The Community Prevention Coalitions Demonstration Grant Program

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration

RIN: 0905-ZA31

The Community Prevention Coalitions Demonstration Grant Program

AGENCY: Center for Substance Abuse Prevention, Substance Abuse and

Mental Health Services Administration (SAMHSA), HHS.

ACTION: Notice of availability of funds and request for applications.

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SUMMARY: The Center for Substance Abuse Prevention (CSAP) announces the

availability of funds to support community prevention coalitions to

demonstrate and systematically study approaches to prevent and reduce

alcohol, tobacco and other drug abuse and other drug-related problems

through the further development of coalitions and partnerships, at the

State, regional, and/or local level. This will involve the expansion of

long-range, comprehensive, multi-disciplinary community-wide substance

abuse prevention programming that reflects the next step in furthering

CSAP's mission to support and promote strengthening of comprehensive

prevention systems. The Community Prevention Coalitions Demonstration

(CPCD) Grant Program is authorized under Sections 501(d)(5) and 516 of

the Public Health Service Act, as amended.

Noting the development and strengthening of community partnership

programs across the country, CSAP will support, under this

announcement, grants to promote the progression of this programmatic

concept. The new CPCD grant program will build on the lessons being

learned from CSAP's Community Partnership Demonstration Grant Program

and similar programs in the field, e.g., Robert Wood Johnson

Foundation's ``Fighting Back'' grants.

The CSAP model of community-based prevention facilitates the

incorporation of substance abuse prevention services into the general

health care system. With health care reform, this approach which

emphasizes greater integration of services, an elimination of

duplication, and the need for community self-sufficiency in responding

to substance abuse problems finds particular relevance.

The conceptual framework of the Community Partnership Program

embraces and operationalizes community empowerment, which is a keystone

of the Secretary of the Department of Health and Human Services goals

for the Department--empower communities, emphasize prevention, and

value the consumer.

This notice consists of three parts:

Part I covers information on the legislative authority and the

applicable regulations and policies related to the CPCD grant program.

Part II provides the program description and model and discusses

eligibility, availability of funds, period of support and the receipt

date for applications.

Part III describes special requirements of the program, the

application process, the review and award criteria and lists contacts

for additional information.

Part I--Legislative Authority and Other Applicable Regulations and

Policies

Grants awarded under this program announcement are authorized under

Sections 501(d)(5) and 516 of the Public Health Service Act, as amended

(42 U.S.C. 290aa and 42 U.S.C. 290bb-22).

Federal regulations at Title 45 CFR Parts 74 and 92, generic

requirements concerning the administration of grants, are applicable to

these awards.

Grants must be administered in accordance with the PHS Grants

Policy Statement (Rev. April 1, 1994).

The Catalog of Federal Domestic Assistance (CFDA) number for this

program is 93.194.

Interim progress reports, a final report, and Financial Status

Reports (FSRs) will be required and specified to awardees in accord

with PHS Grants Policy requirements.

Healthy People 2000: The Public Health Service (PHS) is committed

to achieving the health promotion and disease prevention objectives of

Healthy People 2000, a PHS-led national activity for setting priority

areas. This program announcement, ``Community Prevention Coalitions

Demonstration Grants,'' is in keeping with objectives in the priority

areas of alcohol, tobacco and other drugs, and educational and

community-based health programs, including objectives relating to the

workplace.

Applicants may obtain a copy of Healthy People 2000 (Full Report:

Stock No. 017-001-00474-0; or Summary Report: Stock No. 017-001-00473-

01) through the Superintendent of Documents, Government Printing

Office, Washington, D.C. 20402-9325 (Telephone: 202-783-3238).

Non-Use of Tobacco: The medical dangers and high risk of addiction

associated with firsthand use of tobacco products have been thoroughly

documented. Moreover, data presented in leading medical journals (for

example, New England Journal of Medicine, June 10, 1993) and reported

widely in the press, associate environmental exposure to tobacco smoke

(passive smoking) with increased rates of cancer and other pulmonary

diseases among people of all ages and with increased rates of asthma

among children. Further, scientific evidence supports the connection

between the use of smokeless tobacco products, such as chewing tobacco

and snuff, and cancer of the mouth, jaw and throat.

Critical questions now facing public health experts concern the

most effective methods for preventing youth from using tobacco products

and for preventing and/or reducing infants' and children's exposure to

smoke in both public and private environments. A combined approach

involving public policy, media awareness, and prevention education

strategies appears to be a promising way to address this serious

problem; however, careful development, implementation, and evaluation

of specific tobacco use prevention strategies is required to establish

their efficacy.

CSAP recognizes that its target populations are vulnerable to a

variety of preventable health and social problems, including substance

abuse. Therefore, CSAP believes that preventative education, policy and

media advocacy leading to environmental and social change concerning

use of tobacco products must be a priority for grantees. Further, CSAP

strongly encourages all grantees to provide smoke-free programs and

work environments.

Part II--Program Description and Model, Eligibility and Application

Receipt Date

Program Description: Based on these early indications of the impact

of community-wide coalitions, as well as a national need to develop

promising, innovative approaches to drug abuse prevention, CSAP will

consider applications that provide a strategy for testing the

effectiveness of the model described below.

Because of the long term and difficult nature of establishing

community partnerships (Altman, Endres, Linzer, 1991; Center for

Substance Abuse Prevention, 1994; Florin, Mitchell and Stevenson,

1993), and the fact that this is a demonstration program seeking to

understand the potential of partnership programs, successful applicants

must be able to document a fully operational and effective partnership

and provide a solid rationale to justify enhancing the nature of its

current partnership efforts, in accord with the provisions of this

announcement.

The new CPCD Grant Program seeks to demonstrate the potential of:

(1) Expanding the scope of existing, well-developed partnerships

programmatically and geographically, and/or (2) developing multiple

partnerships into coalitions in their current area to address other

drug-related health and social problems.

The CPCD Program is an important part of CSAP's ongoing, long-term

objective to achieve and document measurable reductions in substance

abuse incidence, prevalence, and related consequences such as alcohol,

tobacco, and other drug-related health problems, mental disorders and

comorbidity, crimes, deaths and injuries among all age and ethnic

groups within a community.

Funds are available to test the effectiveness of extending the

original partnership concept through one of two approaches reflecting

the above concepts: (1) Local Prevention Linkages, or (2) State/

Regional Coalitions. Applicants must choose one of these approaches and

provide a rationale for their belief that using this approach will

significantly enhance the effectiveness of substance abuse prevention

efforts in the area served by the proposed multi-partnership coalition.

Funding will be consistent with the intent of Congress that direct

prevention services should be approximately 50 percent of the project

budget.

Program Model: CSAP is seeking applications that demonstrate the

effectiveness of the two partnership/coalition approaches which are

described below.

1. Community Partnership-Initiated Approach--This approach would

expand a local community partnership(s) to form a larger coalition

comprised of a minimum of two partnerships (at least one of which is

established and one of which is new) to provide integrated, community-

based prevention services across a larger geographical area. At a

minimum, this expansion would require the addition of at least one new

community-based partnership. Thus, a community partnership initiated

approach would have at least two (2) partnerships to establish a CPCD

coalition.

Proposed projects must include a rationale for the expansion and

document strategies that will enhance substance abuse prevention

programming across the expanded area. This rationale should include

identifying and justifying enhancements in the following: (1)

Prevention services (such as peer counseling, pre- and post-natal care,

cross-cultural education programs); (2) successful prevention

activities and related services (such as youth alternative programs,

parental support and skills development, mentoring and role modeling by

intermediaries, violence related activities); (3) environmental, social

policy and media strategies aimed at alcohol, tobacco and other drug

abuse prevention; and (4) a plan and design for coordinating and

streamlining prevention efforts that can serve to improve service

delivery and promote cost-effectiveness.

This approach should demonstrate how to effectively expand and

coordinate prevention services across a broader geographical area that

will result in sharing ideas, expanding state-of-the-art practices in

diverse disciplines and fields, and identifying effective substance

abuse prevention measures for implementation.

Applicants must keep in mind that all new services must be

community-based and developed at the local level, consistent with

program development approaches that have been documented by CSAP. One

of the challenges of the demonstration is to unify a number of

disparate, geographically diverse, community-based programs.

2. State-Coordinated Approach--This approach would have the same

design and purpose as described for the community initiated approach,

except that the State would be the applicant and would serve as the

coordinating body in the formation of the broader coalition. A State-

coordinated approach could serve a particular region within the State

or encompass the entire State.

In particular, the State would bring together at least two (2)

existing substance abuse prevention partnerships, allow for a broad

array of prevention activities such as those relating to the ones

described above, provide for the addition of at least one new

community-based partnership, and establish the requisite coordinating

and streamlining activities. Thus, a State initiated approach would

have no fewer than two (2) existing partnerships and one (1) new

partnership in the CPCD coalition. Several States have already made

progress in developing regional and State-wide networks.

The CSAP substance abuse partnership/coalition model may serve in

bridging a variety of broad-based prevention efforts, including

violence and crime reduction, adolescent pregnancy, the spread of

sexually transmitted disease, including HIV/AIDS, and school dropout

prevention. It allows existing community-based partnerships and

programs that currently address substance abuse to demonstrate the

effectiveness of expanding their base and their efforts to address

related health, social and safety issues through further interaction

and linkages with other local coalitions and partnerships. This type of

expansion can have a positive impact on preventing substance abuse

through new or stronger prevention service systems both within the

community itself and among affiliated communities. For example, and to

the extent appropriate, partnership substance abuse prevention

strategies and services may include the following areas of concern:

--Reducing violence, crime and gang activity related to and/or

aggravated by alcohol and other drug problems.

--Reducing/preventing the spread of sexually transmitted disease,

including HIV/AIDS, with respect to alcohol and other drug use and

abuse.

--Addressing the special needs of rural, wilderness, and frontier

communities with alcohol, tobacco, and other drug problems.

--Addressing special needs in areas with high rates of immigration,

poverty, disaster, and unemployment--aggravated by alcohol, tobacco,

and other drug problems.

--Reducing substance abuse and related problems in the workforce--

including collaborative labor/management efforts.

This program encourages that approximately 50 percent of Federal

funds be used for the provision of prevention services and

approximately 15-25 percent for evaluation.

Because the CPCD Program provides the opportunity for community

resources such as local coalitions, partnerships, service providers,

and programs to formally collaborate, applicants are required to

include a description of agreements, commitments and processes to be

used in developing and implementing the proposed project. (This

documentation must be provided in Appendix 4 of the application

entitled, ``Letters of Commitment from Collaborating Organizations/

Agencies/Individuals.)

Existing partnerships are expected to have conducted needs

assessments and are to use their needs assessment to: determine gaps in

prevention services; identify any inefficiencies in the delivery of

these services; and to begin work towards changing formerly established

priorities to meet current needs. All new services proposed must be

supported by the needs assessment.

Proposed projects submitted under this announcement must present a

five (5) year comprehensive substance abuse prevention plan to

demonstrate and study the development, implementation, and

effectiveness of their design. The applicant's initial plan should

include a discussion of all preliminary goals, objectives, and

activities. These may be refined as appropriate, as the program evolves

and progresses.

Evaluation must be an essential part of the plan for assessing the

impact of the changes and services on the substance abuse-related

problems in the community. Details are provided in the section on

Evaluation.

Eligibility: Applications may be submitted by public agencies, such

as State, local and tribal governments, or local private (non-profit)

organizations/agencies (i.e., existing partnerships, universities). In

all cases, the applicant must be designated to act on behalf of the

larger evolving coalition of multiple partnerships proposed in the CPCD

grant application.

Because the Community Prevention Coalitions Demonstration Grant

Program is intended to build on the work of already existing prevention

partnerships, by expanding both the base and the service capabilities

of these partnerships into broader-based coalitions, this announcement

requires that applicants be part of established community partnerships.

The applicant organization must be a member of the coalition (to be

developed) and be supported by its (the proposed coalition) membership

in receiving an award under this program activity. This agreement must

be documented through a letter of support from each member of the

proposed coalition. (These letters must be provided in Appendix 4 of

the application entitled ``Letters of Commitment from Collaborating

Organizations/Agencies/Individuals.)

CSAP strongly encourages applications from tribal governments,

Native American/Alaskan Native partnerships or Indian Nations. Such

applicants must already be existing partnerships.

Previous or current CSAP Community Partnership Demonstration

Program grantees are eligible to apply for a new grant under this

announcement. Currently funded CSAP Community Partnership grantees must

demonstrate their ability to fulfill the requirements of their current

grant in addition to taking on the expanded tasks and responsibilities

of the Community Prevention Coalitions Demonstration Program.

CSAP Community Partnership grantees will not be permitted to use

Community Partnership project staff for full-time positions in a new

CPCD project; nor will they be permitted to reduce the level of effort

on the current Community Partnership project as a result of obtaining a

grant award under this new program.

Applicants must state how an existing partnership will work with

the proposed coalition. If not the applicant agency, collaboration and

involvement with State and local governments will be required.

Other active partnerships receiving funding from private groups

such as the Robert Wood Johnson Foundation, United Way organizations,

or other business organizations that have formed a non-profit entity,

may also apply.

Applicants receiving Federal funds from other agencies such as the

Department of Education or the Centers for Disease Control and

Prevention may also apply, but must identify the source of funding and

purpose of their current grant.

Availability of Funds: It is estimated that approximately $9

million will be available to support approximately 9-12 awards under

this program announcement in Fiscal Year 1994. Average grants will be

in the $500,000 range. However, funding levels will depend on the

availability of appropriated funds.

Period of Support: Support may be requested for a period of up to

five (5) years. Annual awards will be made subject to continued

availability of funds and progress achieved.

Application Receipt and Review Schedule: Applications will be

received and reviewed according to the following schedule:

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Earliest start

Receipt date IRG review Council review date

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JAug. 1994........ Sept. 1994...... Sept. 30, 1994.

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Subject to the availability of funds in future years, CSAP may

reissue this announcement and publish future receipt dates and a notice

of availability of funds in the Federal Register. Because the

President's 1995 budget request proposes to consolidate SAMHSA's

categorical substance abuse prevention demonstrations, certain aspects

of this program could change. Therefore, applicants are strongly

encouraged to verify the availability and terms of funding for new

awards for this program.

Consequences of Late Submission: Applications must be received by

the above receipt date to be accepted for review. An application

received after the deadline may be acceptable if it carries a legible

proof-of-mailing date (assigned by the carrier) and that date is not

later than one week prior to the deadline date. However, private

metered postmarks are not acceptable as proof of timely mailing.

Part III--Special Requirements, Review/Award Criteria and Contacts for

Additional Information

Evaluation Plan: This CPCD Program requires more rigor in the

conceptualization, design and implementation of projects and in their

evaluation than the previous Community Partnership Program. The goal is

to achieve and document measurable reductions in alcohol, tobacco and

other drug abuse incidence, prevalence, and related consequences such

as alcohol and other drug related health problems, violence, deaths,

and injuries among all age and ethnic groups within a community or

regional area. Applications submitted under this announcement must

present a multi-year comprehensive substance abuse prevention plan for

systems change at the community or geographic area level through the

design and implementation of one of the two approaches discussed in the

Program Model section of this announcement. The application must

contain an evaluation plan which will enable the grantee to assess the

effect of the prevention program on a variety of indicators, as

described in the remainder of this section.

The ultimate goal of this program is to demonstrate significant

reductions in substance abuse. The broad outcomes expected include:

1. A measurable and sustained reduction in initiation of alcohol,

tobacco and other drug use among children and adolescents.

2. A reduction in alcohol, tobacco and other drug related deaths

and injuries especially among children, adolescents and young adults.

3. A decline in the prevalence of health problems related to and

exacerbated by alcohol, tobacco and other drug use.

4. A reduction in on the job problems and injuries related to

substance abuse.

5. A reduction in substance abuse related crime.

CSAP will support only applicant projects that have a well

developed and comprehensive evaluation plan. The evaluation plan must

be conceptually and procedurally integrated with the overall project,

and must have both an outcome evaluation component and a process

evaluation component.

Since the purpose for this program is to reduce the incidence and

prevalence of substance abuse and related health and safety problems in

the targeted area, instruments should be used which will provide

periodic measures of these indicators. In addition to measures of

incidence and prevalence related to substance abuse and related health

and safety problems, grantees will be required to collect data on the

seven (7) items listed in the Community Wide Indicators of Alcohol and

Other Drug Abuse included in the Application Kit. Applicants must

specify the means to be used to collect these data. Grantees will be

required to collect baseline data, yearly progress report data, and end

of project data, and may be required to collect follow-up data on all

indices. Grantees will be required to submit all reports and results in

both hard copy and in electronic media formats.

The evaluation plan must present a sound methodology for the

collection, storage, analysis, and interpretation of data. The

evaluation plan must utilize psychometrically sound measures and

instruments for data collection. Applicants must describe the selection

of instruments to be used and must provide information about their

normative properties, including the appropriateness of their use for

the culture(s) under study. The presented evaluation methods, measures

and instruments must be sensitive and relevant to the target groups of

the community with respect to age and gender distribution, reading

level, and culture. The evaluation plan must also present a time-line

for carrying out all evaluation procedures.

The evaluation plan must be designed and carried out by a

professional who is highly experienced in comparative evaluation

methodology, independent of the project, and able to work closely with

the grantee.

Fifteen to 25 percent of the funds available are to be used for the

evaluation component.

Outcome Evaluation: Outcome evaluation assesses whether the project

was effective in achieving its goals, objectives and activities. For

the purposes of this grant program, the outcome evaluation must provide

periodic measures on the community or geographic area in the following

broad categorical areas:

(1) Substance abuse prevalence, incidence, frequency and amount;

(2) Substance abuse-related health, safety and risk indicators

(e.g., HIV/AIDS, crime, violence, unemployment, etc).

The outcome evaluation design should employ a time series design,

which allows for comparisons within and between communities or

geographic areas.

Outcome Evaluation Questions: At a minimum, applicants should

include the following questions in the outcome evaluation component:

(1) Does the presence of the Coalition and prevention program

result in measurable reductions in use/abuse of identified substances,

and/or health and safety problems of the target groups in the community

or geographic area?

(2) Does the presence of the Coalition and prevention program

result in measurable increases in knowledge and anti-substance abuse

attitudes by residents of the community or geographic area?

(3) Does the presence of the Coalition and prevention program

result in measurable increases in the target group(s)' ability to

resist substance abuse and related risky behaviors?

(4) Does the presence of the Coalition and prevention program

result in measurable decreases in the target group's school absences or

truancy rates in the community or geographic area?

(5) Does the presence of the Coalition and prevention program

result in a perceived increase in safety and a measurable decrease in

drug dealing in the community or geographic area neighborhoods?

(6) Does the presence of the Coalition and prevention program

result in measurable decreases in the rate of domestic violence in the

community or geographic area?

(7) Does the presence of the Coalition and prevention program

result in a measurable reduction in the number of violent crimes

associated with substance abuse in the community or geographic area?

(8) Does the presence of the Coalition and prevention program

result in a measurable reduction in the number of substance abuse

related emergency room admissions?

(9) Does the presence of the Coalition and prevention program

result in a measurable reduction in the number of substance abuse

related vehicle crashes?

(10) Does the presence of the Coalition result in measurable

increases in environmental/social change policies (i.e., number of

ordinances introduced/enacted/repealed; limited alcohol and tobacco

advertising, etc.).

Grantees will be required to collect uniform baseline and yearly

data on some indicators using standardized instruments. Data collection

and analysis, aggregation to group, and procedures for transmitting the

results to CSAP will be provided at the first grantee meeting following

award. OMB approval will be obtained for use of the instruments.

Process Evaluation: Process evaluation is both a quantitative and

qualitative description of a project. It documents the evolution of the

project from inception through implementation and completion. The

process evaluation documents what was actually done, what was learned,

what barriers inhibited implementation, how such barriers were

resolved, and what should be done differently in future projects. In

short, process evaluation allows for successful projects to be

replicated.

For the purposes of this grant, program process evaluation should:

(1) Document and describe the processes by which the coalition is

expanded, refocused, implemented and operated; and

(2) Identify factors associated with effective planning and

implementation of the prevention strategies for the community or

geographic area.

Comparison Community or Area: Use of comparison communities or

geographic areas which closely resemble the community or area served by

the coalition is an excellent way to provide a rigorous test of the

effectiveness of the interventions to be implemented under this

announcement. CSAP realizes that finding suitable comparison

communities may be difficult because of the increasing popularity of

the partnership movement, and considerable effort may be needed to

identify a similar community willing to participate in the full

evaluation process.

Comparison and target communities/areas should be as similar as

possible at baseline, because the greater the similarity between the

target and comparison communities/areas, the greater the likelihood of

detecting and explaining effects of the coalition prevention program on

the target community/area. The comparison communities/areas should not

have a prevention program similar to the one intended for the target

community/area. The target and comparison communities/areas should be

geographically distant enough to prevent the transmission of program

activities from the target to the comparison communities/areas.

CSAP realizes the difficulties applicants may have in identifying

comparison communities or areas. CSAP is also aware of the limitations

of this approach given the variation and potential for contamination of

prevention programs across communities, regions or States. Despite

these limitations, applicants are encouraged to use this approach.

However, applicants will not be adversely affected by using a different

evaluation approach that will yield scientifically credible data.

Participation in National Cross-Site Evaluation: A National cross-

site evaluation project will be conducted with the goals of

identifying: (1) Successful and innovative community-based Coalition

models; (2) effective strategies for the prevention of substance abuse,

related health and safety problems and risk factors; (3) common

inhibitors to forming effective Coalitions: (4) common inhibitors to

design and implementation of effective prevention strategies; (5)

Coalition models that effectively prepare the service infrastructure of

communities for the eventual implementation of Health Care Reform; and

(6) Coalition models and prevention strategies that produce the most

benefits for the lowest monetary costs.

Projects funded under this announcement will be required to

participate in the National cross-site evaluation, by contributing data

that are comparable across projects. A detailed description of the

National Cross-site Evaluation Plan will be communicated to the funded

projects at the beginning of the grant program.

Although participation in the National Evaluation project is

mandatory, grantees will not have to expend grant funds for activities

that are not already within the local-level evaluation plans. Selected

grantees will be technically and financially supported by the National

Cross-site Evaluation project for activities that are not within the

purview of their local-level projects.

Coordination with Other Federal/Non-Federal Programs: Applicants

seeking support under this announcement are encouraged to coordinate

with other Federal, State, and local public and private programs

serving their target population. Program coordination helps to better

serve the multiple needs of the client population, to maximize the

impact of available resources, and to prevent duplication of services.

Funding priority will be given to applicants who demonstrate a

coordinated approach to providing comprehensive substance abuse

prevention services (see Award Criteria).

Single State Agency Coordination: Coordination and collaboration

with the Single State Agency (SSA) for alcohol and other drug abuse is

encouraged to ensure communication, reduce duplication, and facilitate

continuity. The application must include a copy of a letter sent to the

SSA that briefly describes the proposed project. A copy of this letter

should be included in Appendix B to the application entitled ``Letters

to/from SSAs.''

A list of SSAs can be found in the grant application kit. If the

target population falls within the jurisdiction of more than one State,

all representative SSAs should be involved. Evidence of support for the

proposed project from the SSA and from the State Public Health Agency

will be considered in making funding decisions (See ``Award Decision

Criteria'' section).

Intergovernmental Review (E.O. 12372): Applications submitted in

response to this announcement are subject to the intergovernmental

review requirements of Executive Order 12372, as implemented through

DHHS regulations at 45 CFR Part 100. E.O. 12372 sets up a system for

State and local government review of applications for Federal financial

assistance. Applicants (other than Federally recognized Indian tribal

governments) should contact the State's Single Point of Contact (SPOC)

as early as possible to alert them to the prospective application and

to receive any necessary instructions on the State's review process.

For proposed projects serving more than one State, the applicant is

advised to contact the SPOC of each affected State. A current listing

of SPOCs is included in the application kit. The SPOC should send any

State process recommendations to the following address at CSAP (not the

address to which the application was mailed): Office of Review, Center

for Substance Abuse Prevention, Rockwall II Building, Suite 630, 5600

Fishers Lane, Rockville, MD 20857, Attn: SPOC/CPCD Grants.

The due date for the State review process recommendations is no

later than 60 days after the deadline date for the receipt of

applications. CSAP does not guarantee to accommodate or explain SPOC

comments that are received after the 60-day cutoff.

Public Health System Reporting Requirements: The Public Health

System Impact Statement (PHSIS) is intended to keep State and local

health officials apprised of proposed health services grant

applications submitted by community-based, non-governmental

organizations within their jurisdictions.

Non-governmental applicants who are not transmitting their

applications through the State must submit a PHSIS to the head(s) of

the appropriate State and local health agencies in the area(s) to be

affected no later than the receipt date for applications. The PHSIS

consists of the following information:

1. A copy of the face page of the application (Standard Form 424).

2. A summary of the project (PHSIS), not to exceed one page, which

provides:

a. A description of the population to be served.

b. A summary of the services to be provided.

c. A description of the coordination planned with the appropriate State

or local health agencies.

State and local governments and Indian Tribal Authority applicants

are not subject to the Public Health System Reporting Requirements.

Application Submission Procedures: All applicants must use

application form PHS 5161-1 (Rev. 7/92), which contains Standard Form

424 (face page). The following information should be typed in Item

Number 10 on the face page of the application form:

Catalog of Federal Domestic Assistance Number: 93.194

AS 94-02 Community Prevention Coalitions Demonstration

Grant application kits (including form PHS 5161-1 with Standard

Form 424, complete application procedures, and accompanying guidance

materials for the narrative approved under OMB No. 0937-0189) may be

obtained from: National Clearinghouse for Alcohol and Drug Information,

(NCADI), Post Office Box 2345, Rockville, Maryland 20852, 1-800-729-

6686.

Applicants must submit:

1. An original copy of the application, signed by the duly

authorized official of the applicant organization, with a complete set

of the appropriate appendices; and

2. Two additional, legible copies of the application and all

appendices.

These materials should be sent to the following address: Center for

Substance Abuse Prevention Programs, Division of Research Grants, NIH,

Westwood Building, Room 240, 5333 Westbard Avenue, Bethesda, Maryland

20892.*

*If an overnight carrier or express mail is used, the Zip Code is

20816.

Review Process: Applications accepted for review will be assigned,

at the central receipt point (Division of Research Grants, NIH), to an

Initial Review Group (IRG) composed primarily of non-Federal experts.

Applications will be reviewed by the IRG for technical merit in

accordance with established PHS/SAMHSA peer review procedures for

grants.

Notification of the IRG's recommendation will be sent to the

applicant upon completion of the initial review. In addition to the

IRG's recommendations on technical merit, applications will undergo a

second level of review by the appropriate advisory council, whose

review may be based on policy considerations as well as technical

merit. Applications may be considered for funding only if the advisory

council concurs with the IRG's recommendation for approval.

Review Criteria: Each application will be reviewed and evaluated

for technical merit using the following criteria:

General

Potential as a demonstration project to make a significant

contribution to knowledge of comprehensive community-based substance

abuse prevention services, and systems services development.

Knowledge

Consistency of the project with state-of-the-art

approaches to substance abuse prevention services, evaluation designs,

and coalition program development;

Demonstrated knowledge of the health and substance abuse

problems in the target community and the ethnic, cultural, economic,

and age factors that impact the community and prevention services.

Cultural Competence

Evidence of understanding the significance of cultural and

gender diversity in achieving a comprehensive community prevention

services project; evidence in demonstrating both sensitivity and

responsiveness to cultural differences and similarities; and

effectiveness in using cultural symbols to communicate messages.

Established experience and credibility in working with

single and multi-cultural communities in developing collaborative

working relationships that allow the members of the targeted community

to draw on community based values, traditions, and customs in the

development of the project's plan and strategies, in addition to other

support.

Collaboration

Evidence of participation, collaboration, and specific

commitment of public and private sector organizations and service

providers in the coalition; this should include grassroots

organizations, health, human services, education, housing, and law

enforcement.

Evidence that the governing boards and/or the chief

elected official of the applicant agency demonstrates an understanding,

commitment, and support of this service prevention effort, the

coalition membership, target community, and the relationship of the

project with CSAP, the funding agency.

Evidence of project's relationship or planned

collaboration with existing relevant State and/or local prevention

activities in the target community.

Delineation of the roles and responsibilities of the

applicant agency and the coalition in terms of prevention policy and

activities, fiscal oversight, personnel oversight, etc. This should be

specific in terms of areas over which the applicant agency will have

complete control and over which the coalition may or may not be

involved by the applicant agency.

Resources

Adequacy, availability, and accessibility of facilities

and resources in the target community;

Capability, experience, and qualifications of the

applicant organization to plan, design, and coordinate prevention

efforts with members;

Appropriateness of the budget for each year of the

proposed activities;

Ability to sustain services and systems begun under the

project after the funding period has ended.

Management Plan/Approach

Adequacy and appropriateness of the needs assessment;

Appropriateness of the applicant's proposed approach,

activities, and goals and objectives to the goals and objectives of the

CPCD program;

Qualifications and experience of program director, project

director, evaluator, and other key personnel;

Evidence that the resources required to support the

project are clearly tied to the goals of the CPCD program and are

delineated in the accompanying budget;

Adequacy, rationale, appropriateness, and feasibility of

the proposed services, strategies, and timeframes to meet the

applicant's stated objectives;

Appropriateness and potential of plans for improving the

coordination and accessibility of existing prevention services and/or

stimulating the delivery of new or additional services;

Adequacy of procedures to identify, recruit, and retain

the project's services provider participants.

Adequacy of procedures for the protection of participants

Evaluation Plan

Clarity, feasibility, appropriateness, and completeness of

evaluation plan, measures and indicators--process and outcome.

Award Decision Criteria: Applications recommended for approval by

the Initial Review Group and the appropriate advisory council will be

considered for funding on the basis of their overall technical merit as

determined through the review process. Other award criteria will

include:

Availability of funds.

Geographical distribution throughout the United States and

its territories.

Evidence of support from the Single State Agency for

alcohol and other drug abuse and the State Public Health Agency.

Coordination with other Federal/non-Federal programs.

Neighborhoods hardest hit by drug use and related crime

and violence.

Contacts for Additional Information

Questions concerning program issues may be directed to: David

Robbins, Chief, Community Prevention and Demonstration Branch, Division

of Community Prevention and Training, Center for Substance Abuse

Prevention, Rockwall II Building, Room 9D-18, 5600 Fishers Lane,

Rockville, MD 20857, (301) 443-9438.

Questions concerning grants management issues may be directed to:

Margaret E. Heydrick, Grants Management Branch, Center for Substance

Abuse Prevention, Rockwall II Building, Room 640, 5600 Fishers Lane,

Rockville, Maryland 20852, (301) 443-3958.

Dated: April 6, 1994.

Richard Kopanda,

Acting Executive Officer, SAMHSA.

[FR Doc. 94-8792 Filed 4-11-94; 8:45 am]

BILLING CODE 4162-20-P