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Downloadable files
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Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
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Notice of Funding Availability (NOFA)
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Download NOFA
TI 04-004:
Word
Document
Acrobat
Document
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Funding Opportunity Title:
Residential Treatment for Pregnant and Postpartum Women
and Residential Treatment for Women and their Children
(Short Title: PPW/RWC)
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Announcement Type: Initial
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Funding Opportunity Number: TI 04-004
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Catalog of Federal Domestic Assistance (CFDA) Number: 93.243
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Scroll
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Due Date for Applications: June 2, 2004
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[Note: Letters from State Single Point of Contact (SPOC)
in response to E.O. 12372 are due August
2, 2004.]
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SUMMARY:
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Download
Standard Announcement
SVC-04
PA (MOD)
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The Substance Abuse and Mental Health Services Administration
(SAMHSA), Center for Substance Abuse Treatment (CSAT), announces the availability
of FY 2004 funds for Residential Treatment for Pregnant and Postpartum
Women and Residential Treatment for Women and their Children
(Short Title: PPW/RWC). A synopsis of this funding
opportunity, as well as many other Federal Government funding opportunities,
are also available at the Internet site: www.grants.gov.
For complete instructions, potential applicants must
obtain a copy of SAMHSA’s
standard Services Grants Program Announcement [SVC-04 PA (MOD)],
and the PHS 5161-1 (Rev. 7/00) application form before preparing and submitting
an application. The SVC-04 PA (MOD) describes
the general program design and provides instructions for applying for
all SAMHSA Services Grants, including the PPW/RWC program.
SAMHSA’s Services Grants provide funds to expand and strengthen
effective, culturally appropriate substance abuse and mental health services
at the State and local levels. The services
implemented through SAMHSA’s Services Grants must incorporate the best
objective information available regarding effectiveness and acceptability.
In general, these grants are appropriate for applicants seeking
Federal support to implement substance abuse and mental health services
that have a strong evidence-base for effectiveness.
SAMHSA’s Services Grants must be used primarily to support direct
service delivery. SAMHSA expects that
the services will be sustained beyond the term of the grant.
Additional instructions and specific requirements for this funding
opportunity are described below.
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I. Funding Opportunity Description
AUTHORITY: : Section 509 of the
Public Health Service Act, as amended, and subject to the availability
of funds
The purpose of PPW/RWC grants is to expand the availability of comprehensive,
high quality residential substance abuse treatment services for
low-income (as defined by Federal poverty definitions) women, age
18 and over, who are pregnant, postpartum (the period after childbirth
up to12 months), or other parenting women, and their minor
children, age 17 and under, who have limited access to quality health
services. SAMHSA/CSAT has identified traditionally underserved
populations, especially racial and ethnic minority women, as important
subpopulations.
For purposes of this grant announcement, residential treatment programs
are programs that offer organized substance abuse treatment services
that feature a planned regimen of care in a safe 24-hour residential
setting with staff supervision. If treatment services are provided
off-site, they must be well coordinated and integrated to ensure that
specific aspects of the individual treatment plan and services for the
children can be addressed in both facilities. Such services must
be coupled with access to primary health, mental health and social services
for pregnant, postpartum, and other parenting women who suffer from
alcohol and drug use problems, and for their minor children impacted
by the perinatal and environmental effects of maternal substance use
and abuse. These systems of care must be designed to improve the
overall treatment outcomes for the woman, her children, and the family
unit as a whole. For those minor children who do not reside in
the treatment facility, it is important that they are actively engaged
in the treatment process with their mothers. Applicants are required
to: 1) identify state-of-the art clinical and service delivery approaches
that are gender-specific and culturally appropriate for women and their
minor children; and 2) utilize effective strategies for outreach, engagement,
and retention of women in treatment.
Projects must expand or create additional treatment
services that contribute to a comprehensive continuum of care.
To accomplish a comprehensive service system, SAMHSA/CSAT expects
that applicant organizations will need to partner with other organizations.
As evidence of these partnerships, SAMHSA/CSAT requires applicants
to have written memoranda of understanding/agreement (MOU/MOA) signed
by the authorizing official in all partnership agencies and organizations
that are critical to the success of the project.
These partnership agencies and organizations may include local
public housing authorities (for permanent housing for families), child
welfare, health, mental health, and child serving agencies, family court,
criminal justice, employment and education programs, and other public
and private partners.
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Background:
According to
the 1999 National Household Survey on Drug Abuse (NHSDA), almost
4 percent of pregnant females aged 15 to 44 used illicit drugs (i.e.,
marijuana, including hashish; cocaine, including crack; heroin; hallucinogens,
including PCP and LSD; inhalants; or any prescription-type psychotherapeutic
used non-medically) during the month before the survey. Of these,
3.4 percent of pregnant females aged 15 to 44 had used a single illicit
drug in the past month, and 0.3 percent had used two or more drugs.
A recent NIDA study shows that children
exposed to alcohol and illicit drugs are at-risk for birth defects,
mental retardation, and later behavioral and learning difficulties.
Other studies reveal that children who are raised by drug abusing adults
tend to exhibit a wide range of developmental, mental health and behavioral
problems, and are themselves at higher risk for using alcohol and other
drugs.
SAMHSA/CSAT is especially concerned about
the high morbidity and mortality rates of African American pregnant
women and their infants. African American pregnant women tend
to use illicit drugs at a higher rate than any other population of pregnant
women. Data from the 2002 National Survey on Drug Use and Health
found that among pregnant women 15 to 44 years of age, 6.2 percent of
African American women reported illicit drug use in the month prior
to survey compared to 3.6 percent of white women. The effects
of illicit drug use by women during the prenatal period are well documented
in the literature to include inadequate prenatal care, premature labor,
low birth weight infants, and other adverse outcomes. The National
Center for Health Statistics reports persistent racial/ethnic disparities
in infant mortality. From 1997-2001, the infant mortality rate
for babies born to African American mothers was 14.0 per 1000 births
while the rate for babies born to Caucasian mothers was 5.7 per 1000.
A CSAT cross-site evaluation study of
PPW/RWC projects found strikingly positive treatment outcomes on low
birth weight (LBW) deliveries, premature deliveries, and infant deaths.
These outcomes were compared to outcomes for women in the general population
and to the best available estimates of
the rates of adverse outcomes that would have been likely had women
continued abusing drugs throughout their pregnancies. The rate
of LBW delivery among women in treatment was 5.8 percent compared to
7.5 percent for a national sample,
and 34 percent for a comparison
of women testing positive for cocaine at delivery. The rate of
premature delivery among women in treatment was 7.3 percent compared
to the national sample of 11.4 percent and a cocaine-using sample
of 27 percent. The rate of infant death for women in treatment
was 0.4 percent compared to the national sample of 0.7 percent and the
cocaine-using sample of 1.2 percent.
The effects of alcohol and drug use have
negative consequences for women, their children, and the entire family.
Providing comprehensive treatment services significantly improves
the quality of life for women and their children.
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II. Award Information
1. Estimated Funding Available/Number of Awards:
It is expected that up to $7 million will be available to fund up to
14 awards in FY 2004. The maximum allowable award is $500,000
in total costs (direct and indirect) per year for up to 3 years.
Proposed budgets cannot exceed the allowable amount in any year of the
proposed project. The actual amount available for the awards may
vary, depending on unanticipated program requirements and the number
and quality of the applications received. Annual continuations
will depend on the availability of funds, grantee progress in meeting
program goals and objectives, and timely submission of required data
and reports.
2. Funding Instrument: Grant
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III. Eligibility Information
1. 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 prohibits grants to for-profit organizations.
Applications for SAMHSA Services Grants must include evidence of
experience and credentials as described in Section III-3 of the SVC-04
PA (MOD). Applications that do not include the required evidence
will be screened out and will not be reviewed.
2. Cost Sharing or Matching
is not required.
3. Other: Applicants must also meet certain application
formatting and submission requirements or the application will be screened
out and will not be reviewed. These requirements are described
in Section IV-2 below as well as in the SVC-04
PA (MOD).
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Go to Application forms:
PHS 5161-1
and
SF
424
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IV. Application and Submission Information:
1. Address to Request Application Package:
Complete application kits may be obtained from: the National Clearinghouse
for Alcohol and Drug Information (NCADI) at 1-800-729-6686. When
requesting an application kit for this program, the applicant must specify
the funding opportunity title (PPW/RWC) and the funding opportunity
number (TI 04-004). All information necessary to apply,
including where to submit applications and application deadline instructions,
is included in the application kit. The PHS 5161-1 application
form is also available electronically via SAMHSA’s World Wide Web Home
Page: http://www.samhsa.gov.
(see left column) and the SVC-04 PA (MOD) is available electronically
at /grants/2004/standard/Services/index.asp.
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When submitting an application, be sure to type “TI 04-004, PPW/RWC”
in Item Number 10 on the face page of the application form. Also,
SAMHSA applicants are required to provide a DUNS Number on the face
page of the application. To obtain a DUNS Number, access the Dun
and Bradstreet web site at www.dunandbradstreet.com
or call 1-866-705-5711.
Because grantees in the PPW/RWC program may use grant funds to provide
direct substance abuse services, applicants are required to complete
the Assurance of Compliance with SAMHSA Charitable Choice Statutes and
Regulations, form SMA 170. This form will be posted on SAMHSA’s
web site with the NOFA and provided in the Application kits available
at NCADI.
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2. Content and Form of Application Submission:
Information including required documents, required application components,
and application formatting requirements is available in the SVC-04
PA (MOD) in Section IV-2.
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Checklist for Formatting Requirements and Screenout Criteria for SAMHSA
Grant Applications
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SAMHSA’s goal is to review all applications submitted for grant funding.
However, this goal must be balanced against SAMHSA’s obligation to ensure
equitable treatment of applications. For this reason, SAMHSA has
established certain formatting requirements for its applications.
If you do not adhere to these requirements, your application will be
screened out and returned to you without review.
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Use the PHS 5161-1 application.
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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 at least 1 week prior to the application deadline will
not be reviewed. |
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Information provided must be sufficient
for review. |
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Text must be legible.
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Type size in the Project Narrative cannot
exceed an average of 15 characters per inch, as measured on the physical
page. (Type size in charts, tables, graphs, and footnotes will
not be considered in determining compliance.)
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Text in the Project Narrative cannot exceed
6 lines per vertical inch.
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Paper must be
white paper and 8.5 inches by 11.0 inches in size. |
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To ensure equity among applications, the
amount of space allowed for the Project Narrative cannot be exceeded.
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Applications would meet this requirement by using all
margins (left, right, top, bottom) of at least one inch each, and
adhering to the page limit for the Project Narrative stated in the
SVC-04
PA (MOD).
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Should an application not conform to these margin or
page limits, SAMHSA will use the following method to determine compliance:
The total area of the Project Narrative (excluding margins, but including
charts, tables, graphs and footnotes) cannot exceed 58.5 square inches
multiplied by the page limit. This number represents the full
page less margins, multiplied by the total number of allowed pages.
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Space will be measured on the physical page. Space
left blank within the Project Narrative (excluding margins) is considered
part of the Project Narrative, in determining compliance.
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The
page limit for Appendices stated in the SVC-04
PA (MOD) cannot
be exceeded.
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To
facilitate review of your application, follow these additional guidelines.
Failure to adhere to the following guidelines will not, in itself,
result in your application being screened out and returned without review.
However, the information provided in your application must be sufficient
for review. Following
these guidelines will help ensure your application is complete, and will
help reviewers to consider your application.
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The 10 application components required for SAMHSA applications must be
included:
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Face Page (Standard Form 424, which
is in PHS 5161-1)
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Abstract
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Table of Contents
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Budget Form (Standard Form 424A, which
is in PHS 5161-1)
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Project Narrative and Supporting Documentation
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Appendices
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Assurances (Standard Form 424B, which
is in PHS 5161-1)
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Certifications (a form in PHS 5161-1)
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Disclosure of Lobbying Activities (Standard
Form LLL, which is in PHS 5161-1)
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Checklist (a form in PHS 5161-1)
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Applications should comply with
the following requirements:
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Provisions relating to confidentiality,
participant protection and the protection of human subjects, as indicated
in the specific funding announcement.
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Budgetary limitations as indicated
in Sections I, II, and IV-5 of the specific funding announcement.
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Documentation of nonprofit status as
required in the PHS 5161-1.
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Pages should be typed single-spaced
with one column per page. |
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Pages should not have printing
on both sides. |
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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. |
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Send the original application and
two copies to the mailing address in the funding announcement. Please
do not use staples, paper clips, and fasteners. Nothing should be
attached, stapled, folded, or pasted. Do not use heavy or lightweight
paper, or 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-ROMs.
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3. Submission Dates and Times:
Applications must be received by June 2, 2004. You
will be notified by postal mail that your application has been received.
Additional submission information is available in the
SVC-04 PA (MOD) in Section IV-3.
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4. Intergovernmental Review:
Applicants for this funding opportunity must comply with Executive
Order 12372 (E.O.12372). E.O.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 complying with E.O. 12372 are provided
in the
SVC-04 PA (MOD) in Section IV-4. A current listing of State
Single Points of Contact (SPOCs) is included in the application kit
and is available at www.whitehouse.gov/omb/grants/spoc.html.
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5. Funding Restrictions:
Information concerning funding restrictions is available in the SVC-04
PA (MOD) in Section IV-5.
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V. Application Review Information
1. Evaluation Criteria: Applications will be reviewed
against the Evaluation Criteria and requirements for the Project Narrative
specified in the SVC-04
PA (MOD). The following information describes exceptions or
limitations to the SVC-04 PA (MOD) and provides special requirements
that pertain only to PPW/RWC grants. Applicants must discuss the
following requirements in their applications, in addition to the requirements
specified in the SVC-04 PA (MOD):
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1.1 In “Section B: Proposed
Evidence-Based Service/Practice”:
a.
Applicants must demonstrate that residential treatment services
will be provided to pregnant, postpartum, or other parenting women
and their minor children.
b. Applicants must identify state-of-the
art clinical and service delivery approaches that are gender-specific
and culturally appropriate for women and also age appropriate for their
minor children. Applicants must also discuss effective strategies
for outreach, engagement, and retention of women in treatment.
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1.2 In “Section C: Proposed Implementation
Approach”:
a. Applicants are not required to respond to
the 4th bullet related to how project components will be
embedded within the existing service delivery system.
b. Applicants must describe
a comprehensive service system of care that includes the required
services described below. These services must be provided either
by the applicant organization or through a network of provider organizations
in partnership with the applicant. In Appendix 6 of the application,
applicants must show evidence of all network partners by including memoranda
of understanding/memoranda of agreement (MOU/MOA) signed by the authorizing
official in all partnership agencies and organizations critical to the
success of the proposed project. If an organization is a comprehensive
service provider, does not require any partnering with other service
providers, and has clearly justified this in the description of how
the required services are provided, a statement to this effect
must be provided in Appendix 6. [Note: For purposes of rating
the evidence of a comprehensive system of care, including who performs
the required services, and the signed MOU/MOAs with network partners
(if applicable), reviewers will be instructed to use 12 of the total
25 points allowed for the entire “Proposed Implementation Approach”
criterion for this single critical requirement. You may include
letters of commitment/support from community organizations supporting
the project in Appendix 1 of the application; however these letters
are not a substitute for the MOU/MOA requirement.]
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Required
Services for Women
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Outreach, screening, and assessment;
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Detoxification;
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Substance abuse education and treatment;
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Medical, dental, other physical health care services,
including diabetes, hypertension, prenatal and postpartum health
care; and referrals for necessary hospital services;
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Training in parenting;
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Education, screening, counseling, and treatment
of Hepatitis, HIV/AIDS, other STDs, and related issues;
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Mental health assessment and treatment;
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Trauma-informed services, including assessment and
interventions for emotional, sexual, and physical abuse;
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Employment readiness, training, and placement;
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Education and tutoring assistance for obtaining
a GED and higher education;
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Childcare during periods in which the woman is engaged
in therapy or in other necessary health or rehabilitative activities;
and
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Transportation and other wraparound services.
Required Services for
Children
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Screenings and developmental diagnostic assessments
regarding the social, emotional, cognitive, and physical status
of the infants and children;
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Therapeutic interventions, including counseling,
occupational, and physical therapies;
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Pediatric health care, including immunizations,
and treatment for asthma, diabetes, hypertension, and any perinatal
effects of maternal substance abuse, e.g., HIV;
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Social services and financial supports; and
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Education and recreational services.
Required
Services for the Family
Individual and family counseling/therapy;
Alcohol and drug education;
Parenting training; and
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Referral services for substance abuse, social, psychological,
and medical services.
Required Case Management Services
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Coordinate services;
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Assess and monitor the extent to which required services
are appropriate for women and children;
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Assist with community reintegration, before and after
discharge, including referrals to appropriate resources; and
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Assist in accessing resources from Federal, State,
and local programs that provide a range of treatment services, including
substance abuse, health, mental health, housing, employment, education,
and training.
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1.3
In “Section E: Evaluation and Data” the following requirements
are added to the end of the 6th bullet: Applicants
must state whether or not the per person costs are within the following
reasonable ranges by treatment modality. Applicants must also
discuss the reasonableness of the per person costs. If proposed
costs exceed reasonable ranges, a detailed justification must be provided.
Program costs. The following
are considered reasonable ranges by treatment modality:
Residential: $3,000 to $10,000
Outpatient (Non-Methadone): $1,000 to $5,000
Outpatient (Methadone): $1,500 to $8,000
Intensive Outpatient: $1,500 to $7,500
Screen/Brief Intervention/Brief Treatment/ Outreach/
Pretreatment Services: $200 to $1,200
SAMHSA/CSAT computes per person costs as follows. The
total support requested for the life of the project is multiplied by
.8 (.2 will be the allowance for GPRA reporting requirements).
The resulting amount is then be divided by the number of persons the
applicant proposes to serve over the life of the project.
The outreach and pretreatment services cost band only applies
to outreach and pretreatment programs that do not also offer treatment
services but operate within a network of substance abuse treatment facilities.
Treatment programs that add outreach and pretreatment services to a
treatment modality or modalities are expected to fall within the cost
band for that treatment modality.
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1.4 Appendix 6: Memoranda of Understanding/Agreement:
[Note: Appendix 6 is in addition to the 5 required
appendices listed in SVC-04
PA (MOD).]
To achieve a comprehensive service system, SAMHSA/CSAT expects
that applicant organizations will need to partner with other organizations,
including those providing primary health, mental health, and social
services. Memoranda of understanding/agreement (MOU/MOA) signed
by the authorizing official in all partnership agencies and organizations
that are critical to the success of the project must be included in
Appendix 6, “Memoranda of Understanding/Agreement” of the application.
If the applicant organization is a comprehensive service provider and
does not require any partnering with other service organizations, a
statement to that effect must be included in Appendix 6 of the
application. Letters of commitment/support are not a substitute
for the MOU/MOA requirement.
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SAMHSA/CSAT
Government
Performance and Results Act (GPRA) |
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1.5 Performance Measurement:
All SAMHSA grantees are required to collect and report certain
data, so that SAMHSA can meet its obligations under the Government Performance
and Results Act (GPRA). Grantees of the PPW/RWC program will be
required to report performance in several areas. Applicants must
document their ability to collect and report the required data in “Section
E: Evaluation and Data” of their applications. All PPW/RWC grant
applicants must document their ability to collect and report data using
the Targeted Capacity Expansion Client Level GPRA tool, which can be
found at
www.samhsa-gpra.samhsa.gov (click on ‘Data Collection Tools/Instructions’),
along with instructions for completing it. Hard copies are available
in the application kits distributed by SAMHSA’s National Clearinghouse
for Alcohol and Drug Information.
GPRA data must be collected at baseline (i.e., the client’s
entry into the project), 6 months after the baseline, and 12 months
after the baseline. Projects serving adolescents also must
collect 3-month post-baseline data to capture the nuances of change
particular to this population. GPRA data must be entered into the GPRA
web system within 7 business days of the forms being completed.
In addition, 80 percent of the participants must be followed up.
GPRA data are to be collected and then entered into CSAT’s GPRA Data
Entry and Reporting System (www.samhsa-gpra.samhsa.gov). Training
and technical assistance on data collecting, tracking, and follow-up,
as well as data entry, will be provided by CSAT. Applicants may
also be required to collect additional data to determine the degree
of SAMHSA/CSAT effectiveness in meeting its objectives for this program.
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2. Review and Selection
Process:
Information about the review and selection process is available in the
SVC-04
PA (MOD) in Section V-2.
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VI.
Award Administration Information:
Award administration information, including award notices,
administrative and national policy requirements, and reporting requirements
are available in the SVC-04
PA (MOD) in Section VI. SAMHSA’s standard terms and
conditions are available at /grants/2004/useful_info.asp
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VII.
Agency Contact for Additional Information:
For questions concerning program issues,
contact Linda White Young, SAMHSA/CSAT, 5600 Fishers Lane, Rockwall
II, Suite 740, Rockville, MD 20857; 301-443-8392; E-mail: Lwhite1@samhsa.hhs.gov.
For questions on grants management issues,
contact Kathleen Sample, SAMHSA/Division of Grants Management, 5600
Fishers Lane, Rockwall II, Suite 630, Rockville, MD 20857; 301-443-9667;
E-mail: ksample@samhsa.hhs.gov.
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Dated:
March 17, 2004
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Signed:
Margaret M. Gilliam
Acting Director, Office of Policy Planning and Budget
Substance Abuse and Mental Health Services Administration
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