**TABLE OF CONTENTS**

**OFFICE OF THE DIRECTOR 2**

**OFFICE OF PROGRAM ANAYLSIS AND COORDINATION 4**

**DIVISON OF STATE AND COMMUNITY ASSISTANCE 8**

**DIVISION OF KNOWLEDGE APPLICATION AND SYSTEMS IMPROVEMENT 14**

**DIVISION OF PREVENTION EDUCATION 24**

**DIVISION OF WORKPLACE PROGRAMS 30**

**NATIONAL ADVISORY COUNCIL ROSTER 35**

**[Organizational Changes]{.underline}**

Dennis O. Romero is currently detailed to the position of Acting
Director, Center for Substance Abuse Prevention (CSAP), Substance Abuse
and Mental Health Services Administration (SAMHSA), U.S. Department of
Health and Human Service (DHHS). He has overall responsibility for
managing CSAP's programs, staff, and operations. The Center maintains an
annual State and community prevention grant and contract portfolio of
approximately \$650 million, including a portion of the Substance Abuse
Prevention and Treatment Block Grant program, and a portion of funs
appropriated to other agencies and offices. The Center has a staff
complement of 105 FTEs. Mr. Romero brings a wealth of knowledge in
creating and re-structuring agency practices to better mesh with
government requirements (including HIPAA and EEO laws). Mr. Romero has
extensive experience in the fields of mental health, chemical addiction,
prevention, and program development, among others. Prior to his current
position, he served as Deputy Director of the Alcoholism Council of New
York (ACNY), in New York City. In that capacity he assisted the
Executive Director in the overall management of the organization,
implementing the strategic plan and translating organizational goals
into work plans. Mr. Romero created and established monthly reporting
mechanisms; assisted program managers in developing evaluation tools and
designed expansion strategies for applicable programs. He was also
responsible for: assuring compliance with contracted agencies;
conducting internal reviews of applicable programs; and preparing for
applicable program audits. He was the community liaison responsible for
developing collaborative partnerships with external organizations to
increase capacity, with a focus on revenue enhancement for ACNY.

Prior to this position, Mr. Romero served as the Assistant Director of
Mental Health at the William F. Ryan Community Health Center in New York
City, one of the nation's largest and most comprehensive community-based
health organizations. As the Inpatient Programs Manager at the Ellis
Hospital Department of Psychiatry, in Schenectady, NY, he was directly
involved with health care delivery systems, especially as they relate to
managed care and quality assurance, Medicaid, and other issues of health
care reform.

Mr. Romero has served on the board of many professional committees,
advisory boards, and commissions (at the state and local levels) that
address both local and regional issues related to the field of alcohol
and substance abuse and prevention, as well as allied social and
educational issues. He has been invited to offer reports and testimony
before various committees both in his capacity as Deputy Director of the
Alcoholism Council of New York, and as a member of the substance abuse
prevention / treatment community.

Mr. Romero received his Bachelor of Arts degree in Philosophy and
Psychology from Cathedral College and a Masters Degree in Counseling
Psychology from Manhattan College. He received post-graduate training at
the State University of New York (SUNY), Albany Campus.

Ms. Rose Kittrell is currently the Acting Deputy Director, Center for
Substance Abuse Prevention,Substance Abuse Mental Health Services
Administration. In this capacity she provides national leadership in the
development of policies, programs and services to prevent the onset of
illegal drug use, underage alcohol and tobacco use, and to reduce the
negative consequences of using substances.

Previously, Ms. Kittrell served as the Acting Director, Division of
State and Community Assistance (DSCA). DSCA is responsible for carrying
out the Center's responsibilities related to the development of States
and communities capacity to provide and implement effective substance
abuse prevention. The Division administers the prevention portion of the
Substance Abuse Prevention and Treatment block grant, the Strategic
Prevention Framework/State Incentive Grants, and the Office of National
Drug

Control Policy's (ONDCP) Drug Free Communities Support Program, as well
as other initiatives. Her position of record is Director of CSAP's
Division of Knowledge Application and Systems Improvement (DKASI), which
provides leadership in the identification of effective substance abuse
prevention programs, practices and strategies and their dissemination,
as well as provides administrative oversight for HIV/AIDS, Meth/Ecstasy
grant programs and emergent substance abuse issues.

She has a distinguished career in public service both at the state and
federal levels spanning more than 30 years. She began her federal
service with the Center for Substance Abuse Prevention, formerly the
Office for Substance Abuse Prevention, in 1989, as a Project Officer.
She has since held numerous positions including: Acting Chief, High Risk
Youth Branch; Acting Director, Office on Early Childhood; Chief,
HIV/AIDS Behavioral Health Issues Branch and Director, Division of
Knowledge

Application and Systems Improvement.

Prior to coming to SAMHSA, Rose was Director of the Substance Abuse
Prevention for the state of North Carolina and National Prevention
Network (NPN) representative for North Carolina; and Assistant Director
and Counselor/Educator for the Substance Abuse Program at Livingstone
College in Salisbury, North Carolina.

She holds a Masters of Social Work degree from the University of North
Carolina-Chapel Hill and a Masters of Divinity from Wesley Theological
Seminary in Washington, DC.

**[Budget Activities]{.underline}**

The Center for Substance Abuse Prevention (CSAP) is currently
implementing its fiscal year 2006 activities, and is in the process of
funding an impressive range of grant and contract programs. The Programs
of Regional and National Significance (PRNS) total for FY 06 is
\$192,901,000.  This funding level has allowed CSAP to initiate and
implement the Strategic Prevention Framework (SPF) through a series of
grant programs including the SPF State Incentive Grant program, with a
projected total of 40 SPF SIG grants for \$91M, the HIV program with a
total of 149 grants totaling \$39.4M, Workplace grants for approximately
\$2M, Methamphetamine grants totaling \$3.9M, and 10 conference grants
totaling \$.25M.

CSAP also continues to develop, assess, and disseminate effective,
promising, and model programs through the National Registry of Effective
Programs and Practices system, to support the SAMHSA Health Information
Network (previously NCADI), and to support the Fetal Alcohol Spectrum
Disorder Center for Excellence. We also continue to focus our key
technical assistance mechanism, the Centers for the Application of
Prevention Technologies (CAPT) contracts on the areas of greatest need,
and we are refining our data collection and analysis contract, the Data
Consolidated Coordinating Center (DCCC), to enable both grantees and
SAMHSA entities to report and access data to guide the development of
their programs. Other significant contract activities include our
ongoing State Epidemiology Outcomes Workgroup contract, which provides
technical assistance to non-SIG states, our Fellowship program, which
provides funds to support prevention fellows in every state, our Older
Adults contract, which focuses on prevention needs across the lifespan
of our aging population, and our Staff Training contract, which
identifies and provides key training to CSAP staff in order to ensure
our expertise in critical areas, mirroring our recognition of the
importance of the development of the prevention workforce throughout the
nation.

In addition to those activities funded through the PRNS budget lines,
CSAP manages the Drug Free Communities grants program through an
interagency agreement with ONDCP, including a portfolio of 712 support
services grants for a total of \$69.4M and 37 Drug Free Community
Mentoring grants for a total of \$3.7M. 

CSAP also is in the process of awarding and managing \$335M in Substance
Abuse Prevention Block Grants, \$10.2M in Block Grant Set-Aside
programs, \$4.5M in HHS HIV funds, and \$13.2M in interagency agreements
with NIDA, the Department of Education, and ONDCP for the media
campaign, for a **total of \$660 million of substance abuse prevention
program activities!**

We are in the final developmental stages for the FY 07 budget.  The
Congressional Justification has been approved for a PRNS funding level
of \$180,598,000.  Although this is a decrease of approximately \$12M
from the FY 06 level, the budget builds upon FY 06 plans to maintain the
Strategic Prevention Framework at the state and community levels.  It
continues to integrate individual programs into the larger SPF SIG
"redwood," building on epidemiological data and implementing the
five-step evidence-based, community development model.  The funding
amounts for the prevention portion of the SAPT Block Grant and for the
other elements managed by CSAP are comparable to the FY 06 levels. 

Subsequent to the development of the FY 07 Congressional Justification,
The House Labor/HHS/Education Full Committee on Appropriation passed a
bill that essentially restores CSAP to the current FY 06 level. It is
important to remember that as Congress continues to consider our
request, the final FY 07 amount is likely to change.

**Grant Programs**

CSAP issued four Requests for Applications (RFAs) for FY 2006:

-   *Strategic Prevention Framework State Incentive Grants (SPF SIG).*
    This infrastructure development program provides funding to States,
    territories, federally recognized Tribes and Tribal organizations to
    implement SAMHSA's Strategic Prevention Framework. SAMHSA envisions
    the SPG SIGs being implemented through partnerships between the
    States/Tribes and communities.

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-   *The Drug Free Communities Support Program (DFCSP).* The RFA is
    focused on improving community efforts to plan, promote and deliver
    effective substance abuse prevention strategies.  The DFCSP grants
    will be administered by SAMHSA/CSAP through an interagency agreement
    from ONDCP under the Drug Free Communities Support Program. 

-   *The Drug Free Communities Support Mentoring Program (DFC
    Mentoring)*. This is an effort to enhance the number and quality of
    local Drug-Free Community Coalitions through the assistance of
    capable, experienced coalitions.  DFC Mentoring program grantees
    will use their experience and success as DFCSP grantees to support
    and encourage the development of new, self-supporting community
    anti-drug coalitions to meet the goals of the DFSCP. The DFC
    Mentoring grants will also be administered by SAMHSA/CSAP through an
    interagency agreement from ONDCP under the Drug Free Communities
    program. 

-   *Prevention of Methamphetamine Abuse*. These grants will support
    expansion of methamphetamine prevention interventions and/or
    infrastructure development.

SAMHSA/CSAP is currently in the process of planning for its FY 2007
RFAs.

**[CSAP interns and Emerging Leaders]{.underline}**

One of CSAP's goals is to prepare the next generation of prevention
professionals. . With that in mind, CSAP supports 4-6 student interns
each school quarter. CSAP's interns are educated about prevention
principles, theories and practices and have an opportunity to work
directly with CSAP colleagues on prevention projects in each of CSAP's
Divisions and Offices. Currently CSAP has five student interns. They
are:

-   A third year intern at CSAP, completing her Masters in Public
    Administration at Bowie State University

-   A second year intern at CSAP, completing her Masters in Community
    Clinical Psychology at Johns Hopkins University

-   A new intern pursuing a Bachelors Degree in Political Science/Public
    Service at the University of California-Riverside.

-   A new intern pursuing her second Bachelors in Communications at
    Mount Saint Mary's University. Previously worked as an intern at
    NASA helping to organize special events. Has a strong interest in
    broadcast journalism.

-   A new intern seeking a Bachelors Degree in Sociology and
    Anthropology from Colgate University. Known for leadership skills in
    organizing activities around health, HIV/AIDS, cultural expressions,
    and childcare in American Indian Communities and on campus.

In CSAP, interns are assigned to projects, not individuals. Some of
their work projects include:

-   CSAP's Prevention Day Conference

-   Underage Drinking Town Hall Meetings

-   Dr. Lonnie E. Mitchell National Substance Abuse Conference for HBCUs

-   DFC Grant Program -- Project Officer Assistance

-   CSAP Staff In-service training program workgroup

-   HIV/AIDS grant programs/matrix workgroup

-   HIV/AIDS prevention programs on campuses

-   SAMHSA Minority Fellows Program workgroup

-   Examining SAMHSA's role for returning veterans from the IRAQ war

-   Developing an inventory and process to assess CSAP staff needs for
    future interns

OPAC's office is also hosting one of SAMHSA's Emerging Leaders. The
Emerging Leader program identifies the 'best graduates' and during a two
year program prepares them for leadership roles in the Federal
Government. Although our Emerging leader is currently on a rotation to
other HHS Divisions, we look forward to her return next year.

**[CSAP Staff In-Service Training]{.underline}**

The goal of the training program is to foster a learning community which
supports staff members in upgrading their skills and knowledge base in
prevention and their ability to provide that expertise to grantees and
the field. The workgroup has agreed to focus on the following skill
sets:

-   The integration of and ability to discuss strategic prevention
    planning from a community systems perspective while addressing the
    Federal governments' national priorities and direction.

-   The integration of and ability to discuss cultural competency from a
    community systems perspective while addressing the Federal
    governments' national priorities and direction.

-   The integration of and ability to discuss sustainability of desired
    outcomes from a community systems perspective while addressing the
    Federal governments' national priorities and direction.

-   The ability to access and recommend appropriate reference materials

-   The ability to assess gaps in grantee programs

-   The ability to provide technical assistance to grantees while
    monitoring their grants

-   To acquire some of the skills and knowledge base to be eligible for
    prevention certification

A pilot group was organized to test the best approaches and content to
achieve the above mentioned skill sets. Their efforts resulted in a
recommendation for CSAP to provide community learning group
opportunities for its staff and drafted a curriculum to support the
achievement of those skill sets in a learning community environment.

**Prevention Certification**

CSAP continues to actively promote the certification of persons working
in the field of substance abuse prevention. To date, CSAP has assisted
41 SAMHSA staff members in receiving their professional certification in
prevention.

**[Minority Health]{.underline}**

CSAP is one of SAMHSA's partners working with the SAMHSA Minority
Fellows Program (MFP). The purpose of the MFP program is to identify,
select, support and mentor minorities pursuing their doctoral or post
doctoral in psychology, psychiatry, social work and nursing. Recently
CSAP met with each of the MFP Directors to discuss methods to integrate
substance abuse prevention in the MFPs' training programs. One of the
recommendations was for CSAP to address each incoming class of MFPs to
heighten their awareness of prevention science, encourage  prevention
specific research and selection of dissertation topics, to support their
partnering with State-level prevention programs, introduce current CSAP
projects such as the Logic Model: Cultural Competency in Proficient
Prevention Service Delivery, demonstrate the Strategic Prevention
Framework, and encourage each fellow to make a commitment to include a
prevention focus in their respective disciplines.  

CSAP is working with the MFP program to identify persons working on
prevention specific topics and how to share that work with our staff
members.

**[Rural Health Issues]{.underline}**

Based on the findings from two expert meetings held in the fall 2005 and
winter 2006, the Interdepartmental Rural Behavioral Workgroup has
developed a draft logic model and draft action steps on workforce
development.

**[Children and Families Issues]{.underline}**

The mission of the Children and Families Matrix workgroup is to build
resilience and facilitate recovery by improving access to a continuum of
comprehensive, integrated, quality services and supports---that includes
prevention, early intervention, and treatment---for children with, or at
risk for, mental and/or substance use disorders, and their families. The
Children and Families Matrix workgroup has developed a technical
assistance inventory, an Action Plan, and a report on the NOMs currently
available for the children and families program priority area. The
workgroup, under the new leadership of Larke Huang, is currently
reassessing its workgroups and identifying future target areas.

**[Healthy People 2010]{.underline}**

The Healthy People 2010 Substance Abuse Midcourse Review Chapter was
submitted to HHS/ODPHP. It has been cited as one of two model chapters
by HHS. Work on the companion document on substance abuse will begin
soon.

**[UPDATE ON DIVISION OF STATE AND COMMUNITY SERVICE ASSISTANCE PROGRAM
ACTIVITIES]{.underline}**

**DRUG FREE COMMUNITIES SUPPORT PROGRAM GRANTS**

[]{.mark}

**[FY 2006 Request for Applications/Grants Management Process
Update]{.underline}**

We received 352 new applications that peer review staff screened for
format and the Office of National Drug Control Policy (ONDCP) screened
for programmatic eligibility. A total of 282 were forwarded for review.
Ineligible applicants received letters within 30 days confirming their
ineligibility.

We also received 37 Mentoring applications that peer review staff
screened for format and ONDCP for programmatic eligibility. ONDCP
screened out two applications. A total of 35 applications will be sent
for peer review.

CSAP received ONDCP approval for 97 peer reviewers and issued peer
review packets on May 25, 2006 with a two week turn-around time for
review.

CSAP participated in five ONDCP conference call trainings for peer
reviewers from May 25-May 31, 2006. An additional training for mentoring
peer reviewers is being scheduled with ONDCP.

We also participated on May 17, 2006 with ONDCP to brief the
Congressional Drug Caucus on the DFC peer review process.

**[FY 2006 Non-Competing Continuation Applications]{.underline}**

SAMHSA/CSAP reviewed 600 non-competitive continuation applications for
programmatic and grant compliance and we forwarded a spreadsheet on
received data elements to ONDCP in late June. SAMHSA Grants Management
plans to issue Notice of Grant awards for continuation applications
following ONDCP funding approval.

**[DFC Online System for Grantee Progress Reports]{.underline}**

CSAP received nearly 100 percent of DFC grantee first semi-annual
progress reports in mid-May through the new web-based COMET system. This
is a significant improvement when compared with submission rates prior
to COMET. Both ONDCP and SAMHSA have received positive comments from
grantees who report COMET is a user friendly management tool for
tracking coalition progress year round. The system and the required
progress reports are organized around the Strategic Prevention Framework
steps and administrative management data. Earlier this year, SAMHSA
provided regional and offsite training for grantees to assist them in
making the transition to a web-based management system.

**STRATEGIC PREVENTION FRAMEWORK STATE INCENTIVE**

**GRANT (SPF SIG) PROGRAM**

[]{.mark}

*(The SPF SIG Program provides funding to States and Territories to
implement SAMHSA's Strategic Prevention Framework in order to build a
solid foundation for delivering effective, community-based substance
abuse prevention programs, policies and practices.)*

[]{.mark}

**[Additional SPF SIG Awards to be Made in Late Summer]{.underline}**

The FY 2006 SPF SIG Request for Applications (RFA) resulted in 47
applications being submitted to SAMHSA by the May 1 receipt date. For
the first time, the 2006 RFA expanded SPF SIG eligibility to include
Federally recognized Tribes and Tribal organizations. With this in mind,
CSAP conducted a special technical assistance workshop in Denver
specifically for prospective Tribal applicants in addition to a regular
State and territory applicants' workshop. A total of 47 applications
were received that included a significant number from Tribal entities.
The applications were reviewed and scored by peer review committees in
early June. The SPF SIG applicants' secondary review by the CSAP
National Advisory Council will take place in July and final awards will
be made in late Summer to an expected 12 to 15 new grantees. This will
be the third cohort of SPF SIGs -- (cohort one, 21 grants awarded in FY
2004 and cohort two, 5 grants awarded in FY 2005).

[]{.mark}

**[SPF SIG State Epidemiological Workgroup (SEW)
Trainings]{.underline}**

CSAP held two multi-state workshops for the 21 Cohort 1 Strategic
Prevention Framework (SPF) State Incentive Grant (SIG) grantees in March
and May 2006 in the Washington, DC area. The focus of the workshops was
on the development of logic models at the community level that link
causal factors and risk and protective factors to SPF SIG priorities.

Specifically, the multi-state workshop was designed to do the following:

-   Further develop state-to-state peer networks for cross-site
    learning;

-   Establish an in-depth understanding of the outcomes-based prevention
    model and its application at the community level;

-   Develop a process to implement outcomes-based prevention at the
    community level based on priorities selected through the SPF SIG
    assessment efforts; and

-   Collaborate in the review and further development of outcomes-based
    prevention models (e.g. logic models) for three commonly targeted
    priorities (alcohol related motor vehicle crashes, underage drinking
    and methamphetamine use).

**SYNAR AMENDMENT**

*The Synar Amendment was established as Federal legislation in 1992 to
restrict the sale and distribution of tobacco products to youth under
the age of 18. SAMHSA/CSAP is responsible for administering the
requirements of the Amendment.*

**[State Annual Synar Reports]{.underline}**

DSCA has completed the review of all 59 FY 2006 State Annual Synar
Reports (ASR).

Based on this review, all States, the District of Columbia, and four
U.S. Territories met the annual Synar target rate for FY 2006. This
compliance is an indication of the effectiveness of the Synar Amendment
and the work that has been done by the States and SAMHSA/CSAP. Three
U.S. Territories (Republic of the Marshall Islands, Republic of Palau,
and U.S. Virgin Islands) did not comply with the Synar regulatory
requirements. Specifically, the Republic of the Marshall Islands and the
U.S. Virgin Islands neither conducted the required annual Synar
inspections nor provided evidence that they enforced their tobacco
access laws in FY 2005. The Republic of Palau reported a retailer
violation rate of 65.5 percent, which is 45.5 percent higher than its
negotiated target rate of 20 percent

**[FY 2006 Synar Compliance]{.underline}**

The Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act of 2006 (H.R. 3010) contains
language (section 214) that prevents the Secretary of Health and Human
Services from withholding substance abuse prevention funds, pursuant to
section 1926, from a U.S. Territory that receives less than \$1 million
in Substance Abuse Prevention and Treatment (SAPT) Block Grant funds.
This applied to the three Territories noted above.

**[Synar National Meeting]{.underline}**

CSAP has scheduled a Synar National meeting for September 14-15. The
"8^th^ National Synar Technical Assistance Workshop" will be held in
Gaithersburg Maryland. Invitees will include the Synar lead for each
State and the SSA Director or designee with Synar duties. This event
celebrates a decade of steady progress in achieving Synar performance
goals and provides States an opportunity to share innovative methods for
planning and implementing effective youth tobacco access reduction
strategies and to share solutions for sustaining successful tobacco
access reduction systems. Ten States have completed early registration
for the Meeting.

**[Synar Statistical Estimation System (SSES) Training]{.underline}**

SESS training this year will be held during the "8^th^ National Synar
Technical Assistance Workshop" in September. DSCA identified several
States that needed additional training and sent an e-mail to those
States' Single State Authority directors encouraging their workshop
representatives to attend the SSES training.

**[Synar Coverage Survey Requirement]{.underline}**

In 2000, the Government Accountability Office (GAO) conducted an
assessment of SAMHSA's implementation of the Synar regulatory
requirements. One of the findings indicated that some States may be
using inaccurate or incomplete lists of tobacco retailers to select the
random sample of outlets for the Synar survey. The GAO recommended that
SAMHSA work more closely with the States to increase the accuracy and
completeness of tobacco retailer lists for the Synar survey.

CSAP has taken several steps to address this recommendation. The Center
Director sent a letter to all States in November 2005 concerning
coverage study issues, developed a "Guide for a Synar Sampling Frame
Coverage Study" and program guidelines for planning and implementing
sound coverage studies, and released these guidelines to the States.
DSCA is also providing technical assistance to States, as needed, to
meet the new coverage study requirement.

In their 2006 annual Synar report, two States reported they had already
completed a coverage study, 26 States reported they plan to conduct a
coverage study this year, and 13 States reported they plan to conduct a
coverage study next year. Six States have received technical assistance
on coverage studies, and three more have been approved for assistance
this year.

**[Synar Site Visits]{.underline}**

DSCA recently reviewed Synar sampling and inspections procedures in two
States for comparison with the methodologies approved in their annual
Synar reports. These visits showed that, while the States were following
written procedures, each needed additional quality control improvements
to assure Statewide consistency with approved methodologies. The lessons
learned from these visits are being used to incorporate appropriate
questions into the standard System Review Guide that will be used with
all States to further assure the quality of their Synar survey results.

**[Other Synar Efforts]{.underline}**

The Synar Sampling Support task was added to the Strategic Prevention
Framework Advancement and Support activities Task Order in FY 2006.
Under this task, review States' annual Synar reports for sampling and
statistical issues, and advise DSCA on questions that may affect
reliability or validity of the Synar surveys. This sampling review helps
CSAP project officers work with the States to validate the Retailer
Violation Rates reported by the States.

DSCA has conducted an internal Synar training session to train new State
Project Officers on the Synar review process, procedures, and State
reporting requirements. Several more training sessions are planned for
summer 2006. A training for Synar sampling consultants was held in June
2006 to provide an overview of the Synar requirements and CSAP's
expectations for quality and precision of sampling designs drafted by
States

**SAPT BLOCK GRANT APPLICATIONS**

All 60 SAPT Block Grant applications (prevention and Synar) have been
approved for FY 2006.

**STRATEGIC PREVENTION FRAMEWORK ADVANCEMENT AND SUPPORT (SPFAS)
ACTIVITIES**

The SPFAS tasks emphasize performance management development in the SAPT
Block Grant, State Synar enforcement and survey system development, and
delivery of the National Outcome Measures through the Strategic
Prevention Framework. As of September 2005, the task order also supports
CSAP's sampling and statistical review of the States' Annual Synar
Reports (more details are provided in the section on Synar included in
this report).

**[Data for Performance Management]{.underline}**

SPFAS is rebuilding the e-Prevention intranet database to integrate its
several functions as a user friendly tool for CSAP's SAPT Block Grant
and Synar planning and management, and to assure that no duplication
exists with the DCCC functions. E-Prevention enables State Project
Officers and other CSAP staff to quickly access information on technical
assistance and system reviews conducted in States, Block Grant set-aside
and Synar data, and State directories. The database facilitates the
Block Grant reengineering recommendations for increased electronic
communication, data sharing, and electronic approvals.

**[State Workforce Development]{.underline}**

CSAP/SPFAS implemented the second Prevention Leadership Academy (PLA)
event for 51 State National Prevention Network members, held
concurrently with the CADCA Leadership Forum, February 14-16, 2006, in
Washington D.C. Extensive input from the NPN Workforce Development
Committee and Executive Committee was used in designing this ongoing
series of leadership events for State prevention leadership development.

The focus of the PLA was on experiences and skills NPNs need to adapt
and exert leadership in continually changing national, State, and local
environments to create systems change within their States to enhance
outcomes. The presenters, senior members from the Cambridge Leadership
Associates, designed the PLA agenda and interactive adult-learning
format which focused on discussion and demonstration of key concepts
related to Adaptive Leadership and small group work to practice and
further discuss the key concepts.

**[NOMs Readiness Meetings]{.underline}**

Two multistate meetings are being proposed to assist States in assessing
their ability to collect and report on NOMs and plan for targeted
individual technical assistance to address collection and reporting
requirements, as well as the use of data in performance management. The
events are designed in two phases: 1) Clarification of SAMHSA National
Outcome Measures (NOMs) expectations for the Block Grant and State
assessment of its own infrastructure capability to collect and report on
NOMs data; 2) Planning for State movement toward performance management
based on State's data infrastructure readiness status.

**[Evidence-Based Programs]{.underline}**

Plans are underway for technical assistance to States on approving
evidence-based prevention programs, policies and practices.

A report to CSAP was developed and issued in February 2006 by a
workgroup of prevention researchers who met during the summer and fall
of 2005 to define evidence-based criteria. The report is being used as
the basis for a CSAP evidence-based programming guide for States,
developed by DKASI. In addition, evidence-based logic models for
substance use behaviors are being developed starting with (1) underage
drinking; (2) consequences of alcohol misuse (binging/heavy drinking);
(3) methamphetamine use; (4) marijuana use; and (5) alcohol related
motor vehicle crashes.

The logic models will be included as an appendix to the evidence-based
programming guide and will assist States in easier access to
evidence-based research. SPFAS has also begun looking at TA planning on
a regional basis.

######### 

######### Pacific Island Jurisdictions Technical Assistance 

######### 

SPFAS worked with the Pacific Island jurisdictions State Project Officer
to create a proactive plan for technical assistance Pacific Island
jurisdictions based on needs identified during the system assessments
conducted in 2004. The coordinated technical assistance plan will save
costs involved with travel to the Pacific Islands by delivering
strategic prevention technical assistance at a central location and
developing regional "learning communities" and regional strategies for
technical assistance for both prevention and Synar.

**[Site Visits (System Reviews)]{.underline}**

The combined prevention and Synar system review site visits were
conducted in 17 States since January: Arkansas, Delaware, District of
Columbia, Florida, Hawaii, Louisiana, Michigan, Nebraska, New Jersey,
New Mexico, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina,
Texas, and Virginia. Eleven more system reviews are scheduled between
July and the end of the fiscal year.

A training session for SPOs and site visit consultants was completed in
January, 2006, and based on input from this training a final Draft
System Review Guide and report format were prepared in April for SPO and
Management review. SPFAS has developed a new State infrastructure
assessment tool to help States assess their readiness to report on
outcome measures and achieve outcomes, in anticipation of SAMHSA NOMs
requirements.

# 

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### 

### Organizational/Personnel

Ms. Tholyn Twyman joined DKASI in May as the new Division Secretary.

### []{.mark}

[]{.mark}

### Practice Assessment and Application Branch Update

Number range CHAPTER**[PAAB Grant Programs]{.underline}**

**SAMHSA/CSAP's Methamphetamine Initiative:**

The Center for Substance Abuse Prevention (CSAP) accepted applications
for fiscal year 2006 for grants to support expansion of methamphetamine
prevention interventions and/or infrastructure development. This program
addresses the growing problem of methamphetamine abuse and addiction by
assisting localities to expand prevention interventions that are
effective and evidence-based and/or to increase capacity through
infrastructure development. The goal is to intervene effectively to
prevent, reduce or delay the use and/or spread of methamphetamine abuse.

It is expected that up to \$3.3 million will be available to fund 9-11
awards in FY 2006 (September 2006). Annual awards are expected to be
from \$300,000 to \$350,000 per year in total costs (direct and
indirect) for up to 3 years.

**Starting Early Starting Smart (SESS):**

The SESS program is a collaborative effort between SAMHSA and the Casey
Family Program, to provide funding to assist with a sustainability
analysis of the original, extended and prototype SESS grantees. CSAP
obtained results from this grant study in early 2006.

**[Summary of Findings are as follows:]{.underline}**

All eight of the study programs were able to substantially continue core
principles of the program.

-   **Four of the programs were able to partially sustain the service
    package**. They continued all services at a reduced rate, or
    continued a part of the service package (the lowest estimate of the
    percentage of services sustained was 60 %).

-   **Three of the programs were fully sustained.** These programs
    continued the full program of services consistent with the
    principles that defined the SESS approach.

-   **The most common funding sources were Medicaid, State funds of
    different kinds, and local child welfare or other related funds.**

**[Analysis of findings:]{.underline}**

Improvement in the ability of providers to sustain positive innovation
in services for early childhood behavioral health and development will
require careful matching of demonstration programs in compatible
organizational environments; emphasis on strong implementation and
support of innovations during the demonstration period; clear
documentation of program service strategies, effectiveness, and cost;
and adaptive, flexible, and careful strategies to continue funding
without losing positive service innovations. Just as important, it will
require changes in the funding environment that will allow successful
innovation in program service to more efficiently drive the allocation
of funds to promote positive outcomes for young children.

**State Epidemiological and Outcomes Workgroups (SEOWs):**

**[Background]{.underline}**

PAAB is charged with providing technical assistance to the 26 Strategic
Prevention Framework State Incentive Grantees (SPF SIG).

Nineteen States and two territories were awarded SPF SIG funds in
September, 2004 (Cohort 1); an additional five States received SPF SIG
funds in June, 2005 (Cohort 2). States that received SPF SIG funds are
required to establish and operate SEOWs during the life (five years) of
the grant.

Year 1 of the SPF SIG is focused on SPF Step 1: ***Assessment***. SEOWs
play an important role in assessment by identifying and analyzing a set
of epidemiological data elements to describe substance-related
consequences and consumption patterns; determining key substance-related
problems (i.e., target populations, geographic areas, particular
substances); and contributing these data findings to broader State
discussions about defining prevention priorities and subsequent State
planning to allocate SPF SIG grant dollars to communities that will
outline plans for addressing them.

**[Current SEOW Activities]{.underline}**

PAAB provides support though a contract to 34 non-SPF SIG States on the
development, design and implementation of State epidemiological and
outcome workgroups (SEOWs).

The primary mission of the SEOW is to use data to bring systematic and
analytical thinking to prevention decision-making and improve the use of
prevention resources throughout the five SPF steps.

A first key step is to establish this State-level structure for using
data for prevention decision making. As of March, 2006, all 21 of the
Cohort 1 SPF SIG recipients have established SEOWs in their respective
jurisdictions. The overall aim of this approach is to guide relevant and
effective prevention strategies by first understanding the prevalence
and patterns of substance use and related problems and then the factors
that contribute to them. This kind of outcome-based and logic model
thinking is critical for creating the level of community and population
change in substance use and associated outcomes that the SPF aims to
change.

SEOW core tasks related to assessment and planning primarily focus on
(i) identifying data needs to describe the magnitude and distribution of
state-level substance related consequence and consumption patterns, (ii)
gathering/analyzing such data to describe substance-related burden, and
(iii) defining State prevention priorities based on these and other data
(e.g., resources, capacity, readiness). All Cohort 1 SPF SIG States have
developed a set of data indicators for use in this initial needs
assessment although indicators may be dropped or new indicators included
as States move through the needs assessment process. All Cohort 1 States
have completed the process of analyzing these data, and most have
completed some type of epidemiological profile or data summary to
communicate the overall burden of substance abuse in the State. Cohort 2
States are currently engaged in this process.

**[Technical Support to the SEOWs]{.underline}**

CSAP provides technical assistance to SPF SIG States to support the
development and work of the SEOW. Technical assistance is provided
through data resources, multi-state workshops, individual technical
assistance, and other cross state learning opportunities.

At the start of the SPF SIG, an epidemiological data system comprised of
critical state and sub-state data on substance related consequences and
consumption available from national sources was developed and made
available for use by the SPF SIG States. The State Epidemiological Data
System (SEDS) is intended to make data available to States that need it
and to guide data choices for States that have data.

**[Multi-State Workshops]{.underline}**

In April and May of 2005, CSAP held 3 multi-State workshops for the
Cohort 1 SPF SIG States with 6 or 7 States at each workshop; in
addition, a similar workshop was held for Cohort 2 grantees in December,
2005. Three participants from each State attended: the SEOW chair, a
SEOW staff member, and the SPF SIG project director. CSAP State Project
Officers as well as representatives from each CAPT attended one of the
three of the workshops. Each workshop was designed to address the
following objectives:

-   To increase States' understanding of the function of the SEOW and
    the use of data to define substance-related prevention priorities in
    the SPF SIG.

-   To explore States' selection and review of substance-related
    consequence and consumption data elements.

-   To consider criteria and processes for determining priorities based
    on substance-related consequence and consumption data.

-   To establish a peer-to-peer learning community among SEOWs across
    States.

The States are completing problem identification and goal setting
processes in the State SFP SIG, which in turn will drive prevention
planning and funding decisions at State and community level, and provide
critical information to Federal and State agencies for ongoing planning,
monitoring and evaluation of prevention efforts.

In addition workshops were held in March and May of 2006. Ten States
attended the first workshop, and nine States and two territories
attended the May workshop. Three participants from each State attended:
the SEOW chair, a SEOW staff member, and the SPF SIG project director.
CSAP State Project Officers as well as representatives from each CAPT
also attended.

The workshop objectives were to:

1.  Further develop state-to-state peer networks for cross-site
    learning;

2.  Establish an in-depth understanding of the outcomes-based prevention
    model and its application at the community level;

3.  Develop a process to implement outcomes-based prevention at the
    community level based on priorities selected through the SPF SIG
    assessment efforts; and

4.  Collaborate in the review and further development of outcomes-based
    prevention models (e.g. logic models) for two commonly targeted
    priorities (alcohol related motor vehicle crashes and underage
    drinking).

Individual TA is provided as requested by the States or the CSAP Project
Officers. All 26 SPF SIG grantees have utilized the technical assistance
services. Technical assistance has been provided on a range of topics
related to the development of the SEOWs and the initial needs assessment
activities.

**[Non-SPF SIG SEOWs:]{.underline}**

**[Background]{.underline}**

On March 15, 2006, 31 States and territories were awarded a sub-contract
agreement (\$200,000 for States/DC and PR per year; \$100,000 for
territories per year) for up to three years via an existing CSAP
contract to establish a SEOW.

**[Current Non-SPF SEOW Activities:]{.underline}**

-   Supplied reports for May 2006 and are currently working on their
    June 2006 reports.

-   All States and Territories are currently working on their charters,
    due the end of June, 2006. A charter describes SEOW principles,
    functions, and organization. The charter must state the goals and
    purpose of the SEOW, and include a specific work plan.

-   Required to produce an "Epidemiological Profile" that summarizes and
    characterizes consumption patterns and consequences of the abuse of
    alcohol, tobacco, marijuana, heroin, cocaine, methamphetamines,
    inhalants, prescription drugs, or other substances as appropriate.
    The Epidemiological Profile should identify the sources of data on
    consumption patterns (e.g., NSDUH), as well as the indicators used
    to identify consequences (e.g., morbidity and mortality data). The
    Epidemiological Profile should provide a concise, clear picture of
    the burden of substance abuse in the State using tables, graphs, and
    words as appropriate to communicate this burden to a wide range of
    stakeholders.

-   Required to provide the SAMHSA Data Coordination and Consolidation
    Center (DCCC) with copies of, or references to the sources of, data
    and indicators used in the Epidemiological Profile.

-   Required to report NOMs data. States will provide a description of
    their methods to collect the NOMs data.

**[Technical Support to the Non-SPF SEOWs:]{.underline}**

CSAP provides technical assistance to these non-SPF SIG States and
Territories to support the development and work of the SEOWs. Technical
assistance is provided through data resources, multi-state workshops,
individual technical assistance, and other cross state learning
opportunities.

A series of three workshops were planned for the 31 States and
territories who will be asked to attend one of the three. Two workshops
were held in June, 2006 and one is planned for July, 2006. The focus of
these workshops is on the development of the State epidemiologic
profiles as well as to assist states in the development of a system for
ongoing monitoring of substance-related consequences and consumption
data, develop peer-to-peer learning, and collect and report NOMs data.

**SPF: Cross Site Evaluation**

The SPF- SIG Cross-site Evaluation had recently completed its Year 1
Report in May 2006. The Year 1 Report reviews the cross-site evaluation
design, evaluation questions, procedures and methods used for the
report, and some preliminary results from the early state-level data
collection and analysis by the Westat evaluation team (a copy of the
Year 1 report can be made available upon request.)

Upcoming meetings/conference around the SPF SIG Cross Site include:
External Technical Advisory Group Meeting (ETAG) on July 11, 2006 at
Westat Conference Center and SPF-SIG Evaluators Mtg -- October 11-12th,
2006

Currently, the SPF SIG Cross-Site Evaluation contract is undergoing
federal oversight staff changes at the programmatic level. Drs. Augie
Diana and Wil Hardy were the Federal Programmatic Project Officers for
this contract. With the departure of Dr. Diana in May and the impending
retirement in July of Dr. Wil Hardy, Dr. Nikki Bellamy has assumed
Project Officer duties for this contract SPF SIG Cross-Site Evaluation
with Westat/Mayatech.

**CSAP'S Service to Science Initiative:**

**[FY 2006 National Service to Science Academy]{.underline}**

On February 13 -14 in Washington, DC, CSAP convened a successful and
well-received National Service to Science Academy with the 25 programs
that had been awarded mini-subcontracts through CSAP's CAPT support
contract. Those eligible to apply for these competitive awards were
programs that had participated in CSAP/CAPT Regional Service to Science
Academies during FY2005. Teams of CAPTs evaluators provided
individualized technical assistance and consultation aimed at working
through detailed technical issues outstanding on each program's proposed
evaluation enhancement. The expectation for the National Academy is that
focused, customized CAPT evaluation assistance and guidance will enhance
the technical value of the work performed under these modest one-year
subcontracts, thereby enabling these programs to advance significantly
along a continuum of documented evidence of effectiveness. SAMHSA's Task
Lead for the National Registry of Evidence-based Programs and Practices
(NREPP) provided an update on the re-conceptualization of the NREPP
system. And, CSAP's Acting DKASI Division Director and Task Lead for
Service to Science presented the recommendations and thinking emerging
from CSAP's Workgroup on Evidence-based Guidelines. This workgroup was
convened during FY2005 to support implementation of the requirements of
CSAP's Strategic Prevention Framework State Incentive Grant Program to
implement "100% evidence-based" strategies.

**[FY 2006 CAPT Regional Service to Science Academies]{.underline}**

During FY 2006 CSAP's regional CAPTs will convene Service to Science
Academies for more than 60 local programs seeking evaluation assistance.
CAPTs have actively engaged States to nominate specific programs deemed
important in the state prevention system and that meet criteria for
readiness to advance documented evidence of effectiveness. The regional
academies parallel the format and content of CSAP's National Service to
Science Academy. As such they begin with a pre-planning and preparation
phase, usually requiring some pre-assessment of "where programs are" in
terms of documenting, implementing and measuring their interventions;
face-to-face delivery of information on evaluation topics of common
interest (appropriate to specific subgroups, usually); individualized
evaluation technical assistance and development of customized action
plans; limited follow-up technical assistance and consultation. FY 2006
Regional Academies are scheduled as follows:

  ----------------------- ----------------------- -----------------------
  **FY 2006 Regional                              
  Academies**                                     

  Central CAPT            Minneapolis, MN         April, 2006

  Southeast CAPT          Jackson, MS             July, 2006

  Southwest CAPT          Dallas, TX              June

  Western CAPT            Maui, Hawaii            March;

                          San Diego, CA           April

  Northeast CAPT          Newton, MA              May

                          TBD                     July
  ----------------------- ----------------------- -----------------------

**[FY 2006 Award of "Mini-Subcontracts" for Evaluation Capacity
Enhancements]{.underline}**

Again this year, CSAP will support the award of approximately 25
mini-subcontracts (in the range of \$20,000 to \$35,000) through a
competitive solicitation and review process administered by the CAPT
support contract with CRP, Inc. Those eligible to apply for these small
sub-contracts to strengthen their evaluation capacity will include
programs that participated in the FY 2006 Regional Service to Science
Academies and those that applied but were not selected for subcontracts
in FY 2005 (approximately 20 programs). CSAP has worked closed with the
CAPT support contractor and CAPT evaluators to refine the solicitation
criteria, proposal requirements and review process to assure a fair and
cost-efficient selection process. CSAP is currently reviewing the
timeline for the entire min-subcontract process from announcement in
late summer to signing of subcontracts in early January 2007.

**CSAP's Science to Service Learning Communities Initiative**

**[CSAP's Evidence-based Learning Communities]{.underline}**

In partnership with CSAP, the national CAPT system designed a new
approach to working with States and state-identified local communities
to identify and select evidence-based interventions that meet particular
community needs and resources. Working through a cross-CAPT
collaborative planning group, the CAPTs developed a concept paper
outlining a national cross-CAPT approach to this initiative.

Each CAPT conducted the following activities: initiated discussions with
SSAs to introduce the learning community approach; negotiated with
States to identify one or more SPF-SIG (or other appropriate) State per
region ready to participate with State selected communities.
Participating communities were selected with the State, using various
readiness criteria. Each CAPT is convening Learning Community events --
workshops of two or more days with between 10 -30 community teams.
Through the Learning Communities, CAPTs will provide customized
technical assistance and demonstrate critical thinking skills necessary
to spell out and apply local needs assessment findings to develop a
logic model that identifies risk and protective factors/conditions that
are particular to each community. Additionally, CAPTs will work with
States and communities to consider prevention strategies that fit local
resources and are directed to those identified risk and protective
factors/conditions that influence the substance abuse problem locally.
Expected outcomes of the Learning Communities are: increase participant
knowledge of the Strategic Prevention Framework and the SPF logic model;
increase understanding of the underlying conditions associated with the
problem in their community; and increased participant capacity to
identify and select evidence-based programs, policies and practices that
are appropriate for the identified problem, directed to the underlying
conditions that drive changes in the problem, and are compatible with
local resources. CAPT plans for these initial Science to

Service Learning Communities are schedules as follows:

  ----------------------- ----------------------- -----------------------
  **Science to Service                            
  Learning Communities**                          

  Central CAPT            Illinois (SPF)          March, 2006

  Southeast CAPT          Florida (SPF)           April and May

  Southwest CAPT          New Mexico (SPF)        April

  Western CAPT            Guam and Palau (SPF)    March;

                          Washington (SPF)        May

  Northeast CAPT          Rhode Island (SPF)      June and September
  ----------------------- ----------------------- -----------------------

**CSAP Guidance Document for the SPF SIG Program:**

*Identifying and Selecting Evidence-Based Interventions*

Based on the thinking and recommendations emerging from CSAP's Expert
Workgroup on Evidence-based Programming, CSAP is developing a guidance
document for SPF SIG States.

Now in draft form, the document has been shared within CSAP and SAMHSA
and with the CAPTs and CAPT evaluators. CSAP is incorporating feedback
to submit a revised document for publication clearance in July. CSAP
will present the key concepts and recommendations of the Guidance to NPN
leadership during the NPN Annual Research Conference in August.
Additionally, the Director of DSCA and NREPP Task Lead will present a
workshop on this topic at NPN ("SAMHSA's Strategic Prevention Framework:
Identifying and Selecting Evidence-based Interventions). CSAP's CAPT
Science to Service teams, including CAPT evaluators, are developing
tools to support CAPT technical assistance efforts with States and
communities ready to apply the concepts discussed in guidance document.

**[Program Management Related Efforts]{.underline}**

SAMHSA Data Strategy Workgroup: PAAB staffs are involved in this agency
committee tasked with identifying data initiatives, and developing a two
year plan and action steps.

**[GPRA/PART]{.underline}**

CSAP's performance targets on its GPRA and PART measures have been
calculated and submitted to the SAMHSA/OA and DHHS for submission as
part of the Congressional Justification for the proposed FY2008 budget.
Last year, data were available to report in almost all cases and all
PRNS targets were exceeded. Currently, GPRA performance is reported for
the following CSAP programs: SPF-SIG, CAPTs, HIV, PRNS (Programs of
Regional and National Significance) and the 20% prevention set aside of
the SAPT Block Grant including Synar. Because of the dissimilarity
between the SPF SIG and HIV programs, CSAP has requested that, beginning
in FY07, results for these programs be reported separately, rather than
at the PRNS line item.

OMB has approved CSAP's proposed cost bands as the efficiency measure
for both PRNS and SAPT block grant programs. A final template has been
distributed for inclusion in grant annual reports. Analysis and
reporting will occur at the end of FY2006 for discretionary programs.
Cost bands have been established in four categories based upon the IOM
prevention model: Universal-direct; Universal-indirect; Selective and
Indicated. These cost bands are approved as a measure for CSAP's
efficiency NOMs domain.

**[Data Coordination and Consolidation Center (DCCC)]{.underline}**:

The DCCC serves to:

-   Maintain existing CSAP data reporting and collection applications

-   Create an integrated data collection and reporting system for CSAP
    and its grantees

-   Provide training and technical assistance to grantees

-   Manage the collection, cleansing, and organization of CSAP data

-   Develop and produce CSAP's accountability, analytical, and
    management reports

**[The following previously separate functions have been incorporated
into DCCC:]{.underline}**

CAPT US cross site and website

CSAP DCC analysis, reporting, repository and website,

EPI DCC website

Model Program website

Prevention Pathways website

Prevention Platform website

CSAP SAIS tool and website

COMET tool and website

Database Builder (DbB) tool

MDS tool

NOMS Reporting System

SIG (SIG Forms) tool and website

Linking to SPF-SIG X-site website

In its third quarter, the DCCC transitioned all appropriate websites to
one central location. It is developing requirements for an integrated
website (CSAMs), readying the DbB as an online data collection, analysis
and reporting tool for the current HIV grantee cohort (CSAMs v.1) with
plans to expand its use in future versions. It includes Comet, which
serves the hundreds of Drug Free Community grantees CSAP administers for
ONDCP. The DCCC will be delivering by the end of its first year, the
CSAP Year 4 Trends and Directions standard report as well as Year 4
Accountability Report, as well as brief reports based on the prior DCC's
reports on Cost Benefit, Gender and Racial/Ethnic Differences in risk
factors, Supplemental Prevention Outcome Measures, and Sensitivity of
prevention scales.

The DCCC is in the process of finalizing an analytic plan based on
analytic questions approved by CSAP management. The DCCC is also CSAP's
mechanism for processing, analyzing and reporting on the GPRA and PART
data required for OMB and helpful to CSAP and the field. The DCCC has
been working closely with OAS in assuring appropriate data definitions
for the NOMs, especially at the state level. It has produced the NOMs
instrument and tool, and has responded to various ad hoc queries.

**Other Collaborations:**

**[Nationwide Health Information Infrastructure (Summit)]{.underline}:**

CSAP has been an active participant in the National Summit on defining a
strategy for behavioral health information management and role within
the Nationwide Health Information Infrastructure (Summit). Discussions
identify and address key opportunities for the successful transformation
of information systems in behavioral health, including the HHS
informatics initiatives and the SAMHSA data strategy which features the
National Outcome Measures (NOMS). Strategies will be formulated to:

-   develop and maintain nationwide behavioral health informatics
    standards and nationwide initiatives to facilitate increased
    adoption of electronic health record systems by behavioral health
    services;

-   address issues within behavioral health organizations

-   implement an effective use of information management and electronic
    health record systems;

-   address complexities of reimbursement, regulatory and reporting
    requirements;

-   address issues for consumers and their family members and for
    clinicians and other service providers related to adoption of
    electronic health record systems; and

-   facilitate interconnectivity and information exchange between mental
    health and substance abuse treatment and prevention, and other
    service systems (e.g., general medical, justice, child welfare,
    etc.).

**[SAMHSA and CDC]{.underline}:**

CSAP has been working with the CDC around opportunities for
collaboration, a recommendation from the Methamphetamine External
workgroup. The primary focus at this time is to explore and discuss
current activities at CDC and at SAMHSA. A workgroup on this
collaboration met twice via conference call to discuss current HIV and
Methamphetamine activities. The group is exploring the opportunity of
working together on three potential projects. The first is a short-term
project around analyzing data regarding Methamphetamine and HIV risk;
the second on CDC's methamphetamine projects, and the third on a
CDC/CSAP collaboration to develop a new grant program to prevent
methamphetamine use. In addition PAAB staff worked jointly on the
SAMHSA/CDC Report to Congress entitled, "Addressing the Intersection of
Methamphetamine Use and the Transmission of Infectious Diseases."

**[Department of Education Grants to Reduce Alcohol
Abuse]{.underline}:**

Staff from the Model Programs participated in the planning and execution
of the 5^th^ Technical Assistance meeting for the Department of
Education Grants to Reduce Alcohol Abuse grantees in Scottsdale, AZ.
Model Program developers provided special sessions for the grantees to
discuss implementation essentials. The Technical Assistance meeting was
held with the current 47 grantees and the 10 newly awarded grantees. In
response to the Project Officer's request from the Department

of Education, a revised work plan has been established and is underway.
Model Programs provided focused start up technical assistance to the 10
newly awarded grantees to ensure that their Training and technical
assistance needs were met. CSAP is exploring a new Inter- agency
Agreement with the Department of Education.

**CSAP\'s Prevention Fellowship Program:**

The Prevention Fellowship program is a prevention workforce development
program which promotes the Strategic Prevention Framework (SPF) as the
overarching vehicle for planning, development, and delivery of
prevention services. Thirty entities - twenty-eight States, the National
Association of State Alcohol and Drug Abuse Directors (NASADAD), and the
National Coalition Institute selected fellows for the first year.
Implemented March 1, 2006, the first year Fellowship Program will run
through February 2007. During the first year, fellows will be exposed to
activities which enhance their knowledge, skills, and competencies in
all components of the SPF. During the second and third years, fellows
may become more specialized and will concentrate on particular areas of
prevention that fit individual interest and the workforce needs of their
particular States. Upon completion of the prevention Fellowship program,
participants are expected to continue work in the substance abuse
prevention profession and become leaders and stewards of effective
prevention practices in the future.

The following is a summary profile of the first year Prevention
Fellows - (30 total):

**Education** - The great majority of Fellows have bachelors\' degrees
(18) with one (1) Ph.D., and three (3) Ph.D., candidates; six (6)
fellows have Masters\' degrees, and one (1) currently pursuing a
Masters\' in Public Health; two (2) fellows have two years of college;
and, one (1) has a High School diploma. 

**Experience in Substance Abuse -** Fourteen or more Fellows have
experience working in substance abuse; and one taught alcohol studies at
the college level; another currently heads a substance abuse prevention
coalition.

**Experience in Prevention** - Of the 30 Fellows, 12 have some
experience in prevention.  Many have degrees in psychology or counseling
psychology.  Many have focused on youth in various programs, including
one person who has worked in a school-based mentoring program and
also in recreation management.  The NASADAD Fellow has extensive
experience working in drug use, HIV, AIDS, program design, and needs
assessment.

**Gender** - There are eighteen female fellows and twelve male fellows.

**Race/Ethnicity -** There are ten (10) African Americans, twelve (12)
whites, two (2) American Indian/Alaska Natives, three (3) Hispanics, and
one (1) Asian.  One (1) person describes herself as mixed black/white
and one (1) describes herself as mixed Asian/white

**Cultural Competence in Prevention Practice: Model for Prevention
Service Delivery**

CSAP is near completion of a tool for prevention policy makers and
practitioners who work at Federal, State, Community, and Program levels
that focus on the nuances of culture of specific populations and social
groups in an attempt to increase positively outcomes related to the
prevention of substance abuse/use among these populations.

The tool is divided into three parts: 1) an adaptable presentation with
suggested talking points on Cultural Competence from a Federal, State,
Community, and Program perspective; 2) a discussion of seven identified
domains of Cultural Competence with Indicators within these domains, and
suggested measurements of these Indicators designating, low, moderate,
and high cultural competence performance/functioning; and 3) a complete
generic model for proficient prevention service delivery with cultural
competence considerations in prevention practice specific to culture,
race and ethnicity, gender, language, disability, and
lesbian/bi-sexual/gay/transgender populations.

The processes within the model allow other cultures and/or social
groups, such as older adults, Intra-Generational, Intra-Cultural
populations, etc., to be integrated into prevention service delivery
with the expected results being increased outcomes related to prevention
of substance abuse/use among these populations.

The tool will be completed by late summer and is expected to be
disseminated to the field in various media including: World Wide Web on
the SAMHSA/CSAP Prevention Platform, Compact Diskette, various print
media, etc.

**HIV AND BEHAVIORAL HEALTH ISSUES BRANCH ACTIVITIES**

**CSAP's Minority HIV/AIDS Initiative (MAI) Discretionary Grant
Program**

**[Status of Cohort 6: 5-year grants]{.underline}**

The Center for Substance Abuse and Prevention (CSAP) held a MAI grantee
workshop for Cohort 6 on January 18-19, 2006 in Washington, DC. This
meeting included representatives from each of the 81 organizations
funded under the *Substance Abuse (SA), HIV, and Hepatitis Prevention
for Minority Populations & Minority Reentry Populations in Communities
of Color* grant initiative. The workshop covered substantial information
about SAMHSA's Strategic Prevention Framework (SPF) and how to
successfully operationalize the five steps of this planning process. A
special emphasis was placed on providing information on the required
program evaluation and data collection activities of this initiative.

Project Officers (POs) reviewed 81 needs assessments in line with step
one of SAMHSA's SPF. Upon PO approval of each needs assessments,
grantees will develop their plan due July 30. The implementation phase
(Step three of the SPF) for services will begin in September.

**[Status of Cohorts 4, 5, and 6:]{.underline}**

POs completed 148 continuation grant applications for Cohort 4, 5, and 6
and conducted a review of 22 bi-annual reports for Cohort 4. 46
bi-annual reports for Cohort 5 are currently under review by POs.

The CSAP MAI grantee workshop is scheduled on September 19-21, 2006 in
the Ft. Lauderdale/Hollywood, Florida area. This meeting is being
colocated with the 2006 United States Conference on AIDS (USCA). The
proposed grantee workshop will begin on Tuesday, September 19, with a
Substance Abuse and HIV Prevention Re-Entry Population Training of
Trainers Session. This training will be conducted for the Cohort 6
grantees only, as their cooperative agreement requires them to provide
prevention services to re-entry populations in their service area. All
grantees will participate in a total of four prevention training
institutes on September 20 and 21. These institutes will equip the
grantees with skills and knowledge on program sustainability
methodologies, the adaptation and implementation of prevention
interventions, additional information on working with the re-entry
population, and training and guidance on the collection of required
NOMs, GPRA, and PARTs data reporting requirements. Also, following the
grantee workshop, all grantees will participate in the SAMHSA HIV Summit
on Friday, September 22 that serves as a pre-conference meeting to the
USCA.

**CSAP's Minority HIV/AIDS Initiative (MAI) Contract Initiatives**

**[Minority Education Institutions (MEI) HIV Prevention]{.underline}**

CSAP convened a 2-day meeting on Feb. 13-14 with staff from the MEI
Program Coordinating Center (MEI-PCC), and university liaisons, and lead
student peer educators from the 13 subcontractors with minority serving
institutions. This meeting was held in conjunction with the annual CSAP
Community Prevention Day and Community Anti-Drug Coalitions of America
(CADCA) to provide an overview on the funded projects' progress to date
and conduct an assessment of technical assistance needs.

The MEI-PCC contract was modified to incorporate the first three (3)
steps of SAMHSA's Strategic Prevention Framework (SPF) into the current
work of the 13 institutions. Each grantee will receive an additional
\$87,000 (from the FY 2006 MAI Secretariat Funds) to support their
expansion work beginning October 2006.

**[Dr. Lonnie E. Mitchell Substance Abuse Conference, April 6,
2006]{.underline}**

The MEI Initiative participated in the annual HBCU conference attended
by over 300 students and faculty from the 104 HBCUs. The CSAP Project
Officer, MEI Project Director, 3 HBCU Student Peer Educators (SPEs) and
one University Liaison facilitated a session on the MEI Initiative. The
title of the session, *"Each One Reach One, Each One Teach One: Peer led
Substance Abuse & HIV/AIDS Prevention Education".* Three Student Peer
Educators presented various aspects of their peer led prevention
projects and unique outreach activities that are conducted on their
respective campus. The session was very successful with a standing room
only audience that total 95 students, faculty, and CSAP staff. The PCC
received numerous requests for more information about the projects and
the future of the MEI Initiative. Other prevention-focused workshops
topics included: FASD, Minority Reentry issues, Cultural Competence, and
Underage Drinking, and geomapping.

**[CSAP's Faith Partners Initiative]{.underline}**

CSAP's Faith-Based Initiative continues to provide capacity building
assistance to community-based faith partners of DFC and MAI grantees.
These grantees serve racial and ethnic minorities, community partners
such as faith based and community organizations with a history of
serving people who are affected by HIV/AIDS. Funds will be used to
implement substance abuse and HIV/AIDS education and awareness
activities, distribute informational materials, and conduct community
outreach activities using creative marketing efforts to empower
individuals to get tested for HIV and avoid risky behaviors that could
lead to HIV infection.

The initiative has 32 subcontracts that are completing their first grant
year. To date, they have worked with the faith partners in their
communities in developing media targeted messages and materials around
HIV prevention and testing and provided quarterly reports and completed
various assessment forms. The Initiative will evaluate several outcome
measures including but not limited to the following:

-   Number of community residents who become peer educators through
    training;

-   Number of community residents who participate in/attend funded
    workshops/training and other prevention events;

-   Number of community residents who request, are referred, and/or
    received HIV Testing services;

-   Number of faith-based organizations that increased their capacity to
    provide or make available HIV testing services;

-   Number of organizations that incorporate substance abuse and HIV
    prevention education training into program activities; and

-   Success of organizations in sustaining substance abuse and HIV
    prevention education services after the funding period.

**[National HIV Testing Day]{.underline}**

SAMHSA supported the observance of National HIV Testing Day on June 27,
2006 by providing information on HIV/AIDS and locations to get tested to
SAMHSA employees.  This day presented an opportunity to dispel myths and
stigma associated with HIV Testing, and to reach SAMHSA employees who
have never been tested or engaging in high-risk behavior since their
last test.

**[SAMHSA's Rapid HIV Testing Initiative]{.underline}**

The implementation of the SAMHSA Rapid HIV Testing Initiative involves
collaboration between all three SAMHSA centers (CSAP, CSAT, and CMHS).
From its inception in October 2004 through March 2006, SAMHSA has
distributed 371,120 Rapid HIV test kits across 25 states and the
District of Columbia. In the chart below are the number of Rapid HIV
test kits received by eligible service providers.

> ![](media/image1.png){width="0.4305555555555556in"
> height="0.3375in"}**SAMHSA's Fetal Alcohol Spectrum Disorders (FASD)
> Center for Excellence**

SAMHSA's FASD Center for Excellence was launched in September 2001,
under authority of the Children's Health Act of 2000. The Center has six
legislative mandates to explore innovative FASD prevention and treatment
strategies, facilitate development of comprehensive systems of care, and
provide training to professionals in various systems of care.

Since its inception, the Center has piloted or supported innovative
strategies such as family summer recreational and educational programs
and summits for women in recovery. In addition, through its Building
FASD State Systems efforts, the Center has facilitated the initiation of
FASD efforts in nearly every State.

The Center has also had great success in the area of information
dissemination, winning awards for its video "Recovering Hope: Mothers
Speak Out About Fetal Alcohol Spectrum Disorders." The Center has
trained more than 17,000 individuals on over 25 topics. Finally, the
Center has reached thousands of people across the country and around the
world through its Web site and Information Resource Center. To date, the
Center has had contacts from individuals in nearly every State and from
every continent except Antarctica.

####### The FASD Center's activities during January--May 2006 include the following highlights: 

-   Convened the first Subcontractor Meeting in February, which brought
    all 33 subcontractors together for the first time to share
    information and learn from each other's experiences.

-   From May 9-12 in San Francisco, the Center convened the following
    meetings:

    -   May 9: The Center convened its semiannual FASD Steering
        Committee Meeting. The agenda included a discussion of
        recommendations to SAMHSA for future approaches to FASD. During
        this meeting, the Special Populations and Science to Service
        Subcommittees also met to provide updates.

    -   May 10 -- 11: The Center convened its 4^th^ Building FASD State
        Systems (BFSS) Meeting on with approximately 170 people in
        attendance.

    -   May 11-12, the Center convened the American Indian/Alaska
        Native/Native Hawaiian Stakeholders Meeting. The agenda included
        updates from stakeholders on FASD activities and a discussion of
        the AI/AN/NH Initiative, including the web site and Resource
        Kit.

    -   May 12: the Center convened the National Association of FASD
        State Coordinators meeting in San Francisco and provided onsite
        support. Scheduled a follow-up teleconference with members on
        May 23, to discuss agenda topics not covered at the meeting.

-   Conducted 70 training session and presentations for more than 3,300
    individuals, including the following presentations and trainings:

1.  Presented Tools for Success during a panel session at the OJJDP
    National Juvenile Justice Conference on January 11.

2.  Co-presented two 90-minute sessions for the Native Women and Men's
    Wellness V Conference titled "Growing Stronger Communities by
    Addressing Spirituality and the Affects of Alcohol Use on the Next
    Generation" in San Diego, CA.

3.  Participated in a Webcast presentation, "Addressing Alcohol Use with
    Pregnant Women," by Diane Malbin to the AODA treatment providers in
    Wisconsin.

4.  Provided follow up training to the Utah FAS Coalition in Salt Lake
    City on strategies for working with clients.

5.  Provided training during the White Bison 7 Trainings Series in
    Sisseton, South Dakota to approximately 100 attendees.

6.  Provided a 4-hour session to approximately 60 attendees on "FASD:
    the Basics" at the fourth annual Native American Mental Health
    Conference in Great Falls, MT.

7.  Provided full-day training to approximately 100 attendees on
    managing behaviors of children and youth with an FASD. The training
    was sponsored by the Monterey County Children's Behavioral Health in
    Salinas, CA.

8.  Provided a 4-hour session on "Policy Implications of FASD" for
    public agency program managers and executive directors who work with
    FASD-impacted youth and families. The session was sponsored by the
    Monterey County Children's Behavioral Health in Salina, CA.

9.  Provided keynote on FASD at several conferences, including the White
    Bison Wellbriety Movement's Spring Leadership Conference and the
    Alaska Annual School on Addictions.

-   Provided technical assistance to the Virginia FASD Task Force on
    developing statewide goals.

-   Conducted conference calls with members of the Michigan FASD Task
    Force and Connecticut FAS Task Force to discuss the development of
    strategic plans in those States.

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-   Provided consultation and case review to multiple agencies and
    providers in Alaska, including the Department of Juvenile Justice
    and the Office of Children's Services in Juneau, and the Alaska
    Psychiatric Institute in Anchorage.

-   Provided advice to Hawaii on the process by which they are moving
    forward with introducing legislation that would designate an
    official State coordinator in the Lieutenant Governor's Office. A
    bill to create an FASD State Coordinator was heard in the Hawaii
    Legislature on February 9.

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-   Completed and delivered a prototype of the Tools for Success
    Curriculum to SAMHSA.

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-   Distributed the following materials through NCADI:

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-   3,531 Recovering Hope DVDs

-   2,342 FASD Center Trifold Brochures

-   2,022 FASD the Basics Mini-CD

-   What You Need to Know fact sheets

1.  571 The Language of FASD

2.  546 Getting a Diagnosis

3.  420 Independent Living

4.  320 FASD Center Information

5.  371 Tips for Elementary School Teachers

-   Recorded significant increases in visits to the Center's
    newly-designed website; 27,646 people visited in March, a 41 percent
    jump from the previous month. Most popular resource in March was the
    PDF version of "FASD: The Basics" with over 2000 downloads.

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-   Received 17 new links into the Web site.

-   Responded to 237 requests for information.

-   The following products were submitted and received project officer
    approval:

1.  My Sibling Has a Fetal Alcohol Spectrum Disorder. Can I Catch It?
    (booklet)

2.  What Do I Do? Helping Your Children Understand Their Sibling's Fetal
    Alcohol Spectrum Disorder (booklet)

3.  "What You Need To Know" fact sheets

-   How Fetal Alcohol Spectrum Disorders Co-Occur With Mental Illness

-   Fetal Alcohol Spectrum Disorders By the Numbers

-   Fetal Alcohol Spectrum Disorders and the Criminal Justice System

-   Fetal Alcohol Spectrum Disorders: When Your Child Faces the Juvenile
    Justice System

-   Fetal Alcohol Spectrum Disorders and the Juvenile Justice System:
    How Professionals Can Make a Difference

    -   The following web products, which were cleared and posted to the
        SAMHSA Website

1.  Redesigned FASD Center Website

2.  Redesigned Spanish version of FASD website

**[Recent and Forthcoming Publications]{.underline}**

-   Published a Research Brief: "*Is There Justice in the Juvenile
    Justice System? Examining the Role of Fetal Alcohol Spectrum
    Disorders*" in the Justice Policy Journal, a peer-reviewed journal
    of the Center on Juvenile and Criminal Justice.

-   Completed article "Fetal Alcohol Spectrum Disorders and Native
    Americans: Defining the Problem and Finding Solutions."

    The following products were submitted for print clearance:

-   Partnerships to Prevent Fetal Alcohol Spectrum Disorders Public
    Education Program Manual

-   Reach to Teach

    **[CSAP/NPN *Prevention Works!*]{.underline}**

CSAP's collaboration with the National Prevention Network (NPN) Public
Information and Media (PIM) Committee continues to produce important
training materials for the NPNs and their State and local prevention
specialists.

-   The Rapid Response Advisory (RRA) on the 2005 Monitoring the Future
    Study was mailed to NPN members and posted on the *Prevention
    Works!* password-protected Web site on January 13^th^.

-   The Methamphetamine Resource Kit was distributed to the NPN PIM
    committee in April 2006. This kit includes an Overview/Discussion;
    Federal, National, State, and Community Prevention Efforts; Fact
    Sheets; various Web-based resources; and a PowerPoint Presentation.
    Electronic files of the Kit are available to the NPNs on the
    *Prevention Works!* password-protected Web site.

-   The *Preventions Works!* monthly conference calls with the NPN PIM
    committee were held on January 10, (no call in February due to the
    CADCA conference), March 14, April 11, and May 9. Some of the topics
    discussed were SAMHSA/CSAP's Underage Drinking Prevention
    Initiatives, ONDCP Media Campaign updates, SAMHSA/CSAP Community
    Prevention Day, *Prevention Works!* resource kits and other PIM
    business. Minutes are available on the *Prevention Works!*
    password-protected Web site.

-   The PIM Committee met at the NASADAD/NPN Annual Conference in
    Albuquerque, New Mexico on June 4. Materials distributed were the
    PIM Committee Annual Report and the draft outline of the next
    resource kit, the *Prevention Handbook* (a revision of the 2001
    *Backgrounder*). Robert Denniston, ONDCP National Youth Anti-Drug
    Media Campaign Director, presented as well as Mike Lowther, Acting
    CSAP/DPE Director.

**[National Association of State Alcohol/Drug Abuse Directors (NASADAD)
Activities]{.underline}**

> CSAP's Acting Center Director and his Leadership team conducted the
> Leadership Summit at the NASADAD/NPN Annual Conference on June 1. The
> objective of the Leadership Summit is to convene the leadership of
> CSAP, NASADAD, and NPN to discuss issues of mutual interest on a
> regular basis. Recent issues, updates and emerging topics were
> discussed.

**[CSAP Internet Redesign]{.underline}**

CSAP redesigned their Web site at
[www.prevention.samhsa.gov](http://www.prevention.samhsa.gov/). The
objectives of the redesign are to:

-   Provide a comprehensive understanding of SAMHSA's Strategic
    Prevention Framework (SPF),

-   Develop simple and consistent navigation and information
    architecture so that consumers are streamlined to the information
    they need on various subjects, and;

-   Take full advantage of the technical advances now available, using
    up-to-date programming techniques, design theories, and navigational
    concepts, which will make the system easier to maintain and update
    in the future.

Major components on the home page include a side bar with links to
What's New, Grants, Prevention Education Tools, Prevention Platform Web
site, Tobacco/Synar, Workplace Web site, and Order Information. The new
design was launched in mid-February.

**[Too Smart Too Start]{.underline}**

The Too Smart To Start (TSTS) public health initiative, which began its
fourth year in October 2005 with the 12 communities (sites) across the
nation, targets 9- to 13-year-olds and their parents/caregivers. The
objectives are to:

-   Increase the percentage of parents and children who perceive
    underage alcohol use as harmful,

-   Increase the number of parent-child conversations about the harms of
    underage alcohol use, and;

-   Increase public disapproval of underage alcohol use.

  -------------------------------------------- --------------------------
  [Communities]{.underline}                    [Location]{.underline}

  Bethlehem Centers of Nashville               Nashville, TN

  Coalition for a Drug-Free Greater Cincinnati Cincinnati, OH

  Coalition for a Drug-Free Newaygo County     Fremont, MI

  Drug-Free Noble County                       Albion, IN

  Informed Families/The Florida Family         Miami, FL
  Partnership                                  

  Metropolitan Drug Commission                 Knoxville, TN

  Nashville Prevention Partnership             Nashville, TN

  New Castle County Community Partnership,     New Castle, DE
  Inc.                                         

  Oregon Partnership                           Portland, OR

  Partnership for a Healthy Scott County       Forest, MS

  San Antonio Fighting Back, Inc.              San Antonio, TX

  TVS Coalition Network Inc.                   Pittsburgh, PA
  -------------------------------------------- --------------------------

In January, the TSTS listserv was launched so the sites have the ability
to communicate and share success stories with one another.

In February, Drug-Free Noble County, Informed Families/The Florida
Family Partnership, and Partnership for a Healthy Scott County were
filmed for inclusion in the Underage Drinking Prevention Town Hall
Opening Video and the Reach Out Now Teach-In How-To Video. These videos
are posted on the
[www.stopalcoholabuse.gov](http://www.stopalcoholabuse.gov/) and
[www.teachin.samhsa.gov](http://www.teachin.samhsa.gov/) Web sites,
respectively.

Those TSTS sites that are also Drug Free Communities' grantees
participated in the Underage Drinking Prevention Town Halls held on or
around the date of March 28.

In April, TSTS sites participated in the Reach Out Now Teach-In held
during the week of April 3-7 (Alcohol Awareness Month).

Numerous TSTS Web site updates have been made on the communities' page
at <http://www.toosmarttostart.samhsa.gov/communities.html>. On this
page you can find the sites' profiles which now include successes they
have had with various activities developed and implemented for TSTS.

-   Updates were made to the following sites' profiles including new
    pictures:

    -   Bethlehem Centers of Nashville

    -   Coalition for a Drug-Free Greater Cincinnati

    -   Drug-Free Noble County

    -   Metropolitan Drug Commission (Knoxville)

    -   Nashville Prevention Partnership

    -   Partnership for a Healthy Scott County

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-   A new picture has been posted for Informed Families/The Florida
    Family Partnership

-   Updated site profiles for San Antonio Fighting Back and Coalition
    for a Drug-Free Newaygo County

Reprints are ordered on the following TSTS products: the TSTS board
game, the Don't Guess....Ask! poster (Male), and the Don't Guess....Ask!
poster (Female).

The fourth year final report is due July 24. This report will include
outcomes based on the National Outcome Measures, best practices, lessons
learned, and recommendations.

**[A Family Guide to Keeping Youth Mentally Healthy & Drug
Free]{.underline}**

*A Family Guide to Keeping Youth Mentally Healthy & Drug Free* is a
public education Web site to help parents and other caring adults
promote mental health and prevent the use of alcohol, tobacco, and
illegal drugs among 7- to 18-year olds. In the last 7 months, total
visitor sessions increased 88% while total page views increased 832%.
Thus, when people come to the Web, they are reading and/or downloading
several articles.

In May, the site had

-   2,733,800 total hits

-   1,580,250 total page views

-   104,000 visitor sessions

-   40,800 unique visitors (counted once, no matter how many times that
    person logged on in a month).

-   Average length - almost 11 minutes.

In February 2006, the Family Guide Web posted a new design with enhanced
usability and new features. From February 2006 to May 2006,

-   Number of site hits increased 127 percent

-   Number of total visitor sessions increased 62 percent

-   Unique visitors per month increased 32 percent.

In May, the top referring sites were 4 Google search addresses (40,800),
SAMHSA, Yahoo, and MSN. In addition, the Family Guide had 774 referrals
from the interagency Stop Alcohol Abuse Campaign. However, over 59,000
people who logged on the Family Guide were identified as "No Referrer,"
which means they either typed in the direct Web address or they have the
Site bookmarked.

This Web site supports the programs of SAMHSA's Strategic Prevention
Framework (SPF) and the Matrix by helping adults increase protective
factors and decrease risk factors for young people. Articles are based
on the SAMHSA parenting principles,

which emphasize that parents can make a difference in the choices their
children make when they:

-   Establish and maintain good communication.

-   Get involved in the child's life.

-   Make clear rules and enforce them with consistency and appropriate
    consequences.

-   Be a positive role model.

-   Teach children to choose friends wisely.

-   Monitor each child's activities.

    **[Making Prevention Work: A Strategic Framework for
    Success]{.underline}**

In addition to introducing the Strategic Prevention Framework (SPF) to
people new to community coalitions, this publication provides an
overview of the SPF planning process for CSAP grantees or prospective
grantees. Evidence-based practices, outcomes-based prevention, SPF
concepts, prevention strategies, and evaluation are explained.

Contents also include information about:

-   Consequences of substance abuse; turning urgency into action, and
    National Outcomes Measures.

-   SPF principles, cultural competence and sustainability, and how this
    Framework involves States and communities.

-   Each of the five SPF planning steps.

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-   Resources for SPF programs and for substance abuse prevention.

This document, which is written in easy-to-understand language, is now
in the clearance process.

##### 

#### [Faith-Based Outreach Activities]{.underline}

On July 19-22, 2006, will be the kick-off to the third annual Mega-Fest
event in Atlanta,\
This high-profile four-day, three-night festival receives national
attention and will feature something for the entire family including a
series of seminars and workshops that cover personal finance,
relationships, home ownership, health and nutrition, and much, much
more! Through our partnership with the Potter's House of Dallas, Inc.,
CSAP will have a mini- prevention track at this year's conference,
including (1) 15 minute speaking slot everyday at the Main Expo each day
of the conference. The SAMHSA exhibit booth will be set up to display
our materials and resources. Listed below are the time slots and
workshops titles that CSAP will be presenting:

-   The Growing Epidemic of HIV/AIDS in People of Color

-   Programs That Prevent High Risk Behavior In Youth

-   Applying For A Drug--Free Community Grant

-   How To Write A Federal Grant

-   SAMHSA Showcases Our Faith-Based Initiative

##### **[Underage Drinking Initiatives]{.underline}**

###### [Underage Drinking Prevention: National Town Hall Meetings (THMs)]{.underline}

Over 1,200 THMs were conducted across the Nation, in all 50 states, the
District of Columbia, and four territories. More meetings were actually
held than received funding support from SAMHSA. Feedback was received
from more than half of these sites. Communities reiterated their
appreciation for SAMHSA's support of the THMs through the resources that
were made available (i.e. meeting materials, media tools, DVD, videos,
fact sheets, etc.). Communities worked with the schools, the local
media, law enforcement and other community organizations to conduct the
THM. The strength of the meetings was in the diversity of panelists,
ideas, and participants. Some communities heard from individuals not
always included in prevention efforts, such as emergency room doctors
and nurses, insurance agents, paramedics, judges, local personalities.
Youth were involved and included in all aspects of the meetings,
presenting and talking about the issue, and sharing their ideas to help
begin to solve the problem. Recommendations emerged to build on existing
efforts and to better utilize CSAP's (Center for Substance Abuse
Prevention's) Strategic Prevention Framework as a guide for directing
community efforts. The meetings also provided a foundation from which to
increase awareness of current research, as well as SAMHSA's National
Outcomes Measures and evidence-based programs, resources, and
strategies. Media was considered a strong and positive supporter of the
THMs. Prior to the events, the media in local communities assisted in
promoting the THMs with PSAs. Frequently, press releases were positioned
at the "front of the line" in a busy news environment.

After the events, follow-up TV reports, newspaper articles, and related
human interest stories appeared in almost every community where a THM
took place. In many instances, the meetings were also taped and
rebroadcast at later times and dates. In other areas, panel discussions
were recorded on DVDs and videos and available for use by schools,
organizations, and future meetings. In spite of unforeseen challenges
and timing issues---i.e., tornadoes interrupted meetings held in
Arkansas, Michigan, Tennessee, and Iowa; the "monsoon night" of the
decade hit parts of California; Drug-Free Communities grant applications
were due and spring break commitments lured young people and families
away---communities turned the opportunities into successful and
meaningful events.

Several Federal initiatives under the ICCPUD agencies helped to ensure
the success of the THMs. These initiatives were: the Drug-Free
Communities (DFC) Support Program, Grants to Reduce Alcohol Abuse
Program (GRAAP), Leadership to Keep Children Alcohol Free, and *Reach
Out Now* Program. More than 500 DFCs and 50 GRAAP grantees either
conducted, or participated in a THM in their community. The Leadership
provided support through op-ed, TV and radio broadcasts. Lt. Governor
James Aiona of Hawaii and First Ladies Nancy Freudenthal of Wyoming,
Nancy Oberst of Oregon, and Barbara Richardson of New Mexico were
instrumental in empowering their State around the issue of underage
drinking through substantial media coverage.

##### 

##### 

##### 

##### 

##### **[Reach Out Now/Reach Out Now Teach-In (RONTI)]{.underline}**

For the third consecutive year, the Substance Abuse and Mental Health
Services Administration (SAMHSA) in collaboration with Scholastic, Inc
sponsored RONTI during the week of April 3-7 in conjunction with Alcohol
Awareness Month. Over 350,000 fifth- and sixth-grade classrooms received
the Special Editions from Scholastic, Inc., discussing the dangers of
alcohol use among young people. A new twist to this effort this year was
combining the teach-ins with the community THMS. More than 1100
organizations conducted over 1400 teach-ins in their communities.

The Leadership to Keep Children Alcohol Free was exemplary in making the
teach-ins a success. Seventeen First Ladies, 3 Governors, and one Lt.
Governor conducted or participated in teach-ins this year. Support was
provided through editorials, proclamations and personal appearances in
the classrooms. More than 1440 teach-ins were conducted.

[Four State Underage Drinking Prevention Meeting]{.underline}

SAMHSA will conduct a small meeting of those States that were not able
to participate at the large National underage drinking prevention forum
in October 2005 because of Katrina and other natural disasters --
Mississippi, Arkansas, Louisiana, and Texas. The Four State meeting will
be conducted at SAMHSA in October 2006 and will include the same
categories from the ICCPUD membership that was present last Fall.

**[CSAP publications that have been printed from January -- June
2006]{.underline}**

**[Focus on Prevention]{.underline}**

Viva en la Comunidad para Todos! (Life in the Community for Everyone!)
DVD -- a bilingual substance abuse prevention and mental health
promotion product for community-based organizations serving Latino
families

Reprints:

Tips for Teens -- Alcohol (revised)

Building Blocks Activity Guide

Building Blocks Coloring Book

**[Update on Program Activities]{.underline}**

**[Federal Workplace Drug Testing Program -- Updates on the National
Laboratory Certification Program (NLCP)]{.underline}**

The Division of Workplace Programs (DWP) established the NLCP contract
to manage the initial and ongoing certification of laboratories engaged
in federally mandated workplace drug testing for Federal agencies. This
requirement for maximum quality assurance in forensic drug testing was
first directed by Executive Order 12564 and Public Law 100-71, 19 years
ago and is still required. On April 13, 2004, proposed revisions to the
Guidelines were published in the Federal Register that would allow
Federal agencies to go beyond urine testing and include workplace
testing for hair, oral fluid, and sweat specimens as well as to allow
on-site testing of urine and oral fluid specimens. The proposal is
predicated on scientific advances that will allow the use of these
alternative/complementary biological matrices and drug testing
technologies to be used with the same level of confidence that has been
applied to the use of urine. The proposed changes indicate when these
alternative specimens and testing devices may be used, the procedures
that must be used in collecting specimens, and the certification process
for approving a laboratory to test these alternative specimens. The
proposed revisions, as published in the Federal Register, were open for
a 90-day public comment period. More than 2,000 separate comments were
received from 285 commenters. All comments were evaluated, and
recommendations for the final text for both technical and administrative
were prepared and submitted for review and action at higher levels of
Federal government.

**[Federal Drug-Free Workplace Program -- Federal
Agencies]{.underline}**

# 

DWP continues to coordinate requests from numerous Federal agencies to
make modifications to their Drug-Free Workplace Program (DFWP) plans. 
DWP works with the Office of National Drug Control Policy (ONDCP), the
Department of Justice, and the Office of Personnel Management to obtain
the necessary concurrences for this revision process. Two agencies,
requiring a lot of attention during this period, are the Nuclear
Regulatory Commission and the National Geospatial Intelligence Agency.
Additionally, DWP continues to work with personnel from all the Federal
agencies in the Executive Branch to gather data summarizing their DFWP
activities.

DWP has established a close and ongoing working relationship with the
department level officials of the Department of Homeland Security (DHS)
who are working on how best to structure and implement the DFWP within
the Department.  DWP recently met with DHS officials concerning their
draft DFWP plan, and is currently reviewing comments received from the
various DHS components. DWP is providing advice and technical assistance
to those officials as this process moves forward, with the goal of
achieving a certified DHS-wide DFWP.

Using a support contract, DWP developed a draft plan and draft
procedures to implement visits to a number of Federal agencies to review
the operations of their DFWP's.  The drafts are being analyzed using
past reports from the Federal agencies, to determine the impact on the
agencies and the most effective approaches. Upon obtaining and analyzing
the information from the agencies, DWP will provide the appropriate
technical assistance to each agency, to help them maximize the
effectiveness of their required drug free workplace programs.

# 

# Conferences, Meetings & Drug Testing: Advisory Board/Medical Review Officer Training

Charles Reynolds presented GIS presentations at the Helping America's
Youth (HAY) Conference in Indianapolis, Indiana, on June 5-6, 2006.

Robert Stephenson was a participant at the Spirit of Recovery (Katrina)
in New Orleans, Louisiana on May 22-24, 2006.

Dr. Walter Vogl and Charles LoDico attended a School-Based Drug Testing
Summit sponsored by the Office of National Drug Control Policy on March
15, 2006

Deborah Galvin, the YIW cross-site evaluation team, GetFit and Workplace
Website contractors, and the YIW grantees jointly hosted and presented a
forum at the CADCA meeting, Washington D.C. on February 16, 2006 on the
subject: "How Community Coalitions can better Partner with Workplaces."
Deborah Galvin was the moderator for the forum.

DWP held a Drug Testing Advisory Board meeting on March 7-8, 2006 in the
SAMHSA building.

Donna Bush was a participant on the Laboratory Certification Program
(NLCP) inspection at the MedTox Laboratory, Minneapolis, Minnesota on
March 29-April 1, 2006.

Donna Bush participated as a member of a lab inspection team at Advanced
Toxicology Network, in Memphis, Tennessee from June 15-17, 2006.

Ron Flegel was a participant on the NLCP inspection at the Quest
Diagnostics Laboratory, Las Vegas, Nevada, on April 20-22, 2006.

The Drug Testing Team went on site visits to our NLCP contractor,
Research Triangle Institute, January 24-26, March 21-23, and June 20-22,
2006.

Donna Bush participated in the annual meeting of the Educational
Development Committee of the Medical Review Officer Certification
Council, January 20-22, 2006, in Ft. Lauderdale, Florida.

Donna Bush attended the annual meeting of the American Academy of
Forensic Sciences in Seattle, Washington February 21-15, 2006.

The scheduled DTAB meeting for June 6-7, 2006 at the SAMHSA building was
cancelled due to lack of travel funds. Recently the travel funds
allocated for the DTAB meetings in FY2006 was reduced by approximately
50%. This amount was sufficient to conduct only two DTAB meetings. For
FY2006, there will not be another DTAB meeting hosted at the SAMHSA
building. If necessary, the cancelled two meetings will be replaced with
teleconferences.

**[Geographical Information Systems]{.underline}**

DWP is continuing to assist the First Lady's Office and the nine federal
agencies that are collaborating on the Helping America's Youth
Initiative with the development of the [Helping America's
Youth]{.underline} website. DWP demonstrated the mapping functionalities
of the tool to over 200 attendees at the White House first regional
conference in Indianapolis, IN. SAMHSA has taken over complete
responsibility for developing, maintaining and supporting the mapping
functions for this website. DWP assisted CSAP in the analysis of the
distribution of Minority HIV/AIDS related grants, identification of Drug
Free Community grants awarded in Native American/Alaskan Native
communities and in analyzing the distribution of DFC grantees by project
officer and region for the proposed division realignment. DWP assisted
CSAT in analyzing of the Concentration of OTP Sites & Buprenorphine
Physicians for selected states, the concentration of treatment
facilities, coverage area and population density within ATTC, DSCA, HHS
and HRSA regions and with planning and the presentations delivered at
the African American Matrix In-Service Training.

**[Workplace Helpline]{.underline}**

The Workplace Helpline (1 800 WORKPLACE) continues to provide unique
resources, information, and technical assistance to employers and the
public related to Drug-Free Workplaces, health/wellness programs having
substance abuse prevention components, and issues related to
drug-testing. Those calling into the toll-free telephone-based service
for assistance included large to small employers, managers, union
officials, and operators of community-based substance abuse prevention
programs with development and implementation of workplace substance
abuse prevention initiatives and programs across the nation. The
Workplace Helpline Specialist uses telephones, Websites, faxes, and
e-mail to disseminate information and responses to myriad policy and
workplace substance abuse prevention situations. During the period
February 2006 to June 2006, the Helpline facilitated an average of 20 -
25 communications per day.

**[Workplace Substance Abuse Prevention Special Populations and
Applications]{.underline}**

**[Young Adults in the Workplace Cooperative Agreement]{.underline}**

## The Young Adults in the Workplace (YIW) grantees have submitted their proposals for Phase II of the study. An external peer review was completed on the grants early, as there is a heavy workflow of grantees for the grant office to complete. However, the final determination will not be made until the end of September 2006. It is expected that instead of nine grantees there will be 4 -- 6 due to the reduction of funding. The cross-site evaluation contract has had a significant reduction of funding (from approximately \$2,000,000 to \$180,000 per year) and will not be able to produce the level of work formally described. The initiative and supporting contract will continue to operate and attempt to produce valid and reliable results with the funding available. 

**[CADCA Partnership]{.underline}**

CADCA along with CSAP and DWP continue to collaborate in bringing more
employers and businesses into the existing Community Coalition process
nationally. The YIW grantees and key DWP workplace prevention
contractors presented at Prevention Day, February 14 - 16, 2006 titled:
How Community Coalitions can better Partner with Workplaces.

**[CSAP Workplace Web site]{.underline}**

DWP with DSG continues to develop and assemble existing materials in
several topic areas, including drug testing, labor issues in drug-free
workplace programs, young adults in the workplace, and the economics of
workplace drug prevention and early intervention programs.  Through the
contract, DWP continues to monitor the use of the website, the analysis
of web trends, and the formulation of recommendations for better meeting
the needs of users. DWP along with DSG continues to improve the
organization of the web site, to be more responsive to the needs of the
users.  The website continues to connect to GetFit.SAMHSA.Gov and to the
SAMHSA Family Website. There have been 76,024 visitors to the website
from February 2006 to June 2006. The most frequently used web pages were
related to Drug Testing and the Drug-free Workplace. Due to an
approximate 40% reduction in funding, the contract will not be able to
produce as much as previously expected and there has been a modification
to the contract in this regard

**[CSAP Workplace Kit and Get Fit]{.underline}**

The Workplace Kit is in draft format for both the written version and
the on-line version.  Both should be completed by July 2006 in draft
format. In line with SAMHSA's mission and needs, DWP is seeking ways to
address drug-free workplace programs in the context of health and
wellness programs, with special attention to prevention and early
intervention of substance abuse, as well as stress in the workplace and
co-morbid mental health issues.  Final print and web versions of the Kit
are due to be available for use by fall 2006.

DWP, RTI, and DSG continue to assist YIW grantees in their enhancement
of GetFit for young adults in the workplace. There are 420 workplaces
using GetFit and five new workplaces adapted GetFit since February 2006.
 

Due to an approximate 40% reduction in funding, the contract will not be
able to produce as much as previously expected and there has been a
modification to the contract in this regard.

**[CSAP Research Report Finding]{.underline}**

**[Emerging Issues]{.underline}**

DWP and PIRE are in the final phases of publishing a paper related to
the substance abuse issues of uninsured and telecommuting workers and
are almost done drafting a second paper on the topic. Another four
PIRE/DWP papers, one on the impacts of alcohol testing on fatal impaired
driving crashes of heavy truck drivers, one on the costs of
alcohol-involved injuries to employers, and two on the relationship
between SA programs and injury rates, are under review at journals.
Additionally,  DWP, Econometrica and PIRE are working with the National
Health and Retirement Study data from 1992- 2004 analyzing the
correlates of older worker alcohol and tobacco use along with measures
of quality of life and health.  The survey includes the CAGE items for
alcoholism as well as various measures of amount and frequency.

Early findings on older workers who use alcohol appears to be showing
that although fewer older workers drink, those who use alcohol tend to
drink more frequently and in larger amounts than might be expected.

DWP has developed a coding and analysis framework to help identify
effective prevention practices for the growing population of uninsured
American workers. Much of this work may have to be abandoned due to
recent contract reductions.

**[Papers]{.underline}**

E Zaloshnja, TR Miller, "The Employer Costs of Motor Vehicle
Crashes,"  International Journal of Injury Control and Safety Promotion,
13(3), 145-150, 2006.

**[Intergovernmental Agencies Collaborations]{.underline}**

DWP continues to meet on a regular basis with a variety of government
agencies in regard to issues related to substance abuse in the
workplace.

CHAIRPERSON COMMITTEE MANAGEMENT SPECIALIST

*Richard Kopanda Tia Haynes*

Acting Director Center for Substance Abuse Prevention

Center for Substance Abuse Prevention Fourth Floor Room 1054

Fourth Floor 1 Choke Cherry Road

1 Choke Cherry Road Rockville, MD 20857

Rockville, MD 20857 (240) 276-2436

\(240\) 276-2420 (240) 276-2430 (Fax)

\(240\) 276-2430 (Fax) <Tia.haynes@samhsa.hhs.gov>

<richard.kopanda@samhsa.hhs.gov>

***[MEMBERS]{.underline}***

**Karen Allen, RN, Ph.D., FAAN (04) G. Douglass Bevelaqua (06)**

Professor and Chair President

College of Arts and Sciences The Phoenix Corporation

Department of Nursing 611 Industrial Park Drive

Andrews University Newport News, VA 23608

Marsh Hall, Room 200

Berrien Springs, MI 49104

Sylvia Rodriguez Andrew, Ph.D., JD (06) Paul J. DeWispelaere (07)

Interim Chancellor President and CEO

San Jose/Evergreen Community College Dist. PRIDE Youth Program

4750 San Filipe Road 4 West Oak Street

San Jose, CA 95135 Fremont, MI 49412

Sharyn Geringer (05) Reverend Marcus W. Harvey

190 Preuit Road Founder President/CEO

Wheatland, WY 82201 Strengths, Inc.

701 Wood Street

**Don Coyhis (06)** Pittsburgh, PA 15221

6145 Lehman Drive

Colorado Springs, CO 80918 **Henry C. Lozano (05)**

President and CEO

> Californians for Drug-Free
>
> Youth, Inc. (CADFY)
>
> P. O. Box 620
>
> Forest Falls, CA 92339

Sue Rusche (05)

President and CEO

National Families in Action (NFIA)

2957 Clairmont Road #150, NE

Atlanta, GA 30329

Mitchell E. Sahn (05)

KJMC-LLC

775 W. Park Avenue

Long Beach, NY 11561

**Judith Tellerman, Ph.D. (04)**

Clinical Professor

University of Illinois

College of Medicine2020 Lincoln Park West, #38J

Chicago, IL 60614

**Allan H. Shinn (06)**

Executive Director

Coalition for a Drug-Free Hawaii

1130 N. Nimitz Highway

Suite A259

Honolulu, HI 96817

***[EX OFFICIO MEMBERS]{.underline}***

**The Honorable Michael O. Leavitt**

Secretary

Department of Health and Human Services

HHH Building

Washington, DC 20211

Charles G. Curie, M.A., A.C.S.W

Administrator

Substance Abuse and Mental Health

Services Administration

5600 Fishers Lane

Rockville, MD 20857

**Richard T. Suchinsky, M.D.**

Associate Director

Addictive Disorders and Psychiatric

Rehabilitation

U.S. Department of Veterans Affairs

810 Vermont Avenue, NW

Washington, DC 20420

**Milton H. Cambridge, Ph.D.**

HQ AFMOA/SGZF

5201 Leesburg Pike

(Sky 3), Suite 1501

Falls Church, VA 22041