We would like to know about your National Alcohol and Drug Addiction Recovery Month (Recovery Month) efforts this September and how useful you found this toolkit for planning your activities. This information will be used in the development of future outreach materials distributed by the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment.
Your response is voluntary, but your input is essential so that the Recovery Month materials we provide in future years will continue to meet your needs. Please complete this form and return it by mail or fax to the address below by October 31, 2007. We encourage you to include photographs and/or samples of supporting materials from your Recovery Month activities.
Name:
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Organization name & mailing address:
Organization Web site address:
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Phone & fax numbers:
E-mail address: |
Please provide a brief description of your event or major activities. (Please attach additional sheets, if necessary.)
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Did you receive media coverage? If yes, who covered your event? (Please attach a brief summary or copies of articles.)
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Please tell us which kit materials listed below you used and provide suggestions for improving them. |
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Used It? (Y/N) |
How Useful Was It? |
Comments/Suggestions |
Building Your Recovery Month Coalition |
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Planning Partners List |
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Additional Resources |
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Single-State Agency Directory |
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Planning and Publicizing Events |
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Media Tips |
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Media Advisory |
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News Release |
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Op-Ed |
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Official Proclamations |
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Live-Read Radio Public Service Announcement Scripts |
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Letterhead |
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Logo Sheet |
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An Overview: Saving Lives, Saving Dollars |
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Commonly Misused Substances |
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A Guide to Treatment: Methods To Help People With Substance Use Disorders |
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Join the Voices for Recovery |
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Employers: How Businesses Can Help Workers with Substance Use Disorders |
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Insurance Providers: Offering Cost-Effective Treatment |
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Health Care Providers: Understanding the Savings of Treating Substance Use Disorders |
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Justice System Representatives: How the System Can Help People with Substance Use Disorders |
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Policymakers: A Guide to Help State and Local Officials Make a Difference |
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Please send your response to: |
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
Center for Substance Abuse Treatment
Office of the Director, Consumer Affairs
1 Choke Cherry Road, Second Floor
Rockville, MD 20857
Fax: 202-789-0598 (Attn: Kristin Engdahl)
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| Thank you for sharing your Recovery Month story with us. |
NOTE: Public reporting for this collection of information is estimated to average 10 minutes per response. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: SAMHSA Reports Clearance Officer, Paperwork Reduction Project (0930-0197); Room 5-1039, 1 Choke Cherry Road, Second Floor, Rockville, MD 20857. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0930-0197 and the expiration date is 12/31/2007.
