[Federal Register Volume 59, Number 70 (Tuesday, April 12, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-8792]
[[Page Unknown]]
[Federal Register: April 12, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
RIN: 0905-ZA31
The Community Prevention Coalitions Demonstration Grant Program
AGENCY: Center for Substance Abuse Prevention, Substance Abuse and
Mental Health Services Administration (SAMHSA), HHS.
ACTION: Notice of availability of funds and request for applications.
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SUMMARY: The Center for Substance Abuse Prevention (CSAP) announces the
availability of funds to support community prevention coalitions to
demonstrate and systematically study approaches to prevent and reduce
alcohol, tobacco and other drug abuse and other drug-related problems
through the further development of coalitions and partnerships, at the
State, regional, and/or local level. This will involve the expansion of
long-range, comprehensive, multi-disciplinary community-wide substance
abuse prevention programming that reflects the next step in furthering
CSAP's mission to support and promote strengthening of comprehensive
prevention systems. The Community Prevention Coalitions Demonstration
(CPCD) Grant Program is authorized under Sections 501(d)(5) and 516 of
the Public Health Service Act, as amended.
Noting the development and strengthening of community partnership
programs across the country, CSAP will support, under this
announcement, grants to promote the progression of this programmatic
concept. The new CPCD grant program will build on the lessons being
learned from CSAP's Community Partnership Demonstration Grant Program
and similar programs in the field, e.g., Robert Wood Johnson
Foundation's ``Fighting Back'' grants.
The CSAP model of community-based prevention facilitates the
incorporation of substance abuse prevention services into the general
health care system. With health care reform, this approach which
emphasizes greater integration of services, an elimination of
duplication, and the need for community self-sufficiency in responding
to substance abuse problems finds particular relevance.
The conceptual framework of the Community Partnership Program
embraces and operationalizes community empowerment, which is a keystone
of the Secretary of the Department of Health and Human Services goals
for the Department--empower communities, emphasize prevention, and
value the consumer.
This notice consists of three parts:
Part I covers information on the legislative authority and the
applicable regulations and policies related to the CPCD grant program.
Part II provides the program description and model and discusses
eligibility, availability of funds, period of support and the receipt
date for applications.
Part III describes special requirements of the program, the
application process, the review and award criteria and lists contacts
for additional information.
Part I--Legislative Authority and Other Applicable Regulations and
Policies
Grants awarded under this program announcement are authorized under
Sections 501(d)(5) and 516 of the Public Health Service Act, as amended
(42 U.S.C. 290aa and 42 U.S.C. 290bb-22).
Federal regulations at Title 45 CFR Parts 74 and 92, generic
requirements concerning the administration of grants, are applicable to
these awards.
Grants must be administered in accordance with the PHS Grants
Policy Statement (Rev. April 1, 1994).
The Catalog of Federal Domestic Assistance (CFDA) number for this
program is 93.194.
Interim progress reports, a final report, and Financial Status
Reports (FSRs) will be required and specified to awardees in accord
with PHS Grants Policy requirements.
Healthy People 2000: The Public Health Service (PHS) is committed
to achieving the health promotion and disease prevention objectives of
Healthy People 2000, a PHS-led national activity for setting priority
areas. This program announcement, ``Community Prevention Coalitions
Demonstration Grants,'' is in keeping with objectives in the priority
areas of alcohol, tobacco and other drugs, and educational and
community-based health programs, including objectives relating to the
workplace.
Applicants may obtain a copy of Healthy People 2000 (Full Report:
Stock No. 017-001-00474-0; or Summary Report: Stock No. 017-001-00473-
01) through the Superintendent of Documents, Government Printing
Office, Washington, D.C. 20402-9325 (Telephone: 202-783-3238).
Non-Use of Tobacco: The medical dangers and high risk of addiction
associated with firsthand use of tobacco products have been thoroughly
documented. Moreover, data presented in leading medical journals (for
example, New England Journal of Medicine, June 10, 1993) and reported
widely in the press, associate environmental exposure to tobacco smoke
(passive smoking) with increased rates of cancer and other pulmonary
diseases among people of all ages and with increased rates of asthma
among children. Further, scientific evidence supports the connection
between the use of smokeless tobacco products, such as chewing tobacco
and snuff, and cancer of the mouth, jaw and throat.
Critical questions now facing public health experts concern the
most effective methods for preventing youth from using tobacco products
and for preventing and/or reducing infants' and children's exposure to
smoke in both public and private environments. A combined approach
involving public policy, media awareness, and prevention education
strategies appears to be a promising way to address this serious
problem; however, careful development, implementation, and evaluation
of specific tobacco use prevention strategies is required to establish
their efficacy.
CSAP recognizes that its target populations are vulnerable to a
variety of preventable health and social problems, including substance
abuse. Therefore, CSAP believes that preventative education, policy and
media advocacy leading to environmental and social change concerning
use of tobacco products must be a priority for grantees. Further, CSAP
strongly encourages all grantees to provide smoke-free programs and
work environments.
Part II--Program Description and Model, Eligibility and Application
Receipt Date
Program Description: Based on these early indications of the impact
of community-wide coalitions, as well as a national need to develop
promising, innovative approaches to drug abuse prevention, CSAP will
consider applications that provide a strategy for testing the
effectiveness of the model described below.
Because of the long term and difficult nature of establishing
community partnerships (Altman, Endres, Linzer, 1991; Center for
Substance Abuse Prevention, 1994; Florin, Mitchell and Stevenson,
1993), and the fact that this is a demonstration program seeking to
understand the potential of partnership programs, successful applicants
must be able to document a fully operational and effective partnership
and provide a solid rationale to justify enhancing the nature of its
current partnership efforts, in accord with the provisions of this
announcement.
The new CPCD Grant Program seeks to demonstrate the potential of:
(1) Expanding the scope of existing, well-developed partnerships
programmatically and geographically, and/or (2) developing multiple
partnerships into coalitions in their current area to address other
drug-related health and social problems.
The CPCD Program is an important part of CSAP's ongoing, long-term
objective to achieve and document measurable reductions in substance
abuse incidence, prevalence, and related consequences such as alcohol,
tobacco, and other drug-related health problems, mental disorders and
comorbidity, crimes, deaths and injuries among all age and ethnic
groups within a community.
Funds are available to test the effectiveness of extending the
original partnership concept through one of two approaches reflecting
the above concepts: (1) Local Prevention Linkages, or (2) State/
Regional Coalitions. Applicants must choose one of these approaches and
provide a rationale for their belief that using this approach will
significantly enhance the effectiveness of substance abuse prevention
efforts in the area served by the proposed multi-partnership coalition.
Funding will be consistent with the intent of Congress that direct
prevention services should be approximately 50 percent of the project
budget.
Program Model: CSAP is seeking applications that demonstrate the
effectiveness of the two partnership/coalition approaches which are
described below.
1. Community Partnership-Initiated Approach--This approach would
expand a local community partnership(s) to form a larger coalition
comprised of a minimum of two partnerships (at least one of which is
established and one of which is new) to provide integrated, community-
based prevention services across a larger geographical area. At a
minimum, this expansion would require the addition of at least one new
community-based partnership. Thus, a community partnership initiated
approach would have at least two (2) partnerships to establish a CPCD
coalition.
Proposed projects must include a rationale for the expansion and
document strategies that will enhance substance abuse prevention
programming across the expanded area. This rationale should include
identifying and justifying enhancements in the following: (1)
Prevention services (such as peer counseling, pre- and post-natal care,
cross-cultural education programs); (2) successful prevention
activities and related services (such as youth alternative programs,
parental support and skills development, mentoring and role modeling by
intermediaries, violence related activities); (3) environmental, social
policy and media strategies aimed at alcohol, tobacco and other drug
abuse prevention; and (4) a plan and design for coordinating and
streamlining prevention efforts that can serve to improve service
delivery and promote cost-effectiveness.
This approach should demonstrate how to effectively expand and
coordinate prevention services across a broader geographical area that
will result in sharing ideas, expanding state-of-the-art practices in
diverse disciplines and fields, and identifying effective substance
abuse prevention measures for implementation.
Applicants must keep in mind that all new services must be
community-based and developed at the local level, consistent with
program development approaches that have been documented by CSAP. One
of the challenges of the demonstration is to unify a number of
disparate, geographically diverse, community-based programs.
2. State-Coordinated Approach--This approach would have the same
design and purpose as described for the community initiated approach,
except that the State would be the applicant and would serve as the
coordinating body in the formation of the broader coalition. A State-
coordinated approach could serve a particular region within the State
or encompass the entire State.
In particular, the State would bring together at least two (2)
existing substance abuse prevention partnerships, allow for a broad
array of prevention activities such as those relating to the ones
described above, provide for the addition of at least one new
community-based partnership, and establish the requisite coordinating
and streamlining activities. Thus, a State initiated approach would
have no fewer than two (2) existing partnerships and one (1) new
partnership in the CPCD coalition. Several States have already made
progress in developing regional and State-wide networks.
The CSAP substance abuse partnership/coalition model may serve in
bridging a variety of broad-based prevention efforts, including
violence and crime reduction, adolescent pregnancy, the spread of
sexually transmitted disease, including HIV/AIDS, and school dropout
prevention. It allows existing community-based partnerships and
programs that currently address substance abuse to demonstrate the
effectiveness of expanding their base and their efforts to address
related health, social and safety issues through further interaction
and linkages with other local coalitions and partnerships. This type of
expansion can have a positive impact on preventing substance abuse
through new or stronger prevention service systems both within the
community itself and among affiliated communities. For example, and to
the extent appropriate, partnership substance abuse prevention
strategies and services may include the following areas of concern:
--Reducing violence, crime and gang activity related to and/or
aggravated by alcohol and other drug problems.
--Reducing/preventing the spread of sexually transmitted disease,
including HIV/AIDS, with respect to alcohol and other drug use and
abuse.
--Addressing the special needs of rural, wilderness, and frontier
communities with alcohol, tobacco, and other drug problems.
--Addressing special needs in areas with high rates of immigration,
poverty, disaster, and unemployment--aggravated by alcohol, tobacco,
and other drug problems.
--Reducing substance abuse and related problems in the workforce--
including collaborative labor/management efforts.
This program encourages that approximately 50 percent of Federal
funds be used for the provision of prevention services and
approximately 15-25 percent for evaluation.
Because the CPCD Program provides the opportunity for community
resources such as local coalitions, partnerships, service providers,
and programs to formally collaborate, applicants are required to
include a description of agreements, commitments and processes to be
used in developing and implementing the proposed project. (This
documentation must be provided in Appendix 4 of the application
entitled, ``Letters of Commitment from Collaborating Organizations/
Agencies/Individuals.)
Existing partnerships are expected to have conducted needs
assessments and are to use their needs assessment to: determine gaps in
prevention services; identify any inefficiencies in the delivery of
these services; and to begin work towards changing formerly established
priorities to meet current needs. All new services proposed must be
supported by the needs assessment.
Proposed projects submitted under this announcement must present a
five (5) year comprehensive substance abuse prevention plan to
demonstrate and study the development, implementation, and
effectiveness of their design. The applicant's initial plan should
include a discussion of all preliminary goals, objectives, and
activities. These may be refined as appropriate, as the program evolves
and progresses.
Evaluation must be an essential part of the plan for assessing the
impact of the changes and services on the substance abuse-related
problems in the community. Details are provided in the section on
Evaluation.
Eligibility: Applications may be submitted by public agencies, such
as State, local and tribal governments, or local private (non-profit)
organizations/agencies (i.e., existing partnerships, universities). In
all cases, the applicant must be designated to act on behalf of the
larger evolving coalition of multiple partnerships proposed in the CPCD
grant application.
Because the Community Prevention Coalitions Demonstration Grant
Program is intended to build on the work of already existing prevention
partnerships, by expanding both the base and the service capabilities
of these partnerships into broader-based coalitions, this announcement
requires that applicants be part of established community partnerships.
The applicant organization must be a member of the coalition (to be
developed) and be supported by its (the proposed coalition) membership
in receiving an award under this program activity. This agreement must
be documented through a letter of support from each member of the
proposed coalition. (These letters must be provided in Appendix 4 of
the application entitled ``Letters of Commitment from Collaborating
Organizations/Agencies/Individuals.)
CSAP strongly encourages applications from tribal governments,
Native American/Alaskan Native partnerships or Indian Nations. Such
applicants must already be existing partnerships.
Previous or current CSAP Community Partnership Demonstration
Program grantees are eligible to apply for a new grant under this
announcement. Currently funded CSAP Community Partnership grantees must
demonstrate their ability to fulfill the requirements of their current
grant in addition to taking on the expanded tasks and responsibilities
of the Community Prevention Coalitions Demonstration Program.
CSAP Community Partnership grantees will not be permitted to use
Community Partnership project staff for full-time positions in a new
CPCD project; nor will they be permitted to reduce the level of effort
on the current Community Partnership project as a result of obtaining a
grant award under this new program.
Applicants must state how an existing partnership will work with
the proposed coalition. If not the applicant agency, collaboration and
involvement with State and local governments will be required.
Other active partnerships receiving funding from private groups
such as the Robert Wood Johnson Foundation, United Way organizations,
or other business organizations that have formed a non-profit entity,
may also apply.
Applicants receiving Federal funds from other agencies such as the
Department of Education or the Centers for Disease Control and
Prevention may also apply, but must identify the source of funding and
purpose of their current grant.
Availability of Funds: It is estimated that approximately $9
million will be available to support approximately 9-12 awards under
this program announcement in Fiscal Year 1994. Average grants will be
in the $500,000 range. However, funding levels will depend on the
availability of appropriated funds.
Period of Support: Support may be requested for a period of up to
five (5) years. Annual awards will be made subject to continued
availability of funds and progress achieved.
Application Receipt and Review Schedule: Applications will be
received and reviewed according to the following schedule:
------------------------------------------------------------------------
Earliest start
Receipt date IRG review Council review date
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JAug. 1994........ Sept. 1994...... Sept. 30, 1994.
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Subject to the availability of funds in future years, CSAP may
reissue this announcement and publish future receipt dates and a notice
of availability of funds in the Federal Register. Because the
President's 1995 budget request proposes to consolidate SAMHSA's
categorical substance abuse prevention demonstrations, certain aspects
of this program could change. Therefore, applicants are strongly
encouraged to verify the availability and terms of funding for new
awards for this program.
Consequences of Late Submission: Applications must be received by
the above receipt date to be accepted for review. An application
received after the deadline may be acceptable if it carries a legible
proof-of-mailing date (assigned by the carrier) and that date is not
later than one week prior to the deadline date. However, private
metered postmarks are not acceptable as proof of timely mailing.
Part III--Special Requirements, Review/Award Criteria and Contacts for
Additional Information
Evaluation Plan: This CPCD Program requires more rigor in the
conceptualization, design and implementation of projects and in their
evaluation than the previous Community Partnership Program. The goal is
to achieve and document measurable reductions in alcohol, tobacco and
other drug abuse incidence, prevalence, and related consequences such
as alcohol and other drug related health problems, violence, deaths,
and injuries among all age and ethnic groups within a community or
regional area. Applications submitted under this announcement must
present a multi-year comprehensive substance abuse prevention plan for
systems change at the community or geographic area level through the
design and implementation of one of the two approaches discussed in the
Program Model section of this announcement. The application must
contain an evaluation plan which will enable the grantee to assess the
effect of the prevention program on a variety of indicators, as
described in the remainder of this section.
The ultimate goal of this program is to demonstrate significant
reductions in substance abuse. The broad outcomes expected include:
1. A measurable and sustained reduction in initiation of alcohol,
tobacco and other drug use among children and adolescents.
2. A reduction in alcohol, tobacco and other drug related deaths
and injuries especially among children, adolescents and young adults.
3. A decline in the prevalence of health problems related to and
exacerbated by alcohol, tobacco and other drug use.
4. A reduction in on the job problems and injuries related to
substance abuse.
5. A reduction in substance abuse related crime.
CSAP will support only applicant projects that have a well
developed and comprehensive evaluation plan. The evaluation plan must
be conceptually and procedurally integrated with the overall project,
and must have both an outcome evaluation component and a process
evaluation component.
Since the purpose for this program is to reduce the incidence and
prevalence of substance abuse and related health and safety problems in
the targeted area, instruments should be used which will provide
periodic measures of these indicators. In addition to measures of
incidence and prevalence related to substance abuse and related health
and safety problems, grantees will be required to collect data on the
seven (7) items listed in the Community Wide Indicators of Alcohol and
Other Drug Abuse included in the Application Kit. Applicants must
specify the means to be used to collect these data. Grantees will be
required to collect baseline data, yearly progress report data, and end
of project data, and may be required to collect follow-up data on all
indices. Grantees will be required to submit all reports and results in
both hard copy and in electronic media formats.
The evaluation plan must present a sound methodology for the
collection, storage, analysis, and interpretation of data. The
evaluation plan must utilize psychometrically sound measures and
instruments for data collection. Applicants must describe the selection
of instruments to be used and must provide information about their
normative properties, including the appropriateness of their use for
the culture(s) under study. The presented evaluation methods, measures
and instruments must be sensitive and relevant to the target groups of
the community with respect to age and gender distribution, reading
level, and culture. The evaluation plan must also present a time-line
for carrying out all evaluation procedures.
The evaluation plan must be designed and carried out by a
professional who is highly experienced in comparative evaluation
methodology, independent of the project, and able to work closely with
the grantee.
Fifteen to 25 percent of the funds available are to be used for the
evaluation component.
Outcome Evaluation: Outcome evaluation assesses whether the project
was effective in achieving its goals, objectives and activities. For
the purposes of this grant program, the outcome evaluation must provide
periodic measures on the community or geographic area in the following
broad categorical areas:
(1) Substance abuse prevalence, incidence, frequency and amount;
(2) Substance abuse-related health, safety and risk indicators
(e.g., HIV/AIDS, crime, violence, unemployment, etc).
The outcome evaluation design should employ a time series design,
which allows for comparisons within and between communities or
geographic areas.
Outcome Evaluation Questions: At a minimum, applicants should
include the following questions in the outcome evaluation component:
(1) Does the presence of the Coalition and prevention program
result in measurable reductions in use/abuse of identified substances,
and/or health and safety problems of the target groups in the community
or geographic area?
(2) Does the presence of the Coalition and prevention program
result in measurable increases in knowledge and anti-substance abuse
attitudes by residents of the community or geographic area?
(3) Does the presence of the Coalition and prevention program
result in measurable increases in the target group(s)' ability to
resist substance abuse and related risky behaviors?
(4) Does the presence of the Coalition and prevention program
result in measurable decreases in the target group's school absences or
truancy rates in the community or geographic area?
(5) Does the presence of the Coalition and prevention program
result in a perceived increase in safety and a measurable decrease in
drug dealing in the community or geographic area neighborhoods?
(6) Does the presence of the Coalition and prevention program
result in measurable decreases in the rate of domestic violence in the
community or geographic area?
(7) Does the presence of the Coalition and prevention program
result in a measurable reduction in the number of violent crimes
associated with substance abuse in the community or geographic area?
(8) Does the presence of the Coalition and prevention program
result in a measurable reduction in the number of substance abuse
related emergency room admissions?
(9) Does the presence of the Coalition and prevention program
result in a measurable reduction in the number of substance abuse
related vehicle crashes?
(10) Does the presence of the Coalition result in measurable
increases in environmental/social change policies (i.e., number of
ordinances introduced/enacted/repealed; limited alcohol and tobacco
advertising, etc.).
Grantees will be required to collect uniform baseline and yearly
data on some indicators using standardized instruments. Data collection
and analysis, aggregation to group, and procedures for transmitting the
results to CSAP will be provided at the first grantee meeting following
award. OMB approval will be obtained for use of the instruments.
Process Evaluation: Process evaluation is both a quantitative and
qualitative description of a project. It documents the evolution of the
project from inception through implementation and completion. The
process evaluation documents what was actually done, what was learned,
what barriers inhibited implementation, how such barriers were
resolved, and what should be done differently in future projects. In
short, process evaluation allows for successful projects to be
replicated.
For the purposes of this grant, program process evaluation should:
(1) Document and describe the processes by which the coalition is
expanded, refocused, implemented and operated; and
(2) Identify factors associated with effective planning and
implementation of the prevention strategies for the community or
geographic area.
Comparison Community or Area: Use of comparison communities or
geographic areas which closely resemble the community or area served by
the coalition is an excellent way to provide a rigorous test of the
effectiveness of the interventions to be implemented under this
announcement. CSAP realizes that finding suitable comparison
communities may be difficult because of the increasing popularity of
the partnership movement, and considerable effort may be needed to
identify a similar community willing to participate in the full
evaluation process.
Comparison and target communities/areas should be as similar as
possible at baseline, because the greater the similarity between the
target and comparison communities/areas, the greater the likelihood of
detecting and explaining effects of the coalition prevention program on
the target community/area. The comparison communities/areas should not
have a prevention program similar to the one intended for the target
community/area. The target and comparison communities/areas should be
geographically distant enough to prevent the transmission of program
activities from the target to the comparison communities/areas.
CSAP realizes the difficulties applicants may have in identifying
comparison communities or areas. CSAP is also aware of the limitations
of this approach given the variation and potential for contamination of
prevention programs across communities, regions or States. Despite
these limitations, applicants are encouraged to use this approach.
However, applicants will not be adversely affected by using a different
evaluation approach that will yield scientifically credible data.
Participation in National Cross-Site Evaluation: A National cross-
site evaluation project will be conducted with the goals of
identifying: (1) Successful and innovative community-based Coalition
models; (2) effective strategies for the prevention of substance abuse,
related health and safety problems and risk factors; (3) common
inhibitors to forming effective Coalitions: (4) common inhibitors to
design and implementation of effective prevention strategies; (5)
Coalition models that effectively prepare the service infrastructure of
communities for the eventual implementation of Health Care Reform; and
(6) Coalition models and prevention strategies that produce the most
benefits for the lowest monetary costs.
Projects funded under this announcement will be required to
participate in the National cross-site evaluation, by contributing data
that are comparable across projects. A detailed description of the
National Cross-site Evaluation Plan will be communicated to the funded
projects at the beginning of the grant program.
Although participation in the National Evaluation project is
mandatory, grantees will not have to expend grant funds for activities
that are not already within the local-level evaluation plans. Selected
grantees will be technically and financially supported by the National
Cross-site Evaluation project for activities that are not within the
purview of their local-level projects.
Coordination with Other Federal/Non-Federal Programs: Applicants
seeking support under this announcement are encouraged to coordinate
with other Federal, State, and local public and private programs
serving their target population. Program coordination helps to better
serve the multiple needs of the client population, to maximize the
impact of available resources, and to prevent duplication of services.
Funding priority will be given to applicants who demonstrate a
coordinated approach to providing comprehensive substance abuse
prevention services (see Award Criteria).
Single State Agency Coordination: Coordination and collaboration
with the Single State Agency (SSA) for alcohol and other drug abuse is
encouraged to ensure communication, reduce duplication, and facilitate
continuity. The application must include a copy of a letter sent to the
SSA that briefly describes the proposed project. A copy of this letter
should be included in Appendix B to the application entitled ``Letters
to/from SSAs.''
A list of SSAs can be found in the grant application kit. If the
target population falls within the jurisdiction of more than one State,
all representative SSAs should be involved. Evidence of support for the
proposed project from the SSA and from the State Public Health Agency
will be considered in making funding decisions (See ``Award Decision
Criteria'' section).
Intergovernmental Review (E.O. 12372): Applications submitted in
response to this announcement are subject to the intergovernmental
review requirements of Executive Order 12372, as implemented through
DHHS regulations at 45 CFR Part 100. E.O. 12372 sets up a system for
State and local government review of applications for Federal financial
assistance. Applicants (other than Federally recognized Indian tribal
governments) should contact the State's Single Point of Contact (SPOC)
as early as possible to alert them to the prospective application and
to receive any necessary instructions on the State's review process.
For proposed projects serving more than one State, the applicant is
advised to contact the SPOC of each affected State. A current listing
of SPOCs is included in the application kit. The SPOC should send any
State process recommendations to the following address at CSAP (not the
address to which the application was mailed): Office of Review, Center
for Substance Abuse Prevention, Rockwall II Building, Suite 630, 5600
Fishers Lane, Rockville, MD 20857, Attn: SPOC/CPCD Grants.
The due date for the State review process recommendations is no
later than 60 days after the deadline date for the receipt of
applications. CSAP does not guarantee to accommodate or explain SPOC
comments that are received after the 60-day cutoff.
Public Health System Reporting Requirements: The Public Health
System Impact Statement (PHSIS) is intended to keep State and local
health officials apprised of proposed health services grant
applications submitted by community-based, non-governmental
organizations within their jurisdictions.
Non-governmental applicants who are not transmitting their
applications through the State must submit a PHSIS to the head(s) of
the appropriate State and local health agencies in the area(s) to be
affected no later than the receipt date for applications. The PHSIS
consists of the following information:
1. A copy of the face page of the application (Standard Form 424).
2. A summary of the project (PHSIS), not to exceed one page, which
provides:
a. A description of the population to be served.
b. A summary of the services to be provided.
c. A description of the coordination planned with the appropriate State
or local health agencies.
State and local governments and Indian Tribal Authority applicants
are not subject to the Public Health System Reporting Requirements.
Application Submission Procedures: All applicants must use
application form PHS 5161-1 (Rev. 7/92), which contains Standard Form
424 (face page). The following information should be typed in Item
Number 10 on the face page of the application form:
Catalog of Federal Domestic Assistance Number: 93.194
AS 94-02 Community Prevention Coalitions Demonstration
Grant application kits (including form PHS 5161-1 with Standard
Form 424, complete application procedures, and accompanying guidance
materials for the narrative approved under OMB No. 0937-0189) may be
obtained from: National Clearinghouse for Alcohol and Drug Information,
(NCADI), Post Office Box 2345, Rockville, Maryland 20852, 1-800-729-
6686.
Applicants must submit:
1. An original copy of the application, signed by the duly
authorized official of the applicant organization, with a complete set
of the appropriate appendices; and
2. Two additional, legible copies of the application and all
appendices.
These materials should be sent to the following address: Center for
Substance Abuse Prevention Programs, Division of Research Grants, NIH,
Westwood Building, Room 240, 5333 Westbard Avenue, Bethesda, Maryland
20892.*
*If an overnight carrier or express mail is used, the Zip Code is
20816.
Review Process: Applications accepted for review will be assigned,
at the central receipt point (Division of Research Grants, NIH), to an
Initial Review Group (IRG) composed primarily of non-Federal experts.
Applications will be reviewed by the IRG for technical merit in
accordance with established PHS/SAMHSA peer review procedures for
grants.
Notification of the IRG's recommendation will be sent to the
applicant upon completion of the initial review. In addition to the
IRG's recommendations on technical merit, applications will undergo a
second level of review by the appropriate advisory council, whose
review may be based on policy considerations as well as technical
merit. Applications may be considered for funding only if the advisory
council concurs with the IRG's recommendation for approval.
Review Criteria: Each application will be reviewed and evaluated
for technical merit using the following criteria:
General
Potential as a demonstration project to make a significant
contribution to knowledge of comprehensive community-based substance
abuse prevention services, and systems services development.
Knowledge
Consistency of the project with state-of-the-art
approaches to substance abuse prevention services, evaluation designs,
and coalition program development;
Demonstrated knowledge of the health and substance abuse
problems in the target community and the ethnic, cultural, economic,
and age factors that impact the community and prevention services.
Cultural Competence
Evidence of understanding the significance of cultural and
gender diversity in achieving a comprehensive community prevention
services project; evidence in demonstrating both sensitivity and
responsiveness to cultural differences and similarities; and
effectiveness in using cultural symbols to communicate messages.
Established experience and credibility in working with
single and multi-cultural communities in developing collaborative
working relationships that allow the members of the targeted community
to draw on community based values, traditions, and customs in the
development of the project's plan and strategies, in addition to other
support.
Collaboration
Evidence of participation, collaboration, and specific
commitment of public and private sector organizations and service
providers in the coalition; this should include grassroots
organizations, health, human services, education, housing, and law
enforcement.
Evidence that the governing boards and/or the chief
elected official of the applicant agency demonstrates an understanding,
commitment, and support of this service prevention effort, the
coalition membership, target community, and the relationship of the
project with CSAP, the funding agency.
Evidence of project's relationship or planned
collaboration with existing relevant State and/or local prevention
activities in the target community.
Delineation of the roles and responsibilities of the
applicant agency and the coalition in terms of prevention policy and
activities, fiscal oversight, personnel oversight, etc. This should be
specific in terms of areas over which the applicant agency will have
complete control and over which the coalition may or may not be
involved by the applicant agency.
Resources
Adequacy, availability, and accessibility of facilities
and resources in the target community;
Capability, experience, and qualifications of the
applicant organization to plan, design, and coordinate prevention
efforts with members;
Appropriateness of the budget for each year of the
proposed activities;
Ability to sustain services and systems begun under the
project after the funding period has ended.
Management Plan/Approach
Adequacy and appropriateness of the needs assessment;
Appropriateness of the applicant's proposed approach,
activities, and goals and objectives to the goals and objectives of the
CPCD program;
Qualifications and experience of program director, project
director, evaluator, and other key personnel;
Evidence that the resources required to support the
project are clearly tied to the goals of the CPCD program and are
delineated in the accompanying budget;
Adequacy, rationale, appropriateness, and feasibility of
the proposed services, strategies, and timeframes to meet the
applicant's stated objectives;
Appropriateness and potential of plans for improving the
coordination and accessibility of existing prevention services and/or
stimulating the delivery of new or additional services;
Adequacy of procedures to identify, recruit, and retain
the project's services provider participants.
Adequacy of procedures for the protection of participants
Evaluation Plan
Clarity, feasibility, appropriateness, and completeness of
evaluation plan, measures and indicators--process and outcome.
Award Decision Criteria: Applications recommended for approval by
the Initial Review Group and the appropriate advisory council will be
considered for funding on the basis of their overall technical merit as
determined through the review process. Other award criteria will
include:
Availability of funds.
Geographical distribution throughout the United States and
its territories.
Evidence of support from the Single State Agency for
alcohol and other drug abuse and the State Public Health Agency.
Coordination with other Federal/non-Federal programs.
Neighborhoods hardest hit by drug use and related crime
and violence.
Contacts for Additional Information
Questions concerning program issues may be directed to: David
Robbins, Chief, Community Prevention and Demonstration Branch, Division
of Community Prevention and Training, Center for Substance Abuse
Prevention, Rockwall II Building, Room 9D-18, 5600 Fishers Lane,
Rockville, MD 20857, (301) 443-9438.
Questions concerning grants management issues may be directed to:
Margaret E. Heydrick, Grants Management Branch, Center for Substance
Abuse Prevention, Rockwall II Building, Room 640, 5600 Fishers Lane,
Rockville, Maryland 20852, (301) 443-3958.
Dated: April 6, 1994.
Richard Kopanda,
Acting Executive Officer, SAMHSA.
[FR Doc. 94-8792 Filed 4-11-94; 8:45 am]
BILLING CODE 4162-20-P
