**CENTER FOR SUBSTANCE ABUSE PREVENTION**

**TABLE OF CONTENTS**

[**OFFICE OF THE DIRECTOR 2**](#office-of-the-director)

[OFFICE OF PROGRAM ANALYSIS AND COORDINATION (OPAC)
3](#office-of-program-analysis-and-coordination-opac)

[DIVISION OF STATE AND COMMUNITY ASSISTANCE (DSCA)
3](#division-of-state-and-community-assistance-dsca)

[DIVISION OF KNOWLEDGE APPLICATION AND SYSTEMS IMPROVEMENT (DKASI)
3](#division-of-knowledge-application-and-systems-improvement-dkasi)

[DIVISION OF PREVENTION EDUCTION AND DISSEMINATION
3](#division-of-prevention-eduction-and-dissemination)

[DIVISION OF WORKPLACE PROGRAMS 3](#division-of-workplace-programs)1

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  CENTER DIRECTOR'S REPORT

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# OFFICE OF THE DIRECTOR

*(October2004 -- April 2005)*

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

*Claudia Richards* joined the SAMHSA/CSAP family on November 14, 2004 as
the new Branch Chief of the HIV Prevention Division within DKASI.
Claudia has 24 years of behavioral health experience. She has a Bachelor
of Arts Degree in Psychology from American University. For the past six
years, Claudia has served as a Senior Health Advisor/Team Leader that is
responsible for oversight and monitoring the Substance Abuse Prevention
and Treatment Block (SAPT) grants to the states and to ensure that
substance abuse treatment services are made available to high-risk
target populations. She has formerly served as Acting Branch Chief,
Performance Partnership Grant Branch, (PPGB) within CSAT which managed
the 1.6 billion SAPT block grant programs to 60 jurisdictions. Claudia
brings extensive experience in various professional positions in policy,
planning, program evaluation and clinical management areas working in
community based organizations, federal, and state governments.

*Richard Moore* joined the SAMHSA/CSAP family on March 8 one of the two
Branch Chiefs in the Division of State and Community Assistance (DSCA).
Richard has two B.S. degrees in Business Management and Accounting from
Delaware State University. He comes to us with more than 20 years
federal experience promoting health care and the prevention of disease
in underserved populations. Richard was most recently a Supervisory
Management Health Analyst serving as the Acting Director in the HIV/AIDS
Bureau and key Advisor to the Deputy Associate Administrator in HRSA
providing leadership and coordination for implementing Bureau-wide
financial and administrative management, evaluation, operations and
administration of both contacts and grants.

*Kevin Mulvey* joined our SAMHSA/CSAP family on March 8 as the new
Branch Chief in DKASI. Kevin has been a member of the SAMHSA family
since 1998, working most of the years in CSAT, except for the 8 months
in 2001 in which he worked for CSAP. Kevin has a Ph.D. from Northeastern
University (1993), and a Certificate in Core Public Health Principles,
University of North Carolina, School of Public Health, Chapel Hill, NC
(2004). Kevin brings extensive experience in complex contract and
studies management, along with the coordination of existing and new
databases for national studies. For the past 6 years, Kevin has also
held an appointment as an Assistant Professor in the Sociology
Department of George Washington University, Washington, DC.

*Jayme Sue Marshall* joined the SAMHSA/CSAP family on March 21 as one of
the two new Branch Chiefs in the Division of State and Community
Assistance (DSCA). Jayme has a M.S. in Counseling Psychology form
Florida State University (1986), and brings more than 18 years of local,
state, national and federal experience developing and managing public
health and public safety programs. Jayme most recently was a Division
Chief in the Bureau of Justice Assistance, Department of Justice, and
for the previous four years, served in positions of increasing
responsibility in the Department of Justice. Jayme is a former member of
the SAMHSA family and had worked for CSAP from 1993 to2001, serving as a
project officer for Community Partnership Community Coalition
demonstrations grants, state Block grants, contracts and various
training and technical assistance.

*Rose Kittrell* has been detailed as the Acting Director of the Division
of State and Community Assistance (DSCA), and *Mike Lowther* has been
detailed as the Acting Director of the Division of Knowledge Application
and Systems Improvement (DKASI). These voluntary assignments were
effective in April and are intended to more effectively use the many
talents and interests of both of these fine managers.

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

**The 2004 Ohio Prevention and Education Conference "Pay It Forward"**

On December 8, 2004 Beverly Watts Davis, Director, Center for Substance
Abuse Prevention (CSAP), SAMHSA delivered a speech at the 2004 Ohio
Prevention and Education Conference. The Conference was held at the
Hyatt Regency in downtown Columbus, Ohio. Ms. Watts Davis spoke to a
large group of prevention professionals who desired to gain education
and insight into the violence, alcohol, tobacco and other drugs
prevention fields. She provided her expertise working with communitiy
coalitions and extensive knowledge of substance abuse and violence
prevention.

**[Highlight]{.underline}**

**SAMHSA's World AIDS DAY Observance**

On December 1, 2004 SAMHSA held its first World AIDS Day Observance in
the new SAMHSA building located at 1 Choke Cherry road. The theme was
"Women, Girls, HIV and AIDS. In support of World AIDS Day, SAMHSA along
with other HHS agencies planned a variety of activities, including a
program to raise awareness among federal employees, their family, and
the general public. SAMHSA has also partnered with surrounding county
health departments that will be offering SAMHSA's information on
HIV/AIDS, including information on Rapid HIV Testing to the general
public. Activities for World AIDS DAY included:

Allowing employees to create their own AIDS paper Quilt; displaying of
the AIDS Memorial Quilt for employees to reflect on the lives of loved
ones affected by AIDS; HHS showed a Documentary on Women, Girls &
HIV/AIDS; a dance performance by Saint Praising In Rhythm and In
Testimony from Covenant Baptist Church Liturgical Dance Ministry and
many outstanding speakers from HHS including, but not limited to Ms.
Stephenie Colston , Ms. Duiona Baker, Ms. Rose Kittrell and Mrs. Ammie
Bonsu.

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

On January 10, 2005 Beverly Watts Davis spoke at SAMHSA/CSAP Community
Prevention Day conference at the Washington, DC Convention Center. The
conference was a part of the CADCA's National Leadership Form XV which
was held January 10-13. However, Community Prevention Day had the focus
to bring the grantees together to motivate their energy in building the
infrastructure for change through skill-building, information exchange
and partnership. Motivational speakers like The Honorable Elijah
Cummings, General Arthur Dean, and SAMHSA's inspirational Administrator
Mr. Charles Curie and Karen Tandy just to name a few who gave
presentations that were the highlight of a most informative day.

**[National Inhalants & Poisons Awareness Week (NIPAW)]{.underline}**

On March 17, Beverly Watts Davis, Director, Center for Substance Abuse
Prevention (CSAP), SAMHSA, spoke at the press conference being held at
the National Press Club in Washington, D.C., to kick off the 13th Annual
National Inhalants & Poison Awareness Week (NIPAW) campaign sponsored by
the National Inhalant Prevention Coalition. Other invited speakers
included John Walters, Office of National Drug Control Policy; Dr. H.
Westley Clark, Director, Center for Substance Abuse Treatment (CSAT),
SAMHSA; Steve Pasierb, President and CEO, Partnership for a Drug-Free
America; and Dr. Jane Maxwell, University of Texas at Austin. National
Inhalants & Poisons Awareness Week was March 20-26. In recent years, the
awareness campaign had been launched with a kick off press conference,
as was done this year. Campaign organizers said this year's campaign was
of critical importance. Data from Monitoring the Future and the
Partnership for a Drug-Free America's Partnership Attitude Tracking
Survey indicate significant declines in perceived dangers from
inhalants. Historically such declines usher in a period of increased
inhalant abuse by young people.

# OFFICE OF PROGRAM ANALYSIS AND COORDINATION (OPAC)

*(October 2004 -- April 2005)*

**[BUDGET ACTIVITIES]{.underline}**

The Center for Substance Abuse Prevention (CSAP) has completed the FY
2004 grants and contract program awards. The Programs of Regional and
National Significance total for FY 04 was \$198,458,000, a slight
increase over the funding level implemented in FY 03 of \$197,111,000.
This funding level allowed CSAP to initiate and implement the Strategic
Prevention Framework. In addition, CSAP acquired the Drug Free
Communities grants program at the end of FY 04, including a portfolio of
over 700 grants, through an interagency agreement with ONDCP.

We are now in the process of executing the Fiscal Year 2005 budget based
on the final appropriation. CSAP's Programs of Regional and National
Significance (PRNS) appropriation for FY 05 is \$198,725,000, a very
slight increase over the funding level implemented in FY 2004. This will
allow CSAP to focus on further implementing the Strategic Prevention
Framework (SPF) through a range of grants and contracts, including the
SPF State Incentive Grant (SIG) mechanism. CSAP plans to provide strong
initiatives in the area of underage drinking and to sustain funding in
the areas of Fetal Alcohol Syndrome Disorders, HIV, and the workplace.
We plan to continue to develop, assess, and disseminate effective,
promising, and model programs through the National Registry of Effective
Programs and Practices system.

In addition to the PRNS program, in FY 05 we are also managing \$339M in
Substance Abuse Prevention Block Grants, \$589K in Block Grant Set-Aside
programs, \$4.8M in HHS HIV funds, \$5.2M in interagency agreements with
NIDA, the Department of Education, and ONDCP for the media campaign, and
\$78M from ONDCP for the Drug Free Communities program, for a total of
\$637.402 million.

We are in the developmental stages for the FY06 budget. The
Congressional Justification has been approved for a PRNS funding level
of \$184,349,000. Although this is a decrease of approximately \$14M
from the FY 05 level, the budget builds upon 05 plans to implement the
Strategic Prevention Framework at the state and community levels. It
continues to integrate individual programs into the larger SPF SIG
"redwood," building on epidemiological data and implementing the
five-step evidence-based, community development model. The funding
amounts for the prevention portion of the SAPT Block Grant and for the
other elements managed by CSAP are comparable to the FY 05 levels.

**[Number range CHAPTERData Related Efforts ]{.underline}**

OPAC staff continues to represent CSAP on the SAMSHA Forum Workgroup,
which is a SAMHSA effort to coordinate our performance measure
activities and outreach to the substance abuse field. CMHS- Mental
Health Promotion representation has recently been added to this group.
We are hopeful that we can identify risk/protective factors and measures
in common with CMHS. Other work continues across the Centers and with
the field. The DCC has also been working closely with CSAP staff to
improve the quality and timeliness of data.  Significant accomplishments
during this period include: 

DCC staff met with CSAP POs and evaluation contract Project Directors to
identify, discuss and resolve data issues.

Completion of "Trends and Directions Report-v2."

Finalization of the first phase of a CSAP staff website that can be used
to access data housed at the DCC along with products developed by the
DCC.  Phase I should be available to staff within the next month.

Completion of a draft Supplemental Prevention Outcome Measures (SPOMS)
notebook-providing recommended measures across the life-span for
prevention programs, practices and processes.

Planning and Publication Clearance (PPCs) for reports are progressing
through review. Two draft reports are about ready to be submitted for
clearance.

Completion of a draft CSAP Accountability Report v2. Plans are underway
preparing for Accountability Report v3.

Ad Hoc reports were written in response to queries and to provide
supportive materials. These reports were predominantly focused on
minority data, but also included PART and GPRA responses, as well as
information for SAMHSA's National Outcome Measures.

Plans are underway for a 5th DCC External Steering Committee meeting in
May.

Presentations were given by the DCC at the AEA meeting in November and
proposals for presentations were submitted to NPN and SPR for FY2005.

Development of an OMB clearance tracking system

Development of Grantee guidance manual on data

Development of CSAP staff curricula on data issues

Development of a web accessible epidemiologic database for CSAP grantees

**[NATIONAL OUTCOME MEASURES (NOMS)]{.underline}**

**[National Outcome Measures (NOMs) and CSAP's Core Measures Initiative
(CMI)]{.underline}**

SAMHSA's National Outcome Measures (NOMs) build on previous efforts
within the Centers to document progress in achieving outcomes through
the collection and reporting of data. CSAP's Core Measures Initiative
(CMI) Contract has been utilized extensively to support the development
of NOMs and to provide additional optional measurement areas for
grantees. CSAP staff is working with the other SAMHSA Offices and
Divisions and with other agencies (e.g., ONDCP, the Department of
Education) to resolve issues and finalize these measures in order to
promote common performance measures at the Federal level. For example,
OPAC staff is representing CSAP at Safe and Drug Free School regional
meetings on performance measures. Through this comprehensive approach,
we intend to develop and implement the National Outcome Measures in the
foreseeable future.

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

CSAP was able to provide complete GPRA data for the recent budget
submission. We are also exploring issues relating to the development of
a prevention cost measure, cost template, and providing recommendations
for cost bands to be used as a PART measure per OMB's request. This
recommendation is expected in late spring, 2005.

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

SAMHSA/CSAP has issued three Requests for Applications (RFAs) for FY
2005:

-   The Substance Abuse (SA), HIV, & Hepatitis Prevention for Minority
    Populations and Minority Reentry Populations in Communities of
    Color RFA supports an array of activities to assist grantees in
    building a solid foundation for delivering and sustaining effective
    substance abuse prevention and related services. This program aims
    to engage community-level domestic public and private non-profit
    entities to prevent and reduce the onset of SA, and transmission of
    HIV and hepatitis among minority populations and minority reentry
    populations in communities of color disproportionately affected by
    SA, HIV/AIDS, and/or hepatitis. All grantees are required to base
    their projects on the five steps of SAMHSA's Strategic Prevention
    Framework (SPF) to build a service capacity specific to SA, HIV, and
    hepatitis prevention services. It is expected that a total of \$20.6
    million will be available to fund 59-82 awards in fiscal year 2005.

-   The Drug Free Communities Support Program (DFCSP) RFA focuses on
    improving community efforts to plan, promote and deliver effective
    substance abuse prevention strategies. \$70 million will be
    available for approximately 700 awards open to new applicants and
    those competing for renewal awards. The DFCSP grants will be
    administered by SAMHSA/CSAP through an interagency agreement from
    ONDCP under the Drug Free Communities Support Program.

-   The Drug Free Communities Support Mentoring Program (DFC Mentoring)
    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. Approximately \$2.9 million will be
    available for approximately 39 awards open to new applicants and
    those competing for renewal awards. The DFC Mentoring grants will
    also be administered by SAMHSA/CSAP through an interagency agreement
    from ONDCP under the Drug Free Communities program.

These three grant announcements are located on
[www.samhsa.gov](http://www.samhsa.gov/) and on the Federal Grant
announcement web page [www.fedgrants.gov](http://www.fedgrants.gov/). We
anticipate making awards for these three programs by September 15, 2005.

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

CSAP prepared a draft report that provides an ethnic perspective on each
of the SAMHSA Matrix 11 priority areas. The comments were generated from
discussion group meetings with African Americans, American Indian Alaska
Natives, Asian Americans, Hispanics/Latinos, Native Hawaiians and
Pacific Islanders. The report also includes recommendations to SAMHSA on
providing culturally competent services to minority populations.

We are currently providing five internships to the following students:

  ------------- ------------------ -------------------- -------------------
  NAME          SCHOOL ATTENDING   DEGREE PURSUING      INTERN PROGRAM

  Cassandra     Bowie State        Masters- Public      NAFEO
  Ruffin        University         Administration       
  Desselle                                              

  Caryl Cabrera Johns Hopkins      Masters -- Clinical  HACU
                University         Community Counseling 

  Patrice       George Mason       Masters-Psychology   NAFEO
  Copeland      University                              

  Allicia       University of New  Bachelors --         WINS
  Waukau        Mexico             Communications &     
                                   Inter Cultural       
                                   Communication        

  George Real   Loyola University  Bachelors --         WINS
  Bird III      Chicago            Psychology &         
                                   Philosophy           
  ------------- ------------------ -------------------- -------------------

NAFEO= National Association for Equal Opportunity

HACU = Hispanic Association of Colleges & Universities National
Internship Program

WINS=Washington Internships for Native Students

Our interns have worked in each of CSAP's Divisions and Offices and are
contributing valued insight and services to our Center.

We conducted a Center review of services to minority institutions and
populations to complete the SAMHSA Annual Performance Reports for the
following Executive Orders:

White House Initiative for Historically Black Colleges and Universities

White House Initiative for Tribal Colleges and Universities

White House Initiative for Hispanic Serving Institutions and

White House Initiative for AAPI

OPAC and DSCSD staff provided an information session for SAMHSA
employees on the benefits and criteria for Prevention Certification.
Guest speakers included Susan Griffin, Deputy Executive Director of the
International Certification and Reciprocity Consortium/Alcohol and Other
Drug Abuse and Sandie Wilson, President of the Maryland Association of
Prevention Advocates. In order to support SAMHSA employees in satisfying
the criteria for Prevention Certification, we offered a required
Prevention Ethics course. The course was taught by Andrea Harris, a CSAP
employee. We offered the 'Ethics in Prevention' course three times in
order to accommodate SAMHSA employees from all three Centers. We also
provided individual consultation to SAMHSA employees who decided to
apply for prevention certification.

CSAP participates on the SAMHSA Minority Fellows Program workgroup. The
workgroup is currently developing a budget plan, evaluating past
performance and developing the program focus and priorities for the
upcoming fiscal year.

We continue to represent CSAP on the SAMHSA Health Disparities Committee
and the SAMHSA Women's Advisory Council Committee.

**[International Visitors]{.underline}**

OPAC staff, in collaboration with personnel from all three SAMHSA
Centers and representatives from the State Department, have participated
in SAMHSA briefings on substance abuse prevention, treatment and mental
health services for more that 50 persons during the past year from
Brazil, Argentina, Colombia, Nicaragua, St. Kitts, Panama, Chile,
Dominican Republic, Vietnam, and the Netherlands.  Most recently, on
October 6, 2004 SAMHSA staff met with the Anti-drug Education Promotion
Foundation Director from Mongolia; October 13, 2004 with a three person
delegation from the French Embassy; October 29, 2004 with 17 Federal
Affairs Administrators from Puerto Rico; January 13, 2005
representatives from the Narcotics Affairs Section from the U.S. Embassy
in Lima, Peru; and March 29, 2004 we met with a member of the German
Parliament.

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

OPAC staff and Division staff continue to attend the Rural Health Work
Group meetings to ensure that the Strategic Prevention Framework is
infused into SAMHSA rural health efforts. SAMHSA is sponsoring luncheon
speaker Dr. Mary Harper to address the 11th Annual Rural Minority and
Multicultural Health Conference, entitled "State of the States' Rural
Racial and Ethnic Health Disparities: Yesterday, Today and Tomorrow" in
New Orleans, Louisiana on May 18, 2005.

**[Children and Families Matrix Workgroup]{.underline}**

The Children and Families Matrix Workgroup held a successful In-Service
Training on Children, Youth and Their Families on February 23, 2005. The
in-service included a youth and family panel and "S-Oprah" (SAMHSA
Oprah) Show which featured some of SAMHSA's signature Children and
Families Program and resources through live interviews with key SAMHSA
staff, including a discussion of the Strategic Prevention Framework by
CSAP's Director of the Division of State and Community Assistance
(DSCA).

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

Recently, under the Healthy People 2010 Objective 26-07, it was
recommended this objective be moved from a developmental objective to a
measurable objective.  This objective is designed to reflect intentional
injuries resulting from alcohol- and illicit drug-related violence. The
workgroup proposes to use the "National Crime Victimization Survey"
(NCVS) as a data source for this objective.  This survey provides the
largest national forum for victims to describe the impact of crime and
characteristics of violent offenders.  The Survey is ongoing from 1973,
and was re-designed in 1992.  It should be noted that the survey
collects data on the victim's perception of intentional injuries related
to alcohol or illicit drugs and is not based on perceptions of offenders
or third parties. This data source measures the number of intentional
injuries resulting from alcohol- and illicit drug-related violence. This
includes cases in which the victim perceived the offender to be using
either alcohol, both alcohol and drugs, or drugs alone. 

**[Aging Related Activities]{.underline}**

The Substance Abuse and Mental Health Older Adult Technical Assistance
Center will be held its first Expert Panel meeting on March 29, 2005 in
Rockville, Maryland. The 15 person Expert Panel is made up of a cross
section of Geriatric experts. This panel will guide the Center and
SAMHSA on how best to develop, plan, communicate and disseminate
information on a range of substance abuse and mental health programs and
initiatives for older adults.

# DIVISION OF STATE AND COMMUNITY ASSISTANCE (DSCA)

*(October 2004 -- April 2005)*

**[REORGANIZATION OF THE DIVISION]{.underline}**

The Division of State and Community Systems Development, under Director
Michael Lowther, was reorganized as the Division of State and Community
Assistance under the leadership of Ms. Rose Kittrell to meet new
challenges and priorities associated with the new Strategic Prevention
Framework State Incentive Grant (SPF SIG) Program and with the Drug Free
Communities Program, which was transferred to SAMHSA/CSAP from the U.S.
Department of Justice on October 1, 2004. The new reorganization
facilitated a number of important objectives, including: implementing
SAMHSA Block Grant re-engineering decisions; administering 700 Drug Free
Communities Support Program grants--including 246 new grants;
implementing and administering the new SPF SIGs; enhanced integration of
State and community prevention systems; and improved coordination of
technical assistance to States and communities. During this quarter, a
number of new project officers have joined the staff. In addition, Mr.
Dan Fletcher returned from a multi-year detail at ONDCP to become a Team
Leader and State Project Officer in the DFC Program.

Ms. Jayme Marshall and Mr. Richard Moore have joined the Division as the
new DFC Branch Chiefs; Ms. Marshall is responsible for the West/Central
region and Mr. Moore is responsible for the Northeast, Southeast, and
Southwest regions.

**[Drug Free Communities Support Program Grants]{.underline}**

During this quarter, announcements were issued for the both the Drug
Free Community Support Program and Drug Free Community Support Mentoring
Program. Five regional applicant workshops were conducted, respectively,
in Washington, DC, Charlotte, NC Los Angeles, CA, Chicago, IL and
Oklahoma City, OK.

Of the 933 DFC Grant applications received, 422 were new applicants and
511 were competing renewals. The review process is underway, with \$70
million expected to be available for approximately 715 awards.

The DFC Mentoring Program applications process will close May 31, with
\$2.9 million expected to be available for approximately 20 awards to
new applicants and 19 for competing renewals.

Grantees were required to submit their DFC Quarterly reports by February
11; the review process was concluded by April 22. (Battelle Institute is
the private contractor responsible for the DFC Cross-Site evaluation.)
The Institute is currently defining data requirements for the DFC
portion of SAMHSA's Prevention Platform.

SAMHSA/CSAP's Prevention Day was held in the new Washington, DC
Convention Center on January 10th, 2005. The training day was held in
conjunction with the Community Anti-Drug Coalitions of America (CADCA)
National Leadership Forum Pre-conference events, which brought together
nationwide coalitions January 11-12.

Recent DFC "kickoff" site visits were conducted in states including
Oregon, Idaho and Indiana.

**[UPDATE ON DSCA PROGRAM ACTIVITIES]{.underline}**

**[Strategic Prevention Framework State Incentive Grant Program (SPF
SIG)]{.underline}**

On September 30, 2004, SAMHSA/CSAP awarded 21 five-year SPF SIG grants
to 19 States and 2 Territories, with grants averaging \$2.35 million per
year.  The new grants, which require States to implement SAMHSA's
Strategic Prevention Framework (SPF) process, are aimed at advancing
data-driven decision-making as well as promoting community-based
policies, programs and practices for substance abuse prevention and
mental health promotion.  CSAP convened a New Grantees Meeting in
December 2005, during which CSAP explained its expectations and grant
requirements, and provided grantees with technical assistance and
guidance.  CSAP's State Epidemiological Workgroup (SEW) technical
assistance contractor has been working with individual State grantees on
SEW development and needs assessment efforts and has also conducted a
series of multi-State workshops focused on using data to improve
assessment and prevention practice.  A second Grantees meeting, to be
held in May 2005, will emphasize strategic planning and evaluation
issues. The Cross Site Evaluation of the SPF SIG program\--a joint
CSAP-NIDA initiative\--is well underway, with the Cross Site Evaluation
Team completing initial site visits to all 21 grantees.

DSCSD Project Officers are also continuing to work collaboratively with
the six States that have completed the first year of their SIG
Enhancement Grants as well as with earlier SIG grants from recent
cohorts. 

**[NASADAD ACTIVITIES]{.underline}**

**Several activities are ongoing:**

-   Division staff is working closely with NASADAD to prepare for the
    Leadership Summit at the NASADAD/NPN Annual Meeting in Miami, FL
    June 2-5.

-   The Workforce Development Committee is working on a revision of
    their action plan and on a survey on workforce development, which is
    being directed to the NPN membership.

-   Planning for the Exemplary Substance Abuse Prevention Awards is
    officially underway through NASADAD's Collaborative Contract with
    CSAP. The Exemplary Awards ceremony will be held at the NPN Research
    Conference in New York City August 28-31.

**[SYNAR AMENDMENT - TOBACCO EFFORTS]{.underline}**

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

CSAP has completed the review for Synar compliance of all FY 2005 State
Annual Synar Reports.  To date, 52 reports have been approved, and six
are being finalized. The Annual Synar Report was significantly revised
for this fiscal year and resulted in a more efficient and effective
review process. Several internal training sessions have been held to
train new State Project Officers on the revised Synar review process. As
the Synar review process is completed in each State, Synar Project
Officers have transitioned the State to the appropriate State Project
Officer.

**[FY 2005 Synar Compliance]{.underline}**

*Kansas*

In FY05, Kansas reported a retailer compliance rate of 38%, exceeding
the Synar target of 20%. SAMHSA has forwarded an action memorandum to
the Secretary as required in the Synar compliance management plan. This
memorandum recommends that the Secretary concur with SAMSHA's
recommendation to find the State of Kansas not in compliance with the
Synar regulation.

*Territories*

A memorandum was sent to the SAMHSA Administrator to request that 1) the
Administrator find that four U.S. Territories (The Republic of the
Marshall Islands, The Republic of Palau, American Samoa, and the U.S.
Virgin Islands) failed to meet the Synar regulatory requirements as
related to the funding approval of the FY 2005 Substance Abuse
Prevention and Treatment (SAPT) Block Grant, and 2) that the
Administrator exercise provisions applicable to these U.S. territories
under section 214 of the Consolidated Appropriations Act, 2005. The
Administrator approved both requests and directed CSAP to approve the
awards for the four U.S. Territories.

**[Synar Multi-State Technical Assistance]{.underline}**

CSAP is co-sponsoring the National Conference on Tobacco or Health
(NCOTH) in Chicago from May 4-6, 2005. CSAP is finalizing preparations
for a multi-State Synar workshop to be held the day before the NCOTH
conference in Chicago on May 3rd. The workshop is designed to assist
States improve implementation of effective strategies to reduce youth
access to tobacco, enhance collaboration across State agencies and
improve Synar implementation. Exemplary State efforts to implement
strategies to reduce youth access will be showcased during the one-day
workshop.

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

In 2004, CSAP conducted two Multi-State workshops to provide hands on
training in the newly developed version of the Synar Survey Estimation
System (SSES).  As a result, in the FY05 reporting cycle, 38 States used
the SSES system to analyze and report Synar results, greatly increasing
the quality of both the Synar reports and CSAP's review of the Synar
reports. Two additional workshops are planned for this summer. CSAP's
goal is to encourage all States to utilize the SSES in order to ensure
the accuracy of States' analyses and reporting of Synar results.

**[GAO Response]{.underline}**

In response to a request from the GAO for an update on SAMHSA's actions
to address the 2001 GAO report on the Synar program, CSAP provided the
GAO with an overview of activities undertaken by the agency. The GAO
asked for further clarification on SAMHSA's efforts to respond to the
GAO recommendation to use 16 and 17 year-old youth inspectors in Synar
inspections. A memorandum clarifying the SAMHSA response was sent to GAO
on April 29, 2005.

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

A CSAP representative attended the Safe and Drug Free Schools Conference
in Texas in February and presented on "Enforcing Youth Tobacco Access
Laws: The Critical Role of Communities." CSAP staff submitted three
abstracts to the National Conference on Tobacco or Health to be held in
Chicago in May; all three abstracts were accepted.

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

CSAP will conduct two SSES workshops for States in June and July of 2005
to increase and improve States' use of the SSES software to analyze and
report Synar results.

CSAP is developing a guidance document on conducting a coverage survey
as a part of a comprehensive effort to assist States assess and improve
the State tobacco outlet lists from which the Synar survey is drawn.

Technical assistance will be provided to States to design and implement
coverage surveys as needed. A new site visit protocol is under
development and will be tested in June and July to assess in detail
State processes and procedures for conducting and analyzing the Synar
survey. Finally, materials are under development to further develop and
improve the Synar compliance review process conducted by CSAP using the
new, revised Annual Synar Report format.

**[Strategic Prevention Framework Advancement and Support (SPFAS)
Activities]{.underline}**

The vehicle for Block Grant-related technical assistance to States
changed September 29, 2004, when the SPFAS project replaced the former
SPAS project. (The task order went to JBS, the same contractor that had
delivered SPAS.) Although many SPAS deliverables continue, SPFAS has a
new emphasis on performance management and State delivery of the
National Outcome Measures through use of the Strategic Prevention
Framework. In addition to providing TA to States, the task order
includes State prevention/ Synar system assessments, National Meetings,
a Block Grant-specific database/ analysis system, and a performance
management tracking process.

**[DATA FOR PERFORMANCE MANAGEMENT]{.underline}**

**[E-Prevention System]{.underline}**

SPFAS continued development of the e-prevention intranet database as a
tool for CSAP's Block Grant planning and management. E-prevention
enables the staff too quickly and efficiently access TA and site visit
information, Block Grant set-aside data, and State directories. The
Block Grant re-engineering recommendations include increased electronic
communication, data sharing, and electronic approvals, which
e-prevention can facilitate.

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

CSAP/SPFAS delivered a Prevention Leadership Fellowship event for State
NPN members concurrent with the CADCA Leadership Forum January 9-13,
2004. Thirty-eight NPNs and two SSAs attended this event, which is
intended as the first of an ongoing series of workforce development
events for this pivotal part of the Prevention workforce.

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

TA to individual States continued without interruption during the
contract transition.

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

A decision was made to deliver an intensive set of Block Grant-related
CSAT-CSAP updates to States prior to development of their FY 2006 Block
Grant applications. This will enhance the States' ability to use
performance management and SPF principles in their Block Grant planning,
and facilitate their progress in achieving the National Outcome Measures
(NOMs) through the Block Grant. Five two-day events are planned for the
next quarter- one in each NPN Region in collaboration with CSAT's DSCA.
The sessions scheduled to date are: Central- Minneapolis, May 5-6;
Southeast- Louisville, May 24-25; and West- Seattle, July 19-20. A Synar
multi-State TA is being developed as a pre-session to the National
Conference on Tobacco or Health. (See Synar update for details.)

**[Pacific Territories TA]{.underline}**

SPFAS worked with the Pacific Territories State Project Officer to
create a proactive plan for technical assistance to the Pacific
territories based on needs identified during the system assessments
conducted in 2004. The TA plan is intended to save costs involved with
Pacific travel by delivering strategic prevention TA at a central
location when the Territories are gathered for other meetings.

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

The Block Grant re-engineering initiative requires that the formerly
separate Prevention and Synar system assessments (SAs) be conducted
together. SPFAS has submitted a revised Review Guide and SA process for
CSAP approval, and pilot system assessment visits are planned to begin
in the next quarter.

Synar section 214 (Alternative penalty) review visits will continue to
be conducted, as States that previously elected the alternative penalty
for missing the Synar target complete their expenditures and programming
under the section 214 requirements.

**[The State Prevention Systems - Management Information Systems
(SPS-MIS)]{.underline}**

The SPS-MIS contract was created to develop tools that help states
gather, analyze, and report data for their internal uses and for federal
reporting purposes. Two tools being developed through this contract are
currently in use in States: the Minimum Data Set (MDS) and the Database
Builder (DbB). The MDS gathers process data on services delivered and
populations served. DbB gathers data at the individual participant level
on program outcomes and other aspects. Currently, 23 states are field
testing the MDS and/or DbB and utilizing them for their data collection
and reporting needs; another four states have expressed interested in
using one or both of the tools. Both the MDS and DbB are being developed
to satisfy the reporting requirements associated with the move from the
SAPT Block Grant Program and its move to the SAMHSA Performance
Environment.

**[Prevention Platform]{.underline}**

The Prevention Platform contract is a web-based planning tool that
guides users through the steps of SAMHSA\'s Strategic Prevention
Framework (SPF). For each of the five SPF steps - Assessment, Capacity,
Planning, Implementation and Evaluation - the Prevention Platform
provides guided tools that assist the user in designing the best
prevention approaches to addressing their substance-related needs. Among
the features of the system are an in-depth Needs Assessment tool that
includes state-of-the-art GIS mapping software, downloadable and
web-based training curricula, and a large repository of validated and
publicly-available measures and instruments for use by providers and
evaluators. In addition, the Prevention Platform will serve as the host
site for the data system to be used by Drug Free Communities grantees to
ensure reporting of required Federal performance data.

**[The CSAP National Registry of Effective Programs
(NREP)]{.underline}**

Please see attached information on the change from NREP to NREPP-
National Registry of Evidenced Based Programs and Practices.

**[What is SAMHSA'S NREPP and what is its purpose?]{.underline}**

NREPP is a voluntary evidence rating and classification system for
mental health and substance abuse prevention and treatment
interventions.

NREPP is designed to identify, review, categorize and disseminate
information about programs and practices that meet established
scientific criteria for rating evidence of effectiveness and stakeholder
criteria for assessing utility.

The purpose of the NREPP is to promote the dissemination and use of
evidence-based programs and practices. Programs listed on NREPP are
highly visible and are more likely to be disseminated, implemented and
replicated in other communities.

Originated as a system to promote model substance abuse prevention
programs, NREPP has expanded the program and practice domains to now
include mental health promotion and treatment and substance abuse
treatment.

What are the key differences between the old National Registry of
Effective Programs (NREP) rating system and the new NREPP rating process
and rating criteria?

The earlier NREP system had fewer criteria and produced global ratings
of overall program impact. Under the previous NREP system, programs were
not rated on specific outcomes for specific populations. The new NREPP
is designed to yield more fine-grained, precise determinations of
effectiveness for each outcome claimed by an applicant program. Thus, a
program may achieve multiple outcome-specific program ratings of
effectiveness. Programs will be reviewed and classified based on the
strength of evidence for each specific outcome achieved.

The new NREPP will include a broader range of programs and practices
deemed "evidence --based" and will not designate or promote one grouping
of programs over another grouping of programs; thus there will be no new
"model program" designations.

Programs reviewed and included in the new NREPP will receive one of four
categorical ratings of "evidence-based" for each outcome assessed:
Effective, Conditionally Effective, Emerging or Program/Practice of
Interest and will also be assessed for practical utility by stakeholder
panels.

Where can I find out more detailed information about SAMHSA's NREPP,
including how to apply?

For the present time, go to
[www.modelprograms.samhsa.gov](http://www.modelprograms.samhsa.gov/) and
click on "Visit our NREPP Section" for detailed descriptive information
on each of the bullet points that follow.

**NREPP Overview** (one page) -- gives a brief historical overview of
NREPP and highlights the major changes in the review process and
criteria, screening of program applicants, and new web site.

**NREPP Review Process** (four pages) -- outlines the six sequential
stages of the rating process from initial application submission to web
posting of programs by evidence categories.

**NREPP Criteria** (ten pages) -- provides detailed information on the
19 revised criteria and decision-making procedures. These criteria have
recently been pilot-tested. Revisions will be posted by end of April,
2005.

**NREPP Screening Process** (one page) \-- Over the next 12 months,
NREPP staff will screen all existing and pending Model, Effective and
Promising Programs against the new review process and criteria. Programs
that do not achieve evidence-based status or designation when re-rated
under the new NREPP will be retained, i.e. continue to be listed on the
NREPP web site under a separate category (acknowledging rating under
previous criteria) for up to three years.

**NREPP Web Site** (one page) \--By Fall, 2005, there will be a new
NREPP web site:
[www.nationalregistry.samhsa.gov](http://www.nationalregistry.samhsa.gov/).
Included on the new NREPP web site will be self-assessment tools to
assist prospective applicants in determining their "readiness" to submit
an application and detailed information on how to apply.

**NREPP Frequently Asked Questions** (six pages) \--answers to 19 most
frequently asked questions bout the revised and expanded NREPP. For
information of interest to prospective program applicants: call
toll-free 1-866-43NREPP or e-mail <NREPP@intercom.com>. A designated
Review Coordinator will get back to you with information assistance.

**[Development of Findings Repository for Community
Coalitions]{.underline}**

The Substance Abuse and Mental Health Services Administration (SAMHSA)
Center for Substance Abuse Prevention (CSAP) sponsored a meeting to
discuss the development of a repository of findings related to community
coalitions. This 1 ½-day meeting, scheduled

May 4--5, 2005, in Bethesda, Maryland, brought together prominent
researchers and practitioners to solicit recommendations on the most
appropriate methods to develop the repository.

The meeting is a prevention task in the new SAMHSA NREPP Contract and is
the process which findings from the field will be collected and
organized in a systematic and transparent process for use by
practitioners and community leaders in establishment and sustaining
effective community coalition associated with prevention activities in
communities. During the meeting the following issues were addressed:

-   Types of programs and practices to be collected;

-   Sources of prospective programs and practices;

-   Framework for organizing programs and practices; and

-   Potential uses for the information in the repository.

More information on the Community Coalition Repository will be provided
in the next Director's Report. The CSAP Contacts for the Community
Coalition Repository are:

Wil L. Hardy, telephone: 240-276-2561, e-mail:
<wilbert.hardy@samhsa.hhs.gov>; and

Augie Diana, telephone: 240-276-2559, e-mail:
<augusto.diana@samhsa.hhs.gov>.

# DIVISION OF KNOWLEDGE APPLICATION AND SYSTEMS IMPROVEMENT (DKASI)

*(January 2005-April 2005)*

**[Program Activities Grant Activities]{.underline}**

The Division of Knowledge Application and Systems Improvement (DKASI)
previously under the leadership of Ms. Rose Kittrell and now Mr. Michael
Lowther is located within the Center of Substance Abuse Prevention
(CSAP) of the Substance Abuse and Mental Health Services Administration
(SAMHSA). The primary functions of DKASI are as follows: (1) Provides
leadership in advancing CSAP\'s substance abuse, HIV/AIDS and emergent
substance abuse issues agenda by employing a broad range of mechanisms;
(2) conducts extramural evaluation studies at the individual, family,
community and systems levels; (3) manages the grant program portfolios;
(4) conducts national cross-site evaluation studies on the portfolio of
knowledge application grant programs; (5) conducts secondary analysis of
original prevention research studies; (6) synthesizes knowledge acquired
through grants, cooperative agreements, contracts, and field input; (7)
promotes the development of new methodologies and advocates use of
rigorous methods for conducting prevention studies and evaluating
service provision; (8) supports professional development in the science
of prevention; (9) helps develop extramural policy; (10) provides
information to CSAP and other SAMHSA components, other HHS components,
the Congress, and other Federal entities concerning the most effective
prevention approaches that focus on the prevention needs of individuals
and families affected by co-occurring drug, alcohol, mental, and/or
physical health problems; (11) collaborates with other Federal
departments and agencies that are relevant to CSAP\'s mission, including
the National Institutes of Health, the Agency for Health Care Research
and Quality, the Administration for Children and Families, the Centers
for Disease Control and Prevention, and the Office of Disease Prevention
and Health Promotion; (12) identifies effective programs developed by
government, foundations and private industry through its National
Registry of Effective Prevention Programs; and (13) ensures
accountability by identifying, promoting and monitoring the national
implementation of science-based prevention programs.

### 

**[Organizational/Personnel Updates]{.underline}**

#  

Ms. Claudia Richards has been a member of the SAMHSA family since 1991.
She joined DKASI in November 2004 from Center for Substance Abuse
Treatment (CSAT) to serve as Chief of DKASI's HIV & Behavioral Health
Issues Branch. Dr. Soledad Sombrano, Chief of DKASI's Practice
Assessment and Application Branch, retired in December 2004 after 30
years of Federal service. Dr. Kevin Mulvey joined DKASI from CSAT in
March 2005 as the new Chief in DKASI's Practice Assessment and
Application Branch. He has also been a member of the SAMHSA family since
1998.  Commander Florentino Merced-Galindez joined DKASI's HIV &
Behavioral Health Issues Branch in December 2004 as a Project Officer.
Effective December 2004, Ms. Debbie Castell was transferred to DKASI to
manage the Congressional Earmarks. 

[]{.mark}

**[Practice Assessment and Application Branch Update]{.underline}**

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

**[SAMHSA's Methamphetamine and Inhalants Prevention
Initiative]{.underline}**

CSAP sponsored its second grantee methamphetamine and inhalant
prevention meeting on January 13-14, 2005 in Washington D.C. The purpose
of the meeting was to provide guidance to 27 one-year
Methamphetamine/Inhalants Prevention grantees on program implementation,
GPRA data collection, reporting, and CSAP's program evaluation. CSAP's
Western Centers for the Application of Prevention Technologies (Western
CAPTs) provided logistical support and follow up technical assistance to
the grantees. Projects ended in December 2004.

Despite the dedication and drive demonstrated by most of the grantees,
data from these projects has been limited as a result of the one year
funding. Nonetheless, a brief report to Congress was submitted for
clearance in March 2005. The report highlighted common elements to
effective prevention programs, grantee profiles, general trends, and
implications of this effort for future action.

**[SAMHSA's Ecstasy and Other Club Drugs Prevention
Initiative]{.underline}**

CSAP awarded a second cohort of 17 Ecstasy and Other Club Drug
Cooperative Agreements in September 2004 to eleven states and one tribal
organization. The goal of the program is to expand and strengthen
effective culturally appropriate projects at the State and local levels.
The projects range from one to five years in duration and are funded at
over \$292,000 per grant.

CSAP is working with the states to conduct comprehensive needs
assessments to develop strategic plans to prevent/reduce the use of
alcohol, tobacco and other drugs through a new SAMHSA/CSAP initiative
called the Strategic Prevention Framework (SPF). CSAP recognizes that
the Ecstasy and other Club Drug Cooperative Agreement grantees may need
to adjust their projects as the SPF plans develop. Therefore, these
projects may be amended in subsequent years to bring them into alignment
with the SPF plan.

A brief report to Congress was submitted for clearance in March 2005.
The report highlighted common elements of effective prevention programs,
grantee profiles, general trends, and implications of this effort for
future action.

CSAP sponsored a New Grantee Meeting for the Ecstasy and Other Club Drug
Prevention and Congressional Earmark grantees on December 5-7, 2004 in
Rockville, MD. The purpose of the meeting was to provide guidance to
Ecstasy and Club Drugs Prevention grantees on program implementation,
GPRA data collection, reporting, and CSAP's program evaluation. CSAP's
Northeast Center for the Application of Prevention Technologies (NE
CAPT) provided logistical support and follow up technical assistance to
the grantees. Projects ended in December 2004. Over a 100 individuals
including Congressional Earmark grantees, Ecstasy and Other Club Drug
prevention grantees, State representatives, CAPT representatives, and
PAAB staff attended the meeting.

**[Starting Early Starting Smart (SESS)]{.underline}**

The SESS program is a collaborative effort of SAMHSA and the Casey
Family Program, which is providing some of the funds and may support
certain SESS grantees beyond the four-year Federal commitment. The first
phase of this grant program was completed in 2004. The following five
programs have begun implementation of services:

  ------------------------------------------------ -------------- --------
  Action Bridgeport Community Development, Inc     Bridgeport     CT

  Mary\'s Center Maternal Child Care               Washington     DC

  Southwest Counseling & Dev Services              Detroit        MI

  Arapahoe House, Inc.                             Thornton       CO

  Youth & Family Services, Inc                     Rapid City     SD
  ------------------------------------------------ -------------- --------

Interventions and services include: home visits, pediatric primary care,
parent/caregiver support groups, substance abuse prevention and
treatment, mental health services, parent/caregiver education,
parent/caregiver vocational training, parenting skills and time
management, and case management. CSAP anticipates results from this
grant program in the fall of 2005.

**[Family Strengthening and Mentoring Initiative Grants]{.underline}**

-   Several project sites are still active under this Initiative through
    May 2005. The Program Coordinating Center (PCC) continues to conduct
    weekly or bi-weekly conference calls that serve as an effective tool
    for addressing challenges and issues, discussing evaluation and
    analytic strategies, and updating site information. More recently,
    staff submitted three abstracts to the Society for Prevention
    Research (SPR) for their upcoming conference in May 2005.

-   Preliminary Findings: Analysis of Baseline Participant Reporting.

> Staff and PCC conducted statistical analyses of family risk and
> protective factors associated with delayed onset of alcohol, tobacco,
> and other drug use. The data were collected from minority adolescents
> who participated in the Family Strengthening and Mentoring Initiative
> (N=790, aged 11-16 years of age) who completed the baseline data
> survey. A structural equation model (SEM) was developed to test which
> family and individual risk and protective factors in minority
> adolescents contribute to substance use or delayed use.

The protective factor of family involvement was determined to be
statistically significant in influencing a delay in adolescents'
substance use. Self-control and social support protective factors were
found to produce significant positive effects on adolescents' sense of
connectedness to their school. These protective factors worked in
similar fashion for both male and female minority adolescents. These
preliminary findings provide empirical support for the importance of
specific individual and family protective factors that can significantly
delay adolescents\' substance use, and should be incorporated into
substance use prevention interventions.

**[PAAB Evaluations]{.underline}**

Staff within the branch are collaborating and coordinating the
evaluation activities of the Rapid HIV Testing Initiative (RHTI) with
staff from DKASI's HIV & Behavioral Health Issues Branch. The evaluation
will examine process measures, intermediate and long-term measures. The
intent of this evaluation is to document and monitor the program's
performance with the delivery and service provision for this vulnerable
population. The evaluation will examine three levels of data: providers,
test kit distribution, as well as individual level information such as
demographic characteristics, testing history, risk behaviors and
sero-positive rates for those tested within this initiative.

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

The National Center of the Advancement of Prevention (NCAP) contract
closed on December 30, 2004; The SAMHSA Model Programs Dissemination
Project, Centers for the Application of Prevention Technologies (CAPTs),
and the American Indian/Alaskan Native National Resource Center
contracts were transferred to the Division of State and Community
Assistance.

**[Model Programs Presentations and Exhibits]{.underline}**

National and regional conference presentations are a key component of
the strategy to build awareness of evidence-based programs and
practices. Key leaders in the field of prevention find out the latest
information concerning model programs at these meetings. SAMHSA Model
Programs organize panel presentations with program developers and
implementers to effectively present detailed information concerning the
process and outcomes of implementing model programs. SAMHSA Model
Program sessions are highly sought after by national and regional
conference hosts.

In the last quarter, staff from the SAMHSA Model Programs Dissemination
Project presented at conferences that focused on areas such as, juvenile
justice, AmeriCorps\*VISTA, Child Welfare and workplace programs.
Specifically, project staff presented at the National Institute for
Occupational Safety and Health conference, the national conference for
the Office of Child Abuse and Neglect, and exhibited at the Employee
Assistance Professionals Association conference. They also presented at
the national conference hosted by the Child Welfare League of America
(CWLA) in March 2005. Specifically, representatives from the child
welfare field and Model Program developers addressed issues associated
with adopting Model Programs in child welfare settings, as well as how
evidence-based child welfare programs could be submitted to SAMHSA's
National Registry of Effective Programs and Practices (NREPP).

#  {#section-2 .unnumbered}

**[New NREPP Project Officer and Contractor]{.underline}**

A detailed briefing was provided to Kevin Hennessy, the SAMHSA
Science-to-Service Coordinator, and the new NREPP contractor to present
the critical issues of dissemination of model programs. Once programs
are reviewed by NREPP and determined to be effective, those programs
with the capacity and willingness to disseminate are invited to work
with SAMHSA Model Programs contract. Dissemination is a key component of
the overall NREPP/Model Programs system and is the conduit by which
states and communities receive the vast majority of their information
about the programs.

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

Staff from the Model Programs participated in the planning and execution
of the 5^th^ technical assistance meeting for the Department of
Education Grants to Reduce Alcohol Abuse grantees in Scottsdale, AZ.
Model Program developers provided special sessions for the grantees to
discuss implementation essentials. The TA meeting was held with the
current 47 grantees and the ten newly awarded grantees. In response to
the new Department of Education Project officer, a revised work plan has
been established and is underway. Model Programs provided focused start
up technical assistance to the ten newly awarded grantees to ensure that
their Training and Technical Assistance needs were met.

**[Excellence Awards and Community Prevention Day]{.underline}**

Model Programs staffs were instrumental in the planning for the
Excellence Awards Ceremony and the Model Programs Fair conducted during
Community Prevention Day in January 2005.

**[CSAP's Number range CHAPTERCenters for the Application of Prevention
Technologies (CAPTs)]{.underline}**

The CAPTs continue to build capacity at the State and community levels
to enable them to develop comprehensive prevention resource systems.
CAPTs began work on Special Projects awarded at the end of September to
provide technical assistance to the Department of Education/Safe and
Drug Free Schools/Grantees to Reduce Alcohol Abuse, and to CSAP's
grantees (Ecstasy/Other Club Drugs, Methamphetamine/Inhalants and
Earmarks). CSAP's Service to Science Project was awarded under the CAPT
Logistic contract. The CAPT contracts transitioned from DKASI to the
Division of State and Community Systems Development (DSCSD). The
coordination and project officer's responsibilities for the five CAPTs
contracts and CAPT logistics' contracts were reassigned to Nel Nadal.

**[Department of Education Collaboration]{.underline}**

SAMHSA/CSAP and the Department of Education (ED) entered the second year
of a MOU to provide training and technical assistance to grantees in
local educational agencies (LEAs) under the Grants to Reduce Alcohol
Abuse Program (GRAAP). Forty-six (46) LEAs were funded to implement and
evaluate one or more of SAMHSA's model programs for reducing underage
alcohol abuse as determined by SAMHSA; approximately 12 additional
grants for the GRAAP program were awarded this fiscal year.

This MOU involved the transfer of \$3.5 million from ED in Year 1, which
was reduced to \$2.8 million in Year 2. As part of this effort, CSAP
will be providing technical assistance and training on model programs
and science-based prevention practices. Examples of emphasis areas
include: needs assessment, strategic planning and capacity development,
coalition building, prevention program implementation with fidelity,
formative and summative evaluation, and reporting of outcomes.

**[Department of Justice Collaboration]{.underline}**

SAMHSA/CSAP and the Department of Justice (DOJ) have an interagency
agreement (IAG) for CSAP's CAPT to provide TA to the Executive Office of
Weed and Seed grantees. This includes CAPT participation in two DOJ Weed
and Seed Grantee Workshop and Power of Prevention Conferences and
invitations to the grantees to CAPT-sponsored or co-sponsored meetings
in their regions as appropriate and feasible as funding allows.

**[CSAP National Service-to-Science Academy (January
2005)]{.underline}**

CSAP with the CAPTs and CAPT logistics contractor convened a National
Service to Science Academy for directors and evaluators of approximately
25 recognized prevention interventions including the 2005 Annual
NASADAD/CADCA Exemplary Innovative Programs and Promising Programs
recognized through NREPP over the last three years. Teams of CAPT
evaluators met with the participants from each invited program for a
full day, providing hands-on, customized technical assistance on a wide
range of evaluation issues. The goal of the Academy is to "meet programs
where they are" to advise and assist programs seeking to strengthen
their evaluation design in order to establish stronger evidence of
effectiveness. Since the majority of participants invited were already
established in NREPP and interested in maintaining or advancing their
NREPP status, the Academy began with a presentation by Dr. Kevin
Hennessy describing the newly revised NREPP and its criteria.
Participants raised many issues of concern about the new NREPP criteria.
On the other hand, participants were appreciative of the full attention
and high-quality technical assistance they received from the CAPTs.

**[National CSAP/CAPT Evaluators' Meeting (February,
2005)]{.underline}**

CAPT evaluators discussed their concerns about NREPP and proposed
revisions in the NREPP criteria for consideration by Dr. Kevin Hennessy
during the second half of the day. CAPT evaluators then met with Dr.
Kevin Hennessy and the new NREPP contractor, providing detailed
recommendations for revisions in the new NREPP criteria; they also
shared the concerns and questions raised by the program practitioners
and evaluators who had participated in the National Service to Science
Academy, January. Of great concern to CAPT evaluators are the overall
"level of difficulty" of the rating standards and appropriateness of the
criteria to rate prevention as distinct from treatment interventions.
Dr. Hennessy agreed to consider the recommendations raised by the CAPT
evaluators and requested that they, in turn, provide real prevention
examples to further clarify the applicability, or lack of applicability,
of the proposed criteria and rating scheme to prevention interventions.

[Number range CHAPTER**National Center for the Advancement of Prevention
(NCAP)**]{.underline}

The NCAP contract, John Jay College of CUNY prime organization, reached
the conclusion of its period of performance on December 30, 2004. The
contract had been extended at no additional cost to the government to
conduct interagency work commissioned to the National Registry of
Effective Programs and Practices (NREPP) and complete activities
required to transition NREPP and data files to the newly-awarded NREPP
contractor.

Among the last wave of completed products submitted under the NCAP
contract are:

1.  [Pathways to Effective Prevention and Positive Outcomes---Family of
    Products]{.underline}

-   Comprehensive Resource Document - details the process necessary for
    completion of a prevention needs and asset assessment and linking
    those results to the selection, development and implementation of an
    appropriate evidence-based intervention.

```{=html}
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```
-   Overview (key steps in the Pathways strategic planning process).

-   Facilitator's Guide to Practitioner Readiness for Pathways to
    Effective Programs and Positive Outcomes.

-   Comprehensive Facilitator's Guide to Pathways to Effective Programs
    and Positive Outcomes.

2.  **[Handbook of Model and Effective Prevention Program Logic
    Models:]{.underline}** Tabbed by target group population and risk
    factors addressed within target groups, the *Handbook of Logic
    Models* can serve as a useful tool to guide the selection,
    implementation or use of evidence-based programs and practices.

3.  **[Synthesis Paper]{.underline}:** *Implementing Model Programs -
    From Effective Programs to Effective Implementation.* This "white
    paper" is a synthesis of work conducted under the NCAP contract. It
    pulls together work on issues of fidelity and adaptation encountered
    by the field in the implementation of NREPP model programs, a
    descriptive analysis of the common content elements shared by NREPP
    model and effective program, and development of a methodology and
    requirements for future analysis of core components of model
    programs. This paper examines the extent to which model programs
    (NREPP) are implemented successfully (i.e. Preserving the same
    outcomes as achieved in the original model) under read world
    conditions, and identifies the unintended consequences and
    imbalances resulting from current policy to market and disseminate
    model programs. The paper points out that evaluation data from
    multiple replications of model programs are largely non-existent;
    reported effect sizes are generally small and inconclusive; and core
    components largely indeterminate at this time. Small effect sizes
    imply less elasticity for adaptation, yet wide-scale implementation
    in real world settings requires it. Moreover, there remains
    considerable uncertainty about what constitutes good *vs.* poor
    adaptations due to the overall insufficiency of evaluation data.

4.  **[Handbook of Innovative State Prevention
    Strategies]{.underline}**: This document describes how state
    agencies have created internal readiness for systems change;
    implemented state-wide needs and resources assessments; motivated
    and implemented strategic planning; re-allocated state prevention
    funds to maximize effect; identified and promoted effective
    prevention practices; developed and implemented communication
    strategies to increase the visibility of prevention; and, evaluated
    state and local prevention planning.

5.  [**Practical Guides for Implementing Environmental
    Interventions**:]{.underline} This document defines a typology of
    environmental interventions and the core strategies; identifies
    potential barriers to success as well as possible solutions to those
    barriers.

#### 

#### [Completion of interagency work to support application preparation, program reviews and transition activities on NREPP:]{.underline} Interagency funding from CMHS, CSAP, NCI and CDC, commissioned additional work on the NREPP task under the NCAP contract pending transition to the new SAMHSA NREPP contractor.

**[HIV & Behavioral Health Issues Branch Update]{.underline}**

## 

**[National Minority HIV/AIDS (NMAI) Discretionary Grant
Program]{.underline}**

The CSAP NMAI Program addresses racial and ethnic disparities in health
care and the connection between substance abuse and HIV. As a targeted
capacity expansion (TCE) grant program, it is designed to help community
organizations expand their capacity to provide and sustain
evidence-based, integrated substance abuse prevention and HIV prevention
services targeted to at-risk populations disproportionately impacted by
the HIV/AIDS epidemic. At-risk populations include African-American,
Hispanic/Latino, and other ethnic minorities; homeless individuals;
individuals re-entering the community from prison or jail; gay, lesbian,
bi-sexual, transgender and questioning individuals; migrant workers;
commercial sex workers; and others.

A 2-tier approach has been developed to expand the capacity of
community-based organizations: 1) planning/infrastructure development,
and 2) prevention intervention services delivery.

In fiscal year 1999, CSAP launched the NMAI discretionary grant program.
Initially, separate

1-year planning/infrastructure grants and multiple-year service grants
were awarded to community-based organizations for substance abuse
prevention and HIV prevention.

In fiscal year 2003, planning/infrastructure activities and prevention
service delivery activities were combined.

To date, 130 infrastructure/planning grants, in amounts ranging from
\$100,000 to \$125,000, and 202 multiple-year service grants, in amounts
ranging from \$250,000 to \$500,000, have been awarded to
community-based organizations for substance abuse prevention and HIV
prevention.

**[The status of these grants at the end of fiscal year
2004:]{.underline}**

-   37 grantees (ranging from \$350,00-\$500,000 per year) were in their
    final year of their 3-year project, 34 of these were granted low
    cost supplements of \$63,000 for an additional 6 months;

-   49 grantees (\$350,00 per year) began the third year of their 3-year
    projects;

-   22 grantees (\$350,000 per year) began the second year of their
    5-year projects;

-   45 grants (\$250,000 per year) were awarded for 4-year projects

**[NMAI Annual Grant Workshop]{.underline}**

To maximize efficiencies, the 2004 New Grantee Workshop was co-located
with the US Conference on AIDS in Philadelphia, Pennsylvania on October
18-20, 2004. During this three-day meeting, information was provided to
the grantees on building capacity to organize, mobilize and obtain
further federal, state and/or private funds. One full day was devoted to
highlighting the outstanding work of our grantees, including a grantee
poster session. Through this process DKASI staffs were able to enhance
peer-to-peer relations among the grantees, as well as increase their
information gathering and technical assistance resource pool.
Distinguished speakers in the field of substance abuse prevention and
HIV prevention also served as presenters at this year's grantee
workshop.

Some of the workshop sessions include: Cross Cultural Strategies for
Engaging Youth in Prevention Activities; Prevention Programs for Women
and Girls at Risk; Identifying and Implementing Effective
Collaborations; Connecting Linkages Between HIV, Substance Abuse, and
Hepatitis; Aspects of Sustainability; and Writing and Managing a Federal
Grant.

In addition to the training and networking sessions, grantees also had
an opportunity to meet with their CSAP Project Officer to discuss any
outstanding issues and to provide an update on their grant activities.

There were approximately 238 grantee representatives present at the
Grantee Workshop.

**[SAMHSA Rapid HIV Testing Initiative (RHTI)]{.underline}**

The Substance Abuse and Mental Health Services Administration (SAMHSA)
began the implementation of the Rapid HIV Testing Initiative (RHTI)
during fiscal year 2005. 

In view of the disproportionate HIV/AIDS incidence and prevalence rates
across minority communities, the RHTI is designed to reduce HIV
incidence rates among minority populations who may be at an even greater
risk for acquiring or transmitting HIV associated with substance abuse
and/or a mental health disorder. 

Since the epidemic began in 1981, minority populations account for 57
percent of the reported AIDS cases.  Injection drug use (IDU) continues
to play a major role in HIV transmission among minority populations; the
Centers for Disease Control and Prevention (CDC) reported that IDU among
African Americans and Hispanics accounts for over one-third (36 percent)
of all AIDS cases.

Notwithstanding, between 1981-2002, CDC estimated 850,000 to 950,000
U.S. residents were infected with HIV.  It was estimated that
one-quarter of them are unaware of their HIV status ([CDC,
2002](http://www.cdc.gov/hiv/rapid_testing/materials/QuickFact_April2004.htm)). 
CDC further reported that 9,300 individuals out of an estimated 30,000
who test positive for HIV each year at publicly funded sites do not
return for their results. 

To date, SAMHSA has developed a procurement to make a \$4 million bulk
purchase of over 300,000 rapid HIV test kits and over 5000 kit controls.
These products are being made available at no cost to SAMHSA's eligible
providers (States and service providers) who meet SAMHSA's readiness
requirements. SAMHSA also allocated over \$850,000 of MAI funds to build
expertise across SAMHSA's eligible service providers by provision of
rapid testing and prevention counseling training and follow up technical
assistance. Presently, 87 SAMHSA funded grantees and 16 opioid treatment
program (OTP) providers have been trained. Additional trainings to be
held in the next quarter will include SAMHSA grantees and OTP providers
from New York, Connecticut, Texas, Maryland, Tennessee, California,
Louisiana, Georgia, Delaware, Massachusetts, Puerto Rico, and New Jersey
and District of Columbia. SAMHSA developed a comprehensive readiness
package on requirements to obtain the free test kits and kit controls.
State Rapid Test Coordinators along with their Directors from the
respective State Department of Health and State Alcohol and Drug Abuse
Agency are being identified to assist SAMHSA with implementing its' RHTI
across sites in States that meet SAMHSA's readiness requirements. In
February 2005, the District of Columbia was selected as SAMHSA's first
pilot. Five methadone treatment programs in DC have received and used
over 300 test kits provided by SAMHSA at no cost. Performance management
and monitoring strategies have been designed and also currently being
piloted in the District of Columbia.

SAMHSA developed a RHTI Factsheet and webpage that can be accessed
through SAMHSA's website with detailed information, a toll-free
telephone number, and email address for public inquiries about this
initiative. With increased access to SAMHSA's new rapid HIV testing
methodology through its program sites, more high-risk minority
populations can be identified, screened, and subsequently benefit from
effective counseling, treatment, and other support services.

**[SAMHSA/CSAP U.S. Conference on AIDS]{.underline}: October 21-24,
2004, Philadelphia, Pennsylvania and SAMHSA Institute: "A Call to Action
for Safe and Healthy Communities"**

To further enhance the knowledge and skills of the grantees, the Grantee
Workshop was held in collaboration with the U.S. Conference on AIDS.
Following the conclusion of the Grantee Workshop on Wednesday, grantees
were encouraged to also participate in the U.S. Conference on AIDS
(USCAIDS), also held in Philadelphia, Pennsylvania, on Thursday, October
21 through Sunday, October 24, 2004.

During the USCAIDS, SAMHSA presented an Institute titled, \"A Call to
Action for Safe and Healthy Communities\" in which approximately 200
persons attended the Institute. The Institute held four sessions: a
presentation and dialogue with Center Directors in the morning, followed
by three panel presentations and interactive discussions in the
afternoon. The day concluded with a call to action for safe and healthy
communities by the Center Director for the Center for Substance Abuse
Prevention (CSAP), Beverly Watts Davis who serves as the matrix lead for
HIV/AIDS and Hepatitis.

The panel presentations offered broad perspectives from SAMHSA grantees
representing CSAP, CSAT, and CMHS. The panel presentations focused on
several priority topics for SAMHSA: emerging trends, innovation and
evidence-based practices (Panel 1); integrating mental health, HIV and
substance abuse prevention and treatment services in HIV primary care
(Panel 2); and sustaining systems of care through effective interagency
collaborations (Panel 3).

**[Faith- and Community-Based Initiative]{.underline}**

CSAP's Faith and Community Initiative is designed to carry out President
Bush's Executive Order 13279 requiring HHS and its agencies, including
SAMHSA, to eliminate programmatic, eligibility and regulatory barriers.
These barriers prevent faith-based and grassroots organizations from
successfully competing for federal grant funds and the effective
delivery of quality services to local communities.

To this end, CSAP recently awarded a logistical contract to support
meetings, symposia and expert work groups attended by faith and
community based organizations from the field of substance abuse
prevention. The goal of these gatherings of leaders providing substance
abuse prevention in non-traditional settings is to inform CSAP about
cutting-edge strategies used to prevent and/or reduce the onset of
substance abuse.

**[CSAP Border Initiative]{.underline}**

Each weekend, hundreds, if not thousands, of American youths cross into
Mexico from Texas border cities to binge drink, where they are exposed
to drugs, violence and are at risk of drunk-driving crash involvement
when they return home. Since 2002, PIRE has been working with El Paso
and Brownsville to assist them in reducing this problem by conducting
breath tests for alcohol and saliva tests for drugs of the youths
returning from Mexico. This information is used to plan and evaluate
intervention programs in the border communities. From August 2002
through December 2003, monthly surveys involving approximately 1,700
interviews and blood alcohol concentration (BAC) tests were collected
from youths returning late at night to El Paso from Juarez. An identical
survey at the Brownsville-Matamoras border was conducted quarterly from
July 2002 through November 2003 has collected over 800 interviews and
breath tests. Drug-test studies were conducted in El Paso with over 500
participants (11% registered positive for drugs). PIRE has provided
technical assistance to the two communities in making use of these data
to assess the extent of the cross-border bingeing problem and to
construct intervention programs.

**[Fetal Alcohol Spectrum Disorders (FASD) Center for Excellence & FASD
Materials Development Center for Excellence]{.underline}**

####### The FASD Materials Development Center for Excellence contract ended in February 2005. Materials to be developed from this contract were folded into the FASD Center for Excellence contract to support out-year activities. During the last two quarters, the combined Centers for Excellence undertook the following activities: 

-   Convened the second biannual Steering Committee meeting in November
    16-17 in Albuquerque, NM, and added three members: Rob Wybrecht
    (consumer), Jerome Romero (National Association of FASD State
    Coordinators), and Louise Ashkie (Navajo Nation).

-   Provided information on the Center\'s mission and accomplishments
    for the Interagency Coordinating Committee on Fetal Alcohol Syndrome
    progress report.

-   Trained 718 individuals in FASD.

-   Responded to 117 requests for information, including the Center\'s
    first contact from Spain and Mexico. The Center has now had contacts
    from individuals in 10 countries on 5 continents.

-   Concluded negotiations and executed subcontracts with 20 community
    subcontractors and held a kickoff meeting.

-   Received 24 State proposals, recommended 10 for funding, negotiated
    and executed subcontracts, and held a kickoff meeting. The Center
    also released the juvenile courts request for proposal (RFP),
    reviewed 19 proposals, recommended 5 for funding, and began the
    procurement process.

-   Held quarterly conference call with NAFSC members.

-   Added 86 publications to the inventory and 65 new publications to
    the library. Also updated database on federally funded programs and
    report on FASD-related legislation.

-   Drafted \"Is There Justice in the Juvenile Justice System?\" article
    on FASD and juvenile justice for submission to a journal.

-   Submitted the Spanish version of the Web site to DIRM for clearance
    and posted two issues of FASD: Knot Alone newsletter and two new
    fact sheets to the Web site.

-   Received notification that the first three \"What You Need to Know\"
    fact sheets were printed and available at SAMHSA's National
    Clearinghouse for Alcohol and Drug Information:

1.  SAMHSA Fetal Alcohol Spectrum Disorders Center for Excellence
    (RP01023);

2.  The Language of Fetal Alcohol Spectrum Disorders (RP01024); and

3.  Fetal Alcohol Spectrum Disorders: Tips for Elementary School
    Teachers (RP01025).

    -   Convened the first Native American/Alaskan Native FASD
        Stakeholders meeting in February 2005 in Oklahoma City, OK to
        gather recommendations on how to address FASD in Native American
        communities.

    -   Initiated planning activities for the June 2005 Building FASD
        State Systems meeting to be held in San Antonio, TX.

[**Prevention Pathways Courses**]{.underline}
(<http://pathwayscourses.samhsa.gov/samhsa_pathways/courses/>)

The Prevention Pathway\'s Web site has garnered the prestigious World
Wide Web Health Gold Award, one of the top e-awards in the health field.

As of December 28, 2004, 1,187 persons have registered to take the CSAP
courses for Continuing Education Units (CEUs); 1,011 persons have
completed the courses and have received CEUs. An additional 192
registrants took the courses for non-credit. CEUs are currently offered
by the National Commission for Health Education Credentialing, the
National Association of Social Workers, the American Academy of Family
Physicians, the National Board of Certified Counselors, and NAADAC, the
Association for Addictions Professionals for three courses (Wading
Through the Data Swamp: Program Evaluation 201, At Any Age, It Does
Matter: Substance Abuse and Older Adults, and Silence Hurts: Alcohol
Abuse and Violence Against Women). All courses are offered free of
charge and are available to the public.

The contractor has completed the \"Environmental Strategies for
Prevention: A Guide to Helping the Prevention Professional Work
Effectively in the Community.\" The course has been peer reviewed and
will be tested for usability in the field over the next two weeks. The
course was specially selected to address SAMHSA\'s cross-cutting
principles of \"Workforce Development.\" The process of developing this
course involved extensive input from prevention professionals at the
local level as well as CSAP national staff.

**[Community Prevention Day, January 10, 2005, Washington,
DC]{.underline}**

More than 150 active NMAI grantees, along with other CSAP grantees,
partners, and State agency representatives participated in SAMHSA's
Community Prevention Day lead by CSAP. The Community Prevention Day at
the Community Anti-Drug Coalition of America (CADCA) National Leadership
Forum on January 10, 2005 as a pre-conference event. The goals of the
Community Prevention Day training were:

1.  To help participants better understand the concepts, practices and
    technical assistance tools for using the Strategic Prevention
    Framework;

2.  To help participants better understand current federal strategies
    toward reducing and preventing substance abuse;

3.  To connect State systems and community funded grant projects to
    foster stronger collaborations; and

4.  To continue moving the field toward the implementation of
    evidence-based programs, practices, strategies and policies.

**[Technical Assistance to MAI Grantees (MayaTech Contract
Services)]{.underline}**

During this reporting period, approximately 25 technical assistance
requests were received from active MAI grantees, and responded to by the
MayaTech Corporation, technical assistance contractor for the grantees
funded under the minority AIDS initiative. The types of TA requested
include fiscal management/budgetary, cultural competency, substance
abuse and HIV prevention theories, curriculum development models, and
staff training.

**[New FY 2005 Program Initiative (RFA SP-05-001)]{.underline} \--
*Substance Abuse (SA), HIV, & Hepatitis Prevention for Minority
Populations & Minority Reentry Populations in Communities of Color***

SAMHSA announced a new program initiative on January 13, 2005 titled,
***Substance Abuse (SA), HIV, & Hepatitis Prevention for Minority
Populations & Minority Reentry Populations in Communities of Color***.
This initiative supports an array of activities to assist
community-based organizations 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 SA, and transmission of HIV and
hepatitis among minority populations and minority reentry populations in
communities of color disproportionately affected by SA, HIV/AIDS, and/or
hepatitis.

While grantees will have substantial flexibility in designing their
grant projects, all are required to base their projects on the five
steps of SAMHSA\'s Strategic Prevention Framework (SPF) to build a
service capacity specific to SA, HIV, and hepatitis prevention
services.  It is expected that a total of \$20.6 million will be
available to fund 59-82 awards in fiscal year 2005.** ** The average
annual award will range from \$250,000-\$350,000 per year in total costs
(direct and indirect).  The maximum allowable award is \$350,000 in
total costs (direct and indirect) per year for up to 5 years. 

On February 13, 2005 a modification to the announcement was issued to
include Puerto Rico (PR) and Virgin Islands (VI) as eligible States,
which were not included in the original RFA that closed on March 17,
2005. The new application deadline for Puerto Rico and Virgin Islands is
on April 14, 2005.

Simultaneous to the issuance of the funding announcement, the HIV and
Behavioral Health Issues Branch opened a technical assistance telephone
hotline and email address. Branch staff responded to more than 650
technical assistance queries from potential applicants. A set of
Frequently Asked Questions (FAQs) was developed from the telephone and
email queries.

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

Pursuant to SAMHSA's HIV/AIDS and Hepatitis Action Plan, hepatitis
prevention has been incorporated in CSAP's MAI existing program area and
future planning activities. According to the Centers for Disease Control
and Prevention (CDC), about one quarter of HIV-infected persons in the
United States are also infected with hepatitis virus (HCV). In addition
to including a focus on hepatitis prevention in the FY 2005
discretionary grant funding announcement (SP-05-001), branch staff
reviewed and commented on the first-ever National Strategy for the
Elimination of Viral Hepatitis in the U.S. This strategy is under
development by the National Viral Hepatitis Roundtable (NVHR), a
public/private partnership to raise awareness about hepatitis. Branch
staffs have been invited to participate in the second NVHR conference,
scheduled for April 10-12, 2005, to be introduced to the National
Strategy and receive training to promote it.

[Number range CHAPTER**Proposed New Program Initiatives for FY
2005**]{.underline}

DKASI submitted a request for Secretariat Emergency Funds to HHS in
March 2005 on the following concept:

**[Minority Education Institutions HIV Prevention
Initiative:]{.underline}** CSAP requested \$1.345 million for a new
pilot to expand and sustain HIV and Substance Abuse Prevention Education
on the campuses of historical black colleges and universities (HBCUs),
Hispanic-serving institutions, and tribal colleges and universities
(TCUs). Services include outreach services within student health centers
on the campuses of HBCUs, HSIs, and TCUs, provision of HIV, substance
abuse, and hepatitis prevention education materials, and a student-led
peer-to-peer education and support project for college and high school
age students.

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

The January 2005 issue of the *American Journal on Drug and Alcohol
Abuse* includes an article about a SAMHSA-funded program, titled
*Understanding Prevention Effectiveness in Real World Settings: The
National Cross-Site Evaluation of High Risk Youth Programs*. Authors
include Dr. Soledad Sambrano (former Chief of DKASI's Practice
Assessment & Application Branch), Dr. J. Fred Springer, Dr. Elizabeth
Sale, Dr. Jack Hermann, and Rafa Kasim. The article presents an overview
of a series of the cross-site data analyses. In pooled analysis, the
programs did not demonstrate significant positive effects on a composite
outcome measure of tobacco, alcohol and marijuana use. However,
disaggregated analyses indicated that youth who had already started
using when they entered programs reduced use significantly more than the
comparison youth who had started using.

# DIVISION OF PREVENTION EDUCTION AND DISSEMINATION

*(October 2004-April 2005)*

**[SAMHSA'S NATIONAL CLEARINGHOUSE FOR ALCOHOL AND DRUG INFORMATION
(NCADI)]{.underline}**

SAMHSA's NCADI contract
([http://ncadi.samhsa.gov](http://ncadi.samhsa.gov/)) continues to
provide a single point of entry to comprehensive, customer-oriented
information services on substance abuse prevention and addiction. During
this period, the NCADI contract conducted a variety of health
communications and marketing activities in support of SAMHSA's
dissemination mission. In 2004, 617,744 inquiries were received, over 20
million items distributed (3.2 million pounds shipped), and 11.5 million
visitor sessions hosted on PREVLINE. Selected highlights from this
period are described below.

**[For the Center for Substance Abuse Prevention, NCADI delivered the
following services:]{.underline}**

**NCADI Live Help**. To enhance NCADI's level of online customer
service, the NCADI Live Help was launched on PREVLINE. Online users can
contact an NCADI Information Specialist while navigating the site,
submit their questions, and receive an immediate response. For users who
may not wish to make a phone call, this service allows for customized
electronic responses in real time.

**CSAP/PBS public private partnership**. CSAP has signed on as a
national outreach partner for the upcoming PBS documentary mini-series
COUNTRY BOYS, whose outreach initiatives focus on the need for mentoring
youth and promoting substance abuse prevention programs. Through NCADI,
CSAP is helping to facilitate resources (e.g., promotion of RADAR
Network involvement to support local PBS stations as well as development
of the discussion guide) to support one of the COUNTRY BOYS outreach
goals which is to support substance abuse prevention efforts through the
implementation of effective substance abuse prevention programs and
policies in schools and communities.

Filmmaker David Sutherland interweaves the distinct narratives of two
at-risk adolescents grappling with and overcoming daunting emotional and
physical obstacles related to their unique family lives. The series,
which was shot over a three-year period in the Appalachian region of
Eastern Kentucky, will air on the PBS series FRONTLINE in the fall of
2005. Visit
[www.itvs.org/outreach/countryboys/](http://www.itvs.org/outreach/countryboys/)
to read more about this series and to view a clip.

**Special Achievement**. On March 7, the NCADI call center experienced
the highest daily telephone volume since September 2003. Information
specialists answered 1,984 telephone calls and there were 1,291 calls
associated with the CSAT Treatment Referral Helpline. A number of
marketing efforts have influenced the steady increase in NCADI contacts
including CSAT's Recovery Month activities, ONDCP's new print ad
releases, and overall NCADI marketing efforts.

For the Center for Substance Abuse Treatment, NCADI delivered the
following services.

Recovery Month support activities provided by NCADI included production
of the monthly web casts, development and promotion of special features
on the Road to Recovery website --
[www.recoverymonth.gov/2004](http://www.recoverymonth.gov/2004).

**CSAT/FDA Prescription Drug Campaign**. The goal is to prevent
prescription drug misuse among 50 to 60 year olds. Under tight
turnaround times for concept development, NCADI successfully completed
all editorial, marketing and outreach, graphics, and studio work for
innovative print and radio PSAs as well as a storyboard for TV PSAs for
CSAT and FDA staff to review. The ads will be released in May for Older
Americans month.

**[The Office of National Drug Control Policy's National Youth Anti-Drug
Media Campaign, NCADI delivered the following services:]{.underline}**

**ONDCP media contractors**. NCADI staff presented an in-depth
orientation to ONDCP's newly awarded media contracts staff. During this
transition phase, it is critical for ONDCP's new media contracts to
continue close coordination and collaboration with key NCADI functions
(e.g., call center operations, inventory management, and health
communications/marketing).

**Facts for Parents**. NCADI coordinated its call center operations with
ONDCP in preparation for the launch of the new advertising print ad
campaign on April 12, 2005. The purpose of the campaign is to provide
scientific facts about marijuana risks and harms for parents of teens.
Themed \"Facts for Parents,\" the campaign underscores the potency and
carcinogenic content of marijuana and outlines short- and long-term
consequences of marijuana use on adolescent brain development and
learning. As NCADI receives calls and comments from the public in
response to these PSA's, they will prepare evaluation reports on the
impact on ONDCP call volume during the week the ads are released (April
12-18th) as well as compare it to the previous week.

**[Centers for the Application of Prevention Technologies]{.underline}**

SAMHSA/CSAP's Centers for the Application of Prevention Technologies
(CAPTs) program (http://captus.samhsa.gov) supports the application and
dissemination of substance abuse prevention interventions that are
evidence-based. The five regionally based CAPT projects provide States
and communities with technical assistance and training in order to apply
consistently the latest evidence-based knowledge about effective
substance abuse prevention programs, practices, and policies.

The CAPTs provide training and TA support to CSAP's grantees, with an
emphasis on the Strategic Prevention Framework State Incentive grantees,
as well as other CSAP grant programs; the Department of Justice Weed and
Seed grantees; and the Department of Education Grants to Reduce Alcohol
Abuse. In addition, the CAPTs have conducted national and regional
Service to Science Academies, with the goal of helping local programs
strengthen and enhance their evidence base. CSAP expects that CAPT
technical assistance will assist Promising and Innovative Programs to
develop and strengthen the evidence base supporting these programs,
assisting them in advancing forward along a continuum of documented
evidence of effectiveness.

**[Selected program highlights include:]{.underline}**

Central CAPT convened the first meeting of the Community Coalition
workgroup to determine the framework needed for a national training
resource to enhance community coalition development efforts. On March
21, a school shooting took place at the Red Lake Nation High School.
Immediately, Central CAPT responded by contacting their CAPT Associate,
Patricia Prentice, located in Red Lake. In the coming months,
adjustments will be made to the work plan with Red Lake to help meet
some of the reservation's more immediate needs due to this tragedy.

Northeast CAPT delivered 3 online courses\--Effective Strategies:
Building Blocks of Prevention-Parts 1 and 2; Linking Substance Abuse and
Violence Prevention to Academic Success; and Don't Judge a Book by its
Cover: Using Feasibility Assessment to Select Appropriate Prevention
Programs. Also, NE CAPT presented at the 2nd SAMHSA National Policy
Academy of Co-occurring Substance Abuse and Mental Health Disorders as
well as established a cross-CAPT COCE collaboration workgroup with the
Co-Occurring Center for Excellence.

Southeast CAPT began conducting initial needs assessments and
establishing work plans with the region's three new SPF SIGs: Florida,
Kentucky, and Tennessee. In addition, SE CAPT is working collaboratively
with the CAPT Evaluation and Support contract to develop an online
version of its Sustainability course.

Southwest CAPT began development and coordination of a national
educational initiative; Scaling New Heights -- The Change Journey
satellite broadcast series, which focuses on changing community norms,
changing systems, changing ourselves. The broadcast emphasizes that
change is about learning -- learning how change happens and to develop
processes that support positive change and healthy change agents in the
field of prevention. In addition, SW CAPT successfully organized the
Spring 05 U.S. Department of Education Grants to Reduce Alcohol Abuse
Technical Assistance meeting.

Western CAPT convened the Evidence-based Prevention and National CAPT
Brief workgroup to move forward on the development of new training
curricula incorporating the Strategic Prevention Framework. In addition,
CSAP's Western CAPT successfully facilitated the planning and
implementation of CSAP's Methamphetamine/Inhalant Abuse Prevention
Grantee Meeting.

**[Highlights of One Sky Center Activity during]{.underline}**

***January - March 2005***

Thru an Interagency Agreement with the National Highway Traffic Safety
Administration Project (NHTSA), CSAP has been coordinating the work of
One Sky Center for on a Traffic Safety Project. One Sky Center has
developed an inventory of effective driver safety practices (targeted to
Native adolescents and young adults). The aims of this project are to
promote sober and safe driving among American Indian (AI)/Alaskan Native
(AN) adolescents and young adults and reduce alcohol-related traffic
injuries and fatalities in the AI/AN population.

**Work accomplished to date on the project includes:**

-   A list of high schools and colleges with high native student
    enrollment (defined by the US Dept. of Ed. as 25% or more) was
    compiled

-   Agencies providing driver safety training and programs were
    contacted

-   High schools and colleges were contacted via mail to gather
    information on programs they offer and what problems they see in
    their community.

-   Data collection of programs was begun. Approximately 70 programs are
    listed to date.

Outcomes of the project will include an inventory of effective traffic
safety programs targeted to adolescents/young adults in AI/AN
communities, available both in hard copy and in the online One Sky
Center Native Programs Database.

CSAP's Western CAPT held three Technical Expert Panel meetings. The
first meeting was in Las Cruces, New Mexico, on July 29, 2004. The
second meeting was in San Diego, California, on November 4, 2004. The
third meeting was held in El Paso, Texas, on February 10, 2005. The
technical expert panel members represented the four U.S. Border states
and four of six Mexican Border states. The technical expert panel
members provided needs assessment data and customer satisfaction
monitoring.

CSAP's Western CAPT/U.S. -- Mexico Border Alliance collaborated with
SAMHSA's Mountain West Addiction Technology Transfer center by referring
clients to them for evidence-based substance abuse treatment
information. Many clients from Mexico receive both prevention and
treatment and requested materials and information on evidence-based
treatment. We were able to gather Spanish information from the Caribbean
Basin and Hispanic ATTTC and the Pacific Southwest ATTC for them.

CSAP's Western CAPT/U.S. -- Mexico Border Alliance invited
representatives from the AI-AN/NRC to attend the first U.S. -- Mexico
Border Alliance Technical Expert Panel meeting in Las Cruces, New
Mexico. The representatives presented information about the center and
the available resources. Further, several Native American organizations
along the border were referred to the AI-AN/NRC for information on
Native American best practices in prevention.

CSAP's Western CAPT/U.S. -- Mexico Border Alliance collaborated with the
Nevada Prevention Resource Center RADAR Network to gather prevention
materials for trainings along the border. All of the RADAR Network sites
in the border states were included in the Border Region list serve and
informed about regional training dates and locations. The Western CAPT
coordinators maintained communication with the RADAR Network
representatives to exchange information about resources and trainings.

CSAP's Western CAPT/U.S. -- Mexico Border Alliance collaborated with
SAMHSA-ONDCP Anti-Drug Coalition Institute during several Border
conferences. The Anti-Drug Institute provided presentations on effective
coalition development to border and bi-national coalitions at the Drug
Free Coalition Conference in Las Cruces, New Mexico and the Alliance of
Border Coalitions Conference in El Paso, Texas. Further, at our request,
the Anti-Drug Coalition staff provided technical assistance to the
Alliance of Border Coalitions' state representatives on strategic
planning following a Western CAPT, U.S. -- Mexico Border Alliance
Technical Expert Panel meeting in San Diego, California.

#  

# DIVISION OF WORKPLACE PROGRAMS

*(October 2004 -- April 2005)*

A. Organization Issues: Division of Workplace Programs (DWP)

Address/Location:

DWP/CSAP/SAMHSA

Room #2-1035

1 Choke Cherry Road

Rockville, Maryland

Zip Code: 20857 (when using U.S. Postal Service)

Zip Code: 20850 (when using Express carriers)

DWP Main Phone: 240-276-2600

Fax: 240-276-2610

DWP Staff:

Robert L. Stephenson II, M.P.H.

Acting Deputy Director, CSAP

Director, DWP

Bob.Stephenson@samhsa.hhs.gov

Betty Matthews

Secretary to the Director

Betty.Matthews@samhsa.hhs.gov

Donna Bush, Ph.D., D-ABFT

Chief, Drug Testing Section

Donna.Bush@samhsa.hhs.gov

Walter Vogl, Ph.D.

Chemist

Walter.Vogl@samhsa.hhs.gov

Charles LoDico, D-ABFT

Chemist

Charles.LoDico@samhsa.hhs.gov

Ron R. Flegel, BSMT (ASCP), M.S.

Toxicologist

Ron.Flegel@samhsa.hhs.gov

Giselle Hersh

Program Assistant

Giselle.Hersh@samhsa.hhs.gov

Ron Armstrong

Manager, Federal Drug-free Workplace Program

Ron.Armstrong@samhsa.hhs.gov

Deborah Galvin, Ph.D.

Manager, Workplace Prevention Research and Applications

Deborah.Galvin@samhsa.hhs.gov

Roberta Hantman (detailed)

YIW Project Officer; Health Communications Specialist

Roberta.Hantman@samhsa.hhs.gov

Charles Reynolds

Special Expert, GIS

Charles.Reynolds@samhsa.hhs.gov

**[DWP PROGRAM ACTIVITIES]{.underline}**

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

The CSAP Workplace Web Site,
[http://www.drugfreeworkplace.gov](http://www.drugfreeworkplace.gov/),
(also located at:
[http://workplace.samhsa.gov](http://workplace.samhsa.gov/)) is an
up-to-date, Workplace Information and Reference Center and web portal
having materials for a wide range of audiences: Federal Agencies,
laboratories, medical review officers, drug testing experts, employee
assistance programs, health/wellness programs, public/private employers
(small to large businesses), employees and their families, first
responders, researchers and evaluators, unions, organizations, community
partnerships, students and others.

The Web Site is being reorganized to increase the site=s aesthetic and
usability for all visitors regardless of their knowledge base or
physical abilities. The major topic areas are: Drug Testing; Federal
Drug-Free Workplace Programs; Non-Federal Drug-Free Workplace Programs;
Health, Wellness and Safety Workplace Programs; Workplace Prevention
Research and Interventions; Young Adults in the Workplace, DWP contact
information; Workplace Helpline; Getfit.SAMHSA.Gov; Calendar of Events
and FAQs. Information, documents, and other materials are being both
added and updated with older materials being placed in accessible
archives on a regular up-dated basis. Drug testing materials are updated
to include proposed Updated Rules for Federal Workplace Drug Testing and
Public Comments. Other materials include: Drug-free Workplace (in
English and Spanish), best practices, Workplace NREPP programs,
how-to-guides, tool kits on evaluation and research, annotated
bibliography, fact sheets, research and applied research, training,
technical assistance, multi-media presentations such as e-briefings and
live conference videos, calendar of workplace meetings/events. A major
focus in the enhancement of Web Site content is the updated on-line
version of the Drug-Free Workplace Kit and new Health/Wellness/Safety
Workplace Kit designed to be interactive and using multi-media.

**[Federal Workplace Drug Testing Program B National Laboratory
Certification Program (NLCP)]{.underline}**

The Division of Workplace Programs uses the NLCP contract to manage the
certification of laboratories engaged in urine testing for Federal
agencies. This is a requirement under Executive Order 12564 and Public
Law 100-71 established in the mid 80\'s and continues to be authorized
and required. On April 13, 2004, two notices were published in the
Federal Register that both revised and proposed changes to the Mandatory
Guidelines for Federal Workplace Drug Testing Programs.

The first notice, the revised Guidelines, established new standards to
ensure that validity testing and reporting procedures were uniformly
applied to all federal agency urine specimens. This specific revision
was added in response to increased availability in the marketplace of
products that attempt to beat drug tests by adulterating urine
specimens. The revised Guidelines were implemented on November 1, 2004.

The second notice, the proposed revisions to the Guidelines, proposed
allowing Federal agencies to include testing 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 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 changes, as published in the Federal Register, were open for
public comment. DWP is in the process of reviewing the public comments
and developing the final Guidelines.

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

DWP continues to coordinate requests from several Federal agencies to
make modifications to their Drug-Free Workplace plans. DWP works with
the ONDCP, the Department of Justice and the Office of Personnel
Management to obtain the necessary concurrences for this revision
process. Additionally, DWP continues to work with personnel from all the
Federal agencies in the Executive Branch to produce annual reports
summarizing their Drug-Free Workplace Program activities.

DWP has developed a new contract which will allow for strengthening the
oversight of the Federal Drug-Free Workplace (DFWP) Program and for
providing increased technical assistance to Federal agencies in the
operation of their DFWP Plans.  The contract was awarded in September
2004 and work is proceeding on the various tasks involved.

DWP has established a close working relationship with the department
level officials of the Department of Homeland Security who are working
on how best to structure and implement the Drug-Free Workplace Program
within the Department.  We are providing advice and technical assistance
to those officials as this process moves forward.

Ron Armstrong made a presentation at the 2004 DOD Agency Drug Demand
Reduction Conference at Fort Meade, Maryland in October 2004.

**[Drug Testing: Advisory Board/Medical Review Officer
Training/Meetings]{.underline}**

On four occasions during October 2004 through March 2005, Dr. Donna
Bush, Drug Testing Team Leader served as faculty member in training
Medical Review Officers to evaluate alternative medical explanations for
the presence of illicit drugs in Federal employee\'s urine. These
training courses were sponsored by the American Society for Addiction
Medicine and The American Association of Medical Review Officers.

On about six occasions, Dr. Donna Bush, Team Leader, Drug Testing, gave
key note presentations on Drug Testing with Alternative Matrices: Oral
Fluid, Sweat and Hair, and the Use of Point of Collection Drug Testing
Devices.

In December, 2004, and March 2005, the Division of Workplace Programs
convened CSAP/SAMHSA's Drug Testing Advisory Board for its routinely
scheduled two-day meetings in Rockville, MD.

Four times during 2004, Dr. Donna Bush, Dr. Walter Vogl and Charles
LoDico conducted a site visit of Research Triangle International, Inc.,
in Research Triangle Park, NC, which holds the contract for Technical
Support of the National Laboratory Certification Program.

During February, 2005, Dr. Donna Bush attended the annual American
Academy of Forensic Sciences meeting in New Orleans, LA.

The next Advisory Board Meeting is scheduled for June 1 -- 2, 2005 at 1
Choke Cherry Road, Rockville, MD 20857.

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

DWP GIS resource has assisted all of SAMHSA centers in responding to the
agency informational need by identifying and mapping grants activity. 
Using GIS technology, DWP assisted CSAT in analyzing the distribution of
grants within the Hispanic population and produced a spatial analysis of
Buprenorphine and the Waiver programs for the Medication-Assisted
Treatment Program presentation to senior management. DWP also assisted
CMHS in analyzing the distribution of discretionary grants in rural
communities and provided the OA with an analysis of states receiving SPF
SIG grants and the distribution of Drug-free Communities and

HIV/AIDS grants across the Nation.

DWP collaborated with the ONDCP in supporting their "25 Cities
Initiative" and produced spatial analyses for the cities of: Baltimore,
Cleveland, Detroit, Miami and Washington DC. Mr. Charles Reynolds
presented at the ONDCP Mayor Conference describing how SAMHSA GIS
resources can aid them in their analysis of the distribution of both
Federal and local resources within their community.

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

Since 1987, the Division of Workplace Program\'s Workplace Helpline
(1-800-WORKPLACE) has served as a toll-free telephone technical
assistance and consulting service for private sector workplaces and
substance abuse prevention organizations. The Helpline is designed to
provide callers with information, support and guidance in developing,
implementing and evaluating drug-free workplace programs and policies
designed to address employee\'s alcohol and drug issues at work.

The Helpline is staffed by two trained Drug-Free Workplace specialists
who have significant experience in designing custom programs to meet
specific workplace cultures and needs.

These specialists are as follows:

James Lipari

James.Lipari@samhsa.hhs.gov

800-WORKPLACE (800-967-5752)

William Sowers

William.Sowers@samhsa.hhs.gov

800-WORKPLACE (800-967-5752)

Consultation is provided on policy development, supervisor training,
employee education, employee assistance programs, drug testing, and
health/wellness programs having substance abuse prevention components.
The Helpline service is a free-to-the-public service supported by
SAMHSA/CSAP.

Helpline staffs are trained to help callers:

Assess the nature and extent of alcohol and other drug abuse in their
organizations;

Develop and implement an alcohol and other drug abuse prevention policy;

Choose an employee assistance program (EAP) model that suits their
organization\'s needs;

Develop and implement employee education and supervisor training;

Evaluate the effectiveness of an alcohol and other drug abuse programs
in terms of cost and human factors;

Understand the technical, legal, and employee relations aspects of
alcohol and other drug testing;

Identify signs and symptoms of alcohol and other drug abuse; and

Provide other prevention and treatment resources such as those at the
local, State and national levels, publications and on the Internet,
including www.drugfreeworkplace.gov and
[www.GetFit.Samhsa.Gov](http://www.GetFit.Samhsa.Gov/).

Specialists use telephones, Web sites, faxes, and e-mail to communicate
information and responses to myriad policy and problem situations.
Helpline personnel facilitated an average of 15 B 25 communications per
day. Helpline Workplace Specialists network callers with other local and
national resources located throughout the United States that can provide
additional low cost or free publications and technical assistance.
Additionally, they provide a variety of resources available through the
DWP Prevention Application Programs including Get.Fit.SAMHSA.Gov.

Callers are also referred to the National Clearinghouse for Alcohol and
Drug Information at

1-800-729-6686 to receive bulk or individual copies of numerous
publications.

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

The Young Adults in the Workplace (YIW), formerly called the Workplace
Prevention and Early Intervention: Transitioning Youth into the
Workplace, initiative is structured to build a multi-site cooperative
effort among the grantees. The 13 cooperative agreements awarded funding
are individually and collaboratively studying the effectiveness of
workplace-based substance abuse prevention and early intervention and
diverse approaches to substance abuse prevention for young adults (ages
16 to 24).

This service-to-science initiative is designed to increase the numbers
of young adult-focused, evidence-based workplace programs in the
Substance Abuse and Mental Health Services Administration=s (SAMHSA=s)
National Registry of Effective Programs and Practices (NREPP) and
thereby provide the nation=s (private and public) employers with
empirical information about Awhat works@ for employed young adults.

The initiative focuses on young adults for several reasons. Young adults
(16-24) represent a segment of the population in which the prevalence of
substance use is high and there is increased risk for developing chronic
substance use-related problems. Workplaces across the nation are facing
large numbers of retirements and a great influx of younger people
(16-24) entering the workplace. Although workplace programs have been in
existence for sometime, there are few workplace prevention interventions
available for this population and little knowledge related to whether
current employee assistance programs (EAP), drug-free workplace programs
and health/wellness programs and other prevention interventions are
appropriate and successful for employees in this age group.

Each of the cooperative agreement grantee teams will study one or more
existing workplace interventions and will participate in a cross-site
evaluation of those interventions in collaboration with SAMHSA/Center
for Substance Abuse Prevention (CSAP) and the Cross-Site Evaluation
Contractor, RTI International (RTI) along with Johnson, Bassin & Shaw,
Inc. (JBS). The primary specific aims of the initiative are to:

Assess the impact of the YIW interventions in preventing and/or reducing
substance abuse for youthful employees and their families;

Analyze the effectiveness of specific intervention strategies in
achieving positive outcomes as defined by individual grantees;

Assay confounding and intervening influences on effectiveness;

Document the process of YIW service delivery and implementation across
programs; and

Disseminate findings and products that can inform workplaces regarding
effective programs for preventing and/or reducing substance abuse for
youthful employees and their families.

This is SAMHSA/CSAP=s first opportunity to establish an empirical
database that documents employers= experiences with interventions aimed
at preventing substance abuse among their young adult employees. It is
also SAMHSA/CSAP=s first opportunity to examine broadly the workplace
response to substance abuse among youthful employees. A cooperative
agreement mechanism has been chosen so that grantees will be able to
have the active support of program staff and the Cross-Site Evaluation
Contractor. In addition to collecting and analyzing individual data,
SAMHSA/CSAP has also constructed an active role for grantees on a
Steering Committee in Phase II so that each will be able to have access
to the others and so that all can come to agreement on the collection
and analysis of certain common data.

There are two phases to the initiative. During Phase I, 13 grantee
organizations will develop and/or enhance workplace-based substance
abuse prevention interventions for youth ages 16 to 24. Baseline data
will be collected and the evaluation design completed. In Phase I, it is
critical for grantees to establish and prove that they are able to meet
the requirements of a rigorous evaluation and be able to collect all
required data. The Cross-Site Evaluation Contractor will assist grantees
in collecting baseline data and process data by providing an overarching
cross-site evaluation framework, core measures, and research questions,
as well as technical assistance on a variety of topics.

In Phase II, a subset of the grantees who have been able to collect all
required data and who have a solid evaluation plan designed to yield
valid and reliable results may be funded to continue their evaluations
and to contribute outcome, cost, and process data to the cross-site
evaluation. The Cross-Site Evaluation Contractor will continue to
provide technical assistance, will house the cross-site evaluation
database, and will conduct the cross-site evaluation. In addition to
serving as a voting member, the Cross-Site Evaluation Contractor will
also contribute to the Steering Committee in Phase II by facilitating
meetings and providing technical assistance and expertise. Throughout
Phases I and II, knowledge-generating activities such as literature
reviews, Knowledge Exchange Workshops, position papers, and secondary
data analyses led by the Cross-Site Evaluation Contractor will inform
the grantees and SAMHSA/CSAP of emerging issues.

**[Workplace On-Line Training and Dissemination]{.underline}**

GetFit.SAMHSA.Gov: Health Promotion and Substance Abuse Prevention
Intervention Web Site

GetFit.SAMHSA.Gov is a free-to-the-public, health promotion web site. It
was designed to provide employees and their families (as well as
community members) with information and resources about all health
matters: physical, mental, substance abuse and co-morbidity. In this
manner, GetFit reduces the stigma of substance abuse and mental health
and increases employees and their families, and community members to
obtain the information help and treatment they need concerning these
sensitive issues.

GetFit was based on Dr. Robert Matano=s three-year CSAP funded, Stanford
University study (CopingMatters) and was enhanced by using findings from
several SAMHSA grantees. The new YIW initiative will be working to adopt
the GetFit program for youth ages 16-24.

**[Evaluations on GetFit indicated:]{.underline}**

The Workplace kit is a successful method for reaching employees at risk
for alcohol-related problems. It allows employees to easily and
anonymously assess their risk level.

The use of The Workplace kit health risk assessment tools led employees
to access their Employee Assistance Program and health care program more
often, thereby probably reducing overall health care costs in the long
run.

By reducing stigma, the use of The Workplace kit led to employees
greater use of substance abuse and mental health related information and
resources; reduction of stress and enhanced coping mechanisms.

GetFit in a peer-to-peer program was successful in providing educational
and guidance resources for peer leaders and peer counselors.

CSAP=s GetFit team along with the YIW grantees is working to increase
the number of organizations who use GetFit.SAMHSA.Gov. The site was
designed on a database so that individual, customized sites can be
developed so that employers, unions, organizations, communities and
others can tailor the site with their own logos, drug-free workplace and
health/wellness policies and resources, etc. The site was designed to
provide employees, members, clients, and families with reliable health
information from credible sources with the U.S. Department of Health and
Human ServicesCSAMHSA, CDC, and NIHCother Federal agencies, and other
organizations serving the public interest; thereby, reducing the number
of people who are at risk for alcohol, drug, mental health, or physical
problems.

GetFit.SAMHSA.Gov offers a step-by-step online process to link to the
main site or to customize a version of GetFit. Customizing a site allows
organizations to choose an At Work or My Community section where
company-specific information can be added such as logos, pictures,
contacts, policies, programs, services, and other resources. There are
over 35 areas to enter information and resources for the workplace or
community. Organizations who customize their own version of GetFit also
gain access to pre-formatted templates for e-cards and posters to help
build awareness of this free resource at work and at home.

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

Included as part of SAMHSA Exhibit Program

CADCA Annual Conference and Exposition in Washington, DC

Steps to a HealthierUS Summit in Baltimore, MD

Small Business Administration Vendor Meeting at SAMHSA, Rockville, MD

Montgomery County Campus of Johns Hopkins University in Gaithersburg, MD

Workplace Strategies for Improving Health and Well-being Conference in
Baltimore, MD

Hope House New Jersey Meeting in Dover, NJ

Elks Drug-Free Awareness Program in Greensboro, NC

NIH-NOAA Recreation Association Meeting, Chevy Chase, MD

YIW Grantee Workshop in Rockville, MD

Presented Paper, North Carolina Community Action Agencies Conference in
Wilmington, NC

Presented Paper, Greensboro Chamber of Commerce Meeting in Greensboro,
NC

Presented Paper, U.S. Chamber of Commerce Institutes in Atlanta,
Colorado Springs, Villanova, and Notre Dame

Poster Session, NIH-NOAA Recgov.org Meeting

Poster Session, NIOSH Steps to a HealthierUS Workforce Poster Session

Presented Paper, APHA 132nd Annual Meeting & Exposition Session
Presentation

**[Security Initiative: Security Director=s Roundtable Discussion in
Calverton, MD]{.underline}**

CSAP has teamed with a small team of corporate security directors to
integrate security needs with The Workplace kit Web Site. The group is
focused on meeting the needs of those working in private security and
first responders in a non-stigmatizing manner and enhancing GetFit to
provide additional health risk assessment tools and other information
important to homeland security, private security and the security field
in general. Participants included: Corporate Security Directors from the
California Department of Justice, PCS, AIG, CHI, Mary Kay, Belo
Corporation, American Airlines, and the University of Cincinnati.
Outcomes of the meeting included the identification of new content for
the GetFit site that could be useful for organizations in the security
arena including additional resources for post traumatic stress disorder,
depression, stress, and violence in the workplace.

**[SELECTED THE WORKPLACE KIT OUTCOMES]{.underline}**

**[Web site Statistics]{.underline}**

GetFit reaches more than 2,500,000 employees/members plus their families

Over 7 million hits to the site since its launch

Visitors to GetFit are using the site for an average of 15 minutes

Approximately 200,000 visits and 60,000 unique visitors

Google is the most popular search engine that refers people to GetFit

The Alcohol and Drug sections are the most frequently viewed pages of
the site

159 Registered Users: 78 Customized At Work sites, 68 Linking sites, 13
Customized Community Sites

**[Noteworthy GetFit Users with over 20,000
employees/members]{.underline}**

Elks Drug Awareness Program B 1,200,000 members

U.S. Department of Agriculture B 120,000 employees

NIH/NOAA Recreation and Welfare Association B 30,000 members

AppleCore Wellness National EAP B 20,000 members

Association of Flight Attendants EAP B 51,000 members

Operation RedBlock B 25,000 employees

Drug-Free America Foundation B 50,000 members

Cal Poly Pomona B 19,000 students

Guilford County Substance Abuse Coalition B 50,000 affiliates

Northrop Grumman EAP B 125,000 employees

Special presentations of the GetFit site were made at: the Elks Drug
Awareness Program, Johns Hopkins University and CADCA. All three are
discussing methods to adopt GetFit into their programs.

U.S. Chamber of Commerce Institute Program C Gloria Guy, Director of the
Illinois Chamber of Commerce Drug-Free Workplace Program, has customized
a GetFit.SAMHSA.Gov Web site for the Illinois Chamber. Every year, the
U.S. Chamber sponsors an Institute Program that gathers business owners
from numerous industries to help promote the programs and services
available to them through the U.S. Chamber. Gloria Guy promoted and
discussed the use of GetFit.SAMHSA.Gov in four summer Institutes with
the U.S. Chamber. She presented her own experiences in customizing her
GetFit tailored site and future planned use of the site. Approximately
250 business owners attended each Institute.

**[GetFit Updates include:]{.underline}**

Developed AIn Our Community@ section for tailored community coalition
and community action GetFit sites to offer community-based resources for
specific geographic locations within their communities based on GIS
information and SAMHSA mental health, treatment and prevention
resources. This allows organizations to customize 4 sections of
informationCAbout, Programs, Services, and Contacts.

Implemented a new process for sending an e-card by sending the link
rather than graphic to allow for more users to see the graphic rather
than just text.

Added physical, mental health and substance abuse content including
sleep, memory, a calorie counter for alcohol use, etc.

On April 21st, launched the Google search engine technology throughout
the site and for all customized versions of GetFit for more improved
indexing of the material within the Web site.

**[SAMHSA Drug-Free Workplace Kit and Health/Wellness Kit
Redesign]{.underline}**

The SAMHSA Drug-Free Workplace Kit is being redesigned and updated to be
an interactive on-line product as well as a written product.
Additionally, a Health/Wellness Workplace Kit is being designed in
parallel with much the same information without the Adrug-free@ label
for employers who are sensitive about the Astigma@ of drug-free. DWP has
conducted focus group (triad) sessions in six cities with target
audience groups identified as having used in the past or potentially
could request a Drug-Free Workplace Kit for their business. Participants
of the triads included rural small and medium businesses, urban small
and medium businesses, and the restaurant industry. Additionally,
in-depth interviews were held with employees of the trucking and
construction industries identified from the Household Survey as
high-risk groups for substance abuse. The analysis of this data was used
to develop conceptual models for the new kit layout and an outline of
content to be updated. A PPC 615 was completed and is in review.

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

CADCA along with CSAP and DWP continue to collaborate in bringing more
employers and businesses into the Community Coalition process
nationally. Continue to meet with CADCA representatives concerning the
development of a tailored version of GetFit to be adopted by community
coalitions.

**[Intergovernmental Agency Collaboration]{.underline}**

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

Number range CHAPTER

CHAIRPERSON COMMITTEE MANAGEMENT SPECIALIST

*Beverly Watts Davis Tia Haynes*

Director Center for Substance Abuse Prevention

Center for Substance Abuse Prevention Fourth Floor Room 1054

Fourth Floor 1 Choke Cherry Road

1 Choke Cherry Road Rockville, MD 20857

Rockville, MD 20857 (240) 276-2436

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

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

<Beverly.wattsdavis@samhsa.hhs.gov>

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

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

Professor and Chair President

College of Arts and Sciences The Phoenix Corporation

Department of Nursing 611 Industrial Park Drive

Andrews University Newport News, VA 23608

Marsh Hall, Room 200

Berrien Springs, MI 49104

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

Interim Chancellor President and CEO

San Jose/Evergreen Community College Dist. PRIDE Youth Program

4750 San Filipe Road 4 West Oak Street

San Jose, CA 95135 Fremont, MI 49412

Sharyn Geringer (05) Reverend Marcus W. Harvey

190 Preuit Road Founder President/CEO

Wheatland, WY 82201 Strengths, Inc.

701 Wood Street

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

6145 Lehman Drive

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

President and CEO

> Californians for Drug-Free
>
> Youth, Inc. (CADFY)
>
> P. O. Box 620
>
> Forest Falls, CA 92339
>
> Federal Express Address:
>
> 41118 Valley of the Falls Drive
>
> Forest Falls, CA 92339

Sue Rusche (05)

President and CEO

National Families in Action (NFIA)

2957 Clairmont Road #150, NE

Atlanta, GA 30329

Mitchell E. Sahn (05)

KJMC-LLC

775 W. Park Avenue

Long Beach, NY 11561

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

Clinical Professor

University of Illinois

College of Medicine2020 Lincoln Park West, #38J

Chicago, IL 60614

**Allan H. Shinn (06)**

Executive Director

Coalition for a Drug-Free Hawaii

1130 N. Nimitz Highway

Suite A259

Honolulu, HI 96817

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

**The Honorable Michael O. Leavitt**

Secretary

Department of Health and Human Services

HHH Building

Washington, DC 20211

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

Administrator

Substance Abuse and Mental Health

Services Administration

5600 Fishers Lane

Rockville, MD 20857

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

Associate Director

Addictive Disorders and Psychiatric

Rehabilitation

U.S. Department of Veterans Affairs

810 Vermont Avenue, NW

Washington, DC 20420

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

HQ AFMOA/SGZF

5201 Leesburg Pike

(Sky 3), Suite 1501

Falls Church, VA 22041