but are not limited to):Improve community capacity to identify sexually exploited youth in Minnesota.Train and raise awareness of sexual exploitation, along with trauma-informed intervention and prevention approaches.Identify, screen youth for exploitation, and/or and train professionals to do so.Increase available services and effectiveness of those services to enhance positive outcomes for youth.Identify and map out resources available in regions for exploited youth.Identify gaps.Share resources with professionals interacting with youth upon request/ referral or as needed.Navigator agencies (not individuals) available 24/7 by phone for initial screening and/or referrals.Build regional capacity to respond to exploitation.Train community and county service providers to serve population.Provide short-term or crisis services to youth as needed but primarily provide referrals to long-term services and supports.Enhance coordination and collaboration between systems (criminal justice, health care, child protection, and welfare, etc.) and professionals serving, interacting, and engaging youth. Assist systems and existing service providers to enhance their knowledge and change or create new responses.Convene and facilitate regional meetings between service providers, including tribal (grantees and non-Safe Harbor grantees) to enhance collaboration. Build bridges between youth and local services providers and/or systems.Raise awareness of Safe Harbor Protocols and provide resources or referrals for protocol municate and provide input to state agencies and other partners on the progress of Safe Harbor model.Participate in bi-monthly or quarterly webinars and/or in-person with MDH.Participate and/or facilitate meetings with other Safe Harbor and non-Safe Harbor providers as necessary. Enter and track data on client demographics, needs and services into Apricot database.Provide quarterly reports on grant progress through Apricot database.Track incoming and outgoing referrals, relationships and contacts.Participate in providing input to the statutorily mandated biannual Safe Harbor evaluation. REGIONAL NAVIGATOR SCOPE OF WORKRegional Navigator agencies will serve as the bridge between identified sexually exploited youth and appropriate trauma-informed services through both the county and community services. Given the size of regions and the depth of this work, Regional Navigators will not be providing long-term case management/advocacy to youth. The primary focus will be building the regional capacity to identify and respond appropriately to youth. If organizations are interested in continuing direct services (long-term case management/advocacy), they should apply for a Supportive Service Grant. In some instances, it will be ideal for organizations to have both Regional Navigator and Supportive Service grants to meet the needs of the youth. MDH expects impartiality, reliability, and collaboration between Regional Navigators, service providers (community, tribal and county), and intersecting partners. Without these best practices, the Regional Navigator system will be ineffective. Regional Navigator agencies are responsible for ensuring services are appropriate and providers understand the trauma associated with exploitation, without preference for some agencies over others (i.e., they must build capacity of their region not solely their organization). Regional Navigator agencies must work with all appropriate housing and service providers in their region (grantee and non-grantee) ensuring the best services and outcomes for youth. Over the years, MDH has witnessed several disruptions to Safe Harbor/No Wrong Door due to organizational staff turnover. Some staff turnover is inevitable. However, agencies should take steps to reduce turnover and disruptions when staff do leave. Organizations are encouraged to compensate staff adequately with a living wage for tasks/duties expected, create environments within the agencies supportive of the Safe Harbor programs, and incorporate Safe Harbor/No Wrong Door Regional Navigators and services into organizational infrastructures when possible. If some of the job duties of the Regional Navigator grant are spread out across the agency, there will be less responsibility on specific individual staff and more responsibility on agencies. For example, agencies can utilize already existing 24/7 services and incorporate Safe Harbor/No Wrong Door response into existing responses (shelter services, existing hotlines) versus sole reliance on select staff. Applicants are able to hire individuals to serve as Regional Navigators; however, the more the Safe Harbor/No Wrong Door response is integrated seamlessly into agency operations the less disruptions there will be in the region when staff move out of the position. REGIONAL NAVIGATOR ROLE DESCRIPTIONRegional Navigators are staff members of agencies that have applied for and received funds from MDH statewide Safe Harbor Program. Ideally, an individual hired as a Regional Navigator has experience working in fields that include contact with youth and victim/survivor services, advocacy, or related skills. In addition, background in training design and facilitation for different audiences is preferred. When an agency receives funding for a Regional Navigator it is expected that the agency have the capacity to support the position by providing onboarding training and adequate ongoing supervision; administrating the grant as required by MDH; collaborating across the Safe Harbor system; and providing adequate support to maintain the position. Receipt of a Regional Navigator grant creates an agency-wide obligation to Safe Harbor. Regional Navigators are expected to abide by confidentiality requirements set forth under all applicable state and federal laws, as well as required by professional ethical obligations, when engaging with other professionals. Regional Navigators have several roles as described below. Overall, they serve as regional points of contact on sex trafficking and exploitation. Referral/Resource ProviderRegional Navigators can expect requests for referrals to services or resources on an ongoing basis. A Regional Navigator will respond to a request based on the action it requires, i.e. referral to case management or supportive services internally, or referral to a Safe Harbor or other agency based on the need stated. This role may include supportive periodic staffing for an agency’s 24-hour access line.Overall, the role of referral/resource provider meets the Regional Navigators obligation to connect professionals and victim/survivors with appropriate services and resources, including through warm hand-offs to other services as well as case consultation. Regional Navigators should provide the best possible referral in each situation based upon the best interest of the youth, even if it is not the Regional Navigator agency. Every effort should be made to refer within the Safe Harbor network. In some instances, Regional Navigators may also provide referrals to services in labor trafficking and exploitation cases. Education/Training/OutreachRegional Navigators provide training on the Safe Harbor system, the dynamics of trafficking, working with victim/survivors, and related issues. Priority audiences are professionals or other stakeholders who currently have either contact with – or could encounter – victim/survivors of trafficking and exploitation. This obligation includes speaking at conferences. This role meets the Regional Navigator’s obligation to ensure that professionals and stakeholders in a region are prepared to respond. Regional Navigators may develop a system for reviewing other training requests and refer awareness raising activities to other qualified trainers, either within their own agency or through a partner organization.Coordinated Community ResponseRegional Navigators are well positioned to lead, advise, and/or engage in coordinated community responses to trafficking and exploitation within their regions, based upon reasonable time and resource commitments. This may include coordinating with other systems professionals and service providers to expand coverage. This role meets the Regional Navigator’s obligation to assist with capacity building for professionals responding to victim/survivors. Regional Navigators may engage with different types of teams including protocol development, case review or child protection/welfare multidisciplinary teams. Direct Services and Case ConsultationRegional Navigators have limited time to provide direct services to youth. Regional Navigators will provide direct services for victim/survivors on a limited basis (approximately 10 to 15 percent of their time). There will be times when Regional Navigators interact with youth during referrals, brief services, or community presentations. For example, a youth in a juvenile detention center may wish to speak to a Regional Navigator rather than staff, or a Regional Navigator may speak with a group of youth in school.Generally, youth will be referred by Regional Navigators to direct services providers, within either their own agencies or other agencies, depending on the specific needs of the youth. Regional Navigators may also provide case consultation for professionals working with youth. Regional Navigators are not expected to carry a long-term caseload.AdministrationRegional Navigators administer their roles through attending Safe Harbor meetings and trainings as well as gathering and reporting data for evaluation purposes. Regional Navigators are expected to maintain up-to-date knowledge about the Safe Harbor system, within the scope of the duties described above. For grantees who provide training, MDH will provide basic standardized Safe Harbor related training materials and PowerPoint slide decks. Grantees are required to utilize these materials when presenting on Safe Harbor. They may also supplement with their own training materials.Supervisors of Regional Navigators at Safe Harbor agencies are expected to follow all MDH required duties related to grant administration, staff oversight, staff development, confidentiality requirements, Safe Harbor staff succession plans, and organizational support for the position. Supervisors will be required to participate in relevant trainings related to Safe Harbor activities and oversight. Supportive Service BACKGROUNDMDH recognizes the significant role that Supportive Service providers have in ensuring victims ages 24 and younger of sexual exploitation, and youth at-risk for exploitation are identified, receive victim-centered, trauma-informed services, and are housed safely. Supportive Service providers have a unique opportunity to ensure communities across Minnesota have the knowledge, skills, and resources to effectively identify and serve sexually exploited and at-risk youth. As the need for this work continues to grow, the demand for services continues to expand as well. During the first few years of Safe Harbor/No Wrong Door implementation, MDH has been able to identify the following areas of service as priorities in to order to improve and enhance the on-going supportive services provided to at-risk and sexually exploited youth across the state of Minnesota:Finding youth safe and supportive housingSafety assessment/planningEmergency response (services that offer are offered 24/7)Basic living needsAccess to health care, trauma counseling/mental health/supportChemical dependency counseling/treatmentCultural servicesAccess to benefitsLegal needsHousing and shelter for sexually exploited youth are commonly identified needs but are not covered by this RFP. If agencies are interested in applying for a Safe Harbor Housing or Shelter Grant, please refer to the Department of Human Services’ website at DHS Safe Harbor/No Wrong Door ().THE SUPPORTIVE SERVICE GRANTS PURPOSE: The purpose of this RFP is to solicit applications from agencies to provide comprehensive supportive services to sexually exploited youth, including trauma-informed and culturally specific services. Once identified, sexually exploited youth must be afforded services specifically designed to meet their needs, address the harm caused by the exploitation and trafficking, and move them towards recovery. Existing services should be utilized when possible. Look for strengths and areas for growth in the region; do not reinvent the wheel or duplicate services that are effective. However, some communities may need to develop new services that currently do not exist in the region. These services should complement and strengthen the existing Safe Harbor network of services and support collaboration with partners from different disciplines.SUPPORTIVE SERVICE GRANTS OUTCOMES WILL INCLUDE:Goals: Activities (can include but are not limited to):Build and improve community collaborationsCollaborate and work closely with other Safe Harbor/No Wrong Door programming, specifically MDH staff, Regional Navigators, DHS Shelter and Housing grantees, and related partners in DHS Child Welfare/Child Protection, DPS law enforcement, as well as local community or system-based actorsIncrease Safe Harbor/No Wrong Door Services and ReferralsIncrease services specialized for at-risk or sexually exploited youth in MinnesotaEngage frequently with other Safe Harbor/No Wrong Door grantees on referral processes and constant evaluation and feedback to enhance coordination of referrals and systematic responses to sexually exploited youthParticipate in Safe Harbor trainings Communicate and provide input into the state agencies and other on the progress of the Safe Harbor system Participate in communication as prescribed by MDH, included monthly reports and bi-monthly or quarterly webinars or in person meetingsEnter tracking data on client demographics, needs and services into Apricot databaseProvide quarterly reports on grant progress through Apricot databaseTrack incoming and outgoing referrals, relationships and contactsSUPPORTIVE SERVICE SCOPE OF WORKMDH seeks proposals from eligible responders to develop and submit plans ensuring comprehensive supportive services to sexually exploited youth throughout Minnesota. These services must implement the following philosophical approaches as part of an organization’s service delivery: be accessible, trauma-informed, victim-centered, strengths-based, culturally relevant, take a harm reduction approach, promote positive youth development, and ensure safe and appropriate staff are working with youth.MDH, along with DHS, have brought together service providers that are working strategically to provide high quality trauma informed, victim-centered, and culturally relevant services to youth who have experienced sexual exploitation or are at-risk for exploitation.Services can be offered in various ways, including offering multiple services at one site, off-site services or mobile services depending on the needs and location of the services provided. No matter the approach, youth must be able to easily access services. Services that formally collaborate with Regional Navigators and other Safe Harbor partners are preferred. 2.3 Grant Management Responsibilities Grant AgreementThe selected applicant must formally enter into a grant agreement with MDH – Safe Harbor Program. The grant agreement will address the conditions of the award, including implementation for the project. The grantee is expected to read the grant agreement prior to signing and comply with all conditions of the grant agreement. No work on grant activities can begin until a fully executed grant agreement is in place. The funded applicant will be legally responsible for assuring implementation of the work plan and compliance with all applicable state requirements including worker’s compensation insurance, nondiscrimination, data privacy, budget compliance, and reporting.Accountability and Reporting RequirementsBefore awarding of a grant, applicants selected after programmatic evaluation will be subject to Due Diligence review per State of Minnesota Policy 240. Reviews will be conducted on non-governmental agencies and require submission of the following documentation:Non-governmental organization with annual income under $25,000: Submit the most recent board-reviewed financial statement.Non-governmental organization with annual income between $25,000 and $750,000: Submit the most recent IRS Form 990.Non-governmental organization with annual income over $750,000: Submit the most recent certified financial audit.Grant Monitoring If awarded a grant, the grantee will be required to:Sign and comply with requirements of standard grant agreement. Provide most recent Certified Financial Audit or IRS 990 if the organization is not legally required to have a financial audit. Submit monthly financial report (invoice). Payments will be for actual documented expenses on a reimbursement basis. The organization will pay for grant activity expenditures, report the expenditures to MDH, and then receive reimbursement. Keep documentation to support all expenditures including: payroll records, receipts for expenses, and travel logs. Grantee will act in a fiscally-responsibly manner, including following standard accounting procedures, charging MDH grant only for:The approved activities; Spending grant funds responsibly; Having accounting systems in place to track grant funded activities separately from activities funded from other sources; and Meeting audit requirements. Participate in at least one site visit and a financial reconciliation if grantee meets the criteria outlined below.Financial Reconciliation The State of Minnesota Policy 16B.97 () requires a financial reconciliation of grantee expenditures be conducted at least once during the grant period on all grants of $50,000 or more.?The purpose of the financial reconciliation is to ensure grant programs are in compliance with all state and federal laws and that expenses claimed are documented. MDH Health Promotion and Chronic Disease staff will provide the grantee information related to the financial reconciliation prior to the review.Ineligible ExpensesIneligible expenses include but are not limited to:FundraisingTaxes, except sales tax on goods and servicesLobbyists, political contributionsBad debts, late payment feeds, finance charges, or contingency fundsConstruction (new or remodel)Disclosure of Contractual ServicesApplicants must identify any subcontracts that will occur as part of carrying out the duties of this grant program as part of the Contractual Services budget line item in your proposed budget in Forms 6 and 7. The use of contractual services is subject to State review and may change based on final work plan and budget negotiations with selected grantees.Applicant responses must include: Description of services to be contracted for;Anticipated contractor/consultant’s name (if known) or selection process to be used;Length of time the services will be provided; and Total amount to be paid to contractor.Overview of Grantee Responsibilities for SubcontractsThe Grantee is responsible for holding any subcontracting entities to the same standardsrequired of the grantee. The Grantee remains solely responsible for the satisfactory performance of all grant duties and ensures that all costs billed against the grant are allowable costs.The Grantee must follow its standard procurement practices prior to entering into subcontracts.Specific procurement rules must be followed for subcontracts in excess of $150,000.Subcontractors listed on this RFP may only be selected. The Grantee is responsible for all required reports, supporting documentation, deliverables or other items as required by the grant contract.The Grantee is responsible for ensuring that any subcontracting entities comply with the Minnesota Government Data Practices Act (Minnesota Statutes Chapter 13) as it applies to all data created, gathered, generated or acquired under your grant agreement.Questions about SubcontractsApplicants are welcome to contact MDH’s grant contact for general questions related to subcontracting. It is important to remember, however, that a contract is a legal document and MDH does not provide legal advice. Applicants may want to contact an attorney to advise you about your contract agreements.Technical AssistanceMDH/Safe Harbor will provide grantee with ongoing technical assistance, including review of specific materials such as work plans, evaluation plans, logic models, training materials, etc. If there is a need for technical assistance during the grant period, applicants are welcome to request further support. MDH/Safe Harbor will establish a schedule and process for ongoing check-ins with grantee during the grant period. Grant Payments Per State Policy on Grant Payments (), reimbursement is the method for making grant payments. All grantee requests for reimbursement must correspond to the approved grant budget. The State shall review each request for reimbursement against the approved grant budget, grant expenditures to-date and the latest grant progress report before approving payment. Grant payments shall not be made on grants with past due progress reports unless MDH has given the grantee a written extension. The invoicing and payment schedule will be monthly, with invoices due within 15 days after the end of each month. MDH/Safe Harbor make every effort to pays all approved invoices within 30 days of receipt. Grant Provisions Contracting and Bidding Requirements(a) Municipalities Per Minn. Stat. §471.345, grantees that are municipalities as defined in Subd. 1 must follow the law. For projects that include construction work of $25,000 or more, prevailing wage rules apply per Minn. Stat. §§177.41 through 177.44. These rules require that the wages of laborers and workers should be comparable to wages paid for similar work in the community as a whole.(b) Non-municipalities Grantees that are not municipalities must follow the following: Any services and/or materials that are expected to cost $100,000 or more must undergo a formal notice and bidding process. Services and/or materials that are expected to cost between $25,000 and $99,999 must be competitively awarded based on a minimum of three (3) verbal quotes or bids. Services and/or materials that are expected to cost between $10,000 and $24,999 must be competitively awarded based on a minimum of two (2) verbal quotes or bids or awarded to a targeted vendor.The grantee must take all necessary affirmative steps to assure that targeted vendors from businesses with active certifications through these entities are used when possible:State Department of Administration's Certified Targeted Group, Economically Disadvantaged and Veteran-Owned Vendor ListMetropolitan Council’s Targeted Vendor list: Minnesota Unified Certification ProgramSmall Business Certification Program through Hennepin County, Ramsey County, and City of St. Paul: Central Certification Program The grantee must maintain written standards of conduct covering conflicts of interest and governing the actions of its employees engaged in the selection, award and administration of contracts.The grantee must maintain support documentation of the purchasing and/or bidding process utilized to contract services in their financial records, including support documentation justifying a single/sole source bid, if applicable.Notwithstanding (i) - (vi) above, the State may waive bidding process requirements when:Vendors included in response to competitive grant request for proposal process were approved and incorporated as an approved work plan for the grantIt is determined there is only one legitimate or practical source for such materials or services and that grantee has established a fair and reasonable price. For projects that include construction work of $25,000 or more, prevailing wage rules apply per Minn. Stat. §§177.41 through 177.44. These rules require that the wages of laborers and workers should be comparable to wages paid for similar work in the community as a whole.The grantee must not contract with vendors who are suspended or debarred in MN: Suspended/Debarred Vendor Report ().Conflicts of Interest MDH will take steps to prevent individual and organizational conflicts of interest, both in reference to applicants and reviewers per Minn. Stat.§16B.98 () and Conflict of Interest Policy for State Grant-Making (). Applicants must provide a list of all entities with which it has relationships that create, or appear to create, a conflict of interest with the work contemplated by this RFP. The list must provide the name of the entity, the relationship, and a discussion of the conflict. Submit the list as an attachment to the application. If an applicant does not submit a list of conflicts of interest, MDH will assume that no conflicts of interest exist for that applicant. Organizational conflicts of interest occur when: a grantee or applicant is unable or potentially unable to render impartial assistance or advice to the Department due to competing duties or loyalties a grantee’s or applicant’s objectivity in carrying out the grant is or might be otherwise impaired due to competing duties or loyalties In cases where a conflict of interest is suspected, disclosed, or discovered the applicants or grantees will be notified and actions may be pursued, including but not limited to disqualification from eligibility for the grant award or termination of the grant agreement. Public Data and Trade Secret Materials All applications submitted in response to this RFP will become property of the State. In accordance with Minnesota Statute Section 13.599, all applications and their contents are private or nonpublic until the applications are opened. Once the applications are opened, the name and address of each applicant and the amount requested is public. All other data in an application is private or nonpublic data until completion of the evaluation process, which is defined by statute as when MDH has completed negotiating the grant agreement with the selected applicant. After MDH has completed the evaluation process, all remaining data in the applications is public with the exception of trade secret data as defined and classified in Minn. Stat. § 13.37, Subd. 1(b). A statement by an applicant that the application is copyrighted or otherwise protected does not prevent public access to the application or its contents. (Minn. Stat. § 13.599, subd. 3(a)).If an applicant submits any information in an application that it believes to be trade secret information, as defined by Minnesota Statute Section 13.37, the applicant must: Clearly mark all trade secret materials in its application at the time it is submitted.Include a statement attached to its application justifying the trade secret designation for each item, andDefend any action seeking release of the materials it believes to be trade secret, and indemnify and hold harmless MDH and the State of Minnesota, its agents and employees, from any judgments or damages awarded against the State in favor of the party requesting the materials, and any and all costs connected with that defense. This indemnification survives MDH’s award of a grant agreement. In submitting an application in response to this RFP, the applicant agrees that this indemnification survives as long as the trade secret materials are in possession of MDH. The State will not consider the prices submitted by the responder to be proprietary or trade secret materials.MDH reserves the right to reject a claim that any particular information in an application is trade secret information if it determines the applicant has not met the burden of establishing that the information constitutes a trade secret. MDH will not consider the budgets submitted by applicants to be proprietary or trade secret materials. Use of generic trade secret language encompassing substantial portions of the application or simple assertions of trade secret without substantial explanation of the basis for that designation will be insufficient to warrant a trade secret designation.If a grant is awarded to an applicant, MDH may use or disclose the trade secret data to the extent provided by law. Any decision by the State to disclose information determined to be trade secret information will be made consistent with the Minnesota Government Data Practices Act (Minnesota Statutes chapter 13) and other relevant laws and regulations.If certain information is found to constitute trade secret information, the remainder of the application will become public; in the event a data request is received for application information, only the trade secret data will be removed and remain nonpublic.Audits Per Minn. Stat. §16B.98 () Subdivision 8, the grantee’s books, records, documents, and accounting procedures and practices of the grantee or other party that are relevant to the grant or transaction are subject to examination by the granting agency and either the legislative auditor or the state auditor, as appropriate. This requirement will last for a minimum of six years from the grant agreement end date, receipt, and approval of all final reports, or the required period of time to satisfy all state and program retention requirements, whichever is later.Affirmative Action and Non-Discrimination Requirements for all GranteesThe grantee agrees not to discriminate against any employee or applicant for employment because of race, color, creed, religion, national origin, sex, marital status, status in regard to public assistance, membership or activity in a local commission, disability, sexual orientation, or age in regard to any position for which the employee or applicant for employment is qualified. Minn. Stat. §363A.02 (). The grantee agrees to take affirmative steps to employ, advance in employment, upgrade, train, and recruit minority persons, women, and persons with disabilities. The grantee must not discriminate against any employee or applicant for employment because of physical or mental disability in regard to any position for which the employee or applicant for employment is qualified. The grantee agrees to take affirmative action to employ, advance in employment, and otherwise treat qualified disabled persons without discrimination based upon their physical or mental disability in all employment practices such as the following: employment, upgrading, demotion or transfer, recruitment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. Minnesota Rules, part 5000.3500 ().The grantee agrees to comply with the rules and relevant orders of the Minnesota Department of Human Rights issued pursuant to the Minnesota Human Rights Act.Review and Selection ProcessREVIEW PROCESSFunding will be allocated through a competitive process with review by a committee representing content and community specialists with knowledge of sexual exploitation throughout Minnesota. The review committee will evaluate all eligible and complete applications received by the deadline. MDH will review all committee recommendations and is responsible for award decisions. The award decisions of MDH are final and not subject to appeal. Additionally:MDH reserves the right to withhold the distribution of funds in cases where proposals submitted do not meet the necessary criteria. The RFP does not obligate MDH to award a grant agreement or complete the project, and MDH reserves the right to cancel this RFP if it is in the State’s best interest.MDH reserves the right to waive minor irregularities or request additional information to further clarify or validate information submitted in the application, provided the application substantially complies with the requirements of this RFP. There is, however, no guarantee MDH will look for information or clarification outside of the submitted written application. Therefore, it is important that all applicants ensure that all sections of their application are complete to avoid the possibility of failing an evaluation phase or having their score reduced for lack of information.SELECTION CRITERIA AND WEIGHT The review committee will be reviewing each applicant on a 1000-point scale. A standardized scoring system will be used to determine the extent to which the applicant meets the selection criteria. REGIONAL NAVIGATOR SCORINGThe scoring factors and weight that applications will be evaluated under are as follows:Section 1 (Form 2). Approach, Accessibility, and Equity (200 points)Did they describe the needs of the youth in their community?How are they incorporating the No Wrong Door Model?Did they clearly describe their agency’s approach?How are survivors voices incorporated?How will they collaborate and work with other grantees? Is staff and leadership reflective of population served? If not, are there efforts to improve representation?Did they outline how providers are respectful of other cultures and ethnicities, and to LGBTQ youth?Section 2 (Form 3A). Regional Navigator Questions (300 points)Does the agency have experience working with intended population?Do they have staff experienced in this field and/or a good proposal of whom they would hire for the position? Did they clearly articulate the region’s need? What types of training will they deliver and how?Did they describe how they will work impartially and collaboratively?Did they summarize their timeline and activities clearly?How will they supervise and support staff, work to reduce turnover, and proactively plan for staff transitions?Did they describe how they will ensure confidentiality?Section 3 (Form 4A). Regional Navigator Work Plan/Timeline (300 points)Do the applicant’s goals align with MDH Regional Navigator goals?Is the overall proposed project clear? Are the activities and timeline realistic for each of the activities included in the scope of work? Do the activities correlate to the needs of the region? Did they include output measures and outcome measures?Are any activities missing or not well thought out?Section 4 (Form 5). Regional Navigator Assessment and Partners (200 points)Did they provide a clear assessment of their region? Including gaps?Is it clear how they will review or assess an organizations’ appropriateness for serving sexual exploited or trafficked youth?Did they provide a clear list of their partners per county?Do they have a clear strategic plan to build their regional capacity?Did they identify their priorities?SUPPORTIVE SERVICES SCORINGThe scoring factors and weight that applications will be evaluated under are as follows:Section 1 (Form 2). Approach, Accessibility and Equity (200 points)Did they describe the needs of the youth in their community?How are they incorporating the No Wrong Door Model in their organizational values and goals?Did they clearly describe their agencies approaches?How are survivors voices incorporated?How will they collaborate and work with other grantees? Is staff and leadership reflective of population served? If not, are there efforts to improve representation?Did they outline how provides are respectful of other cultures, ethnicities, and LGBTQ youth? Section 2 (Form 3B). Supportive Services Questions (400 points)Does the agency have experience working with intended population?Do they have experienced staff working with sexual exploited youth?How will they supervise and support staff, work to reduce turnover, and proactively plan for staff transitions?Did they describe how they will ensure confidentiality?Section 3 (Form 4B). Supportive Service Work Plan/Timeline (400 points)Is the overall proposed project clear? Did they summarize their timeline and activities clearly?Are the activities and timeline realistic for each of the activities included in the scope of work? Did they include output measures?Are any of the activities missing or not well thought out?MDH reserves the right to cancel this solicitation if it is in the best interest of the State. The State reserves the right to negotiate modifications to the application or reject any and all applications received as a result of the Request for Proposals. MDH may conduct phone interviews with selected applicants before awarding grants. GRANTEE PAST PERFORMANCE AND DUE DILIGENCE REVIEW PROCESSIt is the policy of the State of Minnesota to consider a grant applicant's past performance before awarding subsequent grants to them.State policy requires states to conduct a financial review prior to a grant award made of $25,000 and higher to a nonprofit organization, in order to comply with Policy on the Financial Review of Nongovernmental Organizations )NOTIFICATION MDH/Safe Harbor anticipates notifying all applicants via email of funding decisions by 4:30 p.m., Friday May 3, 2020. RFP Part 3: Application and Submission InstructionsPre-application/Letter of Intent/Notice of Intent Applicants are strongly encouraged to submit a non-binding Letter of Intent (LOI) via email by 11:59 p.m., Friday February 21, 2020. While prospective applicants are strongly encouraged to submit a LOI, it is not a mandatory requirement of this RFP. This means that an application may still be considered even if the applicant did not submit a LOI; likewise, an applicant is not obligated to submit an application just because they submitted a LOI. Applicant LOI’s must be sent via email. Please include subject line, “RFP LOI Safe Harbor.” Please also provide a contact person for LOI receipt acknowledgment. Applicants should submit their Letter of Intent to tasha.scott@state.mn.usApplication Deadline Applications may be received via email, mail, or in person. The complete application(s), If sent by email, must be submitted to Tasha.Scott@state.mn.us by 11:59 p.m. (CST) on April 1, 2020.The complete application(s), if sent by mail or hand delivered, must be delivered to the appropriate address listed below by 4:30 p.m. (CST) on A, 2020. Application Submission Instructions Applications must be submitted in person, by mail, or by email to:Street Address (in person or courier)US Postal Service mailing AddressEmail SubmissionTasha ScottMinnesota Department of HealthInjury and Violence Prevention UnitGolden Rule Building85 East Seventh PlaceSaint Paul, MN 55101* Hand delivered proposals mustbe delivered to the 2nd floor reception desk of the Golden Rule Building, Suite 220.Tasha ScottMinnesota Department of Health Injury and Violence Prevention UnitP.O. Box 64882Saint Paul, MN 55164-0882Tasha.Scott@state.mn.us Submitting a Safe Harbor/ No Wrong Door Service application does not guarantee funding.Applications must meet all requirements listed in this packet, organizations must meet all eligibility requirements, and proposals must meet the criteria and requirements listed inthis application.Applications must include all required application materials, including attachments. Do not provide any materials that are not requested in this RFP, as such materials will not be considered or evaluated. MDH reserves the right to reject any application that does not meet these requirements.By submitting an application, each applicant warrants that the information provided is true, correct, and reliable for purposes of evaluation for potential grant award. The submission of inaccurate or misleading information may be grounds for disqualification from the award, as well as subject the applicant to suspension or debarment proceedings and other remedies available by law. Late or incomplete applications will not be accepted. It is the applicant’s sole responsibility to allow sufficient time to address all potential delays caused by any reason whatsoever. MDH is not responsible for delays caused by mail, delivery, computer or technology problems. All costs incurred in responding to this RFP will be borne by the applicant.Application Requirements and SubmissionAPPLICATION REQUIREMENTS Applications must be written in 12-point Calibri font with 1.5 spacing and one-inch margins. Titles and section headings may be up to 16 pt., tables may be 1.0 spacing. Number all pages.Submit one signed unbound original of the complete application(s). If applying for both Regional Navigator and Supportive Service grants, applicants must submit two separated and complete applications.Faxed applications will not be accepted. Late applications will not be reviewed. APPLICATION SUBMISSIONYou must submit the following completed information in order for the application to be considered complete: REGIONAL NAVIGATOR APPLICATIONFully complete each of the forms listed below to apply for a Regional Navigator grant. Late or incomplete applications will not be accepted or reviewed. Therefore, it is important that all applicants ensure that all sections of their application are complete to avoid the possibility of failing an initial evaluation. To submit the completed application follow the instructions in Part 3. All Regional Navigator applicants must submit separate proposals if applying for more than one region.To submit the application, follow the instructions in section RFP Part 3. Form 1: Cover Letter and Executive Summary Form 2: Accessibility, Approach and Equity Form 3A: Regional Navigator QuestionsForm 4A: Regional Navigator Work Plan/TimelineForm 5: Regional Navigator Assessment and Partners Form 6: Budget Justification (one for each grant year of funding request)Form 7: Budget Summary SheetLetter(s) of Support SUPPORTIVE SERVICE APPLICATIONFully complete each of the forms listed below to apply for a Supportive Service grant. Late or incomplete applications will not be accepted or reviewed. Therefore, it is important that all applicants ensure that all sections of their application are complete to avoid the possibility of failing an initial evaluation. To submit the completed application follow the instructions in section RFP Part 3.Form 1: Cover Letter and Executive SummaryForm 2: Accessibility, Approach and Equity Form 3B: Supportive Services QuestionsForm 4B: Supportive Services Work Plan & TimelineForm 6: Budget Justification (one for each grant year of funding requested)Form 7: Budget Summary SheetLetter(s) of supportRFP Part 4: FormsFORMSINSTRUCTIONSForm 1 Cover Letter and Executive Summary All applicants must complete this form. This form should be completed once per application.Form 2 Accessibility, Approach and Equity All applicants must complete this form. This form should be completed once per application. Form 3ARegional Navigator Questions Only complete this form (3A) if you are applying for funds for a Regional Navigator grant. If you are applying for a Supportive Services grant, complete a separate Form 3B for each project. Form 3BSupportive Services QuestionsOnly complete this form (3B) if you are applying for a Supportive Services grant. If you are applying for a Regional Navigator grant, complete a separate Form 3A for each project.Form 4ARegional Navigator Work Plan &TimelineOnly complete this form (4A) if you are applying for funds for a Regional Navigator grant. If you are applying for a Supportive Services grant, complete a separate Form 4B for each project.Form 4BSupportive Services Work Plan & TimelineOnly complete this form (4B) if you are applying for a Supportive Services grant. If you are applying for a Regional Navigator grant, complete a separate Form 4A for each project.Form 5ARegional Navigator Assessment and Partners Only complete this form (5A) if you are applying for funds for a Regional Navigator grant.Form 6Budget Justification All applicants must complete this form (One for each grant year of funding requested).Include details for each grant (Regional Navigator and/or Supportive Services) for which you are requesting funds. These details should include the basis for amounts requested under each line item.Form 7Budget Summary SheetAll applicants must complete this form. Use one budget to show budgeted amounts for each project for which you are requesting funds. Letter(s) of SupportMinimum of 1 to a maximum of 3. Letters of support should demonstrate community relationships as well as provide examples of collaboration. FORM 1: COVER LETTER AND EXECUTIVE SUMMARYEXECUTIVE SUMMARYThis information should be a brief (maximum of 3 pages) summary of the key aspects of the Safe Harbor/No Wrong Door Request for Proposal. The executive summary should include an overview of your organizations qualifications, approach to deliver the services described in the Request for Proposals (RFP), time frame to deliver the services, proposed team, and to the proposed benefits to the Minnesota Department of Health. Legal Name of Organization: Address: City: State:Zip: Telephone: Fax: Grantee Web Site URL: State Tax ID:Counties/Area Served: Federal ID Number:ORGANIZATION CONTACTSExecutive Director’s Name: Telephone: E-mail: Fiscal Director’s Name: Telephone:E-mail: Grant Program Contact’s Name: Telephone: E-mail:FORM 2: ACCESSIBILITY, APPROACH, AND EQUITY ACCESSIBILITY AND APPROACH Briefly, describe the needs of youth experiencing or at high risk for experiencing sexual exploitation or trafficking that are unique to your region? Describe how your agency adheres to the No Wrong Door Model for program access and underlying values and philosophies. Briefly describe any actions you have taken to implement the following philosophical approaches as part of your service delivery: Accessible (for individuals with a range of disabilities);Language Accessibility: translation, hearing impaired, or native language services; Trauma-informed;Victim-centered;Culturally Responsive;Gender Responsive;Strength-based; Harm Reduction;Positive Youth Development;Staff safe and appropriate to work with youth (background checks or other means); andOther (if applicable). Describe how your program incorporates the voices of survivors of sexual exploitation in programming and service delivery. Describe services your agency provides to youth regarding prevention of sexual exploitation. Include information on curriculums and methods used.Describe how your program(s) will be connected through referral processes, meetings, multi-disciplinary teams, and/or task forces to the larger Safe Harbor network of regional navigators, supportive service providers and Safe Harbor housing and shelter programs. If applying for other Safe Harbor funding through the Department of Health (services or regional navigator) or through Department of Human Services (housing/shelter), please describe how to the proposed service under that funding will be distinct from but also coordinated with the proposed service in this application.EquityState and federal laws prohibit discrimination against people due to race, gender identity, sexual orientation and other characteristics. Some groups are overrepresented among the population of victims of exploitation. Overrepresented groups include American Indians, African-Americans and others, depending on the region of the state. The below questions speak to your agency’s effort to better serve those groups overrepresented in the population of victims of sexual exploitation and trafficking. As we work to advance health equity and the Governor’s initiative that seeks state government to better reflect the diversity of the people it serves, we encourage providers to also make efforts to hire staff and board members who represent their service population. Describe the demographics (race, ethnicity, gender identify, language, sexual orientation, etc.) of staff, leadership board members and in what ways they reflect the population being served.If your staff, leadership and board is not reflective of the population served, describe efforts being made to improve in this area. Describe how your program provides services in a way that is welcoming and respectful to participants with disabilities, immigrants, foreign nationals, and or people from diverse cultures or ethnicities. What current partnerships do you have in place to support the cultural and equitable needs of your participants? Does your program provides culturally specific services? Describe how your program provides services in a welcoming and respectful ways to Lesbian, Gay, Bisexual, transgender and Queer/Questioning (LGBTQIA) populations. Describe policies and procedures related to gender identity, gender expression, and sexual orientation. PREVIOUS GRANTEE ONLY: Please share a summary of any data and information specific to your organization collaborations with law enforcement, child protection, schools, mental health programs, medical services, or other system professionals as it relates to the sexually exploited youth. (1 page maximum.).FORM 3A: REGIONAL NAVIGATOR QUESTIONS1. Describe your agency’s experience in providing the proposed services?2. For each position involved in your program(s), you must include:Position TitleProgramNumber of persons who held position in last 5 years Name of current person holding positionEducational, background, summary of work experience, total number of clients on caseload (service only)% of FTE dedicated to this program [insert position title][insert program][insert number][insert name][insert background][insert FTE][insert position title][insert program][insert number][insert name][insert background][insert FTE]3. Describe proposed geographic service area along with regional needs specific to the intended population (at-risk or sexually exploited youth 24 and younger). a. If the region proposed is larger than the organization’s service, how will you maintain contact and work within the greater region?4. Describe training provided to safe harbor staff funded through the regional navigator grant by your organization.5. How will your organization practice impartiality and foster collaboration between all Safe Harbor grantees and non-safe harbor grantees within your region?6. Describe your response model for the navigator grant, mirroring and summarizing information in Form 4A.7. How will your organization work to reduce staff turnover and/or reduce regional disruption from staff turnover and integrate safe harbor programming into the organization? 8. How will your organization ensure client confidentiality and privacy?FORM 3B: SUPPORTIVE SERVICES QUESTIONSDescribe agency’s experience in providing proposed services?For each position involved in your program(s), you must include:Position TitleProgramNumber of persons who held position in last 5 years Name of current person holding positionEducational, background, summary of work experience, total number of clients on caseload (service only)% of FTE dedicated to this program [insert position title][insert program][insert number][insert name][insert background][insert FTE][insert position title][insert program][insert number][insert name][insert background][insert FTE]How many youth (up to age 24) does your organization propose/intend to serve?What will the services you provide look like if they are gender specific?How will proposed program or services fit into existing services/program? Do proposed services already exist in your area? If so, why does your agency need to provide the same services?What is your organization’s capacity and experience serving sexually exploited youth specifically trauma-informed, age and gender appropriate, cultural specific services?Identify community/regional partners, how you currently work together and how you propose to work collaboratively to serve sexually exploited youth. How will you get referrals? How will you handle non-eligible referrals (adults over 24 years old, labor trafficking, etc.)?Describe any specific Safe Harbor and/or sexually exploited youth training provided to your organization/staff.Describe your response model for the supportive service grant, mirroring and summarizing information in Form 4B.How will your organization work to reduce staff turnover and/or reduce regional disruption from staff turnover and integrate safe harbor programming into the organization?How will your organization ensure client confidentiality and privacy?FORM 4A EXAMPLE: REGIONAL NAVIGATOR WORK PLAN/TIMELINEGOAL: Ensure Region X has a Regional Navigator. The Regional Navigator will be based at ABC Agency.NEED OF REGION: This region has various needs based on the types of communities (primarily rural), two tribal nations, and the proximity to other states. ACTIVITIESTIMEFRAMEPARTY RESPONSIBLE OUTPUT MEASURES Secure funding to support positionJuly 2020ABC AgencyReceipt of fundingBuild relationships with key stakeholders including law enforcement, child welfare, victim advocacy, etc.July 2020-June 2023Regional Navigator at ABC AgencyIncrease number of key partnerships with X agenciesProvide trainings to at least 20 different stakeholder groups during first year of grantJuly 2020-June 2021Regional Navigator at ABC AgencyEvaluationsSHORT-TERM OUTCOMES: Region X will have a strong Regional Navigator presence at Agency ABC to assist in system development and capacity building to change community and system responses to more effectively identify, intervene and prevent sexually exploitation. LONG-TERM OUTCOMES: Agency ABC will build a sustainable Regional Navigator program supported by strong partnerships and collaborative practices.FORM 4A: REGIONAL NAVIGATOR WORK PLAN/TIMELINEGOAL: [add goal]NEED OF REGION: [add need]ACTIVITIESTIMEFRAMEPARTY RESPONSIBLE OUTPUT MEASURES [insert activity][insert timeframe][insert party responsible][insert output measures][insert activity][insert timeframe][insert party responsible][insert output measures][insert activity][insert timeframe][insert party responsible][insert output measures]SHORT-TERM OUTCOMES: [insert short term outcomes]LONG-TERM OUTCOMES: [insert long term outcomes]FORM 4B:EXAMPLE SUPPORTIVE SERVICES WORK PLAN AND TIMELINEEXAMPLE APPLICANT AGENCY: XYZ Supportive ServiceGOAL: Ensure that youth that are utilizing our services feel supported. Outcome Number: 1Outcome: (must address at least one outcome described in narrative) 75 % of youth will feel supportedACTIVITIES (resulting in outcome listed above)NUMBER OF PARTICIPANTS AND FREQUENCY OF ACTIVITYTIMEFRAMEPARTY RESPONSIBLE OUTPUT MEASURES (How do you measure this outcome?)Facilitate support group (twice per month) for all youth up to age 24 whom have been sexually exploited. 6-12 youthTwice per monthStarting Oct 2017Safe Harbor StaffParticipants in the support groups will utilize a pre-test and post-test and share narrative answers to their involvement in group and other supportive agency activities.SHORT-TERM OUTCOMES:LONG-TERM OUTCOMES: ISSUES ASSOCIATED WITH THIS OUTCOME OR ITS MEASUREMENTS: Youth may choose to have sporadic contact rather than consistent. This will slow down the relationship building process between the relationship building process between staff and youth. These youth, in particular, may be reluctant to divulge sexual exploitation. DATA SOURCE:Staff observationsAttendance recordsYouth surveysYouth Pre/Post testsPERSON RESPONSIBLE: Safe Harbor StaffFORM 4B: SUPPORTIVE SERVICES WORK PLAN AND TIMELINEAPPLICANT AGENCY: [add agency]GOAL: [add goal]OUTCOME NUMBER: [add number]OUTCOME: [ add outcome]ACTIVITIES NUMBER OF PARTICIPANTS AND FREQUENCY OF ACTIVITYTIMEFRAMEPARTY RESPONSIBLE OUTPUT MEASURES [add activity][add number of participants][add timeframe][add party responsible][add output measures]SHORT-TERM OUTCOMES: [add short term outcomes]LONG-TERM OUTCOMES: [add long term outcomes]ISSUES ASSOCIATED WITH THIS OUTCOME OR ITS MEASUREMENTS: [add issues]DATA SOURCE: [add data sources]PERSON RESPONSIBLE: [add person responsible]FORM 5A: REGIONAL ASSESSMENT AND PARTNERSDescribe your assessment of your region including identified referrals and gaps for sexually exploited and trafficked youth.How will your organization vet organizations for appropriateness of serving exploited youth?Please complete chart for each county proposed in region.COUNTY: [add county for chart below]Service Area/Expertise PartnersProposed or Committed?MOU secured (Y/N)Trained on Safe Harbor (Y/N)Intake/Screening [add partners][Y/N][Y/N]Housing[add partners][Y/N][Y/N]Advocacy/Case Management [add partners][Y/N][Y/N]Medical Care[add partners][Y/N][Y/N]Mental Health[add partners][Y/N][Y/N]Chemical Dependency [add partners][Y/N][Y/N]Job/Employment Skills[add partners][Y/N][Y/N]Life Skills [add partners][Y/N][Y/N]Legal Services[add partners][Y/N][Y/N]Other[add partners][Y/N][Y/N]COUNTY: [add county for chart below]Service Area/Expertise PartnersProposed or Committed?MOU secured (Y/N)Trained on Safe Harbor (Y/N)Intake/Screening[add partners][Y/N][Y/N]Housing[add partners][Y/N][Y/N]Case Management[add partners][Y/N][Y/N]Medical Care[add partners][Y/N][Y/N]Mental Health[add partners][Y/N][Y/N]Chemical Dependency[add partners][Y/N][Y/N]Job/Employment Skills [add partners][Y/N][Y/N]Life Skills[add partners][Y/N][Y/N]Legal Services[add partners][Y/N][Y/N]Other[add partners][Y/N][Y/N]COUNTY: [add county for chart below]Service Area/Expertise PartnersProposed or Committed?MOU secured (Y/N)Trained on Safe Harbor (Y/N)Intake/Screening[add partners][Y/N][Y/N]Housing[add partners][Y/N][Y/N]Case Management[add partners][Y/N][Y/N]Medical Care[add partners][Y/N][Y/N]Mental Health[add partners][Y/N][Y/N]Chemical Dependency[add partners][Y/N][Y/N]Job/Employment Skills [add partners][Y/N][Y/N]Life Skills[add partners][Y/N][Y/N]Civil Legal Services[add partners][Y/N][Y/N]Other[add partners][Y/N][Y/N]Describe your strategic plan per year to build regional capacity to respond and serve sexual exploited and trafficked youth as a county or region, including listing and prioritizing key system, organizational and community partners.FORM 6: BUDGET JUSTIFICATIONMDH REQUEST FOR PROPOSALS (July 1, 2020 - June 30, 2023).Complete ONE form for each year of funding requested. Budget Justification Year: ________Expense ItemDetailsAmountStaff SalaryProgram Position 1: Name or to-be-named Include description of job responsibilities, percent to be funded by this project.$Staff SalaryProgram Position 2: Name or to-be-named Include description of job responsibilities, percent to be funded by this project.SFringe & PR TaxesDescribe how this is calculated$Consultant & Contract ServicesInclude consultant name, company , description of deliverables$Supplies, Printing, PostageInclude purpose, estimated costs$TravelDescribe purpose for travel and estimated expenses, destination, mileage, etc. for staff directly involved in this project.$Total Direct ExpensesTotal direct expenses$Indirect Expenses (maximum 10%) or documented Federally approved amount.Indirect expenses will be estimated in total budget above; calculated separately with each invoice. (10%)$TOTAL ALL EXPENSESTotal expenses$SSFORM 7: BUDGET SUMMARY SHEET (Complete this form for each grant year of funding requested)Budget SummaryExpense ItemAmountStaff Salary$Payroll Taxes and Fringe Benefits$Consultant and Contract Services$Supplies, Printing, Postage$Travel$Total Direct Expenses$Indirect Expenses (maximum of 10%) OR Federal Indirect Rate if ABOVE 10% (documentation required)$Total ALL Expenses$ ................
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