Department of Health and Human Services

**Substance Abuse and Mental Health Services Administration**

**National Child Traumatic Stress Initiative**

**Treatment and Service Adaptation Centers**

**(TSA Centers)**

**(Initial Announcement)**

**Request for Applications (RFA) No. SM-07-010**

[]{.mark}

**Catalogue of Federal Domestic Assistance (CFDA) No.: 93.243**

**Key Dates:**

+----------------------+-----------------------------------------------+
| **Application        | **Applications are due by May 15, 2007**      |
| Deadline**           |                                               |
+----------------------+-----------------------------------------------+
| **Intergovernmental  | **Letters from State Single Point of Contact  |
| Review**             | (SPOC) are due no later than 60 days after    |
|                      | application deadline.**                       |
| **(E.O. 12372)**     |                                               |
+----------------------+-----------------------------------------------+
| **Public Health      | **Applicants must send the PHSIS to           |
| System Impact        | appropriate State and local health agencies   |
| Statement            | by application deadline. Comments from Single |
| (PHSIS)/Single State | State Agency are due no later than 60 days    |
| Agency               | after application deadline.**                 |
| Coordination**       |                                               |
+----------------------+-----------------------------------------------+

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A. Kathryn Power, M.Ed. Terry L. Cline, Ph.D.

Director Administrator

Center for Mental Health Services Substance Abuse and Mental Health

Substance Abuse and Mental Health Services Administration

Services Administration

**Table of Contents**

[I. FUNDING OPPORTUNITY DESCRIPTION
3](#i.-funding-opportunity-description)

[1. INTRODUCTION 3](#introduction)

[2. EXPECTATIONS 3](#expectations)

[II. AWARD INFORMATION 3](#ii.-award-information)

[III. ELIGIBILITY INFORMATION 3](#iii.-eligibility-information)

[1. ELIGIBLE APPLICANTS 3](#eligible-applicants)

[2. COST SHARING 3](#cost-sharing)

[3. OTHER 3](#other)

[IV. APPLICATION AND SUBMISSION INFORMATION
3](#iv.-application-and-submission-information)

[1. ADDRESS TO REQUEST APPLICATION PACKAGE
3](#address-to-request-application-package)

[2. CONTENT AND FORM OF APPLICATION SUBMISSION
3](#content-and-form-of-application-submission)

[3. SUBMISSION DATES AND TIMES 3](#submission-dates-and-times)

[4. INTERGOVERNMENTAL REVIEW (E.O. 12372) REQUIREMENTS
3](#intergovernmental-review-e.o.-12372-requirements)

[5. FUNDING LIMITATIONS/RESTRICTIONS
3](#funding-limitationsrestrictions)

[6. OTHER SUBMISSION REQUIREMENTS 3](#other-submission-requirements)

[V. APPLICATION REVIEW INFORMATION
3](#v.-application-review-information)

[1. EVALUATION CRITERIA 3](#evaluation-criteria)

[2. REVIEW AND SELECTION PROCESS 3](#review-and-selection-process)

[VI. AWARD ADMINISTRATION INFORMATION
3](#vi.-award-administration-information)

[1. AWARD NOTICES 3](#award-notices)

[2. ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS
3](#administrative-and-national-policy-requirements)

[3. REPORTING REQUIREMENTS 3](#reporting-requirements)

[VII. AGENCY CONTACTS 3](#vii.-agency-contacts)

[Appendix A -- Checklist for Formatting Requirements and Screenout
Criteria for SAMHSA Grant Applications
3](#appendix-a-checklist-for-formatting-requirements-and-screenout-criteria-for-samhsa-grant-applications)

[Appendix B -- Guidance for Electronic Submission of Applications
3](#appendix-b-guidance-for-electronic-submission-of-applications)

[Appendix C -- Overview of SAMHSA's National Registry of Evidence-based
Programs and Practices (NREPP)
3](#appendix-c-overview-of-samhsas-national-registry-of-evidence-based-programs-and-practices-nrepp)

[Appendix D -- Sample Logic Model 3](#appendix-d-sample-logic-model)

[Appendix E -- Logic Model Resources
3](#appendix-e-logic-model-resources)

[Appendix F -- Confidentiality and Participant Protection
3](#appendix-f-confidentiality-and-participant-protection)

[Appendix G -- Sample Budget and Justification
3](#appendix-g-sample-budget-and-justification)

[Appendix H -- Areas of Budget Consideration
3](#appendix-h-areas-of-budget-consideration)

[Appendix I - Glossary 3](#appendix-i---glossary)

**Executive Summary:**

The Substance Abuse and Mental Health Services Administration, Center
for Mental Health Services is accepting applications for fiscal year
(FY) 2007 for Treatment and Service Adaptation Center cooperative
agreements through the National Child Traumatic Stress Initiative. The
purpose of this program is to provide national expertise on specific
types of traumatic events, population groups, and service systems and
support the specialized adaptation of effective treatment and service
approaches for communities across the country.

# 

**Funding Opportunity Title:** NCTSI Treatment and Service Adaptation
(TSA) Centers

**Funding Opportunity Number:** SM-07-010

**Due Date for Applications:** May 15, 2007

**Anticipated Total Available Funding:** \$3.0 million

**Estimated Number of Awards:** 5

**Estimated Award Amount:** Up to \$600,000

**Length of Project Period:** Up to 4 years

**Eligible Applicants:** Domestic public and private nonprofit entities.

> \[See Section III-1 of this RFA for complete eligibility
> information.\]

#  

# I. FUNDING OPPORTUNITY DESCRIPTION

## INTRODUCTION

The Substance Abuse and Mental Health Services Administration, Center
for Mental Health Services is accepting applications for fiscal year
(FY) 2007 for Treatment and Service Adaptation Center cooperative
agreements through the National Child Traumatic Stress Initiative.

Treatment and Service Adaptation Centers are a category (Category II) of
cooperative agreements under SAMHSA's larger National Child Traumatic
Stress Initiative (NCTSI). The purpose of the NCTSI is to improve
treatment and services for all children and adolescents in the United
States who have experienced traumatic events. The NCTSI is designed to
address child trauma issues by creating a national network of grantees
that work collaboratively to develop and promote effective community
practices for children and adolescents exposed to a wide array of
traumatic events. The NCTSI Network is composed of three types of
Centers:

1.  The [National Center for Child Traumatic Stress (NCCTS-Category
    I)]{.underline} works with SAMHSA to develop and maintain the
    Network structure, coordinate collaborative activity within the
    Network, oversee resource development and dissemination, and
    coordinate national education and training efforts;

2.  The [Treatment and Service Adaptation (TSA-Category II)
    Centers]{.underline} provide national expertise on specific types of
    traumatic events, population groups, and service systems and support
    the specialized adaptation of effective treatment and service
    approaches for communities across the country; and

3.  The [Community Treatment and Services (CTS-Category III)
    Centers]{.underline} implement and evaluate effective treatment and
    services in community settings and youth-serving service systems and
    collaborate with other Network Centers on clinical issues, service
    approaches, policy, financing, and training issues.

# 

Treatment and Service Adaptation (TSA) Centers provide the National
Child Traumatic Stress Initiative Network with access to national
expertise on child traumatic stress and interventions. The TSA Centers
serve as lead organizations for identifying and adapting effective
treatment and services for specific types of trauma, types of trauma
interventions, and/or traumatized populations. TSA Centers are expected
to build reciprocal partnerships with CTS Centers that strengthen the
Network, promote innovation, and increase the quality and accessibility
of trauma-informed interventions and practices. TSA Centers also develop
training and implementation approaches and materials for their trauma
interventions so that these interventions can be disseminated throughout
the country.

TSA Center cooperative agreements are authorized under Title 42. Public
Health and Welfare, Chapter 6A -- Public Health Service, Subchapter
III09 A -- Substance Abuse and Mental Health Services Administration,
Part G Projects for Children and Violence, 42 U.S.C. 290hh-1. This
announcement addresses Healthy People 2010 focus area 18 (Mental Health
and Mental Disorders).

## 2. EXPECTATIONS

SAMHSA/CMHS has identified program priority funding areas to fill gaps
in the existing National Child Traumatic Stress Initiative Network
(hereafter referred to as the Network) for FY 2007. Therefore,
applicants must apply in [one]{.underline} of the identified program
priority funding areas below:

-   **Medical Trauma** - including physical injuries or incapacitation;
    chronic, severe, painful, or life-threatening medical conditions; or
    invasive or painful medical procedures.

-   **Refugee Trauma** - from exposure to war, political oppression,
    torture, and/or forced displacement.

-   **Family Treatment and Services Approaches to Trauma** --
    family-centered treatment approaches and interventions, such as
    services to increase supportive interactions by family members with
    children and adolescents who have experienced traumatic events.
    Centers should also develop treatment and services applicable to
    children and families of active, guard, and reserve personnel who
    experience traumatic loss and/or separation, including personnel
    deployed to Iraq and Afghanistan.

-   **Child Protective Service Settings** - trauma treatment and
    services in child protective service settings, including family
    courts, child protective service investigative agencies, and
    Children's Advocacy Centers.

-   **American Indian/Alaska Native** - trauma treatment and services
    for American Indian/Alaska Native children/adolescents/families,
    especially those on tribal lands.

**2.1 Allowable Activities**

TSA Centers collaborate with Community Treatment and Services Centers to
identify interventions that address child trauma needs in their
communities. TSA Center grantees are expected to collaborate intensively
within the National Child Traumatic Stress Network for these purposes
and for developing child traumatic stress-related products and services
for nationwide dissemination and benefit. TSA Centers assume
responsibility within the Network for the process of identifying and
adapting intervention approaches in their area(s) of trauma expertise by
carrying out the following activities.

SAMHSA's TSA Centers cooperative agreement funds must be used to support
the following types of [required]{.underline} activities:

*[Identification, Adaptation and Evaluation of Trauma-Informed
Approaches]{.underline}*

1.  TSA Centers provide leadership in the National Child Traumatic
    Stress Network (NCTSN) for identifying, refining and adapting
    effective treatment and service approaches. They assess the clinical
    and research base for existing treatment and practice models within
    a specific population and develop procedures for implementation in
    appropriate service settings.

2.  TSA Centers consult with community practitioners to identify
    challenges and barriers to implementing trauma-informed
    interventions. They adapt and improve treatment and service
    approaches based on feedback from community practitioners and
    evaluation results, so that service models are customized to meet
    community needs.

3.  TSA Centers participate in data collection by contributing to the
    development of data protocols for the NCTSN and assisting in the
    collection of data from consumers. They also evaluate the fidelity,
    quality of intervention implementation, and/or short and long-term
    outcomes of the intervention.

4.  TSA Centers collaborate with CTS Centers to document the
    effectiveness of Network child trauma interventions, including
    submission for review by SAMHSA's National Registry of Effective
    Programs and Practices (NREPP) \[see Appendix C\].

*[Resource Development and Dissemination of Information, Products and
Training]{.underline}*

1.  TSA Centers develop procedures for supporting the implementation of
    treatment and service approaches in appropriate community and
    service settings as well as strategies to ensure successful
    implementation in such settings.

2.  TSA Centers work closely with other Network Centers to design a
    structured plan for disseminating effective treatment and service
    approaches to a diverse array of community and service system
    providers across the country and updating their dissemination plan
    on a routine basis.

3.  TSA Centers develop intervention products (i.e., protocols, manuals,
    training materials) so that effective treatment and practice
    approaches can be replicated.

4.  TSA Centers provide training, consultation and technical assistance
    to Network Centers, community providers and child serving systems
    across the country to improve clinical practices in their area of
    trauma expertise (medical trauma, refugee trauma, family trauma
    treatment and services, child protective service settings, American
    Indian/Alaska Native). In this capacity, TSA Centers collaborate
    with CTS Centers, the National Center and other TSA Centers in their
    area of trauma expertise to design and deliver training,
    consultation and technical assistance protocols and associated
    products.

*[Consumer Involvement]{.underline}*

1.  TSA Centers involve consumer constituency groups, including both
    service recipients (children/adolescents and their families) and
    community service providers in all aspects of Center activities.

2.  TSA Centers develop procedures to obtain input from diverse
    cultural/social groups when designing interventions for diverse
    populations.

3.  TSA Centers address cultural and social diversity in the
    development, implementation, evaluation and dissemination of
    assessments, data collection procedures and interventions. For
    example, TSA Centers seek consumer guidance regarding the need for
    trauma-informed interventions, the content of treatment and
    services, the acceptability of interventions, the procedures used to
    engage consumers in trauma services, the adequacy of evaluation
    design, and the effectiveness of dissemination methods.

*[Collaboration]{.underline}*

TSA Centers collaborate with CTS Centers, the National Center, other TSA
Centers and service provider partners in community-based agencies and
service systems across the country.

> [Collaboration with Service Provider Partners in Developing, Adapting,
> Evaluating and Disseminating Intervention Approaches and
> Products]{.underline}

1.  TSA Centers develop, adapt, evaluate and disseminate treatment and
    services based on feedback and evaluation results from community and
    service system practitioners, so intervention models are effective
    in local communities.

2.  Collaboration with service provider agencies should be structured to
    ensure meaningful participation of CTS Centers and other service
    provision agencies.

3.  Governmental and national organizations should be afforded the
    opportunity to provide input into the development, adaptation,
    evaluation and dissemination of intervention approaches and
    products.

4.  TSA Centers must allocate sufficient budgetary and staff resources
    to ensure a significant level of involvement of service provider
    partners within the Network.

> [Collaboration with the National Center for Child Traumatic Stress and
> Other Centers within the National Child Traumatic Stress
> Network]{.underline}

1.  TSA Centers work collaboratively with the National Center for Child
    Traumatic Stress

> (NCCTS) and other TSA and CTS Centers by combining their expertise,
> experience and resources to advance NCTSN approaches to assessment,
> intervention, evaluation, training, implementation and dissemination.

2.  TSA Centers are expected to chair and provide leadership for NCTSN
    committees and workgroups relevant to the targeted area of
    trauma/population.

3.  TSA Centers are expected to dedicate sufficient staff expertise,
    staff time and budgetary resources to collaborate with other Network
    members in the development, evaluation and improvement of NCTSN-wide
    protocols/guidelines to improve the effective operation of the
    NCTSN.

4.  TSA Centers are expected to adopt the protocols, guidelines and
    intervention strategies developed by the NCTSN.

*[Sustainability]{.underline}*

A key goal of the TSA Centers is to identify empirically-based treatment
and service approaches that can "take root" in community settings across
the country. These treatment and service approaches should be developed
with awareness of common funding and implementation constraints in
community settings.

1.  TSA Centers work closely with the NCCTS and CTS Centers to develop
    and implement multifaceted community sustainability plans for
    grant-funded programs and activities that have improved or have the
    potential to improve outcomes for traumatized children, adolescents,
    and their families in areas such as policy change, service quality,
    accessibility, community support, and financing of trauma services.

2.  Community sustainability plans and activities must demonstrate
    vision, creative financing, community support and positive results.
    Sustainability planning efforts should result in the implementation
    of effective models or strategies to sustain grant-funded activities
    after the period of Federal funding ends.

SAMHSA's TSA Center cooperative agreement funds may also be used to
support the following [optional]{.underline} activity:

Limited direct service delivery may be supported by the TSA Center
grants, but only for the specific purpose of refining treatment and
service approaches in the areas of trauma responsibility (for example,
to develop assessment procedures, gain clinical insight into
intervention processes, or pilot evaluation of intervention
modifications). The primary purpose of TSA Centers is [not]{.underline}
service provision. \[Note: A primary expectation of this grant program
is that TSA Center grantees will work with communities across the
country to adapt service approaches.\]

**Treatment Approaches and/or Interventions.** As part of an overall
area of special expertise, TSA Centers may place particular focus on
specific treatment approaches or time frames for interventions most
relevant to their identified area of trauma expertise or target
population. For example, TSA Centers may place particular emphasis on
acute interventions in the immediate aftermath of traumatic events or
clinical interventions for multiple or complex trauma for a specific
population. TSA Centers are expected to be highly competent and skilled
in the development and implementation of trauma-informed interventions
and practices relevant to their priority area.

**Service Systems that Serve Children/Adolescents.** Given a TSA
Center's expertise in a particular type of trauma and/or target
population, a TSA Center may also specialize in specific service
settings (e.g., schools, child welfare systems, juvenile justice, and
disaster recovery centers). TSA Centers are expected to have experience
and expertise in addressing trauma and in facilitating and promoting the
adoption of effective treatment and service approaches in
child/adolescent service settings that are relevant to their identified
trauma focus.

**Trauma with Different Groups, Cultures and Populations.** To
complement a TSA Center's focus on a specific type of trauma and
expertise in treatment approaches and interventions, a TSA Center may
have experience with trauma interventions for different groups,
populations, or cultures. For example, a TSA Center may have additional
expertise in trauma interventions for specific developmental ages
(infants and toddlers, preschool children, adolescents), providing
outreach and services to diverse demographic groups (ethnic groups,
rural, and/or urban youth), or combinations of populations with common
trauma exposure (e.g., refugee populations). Grantees are expected to
have a comprehensive understanding of their target populations.

**2.2 Data Collection and Performance Measurement**

All SAMHSA grantees are required to collect and report certain data so
that SAMHSA can meet its obligations under the Government Performance
and Results Act of 1993 (GPRA). Grantees will be given initial training
and ongoing technical assistance to support compliance with GPRA
reporting requirements.

All TSA Centers are expected to assist SAMHSA, the National Center, and
the cross-site evaluation contractor in reporting on the performance of
the Network in accomplishing the following GPRA goals:

1.  Increase the number of children and adolescents receiving
    trauma-informed services.

2.  Improve children's outcomes.

3.  Increase the percentage of child-serving professionals who report
    implementing trauma-informed practices and services after receiving
    training.

Additionally, each Treatment and Adaptation Center will be required to
report its performance for the following activities in quarterly and
annual progress reports (as described in Section VI-3.1) or through
ongoing data entry into NCTSI data collection instruments:

-   development, standardization, implementation, evaluation,
    modification, and dissemination of effective treatment and
    trauma-informed services in its area of trauma expertise;

-   development and completion of products in its area of trauma
    responsibility;

-   training and other support to service agencies for the purpose of
    implementing effective treatment and service approaches in its area
    of trauma expertise;

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-   the number of traumatized children and adolescents that receive
    trauma-focused treatment and services at the TSA Center and its
    non-NCTSN service partners;

-   the number of traumatized children and adolescents who are receiving
    services at the TSA Center that show improved scores in various
    domains that measure psychosocial well-being and quality of life
    (e.g., interpersonal relationships, school performance);

-   the number of community and service system sites using intervention
    products developed by the TSA Center.

While NCTSI grantees must report data for program-specific measures,
SAMHSA/CMHS is also in the process of standardizing performance measures
and data collection across its programs. The types of data that will be
collected fall into three performance categories: *Consumer Outcomes*,
*Infrastructure Development*, and *Technical Assistance*. Grantees will
be required to report data to SAMHSA on a timely basis using tools
designated by SAMHSA for data collection, including those referenced
below.

***Consumer Outcomes***

The collection of Consumer Outcomes data will enable CMHS to report on
the National Outcome Measures (NOMs) which have been identified by
SAMHSA as key priority areas relating to mental health. Grantees will be
required to report performance in the NOMs domains which include: mental
illness symptomology, school attendance, criminal justice involvement,
stability in housing, social support/social connectedness, and number of
children/adolescents receiving trauma-informed services (by age, gender,
race and ethnicity). Consumer Outcomes data for each of the NOMs domains
is gathered electronically using the Core Data Set (CDS).

*The Core Data Set*

Grantees must contribute to the Core Data Set (CDS), a Network-wide
clinical tool that collects *client-level data* from each Center
providing direct clinical services.  TSA Centers that indirectly support
clinical interventions for trauma through training, implementation or
product dissemination must attempt to collect Core Data Set measures
from direct service providers with which they partner. The CDS is a
Web-based system that allows Centers to enter their data remotely
through a validated, secure, password-protected system.  The CDS
automatically scores included assessments (PTSD-RI, TSCC-A, and the
CBCL) and produces clinical reports. NCTSI grantees are expected to
support full implementation of the CDS, where applicable.

Grantees providing direct clinical services to children and adolescents
are expected to enter their client data into the CDS and conduct
required follow-up assessments at three-month intervals or at the
conclusion of treatment, should the treatment be less than three months.
In cases where the CDS assessments are not appropriate for a population
(i.e., cultural inappropriateness or children receiving brief "single
contact" treatment), grantees are expected to work with the NCCTS Data
Core to identify measures more appropriate for specific clients.
Grantees are expected to provide the CDS prescribed demographic and
basic background information on all children receiving services.

TSA Centers are required to contribute to the CDS if they are providing
direct clinical services related to the development and/or modification
of an intervention or practice. TSA Centers are expected to support CDS
efforts by encouraging collaborative partners they train, such as CTS
Centers, community-based agencies, and service systems, to comply with
CDS requirements. TSA Centers should incorporate information regarding
the CDS into their intervention training and dissemination efforts. TSA
Centers providing on-going implementation training to community-based
agencies and service systems throughout the country are also expected to
support the effort of their partners to become more data informed
through implementation of the CDS. TSA Centers are also expected to
develop a plan for educating clinicians on the clinical utility of the
CDS in clinical decision making and treatment planning.

***Infrastructure Development and Technical Assistance***

In addition to Consumer Outcomes, grantees will be expected to collect
and report performance data for applicable program activities related to
Infrastructure Development and Technical Assistance. CMHS has identified
the following performance domains for Infrastructure: workforce
development, organizational restructuring, policy development,
financing, accountability, program-specific practices, and cost
efficiency. The frequency of the data collection will be finalized at a
later date but, at a minimum, will be required on an annual basis. The
proposed Technical Assistance domains include: process, content, and
value. Training data will be expected within 30 days from the date of
the training. Measures in each Infrastructure and Technical Assistance
domain are currently under development.

**2.3 Performance Assessment**

Applicants must develop comprehensive evaluation plans that document
their ability to collect and report required data. Each evaluation plan
should inform the proposed budget and reflect the resources required to
comply with *Internal Program Evaluation* and *Cross-Site Evaluation*
requirements described below.

***Internal Program Evaluation***

Grantees must evaluate their projects. Applicants are required to
describe their internal program process and outcome evaluation plans in
their applications. An internal program evaluation should document the
grantee's efforts to make specialized adaptations of effective treatment
and service approaches for communities and service systems across the
country. The evaluation should also be designed to provide regular
feedback to the project to improve the development and adaptation of
trauma-informed practices and interventions, as well as dissemination
and training efforts to further the implementation of trauma-informed
practices and interventions.

[]{.mark}

TSA Centers are expected to collaborate with the NCCTS, other Network
Centers, partnering service programs, and provider and service recipient
consumers to ensure their internal program evaluation data collection
protocols include data elements developed by the Network. TSA Centers
are expected to contribute to the development of Network data elements
related to:

-   the *acceptabilit*y and *usability* of trauma interventions
    developed or promoted through training by the NCTSN among service
    practitioners in the community;

-   indicators for assessment/monitoring of *intervention progress*,
    especially to establish intensity of interventions needed or the
    need for alternative intervention approaches if progress is not
    satisfactory;

-   successes and difficulties in implementing NCTSN-developed or other
    trauma interventions across a range of service settings and with
    different populations of traumatized children/adolescents or with
    different clinical presentations;

-   data collected during and following up on NCTSN-provided training to
    assess the effectiveness of training of practitioners to competently
    implement trauma interventions; and

-   outcome data on the effectiveness of trauma services received in
    reducing/ameliorating the effects of trauma on children/adolescents,
    including data on engagement in treatment and maintaining
    children/adolescents/families in a course of treatment to
    completion; this type of data collection should also provide
    information on which types of clients/problems/other issues do well
    or not so well as a result of the intervention approach. 

[]{.mark}

While data collection may serve multiple purposes and meet several
evaluation/monitoring needs, internal program evaluation efforts should
not duplicate cooperative agreement performance monitoring or National
Cross-Site Evaluation activities. Grantees are required to produce an
annual evaluation report that documents internal program evaluation
outcomes as well as progress of the Center in meeting proposed goals and
objectives.

***Cross-Site Evaluation***

Grantees are required to participate in the Cross-Site Evaluation (CSE)
of the NCTSI.

The CSE incorporates both quantitative and qualitative methods,
cross-sectional and longitudinal data collection approaches, and
utilizes a comprehensive set of standardized surveys to assess
descriptive characteristics and clinical outcomes. The CSE includes
eight study components:

1.  *Descriptive and Clinical Outcome Study*

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1.  *Consumer Satisfaction with Direct Mental Health Services*

2.  *Knowledge and Use of Trauma-Informed Services*

3.  *Product Development and Dissemination*

4.  *Adoption of Methods and Practices*

5.  *Network Collaboration*

6.  *National Impact*

7.  *National Registry of Evidence-based Programs and Practices*

Grantee program staff are required to participate in interviews, focus
groups, and/or surveys; assist the CSE team with identifying and
recruiting respondents/participants for interviews, focus groups, and/or
surveys; and participate in the longitudinal outcome study. Additional
information on the CSE and the specific grantee responsibilities for
implementation can be found in the Resource Guide for Applicants and the
NCTSN Web site at [www.NCTSNet.org](http://www.NCTSNet.org/) (see
"Resource Materials for 2007 Grant Applicants" under New Resources) and
are included in the application package distributed with this
announcement.

**No more than 20% of the total grant award may be used for data
collection and performance assessment.**

**2.4 Grantee Meetings**

Grantees must plan to send a minimum of three people (including the
Project Director) to the annual "All Network" grantee meeting and you
must include funding for this travel in your budget. Additional meetings
will vary by year of the project and may include collaborative or
working group meetings, which will focus on strategic priority areas of
the NCTSN. At these meetings, grantees may be asked to collaborate on
cross-Network working groups, present the results of their projects, and
discuss project requirements with Federal staff. Annual All Network
meetings are approximately 2½ to 3 days in length. Attendance at these
meetings is mandatory.

# II. AWARD INFORMATION

**Funding Mechanism:** Cooperative Agreement

**Anticipated Total Available Funding:** \$3 million

**Estimated Number of Awards:** 5

**Estimated Award Amount:** Up to \$600,000

**Length of Project Period:** Up to 4 years

**Proposed budgets cannot exceed \$600,000 in total costs (direct and
indirect) in any year of the proposed project.** Annual continuation
awards will depend on the availability of funds, grantee progress in
meeting project goals and objectives, and timely submission of required
data and reports.

**Cooperative Agreement**

These awards are being made as cooperative agreements because they
require substantial post-award Federal programmatic participation in the
conduct of the project. Under this cooperative agreement, the roles and
responsibilities of grantees and SAMHSA staff are as follows:

[Role of Grantee:]{.underline}

-   Comply with the terms of the cooperative agreement award as
    specified in the requirements of the "Terms and Conditions" section
    of the Notice of Grant Award (NOGA);

-   Support and participate in collaborative work groups and other
    collaborative activities with Network Centers;

-   Participate in grantee meetings;

-   Accept guidance and respond to requests for data from CMHS;

-   Participate in policy steering groups and other work groups to help
    accomplish project goals;

-   As appropriate, author or co-author publications on project results
    for use by the field;

-   Participate in post-award, cross-site process and outcome evaluation
    activities; and

-   Implement specified activities, data collection, quality control,
    and complete required SAMHSA reports.

[Role of SAMHSA Staff:]{.underline}

-   Review critical project activities for conformity to the goals of
    NCTSI;

-   Assume overall responsibility for monitoring the conduct and
    progress of NCTSI programs;

-   Review "Terms and Conditions" section of Notice of Grant Award and
    ensure grantee has an understanding that continuation funding is
    based upon satisfactory progress in meeting goals and objectives;

-   Provide guidance on project design and components;

-   Participate in selected policy and steering groups or related work
    groups;

-   Review quarterly reports and conduct site visits, if warranted;

-   Oversee development and implementation of multi-site evaluation in
    partnership with evaluation contractors, NCCTS staff and other
    National Child Traumatic Stress Network grantees;

-   Approve data collection plans and institute policies regarding data
    collection;

-   Submit required clearance packages to the Office of Management and
    Budget (OMB) using information and materials provided by the grantee
    and evaluation contractor;

-   Provide support services or recommend outside consultants, if
    needed;

-   Author or co-author publications on program findings;

-   Provide technical assistance on ways to help disseminate and
    implement products of collaborative activities and study results;
    and

-   Consult with NCCTS staff, TSA Center project directors, and CTS
    Center project directors on all phases of the project to ensure
    accomplishment of the goals of the initiative.

# III. ELIGIBILITY INFORMATION 

## ELIGIBLE APPLICANTS

Eligible applicants are domestic public and private nonprofit entities.
For example, State and local governments, federally recognized American
Indian/Alaska Native tribes and tribal organizations, urban Indian
organizations, public or private universities and colleges; community-
and faith-based organizations; outpatient clinics, psychiatric or
general hospitals; and partnerships of multiple clinical centers,
programs, and or community service providers applying as a single TSA
Center may apply. The statutory authority for this program prohibits
grants to for-profit agencies.

Applicants may also apply for the NCTSI Community Treatment and Services
(CTS) Centers cooperative agreements. If approved for funding in more
than one National Child Traumatic Stress Initiative program, an award
may be made in only one of the programs. NCTSI grantees whose awards are
ending in FY 2007 are eligible to apply for this competitive grant
award.

## 2. COST SHARING

Cost sharing (see Appendix I -- Glossary) or Matching is not required in
this program.

## 3. OTHER

**You must comply with the following requirements, or your application
will be screened out and will not be reviewed:** use of the PHS 5161-1
application; application submission requirements in Section IV-3 of this
document; and formatting requirements provided in Appendix A of this
document.

# IV. APPLICATION AND SUBMISSION INFORMATION 

## 1. ADDRESS TO REQUEST APPLICATION PACKAGE 

You may request a complete application kit from the SAMHSA Information
Line at 1-877-SAMHSA7 \[TDD: 1-800-487-4889\].

You also may download the required documents from the SAMHSA Web site at
[[www.samhsa.gov/grants/index.aspx]{.underline}](../www.samhsa.gov/grants/index.aspx)

Additional materials available on this Web site include:

-   a technical assistance manual for potential applicants;

-   standard terms and conditions for SAMHSA grants;

-   guidelines and policies that relate to SAMHSA grants (e.g.,
    guidelines on cultural competence, consumer and family
    participation, and evaluation); and

-   list of certifications and assurances referenced in item 21 of the
    (SF) 424 v2.

## 2. CONTENT AND FORM OF APPLICATION SUBMISSION

**2.1 Application Kit**

SAMHSA application kits include the following documents:

-   PHS 5161-1 (revised July 2000) -- Includes the face page, budget
    forms, assurances, certification, and checklist. You must use the
    PHS 5161-1. **Applications that are not submitted on the required
    application form will be screened out and will not be reviewed**.

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-   Request for Applications (RFA) -- Provides specific information
    about the availability of funds along with instructions for
    completing the grant application. This document is the RFA. The RFA
    will be available on the SAMHSA Web site
    ([[www.samhsa.gov/grants/index.aspx]{.underline}](../www.samhsa.gov/grants/index.aspx))
    and a synopsis of the RFA is available on the Federal grants Web
    site ([www.Grants.gov](http://www.Grants.gov/)).

You must use all of the above documents in completing your application.

**2.2 Required Application Components**

Applications must include the required ten application components (Face
Page, Abstract, Table of Contents, Budget Form, Project Narrative and
Supporting Documentation, Appendices, Assurances, Certifications,
Disclosure of Lobbying Activities, and Checklist).

-   **Face Page** -- Use Standard Form (SF) 424 v2, which is part of the
    PHS 5161-1. \[Note: Applicants must provide a Dun and Bradstreet
    (DUNS) number to apply for a grant or cooperative agreement from the
    Federal Government. SAMHSA applicants are required to provide their
    DUNS number on the face page of the application. Obtaining a DUNS
    number is easy and there is no charge. To obtain a DUNS number,
    access the Dun and Bradstreet Web site at
    [www.dunandbradstreet.com](http://www.dunandbradstreet.com/) or call
    1-866-705-5711. To expedite the process, let Dun and Bradstreet know
    that you are a public/private nonprofit organization getting ready
    to submit a Federal grant application.\]

-   **Abstract** -- Your total abstract should not be longer than 35
    lines. It should include the project name, types of child/adolescent
    trauma and/or populations of traumatized children/adolescents for
    which you propose to assume a leadership role within the National
    Child Traumatic Stress Initiative, project goals and measurable
    objectives to support the specialized adaptation of effective
    treatment and service approaches for communities across the country.
    In the first five lines or less of your abstract, write a summary of
    your project that can be used, if your project is funded, in
    publications, reporting to Congress, or press releases.

-   **Table of Contents** -- Include page numbers for each of the major
    sections of your application and for each appendix.

-   **Budget Form** -- Use SF 424A, which is part of the 5161-1. Fill
    out Sections B, C, and E of the SF 424A. A sample budget and
    justification is included in Appendix G of this document.

-   **Project Narrative and Supporting Documentation** -- The Project
    Narrative describes your project. It consists of Sections A
    through D. Sections A-D together may not be longer than 30 pages.
    (Remember that if your Project Narrative starts on page 5 and ends
    on page 35, it is 31 pages long, not 30 pages.) More detailed
    instructions for completing each section of the Project Narrative
    are provided in "Section V---Application Review Information" of this
    document.

    The Supporting Documentation provides additional information
    necessary for the review of your application. This supporting
    documentation should be provided immediately following your Project
    Narrative in Sections E through H. There are no page limits for
    these sections, except for Section G, Biographical Sketches/Job
    Descriptions. Additional instructions for completing these sections
    are included in Section V under "Supporting Documentation."

-   **Appendices 1 through 5** -- Use only the appendices listed below.
    If your application includes any appendices not required in this
    document, they will be disregarded. Do not use more than a total of
    30 pages for Appendices 1, 3 and 4 combined. There are no page
    limitations for Appendices 2 and 5. Do not use appendices to extend
    or replace any of the sections of the Project Narrative. Reviewers
    will not consider them if you do.

    -   *Appendix 1*: Letters of commitment/Coordination/Support

    -   *Appendix 2*: Data Collection Instruments/Interview Protocols

    -   *Appendix 3*: Sample Consent Forms

    -   *Appendix 4*: Letter to the SSA (if applicable; see Section IV-4
        of this document)

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-   **Assurances** -- Non-Construction Programs. Use Standard Form 424B
    found in the PHS 5161-1.

-   **Certifications** - You must read the list of certifications
    provided on the SAMHSA Web site or in the application kit before
    signing the face page of the application.

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-   **Disclosure of Lobbying Activities** -- Use Standard Form LLL found
    in the PHS 5161-1. Federal law prohibits the use of appropriated
    funds for publicity or propaganda purposes, or for the preparation,
    distribution, or use of the information designed to support or
    defeat legislation pending before the Congress or State
    legislatures. This includes "grass roots" lobbying, which consists
    of appeals to members of the public suggesting that they contact
    their elected representatives to indicate their support for or
    opposition to pending legislation or to urge those representatives
    to vote in a particular way.

-   **Checklist** -- Use the Checklist found in the PHS 5161-1. The
    Checklist ensures that you have obtained the proper signatures,
    assurances and certifications and is the last page of your
    application.

**2.3 Application Formatting Requirements**

**Please refer to Appendix A, *Checklist for Formatting Requirements and
Screenout Criteria for SAMHSA Grant Applications*, for SAMHSA's basic
application formatting requirements. Applications that do not comply
with these requirements will be screened out and will not be reviewed.**

## 3. SUBMISSION DATES AND TIMES 

Applications are due by close of business on **May 15, 2007**. **Hand
carried applications will not be accepted. Applications may be shipped
using only DHL, Federal Express (FedEx), United Parcel Service (UPS), or
the United States Postal Service (USPS).**

Your application must be received by the application deadline, or you
must have proof of its timely submission as specified below.

-   **For packages submitted via DHL, Federal Express (FedEx), or United
    Parcel Service (UPS), proof of timely submission shall be the date
    on the tracking label affixed to the package by the carrier upon
    receipt by the carrier. That date must be at least 24 hours prior to
    the application deadline. The date affixed to the package by the
    applicant will not be sufficient evidence of timely submission.**

-   For packages submitted via the United States Postal Service (USPS),
    proof of timely submission shall be a postmark not later than 1 week
    prior to the application deadline, and the following upon request by
    SAMHSA:

    -   proof of mailing using USPS Form 3817 (Certificate of Mailing),
        or

    -   a receipt from the Post Office containing the post office name,
        location, and date and time of mailing.

You will be notified by postal mail that your application has been
received.

**Applications not meeting the timely submission requirements above will
not be considered for review.** Please remember that mail sent to
Federal facilities undergoes a security screening prior to delivery.
Allow sufficient time for your package to be delivered.

If an application is mailed to a location or office (including room
number) that is not designated for receipt of the application, and that
results in the designated office not receiving your application in
accordance with the requirements for timely submission, it will cause
the application to be considered late and ineligible for review.

SAMHSA will not accept or consider any applications sent by facsimile.

SAMHSA is collaborating with [www.Grants.gov](http://www.Grants.gov/) to
accept electronic submission of applications. Please refer to Appendix B
for "Guidance for Electronic Submission of Applications."

## 4. INTERGOVERNMENTAL REVIEW (E.O. 12372) REQUIREMENTS

This grant program is covered under Executive Order (EO) 12372, as
implemented through Department of Health and Human Services (DHHS)
regulation at 45 CFR Part 100. Under this Order, States may design their
own processes for reviewing and commenting on proposed Federal
assistance under covered programs. Certain jurisdictions have elected to
participate in the EO process and have established State Single Points
of Contact (SPOCs). A current listing of SPOCs is included in the
application kit and can be downloaded from the Office of Management and
Budget (OMB) Web site at
[www.whitehouse.gov/omb/grants/spoc.html](http://www.whitehouse.gov/omb/grants/spoc.html).

-   Check the list to determine whether your State participates in this
    program. You **do not** need to do this if you are an American
    Indian/Alaska Native tribe or tribal organization.

    -   If your State participates, contact your SPOC as early as
        possible to alert him/her to the prospective application(s) and
        to receive any necessary instructions on the State's review
        process.

    -   For proposed projects serving more than one State, you are
        advised to contact the SPOC of each affiliated State.

    -   The SPOC should send any State review process recommendations to
        the following address within 60 days of the application
        deadline. **For United States Postal Service:** Crystal
        Saunders, Director of Grant Review, Office of Program Services,
        Substance Abuse and Mental Health Services Administration, Room
        3-1044, 1 Choke Cherry Road, Rockville, MD **20857**. ATTN: SPOC
        -- Funding Announcement No. SM-07-010. Change the zip code to
        **20850** if you are using another delivery service.

In addition, if you are a community-based, non-governmental service
provider and you are not transmitting your application through the
State, you must submit a Public Health System Impact Statement
(PHSIS)[^1] to the head(s) of appropriate State or local health agencies
in the area(s) to be affected no later than the application deadline.
The PHSIS is intended to keep State and local health officials informed
of proposed health services grant applications submitted by
community-based, non-governmental organizations within their
jurisdictions. If you are a [State or local government or American
Indian/Alaska Native tribe or tribal organization, you are not subject
to these requirements]{.underline}.

The PHSIS consists of the following information:

-   a copy of the face page of the application (SF 424 v2); and

-   a summary of the project, no longer than one page in length, that
    provides: 1) a description of the population to be served, 2) a
    summary of the services to be provided, and 3) a description of the
    coordination planned with appropriate State or local health
    agencies.

For SAMHSA grants, the appropriate State agencies are the Single State
Agencies (SSAs) for substance abuse and mental health. A listing of the
SSAs can be found on SAMHSA's Web site at
[www.samhsa.gov](http://www.samhsa.gov/). If the proposed project falls
within the jurisdiction of more than one State, you should notify all
representative SSAs.

If applicable, you [must]{.underline} include a copy of a letter
transmitting the PHSIS to the SSA in **Appendix 4, "Letter to the
SSA**." The letter must notify the State that, if it wishes to comment
on the proposal, its comments should be sent not later than 60 days
after the application deadline to the following address. **For United
States Postal Service:** Crystal Saunders, Director of Grant Review,
Office of Program Services, Substance Abuse and Mental Health Services
Administration, Room 3-1044, 1 Choke Cherry Road, Rockville, MD
**20857**. ATTN: SSA -- Funding Announcement No. SM-07-010. Change the
zip code to **20850** if you are using another delivery service.

In addition:

-   Applicants may request that the SSA send them a copy of any State
    comments.

-   The applicant must notify the SSA within 30 days of receipt of an
    award.

## 5. FUNDING LIMITATIONS/RESTRICTIONS 

Cost principles describing allowable and unallowable expenditures for
Federal grantees, including SAMHSA grantees, are provided in the
following documents, which are available at
<http://www.hhs.gov/grantsnet> (Grants Policies and Regulations):

-   Institutions of Higher Education: OMB Circular A-21

-   State and Local Governments and Federally Recognized Indian Tribal
    Governments: OMB Circular A-87

-   Nonprofit Organizations: OMB Circular A-122

-   Hospitals: 45 CFR Part 74, Appendix E

In addition, SAMHSA's Treatment and Service Adaptation Centers
cooperative agreement recipients must comply with the following funding
restrictions:

-   Grant funds must be used for purposes supported by the program.

-   No more than 20% of the grant award may be used for data collection
    and performance assessment expenses.

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-   Grant funds may not be used to pay for the purchase or construction
    of any building or structure to house any part of the grant project.
    (Applicants may request up to \$75,000 for renovations and
    alterations of existing facilities, if necessary and appropriate to
    the project.)

SAMHSA will not accept a "research" indirect cost rate. The grantee must
use the "other sponsored program rate" or the lowest rate available.

## 6. OTHER SUBMISSION REQUIREMENTS

You may submit your application in either electronic or paper format:

**[Submission of Electronic Applications]{.underline}**

SAMHSA is collaborating with [www.Grants.gov](http://www.Grants.gov/) to
accept electronic submission of applications. Electronic submission is
voluntary. No review points will be added or deducted, regardless of
whether you use the electronic or paper format.

To submit an application electronically, you must use the
[www.Grants.gov](http://www.Grants.gov/) apply site. You will be able to
download a copy of the application package from
[www.Grants.gov](http://www.Grants.gov/), complete it off-line, and then
upload and submit the application via the Grants.gov site. E-mail
submissions will not be accepted.

**Please refer to Appendix B for detailed instructions on submitting
your application electronically.**

**[Submission of Paper Applications]{.underline}**

You must submit an original application and 2 copies (including
appendices). The original and copies must not be bound. Do not use
staples, paper clips, or fasteners. Nothing should be attached, stapled,
folded, or pasted.

Send applications to the address below:

**For United States Postal Service:**

> Crystal Saunders, Director of Grant Review
>
> Office of Program Services
>
> Substance Abuse and Mental Health Services Administration
>
> Room 3-1044
>
> 1 Choke Cherry Road
>
> Rockville, MD **20857**

Change the zip code to **20850** if you are using another delivery
service.

Do not send applications to other agency contacts, as this could delay
receipt. Be sure to include **"NCTSI TSA Centers - SM-07-010"** in item
number 12 on the face page of any paper applications. If you require a
phone number for delivery, you may use (240) 276-1199.

**Hand carried applications will not be accepted. Applications may be
shipped using only DHL, Federal Express (FedEx), United Parcel Service
(UPS), or the United States Postal Service (USPS).**

**SAMHSA will not accept or consider any applications sent by
facsimile.**

# V. APPLICATION REVIEW INFORMATION

## 1. EVALUATION CRITERIA 

The Project Narrative describes what you intend to do with your project
and includes the Evaluation Criteria in Sections A-D below. Your
application will be reviewed and scored according to the
[quality]{.underline} of your response to the requirements in Sections
A-D.

-   In developing the Project Narrative section of your application, use
    these instructions which have been tailored to this program. **These
    are to be used instead of the "Program Narrative" instructions found
    in the PHS 5161-1**.

-   The Project Narrative (Sections A-D) together may be no longer than
    30 pages.

-   You must use the four sections/headings listed below in developing
    your Project Narrative. Be sure to place the required information in
    the correct section, **or it will not be considered**. Your
    application will be scored according to how well you address the
    requirements for each section of the Project Narrative.

-   Reviewers will be looking for evidence of cultural competence in
    each section of the Project Narrative, and will consider how well
    you address the cultural competence aspects of the evaluation
    criteria when scoring your application. SAMHSA's guidelines for
    cultural competence can be found on the SAMHSA Web site at
    [www.samhsa.gov](http://www.samhsa.gov/). Click on "Grants/Applying
    for a New SAMHSA Grant/Guidelines for Assessing Cultural
    Competence."

    -   The Supporting Documentation you provide in Sections E-H and
        Appendices 1-5 will be considered by reviewers in assessing your
        response, along with the material in the Project Narrative.

    -   The number of points after each heading is the maximum number of
        points a review committee may assign to that section of your
        Project Narrative. Bullet statements in each section do not have
        points assigned to them. They are provided to invite the
        attention of applicants and reviewers to important areas within
        the criterion.

**Section A: Statement of Need (10 points)**

-   Identify which one of the five priority funding areas your proposed
    project targets---Medical Trauma, Refugee Trauma, Family Trauma
    Treatment and Services, Child Protective Service Settings, or
    American Indian/Alaska Native.

-   Describe the current status of clinical treatment and service
    intervention approaches within your proposed area(s) of trauma
    expertise, including promising intervention approaches;
    trauma-informed services; the status of standardization, evaluation,
    and product dissemination of these intervention approaches;
    treatment and service interventions that need to be developed; and
    significant barriers to intervention development and dissemination
    in this area(s) of trauma expertise.

-   Describe the service delivery system in your proposed area(s) of
    trauma expertise, including who provides services, how services are
    typically provided, and the involvement of the major specialty
    child/adolescent service systems (e.g., education, health or
    juvenile justice) in service delivery, and how access to these
    service systems can be attained to implement trauma informed
    services.

**Section B: Proposed Approach (40 points)**

[Responsibility for Treatment and Service Adaptation in Area(s) of
Trauma Expertise]{.underline}

-   Describe a plan to partner with other Network Centers and to use the
    collaborative committee organization of the National Child Traumatic
    Stress Network (NCTSN) to identify, adapt, and standardize the most
    critical and/or promising interventions in the area(s) of
    implementing intervention approaches in community and service system
    settings. Describe plans for developing training protocols,
    implementation approaches, and products for the interventions that
    permit replication and evaluation in community and relevant service
    system settings.

-   Describe a plan to collaborate with Community Treatment and Services
    Centers in assessing the effectiveness of intervention approaches
    and products in your identified area(s) of trauma expertise,
    including the suitability of interventions that are developed for
    delivery in community service system settings; outcomes of
    implementing standardized interventions in community settings at
    NCTSN sites and in outside sites; and achievements in utilizing
    results from community/service system replications to revise
    intervention, training procedures, or implementation materials as
    needed.

-   Describe how the proposed project will address issues of age, race,
    ethnicity, culture, language, sexual orientation, disability,
    literacy, gender and socioeconomic status in the population(s) you
    intend to serve.

-   Describe the potential barriers to successful completion of the
    proposed project and how you will overcome them.

-   SAMHSA discourages the use of seclusion and restraint and expects
    grantees to reduce and work towards eliminating seclusion and
    restraint practices. Describe your policies on reducing and
    eliminating seclusion and restraint, any conditions under which
    seclusion and restraint would be used, and what alternatives to
    seclusion and restraint you will be employing.

[Dissemination]{.underline}

-   Describe formal plans and proposed procedures to promote further
    dissemination and adoption of effective intervention approaches and
    intervention products in community and child-serving service systems
    in the identified area of trauma expertise. Proposed procedures must
    include collaboration with the other Network Centers and the
    National Center for Child Traumatic Stress in the dissemination of
    intervention products and training.

-   Describe a plan to partner with service provider organizations and
    other constituency groups to facilitate dissemination and adoption
    of effective interventions in your identified area(s) of trauma
    expertise. Include letters of commitment/coordination/support from
    organizations/groups in Appendix 1 of your application.

[Resource Development]{.underline}

-   Describe available resources (for the public, service providers,
    consumers, and policy makers) that have been developed in your
    identified area(s) of trauma expertise. These resources may have
    been developed by your organization or by other programs. Describe
    the adequacy of these resources and a plan to develop additional
    public and professional resources in the area(s) of trauma expertise
    for use by the Network and for use and dissemination outside the
    Network. The plan must include collaboration with the National
    Center for Child Traumatic Stress in the development, production,
    and dissemination of resources.

    [Sustainability Planning]{.underline}

-   Describe a plan to work closely with the National Center for Child
    Traumatic Stress and other Network grantees to help communities
    sustain progress in trauma-informed implementation beyond the
    Network and Federal funding. Interventions and products developed by
    TSA Centers should be designed to "take root" in community systems
    and should not be dependent solely on funding through the National
    Child Traumatic Stress Initiative.

[Consumer Involvement]{.underline}

-   Identify and describe how the proposed TSA Center will create
    liaisons with important professional providers and other
    constituency organizations in your identified area(s) of trauma
    expertise.

-   Describe procedures to include input from consumer constituency
    groups, including both service recipients (children/adolescents and
    their families) and community service providers, in all aspects of
    Center activities through a consumer/family advisory board or other
    mechanisms.

-   Describe how cultural and social diversity will be incorporated into
    the development, implementation, evaluation, and dissemination of
    assessments, clinical data collection, and interventions in your
    identified area(s) of trauma expertise. Describe procedures to
    obtain input from diverse cultural/social groups in developing
    interventions appropriate to these diverse populations.

    [Collaboration]{.underline}

-   Identify CTS centers with whom you will partner or service systems
    partnerships you have established and procedures to collaborate with
    service provider agencies in developing, adapting, evaluating, and
    disseminating intervention approaches and products in the identified
    area of trauma expertise. Describe the budgetary and staff resources
    that will be allocated to these activities.

-   Describe how your center will provide leadership within the NCTSN,
    including plans to lead and staff Network committees and/or
    workgroups relevant to your trauma expertise and plans to recruit
    and involve other Network Centers in committee and/or workgroup
    activities.

-   Describe staff expertise, staff time, and budgetary resources you
    will dedicate to collaborative activities with the NCCTS and other
    NCTSN Centers. Such collaborative activities include addressing
    Network-wide operational issues and improving the effectiveness of
    the NCTSN interventions.

-   Describe how your center will integrate NCTSN-developed protocols,
    guidelines, and intervention strategies into your center's
    operations.

**Section C: Staff, Management, and Relevant Experience (35 points)**

-   Describe the experience and expertise of key staff within your
    organization in child/adolescent mental health and/or trauma
    treatment and services and in developing, standardizing, evaluating,
    training, and disseminating effective interventions and public and
    professional resources in your proposed area(s) of trauma expertise.

-   Discuss the capability and experience of the applicant organization
    and other participating organizations with similar projects and
    populations.

-   Describe a staffing plan adequate to accomplish the goals specified
    above in "Proposed Approach," including identification of existing
    staff with background and experience capable of performing required
    staff roles and/or description of staff positions with expected
    qualifications. Include the Project Director and other key
    personnel, such as the evaluator and treatment /prevention
    personnel. Also include the level of effort proposed for each staff
    member.

-   Indicate how the proposed TSA Center will support and promote
    cultural competence in the center's activities through staffing
    and/or training.

-   Provide a realistic time line for the entire project period (chart
    or graph) showing key activities, milestones, and responsible staff.
    \[Note: The time line should be part of the Project Narrative. It
    should not be placed in an appendix.\]

**Section D: Performance Assessment and Data (15 points)**

-   Describe your comprehensive evaluation plan. Describe your plans to
    devote the staff and resources necessary to: 1) conduct internal
    program process and outcome evaluations; 2) submit data directly or
    promote the entry of client-level data into the Core Data Set
    (CDS); 3) fully participate in the NCTSI Cross-site Evaluation
    (CSE); and 4) comply with GPRA reporting requirements.

-   Describe the resources that will be used to obtain required IRB
    clearances for ongoing contribution to the CDS and full
    participation in the CSE, if applicable. Name the IRB entity that
    will be utilized. Additional information on IRB approval for CDS and
    CSE activities can be found in the Resource Guide for Applicants and
    the NCTSN Web site at [www.NCTSNet.org](http://www.NCTSNet.org/)
    (see "Resource Materials for 2007 Grant Applicants" under New
    Resources).

-   Describe how data collection and evaluation results will be utilized
    to inform project improvements and clinical decision-making. Be sure
    to link internal program evaluation efforts to data collection and
    reporting requirements (the Core Data Set, the National Cross-site
    Evaluation, GPRA data, and Quarterly and Annual Reports).

-   Provide a logic model (see Appendix I - Glossary) for the evaluation
    of your center's project activities. Include your measures for
    evaluating the effectiveness of interventions, implementation and/or
    dissemination of trauma-informed interventions, and other
    implementation activities (e.g., training, stakeholder involvement,
    etc.).

NOTE: Although the budget for the proposed project is not a review
criterion, the Review Group will be asked to comment on the
appropriateness of the budget after the merits of the application have
been considered.

**SUPPORTING DOCUMENTATION**

**Section E:** Literature Citations. This section must contain complete
citations, including titles and all authors, for any literature you cite
in your application.

**Section F:** Budget Justification, Existing Resources, Other Support.
You must provide a narrative justification of the items included in your
proposed budget, as well as a description of existing resources and
other support you expect to receive for the proposed project. Be sure to
show that no more than 20% of the total grant award will be used for
data collection and performance assessment. An illustration of a budget
and narrative justification is included in Appendix G of this document.

**Section G:** Biographical Sketches and Job Descriptions.

-   Include a biographical sketch for the Project Director and other key
    positions. Each sketch should be 2 pages or less. If the person has
    not been hired, include a position description and/or letter of
    commitment with a current biographical sketch from the individual.

-   Include job descriptions for key personnel. Job descriptions should
    be no longer than 1 page each.

-   Information on what should be included in biographical sketches and
    job descriptions can be found on page 22, Item 6, in the Program
    Narrative section of the PHS 5161-1 instruction page, available at
    [www.hhs.gov/forms/PHS-5161-1.doc](http://www.hhs.gov/forms/PHS-5161-1.doc).

    **Section H:** Confidentiality and Participant Protection
    Requirements: Applicants must describe procedures relating to
    Confidentiality, Participant Protection and the Protection of Human
    Subjects Regulations in Section H of the application, using the
    guidelines provided below. Number range CHAPTER More detailed
    guidance for completing this section can be found in Appendix E of
    this RFA.

    **[Confidentiality and Participant Protection:]{.underline}**

Because of the confidential nature of the work in which many SAMHSA
grantees are involved, it is important to have safeguards protecting
individuals from risks associated with their participation in SAMHSA
projects. All applicants must address the eight bullets below. If some
are not applicable or relevant to the proposed project, simply state
that they are not applicable and indicate why. In addition to addressing
these eight bullets, read the section that follows entitled Protection
of Human Subjects Regulations to determine if the regulations may apply
to your project. If so, you are required to describe the process you
will follow for obtaining Institutional Review Board (IRB) approval.
While we encourage you to keep your responses brief, there are no page
limits for this section and no points will be assigned by the Review
Committee. Problems with confidentiality, participant protection, and
the protection of human subjects identified during peer review of the
application may result in the delay of funding.

-   Identify foreseeable risks or adverse effects due to participation
    in the project and/or in the data collection (performance
    assessment) activities (including physical, medical, psychological,
    social, legal, and confidentiality) and provide your procedures for
    minimizing or protecting participants from these risks.

-   Identify plans to provide guidance and assistance in the event there
    are adverse effects to participants.

-   Describe the target population and explain why you are including or
    excluding certain subgroups. Explain how and who will recruit and
    select participants.

-   State whether participation in the project is voluntary or required.
    If you plan to provide incentives/compensate participants, specify
    the type (e.g., money, gifts, coupons), and the value of any such
    incentives. Provide justification that the use of incentives is
    appropriate, judicious, and conservative and that incentives do not
    provide an "undue inducement" which removes the voluntary nature of
    participation. Incentives should be the minimum amount necessary to
    meet the programmatic and performance assessment goals of the grant.
    Applicants should determine the minimum amount that is proven to be
    effective by consulting with existing local programs, reviewing the
    relevant literature. In no case may the value of an incentive exceed
    \$20.

-   Describe data collection procedures, including sources (e.g.,
    participants, school records) and the data collecting setting (e.g.,
    clinic, school). Provide copies of proposed data collection
    instruments and interview protocols in **Appendix 2**, "Data
    Collection Instruments/Interview Protocols." State whether specimens
    such as urine and/or blood will be obtained and the purpose for
    collecting. If applicable, describe how the specimens and process
    will be monitored to ensure the safety of participants.

-   Explain how you will ensure privacy and confidentiality of
    participants' records, data collected, interviews, and group
    discussions. Describe where the data will be stored, safeguards
    (e.g., locked, coding systems, storing identifiers separate from
    data), and who will have access to the information.

-   Describe the process for obtaining and documenting consent from
    adult participants and assent from minors along with consent from
    their parents or legal guardians. Provide copies of all consent
    forms in **Appendix 3** of your application, "Sample Consent Forms."
    If needed, give English translations.

-   Discuss why the risks are reasonable compared to expected benefits
    from the project.

    **[Protection of Human Subjects Regulations]{.underline}**

    Applicants for NCTSI TSA Centers must comply with the Human Subjects
    Regulations and must, in addition to the bullets above, fully
    describe the process for obtaining IRB approval. While IRB approval
    is not required at the time of grant award, these grantees will be
    required, as a condition of award, to provide documentation that an
    Assurance of Compliance is on file with the Office for Human
    Research Protections (OHRP). IRB approval must be received in these
    cases prior to enrolling clients in the project.

Additional information on IRB approval for Core Data Set (CDS) and
Cross-Site Evaluation (CSE) activities can be found in the Resource
Guide for Applicants and the NCTSN Web site at
[www.NCTSNET.org](http://www.NCTSNET.org/) (see "Resource Materials for
2007 Grant Applicants" under New Resources). General information about
Human Subjects Regulations can be obtained through OHRP at
<http://www.hhs.gov/ohrp>, or <ohrp@osophs.dhhs.gov>, or (240) 453-6900.
SAMHSA--specific questions should be directed to the program contact
listed in Section VII of this announcement.

## 2. REVIEW AND SELECTION PROCESS 

SAMHSA applications are peer-reviewed according to the review criteria
listed above. For those programs where the individual award is over
\$100,000, applications also must be reviewed by the appropriate
National Advisory Council.

Decisions to fund a grant are based on:

-   the strengths and weaknesses of the application as identified by
    peer reviewers and, when applicable, approved by the Center for
    Mental Health Services' National Advisory Council;

-   availability of funds; and

-   No single applicant will be awarded more than one NCTSI grant. If an
    applicant has a fundable application in response to both the TSA and
    CTS Center RFAs or in more than one TSA area, SAMHSA will determine
    which grant to award based on program considerations.

It is SAMHSA's intention to award the highest scoring application in
each of the five program priority areas---Medical Trauma, Refugee
Trauma, Family Treatment and Services Approaches to Trauma, Child
Protective Service Settings, and American Indian/Alaska Native. Five
cooperative agreement awards will be made. If priority scores in a
program priority area fall below the funding level, then more than one
award will be made in another program priority area(s).

# VI. AWARD ADMINISTRATION INFORMATION

## 1. AWARD NOTICES

After your application has been reviewed, you will receive a letter from
SAMHSA through postal mail that describes the general results of the
review, including the score that your application received.

If you are approved for funding, you will receive an **additional**
notice, the Notice of Grant Award, signed by SAMHSA's Grants Management
Officer. The Notice of Grant Award is the sole obligating document that
allows the grantee to receive Federal funding for work on the grant
project.

If you are not funded, you may re-apply if there is another receipt date
for the program.

## 2. ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS 

[]{.mark}

If your application is funded, you must comply with all terms and
conditions of the grant award. SAMHSA's standard terms and conditions
are available on the SAMHSA Web site at
[www.samhsa.gov/grants/management.aspx](http://www.samhsa.gov/grants/management.aspx).

If your application is funded, you must also comply with the
administrative requirements outlined in 45 CFR Part 74 or 45 CFR Part
92, as appropriate. For more information see the SAMHSA Web site
(<http://www.samhsa.gov/grants/generalinfo/grant_reqs.aspx> ).

-   Depending on the nature of the specific funding opportunity and/or
    your proposed project as identified during review, SAMHSA may
    negotiate additional terms and conditions with you prior to grant
    award. These may include, for example:

    -   actions required to be in compliance with confidentiality and
        participant protection/human subjects requirements;

    -   requirements relating to additional data collection and
        reporting;

    -   requirements relating to participation in a cross-site
        evaluation; or

    -   requirements to address problems identified in review of the
        application.

-   If your application is funded, you will be held accountable for the
    information provided in the application relating to performance
    targets. SAMHSA program officials will consider your progress in
    meeting goals and objectives, as well as your failures and
    strategies for overcoming them, when making an annual recommendation
    to continue the grant and the amount of any continuation award.
    Failure to meet stated goals and objectives may result in suspension
    or termination of the grant award, or in reduction or withholding of
    continuation awards.

-   Grant funds cannot be used to supplant current funding of existing
    activities. "Supplant" is defined as replacing funding of a
    recipient's existing program with funds from a Federal grant.

-   In an effort to improve access to funding opportunities for
    applicants, SAMHSA is participating in the U.S. Department of Health
    and Human Services "Survey on Ensuring Equal Opportunity for
    Applicants." This survey is included in the application kit for
    SAMHSA grants and is posted on the SAMHSA Web site. You are
    encouraged to complete the survey and return it, using the
    instructions provided on the survey form.

## 3. REPORTING REQUIREMENTS

In addition to the data reporting requirements listed in Section I-2.2,
you must comply with the following reporting requirements:

##  

1.  **Progress and Financial Reports**

-   You will be required to submit quarterly, annual, and final progress
    reports, as well as annual and final financial status reports.

```{=html}
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```
-   Because SAMHSA is extremely interested in ensuring that treatment
    and prevention services can be sustained, your progress reports
    should explain plans to ensure the sustainability of efforts
    initiated under this grant.

-   If your application is funded, SAMHSA will provide you with
    guidelines and requirements for these reports at the time of award
    and at the initial grantee orientation meeting after award. SAMHSA
    staff will use the information contained in the reports to determine
    your progress toward meeting its goals.

-   Grantees will be expected to participate in reporting requirements
    that have been established through the cross-site evaluation
    activities.

-   Grantees will also be expected to produce an annual evaluation
    report that documents the local program outcomes as well as progress
    of the Center in meeting proposed goals and objectives.

**3.2 Government Performance and Results Act**

The Government Performance and Results Act (GPRA) mandates
accountability and performance-based management by Federal agencies. To
meet the GPRA requirements, SAMHSA must collect performance data (i.e.,
"GPRA data") from grantees. The performance requirements for SAMHSA's
Treatment and Service Adaptation Centers cooperative agreement program
are described in Section I-2.2 of this document under "Data Collection
and Performance Measurement."

**3.3 Publications**

If you are funded under this grant program, you are required to notify
the Government Project Officer (GPO) and SAMHSA's Publications Clearance
Officer (240-276-2130) of any materials based on the SAMHSA-funded
project that are accepted for publication.

In addition, SAMHSA requests that grantees:

-   Provide the GPO and SAMHSA Publications Clearance Officer with
    advance copies of publications.

-   Include acknowledgment of the SAMHSA grant program as the source of
    funding for the project.

-   Include a disclaimer stating that the views and opinions contained
    in the publication do not necessarily reflect those of SAMHSA or the
    U.S. Department of Health and Human Services, and should not be
    construed as such.

-   Grantees are encouraged to work with SAMHSA staff to collaborate in
    the development, revision, and production of publications on program
    findings.

SAMHSA reserves the right to issue a press release about any publication
deemed by SAMHSA to contain information of program or policy
significance to the substance abuse treatment/substance abuse
prevention/mental health services community.

# VII. AGENCY CONTACTS

For questions about program issues contact:

Malcolm Gordon, Ph.D.

> Division of Prevention, Traumatic Stress and Special Programs

Center for Mental Health Services

Substance Abuse and Mental Health Services Administration

1 Choke Cherry Road

Room 6-1005

Rockville, Maryland 20857

240-276-1856

<malcolm.gordon@samhsa.hhs.gov>

For questions on grants management issues, contact:

Kimberly Pendleton

Office of Program Services, Division of Grants Management

Substance Abuse and Mental Health Services Administration

1 Choke Cherry Road

Room 7-1097

Rockville, Maryland 20857

240-276-1421

<kimberly.pendleton@samhsa.hhs.gov>

### Appendix A -- Checklist for Formatting Requirements and Screenout Criteria for SAMHSA Grant Applications

*SAMHSA's goal is to review all applications submitted for grant
funding. However, this goal must be balanced against SAMHSA's obligation
to ensure equitable treatment of applications. For this reason, SAMHSA
has established certain formatting requirements for its applications.
**If you do not adhere to these requirements, your application will be
screened out and returned to you without review.***

-   Use the PHS 5161-1 application.

-   Applications must be received by the application deadline or have
    proof of timely submission, as detailed in Section IV-3 of the grant
    announcement.

-   Information provided must be sufficient for review.

-   Text must be legible. (For Project Narratives submitted
    electronically in Microsoft Word, see separate requirements in
    Section IV-6 of this announcement under "Submission of Electronic
    Applications.")

• Type size in the Project Narrative cannot exceed an average of 15
characters per

inch, as measured on the physical page. (Type size in charts, tables,
graphs, and

footnotes will not be considered in determining compliance.)

• Text in the Project Narrative cannot exceed 6 lines per vertical inch.

-   Paper must be white paper and 8.5 inches by 11.0 inches in size.

-   To ensure equity among applications, the amount of space allowed for
    the Project Narrative cannot be exceeded. (For Project Narratives
    submitted electronically in Microsoft Word, see separate
    requirements in Section IV-6 of this announcement under "Submission
    of Electronic Applications.")

• Applications would meet this requirement by using all margins (left,
right, top, bottom) of at least one inch each, and adhering to the page
limit for the Project Narrative stated in the specific funding
announcement.

• Should an application not conform to these margin or page limits,
SAMHSA will use the following method to determine compliance: The total
area of the Project Narrative (excluding margins, but including charts,
tables, graphs and footnotes) cannot exceed 58.5 square inches
multiplied by the page limit. This number represents the full page less
margins, multiplied by the total number of allowed pages.

• Space will be measured on the physical page. Space left blank within
the Project Narrative (excluding margins) is considered part of the
Project Narrative, in determining compliance.

*To facilitate review of your application, follow these additional
guidelines. Failure to adhere to the following guidelines will not, in
itself, result in your application being screened out and returned
without review. However, the information provided in your application
must be sufficient for review. Following these guidelines will help
ensure your application is complete, and will help reviewers to consider
your application.*

-   The 10 application components required for SAMHSA applications
    should be included. These are:

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```
-   Face Page (Standard Form 424 v2, which is in PHS 5161-1)

-   Abstract

-   Table of Contents

-   Budget Form (Standard Form 424A, which is in PHS 5161-1)

-   Project Narrative and Supporting Documentation

-   Appendices

-   Assurances (Standard Form 424B, which is in PHS 5161-1)

-   Certifications (a form within PHS 5161-1)

-   Disclosure of Lobbying Activities (Standard Form LLL, which is in
    PHS 5161-1)

-   Checklist (a form in PHS 5161-1)

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```
-   Applications should comply with the following requirements:

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```
-   Provisions relating to confidentiality and participant protection
    specified in Section V-1 of this announcement.

-   Budgetary limitations as specified in Section I, II, and IV-5 of
    this announcement.

-   Documentation of nonprofit status as required in the PHS 5161-1.

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```
-   Pages should be typed single-spaced in black ink, with one column
    per page. Pages should not have printing on both sides.

-   Please number pages consecutively from beginning to end so that
    information can be located easily during review of the application.
    The cover page should be page 1, the abstract page should be page 2,
    and the table of contents page should be page 3. Appendices should
    be labeled and separated from the Project Narrative and budget
    section, and the pages should be numbered to continue the sequence.

-   The page limits for Appendices stated in the specific funding
    announcement should not be exceeded.

-   Send the original application and two copies to the mailing address
    in Section IV-6 of this document. Please do not use staples, paper
    clips, and fasteners. Nothing should be attached, stapled, folded,
    or pasted. Do not use heavy or lightweight paper or any material
    that cannot be copied using automatic copying machines. Odd-sized
    and oversized attachments such as posters will not be copied or sent
    to reviewers. Do not include videotapes, audiotapes, or CD-ROMs.

### Appendix B -- Guidance for Electronic Submission of Applications

If you would like to submit your application electronically, you may
search [www.Grants.gov](http://www.Grants.gov/) for the downloadable
application package by the funding announcement number (called the
opportunity number) or by the Catalogue of Federal Domestic Assistance
(CFDA) number. You can find the CFDA number on the first page of the
funding announcement.

You must follow the instructions in the User Guide available at the
[www.Grants.gov](http://www.Grants.gov/) apply site, on the Help page.
In addition to the User Guide, you may wish to use the following sources
for help:

-   By e-mail: <support@Grants.gov>

-   By phone: 1-800-518-4726 (1-800-518-GRANTS). The Customer Support
    Center is open from 7:00 a.m. to 9:00 p.m. Eastern Time, Monday
    through Friday, excluding Federal holidays.

**If this is the first time you have submitted an application through
Grants.gov, you must complete four separate registration processes
before you can submit your application. Allow at least two weeks (10
business days) for these registration processes, prior to submitting
your application.** The processes are: 1) DUNS Number registration; 2)
Central Contractor Registry (CCR) registration; 3) Credential Provider
registration; and 4) Grants.gov registration.

**It is strongly recommended that you submit your grant application
using Microsoft Office products (e.g., Microsoft Word, Microsoft Excel,
etc.).** If you do not have access to Microsoft Office products, you may
submit PDF files. Directions for creating PDF files can be found on the
Grants.gov Web site. Use of file formats other than Microsoft Office or
PDF may result in your file being unreadable by our staff.

The Project Narrative must be a separate document in the electronic
submission. Formatting requirements for SAMHSA grant applications are
described in Appendix A of this announcement. These requirements also
apply to applications submitted electronically, with the following
exceptions only for Project Narratives submitted electronically in
Microsoft Word. These requirements help ensure the accurate transmission
and equitable treatment of applications.

-   *Text legibility*: Use a font of Times New Roman 12, line spacing of
    single space, and all margins (left, right, top, bottom) of one inch
    each. Adhering to these standards will help to ensure the accurate
    transmission of your document. If the type size in the Project
    Narrative of an electronic submission exceeds 15 characters per
    inch, or the text exceeds 6 lines per vertical inch, SAMHSA will
    reformat the document to Times New Roman 12, with line spacing of
    single space. Please note that this may alter the formatting of your
    document, especially for charts, tables, graphs, and footnotes.

-   *Amount of space allowed for Project Narrative*: The Project
    Narrative for an electronic submission may not exceed 15,450 words.
    If the Project Narrative for an electronic submission exceeds the
    word limit and exceeds the allowed space as defined in Appendix A,
    then **any part of the Project Narrative in excess of these limits
    will not be submitted to review**. To determine the number of words
    in your Project Narrative document in Microsoft Word, select
    file/properties/statistics.

While keeping the Project Narrative as a separate document, please
consolidate all other materials in your application to ensure the fewest
possible number of attachments. Ensure all pages in your application are
numbered consecutively, with the exception of the standard forms in the
PHS-5161 application package. Please name and number your attachments,
indicating the order in which they should be assembled. Failure to
comply with these requirements may affect the successful transmission
and consideration of your application.

Applicants are strongly encouraged to submit their applications to
Grants.gov early enough to resolve any unanticipated difficulties prior
to the deadline. You may also submit a back-up paper submission of your
application. Any such paper submission must be received in accordance
with the requirements for timely submission detailed in Section IV-3 of
this announcement. The paper submission must be clearly marked:
**"Back-up for electronic submission."** The paper submission must
conform with all requirements for non-electronic submissions. If both
electronic and back-up paper submissions are received by the deadline,
the electronic version will be considered the official submission.

After you electronically submit your application, you will receive an
automatic acknowledgement from Grants.gov that contains a Grants.gov
tracking number. It is important that you retain this number. **Include
the Grants.gov tracking number in the top right corner of the face page
for any paper submission. Receipt of the tracking number is the only
indication that Grants.gov has successfully received and validated your
application. If you do not receive a Grants.gov tracking number, you may
want to contact the Grants.gov help desk for assistance.**

The Grants.gov Web site does not accept electronic signatures at this
time. Therefore, you must submit a signed paper original of the face
page (SF 424 v2), the assurances (SF 424B), and hard copy of any other
required documentation that cannot be submitted electronically. **You
must include the Grants.gov tracking number for your application on
these documents with original signatures, on the top right corner of the
face page, and send the documents to the following address. The
documents must be received at the following address within 5 business
days after your electronic submission.** Delays in receipt of these
documents may impact the score your application receives or the ability
of your application to be funded.

**For United States Postal Service:**

Crystal Saunders, Director of Grant Review

Office of Program Services

Substance Abuse and Mental Health Services Administration

Room 3-1044

1 Choke Cherry Road

Rockville, MD **20857**

ATTN: Electronic Applications

**For other delivery services, change the zip code to 20850.**

If you require a phone number for delivery, you may use (240) 276-1199.

### 

### 

###  

### Appendix C -- Overview of SAMHSA's National Registry of Evidence-based Programs and Practices (NREPP)

The National Registry of Evidence-based Programs and Practices (NREPP --
formerly the National Registry of Effective Prevention Programs) is a
voluntary rating and classification system for mental health and
substance abuse prevention and treatment interventions. The system is
designed to categorize and disseminate information about programs and
practices that meet established evidence rating criteria. SAMHSA is
committed to making NREPP a leading national resource for contemporary
and reliable information on the scientific basis and practicality of
interventions to prevent and/or treat mental and addictive disorders.

The system began in 1998 in SAMHSA\'s Center for Substance Abuse
Prevention (CSAP), and is being revised and expanded to include all
interventions to prevent and/or treat mental and addictive disorders.
SAMHSA\'s Center for Substance Abuse Treatment (CSAT) and Center for
Mental Health Services (CMHS) are participating in this expansion.
SAMHSA launched a new Web site for
NREPP ([www.nrepp.samhsa.gov](http://www.nrepp.samhsa.gov/)) on March 1,
2007.

However, approximately 160 programs are on the current Registry as
either Model, Effective, or Promising Programs. Information on these
programs is available through the current Model Programs Web site at
[www.modelprograms.samhsa.gov](http://www.modelprograms.samhsa.gov/)

### Appendix D -- Sample Logic Model

A Logic Model is a tool to show how your proposed project links the
purpose, goals, objectives, and tasks stated with the activities and
expected outcomes or "change" and can help to plan, implement, and
assess your project. The model also links the purpose, goals,
objectives, and activities back into planning and evaluation. A Logic
Model is a *picture* of your project. It graphically shows the
activities and progression of the project. It should also describe the
relationships among what resources you put in (inputs), what you do
(outputs), and what happens or results (outcomes). Based on both your
planning and evaluating activities, you can then make a "logical" chain
of "if-then" relationships.

Look at the graphic on the following page to see the chain of events
that links the inputs to program components, the program components to
outputs, and the outputs to outcomes (goals).

The framework you set up to build your model is based on a review of
your Statement of Need, in which you state the conditions that gave rise
to the project with your target group. Then you look at the **Inputs,**
which are the resources, contributions, time, staff, materials**,** and
equipment you will invest to change these conditions. These inputs then
are organized into the **Program Components**, which are the activities,
services, interventions and tasks that will reach the target population.
These outputs then are intended to create **Outputs** such as changes or
benefits for the consumer, families, groups, communities, organizations
and SAMHSA. The understanding and further evidence of what works and
what does not work will be shown in the **Outcomes**, which include
achievements that occur along the path of project operation.

### 

### 

\*The logic model presented is not a required format and SAMHSA does not
expect strict adherence to this format. It is presented only as a sample
of how you can present a logic model in your application.

### 

### 

Sample Logic Model\*

+--------------+---+--------------+---+---------------+---+---------------+
| *            | # | **Program    | # | **Outputs**   | # | **Outcomes**  |
| *Resources** | # | Components** | # |               | # |               |
|              | # |              | # | **(           | # | **(Goals)**   |
| **(Inputs)** |   | **(A         |   | Objectives)** |   |               |
|              |   | ctivities)** |   |               |   |               |
+--------------+---+--------------+---+---------------+---+---------------+
| **Examples** |   | **Examples** |   | **Examples**  |   | **Examples**  |
+--------------+---+--------------+---+---------------+---+---------------+
| People       |   | Outreach     |   | Waiting list  |   | Inprogram:    |
|              |   |              |   | length        |   |               |
| Staff --     |   | Intak        |   |               |   | Client        |
| hours        |   | e/Assessment |   | Waiting list  |   | satisfaction  |
|              |   |              |   | change        |   |               |
| Volunteer -- |   | Client       |   |               |   | Client        |
| hours        |   | Interview    |   | Client        |   | retention     |
|              |   |              |   | attendance    |   |               |
| Funds        |   | Treatment    |   |               |   | In or         |
|              |   | Planning     |   | Client        |   | postprogram:  |
| Other        |   |              |   | participation |   |               |
| resources    |   | Treatment by |   |               |   | > Reduced     |
|              |   | type:        |   | Number of     |   | > drug use -- |
| Facilities   |   |              |   | Clients:      |   | > self        |
|              |   | Methadone    |   |               |   | > reports,    |
| Equipment    |   | maintenance  |   | Admitted      |   | > urine, hair |
|              |   |              |   |               |   | >             |
| Community    |   | Weekly       |   | Terminated    |   | > Empl        |
| services     |   | 12-step      |   |               |   | oyment/school |
|              |   | meetings     |   | Inprogram     |   | > progress    |
|              |   |              |   |               |   | >             |
|              |   | De           |   | Graduated     |   | >             |
|              |   | toxification |   |               |   | Psychological |
|              |   |              |   | Placed        |   | > status      |
|              |   | Counseling   |   |               |   | >             |
|              |   | sessions     |   | Number of     |   | > Vocational  |
|              |   |              |   | Sessions:     |   | > skills      |
|              |   | Relapse      |   |               |   | >             |
|              |   | prevention   |   | Per month     |   | > Social      |
|              |   |              |   |               |   | > skills      |
|              |   | Crisis       |   | Per           |   | >             |
|              |   | intervention |   | client/month  |   | > Safer       |
|              |   |              |   |               |   | > sexual      |
|              |   | Special      |   | Funds raised  |   | > practices   |
|              |   | Training     |   |               |   | >             |
|              |   |              |   | Number of     |   | > Nutritional |
|              |   | Vocational   |   | volunteer     |   | > practices   |
|              |   | skills       |   | hours/month   |   | >             |
|              |   |              |   |               |   | > Child care  |
|              |   | Social       |   | Other         |   | > practices   |
|              |   | skills       |   | resources     |   | >             |
|              |   |              |   | required      |   | > Reduced     |
|              |   | Nutrition    |   |               |   | > deli        |
|              |   |              |   |               |   | nquency/crime |
|              |   | Child care   |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Literacy     |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Tutoring     |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Safer sex    |   |               |   |               |
|              |   | practices    |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Other        |   |               |   |               |
|              |   | Services     |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Placement in |   |               |   |               |
|              |   | employment   |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Prenatal     |   |               |   |               |
|              |   | care         |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Child care   |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Aftercare    |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Program      |   |               |   |               |
|              |   | Support      |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Fundraising  |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Long-range   |   |               |   |               |
|              |   | planning     |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Ad           |   |               |   |               |
|              |   | ministration |   |               |   |               |
|              |   |              |   |               |   |               |
|              |   | Public       |   |               |   |               |
|              |   | Relations    |   |               |   |               |
+--------------+---+--------------+---+---------------+---+---------------+

### Appendix E -- Logic Model Resources

Chen, W.W., Cato, B.M., & Rainford, N. (1998-9). Using a logic model to

plan and evaluate a community intervention program: A case study.
*International Quarterly of Community Health Education*, *18*(4),
449-458.

Edwards, E.D., Seaman, J.R., Drews, J., & Edwards, M.E. (1995). A
community approach for Native American drug and alcohol prevention
programs: A logic model framework. *Alcoholism Treatment Quarterly*,
*13*(2), 43-62.

Hernandez, M. & Hodges, S. (2003). *Crafting Logic Models for Systems of
Care: Ideas into Action*. \[Making children's mental health services
successful series, volume 1\]. Tampa, FL: University of South Florida,
The Louis de la Parte Florida Mental Health Institute, Department of
Child & Family Studies.
[http://cfs.fmhi.usf.edu](http://cfs.fmhi.usf.edu/) or phone (813)
974-4651

Hernandez, M. & Hodges, S. (2001). Theory-based accountability. In M.
Hernandez & S. Hodges (Eds.), *Developing Outcome Strategies in
Children\'s Mental Health*, pp. 21-40. Baltimore: Brookes.

Julian, D.A. (l997). Utilization of the logic model as a system level
planning and evaluation device. *Evaluation and Planning,* *20*(3),
251-257.

Julian, D.A., Jones, A., & Deyo, D. (1995). Open systems evaluation and
the

logic model: Program planning and evaluation tools. *Evaluation and
Program*

*Planning,* *18*(4), 333-341.

Patton, M.Q. (1997). *Utilization-Focused Evaluation* (3^rd^ Ed.), pp.
19, 22,

241\. Thousand Oaks, CA: Sage.

Wholey, J.S., Hatry, H.P., & Newcome, K.E. (Eds.) (1994). *Handbook of
Practical Program Evaluation.* San Francisco, CA: Jossey-Bass Inc.

### Appendix F -- Confidentiality and Participant Protection 

### 

1.  [Protect Clients and Staff from Potential Risks]{.underline}

-   Identify and describe any foreseeable physical, medical,
    psychological, social, and legal risks or potential adverse effects
    as a result of the project itself or any data collection activity.

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-   Describe the procedures you will follow to minimize or protect
    participants against potential risks, **including risks to
    confidentiality**.

-   Identify plans to provide guidance and assistance in the event there
    are adverse effects to participants.

-   Where appropriate, describe alternative treatments and procedures
    that may be beneficial to the participants. If you choose not to use
    these other beneficial treatments, provide the reasons for not using
    them.

2.  [Fair Selection of Participants]{.underline}

-   Describe the target population(s) for the proposed project. Include
    age, gender, and racial/ethnic background and note if the population
    includes homeless youth, foster children, children of substance
    abusers, pregnant women, or other targeted groups.

-   Explain the reasons for including groups of pregnant women,
    children, people with mental disabilities, people in institutions,
    prisoners, and individuals who are likely to be particularly
    vulnerable to HIV/AIDS.

-   Explain the reasons for [including or excluding]{.underline}
    participants.

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```
-   Explain how you will recruit and select participants. Identify who
    will select participants.

3.  [Absence of Coercion]{.underline}

-   Explain if participation in the project is voluntary or required.
    Identify possible reasons why participation is required, for
    example, court orders requiring people to participate in a program.

-   If you plan to compensate participants, state how participants will
    be awarded incentives (e.g., money, gifts, etc.).

-   State how volunteer participants will be told that they may receive
    services intervention even if they do not participate in or complete
    the data collection component of the project.

4.  [Data Collection]{.underline}

-   Identify from whom you will collect data (e.g., from participants
    themselves, family members, teachers, others). Describe the data
    collection procedures and specify the sources for obtaining data
    (e.g., school records, interviews, psychological assessments,
    questionnaires, observation, or other sources). Where data are to be
    collected through observational techniques, questionnaires,
    interviews, or other direct means, describe the data collection
    setting.

-   Identify what type of specimens (e.g., urine, blood) will be used,
    if any. State if the material will be used just for evaluation or if
    other use(s) will be made. Also, if needed, describe how the
    material will be monitored to ensure the safety of participants.

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```
-   Provide in **Appendix 2, "Data Collection Instruments/Interview
    Protocols,"** copies of [all]{.underline} available data collection
    instruments and interview protocols that you plan to use.

5.  [Privacy and Confidentiality]{.underline}

-   Explain how you will ensure privacy and confidentiality. Include who
    will collect data and how it will be collected.

-   Describe:

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```
-   How you will use data collection instruments.

-   Where data will be stored.

-   Who will or will not have access to information.

-   How the identity of participants will be kept private, for example,
    through the use of a coding system on data records, limiting access
    to records, or storing identifiers separately from data.

    **NOTE:** If applicable, grantees must agree to maintain the
    confidentiality of alcohol and drug abuse client records according
    to the provisions of **Title 42 of the Code of Federal Regulations,
    Part II.**

6.  [Adequate Consent Procedures]{.underline}

-   List what information will be given to people who participate in the
    project. Include the type and purpose of their participation.
    Identify the data that will be collected, how the data will be used
    and how you will keep the data private.

-   State:

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```
-   Whether or not their participation is voluntary.

-   Their right to leave the project at any time without problems.

-   Possible risks from participation in the project.

-   Plans to protect clients from these risks.

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```
-   Explain how you will get consent for youth, the elderly, people with
    limited reading skills, and people who do not use English as their
    first language.

    **NOTE:** If the project poses potential physical, medical,
    psychological, legal, social or other risks, you **must** obtain
    [written]{.underline} informed consent.

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```
-   Indicate if you will obtain informed consent from participants or
    assent from minors along with consent from their parents or legal
    guardians. Describe how the consent will be documented. For example:
    Will you read the consent forms? Will you ask prospective
    participants questions to be sure they understand the forms? Will
    you give them copies of what they sign?

-   Include, as appropriate, sample consent forms that provide for: (1)
    informed consent for participation in service intervention; (2)
    informed consent for participation in the data collection component
    of the project; and (3) informed consent for the exchange (releasing
    or requesting) of confidential information. The sample forms must be
    included in **Appendix 3, "Sample Consent Forms"**, of your
    application. If needed, give English translations.

    **NOTE:** Never imply that the participant waives or appears to
    waive any legal rights, may not end involvement with the project, or
    releases your project or its agents from liability for negligence.

```{=html}
<!-- -->
```
-   Describe if separate consents will be obtained for different stages
    or parts of the project. For example, will they be needed for both
    participant protection in treatment intervention and for the
    collection and use of data?

-   Additionally, if other consents (e.g., consents to release
    information to others or gather information from others) will be
    used in your project, provide a description of the consents. Will
    individuals who do not consent to having individually identifiable
    data collected for evaluation purposes be allowed to participate in
    the project?

7.  [Risk/Benefit Discussion]{.underline}

    Discuss why the risks are reasonable compared to expected benefits
    and importance of the knowledge from the project.

    **[Protection of Human Subjects Regulations]{.underline}**

Applicants may also have to comply with the Protection of Human Subjects
Regulations (45 CFR 46), depending on the evaluation and data collection
procedures proposed and the population to be served.

Applicants must be aware that even if the Protection of Human Subjects
Regulations do not apply to all projects funded, the specific evaluation
design proposed by the applicant may require compliance with these
regulations.

Applicants whose projects must comply with the Protection of Human
Subjects Regulations must describe the process for obtaining
Institutional Review Board (IRB) approval fully in their applications.
While IRB approval is not required at the time of grant award, these
applicants will be required, as a condition of award, to provide the
documentation that an Assurance of Compliance is on file with the Office
for Human Research Protections (OHRP) and that IRB approval has been
received prior to enrolling any clients in the proposed project.

General information about Protection of Human Subjects Regulations can
be obtained on the Web at <http://www.hhs.gov/ohrp>. You may also
contact OHRP by e-mail (<ohrp@osophs.dhhs.gov>[)]{.underline} or by
phone (240/453-6900). SAMHSA-specific questions related to Protection of
Human Subjects Regulations should be directed to the program contact
listed in Section VII of this RFA.

### 

###  

### Appendix G -- Sample Budget and Justification

**ILLUSTRATION OF A SAMPLE DETAILED BUDGET AND**

**NARRATIVE JUSTIFICATION TO ACCOMPANY**

**SF 424A: SECTION B FOR 01 BUDGET PERIOD**

**[OBJECT CLASS CATEGORIES]{.underline}**

**[Personnel]{.underline}**

**Job Annual Level of Salary being**

**Title** **Name Salary Effort Requested**

Project

Director J. Doe \$30,000 1.0 \$30,000

Secretary Unnamed \$18,000 0.5 \$ 9,000

Counselor R. Down \$25,000 1.0 \$25,000

> **Enter Personnel subtotal on 424A, Section B, 6.a. \$64,000**

**[Fringe Benefits]{.underline}** (24%) \$15,360

> **Enter Fringe Benefits subtotal on 424A, Section B, 6.b. \$15,360**

**[Travel]{.underline}**

2 trips for SAMHSA Meetings for 2 Attendees

(Airfare @ \$600 x 4 = \$2,400) + (per diem

@ \$120 x 4 x 6 days = \$2,880) \$5,280

Local Travel (500 miles x .24 per mile) 120

\[Note: Current Federal Government per diem rates are available at
[www.gsa.gov](http://www.gsa.gov/).\]

> **Enter Travel subtotal on 424A, Section B, 6.c. \$ 5,400**

**[Equipment]{.underline}** (List Individually)

> \"Equipment\" means an article of nonexpendable, tangible personal
> property having a useful life of more than one year and an acquisition
> cost which equals the lesser of (a) the capitalization level
> established by the governmental unit or nongovernmental applicant for
> financial statement purposes, or (b) \$5000.

**Enter Equipment subtotal on 424A, Section B, 6.d.**

**[Supplies]{.underline}**

Office Supplies \$500

Computer Software - 1 WordPerfect 500

**Enter Supplies subtotal on 424A, Section B, 6.e. \$1,000**

ILLUSTRATION OF DETAILED BUDGET AND NARRATIVE JUSTIFICATION (cont'd.)

**[Contractual Costs]{.underline}**

**Evaluation**

Job Name Annual Salary being Level of

Title Salary Requested Effort

Evaluator J. Wilson \$48,000 \$24,000 0.5

Other Staff \$18,000 \$18,000 1.0

Fringe Benefits (25%) \$10,500

**Travel**

2 trips x 1 Evaluator

(\$600 x 2) \$ 1,200

per diem @ \$120 x 6 720

Supplies (General Office) 500

Evaluation Direct \$54,920

Evaluation Indirect Costs (19%) \$10,435

Evaluation Subtotal \$65,355

**Training**

Job Name Level of Salary being

Title Effort Requested

Coordinator M. Smith 0.5 \$ 12,000

Admin. Asst. N. Jones 0.5 \$ 9,000

Fringe Benefits (25%) \$ 5,250

**Travel**

2 Trips for Training

Airfare @ \$600 x 2 \$ 1,200

Per Diem \$120 x 2 x 2 days 480

Local (500 miles x .24/mile) 120

**Supplies**

Office Supplies \$ 500

Software (WordPerfect) 500

**Other**

Rent (500 Sq. Ft. x \$9.95) \$ 4,975

Telephone 500

Maintenance (e.g., van) \$ 2,500

Audit \$ 3,000

Training Direct \$ 40,025

Training Indirect \$ -0-

**Enter Contractual subtotal on 424A, Section B, 6.f. \$105,380**

ILLUSTRATION OF DETAILED BUDGET AND NARRATIVE JUSTIFICATION (cont'd.)

**[Other]{.underline}**

Consultants = Expert @ \$250/day X 6 day \$ 1,500

(If expert is known, should list by name)

**Enter Other subtotal on 424A, Section B, 6.h. \$ 1,500**

**Total Direct Charges (sum of 6.a-6.h)**

**Enter Total Direct on 424A, Section B, 6.i. \$192,640**

**[Indirect Costs]{.underline}**

15% of Salary and Wages (copy of negotiated

indirect cost rate agreement attached)

**Enter Indirect subtotal of 424A, Section B, 6.j. \$ 9,600**

**[TOTALS]{.underline}**

**Enter TOTAL on 424A, Section B, 6.k. \$202,240**

**[JUSTIFICATION]{.underline}**

PERSONNEL - Describe the role and responsibilities of each position.

FRINGE BENEFITS - List all components of the fringe benefit rate.

EQUIPMENT - List equipment and describe the need and the purpose of the
equipment in relation to the proposed project.

SUPPLIES - Generally self-explanatory; however, if not, describe need.
Include explanation of how the cost has been estimated.

TRAVEL - Explain need for all travel other than that required by SAMHSA.

CONTRACTUAL COSTS - Explain the need for each contractual arrangement
and how these components relate to the overall project.

OTHER - Generally self-explanatory. If consultants are included in this
category, explain the need and how the consultant's rate has been
determined.

INDIRECT COST RATE - If your organization has no indirect cost rate,
please indicate whether your organization plans to a) waive indirect
costs if an award is issued, or b) negotiate and establish an indirect
cost rate with DHHS within 90 days of award issuance.

[CALCULATION OF FUTURE BUDGET PERIODS]{.underline}

[(based on first 12-month budget period)]{.underline}

Review and verify the accuracy of future year budget estimates.
Increases or decreases in the future years must be explained and
justified and no cost of living increases will be honored. (NOTE: new
salary cap of \$186,600 is effective for all FY 2007 awards.) \*

First Second Third

12-month 12-month 12-month

Period Period Period

Personnel

Project Director 30,000 30,000 30,000

Secretary\*\* 9,000 18,000 18,000

Counselor 25,000 25,000 25,000

TOTAL PERSONNEL 64,000 73,000 73,000

\*Consistent with the requirement in the Consolidated Appropriations
Act, Public Law 108-447.

\*\*Increased from 50% to 100% effort in 02 through 03 budget periods.

Fringe Benefits (24%) 15,360 17,520 17,520

Travel 5,400 5,400 5,400

Equipment -0- -0- -0-

Supplies\*\*\* 1,000 520 520

\*\*\*Increased amount in 01 year represents costs for software.

Contractual

Evaluation\*\*\*\* 65,355 67,969 70,688

Training 40,025 40,025 40,025

\*\*\*\*Increased amounts in 02 and 03 years are reflected of the
increase in client data collection.

Other 1,500 1,500 1,500

Total Direct Costs 192,640 205,934 208,653

Indirect Costs 9,600 9,600 9,600

(15% S&W)

TOTAL COSTS 202,240 216,884 219,603

The Federal dollars requested for all object class categories for the
first 12-month budget period are entered on Form 424A, Section B, Column
(1), lines 6a-6i. The [total]{.underline} Federal dollars requested for
the second through the fifth 12-month budget periods are entered on Form
424A, Section E, Columns (b) -- (e), line 20. The RFA will specify the
maximum number of years of support that may be requested.

### Appendix H -- Areas of Budget Consideration

Note: Information in this appendix is provided for planning purposes.
Unless otherwise referenced in the RFA, budget percentages and dollar
ranges are approximate amounts for consideration when developing program
plans.

  ------------------- ---------------------------------- ----------------
  **Budget Category** **Allowable Activities**           **Percentage
                                                         Range of
                                                         Budget**

  *Network            Participation in National Child    At least 20%
  Collaboration*      Traumatic Stress Initiative        
                      committees, communication with     
                      other TSA and CTS Centers          
                      regarding Network activities       

  *Treatment and      Writing treatment and service      15-30%
  Service Product     manuals or other                   
  Development and     training/educational materials,    
  Dissemination*      production costs for intervention  
                      materials in print or other media  

  *Training and       Training service providers to      20-50%
  Consultation*       implement treatment and services   
                      approaches, evaluating adaptation  
                      of intervention approaches in      
                      community or service system        
                      settings, consulting or            
                      collaborating with service         
                      provider organizations             

  *Evaluation/Data    Assessing impact of interventions  10-20%
  Collection*         developed in area of trauma        
                      expertise, assessing quality of    
                      interventions developed; support   
                      for Network-wide clinical data     
                      collection protocols and the core  
                      data set; and implementation and   
                      participation in cross site        
                      evaluation                         

  *Direct Service     Providing trauma-informed          0-30%
  Delivery*           interventions in areas of          
                      expertise to inform intervention   
                      development, assessing trauma      
                      exposure or effects for treatment  
                      or referral                        
  ------------------- ---------------------------------- ----------------

### Appendix I - Glossary

**[Catchment Area:]{.underline}** A catchment area is the geographic
area from which the target population to be served by a program will be
drawn.

**[Cooperative Agreement:]{.underline}** A cooperative agreement is a
form of Federal grant. Cooperative agreements are distinguished from
other grants in that, under a cooperative agreement, substantial
involvement is anticipated between the awarding office and the recipient
during performance of the funded activity. This involvement may include
collaboration, participation, or intervention in the activity. HHS
awarding offices use grants or cooperative agreements (rather than
contracts) when the principal purpose of the transaction is the transfer
of money, property, services, or anything of value to accomplish a
public purpose of support or stimulation authorized by Federal statute.
The primary beneficiary under a grant or cooperative agreement is the
public, as opposed to the Federal Government.

**[Cost sharing or Matching:]{.underline}** Cost sharing refers to the
value of allowable non-Federal contributions toward the allowable costs
of a Federal grant project or program. Such contributions may be cash or
in-kind contributions. For SAMHSA grants, cost sharing or matching is
not required, and applications will not be screened out on the basis of
cost sharing.  However, applicants often include cash or in-kind
contributions in their proposals as evidence of commitment to the
proposed project. This is allowed, and this information may be
considered by reviewers in evaluating the quality of the application.

**[Fidelity:]{.underline}** Fidelity is the degree to which a specific
implementation of a program or intervention resembles, adheres to, or is
faithful to the evidence-based model on which it is based. Fidelity is
formally assessed using rating scales of the major elements of the
evidence-based model. A toolkit on how to develop and use fidelity
instruments is available from the SAMHSA-funded Evaluation Technical
Assistance Center at [http://tecathsri.org](http://tecathsri.org/) or by
calling (617) 876-0426.

[**Government Performance and Results Act (GPRA)**:]{.underline} The
GPRA of 1993 (Public Law 103-62) mandates performance-based management
by Federal agencies, focusing on results or outcomes in monitoring the
effectiveness of Federal programs and their progress toward achieving
national goals. The law places increased emphasis on collecting,
reporting, and reviewing data to hold the agency accountable for
achieving results with public funds. As a condition of receiving a
SAMHSA grant, grantees must collect and report data on performance
measures specified by the agency. In addition, participation in
evaluation studies that collect program data to answer broader questions
regarding efficiency or effectiveness may be required, depending on the
program.

**[Grant:]{.underline}** A grant is the funding mechanism used by the
Federal Government when the principal purpose of the transaction is the
transfer of money, property, services, or anything of value to
accomplish a public purpose of support or stimulation authorized by
Federal statute. The primary beneficiary under a grant or cooperative
agreement is the public, as opposed to the Federal Government.

**[In-Kind Contribution]{.underline}**: In-kind contributions toward a
grant project are non-cash contributions (e.g., facilities, space,
services) that are derived from non-Federal sources, such as State or
sub-State non-Federal revenues, foundation grants, or contributions from
other non-Federal public or private entities.

**[Intervention:]{.underline}** Services, practices, or treatments
developed and implemented to change or improve knowledge, attitudes,
behavior, awareness, or processes. Interventions are purposeful
responses, which can be acute and provided prior to, in the immediate
aftermath of, or after a traumatic event has occurred. Interventions can
be implemented with individual, groups, institutions, and/or systems.

**[Logic Model:]{.underline}** A logic model is a diagrammatic
representation of a theoretical framework. A logic model describes the
logical linkages among program resources, conditions, strategies,
short-term outcomes, and long-term impact. More information on how to
develop logics models and examples can be found through the resources
listed in Appendix E.

**[National Advisory Council (NAC)]{.underline}:** The NAC is an
administrative body in HHS that may comprise both scientists and lay
members. As authorities knowledgeable in specific areas, NAC members may
perform the final advisory review of grant applications, offer advice,
and make recommendations on matters of significance to the policies,
missions, and goals of the awarding unit they advise. SAMHSA and its
three CentersCMHS, CSAP, and CSATeach has its own NAC.

**[Practice]{.underline}:** A practice is any activity, or collective
set of activities, intended to improve outcomes for people with or at
risk for substance abuse and/or mental illness. Such activities may
include direct service provision, or they may be supportive activities,
such as efforts to improve access to and retention in services,
organizational efficiency or effectiveness, community readiness,
collaboration among stakeholder groups, education, awareness, training,
or any other activity that is designed to improve outcomes for people
with or at risk for substance abuse or mental illness.

**[Practice Support System]{.underline}:** This term refers to
contextual factors that affect practice delivery and effectiveness in
the pre-adoption phase, delivery phase, and post-delivery phase, such as

a\) community collaboration and consensus building, b) training and
overall readiness of those implementing the practice, and c) sufficient
ongoing supervision for those implementing the practice.

#### Stakeholder: A stakeholder is an individual, organization, constituent group, or other entity that has an interest in and will be affected by a proposed grant project.

**[Sustainability:]{.underline}** Sustainability is the ability to
continue a program or practice after SAMHSA grant funding has ended.

**[Target Population:]{.underline}** The target population is the
specific population of people whom a particular program or practice is
designed to serve or reach.

**[Trauma-Informed Interventions]{.underline}:** Includes interventions
designed to reduce the impact of exposure to traumatic events on
children and adolescents. These interventions may also target service
providers by informing them of the impact of trauma in their service
populations and by improving their response to traumatized children and
adolescents. Examples of trauma-informed services include
pychoeducational programs related to the impact of trauma,
outreach/screening in specific service systems for trauma exposure and
reactions, and staff training on the effects of trauma and appropriate
service provision.

**[Treatment:]{.underline}** Treatments are clinical interventions
intended to directly ameliorate significant negative aspects of children
and adolescents' traumatic stress reactions.

**[Wraparound Service:]{.underline}** Wraparound services are
non-clinical supportive services---such as child care, vocational,
educational, and transportation services---that are designed to improve
the individual's access to and retention in the proposed project.

[^1]: approved by OMB under control no. 0920-0428; Public reporting
    burden for the Public Health System Reporting Requirement is
    estimated to average 10 minutes per response, including the time for
    copying the face page of SF 424 v2 and the abstract and preparing
    the letter for mailing. An agency may not conduct or sponsor, and a
    person is not required to respond to, a collection of information
    unless it displays a currently valid OMB control number. The OMB
    control number for this project is 0920-0428. Send comments
    regarding this burden to CDC Clearance Officer, 1600 Clifton Road,
    MS D-24, Atlanta, GA 30333, ATTN: PRA (0920-0428).