**TABLE OF CONTENTS**

**OFFICE OF THE DIRECTOR 2**

**OFFICE OF PROGRAM ANAYLSIS AND COORDINATION (OPAC) 6**

**DIVISON OF COMMUNITY PROGRAMS (DCP) 11**

**DIVISION OF SYSTEMS DEVELOPMENT (DSD) 19**

**DIVISION OF STATE PROGRAMS (DSP) 52**

**DIVISION OF WORKPLACE PROGRAMS (DWP) 59**

**NATIONAL ADVISORY COUNCIL ROSTER 70**

**ACRONYM GLOSSARY 72**

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

As of April 1, the Immediate Office of the Director is fully staffed.

-   In November, Mr. Hyden Shen, Esq. came aboard as the Special
    Assistant to the Director

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-   In January, Ms. Mary Ewald came aboard as the Secretary to the CSAP
    Director.

-   In April, Mr. William McConnell came aboard as the Secretary to the
    CSAP Deputy Director.

-   Ms. Roukia Hamadi was selected as a member of the SAMHSA MEO (More
    Efficient Organization) Team and OD Greeter.

**CSAP Reorganization:** CSAP has finalized the reorganization of the
Center.

**[CSAP Priorities]{.underline}**

The Center for Substance Abuse Prevention has identified four prevention
priority areas:

**1. Youth with a Focus on Underage Drinking and Families:** CSAP
continues to support the Surgeon General's ***Call to Action to Prevent
and Reduce Underage Drinking*** through its underage drinking prevention
outreach and education efforts. Examples of ongoing efforts are listed
below.

-   **Building Blocks for a Healthy Future:** Supports children ages 3-6
    by providing resources to parents, caregivers, and teachers.

-   **Too Smart to Start:** Provides research-based strategies and
    materials to professionals and volunteers at the community level to
    assist them in conducting underage alcohol use prevention programs
    for 9 to 13 year-olds.

-   **Reach Out Now:** This is a collaborative effort between SAMHSA and
    Scholastic, Inc. to develop school-based prevention materials
    targeting fifth- and sixth-graders. The materials educate students
    about the effects of alcohol on their developing brains and bodies,
    and effective alternatives to alcohol use.

**2. Older Americans:** Prevention among older adults continues to be a
complex situation. CSAP continues to address the following challenges
that lie ahead:

-   Relatively few evidenced-based programs directed at older adults

-   Proven practices not widely used

-   Prevention networks are at a formative stage compared to those
    focused on youth

**3. Vulnerable Populations:** CSAP remains committed to reaching all
sectors of the community. Most recently, CSAP has started working to
address the prevention issues of our returning military members and
their families. These populations have an increased risk of substance
abuse and other problems such as violence, alienation, family conflict,
difficulty at school or work, and suicide.

**4. Workforce Development:** CSAP continues to work to maintain a
"pipeline" of individuals entering the field of prevention by:

-   Clarifying the concept of prevention

-   Establishing prevention as a vital ingredient in community life

-   Providing prevention with a greater identity as a profession

-   Working to attract people to prevention work

CSAP currently has 33 Prevention Fellows. The Prevention Fellows program
promotes the Strategic Prevention Framework as a mechanism for planning,
developing, and delivering evidence-based substance abuse prevention
services. The program is currently in its second year.

**[Outreach Efforts]{.underline}**

CSAP continues to work closely with its Prevention Partners to
strengthen the visibility and viability of the prevention field.

**National Institute of Drug Abuse's Substance Abuse, Criminal Justice
and HIV in African Americans: Research Development Workshop:** On
December 11, Dennis O. Romero, M.A., Acting Center Director, CSAP
provided opening remarks during the National Institute of Drug Abuse's
*Substance Abuse, Criminal Justice and HIV in African Americans:
Research Development Workshop*. The event was held at the Silver Spring
Hilton in Silver Spring, Maryland. Mr. Romero's presentation provided an
overview of CSAP's programs covering reentry into the general
population.

**Strategic Prevention Framework (SPF) State Incentive Grant (SIG)
Program:** On December 15, in response to a request from the Lt.
Governor of Hawaii, the Acting CSAP Director provided Opening Remarks
during the launch of Hawaii's SPF SIG program. Mr. Romero presented on
CSAP's goals and objectives for the SPF SIGs.

**Office of National Drug Control Policy's Drug Free Community Grantee
Meeting:** On January 8, Mr. Romero provided opening remarks during the
Office of National Drug Control Policy's Drug Free Community Grantee
Meeting at the Renaissance Hotel in Washington, D.C.

**CSAP's Prevention Day Program:** On February 12, Mr. Romero provided
opening remarks during CSAP's Prevention Day Program. This year's theme
was ***Prevention Day: A Focus On Underage Drinking---Communities
Connecting and Collaborating.***

**Community Anti-Drug Coalitions of America (CADCA) National Leadership
Forum:** On February 15, Dennis Romero provided opening remarks during
CADCA's XVII National Leadership Forum. This year's forum was held on
February 12-15, 2007 at the Washington, D.C. Convention Center and was
the nation\'s largest training conference for community coalition
activists and substance abuse professionals, featuring more than 75
workshops on some of today\'s most pressing prevention issues.

**Tribal Leaders Health Council Health:** On April 2, Mr. Romero
provided opening remarks during the Tribal Leaders Health Conference in
Billings, Montana.  The theme of this year's conference was *My
Relations - Our journey begins.  Listen, Learn, Heal and Educate!  We
are the future.* The goal of the presentation was to brief the Tribal
Leaders Council on the role of prevention and strengthen linkages with
the tribal community.

**PRIDE Conference:** On April 12, Mr. Romero served as the Keynote
Speaker during the General Opening Session of the PRIDE Conference. The
theme of this year's conference was *Together We Can Prevent Underage
Drinking - Tobacco Use -- Violence - Drug Use and Abuse*. The conference
was held in Charlestown, West Virginia.

**Prevention Leadership Academy:** On May 15-16, Dennis Romero provided
opening remarks during the 3^rd^ Annual Prevention Leadership Academy in
Houston, Texas.

**National, State and Local Initiatives Working Together to Reduce
Addiction:** On May 17, Mr. Romero presented on CSAP's major prevention
initiatives that address/reduce addiction. The conference was held in
New Orleans, Louisiana.

**15^th^ Annual Society for Prevention Research (SPR) Conference:** On
May 31, Dennis O. Romero, M.A., Acting Director, Center for Substance
Abuse Prevention, SAMHSA, participated as a panel member during the
15^th^ Annual SPR Conference. The goal of the conference was to present
the latest in prevention science from across international regions in
the areas of epidemiology, etiology, preventive intervention trials,
demonstration projects, policy research, natural experiments, program
evaluations, clinical trials, prevention-related basic research,
pre-intervention studies, efficacy and effectiveness trials, population
trials, and studies of the diffusion/dissemination of science-based
prevention. The conference was held in Washington, D.C.

**National, State and Local Initiatives Working Together to Reduce
Addiction:** On May 17, Mr. Romero presented on CSAP's major prevention
initiatives that address/reduce addiction. The conference was held in
New Orleans, Louisiana.

**2007 NASADAD/NPN/NTN Annual Meeting:** On June 8, Dennis O. Romero,
M.A., Acting Director, Center for Substance Abuse Prevention, SAMHSA,
presented as part of a roundtable discussion. The theme of this year's
meeting was *Strengthening State Systems: Promoting Healthy Families
Through Prevention, Treatment and Recovery Support*. The meeting was
held in Burlington, VT.

**Health Disparities & Teens: How to Bring About Change**.  On June 12,
Mr. Romero presented on behalf of Dr. Cline during the *Health
Disparities & Teens: How to Bring About Change* meeting.  Mr. Romero's
presentation focused on prevention initiatives addressing the unique
risks being experienced by young people.  The meeting was held in Puerto
Rico. 

**Annual Elks Training Conference:** On July 7, Dennis Romero provided
remarks during the Elks Training Conference held in Charlotte, North
Carolina.

**Faith-Based Regional Training:** On July 9, Mr. Romero provided
opening remarks during CSAP's Faith-Based Regional Training. The
attendees consisted of pastors, executive directors, program managers,
and local politicians. The training was held at the Living Waters
Worship Center in Odenton, MD

**Wisconsin's 2007 Prevention Conference:** On July 24, Mr. Romero, M.A.
provided an overview of CSAP's prevention initiatives. The Wisconsin
2007 Prevention Conference was held in Stevens Point, Wisconsin.

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

The Center for Substance Abuse Prevention is currently implementing its
fiscal year (FY) 2007 activities, and is in the process of funding an
impressive range of grant and contract programs. CSAP is under a full
year continuing resolution for FY07 which means that we will operate
under almost the same level as FY06 with the Programs of Regional and
National Significance (PRNS) totaling \$192,901,500.  This funding level
has allowed CSAP to initiate and implement the Strategic Prevention
Framework (SPF) through a series of grant programs including: the SPF
State Incentive Grant (SIG) program, with a total of 42 SPF SIG grants
(\$87M); the HIV program, with a total of 148 grants (approximately
\$39.4M); Methamphetamine grants (approximately \$4M); workplace grants
(\$1.8M); and 10 conference grants (\$0.25M).

CSAP also continues to develop, assess, and disseminate effective,
promising, and model programs through the National Registry of Effective
Programs and Practices (NREPP) system; to support the SAMHSA Health
Information Network (SHIN); and to support the Fetal Alcohol Spectrum
Disorder Center for Excellence. We also continue to focus our key
technical assistance mechanism, the Centers for the Application of
Prevention Technologies (CAPT) contracts on the areas of greatest need,
and we are in the process of awarding two new data collection and
analysis contracts, the Information Technology Infrastructure Contract
and Data Analysis Coordination and Consolidation Center (DACCC), which
replaced the old Data Consolidated Coordinating Center (DCCC) contract.
These two new contracts will continue to enable both grantees and SAMHSA
entities to report and access data to guide the development of their
programs. In addition, CSAP is also in the process of awarding two new
contracts: 1) the Border Initiative, which will identify materials and
best practices and expand evidence-based prevention services/activities
within States bordering Mexico, and 2) the Native American Technical
Assistance Resource Center, which will provide comprehensive substance
abuse prevention support services to Native governments, organizations,
and people. Other significant contract activities include our ongoing
State Epidemiology Outcomes Workgroup contract, which provides technical
assistance to non-SIG States; our Fellowship program, which provides
funds to support prevention fellows in every State; and our Older Adults
contract, which focuses on prevention needs across the lifespan of our
aging population.

In addition to those activities funded through the PRNS budget lines,
CSAP manages the Drug Free Communities grant program through an
interagency agreement with Office of National Drug Control Policy
(ONDCP), including a portfolio of 706 support services grants for a
total of approximately \$69M and 37 Drug Free Community Mentoring grants
for approximately a total of \$3M. 

CSAP also is in the process of awarding and managing approximately
\$336M in Substance Abuse Prevention Block Grants, \$10M in Block Grant
Set-Aside programs, \$9M in Department of Health and Human Services
(DHHS) HIV funds, and \$5M in interagency agreements with the National
Institute on Drug Abuse and the Department of Education, for a total of
\$625 million for substance abuse prevention program activities.

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**[Grant Programs]{.underline}**

CSAP plans to issue the following Requests for Applications (RFAs) for
FY 2008:

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

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

-   *Minority AIDS Initiative (MAI).* The MAI supports an array of
    activities to assist grantees in building a solid foundation for
    delivering and sustaining effective substance abuse prevention and
    related services. Specifically, the program aims to engage
    community-level domestic public and private non-profit entities to
    prevent and reduce the onset of substance abuse and transmission of
    HIV and hepatitis among minority populations.

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**[CSAP Interns and Emerging Leader]{.underline}**

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

-   Caryl Cabrera, a second year intern working in the Division of State
    Programs, is completing her Masters in Community Clinical Psychology
    at Johns Hopkins University.

-   Forest Crumpler, a new Division of Workplace Programs intern,
    recently obtained his Master of Public Administration from Nova
    Southeastern University. In the summer of 2006, he worked as an
    intern at the U.S. Department of the Treasury.

-   Tanya Geiger, a new intern in the Division of Community Programs,
    obtained her Master of Public Health at Johns Hopkins University and
    is currently pursuing her doctoral degree in the Department of
    Public and Community Health at the University of Maryland.

-   Lindsey Merchant, a new intern in the Division of Systems
    Development, graduated with her Bachelor of Science in Health
    Sciences with a concentration in public health at James Madison
    University.

-   Elizabeth Steiner, a new intern for the Office of Program Analysis
    and Coordination, graduated in June of 2007 from Nova Southeastern
    University with her Master of Public Administration. Her previous
    experience includes working as a program analyst intern at the
    Department of Veterans Affairs.

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

-   Workplace Helpline

-   CSAP Communiqué

-   Technical Assistance (TA) Tracking Database

-   CSAP Organizational Assessment Analysis

-   CSAP Strategic Planning

-   DFC Project Officer Reference Guides

-   SPF SIG Grantees Meeting Planning

-   SPF SIG Benchmarking

-   CSAP Staff In-Service Training

-   HIV/AIDS grant programs/matrix workgroup

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OPAC also hosted a participant of the U.S. Department of Health and
Human Services' Emerging Leaders Program. The Emerging Leader Program
identifies "best graduates" and, during a two year program, prepares
them for leadership roles in the Federal Government. Our Emerging
Leader, Erica Pearson, finished the program in July 2007 and is now
working for CSAP a Public Health Advisor in OPAC on a variety of
different policy and programmatic activities.

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

The goal of this training program is to support staff members in
upgrading their skills and knowledge base in prevention and their
ability to provide that expertise to grantees and the field through
mechanisms such as learning communities. The workgroup recommended a
focus on the following skill sets:

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

-   The integration of and ability to discuss cultural competency from a
    community systems perspective

-   The integration of and ability to discuss sustainability of desired
    outcomes

-   The ability to access and recommend appropriate reference materials

-   The ability to assess gaps in grantee programs

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

-   The acquisition of skills and a knowledge base that support
    prevention certification

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

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

In FY 2007, CSAP continued its annual support of the National Rural
Institute on Alcohol and Drug Abuse in Menomonie, WI. This year CSAP
provided 15 prevention scholarships to the June 3 - 7, 2007 meeting and
the provision of a CSAP representative who staffed the 3-day Federal
Agencies Resource Panel. In addition, CSAP supported a faculty member to
staff the 4-day Substance Abuse Prevention Track.

*Departmental Initiatives*

-   **HHS Rural Task Force**

> On July 25, 2001, former Secretary Tommy Thompson issued a charge to
> all the HHS OpDivs to improve and enhance the provision of health care
> and social services to rural Americans. As a result, the HHS Rural
> Task Force was created under the leadership of the Health Resources
> and Services Administration\'s Office of Rural Health Policy (the
> Departmental lead on rural health issues) and the HHS Office of
> Intergovernmental Affairs. Initially charged with conducting a
> department-wide examination of how HHS programs can be strengthened to
> better serve rural communities, the Task Force currently serves as a
> forum where HHS divisions come together to share information and
> ideas.

-   **Methamphetamine Workgroup**

> Recently, the HHS Rural Task Force formed a Methamphetamine workgroup
> to serve as a forum for information exchange and collaboration. As
> SAMHSA prepared the Departmental-wide Methamphetamine Report to
> Congress, the agency shared the report with the Workgroup for their
> review and comments. In addition, Erica Pearson and Wilma Pinnock from
> CSAP attend the Workgroup meeting on July 17, 2007 to review and
> comment on a presentation by the Montana Meth Project
> ([http://montanameth.org](http://montanameth.org/)).

-   **National Advisory Committee on Rural Health and Human Services
    (NACRHHS)**

> Chartered in 1987, the NACRHHS is a 21-member citizens\' panel of
> nationally recognized rural health experts. The Committee advises and
> provides recommendations to the Secretary of HHS on ways to address
> health and human service problems in rural America. Each year, the
> Committee produces a report for the Secretary on key health and human
> service issues affecting rural communities. One of the topics for the
> 2007 report is access to substance abuse treatment. SAMHSA has
> participated in the development and review of the substance abuse
> section of the report. The final report was released in March 2007 and
> is available online at
> <ftp://ftp.hrsa.gov/ruralhealth/NACReport2007.pdf>.

*SAMHSA Intradepartmental Workgroup*

In response to former Secretary Tommy Thompson's request for HHS to
improve the provision of health and human services to rural families and
individuals, SAMHSA convened a work group to explore and analyze methods
and interventions to improve rural health care delivery. Through the
combined efforts and energy of the SAMHSA Rural Health Work Group, these
issues have been elevated within SAMHSA and have fostered intra-agency
collaboration. SAMHSA continues to align its rural health work with HHS,
particularly through participation in the HHS Rural Task Force and its
Methamphetamine Workgroup.

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

The Children and Families Matrix Workgroup is focused on ensuring that
children and families are a significant focus in SAMHSA's four redwood
grant programs, as appropriate: Mental Health Systems Transformation
SIG, Access to Recovery, the SPF SIG, and Co-Occurring State Incentive
Grant (COSIG). A small workgroup will convene to discuss next steps on
infusing the goals and objectives of the Children & Families Matrix
Workgroup into these redwood areas.  

Another new subgroup is the Subcommittee on Young Children. The purpose
of the Subcommittee is to develop a plan with a series of unfolding
steps to respond to the 2006-2007 Children and Families Strategic Action
Item, "Establish a national initiative to promote healthy development
and resiliency of young children, reaching their parents/caregivers
earlier to prevent or reduce mental and/or substance use disorders."
This subcommittee is currently working on its agenda for action in 2007.

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

The Healthy People 2010 Substance Abuse Midcourse Review Chapter is now
available on the Healthy People Web site. Work on the companion document
on substance abuse will continue throughout 2007.

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**DCP DRUG FREE COMMUNITIES SUPPORT PROGRAM**

**[FY 2007 Request for Applications & Grants Management Process
Update]{.underline}**

-   CSAP received Office of National Drug Control Policy (ONDCP)
    approval for 202 peer reviewers and issued peer review packets on
    May 17, 2007 with a two week turn-around time for review.

-   CSAP participated in five ONDCP conference call trainings for peer
    reviewers from May 25-May 31, 2007.  An additional training for
    Mentoring peer reviewers took place on June 21, 2007.

-   321 new applications were received that peer review staff screened
    for format and ONDCP screened for programmatic eligibility.  A total
    of 269 were forwarded for review.  Ineligible applicants received
    letters within 30 days confirming their ineligibility.

-   50 Mentoring applications were received that peer review staff
    screened for format and ONDCP for programmatic eligibility.  ONDCP
    screened out six applications.  A total of 44 applications will be
    sent for peer review.           

    **[FY 2007 Non-Competing Continuation Applications]{.underline}**

SAMHSA/CSAP reviewed 664 non-competitive continuation applications for
programmatic and grant compliance and forwarded a spreadsheet on
received data elements to ONDCP on July 2, 2007. SAMHSA Grants
Management plans to issue Notice of Grant Awards for continuation
applications following ONDCP funding approval.

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

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

**[DCP BEHAVIORAL HEALTH BRANCH]{.underline}**

**[New Personnel]{.underline}**

United States Public Health Service (USPHS) Commissioned Officer, Lt.
Christina Conyer Williams joined the Branch effective June 13, 2007. Lt.
Williams is a Project Officer and will be working with the Minority AIDS
Initiative (MAI) program.

Ms. Shalana Alleyne, Staff Assistant, joined the Branch effective June
24, 2007, as a permanent MEO employee.

**[New Online MAI HIV/AIDS Management Reporting System]{.underline}**

Efforts are underway to develop and implement an online reporting system
for our Minority HIV/AIDS Initiative grantees to submit required
progress and performance reports starting in the fall of this year. This
system is modeled after the Coalition Online Management and Evaluation
Tool*,* an online reporting system currently implemented for the Drug
Free Communities discretionary grant program. This system will be
available and implemented online through CSAP's Service Accountability
and Monitoring System (CSAMS)
([www.csapdccc-csams.samhsa.gov](http://www.csapdccc-csams.samhsa.gov/)).
CSAMS is used by MAI grantees to report participant-specific outcome
data that includes National Outcome Measures (NOMs). These data
collection efforts capture the specific performance targets established
for each grant project.

**[MAI Regional Technical Assistance Training with CAPTs]{.underline}**

The Behavioral Health Branch planned and coordinated with the five
regional Centers for the Application of Prevention Technology (CAPTs) to
convene training and technical assistance workshops for the MAI
discretionary grantees. The dates and locations of the 2007 MAI training
and technical assistance meetings are listed below.

> Southwest Region June 5-7 Dallas, TX (62 attendees)
>
> Central Region June 25-28 Wheeling, IL (47 attendees)
>
> Southeast Region July 9-11 Orlando, FL (84 attendees)
>
> Northeast Region July 23-25 Philadelphia, PA (90 attendees)
>
> Western Region August 1-3 Los Angeles, CA (84 attendees anticipated)

Each of the148 active MAI grantees are required to have two
representatives participate in their designated CAPT region training
session. These trainings include the latest information on: the
Strategic Prevention Framework, Sustainability, National Registry of
Evidenced-based Programs and Practices, Evaluation and Consultation
(CSAMS), Cultural Competency, Participant Recruitment and Retention, and
Community Mobilization.

**[Minority HIV/AIDS Initiative Grantee Meeting]{.underline}**

The CSAP Annual MAI Grantee Meeting was convened September 19-21, 2006,
in Miami, Florida with 148 grantees.  This meeting was held in
conjunction with the 2006 United States Conference on AIDS (USCA) in
Hollywood, Florida.  The first day of the grantee meeting included a
Training of Trainers (TOT) session on Substance Abuse and HIV Prevention
for the Re-Entry Population. There were 159 MAI participants in
attendance at this training.  This TOT training was offered to only
Cohort 6. All eighty-one of the Cohort 6 grantees were represented.

Grantees participated in up to two of the four prevention training
institutes held September 20 - 21, 2006. Over 300 participants
representing 3 Cohorts (148 active MAI grantees) were in attendance. The
four training institutes included the:  Program Sustainability
Institute; Strategies for Successful Implementation of Prevention
Services Institute; Understanding the Challenges and Exploring
Strategies for Successful Reentry Institute; and Performance Measurement
Institute.  These institutes provided the grantees with skills and
knowledge on program sustainability; offered strategies for adapting and
implementing evidence-based substance prevention interventions while
maintaining fidelity; conveyed information on working with the re-entry
minority population; and provided training and guidance on the data
collection of the required SAMHSA/CSAP NOMs, Government Performance
Results Act (GPRA), and Program Assessment Rating Tools (PARTs)
reporting requirements.  

**[SAMHSA HIV/AIDS Summit]{.underline}**

On Friday, September 22, 2006, MAI grantees also participated in
SAMHSA's HIV/AIDS Summit, a pre-conference to the 2006 USCA. The SAMHSA
HIV/AIDS Summit was a cross-center initiative with staff participation
from CSAT, CMHS, CSAP, and the Office of the Administrator. The primary
goal of the SAMHSA Summit was to provide information to MAI grantees on
ways to improve and enhance their understanding about integrated
services for substance abuse prevention, treatment, and mental health
services for persons living with, or who are at risk for, HIV/AIDS.  The
SAMHSA Summit presented best practices and addressed how grantees can
maximize and manage resources, eliminate health disparities, and achieve
sustainability and program effectiveness.         

SAMHSA Center Directors (or their representatives) addressed central
issues and topics of high importance relevant to each of their center's
mission.  This was followed by an interactive discussion with the
audience.  In addition, Mr. Christopher Bates, Acting Director of the
Office of HIV/AIDS Policy at the U.S. Department of Health and Human
Services, was a featured speaker.  

**[CSAP's Minority Education Institution Initiative]{.underline}**

In FY 2006, CSAP received \$2,000,000 in funding for a second year of
the Minority Education Institution (MEI) Initiative. In FY 2007, CSAP
received an increased amount of \$3,000,000 from the Department to
continue the MEI Initiative. The Initiative supports the implementation
of culturally appropriate substance abuse and HIV prevention services
and increases awareness on the campuses of minority-serving institutions
and their surrounding communities. Project activities include training,
community outreach, information and referral services, material
dissemination, and workshops led by trained student peer educators
(SPEs).

CSAP has secured a contractor to function as the Minority Education
Initiative Program Coordinating Center (MEI-PCC) and to administer this
project. A total of 12 subcontracts were awarded through the MEI-PCC to
8 Historically Black Colleges and Universities (HBCUs), 2 Hispanic
Serving Institutions (HSIs), and 2 Tribal Colleges and Universities
(TCUs) to implement education and public awareness activities to prevent
substance abuse and HIV. The MEI-PCC funded 2 new institutions and
monitored their progress. TA was provided to the subcontracting
institutions to assist them with accomplishing their project goals.
MEI-PCC convened several major activities in FY 2007 (October 1, 2006 to
June 2007) as summarized below:

-   CSAP and the MEI-PCC convened a 2.5 day Technical Assistance
    Training for 34 participants on the SPF on June 20-22, 2007.
    Participants in attendance included student peer educators,
    university liaisons, and project evaluators who represented 12
    minority institutions. The training covered SPF topics,
    sustainability, community mobilization, evaluation, cultural
    competency, adaptation and fidelity, selection of evidence-based
    interventions and SAMHSA's National Registry of Evidenced Based
    Programs and Practices.

-   During February 2007, in conjunction with the annual CADCA Forum,
    CSAP and the MEI-PCC convened a 2-day meeting with University
    Liaisons and the lead SPEs from each of the 12 minority-serving
    institutions. The purpose for this meeting was to conduct training
    in key areas in order to accomplish program goals. The university
    liaisons were trained on program implementation and sustainability
    strategies. SPEs participated in training on presentation skills,
    social marketing/outreach, and materials development.

The MEI-PCC provided oversight and managed the 12 minority-serving
universities and colleges that received subcontract awards. These
institutions were funded for a 10-month period (December 1, 2006 -
September 30, 2007) and are listed below:

**[Historically Black Colleges and Universities]{.underline}**

Bowie State University, Maryland

Howard University, District of Columbia

Mississippi Valley State University, Mississippi

Prairie View A&M University, Texas

Savannah State University, Georgia

Southern University at Baton Rouge, Louisiana

University of the Virgin Islands, US Virgin Islands

Virginia Union University, Virginia

**[Hispanic Serving Institutions]{.underline}**

University of Texas at San Antonio, Texas

## **[Tribal Colleges and Universities]{.underline}** 

## Salish Kootenai College, Montana, and University of New Mexico, New Mexico 

**MEI-PCC and 12 Subcontractors**: Each subcontractor received an award
amount of \$87K totaling \$1.044M.

**[CSAP and CSAT Collaboration Substance Abuse Lonnie E. Mitchell
Conference ]{.underline}**

CSAP was a co-sponsor and collaborated with CSAT in planning for the
9^th^ Annual Dr. Lonnie E. Mitchell National Historically Black Colleges
and Universities (HBCU) Substance Abuse and Mental Health Conference.
CSAP assisted in the planning for several prevention-focused workshops
which included: *Fetal Alcohol Spectrum Disorder*; *Drugs, African
Americans, and Criminal Justice Research: Implications for Career
Choices and Job Excellence*; and the *Helping America's Youth: White
House Initiative*.

The MEI institutions attended the 9^th^ Annual HBCU Conference. There
were over 500 students and faculty from 104 HBCUs.  There were also 28
Federal attendees including staff from the three SAMHSA centers.  During
the Conference, CSAP Acting Director, Dennis O. Romero, presented the
CSAP Addie Key Prevention Award to Dr. Faye Z. Belgrave of Virginia
Commonwealth University.

The CSAP Project Officer, MEI Project Director, and 12 HBCU SPEs
conducted an interactive presentation on the MEI Initiative entitled
*Peer led Substance Abuse & HIV/AIDS Prevention Education.* Student peer
educators spoke and presented various aspects of their peer led
prevention projects discussing their unique outreach strategies and
activities being conducted on their respective campuses. The session was
extremely successful with an evening audience that exceeded 50
participants.   

**[SAMHSA's World AIDS Day Observance]{.underline}**

The Substance Abuse Mental Health Services Administration honored World
AIDS Day Observance on Friday, December 1, 2006. Remarks were given by
SAMHSA's Deputy Administrator, Dr. Eric Broderick who included a moment
of silence. An AIDS quilt was displayed and a memorial paper tree
created. There were three presenters and a play performance by Bowie
State University students entitled *It's Best to Wait, but Never Too
Late*. SAMHSA/CSAP served as the lead in the planning efforts that
involved CSAT and CMHS. SAMHSA displayed exhibits, and distributed
information about available HIV testing sties in the metro area. HHS'
Promise of Partnerships was this year's theme.  A DVD entitled *Voices
of Hope* was shown during the presentation.

**[Prevention of Methamphetamine Abuse Initiative RFA
(SP-06-005)]{.underline}**

In September 2006 SAMHSA/CSAP awarded ten (10) grants to eight (8)
different States (Colorado, Illinois, Massachusetts, Oregon, Oklahoma
(2), Tennessee (2), Texas, and Washington) to support the expansion of
methamphetamine prevention interventions and/or infrastructure
development. This program addresses the growing problem of
methamphetamine abuse and addiction by assisting localities to expand
substance abuse prevention interventions that are effective and evidence
based. Approximately 177 applications were received from public and
private nonprofit entities, i.e., State and local governments, federally
recognized tribes, State recognized tribes, urban Indian organizations
and tribal organizations, public or private universities and colleges,
and community and faith-based organizations.

Grantees will be expected to: (1) implement community-based prevention
programs focusing on populations within the community that are most at
risk for methamphetamine abuse and addiction; (2) assist local
government entities to conduct appropriate methamphetamine prevention
activities in rural and urban areas that are experiencing increases in
methamphetamine abuse and addiction; (3) train and educate State and
local law enforcement officials, prevention and education officials,
members of community anti-drug coalitions and parents on the signs of
methamphetamine abuse and addiction and the options for prevention; (4)
plan, administrate, and convene educational activities related to the
prevention of methamphetamine abuse and addiction; (5) monitor and
evaluate methamphetamine prevention activities, and report and
disseminate resulting information to the public; and (6) conduct
targeted pilot programs with evaluation components to encourage
innovative methodologies with drug-endangered children.

**FY 2006 SAMHSA/CSAP Grant Awardees**

**SP06-005: Prevention of Methamphetamine Use**

**Grant Period: FY 2006-2009**

  ----------- -------------- -------------------------- --------------- -------- -----------
  **Grant**   **Project      **Grant Name**             **City**        **ST**   **Award**
              Director**                                                         

  14008       Therese M.     University of Washington   Seattle         WA       \$308,655
              Grant                                                              

  14018       Lilas          Colorado State Judicial    Denver          CO       \$348,354
              Rajaee-Moore   Branch                                              

  14042       Doris Vaughan  Centerstone Community      Tullahoma       TN       \$350,000
                             Mental Health                                       

  14050       B.J. Boyd      Cherokee Nation Behavioral Tahlequah       OK       \$350,000
                             Health Services                                     

  14085       Joan Bacchus   Native American Rehab      Portland        OR       \$350,000
                             Association                                         

  14088       Michael O.     Ridgeview Center, Inc.     Oak Ridge       TN       \$319,977
              Sterling                                                           

  14100       Andrea N.      Oklahoma State Department  Oklahoma City   OK       \$350,000
              LaFazia        of Mental Health                                    

  14113       Tammy Boose,   CRA-WA-LA Volunteers in    Lawrenceville   IL       \$326,063
              M.S.           Probation                                           

  14142       Rodney         Fenway Community Health    Boston          MA       \$349,941
              Vanderwarker   Center                                              

  14156       Linda Tippins  San Antonio Fighting Back, San Antonio     TX       \$348,000
                             Inc.                                                
  ----------- -------------- -------------------------- --------------- -------- -----------

Currently, SAMHSA/CSAP coordinates closely with Indian Health Services
(IHS) of the U.S. Department of Health and Human Services to address
methamphetamine abuse in the American Indian and Alaska Native
communities. As a result, SAMHSA/ CSAT participated in a collaborative
planning effort led by IHS, to partner with the National Native American
Law Enforcement Association (NNALEA) on the development of its first
ever "Methamphetamine Prevention and Treatment" tracks at NNALEA's
14^th^ Annual Training Conference. The conference was held at the
Albuquerque Hilton Hotel in Albuquerque, New Mexico, November 14-16,
2006. CSAP convened a Methamphetamine New Grantee meeting on November
12-13, 2006 for the 10 newly awarded grantees. Eighty-eight percent of
the participants rated the overall meeting as "very useful". SAMHSA/CSAP
was also instrumental in sponsoring two CSAT presenters and three CSAP
presenters (no-cost-extension grants) that participated as panelists and
speakers at various workshops at the NNALEA conference.

SAMHSA/CSAP continues to coordinate and work closely with CSAT and the
IHS. CSAP sponsored a former Native American grantee to present their
updated outcomes at the 5^th^ Annual IHS/SAMHSA National Behavioral
Health Conference, *Weaving It All Together*, at the Albuquerque
Convention Center in Albuquerque, New Mexico from June 12-14, 2007. The
presentation, "Incorporating Creative Expression & Culture into an
Inhalant Abuse Prevention Program for Urban Native American Youth," drew
a large crowd.

**[CSAP Collaboration with the National Native American Law Enforcement
Association]{.underline}**

SAMHSA/CSAP and IHS are currently coordinating planning session meetings
at NNALEA's D.C. headquarters for the upcoming 15^th^ Annual NNALEA
National Methamphetamine Prevention Training Conference, October 2-4,
2007, in Memphis, Tennessee. At the Conference CSAP grantees will attend
the six SAMHSA-sponsored Meth-Substance Abuse training tracks, which
will include an HIV/AIDS track.

**[CSAP/CSAT Collaboration with CDC on Interagency
Workgroup]{.underline}**

The SAMHSA-CDC Interagency Workgroup was created to develop a report to
Congress that will examine and address the intersection of
methamphetamine use and the transmission of HIV, sexually transmitted
diseases (STDs), and other infectious disease. Combined agency data will
be used to assess and address each agency's needs and will include
epidemiological data on methamphetamine abuse, HIV, other sexually
transmitted infections, and will include data on risk and protective
factors. The Workgroup has also been tasked with creating a geographic
information system (GIS) data package which identifies States and
communities with the highest incidences of use and prevalence of
methamphetamine abuse, HIV, and other STDs, as well as examine and
assess the association between methamphetamine use and sexually
transmitted infections.

The workgroup will focus on the five steps of the Strategic Prevention
Framework: (1) needs assessment; (2) capacity building, (3) planning,
(4) implementation of services, and (5) evaluation and future research
with sustainability and cultural competency as an overarching framework.

[]{.mark}

[]{.mark}

# []{.mark}

[]{.mark}

# []{.mark}

# []{.mark}

[]{.mark}

This has been a time of change for CSAP and for the Division of Systems
Development. The recent CSAP reorganization centralized CSAP's training
and technical assistance efforts as well as consolidated the data
related activities. The Division of Systems Development was created
primarily from the merging of the Division of Prevention Education (DPE)
and the Division of Knowledge Application and Systems Improvement
(DKASI). Kevin Mulvey is the Acting Division Director, overseeing the
division activities as well as the Materials Development Team, led by
Nelia Nadal. Patricia Getty is the Acting Branch Chief for the
Prevention Technical Assistance Branch. The branch activities are
divided between the Training and Technical Assistance Group and the Data
Group. We are still in the process of forming these groups and
developing coordination and communications processes. Each group has met
with CSAP's Erica Pearson who facilitated group discussions in a staff
retreat to discuss tasks and functions of the groups. Division
management is reviewing these recommendations and will be meeting with
staff to continue the process of structuring the division, branch, and
groups.

We also added several staff including USPHS Commissioned Officer and
Emerging Leader Daniel Bailey; Josefine Haynes-Battle, Commission Corp;
Amber Waller, Secretary; and John Park, who relocated to DSD from DCP.
Nikki Belamy, who served on the Data Group, has moved to CMHS. During
this time period, Danielle Lesure came on board as an Intern; and
departed on April 28. Intern Lindsey Merchant joined the division in
late May.

**[DSD Staff]{.underline}** **[Prevention Technical Assistance
Branch]{.underline}**

Kevin Mulvey, Acting Division Director Patricia Getty, Acting Branch
Chief

Monica Cole, Division Secretary

Amber Waller, Secretary **[Technical Assistance Group]{.underline}**

Michele Basen Carol McHale

**[Materials Development Team]{.underline}** Gwyndolyn Ensley Pamela
Roddy

Nelia Nadal, Team Leader Nancy Kennedy Josefine Haynes-Battle

Tracy Farmer Jennifer Solomon Maria Barrera

Valna Montgomery

Carolyn Smith **[Data Group]{.underline}**

David Wilson Daniel Bailey

Beverlie Fallik

Javaid Kaiser

John Park

Charles Reynolds

**[Technical Assistance and Training]{.underline}**

**[Centers for the Application of Prevention Technologies
(CAPTs):]{.underline}**

**[National CAPT Program]{.underline}**

The CAPTs continue to play a major role in promoting and improving
substance abuse prevention services across the country by working with
States to enhance the capacity of State prevention systems. This program
consists of five regional contracts that cover all 60 States,
jurisdictions and territories. The regions are the Northeast, the
Southeast, the Southwest, the Central and the Western CAPTs. For the
first three years of the CAPT contracts, CAPTs provided direct training
and TA to Substance Abuse Prevention Block Grant States and their
sub-recipient communities. At the end of FY 2006, CSAP modified the CAPT
contracts to concentrate or target resources to the States and CSAP's
discretionary grantees, otherwise known as Programs of Regional and
National Significance. These include the SPF SIG grantees, the Minority
HIV/Aids Grantees, and the Methamphetamine Prevention Grantees.

With regard to States, CAPT services have shifted to direct training of,
and technical assistance to, State level staff and State technical
assistance providers with an emphasis on a training of trainers (TOT)
model. CAPTs provide technical support to States and work in partnership
with States to demonstrate or model approaches to working with their
sub-recipient communities on implementation of the SPF. The rationale
for this change in focus is the goal of building capacity at the State
level to ensure the sustainability of State and community level
prevention outcomes. In accordance with CSAP's mission, direction and
approval, all the CAPTs are focusing their TOT and technical assistance
(TA) on the implementation of the SPF and its five components. Thus,
they address State and local needs assessments, capacity building,
planning, implementation of effective evidence-based programs, practices
and policies and evaluation by the collection of performance measure
data through the GPRA and NOMs.

The CAPT contract modification also emphasizes accountability for
services provided and requires joint review and approval of training/TA
requests by the respective State or Grant Project Officer and CAPT
Project Officer prior to implementation and delivery to assure that the
services delivered and the associated materials are of high quality,
appropriate, and consistent in message within SAMHSA/CSAP and across the
five CAPTs. In order to facilitate this review and approval process,
CSAP has hired a Training and TA Coordinator and is establishing an
automated system to support the tracking and timely review and approval
of one TA and training requests. The contract modification also
emphasizes accountability for securing official clearance of materials
developed under the CAPT contracts that are distributed in hard copy or
through the CAPT Web site.

CSAP held a meeting with the CAPT Directors and Co-Directors in
September to discuss these changes. This meeting also addressed related
matters including changes in GPRA performance measures and
implementation of the NOMs as well as SAMHSA/CSAP policies related to
clearance and approval of CAPT training materials and on-line courses.
CSAP held a follow-up meeting with the CAPT evaluators in November to
discuss the implications of these changes regarding GPRA and NOMs
issues. As a result of the contract modification, the number of persons
served will decline since training/TA is targeted directly to State
staff and providers with more limited outreach directly to sub-recipient
communities. These GPRA matters have not yet been resolved because such
changes have to be approved at levels above CSAP and SAMHSA. Also
discussed were a series of issues for resolution on the interface of
CAPT contracts with the new Data Coordination and Consolidation Center
(DCCC). Work is underway within CSAP and with the DCCC and CAPTs to
resolve these issues.

**CAPT Data Base GPRA Reporting to OMB**

The CAPTs have resolved issues related to GPRA reporting that arose
because of their change in focus from providing general training to
those at State and community levels, to providing more directed
technical assistance and "training of trainers" at the State level and
sub-region level in order to build capacity of State and local
prevention systems. The two current GPRA Measures are now 1) to increase
the number of persons provided TA services and 2) to increase the
percent of clients reporting that the CAPT services substantially
enhanced their ability to carry their prevention work, which is the
outcome measure.

**CAPT Training/TA Services to new Client Groups: CSAP's Minority
HIV/AIDS Grantees and Methamphetamine Prevention Grantees**

In addition to continuing to provide training/TA services to the 42 SPF
SIG grantees, the CAPTs will provide technical assistance to CSAP's 148
MAI grantees and to CSAP's 10 Methamphetamine Prevention grantees. In
February 2007, CSAP with the five CAPTs convened an orientation meeting
with representatives of the MAI Grantees during Community Prevention Day
in Washington, D.C. They introduced themselves to the grantees in order
to forge a new working relationship. CSAP described the services that
CAPTs can provide within limited financial parameters. CAPTs also
queried the grantees on topics and issues to be addressed through
Regional Technical Assistance Workshops. The Northeast CAPT is the Lead
CAPT Coordinator; each CAPT has a designated MAI coordinator.

Since that kick-off meeting, CAPTs have developed one national listserv
and five regional listserves to serve as CSAP's communication mechanism
with the MAI grantees. During the summer of 2007, each CAPT convened a
Technical Assistance Workshop with the MAI grantees in their respective
regions. The schedule for these workshops can be found under the DCP
Behavioral Branch section of this report.

The Southwest CAPT is taking the lead on providing training and TA to
the 10 Methamphetamine grantees. This training will be conducted on a
one-to-one basis until next year. The Southwest CAPT will establish a
single listserv communication mechanism for the Meth Prevention grantees
and will conduct a TA workshop for all Meth grantees in the fall of
2007.

**CAPT Training/TA on the NOMs**

Also new, CAPTs are the designated providers for technical assistance on
the new SAMHSA NOMs, specifically for CSAP's Programs of Regional and
National Significance (i.e. SPF SIG grantees, MAI grantees, and Meth
Prevention grantees). To prepare CAPTs for this new technical assistance
work, CSAP's DCCC conducted two-day briefings in each of the CAPT
Regions during April and early May.

**CAPT Training/TA on Epidemiology -- SPF Step 1: Needs Assessment**

Beginning in the fall of 2007, CAPTs will assume responsibilities for
providing training/TA to SPF SIG grantees on the development of an
epidemiologic profile or report intended to inform and guide State
decision-making and allocation of funds to sub-recipients under the SPF
SIG Program. The epidemiological work serves as the basis for Step 1,
needs assessment, of the SPF.

**New CSAP Training/TA Tracking System**

The CAPTs now use the on-line training/TA tracker system to request
approval from both the CAPT and the State Project Officer prior to
implementing the training or TA. Using this system, CSAP can monitor the
nature, frequency, assignment, timeliness or response and costs of
training requests.

**Department of Education's Grants to Reduce Alcohol Abuse (GRAA)
Program**

In January 2007, the U.S. Department of Education, Office of Safe and
Drug-Free Schools convened its 8th National Technical Assistance
Conference for the Grants to Reduce Alcohol Abuse Secondary Schools
Program. As part of the interagency agreement with Department of
Education, CSAP's CAPTs served as the program and logistics support for
this conference as well as provide technical assistance and training to
the GRAA projects. This year's conference had strong participation from
several Federal partners: Centers for Disease Control and Prevention,
Substance Abuse and Mental Health Services Administration/Center for
Substance Abuse Prevention, and the Interagency Coordinating Committee
on the Prevention of Underage Drinking (ICCPUD). The conference goals
were to:

-   Showcase resources and activities of various Federal, State, and
    community partners working to prevent underage alcohol use,

-   Highlight effective practices, programs, and strategies to prevent
    underage alcohol use,

-   Identify strategies for sustaining projects through the use of State
    and community partnerships, and

-   Present a public health approach to preventing and reducing underage
    alcohol use in secondary schools.

**[Communities That Care]{.underline}**

The Substance Abuse and Mental Health Services Administration (SAMHSA)
announced that Communities That Care (CTC) is now a part of the CSAP
toolkit.

The CTC process is an operating system that provides research-based
tools to help communities mobilize to promote the positive development
of children and youth and to prevent adolescent problem behaviors that
impede positive development including substance abuse, delinquency, teen
pregnancy, school dropout, and violence. This program helps communities
plan, implement, and evaluate proven-effective prevention programs to
meet their particular needs.

SAMHSA has full copy rights to these materials and invites interested
entities to download them from our Web site
[http://preventionplatform.samhsa.gov](http://preventionplatform.samhsa.gov/)
and use them in implementing programs.

Regional CAPT trainers participated in a TOT on the CTC program and are
prepared to provide technical assistance and training to the States who
in turn will work with communities to implement the CTC program.

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

CAPTs are conducting Learning Communities on selecting evidence-based
interventions with States as they become ready for this phase of work
under the SPF. In the SPF SIG program, readiness benchmarks for
selecting interventions include: identification of the State priority
substance abuse problem and allocation of funds to SPF SIG
sub-recipients.

In February 2006, CSAP's Expert Workgroup on Evidence-based Programming
submitted recommendations to CSAP on new guidelines for "documented
effectiveness" under the SPF SIG Program. The Expert Workgroup included
nationally--recognized prevention researchers from diverse theoretical
perspectives. These recommendations provided the basis for a Guidance
Document for the SPF SIG program, *Identifying and Selecting
Evidence-Based Interventions*, developed by senior staff, Division of
Systems Development.

In addition, CSAP with the Strategic Prevention Framework Advancement
and Support (SPFAS) contract is developing annotated logic models for
specific substance use problems including (1) underage drinking, (2)
consequences of alcohol misuse (binging/heavy drinking), (3)
methamphetamine use, (4) marijuana use, and (5) alcohol related motor
vehicle crashes. The logic models will assist States by providing easy
access to prevention research on specific substance abuse problems and
associated risk and protective factors. SPFAS has also begun looking at
TA planning on a regional basis.

**[Faith Partners Initiative]{.underline}**

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

The initiative has 32 subcontracts that are completing their first grant
year, 46 additional subcontracts were awarded in second year. To date,
they have worked with the faith partners in their communities in
developing targeted media messages and materials around HIV prevention
and testing, and provided quarterly reports and completed various
assessment forms. Each organization is required to work with the Faith
Partners Initiative toward evaluating the outcome of their efforts by
providing quarterly reports and completing various evaluation and
assessment forms.

During Community Prevention Day and the CADCA Forum, technical
assistance trainings and workshops were held to help the subcontractors
with work plan development, data collection, analysis reports, and how
to develop peer education programs, etc. Two representatives from each
grantee organization were required to attend as a condition of the
sub-award.

A major component of the Faith Based Initiative is conducting technical
assistance and prevention awareness training meetings across the country
in each of the public health regions.  These trainings tie into the
Presidential Executive Order to engage and bring faith organizations
into a level playing field with regard to Federal funding, and CSAP's
efforts also dovetail with the White House Faith-Based Initiative. 
Trainings for this fiscal year have taken place in:

Fiscal Year 2006-2007

[Locations]{.underline}                                        
[Date]{.underline}                           [Number of
Attendees]{.underline}

Charleston, SC                  November 6-7,
2006                          190

Reno, NV                       January 15-16, 2007                   150

Chicago, IL                            March 5-6, 2007                
167

St. Louis, MO                         April 23-24, 2007                 
185

**[Prevention Fellowship Program]{.underline}**

The Prevention Fellow Program has completed its first year and inducted
the second class of Prevention Fellows this past March. There are a
total of 34 Prevention Fellows with 9 new Fellows and 25 continuing
Fellows from Year I representing 32 States, the National Association of
State Alcohol Drug Abuse Directors (NASADAD), and CADCA. The prevention
program has made several strides in improving the program.

Some of the recent accomplishments in the program include the creation
and revision of project documents such as the application materials,
program descriptions, Fellowship Accomplishment Plans, monthly reports,
etc. Also, the Prevention Fellows Program has completed the second year
of the Prevention Fellows Orientation Workshop for 17 of the Year I
Fellows and Mentors. The program has also started to create its own
identity with the creation of a Prevention Fellows Logo.

Some of the projected targets for the program include:

-   increasing outreach efforts to State offices, Historically Black
    Colleges and Universities, Hispanic Serving Institutions, and Tribal
    Colleges;

-   successful completion of Core Competencies and Fellowship
    Accomplishment Plan Development Workshop for 50 Year II Fellows and
    Mentors;

-   reviewing and providing quick feedback to Fellows Accomplishment
    Plans;

-   developing an Exit Interview/Questionnaire for Fellows to complete
    when leaving the program;

-   planning, organizing, and carrying out five additional trainings
    through November 2007---Year I Fellows will be trained on Steps 1
    and 2 (Assessment and Capacity Building) of the Strategic Prevention
    Framework while Year II Fellows will explore certification options
    and participate in professional development activities as well as
    attend the SPF/SIG conference;

-   quarterly conference calls to further engage Mentors in the program;

-   developing a brochure that promotes the Prevention Fellowship
    Program;

-   developing a Web site/ listserv for the Prevention Fellowship
    Program;

-   identifying foundations and other resources that will support
    additional trainings and experiences for the Fellows;

-   providing information and resources to Fellows to become certified
    preventionists;

-   creating a document that profiles the Fellows and highlights their
    experiences and achievements in the program to be displayed on Web
    site; and

-   creating an advisory group that would include CSAP, a mentor, and a
    Fellow to provide insight to the Fellowship program from their
    perspectives.

**[Fetal Alcohol Spectrum Disorders (FASD)]{.underline}**

SAMHSA's FASD Center for Excellence was launched in September 2001,
under authority of the Children's Health Act of 2000. The Center has six
legislative mandates to explore innovative FASD prevention and treatment
strategies, facilitate development of comprehensive systems of care, and
provide training to professionals in various systems of care. This
contract will end in June 2007. A new request for proposal (RFP) went
out with a due date of May 25, 2007. The new contract will provide for
the FASD Center for Excellence as well as funding for sub-recipient
programs. DSD has been tasked to manage and evaluate the program.

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

SAMHSA's recent reports, *Action Plan for Behavioral Health Workforce
Development* and *Strengthening Professional Identity: Challenges of the
Addictions Treatment Workforce* reinforce the need for sustained
attention to workforce development issues in order to ensure the overall
success of efforts to both prevent and treat mental and substance use
disorders in this country. As part of SAMHSA's larger workforce
development strategy, CSAP is carrying out activities on the following
topics:

-   Recruitment and Retention -- CSAP will conduct a comprehensive
    review of effective recruitment and retention strategies, both
    within behavioral health and across other fields. 

-   Stakeholder Inventory -- CSAP will inventory stakeholders to
    identify existing workforce development activities and needs within
    behavioral health field. 

-   Behavioral Health Core Competencies-- CSAP will produce a compendium
    of behavioral health core competencies developed by professional
    guilds, stakeholder agencies, consumer organizations, and other
    organizations. 

**[CSAP's Science to Service Initiative]{.underline}**

**National Prevention Network Presentation**

CSAP will convene a special Workshop during the September 2007 National
Prevention Network (NPN) Annual Research Conference in September 2007 to
feature CAPT evaluators and showcase several successful Service to
Science "graduates" who have completed their one-year mini-subcontracts.
CAPT evaluators will discuss how their customized and intensive
evaluation technical assistance work over an extended period of time has
helped innovative and emerging evidence-based programs enhance
evaluation capacity to improve their documented evidence of
effectiveness.

**Competitive Award of 26 Mini-Subcontracts for FY2006 S/S Participating
Programs**

In January 2007, CSAP awarded 26 one-year mini-subcontracts (\$20 - \$30
K) to Service to Science programs who submitted proposals for review
through a competitive process administered under CSAP's CAPT support
contract. The mini-subcontracts support evaluation capacity enhancements
to improve the rigor of evaluation methods, designs and strength of
documented outcomes. In FY 2006, States nominated 52 programs that
participated in Regional Service to Science Academies conducted
throughout each region. Participating programs include those who receive
the NASADAD recognition.

**Plans for FY 2007 CAPT Regional Service to Science Academies**

CAPTs have secured State nominations of approximately 65 emerging
evidence-based and innovative prevention interventions to participate in
Regional Service to Science Academies throughout FY 2007. CAPTs have
actively engaged States to nominate specific programs, practices, and
strategies deemed important in the State prevention system and that meet
criteria for readiness to enhance their capacity for more rigorous
evaluation to document evidence of effectiveness. To meet increasing
demand for Service to Science evaluation technical assistance in all
Regions, some CAPTs are pursuing a decentralized model for the Regional
Academies, traveling their evaluators to specific States or single sites
and meeting with entire program teams. Regardless of format, all
Regional Academies consist of certain elements: a pre-assessment and
preparation phase to determine "where programs are" in terms of
documenting, implementing and measuring their interventions;
face-to-face delivery of information on evaluation topics of common
interest (appropriate to specific subgroups, usually); individualized
evaluation technical assistance and development of customized action
plans; and follow-up on individualized evaluation technical assistance
and consultation.

As evident in the chart below, several CAPTs are moving toward more
decentralized formats to reduce costs and increase numbers of programs
served.

+-----------------------+-----------------------+-----------------------+
| **FY 2007 Regional    |                       |                       |
| Academies-Preliminary |                       |                       |
| Plans**               |                       |                       |
+-----------------------+-----------------------+-----------------------+
| Central CAPT          | Minneapolis, MN       | April, 2007           |
|                       |                       |                       |
|                       |                       | (11 programs)         |
+-----------------------+-----------------------+-----------------------+
| Southeast CAPT        | Jackson, MS           | January, 2007         |
|                       |                       |                       |
|                       | Decentralized (FL,    | Spring-Summer, 2007   |
|                       | TN, GA, DC)           |                       |
|                       |                       | (up to 38 programs)   |
+-----------------------+-----------------------+-----------------------+
| Southwest             | San Antonio, TX       | April, 2007           |
| CAPT                  |                       |                       |
|                       | Oklahoma City, OK     | TBD                   |
|                       |                       |                       |
|                       |                       | (24 programs)         |
+-----------------------+-----------------------+-----------------------+
| Western CAPT          | Decentralized (AZ,    | Spring and Summer,    |
|                       | AK, ID, MT,OR, UT,WA) |                       |
|                       | and                   | 2007                  |
|                       |                       |                       |
|                       | Hawaii and Pacific    | (11 programs)         |
|                       | Jurisdictions (TBD)   |                       |
+-----------------------+-----------------------+-----------------------+
| Northeast CAPT        | Decentralized (at     | May - June, 2007      |
|                       | program sites --all   |                       |
|                       | 11 NE States)         | (22 programs)         |
+-----------------------+-----------------------+-----------------------+

**[FY 2007 Award of "Mini-Subcontracts" for Evaluation Capacity
Enhancements]{.underline}**

Again this year, CSAP will support the award of one-year
mini-subcontracts (in the range of \$20,000 to \$30,000) to build
evaluation capacity. CSAP awards the subcontracts through a competitive
solicitation and review process administered by the CAPT support
contract with CRP, Inc. CRP, Inc. awarded 26 subcontracts to
participants coming through the FY 2006 Regional Academies. CRP, Inc.
sent letters announcing the 26 awards to the successful applicants,
copied to the appropriate State Single State Agency (SSA) and NPN.

**[Case Study Findings, Descriptive Analysis and
Follow-Up]{.underline}**

Based on the quarterly reports submitted by recipients of the FY 2006
subcontracts and follow up discussions, CAPT evaluators developed six
case studies documenting the type of assistance offered to these
programs, and more importantly, the ways in which the Service to Science
effort helps these programs improve and grow, enabling them to show
stronger evidence of effectiveness and sustain prevention efforts. A
brief summary of these case studies has been shared with CSAP management
and the SAMHSA Science to Service Coordinator. CAPT evaluators will
conduct additional case studies and analyze evaluation capacity advances
reported by mini-subcontract awardees.

**[Learning Communities on Selecting Evidence-based
Interventions]{.underline}**

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

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

**CAPT Learning Communities 2007**

+---------+--------+------------+------------------------+-----------+
| CAPT    | State  | Priority   | Readiness              | Proposed  |
| Region  |        |            |                        | date      |
+---------+--------+------------+------------------------+-----------+
| So      | New    | High rate  | This will be a         | April,    |
| uthwest | Mexico | of         | follow-up activity at  | 2007      |
| CAPT    |        | alcoh      | the request of the NPN |           |
|         |        | ol-related | & SPF SIG Coordinator. |           |
|         |        | crash      | It is also listed in   |           |
|         |        | mortality  | the NM State plan.     |           |
|         |        | among      | More specific dialogue |           |
|         |        | 18-24 year | with stakeholders will |           |
|         |        | olds       | be necessary to define |           |
|         |        |            | design and             |           |
|         |        |            | implementation of      |           |
|         |        |            | follow-up              |           |
|         |        |            | activities/event.      |           |
+---------+--------+------------+------------------------+-----------+
| So      | Co     | Underage   | 14 SPF SIG grantees    | Spring/   |
| uthwest | lorado | drinking   | have been funded (one  |           |
| CAPT    |        |            | of which is the Ute    | Summer of |
|         |        |            | Tribe). A series of    | 2007      |
|         |        |            | community              |           |
|         |        |            | infrastructure         |           |
|         |        |            | meetings have been     |           |
|         |        |            | held with grantees.    |           |
|         |        |            | Community plans are    |           |
|         |        |            | due to the State by    |           |
|         |        |            | the end of March.      |           |
|         |        |            | Plans will cover       |           |
|         |        |            | initial steps of the   |           |
|         |        |            | SPF. Strategy          |           |
|         |        |            | selection has not yet  |           |
|         |        |            | taken place. More      |           |
|         |        |            | specific dialogue with |           |
|         |        |            | stakeholders will take |           |
|         |        |            | place during RTEP      |           |
|         |        |            | meeting March 8-9 to   |           |
|         |        |            | identify next steps &  |           |
|         |        |            | possible plan for      |           |
|         |        |            | Learning Community     |           |
|         |        |            | (LC) event.            |           |
+---------+--------+------------+------------------------+-----------+
| No      | Maine  | Underage   | SPF SIG grantees have  | 2 days:   |
| rtheast |        | Drinking   | been funded to work    |           |
| CAPT    |        |            | through the first      | Feb 21,   |
|         |        | Pr         | three steps of SPF and | 2007      |
|         |        | escription | will reapply after     |           |
|         |        | Drug       | June for               | March 26, |
|         |        | Misuse     | implementation         | 2007      |
|         |        | 18-25 year | funding. Grantees have |           |
|         |        | olds       | completed needs        |           |
|         |        |            | assessment and         |           |
|         |        | High Risk  | prioritization of      |           |
|         |        | Drinking   | risk/ protective       |           |
|         |        | 18-25 year | factors and will be    |           |
|         |        | olds       | ready to begin         |           |
|         |        |            | identifying and        |           |
|         |        |            | selecting              |           |
|         |        |            | interventions.         |           |
+---------+--------+------------+------------------------+-----------+
| West    | A      | Underage   | The event will be      | April 30, |
| CAPT    | rizona | drinking   | coupled with a State   | 2007      |
|         |        |            | sponsored conference   |           |
|         |        |            | on underage drinking.  |           |
|         |        |            | On the last day of the |           |
|         |        |            | event, the State will  |           |
|         |        |            | be leading a           |           |
|         |        |            | discussion among LC    |           |
|         |        |            | participants regarding |           |
|         |        |            | next steps for         |           |
|         |        |            | creating their         |           |
|         |        |            | community plan and     |           |
|         |        |            | utilizing the LC and   |           |
|         |        |            | conference             |           |
|         |        |            | information. WCAPT     |           |
|         |        |            | will be providing TA   |           |
|         |        |            | to the State during    |           |
|         |        |            | this portion of the    |           |
|         |        |            | event.                 |           |
+---------+--------+------------+------------------------+-----------+
| West    | W      | Underage   | Wyoming would like to  | June 2007 |
| CAPT    | yoming | Drinking   | do a similar LC event  |           |
|         |        |            | at the end of June.    |           |
|         |        |            | WCAPT is exploring     |           |
|         |        |            | options for providing  |           |
|         |        |            | intensive TA to them   |           |
|         |        |            | on this and sharing    |           |
|         |        |            | materials from         |           |
|         |        |            | Arizona.               |           |
+---------+--------+------------+------------------------+-----------+
| So      | F      | Underage   | Expanded group of      | February  |
| utheast | lorida | drinking   | Coalition              | 26-28,    |
| CAPT    |        |            | Mentor/Coaches will    | 2007      |
|         |        | Young      | receive training to    |           |
|         |        | adult      | assist SPF funded      | 2.5 days  |
|         |        | binge      | county coalitions in   |           |
|         |        | drinking   | data collection for    |           |
|         |        |            | local logic model      |           |
|         |        | Alcohol    | development and        |           |
|         |        | related    | evidence-based         |           |
|         |        | car        | strategy selection as  |           |
|         |        | crashes    | a part of training for |           |
|         |        |            | supporting SPF funded  |           |
|         |        |            | counties through the   |           |
|         |        |            | steps of the SPF       |           |
|         |        |            | process.               |           |
+---------+--------+------------+------------------------+-----------+
| Central | Mi     | Michigan:  | Both Michigan and      | Ant       |
| CAPT    | chigan | Alcohol    | Indiana are in the     | icipating |
|         | and/or | Related    | early stages of their  | a         |
|         | I      | Motor      | SPF SIG, and neither   | Learning  |
|         | ndiana | Vehicle    | has identified their   | Community |
|         |        | Crashes,   | sub-recipients.        | event     |
|         |        | Underage   | Conversations are      | with at   |
|         |        | Drinking   | continuing around      | least one |
|         |        |            | Learning Communities   | of our    |
|         |        | Indiana:   | with each State as     | possible  |
|         |        | TBD -- IN  | they solidify their    | States in |
|         |        | is         | comprehensive plans.   | the fall  |
|         |        | currently  |                        | of 2007.  |
|         |        | in         |                        |           |
|         |        | discussion |                        |           |
|         |        | with CSAP  |                        |           |
|         |        | regarding  |                        |           |
|         |        | their      |                        |           |
|         |        | com        |                        |           |
|         |        | prehensive |                        |           |
|         |        | plan and   |                        |           |
|         |        | priorities |                        |           |
+---------+--------+------------+------------------------+-----------+

**Learning Communities Team Members**

SWCAPT-- Janette Cline (lead), Marie Cox, Joe Wiese, Dr. Tom James

NECAPT -- Deb McLean Leow (lead), Lisa McGlinchy, Carol Oliver, Chelsey
Goddard

WCAPT -- Jill Manit (lead), Eric Albers, Denise Sheehan, Diane Hipp,
Joshua Phillip

SECAPT -- Carol Hays 

CCAPT -- Vanessa Kittelson (lead), Sheila Nesbitt, Tracy Johnson

**[Official SAMHSA-Approved CSAP Guidance Document for the SPF SIG
Program:]{.underline}**

*Identifying and Selecting Evidence-based Interventions*

Based on the thinking and recommendations of CSAP's Expert Workgroup on
Evidence-based Programming, CSAP/DSD developed a guidance document for
SPF SIG Program which is now officially approved by SAMHSA. The document
has been published and is available in print form through the SAMHSA
Clearinghouse (Publication No. SMA-4205).

**[State Epidemiological Outcome Workgroups (SEOW)]{.underline}**

**Program Mission**

A State Epidemiological Outcome Workgroup (SEOW) is a network of people
and organizations that bring analytical and other data competencies to
substance abuse prevention. In some cases, SEOWs are part of
SAMHSA/CSAP's SPF SIG; in areas without SPF SIG funds, CSAP has made
funds available to support an SEOW through the Integrated Data for
Substance Abuse Treatment Services contract. In addition, through the
Technical Assistance to SEOW's contract and the CAPT contracts, CSAP
provides technical assistance to support SEOW development and data work
in the form of data resources, one-on-one interactions, and
multi-State/other cross-State learning opportunities.

The mission of the SEOW is to integrate data about the nature and
distribution of substance use and related consequences into ongoing
assessment, planning, and monitoring decisions at State and community
levels. SEOWs aim to bring systematic, analytical thinking about the
causes and consequences of alcohol, tobacco, and illicit drug use to
decisions that seek to effectively and efficiently utilize substance
abuse prevention resources. SEOW TA aims to guide and strengthen efforts
of States and jurisdictions to establish functioning SEOWs, and
subsequently gather, analyze, interpret, and apply State and community
epidemiological data to prevention decisions.

**Program Objectives and Goals**

Overall, SEOWs focus on using data to inform and enhance substance abuse
prevention practice. Guided by steps of the Strategic Prevention
Framework, CSAP's SEOWs examine, interpret, and apply data implications
to prevention decisions. In the case of the multi-year SPF SIG sites,
SEOWs are active across all steps of the SPF over the funded period
(early efforts have focused on Steps 1-3):

1.  In *Assessment*, SEOWs aim to identify and analyze a set of
    epidemiological data elements to describe substance-related
    consequences and consumption patterns.

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1.  In *Capacity*, SEOWs can assist the State to collect, analyze, and
    interpret capacity data, and also provide data and information to
    key stakeholders to mobilize and enhance State and community
    resources to address prevention priorities.

2.  In *Planning*, SEOWs aim to determine key substance-related problems
    (i.e., target populations, geographic areas, particular substances),
    and contribute these findings to broader State discussions about
    prevention priorities and possibly allocating prevention funding for
    addressing them.

3.  In *Implementation*, SEOWs can work with the State and communities
    to determine strategies that are aligned with and effectively
    address identified priorities.

4.  In *Evaluation*, SEOWs can contribute to ongoing data collection,
    organization, and analysis to examine changes over time in
    substance-related problems and patterns of consumption.

A number of SEOW sites currently without SPF SIG initiatives have begun
to build data capacity and infrastructure that will serve to strengthen
their data competencies. SEOWs have been funded to focus on building
infrastructure (e.g., charter) and develop an epidemiological profile
(Step 1, Assessment, with implications for future prevention Planning)
that describes substance use and related consequences.

Guided by these SPF Steps and SEOW objectives/tasks, SEOW TA provides
support in:

-   *Assessment* (developing a SEOW structure and procedures for
    examining and using data for substance abuse prevention decision
    making; determining data needs to describe the magnitude and
    distribution of substance use and related consequences in the State;
    gathering, analyzing, and summarizing implications from
    epidemiological and other data that describe need);

-   *Capacity* (SEOW assisting the State to collect, analyze, and
    interpret capacity data, and communicating data implications to key
    stakeholders to mobilize and enhance State and community resources
    to address prevention priorities);

-   *Planning* (criteria and processes for defining and interpreting
    data-guided priority problems; using data to define planning models
    that guide funding allocations to target priorities);

-   *Implementation* (support selection of relevant, appropriate, and
    effective strategies for targeting priority problems); and

-   *Monitoring and Evaluation* (developing data capacities and systems
    to use data in ongoing decisions).

**Program Overview: History**

To facilitate the use of data in prevention decision-making, SAMHSA/CSAP
is supporting SEOWs across all U.S. States, jurisdictions, and tribes
and tribal organizations. Nineteen States and two jurisdictions received
SPF SIGs funds in September 2004 (Cohort I); five additional States
received SPF SIG funds in July 2005 (Cohort II), and 11 States and
jurisdictions and 5 tribal entities received SPF SIG funds in October
2006 (Cohort III).

In areas without SPF SIG funding, CSAP had made funds available in 2006
and 2007 to support SEOWs with particular emphases on developing
epidemiological profiles and monitoring systems that makes data
available for ongoing planning and evaluation. Thirty-one (31) SEOW
sub-contracts were established in non-SPF SIG sites in March 2006.
Eleven of those States/Jurisdictions were awarded SPF SIG funds (Cohort
III), thus, as of March 2007, 20 continue to receive funds to complete
the requirements of the SEOW funding. Three additional awards for SEOW
funds were made to two territories and one tribal organization. In sum,
the SEOW promotes data driven decision-making in the State substance
abuse prevention system by bringing systematic and analytical thinking
to guide effective and efficient use of prevention resources and setting
of priorities in all States and jurisdictions whether or not they have
received SPF SIG awards. This year, six tribes and tribal organizations
will receive technical assistance in beginning to implement their SEOW
activities.

TA efforts have marched in step with these funding streams. TA to the
SPF SIG SEOWs began in September of 2004. These efforts continue to
expand in 2006-2007 to include all of the new SPF SIG grantees (Cohorts
I, II, and III as well as to the non SPF SIG States and territories).

**Budget Overview**

CSAP funds the SEOW initiative and the TA initiative to support SEOWs
through various funding mechanisms. Within the SPF SIG, each grantee is
required to spend \$150,000 on the SEOW effort either directly from SPF
SIG funds or in kind. In FY 2005, \$6.7 million supported the SEOW-only
initiative and \$1.3 million supported the TA efforts. In FY 2006, \$4.1
million was allocated for the SEOW-only initiative and \$885,000 was
allocated for TA.

**Targeted Populations**

In an effort to use data to inform and enhance prevention practice,
SEOWs collaborate with and target State prevention systems involved in
substance abuse prevention decision making. SEOW technical assistance
efforts target SEOWs and related staff to enhance their capacity to
understand and use epidemiological data and findings that emerge from
SEOW activities.

**Stakeholders**

SEOWs involve agencies/organizations and individuals with the requisite
data, skills, and/or decision making authority for using data to guide
and improve substance-related prevention. Substance use problems pervade
a wide variety of domains (e.g., school, traffic safety, crime, and
public health), so numerous types of State and local agencies and
organizations are likely to hold relevant data. Membership varies, but
typically involves substance abuse agencies, public health agencies,
including tobacco control, drug enforcement authorities, criminal
justice and law enforcement, education, behavioral health,
researchers/statisticians, and others representing the history and
cultural diversity issues relevant to the context. Overall, SEOWs
consist of members who provide the necessary access to data,
competencies and skills for analyzing and communicating data
implications, and collaborations with those agencies and State/community
groups with decision making authority for substance abuse prevention.

**Outcome Measures**

As SEOW monitoring and evaluation efforts unfold, SEOWs are responsible
for gathering, analyzing, and reporting substance-related
epidemiological data (including National Outcome Measures and other data
as indicated in State Epidemiological Profiles) to examine changes over
time in substance-related problems and patterns of consumption.

**Key Program Accomplishments**

SEOW accomplishments are guided by their mission and objectives as
outlined according to the steps of the Strategic Prevention Framework.

All SEOWs have completed or are finalizing development of an SEOW
structure (including membership and operating/communication procedures)
that aim to connect data to State substance abuse prevention decision
making. Stage of development is based on initiation of efforts.

Technical assistance takes on many forms and includes:

-   Individual technical assistance to SEOWs in the form of telephone
    calls, email, document reviews, and site visits/on-site training.
    One-on-one technical assistance with SPF SIG SEOWs includes:

    -   Creating the structure and operations of an SEOW

    -   Identifying and accessing epidemiological data on substance
        related consequences and consumption

    -   Analyzing and interpreting such data

    -   Organizing data into epidemiological profiles and other efforts
        to communicate data findings and driven decisions

    -   Using data to make prevention decisions in States such as
        setting priorities in SPF SIG States and developing data guided
        plans to address these priorities.

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-   Updates of data available on CSAP's State Epidemiological Data
    System (SEDS) Web site (<http://www.epidcc.samhsa.gov/>). SEDS
    contains critical State and sub-State data on substance related
    consequences and consumption available from national sources. This
    data is made available to SEOWs for purposes of substance use
    prevention needs assessment, planning, and monitoring. SEDS provides
    valuable background and criteria that many States have applied while
    identifying substance related data relevant to their States.

-   Multi-State technical assistance workshops for SEOWs. Three
    participants from each State have attended each workshop series
    along with CAPT and CSAP representatives. Workshops include:

    -   Three multi-State workshops for Cohort I SPF SIG States (7 at
        each workshop) were held in March-April 2005, and one workshop
        for Cohort II SPF SIG States was held in December 2005.
        Workshops focused on understanding SEOW function and
        development, selection of substance-related consequence and
        consumption data elements, analysis and reporting of
        epidemiological profiles, and criteria and processes for
        determining priorities based on data.

    -   Three multi-State workshops for the SEOW-only States (10-11
        States at each workshop) were held in June-July 2006. Workshops
        focused on understanding SEOW function and development,
        selection of substance-related consequence and consumption data
        elements, and developing epidemiological profiles.

    -   Two outcome based logic model planning workshops were held for
        Cohort I SPF SIG States in March and May 2006. A similar
        workshop for the Cohort II States occurred October of 2006.
        Workshops focused on applying epidemiological data findings to
        State Planning and Implementation steps of the SPF and
        developing logic models to address priorities.

    -   SPF SIG Cohort III States attended a combined new Grantee and
        SEOW workshop in January 2007.

-   Formal review of SPF SIG State Plans submitted to CSAP.

**Workshop Evaluation Summary**

Workshop attendees complete an evaluation form at the end of workshops.
All of the workshops (SPF SIG and SEOW only) have received consistently
high ratings by participants for process, overall relevance/quality, and
utility.

-   Over 90 percent of those attending agreed or strongly agreed that
    the workshops were a valuable use of time, expected to use
    information and skills gained from this training, and reported
    overall satisfaction with the workshop.

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-   Over 90 percent of participants reported that they agreed or
    strongly agreed that workshops were well-organized, with clear
    purpose and goals.

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-   Presenters were rated very favorably, while instruction and learning
    materials were considered to be both relevant and useful.

**SEOW Accomplishments**

-   All SPF SIG and SEOW-only States have developed an SEOW structure
    (including membership and operating/communication procedures) that
    aim to connect data to State substance abuse prevention decision
    making. All SEOWs funded in March of 2006 have submitted draft and
    revised final SEOW charters.

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-   All Cohort I and four Cohort II SPF SIG SEOWs have identified and
    described the nature, patterns, and distribution of substance use
    and related consequences in their State/jurisdiction. The remaining
    one Cohort II SPF SIG State is completing its epidemiological
    assessment efforts. All SEOW-only sites have developed
    epidemiological profiles, submitted for feedback on December 15,
    2006, and final profiles were received March 15, 2007. They will be
    updated in February 2008.

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-   Twenty five (25) SPF SIG SEOWs have completed data-guided
    prioritization activities and have completed or are finalizing their
    contribution to SPF SIG State Plans. One cohort II State is in the
    process of defining SPF SIG priority and one is completing the
    process of epidemiological needs assessment.

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-   Twenty-five (25) SPF SIG States have submitted their strategic plans
    for CSAP's review and twenty-three (23) have been approved by CSAP.

**Future Training/Technical Assistance**

Through SPF SIG and SEOW-only contracts to date, one-on-one technical
assistance continued and multi-State workshops provided and developed
resources for SEOWs to conduct epidemiological assessments. The
workshops were specifically designed around a "learning community"
concept, whereby States would interact with and learn from each other.
State feedback highly favors this approach and SEOW recipients have
consistently asked for additional opportunities for SEOWs to interact
around such issues.

Keeping this workshop feedback in mind, training/TA plans are to:

-   Provide multi-State workshops. In mid-2007, workshops will
    facilitate Cohort I, II and III States' focus on further developing
    States' capacity to monitor substance related consequences and
    consumption;

-   Organize opportunities to address SEOW nominated issues for
    strengthening and advancing SEOW-related work through a combination
    of audio-conference calls open to all SEOWs and small group work
    focusing on specific topics of interest, such as analysis of
    hospital data, tribal epidemiology, and small area analysis using
    death data;

-   Provide one-on-one technical assistance geared towards a SEOW's
    particular stage and needs; and

-   Work closely with the SEOW contract officer and CSAP standard
    operating procedures to support both CSAP and the States further
    develop States' data infrastructure and data driven decision making
    capacities.

-   More specifically, workshop plans for continued TA to SEOWS are:

**State Epidemiological Outcome Workgroup**

**Tentative Workshop Schedule 2007**

  ----------- ------------------------------- -----------------------------
  **Month**   **Topic**                       **Attendees**

  April       SEOW Meeting                    SEOW- only (23)

  June        CSTE                            All SEOWs (64)

  July        DSP SPF SIG Grantee Meeting     SPF SIG Grantees -SEW Chair,
                                              Evaluator, Manager (126)

  August      Logic Model Workshop            SPF SIG Cohort III -SEW
                                              Chair, Evaluator, Manager
                                              (48)

  September   Monitoring and Ongoing SEOW     All SEOWs (64)
              Role                            
  ----------- ------------------------------- -----------------------------

**Short-Term/Long-Term Goals**

Long term, SEOWs aim to guide development and use of State
data/monitoring systems that enable States and jurisdictions to
effectively and efficiently (a) measure and monitor substance use and
related problems, including the SAMHSA National Outcome Measures, and
(b) allocate resources to address priority problems. In the short term,
SEOWs aim to enhance current understanding of substance use and related
problems, guide identification of priority problems, and assist State
decision makers to apply data-guided implications for enhancing
substance use prevention.

**Program Outlook and Challenges**

Thus, according to stages of development, SEOWs and supportive technical
assistance will focus on continued capacity building around data
collection, analysis, and use (for ongoing planning, implementation, and
ultimately monitoring); developing epidemiological profiles for
assessment; understanding and applying data for planning decisions; and
developing and using data monitoring systems. SEOWs will also focus on
integrating their data efforts into comprehensive State and community
planning to support strategic implementation activities. As these
efforts continue, States and Jurisdictions are experiencing a number of
positive outcomes: application of epidemiological principles and
personnel into substance abuse prevention, comprehensive examination of
substance use (alcohol, tobacco, and illicit drugs), and guiding
prevention programming with a focus on the consequences and contributing
factors they seek to change. Efforts are also challenged by data access
and quality issues, variations in data and analytical capacities across
States and jurisdictions, and infusing a data-guided approach into the
decision making structure.

**Strategic Direction and Vision**

SEOWs and supportive technical assistance are working with State
prevention partners to build data systems and analytical capacities that
position the State to reduce substance use and related problems.
Building this kind of system to strengthen substance abuse prevention
practice requires attention to data infrastructure as well as technical
assistance and support for data syntheses, interpretation, and
application. Current and ongoing SEOW efforts are focused on improving
data systems (availability, quality, and access); enhancing human and
organizational resources and capacities for using them; and fostering
collaborative relationships across State and community stakeholders to
understand and apply data implications to enhance prevention decision
making.

**[Older Adults]{.underline}**

In September of 2006, the Substance Abuse and Mental Health Older
Americans Technical Assistance Center (TAC) managed by CSAP held a State
planning meeting in with Hawaii, American Samoa, Guam, and the Northern
Mariana Islands. At this meeting, participants were able to engage in
extensive dialogue regarding planning around older adult behavioral
health issues. They were also able to receive training in cultural
competence, increasing provider comfort levels, and tools and resources
for States/territories to utilize in working with the older adult
population. These activities engendered discussion between key State,
territory, and Federal stakeholders invested in older adults' behavioral
health and long-term planning.

In an effort to ensure the most productive and successful
State/territory planning events, the TAC held telephone interviews prior
to the face-to-face meetings with representatives from the fields of
aging, substance abuse prevention and intervention, and mental health
promotion. Each conversation provided TAC staff as well as participants
with important information regarding current strengths, weaknesses,
opportunities and threats (SWOT) from multiple perspectives and served
as the basis for discussions between participants during the 2-day
planning event.

 

Reviews of these events were very positive and the territories are
requesting further technical assistance.

The Older Americans TAC is working with SAMHSA\'s Center for Mental
Health Services on a joint meeting focusing on Disaster Planning and
Older Adults. This one-day event will take place on May 17, 2007 from
8:30 a.m. and 5:30 p.m., in New Orleans, Louisiana. The Older Americans
TAC will work with Mississippi and Louisiana participants including
State agency personnel in the fields of aging, substance abuse
prevention and intervention, mental health promotion, disaster
coordinators, public health, and emergency management. During late March
and April 2007, these participants took part in the SWOT assessment (via
conference call) of their State resources, programs, opportunities and
challenges and their understanding of other agencies. Focusing on the
SWOT approach, the Older Americans Center staff, in partnership with
SAMHSA, and the Administration on Aging, and leading geriatric experts,
will develop integrated SWOT analyses for Mississippi and Louisiana. The
critical areas identified in this analysis will serve as the springboard
for a day of discussion and planning. Drawing from the SWOT
participants, approximately five participants will be selected from each
State to attend a SAMHSA-sponsored one-day planning with travel costs
handled by the TAC. The goal of this portion of the training is to
facilitate participants' growth in knowledge regarding State strengths
and areas for improvement along with preliminary planning to bridge the
gaps identified and promote collaboration with peers.

##### 

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

###### 

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

In spring 2006, over 1,200 THMs were conducted across the Nation in all
50 States, the District of Columbia, and four territories. More meetings
were actually held than received funding support from SAMHSA.
Communities worked with schools, local media, law enforcement, and other
community organizations to conduct the THM. Youth were involved and
included in all aspects of the meetings, presenting and talking about
the issue, and sharing their ideas to help begin to solve the problem.
Recommendations emerged to build on existing efforts and to better
utilize CSAP's Strategic Prevention Framework as a guide for directing
community efforts.

Media was considered a strong and positive supporter of the THMs. Prior
to the events, the media in local communities assisted in promoting the
THMs with public service announcements. Frequently, press releases were
positioned at the "front of the line" in a busy news environment. After
the events, follow-up TV reports, newspaper articles, and related human
interest stories appeared in almost every community where a THM took
place.

In order to share the varied and innovative THM efforts of communities,
a *State Profiles Booklet* was developed and disseminated to the 2006
NPN Prevention Research Conference attendees as well as e-mailed to
Single State Agency Directors, State Prevention Coordinators and other
State underage drinking prevention program contacts.

##### 

In preparation for a more in-depth assessment of the 2008 THMs**,** an
Office of Management and Budget (OMB) evaluation package was developed
to support the gathering of feedback on the 2008 THMs. The 2008 THMs
will build upon the 2006 experiences. The evaluation package was shared
with the ICCPUD for their feedback prior to submission for OMB
clearance.

## **[Underage Drinking Prevention: Partnerships]{.underline}**

A related key function under CSAP's underage drinking initiatives is to
develop partnerships with entities that can support the cause of
underage alcohol use prevention. During this period four presentations
or workshops were scheduled at major national conferences:

-   "Reach Out Now Teach-In To Prevent Underage Drinking" at the PRIDE
    2007 Conference, April 10-13, 2007, in Charleston, West Virginia

-   "Targeting young children ages 3 to 6 for early childhood substance
    abuse prevention: SAMHSA's Building Blocks for a Healthy Future" at
    the National Head Start Association Training, April 16-18, San
    Antonio, TX

-   \"Town Hall Meetings: A Real-World Solution to Underage Alcohol Use
    Prevention\" at the Prevention Research\'s 15th Annual Meeting May
    30-June 1, 2007, in Washington, D.C. 

##### **[Follow-up to the Reach Out Now/Reach Out Now Teach-In 2006 (RONTI)]{.underline}**

For the third consecutive year, SAMHSA in collaboration with Scholastic,
Inc. sponsored Reach Out Now National Teach-In (RONTI) during the week
of April 3-7, 2006 in conjunction with Alcohol Awareness Month. Over
350,000 fifth- and sixth-grade classrooms received the Special Editions
from Scholastic, Inc., discussing the dangers of alcohol use among young
people. A new twist to this effort this year (2006) was combining the
teach-ins with the community THMs. More than 1,100 organizations
conducted over 1,400 teach-ins in their communities.

**RONTI Data Collection Efforts: Receive Completed Feedback
Forms**---The final receipt count for the above RONTI data collection is
as follows: [1,334]{.underline} feedback forms were received from
[605]{.underline} Teach-In sites. A total of [271]{.underline} sites
held multiple Teach-In events. Responses were received from all States,
the District of Columbia, and [three]{.underline} U.S. jurisdictions
(Guam, Palau, and the Virgin Islands). Responses were received from
[all]{.underline} (12) Too Smart To Start sites.

**[Reach Out Now 2007]{.underline}**

This is the sixth year of Reach Out Now. The materials were developed by
SAMHSA/CSAP and Scholastic, Inc., and were based on research supported
by the National Institutes of Health's National Institute on Alcohol
Abuse and Alcoholism and SAMHSA. The public/private partnership allows
SAMHSA to merge its knowledge about underage drinking prevention with
Scholastic, Inc.'s reputation for excellence in the development of
classroom materials. The Special Edition supplements on preventing
underage alcohol use assist teachers and parents to help children make
smart and healthy choices that last a lifetime. In addition, the release
of the Reach Out Now materials was in support of the Surgeon General's
Call to Action to Prevent and Reduce Underage Drinking released in March
2007.

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

On October 2-3, 2006, SAMHSA conducted a small meeting of those States
(Mississippi, Arkansas, Louisiana, and Texas) that were unable to
participate at the large national underage drinking prevention forum in
October 2005 because of Hurricane Katrina and other natural disasters.
In preparation for the meeting, SAMHSA coordinated conference calls
between the State meeting facilitators, SAMHSA representatives, and
State team leaders to ensure that issues important to the State were
reflected during the meeting as well as during the State Team
facilitation process. All attendees were sent pre-meeting packages that
included preventing underage drinking State plans from Wyoming, New
Hampshire, and Florida, to serve as model plans for the four States. Ten
attendees participated from Arkansas, 11 attendees from Louisiana, 9
attendees from Mississippi, and 10 attendees from Texas.

**Four-State Webcasts Pilot**---To provide additional technical support
to the States for the underage drinking prevention efforts, CSAP is
piloting a series of webcasts with four States. The intent of each
webcast is to assist States in raising awareness of underage drinking
with the audience(s) identified by each State. The webcasts for
Mississippi, Louisiana, and Arkansas are in the final stages of
completion. The video shoots in Texas began in early May 2007 and final
production will be completed in the summer. State video coordinators
intend to gather feedback on the webcast process to assess its reach and
utilization across each State.

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

The DCCC is in its second year and has thus far completed:

**Analysis and data management**

-   Produced standard operating procedures for data processing and
    standardization, including an inventory of data housed at the DCCC

-   Completed cleaning of FY 2004-2006 CSAP GPRA, NOMs and PART program
    data

-   Produced FY 2006 Accountability Report and draft of FY 2007 Trends
    and Directions Report

-   Edited and submitted final Cost Benefit of Prevention Report (in
    publication clearance)

-   Provided analytic support for PART results needed for Minority
    Education Institutions and Faith Based activities

-   Provided analytic results for short turnaround queries from multiple
    sources

-   Helped define and refine NOMs measures w/ particular emphasis on the
    SAPT Block Grant FY 2008 application.

**IT systems**

-   Established online data collection, reporting and project monitoring
    system for HIV Cohort VI

-   Supported COMET site for DFC data collection and reporting

-   Created preliminary CSAMS public and CSAP staff Web site w/ access
    to eight legacy Web sites

-   Supported State use of MDS and DbB data systems

**Training**

-   Staffed a help center (online and phone) for CSAMS, and COMET

-   Trained HIV 6 grantees on online data system

-   Developed materials and assisted in training CSAP staff on Federal
    data requirements

-   Developed program specific TOT NOMs binders and provided training
    for CSAP staff, CAPTs, SPFAs and other contractors in NOMs.

**In progress:**

-   The Accountability report for FY 2007 is in progress as is a
    longitudinal study of risk and protective factor interaction and
    clustering using 10 year Department of Education database.

-   Development of on-line data entry functions for methamphetamine
    Cohort III and SPF SIG Cohort III grantees

-   Development of search capability for CSAMS

-   Development of an online-analytic tool for use w/ DCCC data

-   Modification of MDS and DbB to be consistent w/ NOMs data collection
    and reporting

-   Data processing of current and legacy data

-   Presentations provided at the American Public Health Association
    (APHA) and are planned for upcoming NPN

**[SAPT Block Grant Evaluation]{.underline}**

-   All 60 SAPT Block Grant (SAPT BG) applications have been approved
    for FY 2006.

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-   In response to OMB's PART assessment that rated SAPT BG
    "ineffective" in 2003, a multi-year contract to conduct an
    independent and comprehensive evaluation of the program was
    subsequently awarded to Health Systems Research, Inc.

-   In December 2006, John Park was designated the task order officer
    for the evaluation.

-   A Federal Register Notice to announce the evaluation activity and to
    invite comments on the proposal dated March 20, 2007 was published
    on March 27, 2007. (Federal Register Volume 72, No. 58) The deadline
    to submit written comments to SAMHSA Reports Clearance Officer is
    May 20, 2007.

**[SPF SIG Cross-site Evaluation]{.underline}**

Primary accomplishments include continued grantee committee work, State
Infrastructure and Implementation Interview completion, Community Level
Instruments Alpha testing, and on-going State evaluator discussions and
ad-hoc consultation.

The New Grantee Meeting for all Cohort III grantees was held on January
23 through 25, 2007 in Bethesda, MD. The meeting was attended by
representatives from 10 States, 1 territory and 5 Native American tribal
organizations. CSAP is planning a meeting of all 42 SPF SIG grantees on
July 17 through 19, 2007. The meeting will be first comprehensive
gathering of all parties involved in SPF SIG project. The planning
committee for the meeting consists of representatives from DSD and DSP,
as well as evaluation contractors and TA providers.

**Task Order Management**

-   *Strategic Prevention Framework State Incentive Grants:* Cohort III
    of SPF SIG grants were awarded to 16 States, territories and tribal
    organizations totaling \$145 million over five years to implement to
    advance community-based programs for substance abuse prevention,
    mental health promotion and mental illness prevention. These awards
    are for up to \$2.1 million in the first year and are renewable for
    up to a total of five years. The total funding for 2006 is \$29
    million. Continuation of these awards is subject to both
    availability of funds and progress achieved by awardees. Grants were
    awarded to 10 States, 1 territory and 5 tribal organizations.

-   The SPF SIG Cross-site Evaluation had recently completed its Year 2
    Report in December 2006. The Year 2 Report reviews the cross-site
    evaluation design, evaluation questions, procedures and methods used
    for the report, and some preliminary results from the early
    State-level data collection and analysis by the Westat evaluation
    team (a copy of the Year 2 report can be made available upon
    request). Cross-site evaluation for Cohort III will be coordinated
    by CSAP's DCCC through a contractual agreement with the Constella
    Group.

-   The SPF SIG Cross-Site Evaluation contract underwent another change
    in Federal oversight staff at the programmatic level. With departure
    of Dr. Nikki Bellamy as the project officer, John Park has assumed
    Project Officer duties for this contract SPF SIG Cross-Site
    Evaluation with Westat and DCCC.

-   Westat continues day-to-day management of the web board---a
    communication tool for SPF SIG grantees. The web board is the
    primary mechanism for circulating draft documents for review and
    comment by grantee staff and other interested parties including
    draft data collection forms.

-   The SPF SIG evaluation internet site continues to expand as a
    primary resource to sub-contractors. Documents posted during this
    reporting period include State strategic plans approved in Cohorts I
    and II, State Substance Abuse Prevention and Synar System Review
    reports, and evaluator discussion abstract forms. Data collection
    forms and documented recordings were posted on the contractor
    portion of the Web site for use by the evaluation team on the State
    Infrastructure Interviews.

-   The next External Technical Advisory Group meeting is slated to
    occur in the fall of 2007.

**Grantee sub-committee activities**

-   Environmental Strategies committee is updating the resource binder
    by conducting additional literature searches for environmental
    strategies to expand the search criteria and locate literature on
    strategies that encompass additional topic areas.

-   Intervening Variables Committee distributed survey on intervening
    variable usage to committee members.

-   Implementation Fidelity committee completed a draft of the
    integrated user's guide Release of the fidelity assessment
    instrument and user's guide is scheduled for late April.

**Evaluation Implementation (includes data collection and instrument
development)**

-   Interview protocols and work plans for the Infrastructure Interviews
    and SPF Implementation interviews were refined during this reporting
    period. State Infrastructure Interviews were completed for the
    States of New Mexico, Tennessee, Louisiana, Washington, Missouri,
    Rhode Island, Florida, Colorado and Arizona. Summary forms and
    transcripts are being prepared. Texas and New Mexico respondents
    reviewed and concurred with interview notes. Interview data,
    including response codes, were submitted in February and March.

-   State Implementation Interviews were completed for the States of
    Nevada, Maine, New Mexico, and Connecticut.

-   Changes were made to the Community Level Instruments in an attempt
    to reduce respondent burden and to eliminate the need to require
    community partners to complete an additional questionnaire to
    collect demographic and cost band information at the intervention
    level.

**Analysis**

-   Coding of Texas and New Mexico data from the Infrastructure
    Interviews was revised and extracted from word documents and saved
    in Substance Abuse Services (SAS) files for future analysis.

-   The cross-site evaluation team supplemented the analysis data sets
    for Year 2 Report from multiple data sources. The SAS files of the
    National Survey on Drug Use and Health (NSDUH) data values for all
    SPF SIG grantees were checked and the significance levels of
    national estimates are being added to the report tables.

**[Performance Measurement Activities]{.underline}**

**[Methamphetamine]{.underline}**

-   *Prevention of Methamphetamine Abuse:* SAMHSA announced the award of
    10 grants, totaling over \$10.1 million over three years, to help
    local communities expand evidence-based substance abuse prevention
    programs and systems to stop abuse of methamphetamine. The 10 awards
    are for up to \$350,000 in the first year and are renewable for up
    to three years in all. Total funding for 2006 is just over \$3.4
    million. Continuation of these awards is subject to both
    availability of funds and progress achieved by awardees.

-   CSAP held a new grantee meeting for these 10 grantees on November
    12-13, 2006.

-   Data collection and evaluation of methamphetamine grants are
    coordinated by CSAP's DCCC through a contractual agreement with the
    Constella Group.

-   Oversight of evaluation underwent another change at the programmatic
    level. With departure of Dr. Nikki Bellamy as the project officer,
    John Park has assumed project officer duties to coordinate
    evaluation activities with DCCC and its contractors.

All PART and GPRA updates have been provided on time for programs
included in those reporting requirements. OMB has approved modifying
PART measures to be consistent with CSAP NOMs for PRNS programs.

**[Materials Development]{.underline}**

**[Community Prevention Day]{.underline}**

CSAP convened it's third annual "Community Prevention Day" on February
12, 2007 at the Washington, DC Convention Center with the theme
"Prevention Day:  A Focus On Underage Drinking---Communities Connecting
and Collaborating."  

This unique gathering brought together a record attendance of  close to
1,400 CSAP grantees, community organizations, prevention leaders, and
public health activists from across the country coming together at one
venue to receive training and technical assistance specific to substance
abuse prevention, treatment, and mental health; as well as network with
other grantees, and partners within their region. These participants
also had the opportunity to share experiences and information, establish
new relationships in regional networking sessions, and take part in
workshops to develop strategic organizational skills. 

This year's event included a morning plenary hosted by Dennis Romero
that introduced SAMHSA's new Administrator, Terry Cline to the
prevention field.  The session focused on one of CSAP major program
priorities: Underage Drinking, and featured a special presentation by
Heidi Arthur of the Ad Council.  In total the day provided participants
with 16 different workshops, and a half-day faith-based symposium lead
by the CSAP Faith Based Initiative Team.

**[Family Guide to Keeping Youth Mentally Healthy and Drug Free Web
Site]{.underline}**

In the past five months, the *Family Guide to Keeping Youth Mentally
Healthy and Drug Free* Web site has earned seven national awards for
quality and creativity, including the FREDDIE Finalist Award from
MediMedia celebrating excellence in health media. Awards, which are
listed on the Web at
[www.family.samhsa.gov](http://www.family.samhsa.gov/), include:

-   World Wide Web Silver Level Health Award

-   iNOVA Honor Award from MerComm, Inc.;

-   Aesculapius Award of Excellence from the Health Improvement
    Institute;

-   World Wide Web Health Merit Award from Health Information Resource
    Center;

-   W3 Silver Award from the International Academy of the Visual Arts;
    and the

-   WMA Government Standard of Excellence Web Award Web from the Web
    Marketing Association.

**Comparisons**

-   Family Guide statistics indicate that more people are logging on and
    looking at numerous articles and activities developed for parents
    and other caring adults who interact with children ages 7 to 18.

    -   The number of unique viewers (60,700) peaked November 2006, with
        a 119 percent increase comparing 2006 and 2005 fourth quarter
        averages.

    -   During that same time, the average number of page views
        (1,021,540) increased 212.6 percent between November 2006 and
        the fourth quarter average in 2005. Thus, when people come to
        the Web, they are reading several articles.

    -   Monthly contact hours also increased 80 percent (24,450 to
        13,600).

    -   Monthly visits increased 161 percent (135,185 compared to
        51,780).

    -   Direct traffic increased 202 percent (75,560 to 25,000).

    -   

Specifically, the fourth quarter increases from 2003 illustrate the huge
growth in 2006:

  ------ --------------- ----------- ------------ ---------- ---------------
         Ave. Monthly    Ave.        Ave. Monthly Direct     Search Engine
         Unique Visitors Monthly     Page Views   Traffic    Referrals
                         Visits                              

  2003   9,820           20,900      48,830       5,800      6,325

  2004   18,500          38,500      145,530      14,850     17,675

  2005   24,500          51,780      326,740      2,500      18,650

  2006   56,200          135,180     1,021,550    75,560     47,267
  ------ --------------- ----------- ------------ ---------- ---------------

In December 2006, the top referrals were Google (42%), MySpace (24%),
Yahoo (13%).

**Content**

In addition to evidence-based articles and factoids to promote good
mental health and prevent use of substances by young people, the Family
Guide emphasizes interesting and fun ways to encourage family
interaction. This Web site offers conversation starters, provides an
array of "Fun Coupons" (for one-on-one time for adults to give to young
people), suggests encouraging words, lists family activities, and offers
free animated e-cards.

This Web site supports the programs of SAMHSA's SPF and the Matrix by
helping adults increase protective factors and decrease risk factors for
young people. Articles are based on the SAMHSA parenting principles,
which emphasize that parents can make a difference in the choices their
children make when parents. The numbers are the December 2006
percentages of total distribution throughout the site:

-   Get involved in the child's life. (29%)

-   Establish and maintain good communication. (14%)

-   Make clear rules and enforce them with consistency and appropriate
    consequences. (13%)

-   Monitor each child's activities. (11%)

-   Teach children to choose friends wisely. (9%)

-   Be a positive role model. (8%)

The "fun coupons" garnered 75 percent of all December 2006 downloads.

\* (1) Advertising Age, "Traffic Plummets at Struggling Bud. TV," April
12, 2007) AB employs a team of marketing experts with a budget of \$2 to
\$3 million per year. 'Bud TV' is the most aggressive example yet of
marketers bypassing traditional TV outlets and using broadband video
downloads to bring content directly to consumers.

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

*Making Prevention Work: A Strategic Framework for Success* provides an
overview of the Strategic Prevention Framework planning process for CSAP
grantees or prospective grantees. This book also introduces the SPF to
people new to community coalitions and explains evidence-based
practices, outcomes-based prevention, SPF concepts, prevention
strategies, and evaluation.

Book contents, written in easy-to-understand language, include
information about:

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

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

-   The five SPF planning steps.

-   Risk and protective factors (appendix A)

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-   Resources for SPF programs and for substance abuse prevention
    (appendix B).

The book currently is in the clearance process prior to printing.

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

The Too Smart To Start (TSTS) public health initiative, which began its
fifth year in October 2006 with the 12 communities (sites) across the
nation, targets 9- to 13-year-olds and their parents/caregivers. The
objectives are to:

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

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

-   Increase public disapproval of underage alcohol use.

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

  Bethlehem Centers of Nashville               Nashville, TN

  Coalition for a Drug-Free Greater Cincinnati Cincinnati, OH

  Coalition for a Drug-Free Newaygo County     Fremont, MI

  Drug-Free Noble County                       Albion, IN

  Informed Families/The Florida Family         Miami, FL
  Partnership                                  

  Metropolitan Drug Commission                 Knoxville, TN

  Nashville Prevention Partnership             Nashville, TN

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

  Oregon Partnership                           Portland, OR

  Partnership for a Healthy Scott County       Forest, MS

  San Antonio Fighting Back, Inc.              San Antonio, TX

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

These major updates were made to the TSTS Web site at
[http://www.toosmarttostart.samhsa.gov](http://www.toosmarttostart.samhsa.gov/).

-   New section on the Community Resources page. A link to a new page
    called Local Resources at
    <http://www.toosmarttostart.samhsa.gov/communities/localresources.aspx>.

-   A search function has been added to the site.

Reprints arrived at the National Clearinghouse on Alcohol and Drug
Information (NCADI) in the fall for the following TSTS products: the
TSTS board game, the Don't Guess....Ask! poster (Male), and the Don't
Guess....Ask! poster (Female).

The fourth year final reports were received by July 24 (exception:
Pittsburgh required an extension). The reports included outcomes based
on the National Outcome Measures, best practices, lessons learned, and
recommendations.

**[CSAP Internet: New Sections and Links]{.underline}**

CSAP senior staff bios are now posted on the CSAP Internet from the
Contact page at <http://prevention.samhsa.gov/about/contactus.aspx>.
Click on the individual's name to link to their bio.

A new section for the Methamphetamine Grants is now available at
<http://prevention.samhsa.gov/grants/methamphetamine.aspx>

A new link to Communities That Care has been added to the home page of
the CSAP Internet. This link is available on every page of the Web site.

A new link to Helping America's Youth Program Tool Database has been
added to the Assessment section of the Web site at
<http://prevention.samhsa.gov/assessment/default.aspx>.

**[Publications: Printed Materials]{.underline}**

Identifying and Selecting Evidence-Based Interventions:

Guidance Document for the Strategic Prevention Framework

State Incentive Program

**Fetal Alcohol Spectrum Disorders -Materials**

Reach to Teach Manual

What Do I Do? Booklet

My Sibling Has A FASD Booklet

Fetal Alcohol Syndrome Disorder Education Program Manual

**FASD Fact Sheets:**

FASD by the Numbers

How FASD Co-occurs with Mental Illness

FASD and the Criminal Justice System

FASD Among Native Americans

FASD When Your Child Faces the Juvenile Justice System

Effects of Alcohol on Women

**[Publications: Reprinted Materials]{.underline}**

Building Blocks for a Healthy Future Kit

Building Blocks for a Healthy Future: Easy Reader: (Ages 5-6)

Building Blocks for a Health Future: Activity Guide; Coloring Book

Too Smart to Start Board Game

Too Smart to Start: Posters 1. Don't Guess; Female

                                         2. Don't Guess; Male

Tips for Teens Series: Revised

Methamphetamine

Inhalants

Steroids

Hallucinogens

HIV/AIDS

Cocaine

Club Drugs

Heroin

Marijuana

**[CSAP Communiqué: Keeping Our Eye on Prevention]{.underline}**

On March 15, Dennis O. Romero launched the first edition of the *CSAP
Communiqué: Keeping Our Eye on Prevention*. This communiqué is as an
opportunity to share information on current events, new publications,
upcoming trainings, statistics, and a snapshot of what CSAP can do for
its grantees and constituents. It is an informal mechanism to strengthen
our communications among CSAP grantees.  The April edition, focusing on
underage drinking prevention, was distributed via email on April 2. In
response to the Virginia Tech tragedy on April 16, a special edition of
the CSAP Communiqué was distributed via email on April 24. This edition
offered a starting point for increasing community awareness about how to
effectively deal with the mental health problems and/or substance use
issues in the aftermath of a violent event.  The May edition was
distributed via email on May 3.

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

**[National Association of State Alcohol/Drug Abuse Director
Activities]{.underline}**

Coordination between NASADAD and CSAP is provided by Tracy Farmer in our

Division (In March 2007, this responsibility was transferred back to the
Division of State Programs, although the *Prevention Works!* Initiative
remains with Ms. Farmer.). CSAP's Acting Center Director and his
Leadership team conducted the Leadership Summit at the NPN Research
Conference on August 26. The objective of the Leadership Summit is to
convene the leadership of CSAP, NASADAD, and NPN to discuss issues of
mutual interest on a regular basis. Recent issues, updates and emerging
topics were discussed.

The 2005 Exemplary Awards Luncheon was also held at the NPN Research
Conference on August 29. Two programs, Youth Action Research for
Prevention, Hartford, Connecticut and The ABCs of Secondhand Smoke,
Springfield, Missouri, were the awardees. For more information on these
programs, visit the following link at
<http://www.nasadad.org/resource.php?base_id=787>.

-   **NPN Prevention Research Conference**---CSAP staff disseminated
    "Start Talking Before They Start Drinking" kits for dissemination at
    the SAMHSA exhibit booth and the Underage Drinking Prevention: Town
    Hall Meetings workshop session. Documents in the kits: *Reach Out
    Now*, *Reach Out Now* Teach-In, Too Smart To Start, Town Hall
    Meetings, and State profiles booklet.

-   **Enforcing Underage Drinking Laws (EUDL) Conference**---"Start
    Talking Before They Start Drinking" kits were disseminated at the
    conference at the SAMHSA exhibit booth.

-   **Red Ribbon Week Mailing**---As part of an ICCPUD activity,
    underage drinking prevention materials from all Federal partners
    were packaged into a Red Ribbon Week information packet and sent to
    all THM participants, National Prevention Network members, Single
    State Agency members, and State points of contact.

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-   **Marvel Comics Ads**---Two promotional print ads, expressly for use
    by Marvel Comics, were developed. Both ads were targeted to children
    between the ages of 9 and 11. One ad featured the Too Smart To Start
    initiative's products and Web site address. The other ad featured a
    combination of age-appropriate materials from the ICCPUD agencies.
    The ads are featured in a Marvel Comic book focusing on alcohol use
    prevention, which has been disseminated throughout the Nation's
    school system.

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

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

-   The *Preventions Works!* monthly conference calls with the NPN PIM
    committee were held on July 11, August 8, September 12, October 10,
    November 14, December 12, January 9, February (canceled due to
    CSAP's Prevention Day), March (canceled due to technical
    difficulties), April 10, and May 8. Some of the topics discussed
    were SAMHSA/CSAP's Underage Drinking Prevention Initiatives, ONDCP
    Media Campaign updates, SAMHSA/CSAP Community Prevention Day,
    *Prevention Works!* resource kits and other PIM business. Minutes
    are available on the *Prevention Works!* password-protected Web
    site.

-   The PIM Committee met at the NPN Research Conference in Lexington,
    Kentucky on August 29. The draft *Prevention Handbook* (a revision
    of the 2001 *Prevention Backgrounder*) was distributed for review by
    the PIM committee. Gem Benoza, ONDCP National Youth Anti-Drug Media
    Campaign Deputy Director, presented for Robert Denniston.

-   The Rapid Response Advisory on the 2005 National Survey on Drug Use
    and Health was mailed to NPN members and posted on the *Prevention
    Works!* password-protected Web site on September 29^th^.

-   The final version of the *Prevention Handbook* was distributed to
    the NPN PIM committee in late December 2006. This handbook provides
    States and communities with information about substance abuse
    prevention, NPN's history and mission, and the resources SAMHSA/CSAP
    and others offer to support comprehensive, evidence-based substance
    abuse prevention nationwide. Electronic files of the handbook are
    available to the NPNs on the *Prevention Works!* password-protected
    Web site.

-   The Rapid Response Advisory on the 2006 Monitoring The Future Study
    was mailed to NPN members and posted on the *Prevention Works!*
    password-protected Web site on January 19^th^.

-   The PIM Committee met informally at CSAP's Prevention Day on
    February 12^th^. The next in-person meeting will be at the NASADAD
    Annual Meeting in Burlington, Vermont, June 7 to 10^th^.

-   The draft version of the *Talking About Prevention Resource Kit* was
    distributed to the NPN PIM committee for their comments in May. This
    new kit offers tools, information, and suggestions to help NPN
    members take advantage of opportunities to talk about prevention,
    including both informal and formal encounters with decision-makers,
    media, community leaders, and constituents.

**[IHS/SAMHSA National Behavioral Health Conference]{.underline}**

CSAP will sponsor several workshops at the upcoming IHS/SAMHSA National
Behavioral Health Conference in Albuquerque, New Mexico, June 11 through
June 14. Topics will include Older Adults, Underage Drinking Prevention,
Fetal Alcohol Syndrome Disorders, SAMHSA/CSAP's Strategic Prevention
Framework and Evidence-based Programs (NREPP). CSAP is also responsible
for the evaluation of the conference.

**[OTHER]{.underline}**

DSD employees continue to be involved in SAMHSA-wide activities. For
example, Nancy Kennedy is a CSAP representative on the SAMHSA Cultural
Competency and Eliminating Disparities Work Group headed by Dr. Larke
Huang. The members of the work group received a Group Award for their
efforts in planning internal and external activities to meet the mission
of the Work Group. Similarly, Ms. Kennedy represents CSAP in meetings
involving not only electronic health records but also the work of Health
Level Seven (HL7), a [Standards Developing
Organization](http://aspe.hhs.gov/sp/nhii/standards.html) that is
accredited by the [American National Standards
Institute](http://www.ansi.org/). Ms. Kennedy also participates in four
other SAMHSA Matrix groups: SPF; Co-occurring Disorders; Suicide
Prevention and Seclusion and Restraint. She is working with CSAP's
Andrea Kamargo and SAMHSA's Nancy Brady in the mid-course revisions of
the appropriate sections of Healthy People 2010.

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**STRATEGIC PREVENTION FRAMEWORK STATE INCENTIVE**

**GRANT PROGRAM**

[]{.mark}

CSAP's Division of State Programs oversees SAMHSA/CSAP's SPF SIG
Program. Made up of 42 grants to date, the flagship program provides
funding to States, territories and tribal organizations to implement
SAMHSA's SPF. The SPF SIG Program is intended to build a solid
foundation for delivering effective, community-based substance abuse
prevention programs, policies and practices.

The SPF is built on a community-based risk and protective factors
approach to prevention and a series of guiding principles that can be
utilized at the Federal, State/tribal and community levels. The SPF
requires grantees to systematically assess their prevention needs based
on epidemiological data, build their prevention capacity, strategically
plan for and implement effective community prevention programs, policies
and practices, and evaluate their efforts for outcomes.

**[Cohort III SPF SIGs Awards: 16 New Grants Awarded in September,
2006]{.underline}**

In September of 2006, SAMHSA/CSAP awarded 16 grants to States,
Territories and (for the first time) to Tribal organizations totaling
\$145 million over five years to implement SPF SIGs to advance
community-based programs for substance abuse prevention, mental health
promotion and mental illness prevention. Grants were made for up to
\$2.1 million in the first year and are renewable for up to five years.
The total funding for 2006 came to \$29 million. (Continuation of these
awards is subject to both availability of funds and progress achieved by
grantees.)

Cohort III SPF SIG awards were made to the following States, Territories
and Tribal organizations:

**American Samoa Government, Pago Pago \--** \$1,313,095 in the first
year to develop Fa'a Samoa (the Samoan Way). This program includes
comprehensive, integrated, strategic prevention framework-focused,
data-driven, and community-based substance abuse prevention activities
for American Samoan youth and families.

**The Cherokee Nation, Tahlequah, Oklahoma \--** \$2,093,000 in the
first year to forge a comprehensive, data-driven, community-based
integrated system of prevention across the nation. This substance abuse
prevention system will provide the infrastructure for delivering and
sustaining effective, efficient, and culturally appropriate substance
abuse prevention services to American Indian citizens who live in the
area served by the Tribe.

**Cook Inlet Tribal Council, Inc., Anchorage, Alaska \--** \$1,633,546
for the first year will support a tribal infrastructure development
project to establish a solid foundation for delivering and sustaining
effective substance abuse prevention services for the Anchorage tribal
community.

**Georgia Department of Human Resources, Atlanta \--** \$2,093,000 for
the first year will support an extensive State/local collaboration to
build and implement a data-driven prevention system that provides tools
and supports to promote substance abuse prevention and health promotion.
The program will create unified structures for local planning and
programming, and provide guided funding for local delivery of
evidence-based prevention strategies statewide.

**Grand Traverse Band of Ottawa and Chippewa, Peshawbestown, Michigan
\--** \$513,831 for the first year to work in partnership with the
Michigan Public Health Institute's Center for the Collaborative Research
in Health Outcomes and Policy to implement, evaluate, and sustain a
strategic prevention framework-focused substance abuse prevention effort
among the population of the Grand Traverse Band. The program is designed
to prevent the onset and reduce the progression of substance abuse,
including childhood and underage drinking.

**Great Lakes Intertribal Council, Inc., Lac du Flambeau, Wisconsin
\--** \$1,104,835 for the first year to develop and implement the Great
Lakes Intertribal Council Strategic Prevention Framework State Incentive
Project to help the 11 tribes of Wisconsin build the infrastructure and
capacity needed to better prevent substance abuse in their communities,
with an emphasis on underage drinking.

**Hawaii Office of the Governor, Honolulu \--** \$2,093,000 in the first
year will enable Hawaii to build and implement a coordinated,
comprehensive approach to substance abuse prevention based on the
strategic prevention framework model of community-based prevention that
helps ensure that prevention is the first line of defense against
illegal drug use and underage drinking. The program establishes
effective alcohol and other substance abuse prevention efforts that are
evidence-based, culturally appropriate, and sustainable.

**Kansas Office of the Governor, Topeka \--** \$2,093,000 for the first
year will support the Substance Abuse Prevention for the Twenty-first
Century project to build on existing interagency efforts, to address
identified service gaps and policy needs, and to build the coordinated
infrastructure at the State and community levels. Together these
activities will result in more efficient and effective deployment of
prevention resources that will have a positive effect at the level of
the individual, community and State on substance abuse and related
problems.

**Commonwealth of Massachusetts, Boston \--** \$2,093,000 in the first
year will support the Massachusetts Collaborative for Action,
Leadership, and Learning (Mass CALL2), which is working at the State and
community levels to: prevent the onset and reduce the progression of
substance abuse including underage drinking; reduce substance abuse and
related problems; and promote mental health in communities statewide.
The program will build substance abuse prevention and mental health
promotion capacity and infrastructure at the State and community levels.

**Mississippi Office of the Governor, Jackson \--** \$2,093,000 in the
first year to build on Mississippi's recent success of cross-agency
collaboration at both the State and community levels to address
identified infrastructure and program gaps in substance abuse prevention
activities. The program will build on existing known needs, improve
cultural competencies, initiate an underage drinking initiative, and
target substance abuse prevention resources to areas of identified
greatest need.

**Native American Health Center, Inc., Oakland, California\--**
\$1,455,143 for the first year to support the One with All program to
expand the capacity of Northern California tribal organizations to
provide culturally appropriate, evidence-based substance abuse
prevention services for American Indians and Alaska Natives in the
region. Built on the principles of the strategic prevention framework,
it will include not only a needs assessment and development of a
comprehensive strategic plan, but also an in-depth evaluation of the
approaches utilized and their impact on the growing community.

**Nebraska Office of the Governor, Lincoln \--** \$2,093,000 for the
first year to produce sustained outcomes in preventing the onset and
reducing the progression of substance abuse and related mental disorders
and other problems among Nebraskans by developing sustainable,
coordinated, and data-driven prevention systems at the State, sub-State
and local levels that include effective needs assessment, mobilization,
planning, implementation and evaluation processes.

**New Jersey Office of the Governor, Trenton \--** \$2,093,000 for the
first year to implement a strategic prevention-framework-oriented system
of substance abuse prevention activities that integrates State and local
efforts, under the aegis of the State Department of Human
Services/Division of Addiction Services, building and utilizing a common
set of goals, expectations and accountabilities throughout the substance
abuse prevention infrastructure.

**Pennsylvania Department of Health, Harrisburg \--** \$2,093,000 in the
first year to coordinate and implement enhancements to the substance
abuse prevention infrastructure, service capacity, and service systems.
The program will build an interagency substance abuse prevention
coalition across the State to focus on both underage drinking and drug
abuse, with common goals, and a standardized reporting system based on
the principles of the strategic prevention framework.

**Utah Department of Human Services, Salt Lake City \--** \$2,093,000 in
the first year to continue the State's transformation of its substance
abuse prevention services into a statewide, integrated comprehensive,
data-driven, culturally competent, seamless, and sustainable system that
is based upon the six guiding principles and five steps of the strategic
prevention framework.

**Wisconsin Office of the Governor, Madison** \-- \$2,093,000 for the
first year for a program that combines the comprehensive strategic
prevention initiative model with existing State and local efforts to
prevent the onset and reduce the progression of substance abuse,
including childhood and underage drinking; to reduce substance
abuse-related problems in communities; and to build prevention capacity
and infrastructure. This project joins with the Governor's Kids First
Initiative and the Healthiest Wisconsin 2010 State Health Plan.

**SPF SIG New Grantees Meeting (Cohort III) Held in January, 2007**

This well received meeting was designed to enhance the ability of the
latest group of SPF SIG Grantees (Cohort III) to meet the goals and
challenges of their grant projects. Presentations by CSAP staff were
designed to guide grantees through the first year requirements and
milestones of their grant. SPF SIG participants included the SPF SIG
Project Directors, the State Epidemiological Workgroup Chairs, and the
SPF SIG Lead Evaluators**.**

**SPF SIG National Grantees Meeting (Cohorts I-III) Held in July, 2007**

This learning community event brought together SPF SIG Cohort I, II and
III grantees to discuss topics of interest and concern to each cohort as
well as to the entire group. The meeting was primarily made up of
multiple breakout sessions, facilitated by CSAP and SPF SIG grantees,
which offered interactive discussion, panel presentations and dialogue.
The predominant theme was to allow grantees to gain new insights and
ideas and explore innovative strategies and concepts through the sharing
of lessons learned and case by case examples. SPF SIG participants
included the SPF SIG Project Directors, the State Epidemiological
Workgroup Chairs, and the SPF SIG Lead Evaluators**.**

**SYNAR AMENDMENT**

*The Synar Amendment (Section 1926 of the PHS Act) was established as
Federal legislation in 1992 to restrict the sale and distribution of
tobacco products to youth under the age of 18. SAMHSA/CSAP developed the
implementing regulations in 1996 (45 CFR Part 96) and is responsible for
administering the requirements of the Amendment.*

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

DSP has completed its review of all 59 FFY 2007 State Annual Synar
Reports.

Based on this review, 49 States, the District of Columbia, and 5 U.S.
Territories (American Samoa, Guam, Micronesia, Northern Mariana Islands,
Puerto Rico) met the annual Synar target rate for FY 2007. One State,
Massachusetts, reported a tobacco sale violation rate of 22.7 percent,
which is higher than the State's target rate of 20.0 percent; however,
given its reported rate is an estimate based on a sample of all tobacco
retailers across the State, Massachusetts was found to be in substantial
compliance with this regulatory requirement since SAMHSA provides a 3
percentage point margin of error for such sample estimates. Three U.S.
jurisdictions (Marshall Islands, Palau, and the Virgin Islands) did not
comply with all Synar regulatory requirements. Specifically, the
Marshall Islands and the Virgin Islands neither conducted the required
annual Synar inspections nor provided evidence that they enforced their
tobacco access laws in FY 2006. Palau reported a retailer violation rate
of 37 percent, which is 17 percent higher than its negotiated target
rate of 20 percent; however, PHS Act Sec 1933(c) allows a US
Jurisdiction, other than Puerto Rico and the District of Columbia, to
apply for a waiver of the penalty for Synar noncompliance.

**[FY 2007 Synar Compliance]{.underline}**

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

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

[8^th^ National Workshop]{.underline} CSAP convened the 8^th^ National
Synar Workshop in Gaithersburg, Maryland from September 14-15, 2006. The
well attended meeting featured a session chronicling "A Brief History of
Tobacco and the Media" among many others of interest to the tobacco
control and prevention field. Poster sessions from the various States
spurred participants to engage in valuable discussion and networking.

[9^th^ National Workshops]{.underline} The 9^th^ National Synar
Workshops will be held in August and October, 2007, in Indianapolis,
Indiana and Salt Lake City, Utah, respectively. The theme for this
year's National Meeting is "The Next Ten Years: Collaborating for
Innovations in Synar Compliance and Enforcement." Participants will
include the Synar lead and the SSA Director or designee from each State
and US Jurisdiction, and marks the first ever Annual Synar Workshop
convened in collaboration with the CDC's Office on Smoking and Health.
This event celebrates a decade of steady progress in achieving Synar
performance goals and provides States an opportunity to share innovative
methods for planning and implementing effective youth tobacco access
reduction strategies for sustaining compliance with the tobacco retailer
violation rate target of 20%, as well as to implement new strategies to
reduce these rates even more, so as to contribute more to State general
tobacco prevention successes.

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

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

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

In their 2007 annual Synar report, 23 States reported they had completed
a coverage study in calendar year 2006 and 25 States reported they plan
to conduct a coverage study this year. The remaining 3 States conducted
a coverage study according to the requirement that one is completed in
the three years prior to September 30, 2007. A total of 9 States have
received technical assistance on coverage studies between October 1,
2006 and May 1, 2007.

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

The Synar Sampling Support task was added to the Strategic Prevention
Framework Advancement and Support activities Task Order in FY 2006.
Under this task, expert statisticians review States' annual Synar
reports for sampling and statistical issues, and advise DSP on questions
that may affect reliability or validity of the Synar surveys. This
sampling review helps CSAP State project officers work with the States
to validate the Retailer Violation Rates that States report as a
condition for receipt of federal SAPT Block Grant funding.

**SAPT BLOCK GRANT APPLICATIONS**

For the Synar portion of State FFY 2007 SAPT Block Grant applications,
all 59 Annual Synar Reports have been approved. In addition, the
Secretary found no State out of compliance with the Synar regulatory
requirements.

For the Prevention portion of the FFY 2007 SAPT Block Grant
applications, all 60 SAPT Block Grant applications have been approved.

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

CSAP implemented the third Prevention Leadership Academy (PLA) event for
State National Prevention Network members in Houston, TX. CSAP made us
of extensive input from the NPN Workforce Development Committee and
Executive Committee to design this ongoing series of leadership events
for State prevention leadership development. The focus of the PLA was on
experiences and skills NPNs need to adapt and exert leadership in
continually changing national, State, and local environments.

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

Since January, 2007, CSAP has conducted combined prevention and Synar
system review site visits in 7 States and Territories. A total of 7 more
system reviews are scheduled between now and the end of the fiscal year.

######### 

######### Pacific Island Jurisdictions Activities 

######### 

**Technical Assistance/Support During this Reporting Period:**

**National Synar Workshop (2006)**

> Lodging and travel to Gaithersburg, MD in September 2006 to attend
> meeting. (11 participants from American Samoa, Guam, Marshal Islands,
> Federated States of Micronesia, Northern Mariana Islands and Palau.)

**CSAP Prevention Day (2007)**

> Lodging and travel to Washington, DC to attend meeting.
>
> (4 participants from Federated States of Micronesia, Guam, Northern
> Mariana Islands, and Palau.)

**CSAP Prevention Leadership Academy (2007)**

> Lodging and travel to Washington, DC to attend meeting.
>
> (5 participants from American Samoa, Guam, Marshall Islands, Northern
> Mariana Islands, and Palau.)

**Pacific Jurisdiction Technical Assistance Workshop (2007)**

> Lodging and travel to Bethesda, MD to attend meeting.
>
> (4 participants from Federated States of Micronesia, Guam and Marshall
> Islands.)

**National Synar Workshop -- October, 2007**

Lodging and Travel to Salt Lake City, UT to attend meeting.

> (1 participant from each of the Pacific Jurisdictions will be funded
> to attend this meeting.)

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**A.        Organizational Changes**

Charles Reynolds, Lead, GIS, left DWP to Division of Systems Development
in a CSAP reorganization, August, 2006.

Betty Matthews, Secretary to the Director, retired October 2006.

Dr. Sean Belouin, Pharm D., LCDR, PHS, joined the Drug Testing Team,
January 2, 2007.

Deadrae Nicholson joined the Division of Workplace Programs as Secretary
to the Director, February 5, 2007.

Forest Crumpler joined the Division of Workplace Programs as a Summer
Intern in June 2007.   

Drug Testing Advisory Board Members:

Drs. Robert Turk and Louis Baxter were appointed as new members of the
Drug Testing Advisory Board in December 2006. Dr. Turk is the Director
of Forensic Toxicology at the Center for Toxicology Services, Inc. Dr.
Baxter is the Executive Medical Director for the Professional Assistance
Program of New Jersey.

**B.        Update on Program Activities**

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

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

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

DWP works closely with the Office of National Drug Control Policy and
the Department of Justice (DoJ) to fulfill their shared policy setting
and oversight responsibilities in the operation of the Federal Drug-Free
Workplace Program (DFWP).  During this period, DWP was instrumental in
the issuance of a very important memorandum from the Director, ONDCP to
all Federal agencies, reinforcing the importance of the Federal DFWP. 
The letter encouraged the agencies to assure their DFWPs were operating
effectively and consistently.  The letter also commended DWP for doing
an outstanding job of working with the Federal agencies to ensure
compliance with Federal DFWP requirements.

DWP continues to coordinate requests from numerous Federal agencies to
make modifications to their Drug-Free Workplace Program plans.  DWP
works closely with the ONDCP and the DoJ in reviewing these requests to
determine appropriateness before recommending concurrence.  DWP also
continues to work with personnel from all the Federal agencies in the
Executive Branch to gather data summarizing their DFWP activities.

DWP has established a close and ongoing working relationship with the
department level officials of the Department of Homeland Security (DHS)
who are working on how best to structure and implement the DFWP within
the Department.  DWP has met with DHS officials on numerous occasions
concerning their draft DFWP plan, and is currently closely involved in
considering the concerns of DHS components.  DWP is providing advice and
technical assistance to those officials as this process moves closer to
the goal of achieving a certified DHS-wide DFWP.

**[Papers and Findings]{.underline}**

**[Worker Substance Use and Workplace Policies and
Programs]{.underline}.  **On July 15, 2007, Office of Applied Studies
published a 188-page report presenting data on several issues related to
worker substance use, attitudes, drug testing, and workplace policies
and programs.  Data are presented on (a) fulltime workers substance use
by demographics, geographic characteristics, occupations, industry, and
establishment size, (b) availability of drug information programs and
policies in the workplace, (c) prevalence of drug testing pre-hire and
randomly after hire by workers' alcohol or drug dependence and by
workplace size, and (d) workplace behaviors and attitudes toward drug
testing by worker demographics.  \[NCADI inventory SMA number 07-4273.\]
The publication can be found at
**[[http://oas.samhsa.gov/work2k7/toc.cfm]{.underline}](http://oas.samhsa.gov/work2k7/toc.cfm)**
and at the Workplace Resource Center's Web site
([[http://workplace.samhsa.gov]{.underline}](http://workplace.samhsa.gov/))
under Resources.

Following the publication, there was a SAMHSA press release
([[http://www.samhsa.gov/newsroom/advisories/070713survey0610.aspx]{.underline}](http://www.samhsa.gov/newsroom/advisories/070713survey0610.aspx))
as well as public radio, and news media interviews with DWP Director,
Robert Stephenson. Multi-media presentations were well over 700
national/international locations including news reports, and internet
blogs and commentary. Additionally, the story appeared on CBS Evening
News with Katie Couric on July 16, 2007.

**[Conferences, Meetings, Drug Testing Advisory Board and Medical Review
Officer Training]{.underline}**

Charles LoDico went on a NLCP lab inspection at the South Bend Medical
Foundation, South Bend, Indiana, July 12-14, 2006.

Dr. Donna Bush gave lectures to medical review officers at the ASAM MRO
certification course in Phoenix, AZ July 21-22, 2006.

Robert Stephenson and the Drug Testing Team attended the Society of
Forensic Toxicologists annual conference and presented our annual
Laboratory Inspectors Workshop, October 2-9, 2006, in Austin, TX.

Dr. Deborah Galvin presented several papers on the Young Adult in the
Workplace grant program and GetFit.SAMHSA.GOV and served as a
participant at the annual APHA conference Boston, Mass. November 4-9,
2006.

Robert Stephenson, Dr. Donna Bush and the Drug Testing Team held a Drug
Testing Advisory Board meeting on December 12-13, 2006 in the SAMHSA
building.

Dr. Donna Bush and the Drug Testing Team went to RTI for a quarterly
site visit to our NLCP contractor, Research Triangle Institute, Chapel
Hill, NC on January 8-12, 2007.

Dr. Donna Bush participated in the annual meeting of the Educational
Development Committee of the Medical Review Officer Certification
Council, January 20-21, 2007, in Orlando, Florida.

Dr. Donna Bush attended the annual meeting of the American Academy of
Forensic Sciences in San Antonio, Texas, February 20-23, 2007. 

Charles LoDico went on a NLCP lab inspection at the VA Hospital
Laboratory, Minneapolis, MN, February 28-30, 2007.

Dr. Sean Belouin attended the HHS Crisis Emergency Risk Communication
Conference in Washington, DC on March 16, 2007.

                                                                                                                 

Ron Flegel was a participant on the NLCP inspection at the Quest
Diagnostics Laboratory, in Atlanta, GA, March 21-23, 2007.

Dr. Donna Bush and the Drug Testing Team went to RTI for a quarterly
site visit to our NLCP contractor, Research Triangle Institute, Chapel
Hill, NC on March 26-29, 2007.

Dr. Deborah Galvin went on site visits to Young Adult in the Workplace
cooperative agreements including: ISA Associates in Manhattan, NY,
January 28-30, 2007; OWLS in Ft. Worth, TX on March6-9, 2007; RMC in
Portland, OR, April 15-19, 2007.

Dr. Donna Bush and Dr. Sean Belouin went on a NLCP lab inspection at
Fort Meade, Maryland, January 2007.

Dr. Sean Belouin went on a NLCP lab inspection at Quest Diagnostics Lab,
Raritan, NJ, May 16-18, 2007.

Ron Flegel, Drug Testing Section, and Bill Sowers, Workplace Helpline,
presented an illustrated lecture and discussion to a Risk Control
Conference entitled, \"Substance Abuse and Violence: Hidden Dangers in
the Workplace.\"  Following the Workplace Violence portion, Ron reviewed
the drug testing process and Bill promoted the Drug-Free Workplace
concept to 50 safety, legal, risk control, and human resource
supervisors and managers in Greenbelt, Maryland.  The conference was
sponsored by Riggs, Counselman, Michaels, and Downes, Inc., Insurers, of
Baltimore, Maryland, on May 22, 2007.

Charles LoDico went on a NLCP lab inspection at the Baptist Medical
Center, Little Rock, AR, May 30 to June 1, 2007.

Dr. Deborah Galvin attended to the Society for Prevention Research
conference in Washington, DC, and led a round table on Young Adults in
the Workplace on May 30 to June 1, 2007.

Dr. Deborah Galvin attended the Indian Health Service/Substance Abuse
and Mental Health Service Administration National Behavioral Health
Conference in Albuquerque, NM and provided 2-hour training on Prevention
in Health and Wellness Programs including interactive programs on June 5
-- 8, 2007.

Dr. Donna Bush and the Drug Testing Team went to RTI for a quarterly
site visit to the NLCP contractor, Research Triangle Institute, Chapel
Hill, NC, June 25-28, 2007. 

Dr. Sean Belouin went on a NLCP lab inspection at the South Bend Medical
Foundation, INC.  in South Bend, IN, July, 2007.

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

The Workplace Helpline (1 800 WORKPLACE) continues to provide unique
resources, information, and technical assistance to employers and the
public whose activities are related to Drug-Free Workplaces,
health/wellness programs having substance abuse prevention components,
and drug testing issues. Those calling into the toll-free
telephone-based service for assistance included large to small
employers, managers, union officials, and operators of community-based
substance abuse prevention programs, who were concerned with
the development and implementation of workplace substance abuse
prevention initiatives and programs across the nation.  The Workplace
Helpline Specialist uses telephones, Web sites, faxes, and e-mail to
disseminate information and responses to myriad policy and workplace
substance abuse prevention situations and problems.

On July 16, 2007, the synergy of the release of the publication, *Worker
Substance Use and Workplace Policies and Programs*, simultaneously
with updated resources for the The *Drug-Free Workplace Kit*, has been
remarkable.  The statistically documented press release and media
coverage included factual eye-openers for business owners and managers
that precipitated an immediate need for guidance.  That guidance is now
available at the fingertips of anyone with a computer.  The updated
resources available within the Kit provide exceptional guidance. 
Although calls to The Helpline average 20 -- 25 calls per day, an
increase is expected in the future. 

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

**[Young Adults in the Workplace Cooperative Agreement and Cross-Site
Analysis]{.underline}**

Six Young Adults in the Workplace (YIW) grantees began Phase II of the
study on October 1, 2006. DWP, with support from the cross-site
evaluation team, conducted a site visit to each grantee during the first
and second quarters of the fiscal year. The cross-site team, in
conjunction with DWP, created site visit protocols and updated
evaluation templates in preparation for these visits. The steering
committee has met via conference calls on a quarterly schedule to
coordinate subcommittee, implementation, and data collection and
analysis activities.

Five of the grantees have begun collecting baseline data and
implementing their programs on independent but coordinated timelines. By
the end of May 2007, four of the six grantees had collected baseline
NOMs data and submitted the data to the YIW Coordinating Center. The
Center submitted aggregated NOMs data (n = 780) to DWP and DWP submitted
the NOMs baseline data to CSAP.

In May, representatives from each steering committee entity, along with
DWP staff, presented preliminary process findings at the Society for
Prevention Research Conference in Washington, DC. The cross-site
evaluation contractor is currently working on two papers to support this
initiative: one which recently received Institutional Review Board
approval for a secondary analysis on the co-morbidity of mental health
and substance use, and another that examines stress and mood management
in the workplace.

In addition to the activities listed above, the following products and
activities have been completed since the last report:

-   Updated YIW briefing book

-   Created map of grantee sites

-   Completed technical assistance calls with all grantees

-   Reviewed grantee documentation for economic evaluation

-   Submitted cross-site evaluation Institutional Review Board package
    and received approval

-   Revised data file specifications for YIW cross-site survey

-   Developed a protocol for cross-site survey data cleaning and
    provided technical assistance to grantees to clean their
    site-specific data

-   Provided technical assistance and sample tables for administrative
    records data

-   Developed list of and submitted abstracts to future conferences

-   Presented project at Indian Health Services/SAMHSA conference in
    Albuquerque, NM

-   Updated YIW one-page initiative summary for dissemination

-   Updated YIW one page grantee program summaries for dissemination

-   Maintained information management systems

-   Incorporated grantee process findings into dissemination materials

The following is a summary of process findings from the program's
grantees:

-   It is important to get support and feedback from all levels of
    management (e.g., administrative staff, union representatives and
    department heads)

-   Stakeholder involvement is important to securing workplace
    commitment

-   Focus groups with young adult employees provided helpful insights.
    For example, young adults acknowledged the importance of building
    stress management skills, learning the connection between work and
    health behaviors, and addressing specific issues related to the
    accessibility of prescription drugs

-   Understanding a specific worksite's culture is essential to the
    development of a recruiting and training strategy with top-down
    involvement ensuring motivated recruitment and participation

-   Understanding the importance of the context and culture (including
    socialization), the training schedules, and venues all must be
    adapted to the target population

-   Adaptation of materials to worksite, including existing training
    materials, ensures relevance, retention, and bolsters involvement

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-   Significant numbers of program participants have found the program
    to be useful, engaging, and appropriate

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-   Participants have indicated that they will use the activities and
    materials both at work and in their personal lives

-   "Awareness" training has a strong impact

-   Conducting research in academic medical centers can pose a number of
    challenges

-   For the implementation strategy, occupational intervention for work
    where mistakes may be catastrophic is imperative

    The cross-site evaluation contract has had a significant reduction
    of funding and will not be able to produce the level of work
    formally described. The initiative and supporting contract will
    continue to operate and attempt to produce valid and reliable
    results with the funding available. Additionally, there is no
    funding available for the final year of the grant program which is
    the critical period for the analysis of the outcome data.

    **[Workplace NREPP Programs]{.underline}**

Dr. Joel Bennett, from Organizational Wellness & Learning Systems, Inc.
(Fort Worth, TX) and developer of the NREPP model program, "Team
Awareness", is working with SAMHSA to assist the National Guard to adopt
the program for a new project within the Guard entitled "Prevention,
Treatment, Outreach" (PTO).  The PTO Initiative, directed by Lt. Col.
Johnny Boatman, National Guard Bureau, with the mission of bringing
prevention services to guard members, has been partnering with Dr.
Bennett since February, 2007.  To date, Dr. Bennett has provided
certification training to 12 pilot States (approximately 15 prevention
coordinators), technical assistance, action plan coaching, needs
assessment, and process evaluation as the guard adapts the new program,
which is currently titled, "Team Readiness."  The new program places a
strong emphasis on prevention, using the SAMHSA treatment locator, and
additional capacity building support from SAMHSA and CADCA.

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

CADCA along with CSAP and DWP continue to collaborate in bringing more
employers and businesses into the existing Community Coalition process
nationally. 

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

The DWP Workplace Resource Center Web site continues to enhance and add
content materials. Significant additions have been added in drug
testing, drug-free workplace programs, young adults in the workplace,
and health/wellness. The Web site continues to be monitored for working
links and older articles and materials are archived. The organization of
the Web site has continued to be responsive to the needs of the users
and has been recently updated to address new needs. The updated
resources in the Drug-Free Workplace Kit now connect to
GetFit.SAMHSA.gov. Links to Federal agencies with workplace materials
have been added.   The workplace Web site has had over one million
visitors to the Web site from July 2006 to July 2007, with the most
frequent visits to Drug Testing and the Drug-Free Workplace. The most
popular document to download is the Current List of Certified Labs.
Although most people visit the site one time, there are sufficient
numbers of visitors more than 10 times a month indicating there are
stable users on the Web site. Due to a continued significant 40%
reduction in funding, the contract will not be able to produce as much
as previously expected and there has been a modification to the contract
reflecting a reduction in deliverables and amount of work.

In the next month, it is expected that the Workplace Resource Center Web
site will add the health/wellness interactive training program
researched by ISA's Drs. Royer Cook and Rebekah Hersch.  *Prevention
Connection*, which will be made free to the public and become part of
the resources available on the Web, was developed under a Small Business
Innovation Research contract from NIDA. It has been used by DWP grantees
in their substance abuse prevention programs and is designed to teach
workplace wellness providers to integrate substance abuse prevention
content into standard health promotion program.  This training program
is being donated to the Workplace Resource Center by ISA Associates, a
YIW grantee.

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

The CSAP Workplace Kit is one of the sought after a product on the
Workplace Web site, and the old version was viewed over 600 times a day.
The print version of the revised Workplace Kit is in SAMHSA review. It
is expected to be approved and sent to be printed in the next few
months.

DWP along with RTI and DSG continue to assist YIW grantees in their
enhancement of GetFit for young adults in the workplace.  There are 510
workplaces using GetFit and 16 new workplaces adapted GetFit since July
2006. In the past year, there were more than 201,000 visits to the
GetFit site. As there was no formal social marketing campaign or
processes related to the Web site, this is a decent number.  Current
meetings are being held with several small to large business related to
adopting GetFit. GetFit is monitored weekly and new links and
information are systematically added.

Due to an approximate 40% reduction in funding for the second year in a
row, the contract will not be able to produce as much as previously
defined and a modification to the contract was made.  

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

Under the CSAP Research and Report Finding Contract, DWP and PIRE had
five research papers published or accepted for publication during the
past year and three others progressed.

One paper (Substance Abuse and the Uninsured Worker, D Galvin, T Miller,
R Spicer, G Waehrer, Journal of Public Health Policy, 28:1, 102-117,
2007) laid out a range of policy issues, research questions, and
demonstration needs around substance abuse problems and prevention in
the growing population of uninsured workers. DWP also completed and
began the process of publishing a follow-up paper (\" Substance Use
Problems: Are Uninsured Workers at Greater Risk?,\" Geetha M. Waehrer,
Eduard Zaloshnja, Ted Miller, Deborah Galvin, Journal of Studies on
Alcohol and Drugs, revise & resubmit requested), that examines the
differential levels of substance abuse frequency and indicated treatment
between uninsured and insured workers.

Another paper (Random Alcohol Testing Reduced Alcohol-Involved Fatal
Crashes of Drivers of Large Trucks, C Snowden, T Miller, G Waehrer, R
Spicer, Journal of Studies on Alcohol and Drugs, accepted 5/07)
supported by the contract illustrates that random alcohol testing
reduced alcohol-involved fatal crashes of drivers of large trucks.

Two papers (Employer Costs of Alcohol Involved Injuries, E Zaloshnja, T
Miller, D Hendrie, D Galvin, American Journal of Industrial Medicine.
accepted 11/06; The Employer Costs of Motor Vehicle Crashes, E
Zaloshnja, T Miller, International Journal of Injury Control and Safety
Promotion, 13:3, 145-150, 2006.) show that alcohol-involved injuries on
and off the job cost employers billions of dollars annually. They
provide data and rationales to help sell prevention and early
intervention.

A further paper (Effectiveness and Benefit-Cost of Peer-Based Workplace
Substance Abuse Prevention Coupled with Random Testing, T Miller, E
Zaloshnja, R Spicer, Accident Analysis & Prevention, accepted 10/06 and
recently published) supported through the contract, shows that a
peer-to-peer workplace substance abuse prevention and early intervention
program evaluated under the earlier Workplace Managed Care demonstration
grant program yielded a large positive return on investment to the
company. The program was run by the company's unions with company
funding.

Finally, the contract has started two future analyses. The first
analyses the relationship between adolescent work intensity and past-30
day use of alcohol, cigarettes and marijuana using NSDUH data on
approximately 9,000 15-17 year-olds. Separate models for white, black,
and Hispanic youth examined whether the effects of work varied by peer
influences on youth. Work intensity was significantly associated with
recent use of alcohol and cigarettes especially among white youth. At
the same time, for white youth who perceive that the majority of their
school peers engage in such use, adolescent work exerts a significant
protective effect against substance use.

The second should be a landmark research focused on alcohol abuse and
the elderly worker. It uses the 2004 Health and Retirement Survey to
probe the relationship between drinking habits and retirement for
persons born between 1931 and 1941. Elderly who reported being
'completely retired' drink more often, while those who continue to work
exhibit more abusive behavior towards alcohol.

**[DWP Papers and Publications]{.underline}**

> **Peer-Reviewed Publication:**
>
> The U.S. Mandatory Guidelines for Federal Workplace Drug Testing
> Programs: status and future considerations Donna M. Bush, Ph.D.
> Forensic Science International, April 12, 2007, e-publication ahead of
> print.
>
> Employer Costs of Alcohol Involved Injuries, E Zaloshnja, T Miller, D
> Hendrie, D Galvin, American Journal of Industrial Medicine. accepted
> 11/06; The Employer Costs of Motor Vehicle Crashes, E Zaloshnja, T
> Miller, International Journal of Injury Control and Safety Promotion,
> 13:3, 145-150, 2006
>
> Substance Abuse and the Uninsured Worker, D Galvin, T Miller, R
> Spicer, G Waehrer, Journal of Public Health Policy, 28:1, 102-117,
> 2007
>
> Substance Use Problems: Are Uninsured Workers at Greater Risk?,\"
> Geetha M. Waehrer, Eduard Zaloshnja, Ted Miller, Deborah Galvin,
> Journal of Studies on Alcohol and Drugs (to be published by the end of
> the year)
>
> **Posters and Papers:**
>
> Paper and training presented at IHS/SAMHSA National Behavioral Health
> Conference in Albuquerque, NM on Prevention in Health and Wellness
> Programs June 7 2007. Deborah M. Galvin, Ph.D., Division of Workplace
> programs, Substance Abuse and Mental Health Services Administration,
> Rockville, MD.
>
> Paper, Society for Prevention Research, Washington, DC, May 30 2007,
> "History and Need for Young Adult in the Workplace Substance Abuse
> Prevention Program."
>
> Paper, APHA, Boston, Mass. November 4-9, 2006, "Young Adults in the
> Workplace," Dr. Deborah M. Galvin.
>
> Paper, APHA, Boston, Mass. November 4-9, 2006, "Interactive Web sites
> in Substance Abuse Prevention," Dr. Deborah M. Galvin
>
> Poster Presented at the Society of Forensic Toxicologists meeting,
> Austin, TX, October 2-6, 2006: Influence of Basic pH on Federal
> Regulated Drugs in Urine at Room Temperature
>
> Francis M. Esposito, John M. Mitchell, and Michael R. Baylor (RTI
> International, Research Triangle Park, NC) and Donna M. Bush (Division
> of Workplace Programs, CSAP, SAMHSA)
>
> Poster Presented at the Society of Forensic Toxicologists meeting,
> Austin, TX, October 2-6, 2006: Preliminary Observations of the NLCP
> Hair Pilot Performance Testing Program Part II: Confirmatory Analysis
> of Opiates, Phencyclidine, and Marijuana
>
> Jeri D. Ropero-Miller, F. Leland McClure III, Michael R. Baylor, John
> M. Mitchell, and Meredith Meaders (RTI International, Research
> Triangle Park, NC) and Donna M. Bush (Division of Workplace Programs,
> CSAP, SAMHSA)
>
> Poster Presented at the Society of Forensic Toxicologists meeting,
> Austin, TX, October 2-6, 2006: Preliminary Observations of the NLCP
> Oral Fluid Pilot Performance Testing Program: Confirmatory Analysis of
> THC, Opiates, and PCP
>
> Peter R. Stout, Francis M. Esposito, E. Dale Hart, F. Leland McClure
> III, Michael R. Baylor, John M. Mitchell (RTI International, Research
> Triangle Park, NC) and Donna M. Bush (Division of Workplace Programs,
> CSAP, SAMHSA)
>
> Poster Presented at the Society of Forensic Toxicologists meeting,
> Austin, TX, October 2-6, 2006: Evaluating Workplace Testing Results
> from a Medical Review Officer Data Source
>
> J. Michael Walsh, Andrew von Brand, and Leo A. Cangianelli (The Walsh
> Group, Bethesda, MD), James Ferguson (Verifications, Inc, Minneapolis,
> MN), Donna M. Bush, Robert L. Stephenson II, Ronald R. Flegel
> (Division of Workplace Programs, CSAP, SAMHSA), John M. Mitchell and
> Michael R. Baylor (RTI International, Research Triangle Park, NC)

C.  **Intergovernmental Agencies Collaborations**

DWP continues to meet on a regular basis with a variety of government
agencies in DWP regarding drug testing, Federal and non-Federal
Drug-free Workplace Programs, substance abuse prevention and early
intervention in the workplace.

Dr. Sean Belouin, PharmD, LCDR with the PHS, continues to train with the
United States Public Health Service Rapid Deployment Force Team #2
(RDF#2) as a clinical pharmacist.  This is the 2nd year LCDR Belouin has
been part of one of five newly developed rapid deployment force teams
that respond in the event of natural or man made disasters.  LCDR
Belouin also performs weekly clinical hours in support of the National
Naval Medical Center\'s pharmacy department providing clinical pharmacy
care to soldiers, sailors, and airmen and their families.  Lastly, LCDR
Belouin works with the PHS Pharmacy Professional Advisory Committee
(PharmPAC) in support of a variety of functions, from mentoring new PHS
officers to the Corps, coordinating career development issues, and
giving talks to college pharmacy students and high school students
regarding potential careers in the United States Public Health Service.

[]{.mark}

[]{.mark}

[]{.mark}

Number range CHAPTER

*[CHAIRPERSON]{.underline}*

Dennis O. Romero, M.A.

Acting Director/Chair

Center for Substance Abuse Prevention

Room 4-1057

1 Choke Cherry Road

Rockville, MD 20857

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

Karel A. Ares, M.Ed. (10)

Executive Director

Prevention First, Incorporated

2800 Montvale Drive

Springfield, IL 62704

**Don L. Coyhis (09)**

President and CEO

White Bison Inc.

6145 Lehman Drive

Colorado Springs, CO 80918

Paul J. DeWispelaere (07)

President and CEO

PRIDE Youth Program

4 West Oak Street

Fremont, MI 49412

Sharyn L. Geringer (07)

Substance Abuse Prevention Advocate

190 Preuit Road

Wheatland, WY 82201

COMMITTEE MANAGEMENT SPECIALIST

Tia L.Haynes

Center for Substance Abuse Prevention

Room 4-1066

1 Choke Cherry Road

Rockville, MD 20857

Henry C. Lozano (08)

President and CEO

Community Alliances for Drug-Free Youth

1375 Regatta Lane

Monument, CO 80132

**Alan H. Shinn, M.S.W. (09)**

Executive Director

Coalition for a Drug-Free Hawaii

1130 N. Nimitz Highway

Suite \# A259

Honolulu, HI 96817

Hope R. Taft, D.Ed., D.H.L. (10)

Substance Abuse Prevention Advocate

2811 S Dorchester Road

Columbus, OH 43221

EX OFFICIO MEMBERS

The Honorable Michael O. Leavitt

Secretary

Department of Health and Human Services

Hubert H. Humphrey Building

Room 615 E

200 Independence Avenue, S.W.

Washington, DC 20211

**Terry L. Cline, Ph.D.**

Administrator

Substance Abuse and Mental Health Services Administration

1 Choke Cherry Road

Rockville, MD 20857

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

HQ AFMOA/SGZF

5201 Leesburg Pike

(Sky 3), Suite 1501

Falls Church, VA 22041

\(703\) 681-6308

\(703\) 681-6913 (Fax)

[**Milton.cambridge@pentagon.af.mil**](mailto:Milton.cambridge@pentagon.af.mil)

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

Associate Director

Addictive Disorders and Psychiatric

Rehabilitation

U.S. Department of Veterans Affairs

810 Vermont Avenue, NW

Washington, DC 20420

\(202\) 273-8437

(202 273-9069 (Fax)

**[Richard.suchinsky@hq.med.va.gov]{.underline}**

[]{.mark}

  ------------- ------------------------------------------------------------
  **APHA**      American Public Health Association

  **BG**        Block Grant

  **CADCA**     Community Anti-Drug Coalitions of America

  **CAPT**      Centers for the Application of Prevention Technology

  **COMET**     Coalition Online Management and Evaluation Tool

  **COSIG**     Co-occurring State Incentive Grant

  **CSAMS**     CSAP Service Accountability Monitoring System

  **CSAP**      Center for Substance Abuse Prevention

  **CTC**       Communities that Care

  **DCCC**      Data Coordination and Consolidation Center

  **DCP**       Division of Community Programs

  **DFC**       Drug Free Community

  **DFCSP**     Drug Free Communities Support Program

  **DFWP**      Drug Free Workplace Program

  **DHHS**      Department of Health and Human Services

  **DoJ**       Department of Justice

  **DSD**       Division of Systems Development

  **DSP**       Division of State Programs

  **DWP**       Division of Workplace Programs

  **FASD**      Fetal Alcohol Spectrum Disorders

  **GAO**       Government Accountability Office

  **GIS**       Geographic Information System

  **GPRA**      Government Performance Results Act

  **GRAA**      Grants to Reduce Alcohol Abuse

  **HBCU**      Historically Black Colleges and Universities

  **ICCPUD**    Interagency Coordinating Committee on the Prevention of
                Underage Drinking

  **IHS**       Indian Health Services

  **LC**        Learning Community

  **MAI**       Minority Aids Initiative

  **MEI**       Minority Education Institution

  **MEI-PCC**   Minority Education Initiative Program Coordinating Center

  **NACRHHS**   National Advisory Committee on Rural Health and Human
                Services

  **NASADAD**   National Association of State Alcohol/Drug Abuse Directors

  **NCADI**     National Clearinghouse on Alcohol and Drug Information

  **NLCP**      National Laboratory Certification Program

  **NNALEA**    National Native American Law Enforcement Association

  **NOM**       National Outcome Measure

  **NPN**       National Prevention Network

  **NREPP**     National Registry of Evidence-based Programs and Practices

  **NSDUH**     National Survey on Drug Use and Health

  **NTN**       National Treatment Network

  **ONDCP**     Office of National Drug Control Policy

  **OPAC**      Office of Program Analysis and Coordination

  **PART**      Program Assessment Rating Tool

  **PIM**       Public Information and Media

  **PLA**       Prevention Leadership Academy

  **PRNS**      Programs of Regional and National Significance

  **RFA**       Request for Application

  **RONTI**     Reach Out Now National Teach-In

  **SAPT**      Substance Abuse Prevention and Treatment

  **SAS**       Substance Abuse Services

  **SEDS**      State Epidemiological Data System

  **SEOW**      State Epidemiological Outcome Workgroup

  **SIG**       State Incentive Grant

  **SPE**       Student Peer Educators

  **SPF**       Strategic Prevention Framework

  **SPFAS**     Strategic Prevention Framework Advancement and Support

  **SPR**       Society for Prevention Research

  **SSA**       Social Security Administration

  **STD**       Sexually Transmitted Disease

  **SYNAR**     Law named for the late Representative Mike Synar of Oklahoma

  **TA**        Technical Assistance

  **TAC**       Technical Assistance Center

  **THM**       Town Hall Meeting

  **TOT**       Training of Trainers

  **TSTS**      Too Smart To Start

  **USPHS**     United States Public Health Service

  **YIW**       Youth in the Workplace
  ------------- ------------------------------------------------------------