Objective Critique Objective Teachers will be trained on the selected substance abuse prevention curriculum. The objective is not SMART because it is not specific, measurable, or time-bound. It can be made SMART by specifically indicating who is responsible for training the teachers, how many will be trained, who they are, and by when the trainings will be conducted. By June 1, 2018, LEA supervisory staff will have trained 75% of health education teachers in the local school district on the selected, evidence-based substance abuse prevention curriculum. 90% of youth will participate in classes on assertive communication skills. This objective is not SMART because it is not specific or time-bound. It can be made SMART by indicating who will conduct the activity, by when, and who will participate in the lessons on assertive communication skills. By the end of the 2018 school year, district health educators will have conducted classes on assertive communication skills for 90% of youth in the middle school receiving the substance abuse and HIV prevention curriculum. individuals in the community on the prevention of prescription drug/opioid overdose-related deaths. This objective is not SMART as it is not specific, measureable or time-bound. It can be made SMART by specifically indicating who is responsible for the training, how many people will be trained, who they are, and by when the training will be conducted. By end of year two of the project, the Health Department will have trained 75% of EMS in the County Government on the selected curriculum addressing the prevention of prescription drug/opioid overdose-related deaths. Appendix E: Developing the Plan for Data Collection, Performance Assessment, and Quality Improvement Information is provided in this Appendix about points that you should consider in responding to the criteria in of the project narrative.
For staff members who have been identified, include a biographical sketch for the Project Director and other key positions. Each sketch should be two pages or less. Biographical Sketch Existing curricula vitae of project staff members may be used if they are updated and contain all items of information requested below. You may add any information items listed below to complete existing documents. For development of new curricula vitae include items below in the most suitable format: Name of staff member Educational background: school(s), location, dates attended, degrees earned (specify year), major field of study Professional experience Honors received and Recent relevant publications Position Description of position Description of duties and responsibilities Qualifications for position Supervisory relationships Skills and knowledge required Amount of travel and any other special conditions or requirements Salary range Hours per day or week Appendix G – Addressing Behavioral Health Disparities SAMHSA expects recipients to utilize their data to: (1) identify the number of individuals to be served during the grant period and identify subpopulations (i.e., racial, ethnic, sexual, and gender minority groups) vulnerable to behavioral health disparities; (2) implement a quality improvement plan for the use of program data on access, use, and outcomes to support efforts to decrease the differences in access to, use, and outcomes of service activities; and (3) identify methods for the development of policies and
b. Fringe Benefits $15,644 $15,644 c. Travel $2,444 $2,444 d. Equipment $0 $0 e. Supplies $3,796 $3,796 f. Contractual $86,998 $86,998 g. Construction $0 $0 h. Other $15,815 $15,815 i. Direct Charges (sum 6a-6h) $177,462 $177,462 j. Indirect Charges $6,841 $5,6,841 k. TOTALS (sum of 6i and 6j) $184,303 $184,303 7. Program Income Standard Form 424A SECTION C – NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (c) (d) Other Sources (e) TOTALS 8. Title of FOA 9. 10. 11.
12. TOTAL (sum of lines 8-11) $ $ $ $ SECTION D – FORECASTED CASH NEEDS 13. Federal Totals for 1st Year $184,303 1st Quarter $46,075 2nd Quarter $46,076 3rd Quarter $46.076 4th Quarter $46,076 14. Non-Federal 15.TOTAL (sum of lines 13 and 14) $184,303 $46,075 $46,076 $46,076 $46,076 SECTION E – BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a) Grant Program FUTURE FUNDING PERIODS (b) First (c) Second (d) Third (e) Fourth 16. of FOA $184,498 $185,531 $185,762 $186,001 17. 18. 19. 20. TOTAL (Sum of lines 16-19) $184,194 $185,531 $184,458 $184,932 SECTION F – OTHER BUDGET INFORMATION 21. Direct Charges: 22. Indirect Charges: 23. Remarks: Appendix L – Structure for MHTTC Centers Region States Amount Region 1 MHTTC Center Connecticut, Maine, Massachusetts, New Up to $745,454 per year
Hampshire, Rhode Island, and Vermont Region 2 Center New Jersey, New York, Puerto Rico, and the Virgin Islands Up to $745,454 per year Region 3 MHTTC Center Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Up to $745,454, per year Region 4 MHTTC Center Alabama, Florida, Georgia, Kentucky, Mississippi, Carolina, South Carolina, and Tennessee Up to $745,454 per year Region 5 MHTTC Center Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin Up to $745,454 per year Region 6 MHTTC Center Arkansas, Louisiana, New Mexico, Oklahoma, and Texas Up to $745,454 per year Region 7 Center Iowa, Kansas, Missouri, and Nebraska Up to $745,454 per year Region 8 Center Colorado, Montana, Dakota, South Dakota, Utah, and Wyoming Up to $745,454 per year Region 9 Center Arizona, California, Hawaii, Nevada, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Marshall Islands, and Republic of Palau Up to $745,454 per year Region 10 MHTTC Center Alaska, Idaho, Oregon, and Washington Up to $745,454 per year MHTTC Tribal Affairs Center Up to $500,000 per year