[Federal Register: August 21, 2003 (Volume 68, Number 162)]
[Notices]
[Page 50616-50630]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr21au03-110]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Proposed Changes in Announcement of SAMHSA Discretionary Grant
Funding Opportunities
Authority: Sections 509, 516, and 520A of the Public Health
Service Act.
AGENCY: Substance Abuse and Mental Health Services Administration, HHS.
ACTION: Notice of proposed standard best practices planning and
implementation grant announcement.
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SUMMARY: Beginning in Fiscal Year (FY) 2004, the Substance Abuse and
Mental Health Services Administration (SAMHSA) plans to change its
approach to announcing and soliciting applications for its
discretionary grant programs. The following announcement is a proposed
standard announcement for SAMHSA's Best Practices Planning and
Implementation (BPPI) Grants. It is not an actual grant solicitation.
When published in final, the standard SAMHSA BPPI Grant
announcement will be used by applicants in conjunction with specific
Notices of Funding Availability (NOFAs) to prepare applications for
certain SAMHSA grants. SAMHSA is providing this draft announcement for
public review and comment in order to ensure that the field is aware of
the planned
[[Page 50617]]
change and has an opportunity to identify areas where the announcement
is unclear and needs improvement.
DATES: Submit written comments on this proposal by October 20, 2003.
ADDRESSES: Interested persons are invited to submit comments regarding
SAMHSA's proposed standard BPPI Grant announcement to: Office of
Policy, Planning and Budget, SAMHSA, Attn: Jennifer Fiedelholtz by fax
(301-594-6159) or e-mail (samhsa_standard_grants@samhsa.gov). Please
include a phone number in your e-mail, so that SAMHSA staff may contact
you if there are questions about your comments.
FOR FURTHER INFORMATION CONTACT: Jennifer Fiedelholtz of the Office of
Policy, Planning and Budget, SAMHSA, by fax (301-594-6159) or e-mail
(samhsa_standard_grants@samhsa.gov). If you would like a SAMHSA staff
person to call you about your questions, please state this in an e-mail
or fax request and provide a telephone number where you can be reached
between 8:30 and 5 p.m. Eastern Standard Time.
SUPPLEMENTARY INFORMATION: Starting in FY 2004, SAMHSA plans to change
its approach to announcing and soliciting applications for its
discretionary grants. SAMHSA plans to issue the following BPPI Grant
announcement as one of four standard grant announcements that will
describe the general program design and provide application
instructions for four types of grants--Services Grants, Infrastructure
Grants, Best Practices Planning and Implementation Grants, and Service-
to-Science Grants. The standard announcements will be used in
conjunction with brief Notices of Funding Availability (NOFAs) that
will announce the availability of funds for specific grant funding
opportunities within each of the standard grant programs (e.g.,
Homeless Treatment grants, Statewide Family Network grants, or HIV/AIDS
and Substance Abuse Prevention Planning Grants).
A complete description of the proposed process, the other three
proposed standard announcements and a sample NOFA are contained in
separate notices in this issue of the Federal Register.
SAMHSA welcomes public comment on all aspects of the following
announcement. In particular, SAMHSA welcomes comment on the following
issues:
1. Is the difference between the standard announcement and a NOFA
clear?
2. Are the programmatic requirements for SAMHSA's BPPI Grants
clear?
3. Are the goals/objectives for SAMHSA's BPPI Grants clear?
4. If you are a potential applicant for a SAMHSA BPPI Grant, do you
believe you will be able to use the standard BPPI Grant announcement
with the NOFA to prepare your application? Will the ability to
anticipate programmatic requirements through reviewing the standard
grant announcements ahead of time improve your ability to prepare a
solid application? Is the additional benefit ``worth'' the ``cost'' of
having to use two different documents to prepare your application?
Text of Proposed Standard Announcement
Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
Best Practices Planning and Implementation Grants BPPI 04 (Initial
Announcement)
Catalogue of Federal Domestic Assistance (CFDA) No.: 93.243
(unless otherwise specified in a NOFA in the Federal Register and on
http://www.grants.gov)
Authority: Sections 509, 516 and/or 520A of the Public Health
Service Act, as amended and subject to the availability of funds
(unless otherwise specified in a NOFA in the Federal Register and on
http://www.grants.gov)
Key Dates
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Application Deadline......... This Program Announcement provides
instructions and guidelines for multiple
funding opportunities. Application
deadlines for specific funding
opportunities will be published in
Notices of Funding Availability (NOFAs)
in the Federal Register and on http://www.grants.gov
.
Intergovernmental Review Letters from State Single Point of
(E.O. 12372). Contact (SPOC) are due 60 days after
application deadline.
Public Health System Impact Applicants must send the PHSIS to
Statement (PHSIS)/Single appropriate State and local health
State Agency Coordination. agencies by application deadline.
Comments from Single State Agency are
due 60 days after application deadline.
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Table of Contents
I. Funding Opportunity Description
A. Introduction
B. Expectations
II. Award Information
A. Award Amount
B. Funding Mechanism
III. Eligibility Information
A. Eligible Applicants
B. Cost-Sharing
C. Other
IV. Application and Submission Information
A. Address to Request Application Package
B. Content and Form of Application Submission
C. Submission Dates and Times
D. Intergovernmental Review (E.O. 12372) Requirements
E. Funding Restrictions
F. Other Submission Requirements
V. Application Review Information
A. Evaluation Criteria
B. Review and Selection Process
C. Award Criteria
VI. Award Administration Information
A. Award Notices
B. Administrative and National Policy Requirements
C. Reporting Requirements
VII. Agency Contacts
VIII. Other Information
A. SAMHSA Confidentiality and Participant Protection
Requirements and Protection of Human Subjects Regulations
B. Intergovernmental Review (E.O. 12372) Instructions
C. Public Health System Impact Statement
Appendix A: SAMHSA Best Practices Planning & Implementation
Indicators
Appendix B: Checklist for Application Formatting Requirements
Appendix C: Glossary
Appendix D: National Registry of Effective Prevention Programs
Appendix E: Center for Mental Health Services Evidence-Based
Practices Toolkits
Appendix F: Effective Substance Abuse Treatment Practices
I. Funding Opportunity Description
A. Introduction
The Substance Abuse and Mental Health Services Administration
(SAMHSA) announces its intent to solicit applications for Best
Practices Planning and Implementation (BPPI) grants for substance abuse
prevention, substance abuse treatment, and mental health services.
These grants will help communities and providers identify substance
abuse prevention, substance abuse treatment, and/or mental health
practices, develop strategic plans for implementing/adapting those
practices, and pilot-test the practices. The practices proposed by
applicants for SAMHSA's BPPI grants must incorporate the best objective
information available from recognized experts regarding effectiveness
and acceptability. Often, these practices will have strong evidence of
effectiveness.
[[Page 50618]]
However, because the evidence base is limited in some areas, SAMHSA may
fund some practices for which the evidence of effectiveness is based on
formal consensus among recognized experts in the field and/or
evaluation studies that have not been published in the peer reviewed
literature.
SAMHSA also funds grants under three other standard grant
announcements:
[sbull] Services Grants provide funding to implement substance
abuse and mental health services.
[sbull] Infrastructure Grants support identification and implement
systems changes but are not designed to fund services.
[sbull] Service to Science Grants document and evaluate innovative
practices that address critical substance abuse and mental health
service gaps but that have not yet been formally evaluated.
This announcement describes the general program design and provides
application instructions for all SAMHSA BPPI Grants. The availability
of funds for specific BPPI Grants will be announced in supplementary
Notices of Funding Availability (NOFAs) in the Federal Register and at
http://www.grants.gov_the Federal grant announcement Web page.
Typically, funding for BPPI Grants will be targeted to specific
populations and/or issue areas, which will be specified in the NOFAs.
The NOFAs will also:
[sbull] Specify total funding available for the first year of the
grants and the expected size and number of awards;
[sbull] Provide the application deadline;
[sbull] Note any specific program requirements for each funding
opportunity; and
[sbull] Include any limitations or exceptions to the general
provisions in this announcement (e.g., eligibility, award size,
allowable activities).
It is, therefore, critical that you consult the NOFA as well as
this announcement in developing your grant application.
B. Expectations
SAMHSA's BPPI program promotes the use of practices that
incorporate the best objective information available from recognized
experts regarding effectiveness and acceptability. SAMHSA refers to
these as ``best practices.'' BPPI grants may address needs in the areas
of substance abuse prevention, substance abuse treatment and/or mental
health services. SAMHSA understands that the ``best practices''
proposed for BPPI grants may need to be adapted to certain populations.
Therefore, SAMHSA's BPPI grants support adaptation and evaluation of
best practices in addition to planning and implementation.
1. Documenting the Evidence-Base for Selected Practices
Applicants must show that their proposed practices meet the
standard for effectiveness. The practices proposed by applicants for
SAMHSA's BPPI grants must incorporate the best objective information
available from recognized experts regarding effectiveness and
acceptability. Often, these practices will have strong evidence of
effectiveness. However, applicants may propose practices with a sound,
but limited, evidence base.
Applicants proposing to implement practices included in the
following sources meet the standard of effectiveness for SAMHSA's BPPI
Grants, and will not be required to provide further documentation of
the practice's effectiveness:
[sbull] SAMHSA's National Registry of Effective Programs (NREP)
(see Appendix D);
[sbull] Center for Mental Health Services (CMHS) Evidence Based
Practice Tool Kits (see Appendix E);
[sbull] List of Evidence-Based Substance Abuse Treatment Practices
(see Appendix F); and
[sbull] Additional practices identified in the NOFA for a specific
funding opportunity.
Applicants for Phase II awards that have already received Phase I
awards also have met the standard for effectiveness.
Applicants proposing practices that have not been identified by
SAMHSA as meeting the required effectiveness standard must show that
their proposed practice incorporates the best objective information
available from recognized experts regarding effectiveness and
acceptability. Such applicants must provide a narrative justification
that describes the evidence base for the practice and summarizes the
evidence for effectiveness. The evidence may come from a variety of
sources, including the published research literature, formal consensus
among recognized experts, and other studies that have not been
published in the peer-reviewed research literature.
2. Program Design
SAMHSA will fund BPPI grants in two phases. Phase I is a planning
and consensus-building phase that supports grantees for up to 18
months. Phase II is a pilot, adaptation, implementation, and evaluation
phase that supports grantees for up to 3 years.
Phase I: Planning and Consensus Building
The goal of Phase I is to achieve consensus among community
stakeholders to adopt a best practice and engage in strategic planning
for its implementation. Phase I grants may include, but are not limited
to, the following types of activities:
[sbull] Build and maintain a coalition of stakeholders to fund,
oversee, use, and provide a sustainable best practice.
[sbull] Train and educate key stakeholders about the best practice.
[sbull] Consult experts about the practice.
[sbull] Consult leaders from other communities about their
experiences in implementing the practice.
[sbull] Reimburse stakeholders for their transportation or child
care costs.
[sbull] Engage professionals to help build consensus and plan
strategy.
[sbull] Adapt the best practice to community needs without
sacrificing its effectiveness.
[sbull] Identify and obtain the commitment of permanent sources to
fund the best practice.
[sbull] Design the evaluation of the best practice.
[sbull] Evaluate the process of consensus building among
stakeholders (required).
Phase II: Pilot Test, Adaptation, Implementation, and Evaluation
The goals of Phase II grants are to pilot test and evaluate the
best practices before full implementation, modify strategic/financial
plans, and prepare for full-scale implementation. The following are
examples of activities that can be funded during Phase II:
[sbull] Pilot test the practice on a sample of service recipients
and evaluate the pilot test.
[sbull] Modify the best practice based on consultation with
stakeholders and practice experts, other community experiences, and
pilot test results.
[sbull] Revise the manual or documentation that describes in detail
how the best practice was modified.
[sbull] Maintain the coalition of stakeholders to oversee Phase II
activities.
[sbull] Secure consultants to make changes required to implement
and finance the best practice.
[sbull] Make organizational changes (e.g., hiring staff) necessary
to implement the best practice.
[sbull] Provide necessary education, training, and technical
assistance for staff.
Up to 25% of the Phase II grant award may be used to evaluate the
pilot test of the best practice. During the course of a Phase II award,
SAMHSA will provide
[[Page 50619]]
funding for direct services as part of the pilot test.
3. Performance Requirements
All grantees will be required to meet the following evaluation and
performance requirements. Applicants are not required to receive a
Phase I award before applying for a Phase II award. However, all Phase
II applicants must meet the Phase I performance requirements (i.e.,
documentation that consensus has been achieved and that a strategic
plan is in place) before applying for a Phase II award.
Phase I: Planning and Consensus Building
By the end of Phase I, grantees will be required to provide
documentation that consensus has been achieved for adopting a best
practice. That documentation must include:
[sbull] A report that summarizes the evaluation of the consensus
building process.
[sbull] A description of how key stakeholders were included in the
consensus building.
[sbull] Letters of support or other demonstration of stakeholders'
commitment to adopt the practice.
[sbull] A strategic plan for implementing the best practice that
includes a financing plan, signed by the funding source(s) that will
provide the resources necessary to address barriers and implement a
sustainable best practice. [Note: If it is not possible for a grantee
to complete a strategic plan, grantees will be required to provide an
analysis of progress made and barriers to completing the strategic plan
instead.]
Phase II: Pilot Test, Adaptation, Implementation, and Evaluation
By the end of Phase II, grantees must provide the following
information:
[sbull] Pilot test results.
[sbull] A manual describing the modified practice in detail for
replication of the practice.
[sbull] Documentation that staff are trained in the practice and of
a mechanism for training new staff.
[sbull] Process evaluation results that describe how the practice
was operationalized, including changes in the organizational
infrastructure, permanent funding sources, and staff consultation and
training activities.
[sbull] Outcome evaluation results that describe:
[sbull] Demographic characteristics of the clients served;
[sbull] Service utilization
[sbull] Practice outcomes
[sbull] Client satisfaction
[sbull] Fidelity of the modified practice with the best practice
[sbull] Sustainability of the best practice.
4. Performance Measurement
The Government Performance and Results Act of 1993 (Pub. L. 103-62,
or ``GPRA'') requires all Federal agencies to:
[sbull] Develop strategic plans that specify what they will
accomplish over a 3 to 5-year period;
[sbull] Set performance targets annually related to their strategic
plan; and
[sbull] Report annually on the degree to which the previous year's
targets were met.
The law further requires agencies to link their performance to
their budgets. Agencies are expected to evaluate their programs
regularly and to use results of these evaluations to explain their
successes and failures.
To meet these requirements, SAMHSA must collect performance data
(i.e., ``GPRA data'') from grantees. You are required to report these
GPRA data to SAMHSA on a timely basis so that performance results are
available to support budgetary decisions.
In particular, you will be required to provide data on a core set
of required measures, depending on the SAMHSA Center that is funding
the grant. In your application, you must demonstrate your ability to
collect and report on these measures, and you must provide some
baseline data.
Appendix A provides the performance indicators for SAMHSA's BPPI
grantees. For complete information on the core measures relating to
these indicators and the methodology for data collection and reporting,
please consult the following web sites:
[sbull] Center for Mental Health Services-funded grants: http://www.samhsa.gov/aps/CMHS/GPRA
.
[sbull] Center for Substance Abuse Prevention-funded grants: http://www.samhsa.gov/aps/CSAP/GPRA
.
[sbull] Center for Substance Abuse Treatment-funded-grants: http://www.samhsa.gov/aps/CSAT/GPRA
.
This information will be provided in the hard copy application kits
distributed by SAMHSA's Clearinghouses, as well.
In some instances, grantees may be required to participate in
cross-site evaluations and comply with additional data collection
requirements. The NOFA will indicate whether participation in a cross-
site evaluation is required and will identify any additional data
collection requirements.
Applicants may propose to collect additional information (i.e.,
beyond the required performance data) regarding both the nature and
success of their process and outcomes. If grant funding is requested to
support the additional data collected, this must be clearly justified
in the application. Prior to grant award, a final agreement regarding
data collection will be reached. The terms and conditions of award will
specify the data to be submitted and the schedule for submission.
Grantees will be required to adhere to these terms and conditions of
award.
5. Grantee Meetings
You must plan to send a minimum of two people (including the
Project Director) to at least one joint grantee meeting in each year of
the grant, and you must include funding for this travel in your budget.
At these meetings, grantees will present the results of their projects
and Federal staff will provide technical assistance. Each meeting will
be 3 days. These meetings will usually be held in the Washington, DC,
area, and attendance is mandatory.
II. Award Information
A. Award Amount
The NOFA will specify the expected award amount for each funding
opportunity. Regardless of the amount specified, the actual award
amount will depend on the availability of funds.
Awards for SAMHSA's BPPI grants will be made in two phases:
Phase I--Phase I awards are expected to range from $150,000-
$200,000 in total costs (direct and indirect) for a project period of
up to 18 months.
Phase II--Phase II awards will range from $300,000-$500,000 per
year in total costs (direct and indirect) for a project period of up to
3 years.
Applications with proposed budgets that exceed the allowable amount
as specified in the NOFA in any year of the proposed project will be
screened out and will not be reviewed. Annual continuation awards will
depend on the availability of funds, grantee progress in meeting
project goals and objectives, and timely submission of required data
and reports.
B. Funding Mechanism
The NOFA will indicate whether awards for each funding opportunity
will be made as grants or cooperative agreements (see the Glossary in
Appendix C for further explanation of these funding mechanisms). For
cooperative agreements, the NOFA will describe the nature of Federal
involvement in project performance and specify roles and
responsibilities of grantees and Federal staff.
[[Page 50620]]
III. Eligibility Information
A. Eligible Applicants
Eligible applicants are domestic public and private nonprofit
entities. For example, State, local or tribal governments; public or
private universities and colleges; community- and faith-based
organizations; and tribal organizations may apply. The statutory
authority for this program precludes grants to for-profit
organizations. The NOFA will indicate any limitations on eligibility.
B. Cost-Sharing
Cost-sharing is not required in this program, and applications will
not be screened out on the basis of cost-sharing. However, you may
include cash or in-kind contributions in your proposal as evidence of
commitment to the proposed project. Reviewers may consider this
information in evaluating the quality of the application.
C. Other
SAMHSA applicants must comply with certain program requirements,
including:
[sbull] Provisions relating to participant protection and the
protection of human subjects specified in Section VIII-A of this
document;
[sbull] Budgetary limitations as specified in Sections I, II, and
IV-E of this document; and
[sbull] Documentation of nonprofit status as required in the PHS
5161-1.
You also must comply with any additional program requirements
specified in the NOFA, such as the required signature of certain
officials on the face page of the application and/or required memoranda
of understanding with certain signatories.
Applications that do not comply with the eligibility and specific
program requirements for the funding opportunity for which the
application is submitted will be screened out and will not be reviewed.
IV. Application and Submission Information
(To ensure that you have met all submission requirements, a
checklist is provided for your use in Appendix B of this document.)
A. Address To Request Application Package
You may request a complete application kit by calling one of
SAMHSA's national clearinghouses:
[sbull] For substance abuse prevention or treatment grants, call
the National Clearinghouse for Alcohol and Drug Information (NCADI) at
1-800-729-6686.
[sbull] For mental health grants, call the National Mental Health
Information Center at 1-800-789-CMHS (2647).
You also may download the required documents from the SAMHSA Web
site at http://www.samhsa.gov. Click on ``grant opportunities.''
Additional materials available on this Web site include:
[sbull] A technical assistance manual for potential applicants;
[sbull] Standard terms and conditions for SAMHSA grants;
[sbull] Guidelines and policies that relate to SAMHSA grants (e.g.,
guidelines on cultural competence, consumer and family participation,
and evaluation); and
[sbull] Enhanced instructions for completing the PHS 5161-1
application.
B. Content and Form of Application Submission
1. Required Documents
SAMHSA application kits include the following documents:
[sbull] PHS 5161-1 (revised July 2000)--Includes the face page,
budget forms, assurances, certification, and checklist. Applicants must
use the PHS 5161-1 for their application, unless otherwise specified in
the NOFA. Applications that are not submitted on the required
application form (i.e., the PHS 5161-1 in most situations) will be
screened out and will not be reviewed.
[sbull] Program Announcement (PA)--Includes instructions for the
grant application. This document is the PA.
[sbull] Notice of Funding Availability (NOFA)--Provides specific
information about availability of funds, as well as any exceptions or
limitations to provisions in the PA.
The NOFAs will be published in the Federal Register as well as on
the Federal grants Web site (http://www.grants.gov).
You must use all of the above documents in completing your
application.
2. Order of Sections
Applications must be complete and contain all information needed
for review. In order for your application to be complete, it must
include the following sections in the order listed. Applications that
do not contain these sections will be screened out and will not be
reviewed.
[sbull] Face Page--Use Standard Form (SF) 424, which is part of the
PHS 5161-1. [Note: Beginning October 1, 2003, applicants will need to
provide a Dun and Bradstreet (DUNS) number to apply for a grant or
cooperative agreement from the Federal Government. SAMHSA applicants
will be required to provide their DUNS number on the face page of the
application. Obtaining a DUNS number is easy and there is no charge. To
obtain a DUNS number, access the Dun and Bradstreet Web site at http://www.dunandbradstreet.com
or call 1-866-705-5711. To expedite the
process, let Dun and Bradstreet know that you are a public/private
nonprofit organization getting ready to submit a Federal grant
application.]
[sbull] Abstract--Your total abstract should be no longer than 35
lines. In the first five lines or less of your abstract, write a
summary of your project that can be used, if your project is funded, in
publications, reporting to Congress, or press releases.
[sbull] Table of Contents--Include page numbers for each of the
major sections of your application and for each appendix.
[sbull] Budget Form--Use SF 424A, which is part of the PHS 5161-1.
Fill out Sections B, C, and E of the SF 424A.
[sbull] Project Narrative and Supporting Documentation--The Project
Narrative describes your project. It consists of Sections A through E.
Section A may not be longer than 3 pages in length. Sections B-E
together may not be longer than 25 pages. More detailed instructions
for completing each section of the Project Narrative are provided in
``Section V--Application Review Information'' of this document.
The Supporting Documentation provides additional information
necessary for the review of your application. This supporting
documentation should be provided immediately following your Project
Narrative in Sections F through H. There are no page limits for these
sections, except for Section G, the Biographical Sketches/Job
Descriptions.
[sbull] Section F--Budget Justification, Existing Resources, Other
Support. You must provide a narrative justification of the items
included in your proposed budget, as well as a description of existing
resources and other support you expect to receive for the proposed
project. If you are applying for a Phase II award, show that no more
than 25% of the total grant award will be used for evaluation of the
pilot test of the best practice.
[sbull] Section G--Biographical Sketches and Job Descriptions.
[sbull] Include a biographical sketch for the Project Director and
other key positions. Each sketch should be 2 pages or less. If the
person has not been hired, include a letter of commitment from the
individual with a current biographical sketch.
[[Page 50621]]
[sbull] Include job descriptions for key personnel. Job
descriptions should be no longer than 1 page each.
[sbull] Sample sketches and job descriptions are listed on page 22,
Item 6 in the Program Narrative section of the PHS 5161-1.
[sbull] Section H--Confidentiality and SAMHSA Participant
Protection/Human Subjects. Instructions for completing Section H of
your application are provided below in Section VIII-A of this document.
[sbull] Appendices 1 through 5--Use only the appendices listed
below. Do not use more than 30 pages (excluding instruments) for the
appendices. Do not use appendices to extend or replace any of the
sections of the Project Narrative unless specifically required in the
NOFA. Reviewers will not consider them if you do.
[sbull] Appendix 1: Letters of Support.
[sbull] Appendix 2: Data Collection Instruments/Interview
Protocols.
[sbull] Appendix 3: Sample Consent Forms.
[sbull] Appendix 4: Letter to the SSA (if applicable; see Section
VIII-C of this document).
[sbull] Appendix 5: A copy of the State Strategic Plan, a State
needs assessment, or a letter from the State indicating that the
proposed project addresses a State-identified priority.
[sbull] Appendix 6: Evidence of Intent to Adopt (Phase II only).
[sbull] Assurances--Non-Construction Programs. Use Standard Form
424B found in PHS 5161-1.
[sbull] Certifications--Use the ``Certifications'' forms found in
PHS 5161-1.
[sbull] Disclosure of Lobbying Activities--Use Standard Form LLL
found in PHS 5161-1. Federal law prohibits the use of appropriated
funds for publicity or propaganda purposes, or for the preparation,
distribution, or use of information designed to support or defeat
legislation pending before the Congress or State legislatures. This
includes ``grass roots'' lobbying, which consists of appeals to members
of the public suggesting that they contact their elected
representatives to indicate their support for or opposition to pending
legislation or to urge those representatives to vote in a particular
way.
[sbull] Checklist--Use the Checklist found in PHS 5161-1. The
Checklist ensures that you have obtained the proper signatures,
assurances and certifications and is the last page of your application.
3. Application Formatting Requirements
Applicants also must comply with the following basic application
requirements. Applications that do not comply with these requirements
will be screened out and will not be reviewed.
[sbull] Text must be legible.
[sbull] Paper must be white and 8.5'' by 11.0'' in size.
[sbull] Pages must be typed single-spaced with one column per page.
[sbull] Page margins must be at least one inch.
[sbull] Type size in the Project Narrative cannot exceed an average
of 15 characters per inch when measured with a ruler. (Type size in
charts, tables, graphs, and footnotes will not be considered in
determining compliance.)
[sbull] Photo reduction or condensation of type cannot be closer
than 15 characters per inch or 6 lines per inch.
[sbull] The pages cannot have printing on both sides.
[sbull] Page limitations specified for the Project Narrative and
Appendices cannot be exceeded.
[sbull] Information must be sufficient for review.
To facilitate review of your application, follow these additional
guidelines:
[sbull] Applications should be prepared using black ink. This
improves the quality of the copies of applications that are provided to
reviewers.
[sbull] Use white paper only. Do not use colored, heavy, or light-
weight paper or any material that cannot be photocopied using automatic
photocopying machines. Odd-sized and oversized attachments, such as
posters, will not be copied or sent to reviewers. Do not send
videotapes, audiotapes, or CD-ROMs.
[sbull] Pages should be numbered consecutively from beginning to
end so that information can be easily located during review of the
application. For example, the cover page should be labeled ``page 1,''
the abstract page should be ``page 2,'' and the table of contents page
should be ``page 3.'' Appendices should be labeled and separated from
the Project Narrative and budget section, and the pages should be
numbered to continue in the sequence.
C. Submission Dates and Times
Deadlines for submission of applications for specific funding
opportunities will be published in NOFAs in the Federal Register and on
the Federal grants Web site (http://www.grants.gov).
Your application must be received by the application deadline.
Applications received after this date must have a proof-of-mailing date
from the carrier dated at least 1 week prior to the due date. Private
metered postmarks are not acceptable as proof of timely mailing.
You will be notified by postal mail that your application has been
received.
Applications not received by the application deadline or not
postmarked by a week prior to the application deadline will be screened
out and will not be reviewed.
D. Intergovernmental Review (E.O. 12372) Requirements
Executive Order 12372, as implemented through Department of Health
and Human Services (DHHS) regulation at 45 CFR part 100, sets up a
system for State and local review of applications for Federal financial
assistance. Instructions for this review are included in Section VIII-B
of this document. Section VIII-C provides instructions for the Public
Health System Impact Statement (PHSIS) and submission of comments from
the Single State Agency (SSA).
E. Funding Limitations/Restrictions
Cost principles describing allowable and unallowable expenditures
for Federal grantees, including SAMHSA grantees, are provided in the
following documents:
[sbull] Institutions of Higher Education: OMB Circular A-21.
[sbull] State and Local Governments: OMB Circular A-87.
[sbull] Nonprofit Organizations: OMB Circular A-122.
[sbull] Appendix E Hospitals: 45 CFR part 74.
In addition, SAMHSA BPPI Grant recipients must comply with the
following funding restrictions:
[sbull] No more than 25% of Phase II funding may be used to
evaluate the pilot test.
BPPI grant funds may not be used to:
[sbull] Pay for any lease beyond the project period.
[sbull] Provide services to incarcerated populations (defined as
those persons in jail, prison, detention facilities, or in custody
where they are not free to move about in the community).
[sbull] Pay for the purchase or construction of any building or
structure to house any part of the program. (Applicants may request no
more than $75,000 for renovations and alterations of existing
facilities, if appropriate and necessary to the project.)
[sbull] Provide residential or outpatient treatment services when
the facility has not yet been acquired, sited, approved, and met all
requirements for human habitation and services provision. (Expansion or
enhancement of existing residential services is permissible.)
[sbull] Pay for housing other than residential mental health and/or
substance abuse treatment.
[sbull] Provide inpatient treatment or hospital-based
detoxification services.
[[Page 50622]]
[sbull] Pay for incentives to induce clients to enter treatment.
However, a grantee or treatment provider may provide up to $20 or
equivalent (coupons, bus tokens, gifts, childcare, and vouchers) to
clients as incentives to participate in required data collection
follow-up. This amount may be paid for participation in each required
interview.
[sbull] Implement syringe exchange programs, such as the purchase
and distribution of syringes and/or needles.
[sbull] Pay for pharmacologies for HIV antiretroviral therapy,
sexually transmitted diseases (STDs)/sexually transmitted illness
(STI), TB, and hepatitis B and C, or for psychotropic drugs.
F. Other Submission Requirements
1. Where To Send Applications
Send applications to the following address: Substance Abuse and
Mental Health Services Administration, Office of Program Services,
Review Branch, 5600 Fishers Lane, Room 17-89, Rockville, Maryland,
20857.
Be sure to include the funding announcement number from the NOFA in
item number 10 on the face page of the application. If you require a
phone number for delivery, you may use (301) 443-4266.
2. How To Send Applications
Mail an original application and 2 copies (including appendices) to
the mailing address provided above. The original and copies must not be
bound. Do not use staples, paper clips, or fasteners. Nothing should be
attached, stapled, folded, or pasted.
You must use a recognized commercial or governmental carrier. Hand
carried applications will not be accepted. Faxed or e-mailed
applications will not be accepted.
V. Application Review Information
A. Evaluation Criteria
Your application will be reviewed and scored against the
requirements listed below for developing the Project Narrative
(Sections A-E). These sections describe what you intend to do with your
project.
[sbull] In developing the Project Narrative section of your
application, use these instructions, which have been tailored to this
program. These are to be used instead of the ``Program Narrative''
instructions found in the PHS 5161-1.
[sbull] Be sure to provide references for any literature cited in
your application. The reference list will not be counted toward the
page limit for these sections. The Project Narrative may be no longer
than 28 pages (3 pages for Section A and 25 pages total for Sections B-
E).
[sbull] You must use the five sections/headings listed below in
developing your Project Narrative. Be sure to place the required
information in the correct section, or it will not be considered. Your
application will be scored according to how well you address the
requirements for each section of the Project Narrative.
[sbull] The Supporting Documentation you provide in Sections F-H,
Appendices 1-5, and the References list will be considered by reviewers
in assessing your response, along with the material in the Project
Narrative.
[sbull] The number of points after each heading is the maximum
number of points a review committee may assign to that section of your
Project Narrative. Bullet statements in each section do not have points
assigned to them. They are provided to invite the attention of
applicants and reviewers to important areas within the criterion.
For both Phase I and Phase II of SAMHSA's BPPI Grants there will be
two levels of review.
[sbull] Level One Review will consider how well the applicant
addresses the requirements in Section A--Evidence of Effectiveness. If
the practice proposed in the application does not meet the required
standard for effectiveness as described below, the application will not
move on to Level Two review and will not be considered for funding.
[sbull] Level Two Review will consider how well the applicant
addresses the requirements in Section B (Statement of Need), Section C
(Proposed Approach), Section D (Staff, Management and Relevant
Experience), and Section E (Evaluation and Data). The applicant's score
on Sections B-E combined will be used to determine the applicant's
priority score.
1. Phase I Criteria
Level One Review
Section A: Evidence of Effectiveness
Put all information to be considered in Level One in Section A:
Evidence of Effectiveness. Section A may not be longer than 3 pages.
During Level One review, reviewers will decide whether the applicant's
proposed practice meets the required standard for effectiveness.
Reviewers will assess Level One review on a pass/fail basis.
Applications that do not pass Level One review will not move on to
Level Two review.
Applicants proposing to implement practices included in the
following sources are considered by SAMHSA to have met the
effectiveness standard for SAMHSA's BPPI Grants. Such applicants are
not required to provide further documentation of effectiveness of the
services/practices. Such applicants must name the practice and indicate
which of the following is the source(s) for the proposed practice:
[sbull] SAMHSA's National Registry of Effective Programs (NREP)
(see Appendix D to this document).
[sbull] Center for Mental Health Services (CMHS) Evidence Based
Practice Tool Kits (see Appendix E to this document).
[sbull] Effective Substance Abuse Treatment Practices (see Appendix
F to this document).
[sbull] The NOFA for a specific funding opportunity (provide the
name and funding opportunity number from the NOFA).
Applicants who select practices that are not identified in any of
the sources listed above must provide a narrative justification that
shows that the proposed practice includes the best objective
information available from recognized experts regarding effectiveness
and acceptability. The narrative must address the following:
[sbull] Describe the proposed practice.
[sbull] Indicate whether the evidence base for the proposed
practice includes scientific studies published in the peer-reviewed
literature, other studies not published in the peer-reviewed
literature, and/or from formal consensus processes involving recognized
experts in the field.
[sbull] If the evidence base includes scientific studies published
in the peer-reviewed literature or other studies that have not been
published, describe:
--The extent to which the practice has been evaluated and the quality
of the studies (e.g., whether they are descriptive, quasi-experimental
studies, or experimental studies)
--The extent to which evaluation of the practice has demonstrated
positive outcomes, and the extent to which positive outcomes have been
demonstrated for different populations
--The extent to which evaluation of the practice has been studied
--The extent to which evaluation of the practice has been replicated
--The extent to which the practice has been documented (e.g., through
guidelines, tool kits, treatment protocols, and/or manuals)
--The extent to which fidelity measures have been developed (e.g., no
measures developed, key components identified, or fidelity measures
developed)
[sbull] If the evidence includes formal consensus involving
recognized experts, describe:
[[Page 50623]]
--The experts involved in the consensus development on the proposed
services/practice (e.g., members of an expert panel formally convened
by NIH, the Institute of Medicine or other nationally recognized
organization, or members of an informal group of experts, such as
faculty at a leading research institution)
--The nature of the consensus and how it was reached the process used
to reach consensus
--The extent to which the consensus has been documented (e.g., in a
consensus panel report, meeting minutes, or an accepted standard
practice in the field)
--Any empirical evidence, formally published or not, supporting the
effectiveness of the proposed practice
--Rationale for concluding that further empirical evidence does not
exist to support the effectiveness of the proposed practice, if
appropriate
In assessing applicants' narratives for Section A/Level One review,
reviewers will consider whether the evidence presented in support of
the proposed practice is, in their expert and professional opinion,
commensurate with the best information available regarding
effectiveness and acceptability.
Applicants should be aware that passing Level One review does not
ensure that the application will be approved for funding, even if the
proposed project includes a service/practice that is considered by
SAMHSA to have met the standard of effectiveness.
Level Two Review
All information to be considered in Level Two review must be placed
in Sections B through E, as described below. Only applications that
pass Level One review will undergo Level Two review.
Section B: Need (10 Points)
[sbull] Describe the environment (organization, community, city, or
State) where the project will be implemented.
[sbull] Describe the target population.
[sbull] Describe the problem the project will address.
Documentation of the problem may come from local data or trend
analyses, State data, and/or national data. For data sources that are
not well known, provide sufficient information on how the data were
collected so that its reliability and validity can be assessed.
[sbull] Non-tribal applicants must show that identified needs are
consistent with the priorities of the State. Include, in Appendix 5, a
copy of the State Strategic Plan, a State needs assessment, or a letter
from the State indicating that the proposed project addresses a State-
identified priority. Tribal applicants must provide similar
documentation relating to tribal priorities.
[sbull] Describe the best practice selected and how it will impact
the problem.
Section C: Proposed Approach (40 Points)
[sbull] Describe the goals of the project, including consensus
building and strategic planning.
[sbull] Describe the strategies or models used to build consensus.
Describe how key stakeholders will be educated about the best practice.
[sbull] Describe the process for developing a strategic plan to
implement the best practice.
[sbull] Describe the key stakeholders and how they represent the
community.
[sbull] Describe the involvement of key stakeholders in the
proposed project, including roles and responsibilities of each
stakeholder. Clearly demonstrate each stakeholder's commitment to the
consensus building and strategic planning processes. Attach letters of
support and other documents showing stakeholder commitment in Appendix
1: Letters of Support. Identify any cash or in-kind contributions that
will be made to the project.
[sbull] Describe the involvement of representatives of the target
population in the conceptualization and planning of the consensus
building process.
[sbull] Describe how the proposed project will address issues of
age, race/ethnicity, culture, language, sexual orientation, disability,
literacy, and gender in the target population.
[sbull] Describe potential barriers to achieving consensus among
stakeholders. What resources and plans will you use to overcome these
barriers?
[sbull] Identify potential funding source(s) that will help
implement the best practice. Describe how the funder(s) will join in
the consensus building and strategic planning.
Section D: Management Plan and Staffing (35 Points)
[sbull] Provide a time line for the project (chart or graph)
showing key activities, milestones, and responsible staff. [Note: The
timeline should be part of the Project Narrative. It should not be
placed in an appendix.]
[sbull] Discuss the capability and experience of the applicant
organization and other participating organizations with similar
projects and populations, including experience in providing culturally
competent services.
[sbull] Provide a list of staff members who will conduct the
project. Describe the role, effort and qualifications of each. Include
the Project Director and other key personnel, including evaluators and
database management personnel.
[sbull] If you plan to have an advisory body, describe its
composition, roles, and frequency of meetings.
[sbull] Describe the resources available for the proposed project
(e.g., facilities, equipment), and provide evidence that services will
be provided in a location that is adequate, accessible, Americans with
Disabilities Act (ADA) compliant, and amenable to the target
population.
Section E: Evaluation Design and Analysis (15 Points)
[sbull] Describe the design for evaluating the consensus building
and strategic planning processes. Include a detailed discussion of how
all variables (e.g., community representation and stakeholder support)
will be defined and measured. Explain how the evaluation plan will
ensure that the decision to adopt is an accurate reflection of the
stakeholders' intent.
[sbull] Document your ability to collect and report on the required
performance measures for SAMHSA's BPPI Grants. Specify and justify any
additional outcome measures you plan to use for your grant project.
(See Appendix A for required indicators.)
[sbull] Describe the process for providing regular feedback from
evaluation activities to the Project Director and participants.
[sbull] Describe plans for data collection, management, analysis,
interpretation and reporting. Describe the current approach to
collection of relevant data, along with any necessary modifications.
[sbull] Be sure to include data collection instruments/interview
protocols in Appendix 2.
2. Phase II Criteria
Level One Review
Phase II applicants who were not Phase I grantees will go through a
Level One review to determine if the selected practice meets SAMHSA's
criteria as a best practice before they are reviewed for technical
merit. This review process is identical to the Level One Review
described for Phase I applicants. You must provide all information for
Level One Review in Section A of the Project Narrative.
Phase II applicants who were Phase I grantees will undergo Level
Two review only. If so, you should state in Section A that you were a
Phase I grantee and provide the grant number.
Level Two Review
All information to be considered in Level Two review must be placed
in
[[Page 50624]]
Sections B through E, as described below. Only applications that pass
Level One review will undergo Level Two review.
Section B: Need and Readiness (30 Points)
[sbull] Describe the target population and setting. If applicant
was a Phase I grantee, describe and explain any changes in the target
population or setting.
[sbull] Provide baseline data as required in Appendix A of this
document.
[sbull] Describe briefly the best practice approved under Level One
Review.
[sbull] Provide evidence that the community of stakeholders
achieved a ``decision to adopt'' the practice. Attach a copy of the
Phase I process evaluation or other evidence including contracts,
memoranda of agreement, administrative memos, or other documents signed
by key stakeholders that show their firm commitment to support the
practice. Attach these supporting documents in Appendix 6: Evidence of
Intent to Adopt.
[sbull] Provide and describe the financing plan. Include
anticipated costs and sources of revenue that will maintain the
practice. Attach the financing plan, signed by the funding source(s),
stating their intent to fund in Appendix 6: Evidence of Intent to
Adopt.
Section C: Proposed Approach (25 Points)
[sbull] Provide a strategic plan (including key action steps and a
timeline) that addresses each of the following elements, as
appropriate: pilot testing the best practice, evaluating the pilot
test, modifying the best practice based on the pilot test, developing
training materials, hiring/training staff, and securing funding to
sustain services beyond the project period.
[sbull] Describe the involvement of key stakeholders in the
proposed project, including roles and responsibilities of each
stakeholder. Demonstrate each stakeholder's commitment to the proposed
project. Attach letters of support and similar documents showing
stakeholder commitment in Appendix 1: Letters of Support. Identify any
cash or in-kind contributions that will be made to the project.
[sbull] Describe how the proposed project will address issues of
age, race/ethnicity, culture, language, sexual orientation, disability,
literacy, and gender in the target population.
[sbull] Describe potential barriers to the successful conduct of
the proposed project. What resources and plans will you use to overcome
these barriers?
[sbull] Describe oversight or feedback mechanisms to ensure that
the implemented practice is consistent with the best practice model.
Section D: Management Plan and Staffing (25 Points)
[sbull] Provide a time line for the project (chart or graph)
showing key activities, milestones, and responsible staff. [Note: The
timeline should be part of the Project Narrative. It should not be
placed in an appendix.]
[sbull] Discuss the capability and experience of the applicant
organization and other participating organizations with similar
projects and populations, including experience in providing culturally
appropriate/competent services.
[sbull] Provide a list of staff members who will conduct the
project, showing the role of each and their level of effort and
qualifications. Include the Project Director and other key personnel,
including evaluators and database managers.
[sbull] Describe the resources available for the proposed project
(e.g., facilities, equipment), and provide evidence that services will
be provided in a location that is adequate, accessible, Americans with
Disabilities Act (ADA) compliant, and is amenable to the target
population.
Section E: Evaluation Design and Analysis (20 Points)
[sbull] Document your ability to collect and report on the required
performance measures for Phase II Local Best Practices Grants. Specify
and justify any additional measures you plan to use for your grant
project. (See Appendix A for required indicators.)
[sbull] Provide a logic model for the evaluation of the pilot test
of the best practice as well as other implementation activities (e.g.,
training, securing financing).
[sbull] Provide a plan for evaluating the pilot test of the best
practice and other implementation activities that includes both process
and client outcome measures. Describe the recruitment plan and sample
size for your project. Describe any literature or pilot testing done to
verify the validity and reliability of the instruments to be used.
Attach instrumentation in Appendix 2: Data Collection Instruments.
[sbull] Describe how the adaptations of the best practice will be
documented. Demonstrate its fidelity to the best practice model. If no
fidelity scale exists for the practice, describe how you will develop
one.
[sbull] Describe the process for providing regular feedback from
evaluation activities to the Project Director and participants.
[sbull] Describe the database management system that will be
developed.
Note: Although the budget for the proposed project is not a
review criterion, the Review Group will be asked to comment on the
appropriateness of the budget after the merits of the application
have been considered.
B. Review and Selection Process
SAMHSA applications are peer-reviewed according to the review
criteria listed above. For those programs where the individual award is
over $100,000, applications must also be reviewed by the appropriate
National Advisory Council.
C. Award Criteria
Decisions to fund a grant are based on:
[sbull] The strengths and weaknesses of the application as
identified by the Peer Review Committee and, when appropriate, approved
by the appropriate National Advisory Council;
[sbull] Availability of funds; and
[sbull] Equitable allocation of grants among the principal
geographic regions of the United States. SAMHSA does not intend to
award more than 2 grants per State for each funding opportunity.
VI. Award Administration Information
A. Award Notices
After your application has been reviewed, you will receive a letter
from SAMHSA through postal mail that describes the general results of
the review, including the score that your application received.
If you are approved for funding, you will receive an additional
notice, the Notice of Grant Award, signed by SAMHSA's Grants Management
Officer. The Notice of Grant Award is the sole obligating document that
allows the grantee to receive Federal funding for work on the grant
project. It is sent by postal mail and is addressed to the contact
person listed on the face page of the application.
If you are not funded, you can re-apply if there is another receipt
date for the program.
B. Administrative and National Policy Requirements
[sbull] You must comply with all terms and conditions of the grant
award. SAMHSA's standard terms and conditions are available on the
SAMHSA Web site (http://www.samhsa.gov).
[sbull] Depending on the nature of the specific funding opportunity
and/or the proposed project as identified during
[[Page 50625]]
review, additional terms and conditions may be identified in the NOFA
or negotiated with the grantee prior to grant award. These may include,
for example:
[sbull] Actions required to be in compliance with human subjects
requirements;
[sbull] Requirements relating to additional data collection and
reporting;
[sbull] Requirements relating to participation in a cross-site
evaluation; or
[sbull] Requirements to address problems identified in review of
the application.
[sbull] You will be held accountable for the information provided
in the application relating to performance targets. SAMHSA program
officials will consider your progress in meeting goals and objectives,
as well as your failures and strategies for overcoming them, when
making an annual recommendation to continue the grant and the amount of
any continuation award. Failure to meet stated goals and objectives may
result in suspension or termination of the grant award, or in reduction
or withholding of continuation awards.
[sbull] In an effort to improve access to funding opportunities for
applicants, SAMHSA is participating in the U.S. Department of Health
and Human Services ``Survey on Ensuring Equal Opportunity for
Applicants.'' This survey is included in the application kit for SAMHSA
grants. Applicants are encouraged to complete the survey and return it,
using the instructions provided on the survey form.
C. Reporting
1. Progress and Financial Reports
[sbull] Grantees must provide annual and final progress reports.
The final progress report must summarize information from the annual
reports, describe the accomplishments of the project, and describe next
steps for implementing plans developed during the grant period.
[sbull] Grantees must provide annual and final financial status
reports. These reports may be included as separate sections of annual
and final progress reports or can be separate documents. Because SAMHSA
is extremely interested in ensuring that its best practices efforts can
be sustained, your financial reports must explain plans to ensure the
sustainability of efforts initiated under this grant. Initial plans for
sustainability should be described in year 1 of the grant. In each
subsequent year, you should describe the status of the project,
successes achieved and obstacles encountered in that year.
[sbull] SAMHSA will provide guidelines and requirements for these
reports to grantees at the time of award and at the initial grantee
orientation meeting after award. SAMHSA staff will use the information
contained in the reports to determine the grantee's progress toward
meeting its goals.
2. Government Performance and Results Act
The Government Performance and Results Act (GPRA) mandates
accountability and performance-based management by Federal agencies.
The performance requirements for SAMHSA's BPPI Grants are described in
Section I-B under ``Performance Measurement'' and listed in Appendix A
of this document.
3. Publications
If you are funded under this grant program, you are required to
notify the Government Project Officer (GPO) and SAMHSA's Publications
Clearance Officer (301-443-8596) of any materials based on the SAMHSA-
funded project that are accepted for publication.
In addition, SAMHSA requests that grantees:
[sbull] Provide the GPO and SAMHSA Publications Clearance Officer
with advance copies of publications.
[sbull] Include acknowledgment of the SAMHSA grant program as the
source of funding for the project.
[sbull] Include a disclaimer stating that the views and opinions
contained in the publication do not necessarily reflect those of SAMHSA
or the U.S. Department of Health and Human Services, and should not be
construed as such.
SAMHSA reserves the right to issue a press release about any
publication deemed by SAMHSA to contain information of program or
policy significance to the substance abuse treatment/substance abuse
prevention/mental health services community.
VII. Agency Contacts
The NOFAs provide contact information for questions about program
issues.
For questions on grants management issues, contact: Stephen Hudak,
Office of Program Services, Division of Grants Management, Substance
Abuse and Mental Health Services Administration/OPS, 5600 Fishers Lane,
Rockwall II 6th Floor, Rockville, MD 20857, (301) 443-9666,
shudak@samhsa.gov.
VIII. Other Information
A. SAMHSA Confidentiality and Participant Protection Requirements and
Protection of Human Subjects Regulations
You must describe your procedures relating to Confidentiality,
Participant Protection and the Protection of Human Subjects Regulations
in Section G of your application, using the guidelines provided below.
Problems with confidentiality, participant protection, and protection
of human subjects identified during peer review of your application may
result in the delay of funding.
Confidentiality and Participant Protection: All applicants must
address each of the following elements relating to confidentiality and
participant protection. You must document how you will address these
requirements or why they do not apply.
1. Protect Clients and Staff From Potential Risks
[sbull] Identify and describe any foreseeable physical, medical,
psychological, social, legal, or other risks or adverse affects.
[sbull] Discuss risks that are due either to participation in the
project itself or to the evaluation activities.
[sbull] Describe the procedures you will follow to minimize or
protect participants against potential risks, including risks to
confidentiality.
[sbull] Identify plans to provide help if there are adverse effects
to participants.
[sbull] Where appropriate, describe alternative treatments and
procedures that may be beneficial to the participants. If you choose
not to use these other beneficial treatments, provide the reasons for
not using them.
2. Fair Selection of Participants
[sbull] Describe the target population(s) for the proposed project.
Include age, gender, and racial/ethnic background and note if the
population includes homeless youth, foster children, children of
substance abusers, pregnant women, or other groups.
[sbull] Explain the reasons for including groups of pregnant women,
children, people with mental disabilities, people in institutions,
prisoners, or others who are likely to be vulnerable to HIV/AIDS.
[sbull] Explain the reasons for including or excluding
participants.
[sbull] Explain how you will recruit and select participants.
Identify who will select participants.
3. Absence of Coercion
[sbull] Explain if participation in the project is voluntary or
required. Identify
[[Page 50626]]
possible reasons why it is required, for example, court orders
requiring people to participate in a program.
[sbull] If you plan to pay participants, state how participants
will be awarded money or gifts.
[sbull] State how volunteer participants will be told that they may
receive services even if they do not participate in the project.
4. Data Collection
[sbull] Identify from whom you will collect data (e.g., from
participants themselves, family members, teachers, others). Describe
the data collection procedures and specify the sources for obtaining
data (e.g., school records, interviews, psychological assessments,
questionnaires, observation, or other sources). Where data are to be
collected through observational techniques, questionnaires, interviews,
or other direct means, describe the data collection setting.
[sbull] Identify what type of specimens (e.g., urine, blood) will
be used, if any. State if the material will be used just for evaluation
or if other use(s) will be made. Also, if needed, describe how the
material will be monitored to ensure the safety of participants.
[sbull] Provide in Appendix 2, ``Data Collection Instruments/
Interview Protocols,'' copies of all available data collection
instruments and interview protocols that you plan to use.
5. Privacy and Confidentiality
[sbull] Explain how you will ensure privacy and confidentiality.
Include who will collect data and how it will be collected.
[sbull] Describe:
[sbull] How you will use data collection instruments.
[sbull] Where data will be stored.
[sbull] Who will or will not have access to information.
[sbull] How the identity of participants will be kept private, for
example, through the use of a coding system on data records, limiting
access to records, or storing identifiers separately from data.
Note: If applicable, grantees must agree to maintain the
confidentiality of alcohol and drug abuse client records according
to the provisions of Title 42 of the Code of Federal Regulations,
Part II.
6. Adequate Consent Procedures
[sbull] List what information will be given to people who
participate in the project. Include the type and purpose of their
participation. Identify the data that will be collected, how the data
will be used and how you will keep the data private.
[sbull] State:
[sbull] Whether or not their participation is voluntary.
[sbull] Their right to leave the project at any time without
problems.
[sbull] Possible risks from participation in the project.
[sbull] Plans to protect clients from these risks.
[sbull] Explain how you will get consent for youth, the elderly,
people with limited reading skills, and people who do not use English
as their first language.
Note: If the project poses potential physical, medical,
psychological, legal, social or other risks, you must get written
informed consent.
[sbull] Indicate if you will get informed consent from participants
or from their parents or legal guardians. Describe how the consent will
be documented. For example: Will you read the consent forms? Will you
ask prospective participants questions to be sure they understand the
forms? Will you give them copies of what they sign?
[sbull] Include sample consent forms in your Appendix 3, ``Sample
Consent Forms.'' If needed, give English translations.
Note: Never imply that the participant waives or appears to
waive any legal rights, may not end involvement with the project, or
releases your project or its agents from liability for negligence.
[sbull] Describe if separate consents will be obtained for
different stages or parts of the project. For example, will they be
needed for both participant protection in treatment intervention and
for the collection and use of data.
[sbull] Additionally, if other consents (e.g., consents to release
information to others or gather information from others) will be used
in your project, provide a description of the consents. Will
individuals who do not consent to having individually identifiable data
collected for evaluation purposes be allowed to participate in the
project?
7. Risk/Benefit Discussion
Discuss why the risks are reasonable compared to expected benefits
and importance of the knowledge from the project.
Protection of Human Subjects Regulations: All applicants proposing
a pilot test of the best practice as part of a Phase II project must
comply with the Protection of Human Subjects Regulations (45 CFR part
46).
Even if you are not proposing a Phase II pilot test of the best
practice, the Protection of Human Subjects Regulations could apply
depending on the evaluation you propose.
If you are a Phase II applicant proposing a pilot test or your
project otherwise falls under the Protection of Human Subjects
Regulations, you must describe the process for obtaining Institutional
Review Board (IRB) approval in your application. While IRB approval is
not required at the time of grant award, you will be required, as a
condition of award, to provide the documentation that an Assurance of
Compliance is on file with the Office for Human Research Protections
(OHRP) and the IRB approval has been received before enrolling clients
in the proposed project.
Additional information about Protection of Human Subjects
Regulations can be obtained on the web at http://ohrp.osophs.dhhs.gov.
You may also contact OHRP by e-mail (ohrp@osophs.dhhs.gov) or by phone
(301-496-7005).
B. Intergovernmental Review (E.O. 12372) Instructions
Executive Order 12372, as implemented through Department of Health
and Human Services (DHHS) regulation at 45 CFR part 100, sets up a
system for State and local review of applications for Federal financial
assistance. A current listing of State Single Points of Contact (SPOCs)
is included in the application kit and can be downloaded from the
Office of Management and Budget (OMB) Web site at http://www.whitehouse.gov/omb/grants/spoc.html
.
[sbull] Check the list to determine whether your State participates
in this program. You do not need to do this if you are a federally
recognized Indian tribal government.
[sbull] If your State participates, contact your SPOC as early as
possible to alert him/her to the prospective application(s) and to
receive any necessary instructions on the State's review process.
[sbull] For proposed projects serving more than one State, you are
advised to contact the SPOC of each affiliated State.
[sbull] The SPOC should send any State review process
recommendations to the following address within 60 days of the
application deadline: Substance Abuse and Mental Health Services
Administration Office of Program Services, Review Branch 5600 Fishers
Lane, Room 17-89, Rockville, Maryland, 20857, ATTN: SPOC--Funding
Announcement No. [fill in pertinent funding opportunity number from the
NOFA].
C. Public Health System Impact Statement (PHSIS)
The Public Health System Impact Statement or PHSIS (Approved by OMB
[[Page 50627]]
under control no. 0920-0428; see burden statement below) is intended to
keep State and local health officials informed of proposed health
services grant applications submitted by community-based, non-
governmental organizations within their jurisdictions. State and local
governments and Indian tribal government applicants are not subject to
the following Public Health System Reporting Requirements.
Community-based, non-governmental service providers 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 pertinent receipt date for
applications. This PHSIS consists of the following information:
[sbull] A copy of the face page of the application (SF 424); and
[sbull] A summary of the project, no longer than one page in
length, that provides: (1) A description of the population to be
served, (2) a summary of the services to be provided, and (3) a
description of the coordination planned with appropriate State or local
health agencies.
For SAMHSA grants, the appropriate State agencies are the Single
State Agencies (SSAs) for substance abuse and mental health. A listing
of the SSAs can be found on SAMHSA's Web site at http://www.samhsa.gov.
If the proposed project falls within the jurisdiction of more than one
State, you should notify all representative SSAs.
Applicants who are not the SSA must include a copy of a letter
transmitting the PHSIS to the SSA in Appendix 4, ``Letter to the SSA.''
The letter must notify the State that, if it wishes to comment on the
proposal, its comments should be sent not later than 60 days after the
application deadline to: Substance Abuse and Mental Health Services
Administration, Office of Program Services, Review Branch, 5600 Fishers
Lane, Room 17-89, Rockville, Maryland, 20857, ATTN: SSA--Funding
Announcement No. [fill in pertinent funding opportunity number from
NOFA].
In addition:
[sbull] Applicants may request that the SSA send them a copy of any
State comments.
[sbull] The applicant must notify the SSA within 30 days of receipt
of an award.
[Public reporting burden for the Public Health System Reporting
Requirement is estimated to average 10 minutes per response, including
the time for copying the face page of SF 424 and the abstract and
preparing the letter for mailing. 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 0920-0428. Send comments regarding
this burden to CDC Clearance Officer, 1600 Clifton Road, MS D-24,
Atlanta, GA 30333, ATTN: PRA (0920-0428).]
Appendix A--SAMHSA BPPI Indicators
The purpose of the Best Practices Planning and Implementation
grant program is to help communities plan for, adapt, pilot test,
and evaluate best practices. Domains to be measured are the quality
of the process and outcome evaluation, and individual/systems
outcomes pertinent to the service improvement. This list of
indicators and related measures will be updated periodically. The
Notice of Funding Availability (NOFA) will specify which indicators
are required for a particular funding opportunity. Applicants must
provide expected baseline data for *asterisked items in the grant
application. Grantees must collect and report data at the interval
(e.g., quarterly, annually) specified in the NOFA. Specific
instructions for data collection will be provided on SAMHSA's Web
site and in application kits. Some NOFAs may specify indicators and
measures not on this list or may request grantees to identify
measures appropriate to their specific project.
ACCOUNTABILITY
Percent of grantees reporting valid data. (Phase 1, 2)
CAPACITY
* Number of persons served (Includes screening and assessment)
(Phase 1, 2)
CMHS and CSAT grantees: Percent of providers providing services
within approved costs (Costs to be proposed in application; to be
approved by SAMHSA prior to award. A cost measure for substance
abuse prevention is under development.) (Phase 1, 2)
* Number, type, and capacity of services/product available
(Phase 1, 2)
* Percent of persons needing services/product who receive them
(Phase 1, 2)
EFFECTIVENESS
Participation of persons served and family members in planning,
policy, and service delivery (Phase 2)
Number of service/systems improvements implemented; maintained
post-funding (Phase 2)
* Percent of programs reporting positive individual and systems
outcomes (Phase 2)
CSAP grantees: Difference between 30 day substance use of
population served by program and comparable local and national
rates. CSAT grantees: Number of people who show no past month
substance use 6 months post treatment admission. (Phase 2)
Grantees also will be required to report on several outcomes
from the following list, as specified in the NOFA:
Individual outcomes: Participants (adults or children)
disapproving of substance use; perceiving personal health risks
associated with substance abuse; increasing age of first use;
reporting abstinence at discharge; decreasing substance abuse risk
factors related to spread of HIV/AIDS, including risky sexual
behavior and sharing needles; improving employment/school
attendance; having no criminal justice involvement; having stable
living situation; reporting (consumer/family) improvement in
behavioral/emotional symptoms. (Phase 2)
System outcomes: Percent of referrals from juvenile/adult
justice systems to systems of care; decreased days in inpatient/
residential facilities; readmission rates; past 30 day utilization
of inpatient, outpatient facilities; inpatient, outpatient, or
emergency room treatment for physical complaint, mental or emotional
difficulties, or alcohol or substance abuse; seclusion/restraint
deaths or injuries; number of communities with defined systems/
continuum of care; number of persons contacted through outreach who
enroll in services; percent of providers, administrators trained who
report adopting approved service methods; percent of participants in
sponsored events who have used information to change their
practices; number of science-based programs implemented. Completion
and documentation of one or more of the following, depending upon
the scope of the project: Needs assessment; revised financing plan
for coordinating funding streams; organizational/structural change
or quality improvements; coordination and network improvements;
workforce improvements; data infrastructure/performance measurement
improvements. (Phase 2)
Appendix B--Checklist for Application Formatting Requirements
Your application must adhere to these formatting requirements.
Failure to do so will result in your application being screened out
and returned to you without review. In addition to these formatting
requirements, there may be programmatic requirements specified in
the NOFA. Please check the NOFA before preparing your application.
[sbull] Use the PHS 5161-1 application.
[sbull] Include the 10 application components required for
SAMHSA applications (i.e., Face Page, Abstract, Table of Contents,
Budget Form, Project Narrative and Supporting Documentation,
Appendices, Assurances, Certifications, Disclosure of Lobbying
Activities, and Checklist.)
[sbull] Provide legible text.
[sbull] Use white paper, 8.5'' by 11.0'' in size.
[sbull] Type single-spaced text with one column per page.
[sbull] Use margins that are at least 1 inch.
[sbull] Use type size in the Project Narrative that does not
exceed an average of 15 characters per inch when measured with a
ruler. Type size in charts, tables, graphs, and footnotes will not
be considered in determining compliance.
[sbull] Do not use photo reduction or condensation of type
closer than 15 characters per inch or 6 lines per inch.
[sbull] Print only on one side of the paper only; do not print
on both sides.
[sbull] Do not exceed page limitations specified for the Project
Narrative (3 pages for Section
[[Page 50628]]
A and 25 pages total for Sections B-E) and Appendices (30 pages).
[sbull] Provide sufficient information for review.
[sbull] Applications must be received by the application
deadline. Applications received after this date must have a proof of
mailing date from the carrier dated at least 1 week prior to the due
date. Private metered postmarks are not acceptable as proof of
timely mailing. Applications not received by the application
deadline or not postmarked by a week prior to the application
deadline will not be reviewed.
[sbull] Applications that do not comply with the following
program requirements, any additional program requirements specified
in the NOFA, or are otherwise unresponsive to PA guidelines will be
screened out:
[sbull] Provisions relating to participant protection and the
protection of human subjects specified in Section VIII-A of this
document;
[sbull] Budgetary limitations as specified in Sections I, II and
IV-E of this document;
[sbull] Documentation of nonprofit status as required in the PHS
5161-1;
To facilitate review of your application, follow these
additional guidelines. Failure to follow these guidelines will not
result in your application being screened out. However, following
these guidelines will help reviewers to consider your application.
[sbull] Please use black ink and number pages consecutively from
beginning to end so that information can be located easily during
review of the application. The cover page should be page 1, the
abstract page should be page 2, and the table of contents page
should be page 3. Appendices should be labeled and separated from
the Project Narrative and budget section, and the pages should be
numbered to continue the sequence.
[sbull] Send the original application and two copies to the
mailing address in the PA. Please do not use staples, paper clips,
and fasteners. Nothing should be attached, stapled, folded, or
pasted. Do not use any material that cannot be copied using
automatic copying machines. Odd-sized and oversized attachments such
as posters will not be copied or sent to reviewers. Do not include
videotapes, audiotapes, or CD-ROM.
Appendix C: Glossary
Best Practice: Best practices are practices that incorporate the
best objective information currently available from recognized
experts regarding effectiveness and acceptability.
Cooperative Agreement: A cooperative agreement is a form of
Federal grant. Cooperative agreements are distinguished from other
grants in that, under a cooperative agreement, substantial
involvement is anticipated between the awarding office and the
recipient during performance of the funded activity. This
involvement may include collaboration, participation, or
intervention in the activity. HHS awarding offices use grants or
cooperative agreements (rather than contracts) when the principal
purpose of the transaction is the transfer of money, property,
services, or anything of value to accomplish a public purpose of
support or stimulation authorized by Federal statute. The primary
beneficiary under a grant or cooperative agreement is the public, as
opposed to the Federal Government.
Cost-Sharing or Matching: Cost-sharing refers to the value of
allowable non-Federal contributions toward the allowable costs of a
Federal grant project or program. Such contributions may be cash or
in-kind contributions. For SAMHSA grants, cost-sharing or matching
is not required, and applications will not be screened out on the
basis of cost-sharing. However, applicants often include cash or in-
kind contributions in their proposals as evidence of commitment to
the proposed project. This is allowed, and this information may be
considered by reviewers in evaluating the quality of the
application.
Grant: A grant is the funding mechanism used by the Federal
Government when the principal purpose of the transaction is the
transfer of money, property, services, or anything of value to
accomplish a public purpose of support or stimulation authorized by
Federal statute. The primary beneficiary under a grant or
cooperative agreement is the public, as opposed to the Federal
Government.
In-Kind Contribution: In-kind contributions toward a grant
project are non-cash contributions (e.g., facilities, space,
services) that are derived from non-Federal sources, such as State
or sub-State non-Federal revenues, foundation grants, or
contributions from other non-Federal public or private entities.
Practice: A practice is any activity, or collective set of
activities, intended to improve outcomes for people with or at risk
for substance abuse and/or mental illness. Such activities may
include direct service provision, or they may be supportive
activities, such as efforts to improve access to and retention in
services, organizational efficiency or effectiveness, community
readiness, collaboration among stakeholder groups, education,
awareness, training, or any other activity that is designed to
improve outcomes for people with or at risk for substance abuse or
mental illness.
Practice Support System: This term refers to contextual factors
that affect practice delivery and effectiveness in the pre-adoption
phase, delivery phase, and post-delivery phase, such as (a)
community collaboration and consensus building, (b) training and
overall readiness of those implementing the practice, and (c)
sufficient ongoing supervision for those implementing the practice.
Stakeholder: A stakeholder is an individual, organization,
constituent group, or other entity that has an interest in and will
be affected by a proposed grant project.
Target population catchment area: The target population
catchment area is the geographic area from which the target
population to be served by a program will be drawn.
Wraparound Service: Wraparound services are non-clinical
supportive services--such as child care, vocational, educational,
and transportation services--that are designed to improve the
individual's access to and retention in the proposed project.
Appendix D: National Registry of Effective Programs
To help SAMHSA's constituents learn more about science-based
programs, SAMHSA's Center for Substance Abuse Prevention (CSAP)
created a National Registry of Effective Programs (NREP) to review
and identify effective programs. NREP seeks candidates from the
practice community and the scientific literature. While the initial
focus of NREP was substance abuse prevention programming, NREP has
expanded its scope and now includes prevention and treatment of
substance abuse and of co-occurring substance abuse and mental
disorders, and psychopharmacological programs and workplace
programs.
NREP includes three categories of programs: Effective Programs,
Promising Programs, and Model Programs. Programs defined as
Effective have the option of becoming Model Programs if their
developers choose to take part in SAMHSA dissemination efforts. The
conditions for making that choice, together with definitions of the
three major criteria, are as follows.
Promising Programs have been implemented and evaluated
sufficiently and are scientifically defensible. They have positive
outcomes in preventing substance abuse and related behaviors.
However, they have not yet been shown to have sufficient rigor and/
or consistently positive outcomes required for Effective Program
status. Nonetheless, Promising Programs are eligible to be elevated
to Effective/Model status after review of additional documentation
regarding program effectiveness. Originated from a range of settings
and spanning target populations, Promising Programs can guide
prevention, treatment, and rehabilitation.
Effective Programs are well-implemented, well-evaluated programs
that produce consistently positive pattern of results (across
domains and/or replications). Developers of Effective Programs have
yet themselves.
Model Programs are also well-implemented, well-evaluated
programs, meaning they have been reviewed by NREP according to
rigorous standards of research. Their developers have agreed with
SAMHSA to provide materials, training, and technical assistance for
nationwide implementation. That helps ensure the program is
carefully implemented and likely to succeed.
Programs that have met the NREP standards for each category can
be identified by accessing the NREP Model Programs Web site at
http://www.modelprograms.samhsa.gov.
Appendix E: Center for Mental Health Services Evidence-Based Practice
Toolkits
SAMHSA's Center for Mental Health Services and the Robert Wood
Johnson Foundation initiated the Evidence-Based Practices Project
to: (1) Help more consumers and families find effective services,
(2) help providers of mental health services develop effective
services, and (3) help administrators support and maintain these
services. The project is now also funded and endorsed by numerous
national, State, local, private and
[[Page 50629]]
public organizations, including the Johnson & Johnson Charitable
Trust, MacArthur Foundation, and the West Family Foundation.
The project has been developed through the cooperation of many
Federal and State mental health organizations, advocacy groups,
mental health providers, researchers, consumers and family members.
A Web site (http://www.mentalhealthpractices.org) was created as
part of Phase I of the project, which included the identification of
the first cluster of evidence-based practices and the design of
implementation resource kits to help people understand and use these
practices successfully.
Basic information about the first six evidence-based practices
is available on the Web site. The six practices are:
1. Illness Management and Recovery
2. Family Psychoeducation
3. Medication Management Approaches in Psychiatry
4. Assertive Community Treatment
5. Supported Employment
6. Integrated Dual Disorders Treatment
Each of the resource kit contains information and materials
written by and for the following groups:
--Consumers
--Families and Other Supporters
--Practitioners and Clinical Supervisors
--Mental Health Program Leaders
--Public Mental Health Authorities
Material on the Web site can be printed or downloaded with
Acrobat Reader, and references are provided where additional
information can be obtained.
Once published, the full kits will be available from National
Mental Health Information Center at http://www.health.org or 1-800-
789-CMHS (2647).
Appendix F: Effective Substance Abuse Treatment Practices
To assist potential applicants, SAMHSA's Center for Substance
Abuse Treatment (CSAT) has identified the following listing of
current publications on effective treatment practices for use by
treatment professionals in treating individuals with substance abuse
disorders. These publications are available from the National
Clearinghouse for Alcohol and Drug Information (NCADI); Tele: 1-800-
729-6686 or http://www.health.org and http://www.samhsa.gov/centers/csat2002/publications.html
CSAT Treatment Improvement Protocols (TIPs) are consensus-based
guidelines developed by clinical, research, and administrative
experts in the field.
[sbull] Integrating Substance Abuse Treatment and Vocational
Services. TIP 38 (2000) NCADI BKD381
[sbull] Substance Abuse Treatment for Persons with Child Abuse
and Neglect Issues. TIP 36 (2000) NCADI BKD343
[sbull] Substance Abuse Treatment for Persons with HIV/AIDS. TIP
37 (2000) NCADI BKD359
[sbull] Brief Interventions and Brief Therapies for Substance
Abuse. TIP 34 (1999) NCADI BKD341
[sbull] Enhancing Motivation for Change in Substance Abuse
Treatment. TIP 35 (1999) NCADI BKD342
[sbull] Screening and Assessing Adolescents for Substance Use
Disorders. TIP 31 (1999) NCADI BKD306
[sbull] Treatment for Stimulant Use Disorders. TIP 33 (1999)
NCADI BKD289
[sbull] Treatment of Adolescents with Substance Use Disorders.
TIP 32 (1999) NCADI BKD307
[sbull] Comprehensive Case Management for Substance Abuse
Treatment. TIP 27 (1998) NCADI BKD251
[sbull] Continuity of Offender Treatment for Substance Use
Disorders From Institution to Community. TIP 30 (1998) NCADI
BKD304
[sbull] Naltrexone and Alcoholism Treatment. TIP 28 (1998) NCADI
BKD268
[sbull] Substance Abuse Among Older Adults. TIP 26 (1998) NCADI
BKD250
[sbull] Substance Use Disorder Treatment for People With
Physical and Cognitive Disabilities. TIP 29 (1998) NCADI
BKD288
[sbull] A Guide to Substance Abuse Services for Primary Care
Clinicians. TIP 24 (1997) NCADI BKD234
[sbull] Substance Abuse Treatment and Domestic Violence. TIP 25
(1997) NCADI BKD239
[sbull] Treatment Drug Courts: Integrating Substance Abuse
Treatment With Legal Case Processing. TIP 23 (1996) NCADI
BKD205
[sbull] Alcohol and Other Drug Screening of Hospitalized Trauma
Patients. TIP 16 (1995) NCADI BKD164
[sbull] Combining Alcohol and Other Drug Abuse Treatment With
Diversion for Juveniles in the Justice System. TIP 21 (1995) NCADI
BKD169
[sbull] Detoxification From Alcohol and Other Drugs. TIP 19
(1995) NCADI BKD172
[sbull] LAAM in the Treatment of Opiate Addiction. TIP 22 (1995)
NCADI BKD170
[sbull] Matching Treatment to Patient Needs in Opioid
Substitution Therapy. TIP 20 (1995) NCADI BKD168
[sbull] Planning for Alcohol and Other Drug Abuse Treatment for
Adults in the Criminal Justice System. TIP 17 (1995) NCADI
BKD165
[sbull] Assessment and Treatment of Cocaine-Abusing Methadone-
Maintained Patients. TIP 10 (1994) NCADI BKD157
[sbull] Assessment and Treatment of Patients With Coexisting
Mental Illness and Alcohol and Other Drug Abuse. TIP 9 (1994) NCADI
BKD134
[sbull] Intensive Outpatient Treatment for Alcohol and Other
Drug Abuse. TIP 8 (1994) NCADI BKD139
Other Effective Practice Publications
CSAT Publications--
[sbull] Anger Management for Substance Abuse and Mental Health
Clients: A Cognitive Behavioral Therapy Manual (2002) NCADI
BKD444
[sbull] Anger Management for Substance Abuse and Mental Health
Clients: Participant Workbook (2002) NCADI BKD445
[sbull] Multidimensional Family Therapy for Adolescent Cannabis
Users. CYT Cannabis Youth Treatment Series Vol. 5 (2002) NCADI
BKD388
[sbull] Navigating the Pathways: Lessons and Promising Practices
in Linking Alcohol and Drug Services with Child Welfare. TAP 27
(2002) NCADI BKD436
[sbull] The Motivational Enhancement Therapy and Cognitive
Behavioral Therapy Supplement: 7 Sessions of Cognitive Behavioral
Therapy for Adolescent Cannabis Users. CYT Cannabis Youth Treatment
Series Vol. 2 (2002) NCADI BKD385
[sbull] Family Support Network for Adolescent Cannabis Users.
CYT Cannabis Youth Treatment Series Vol. 3 (2001) NCADI
BKD386
[sbull] Identifying Substance Abuse Among TANF-Eligible
Families. TAP 26 (2001) NCADI BKD410
[sbull] Motivational Enhancement Therapy and Cognitive
Behavioral Therapy for Adolescent Cannabis Users: 5 Sessions. CYT
Cannabis Youth Treatment Series Vol. 1 (2001) NCADI BKD384
[sbull] The Adolescent Community Reinforcement Approach for
Adolescent Cannabis Users. CYT Cannabis Youth Treatment Series Vol.
4 (2001) NCADI BKD387
[sbull] Substance Abuse Treatment for Women Offenders: Guide to
Promising Practices. TAP 23 (1999) NCADI BKD310
[sbull] Addiction Counseling Competencies: The Knowledge,
Skills, and Attitudes of Professional Practice. TAP 21 (1998) NCADI
BKD246
[sbull] Bringing Excellence to Substance Abuse Services in Rural
and Frontier America. TAP 20 (1997) NCADI BKD220
[sbull] Counselor's Manual for Relapse Prevention with
Chemically Dependent Criminal Offenders. TAP 19 (1996) NCADI
BKD723
[sbull] Draft Buprenorphine Curriculum for Physicians (Note: the
Curriculum is in DRAFT form and is currently being updated) http://www.buprenorphine.samhsa.gov
[sbull] CSAT Guidelines for the Accreditation of Opioid
Treatment Programs http://www.samhsa.gov/centers/csat/content/dpt/accreditation.htm
[sbull] Model Policy Guidelines for Opioid Addiction Treatment
in the Medical Office http://www.samhsa.gov/centers/csat/content/dpt/model_policy.htm
NIDA Manuals--Available through NCADI
[sbull] Brief Strategic Family Therapy. Manual 5 (2003) NCADI
BKD481
[sbull] Drug Counseling for Cocaine Addiction: The Collaborative
Cocaine Treatment Study Model. Manual 4 (2002) NCADI
BKD465
[sbull] The NIDA Community-Based Outreach Model: A Manual to
Reduce Risk HIV and Other Blood-Borne Infections in Drug Users.
(2000) NCADI BKD366
[sbull] An Individual Counseling Approach to Treat Cocaine
Addiction: The Collaborative Cocaine Treatment Study Model. Manual 3
(1999) NCADI BKD337
[sbull] Cognitive-Behavioral Approach: Treating Cocaine
Addiction. Manual 1 (1998) NCADI BKD254
[sbull] Community Reinforcement Plus Vouchers Approach: Treating
Cocaine Addiction. Manual 2 (1998) NCADI BKD255
NIAAA Publications--* These publications are available in PDF
format or can be ordered on-line at http://www.niaaa.nih.gov/publications/guides.htm.
An order form for the Project MATCH series
is available on-line at http://www.niaaa.nih.gov/publications/
[[Page 50630]]
match.htm. All publications listed can be ordered through the NIAAA
Publications Distribution Center, P.O. Box 10686, Rockville, MD
20849-0686.
[sbull] * Alcohol Problems in Intimate Relationships:
Identification and Intervention. A Guide for Marriage and Family
Therapists (2003) NIH Pub. No. 03-5284
[sbull] * Helping Patients with Alcohol Problems: A Health
Practitioner's Guide. (2003) NIH Pub. No. 03-3769
[sbull] Cognitive-Behavioral Coping Skills Therapy Manual.
Project MATCH Series, Vol. 3 (1995) NIH Pub. No. 94-3724
[sbull] Twelve Step Facilitation Therapy Manual. Project MATCH
Series, Vol. 1 (1995) NIH Pub. No. 94-3722
[sbull] Motivational Enhancement Therapy Manual. Project MATCH
Series, Vol. 2 (1994) NIH Pub. No. 94-3723
Dated: August 13, 2003.
Anna Marsh,
Acting Executive Officer.
[FR Doc. 03-21118 Filed 8-20-03; 8:45 am]
BILLING CODE 4162-20-P