HomeMy WebLinkAbout20083346.tiff RESOLUTION
RE: APPROVE COLORADO PREVENTION PARTNERS PURCHASE OF SERVICES
AGREEMENT AND AUTHORIZE CHAIR TO SIGN - NORTH RANGE BEHAVIORAL
HEALTH
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS,the Board has been presented with a Colorado Prevention Partners Purchase
of Services Agreement between the County of Weld, State of Colorado, by and through the Board
of County Commissioners of Weld County, on behalf of the Department of Human Services, and
North Range Behavioral Health, commencing September 30, 2008, and ending September 29,
2009, with further terms and conditions being as stated in said agreement, and
WHEREAS,after review, the Board deems it advisable to approve said agreement, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Colorado Prevention Partners Purchase of Services Agreement
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County,on behalf of the Department of Human Services,and North Range
Behavioral Health, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded,adopted by
the following vote on the 22nd day of December, A.D., 2008, nunc pro tunc September 30, 2008.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
41
ATTEST: tf p %� 'p`' �` 't-
1861 • '_ illiam H. Jerke, Chair
Weld County Clerk to the oa . ►�`
• 4, 'EXCUSED
, � '` '1 ,a Robed D. Masden, Pro-Tem BY: Dep Clerkte the Board EXCUSED
Will' F. Garcia �.
APPR* AS T •
David E. Long
Count Attorney
Dougl Rademac r
Date of signature: /a/ ,/es
2008-3346
SIC HS ( i Gt c HR0079
MEMORANDUM
I&t DATE: December 18, 2008
TO: William H. Jerke, Chair, Board of County Commissioneisj
119Cin.C`artte1 (��.J�;l,h"WFROM: Judy A. Griego, Director, Human Servicesepaztent
COLORADO RE: Colorado Prevention Partners Purchase of Services
Agreement between the Weld County Department of Human
Services and North Range Behavioral Health
Enclosed for Board approval is a Colorado Prevention Partners Purchase of Services
Agreement between the Weld County Department of Human Services and North Range
Behavioral Health. This Agreement was reviewed at the Board's November 5, 2008, Work
Session.
Previously,the Board entered into a FY 2007 Colorado Prevention Partners Contract with the
Colorado Department of Human Services. Funding was awarded under a non-competitive
"Colorado Prevention Partners"application,which was submitted on behalf of Weld County's
Interagency Oversight Group (HB04-1451, "Collaborative Management of Multi-agency
Services Provided to Children and Families),and at the request of the Governor's Office. The
Department will act as the Fiscal Agent,North Range will act as the Program Administrator.
The IOG provides oversight for the Project.
1. The purpose of the project is to reduce substance abuse in Weld County following
evidence-based strategies using a multi-tiered approach.
2. The Contract provides for continued funding at an amount not to exceed $183,877.00 as
outlined in a budget incorporated as part of the Agreement. Funding will pay for a Project
Coordinator employed by North Range Behavioral Health, survey expenses, and related
operating expenses.
3. The source of funding is through the Colorado Department of Human Services' Alcohol
and Drug Abuse Division.
4. The period of the Agreement is September 30, 2008 through September 29, 2009.
If you have questions, please give me a call at extension 6510.
2008-3346
Contract No: SFY08-09-CPP
COLORADO PREVENTION PARTNERS
PURCHASE OF SERVICES AGREEMENT BETWEEN THE WELD COUNTY DEPARTMENT
OF HUMAN SERVICES AND NORTH RANGE BEHAVIORAL HEALTH
This Agreement, made and entered into the i day of September 2008, by and between the
Board of Weld County Commissioners, sitting as the Board of Human Services, on behalf of the Weld
County Department of Human Services,hereinafter referred to as"Human Services,"and North Range
Behavioral Health, hereinafter referred to as"North Range Behavioral Health."
WITNESSETH
WHEREAS, required approval, clearance,and coordination have been accomplished from and
with appropriate agencies; and
WHEREAS,by and through Resolution#2008-1533, dated May 28, 2008, effective June I, 2008,
the Board of County Commissioners of Weld County combined into one department the functions of the
Weld County Department of Social Services and the Weld County Department of Human Services, thereby
authorizing the Weld County Department of Human Services as the department of Weld County
government to receive funding for and to perform the duties of a county department of social services
according to Colorado statutes and administrative regulations; and
WHEREAS, the Weld County LOG, formed under HB04-145 I, provides a focus for a
collaborative planning approach to the delivery of services to children and families that may lead to the
provision of more appropriate and effective delivery of services in Weld County; and
WHEREAS, Human Services, on behalf of the Weld County lOG and at the request of the State of
Colorado Governor's Office, submitted in July 2006 a non-completive application under"Colorado
Prevention Partners"grant, which had as its goal to increase community capacity to initiate implementation
of a Strategic Prevention Framework project; and
WHEREAS, the Colorado Department of Human Services, Alcohol and Drug Abuse Division has
contracted with and provided funding to Human Services in September 2006 to develop a community
planning project entitled the"Colorado Prevention Program", designed to reduce substance abuse related
problems; prevent onset and reduce progression of substance abuse, including childhood and underage
drinking of alcohol; build prevention capacity and infrastructure at state and community levels; and
develop a Strategic Prevention Framework model; and
WHEREAS, the Weld County IOG has accepted the planning and guidance of the Colorado
Prevention Program and has agreed to meet the guidelines and requirements set forth for the project by the
Colorado Department of Human Services; and
WHEREAS, Human Services, as the fiscal agent of the project, seeks services to develop the
Colorado Prevention Program; and
WHEREAS, the Weld County IOG, with the concurrence of Human Services, has selected North
Range Behavioral Health to provide services to develop the Colorado Prevention Program; and
WHEREAS, North Range Behavioral Health, a Colorado non-profit corporation organized for the
purpose of managing and coordinating high quality, cost efficient, integrated chemical dependency and
related behavioral health care services, is willing to provide services to develop the Colorado Prevention
Program and wishes to enter into an Agreement with Services to receive financial support for the project.
Page 1 of 3
Contract No: SFY08-09-CPP
NOW THEREFORE, in consideration of the premises,the parties hereto covenant and agree as
follows:
L TERM: The term of the MOU and Agreement is September 30,2008,and shall expire September
29, 2009, unless sooner terminated as provided herein.
2. SERVICES PROVIDED BY NORTH RANGE BEHAVIORAL HEALTH: North Range
Behavioral Health shall be in compliance with Exhibit B,"Contract Between Colorado
Department of Human Services and Weld County Department of Human Services, Routing No.
08-IHM-00161",which outlines the direct services to be provided by North Range Behavioral
Health and the planning oversight requirements of the Weld County 1OG, and which is attached
hereto and incorporated herein by reference.
3. COMPENSATION TO NORTH RANGE BEHAVIORAL HEALTH: Human Services agrees to
pay North Range Behavioral Health for services pursuant to this Agreement a sum of$183,877,
according to the budget as follows:
Personnel
Project Director $43,677
Fringe Benefits(28%) $ 12,230
Eval Coordinator $ 12,000
Total Personnel $67,907
Travel
Local $ 1,908
Out of Area $ 2,225
Total Travel $ 4,133
Operating
PPB Stipends/Incentives $ 1,944
CPP Office/Phone $ 7,800
Copying/Printing $ 600
Office Supplies $ 300
Meeting Room Rental $ 300
Food/Meetings $ 2,400
Implementation $72,903
Indirect(20%) $ 12,000
Data Collection/HKCS $ 13,590
Total Operating $111,837
Grand Total $183,877
A. North Range Behavioral Health shall submit an itemized monthly bill according to proper
invoices to Human Services for all costs incurred and services provided pursuant to
Exhibit B of this Agreement in accordance with criteria established by Human Services.
North Range Behavioral Health shall submit all itemized monthly billings to Human
Services no later than the twenty-fifth (25)day of the month following the month the cost
was incurred.
B. Payments of costs incurred pursuant to this Agreement are expressly contingent upon the
availability of the Alcohol and Drug Abuse Division -Colorado Prevention Partners
Grant to Human Services.
C. Human Services shall not be billed for, and reimbursement shall not be made for time
involved in activities outside of those defined in Exhibit B. Work performed prior to the
execution of this Contract shall not be reimbursed or considered part of this Agreement.
Page 2 of 3
Contract No: SFY08-09-CPP
D. Human Services may withhold any payment if North Range Behavioral Health has failed
to comply with the Financial Management Requirements,program objectives, contractual
terms,or reporting requirements. In the event of a forfeiture of reimbursements,North
Range Behavioral Health may appeal such circumstance to the Director of Human
Services. The decision of the Director of Human Services shall be final.
4. ASSURANCES: North Range Behavioral Health shall abide by all assurances as set forth in the
Exhibit A,"Assurances,"which is attached hereto and incorporated herein by reference.
5. CERTIFICATION: North Range Behavioral Health certifies that, at the time of entering into this
Contract, it has currently in effect all necessary licenses,approvals, insurance,etc. required to
properly provide the services and/or supplies covered by this contract.
6 TERMINATION: Either party may terminate this MOU or Agreement at any time by providing the
other party with a 30-day written notice thereof. Furthermore,this MOU or Agreement may be
terminated at any time without notice upon a material breach of the terms of the MOU or Agreement.
7. TIME OF THE ESSENCE: Time is the essence in each and all of the provisions of this MOU and
Agreement.
8. ENTIRE MOU AND AGREEMENT/MODIFICATIONS: This MOU including Exhibit B and this
Agreement including Exhibit A and B constitutes the entire understanding between the parties with
the respect to the promises and covenants made therein. No modification of the terms of this MOU or
Agreement shall be valid unless made in writing and agreed to by all parties of the MOU and both
parties of the Agreement.
9. NON-APPROPRIATION: No portion of this Agreement shall be deemed to create an obligation on
the part of Human Services to expend funds not otherwise appropriated in each succeeding year.
10. WAIVER OF IMMUNITIES/THIRD PARTY LIABILITY: No portion of this Agreement shall be
deemed to constitute a waiver of any immunities of Human Services or its officers or employees may possess,
nor shall any portion of this Agreement be deemed to have created a duty of care with respect to any persons
other than Human Services and not a party of this Agreement.
IN WITNESS WHEREOF,the partieess,� to have duly executed the Agreement as of the day,month,and year
first above written.
ATTEST:
WELD COUNTY Y OARD OF COUNTY COMMISSIONERS
CLERK TO THE BOARD " J ELD COUNTY,COLORADO
By: By: '11
Deputy Clerk ! William H.Jerke,Chair DEC 2 2 2008
ST ORM: NORTH RANGE BEHAVIORAL
HEALTH
BY
County Attorney Wayne Maxwell,Executive Director
WELD COUNTY DEPARTMENT
OF HUMAN SER ICES
By:
Judy A. iego, Di ctor
Page 3 of 3
09 HIM 00171
OPTION LETTER
Exhibit_F_
Date: August 22, 2008 State Fiscal Year: 2009 Option Letter No. _2_
SUBJECT: (Please indicate purpose by choosing one of the following)
5- Level of service change in conjunction with renewal for additional term
In accordance with Paragraph(s) _1_ of contract routing number 07 IHM 00161, between the
State of Colorado, Department of Human Services, Alcohol and Drug Abuse Division, and Weld
County Department of Social Services, the state hereby exercises the option for an additional term of
(September 30, 2008 through September 29, 2009) at an increase in the amount of services that are
specified in Paragraph 13 of Exhibit A.
The amount of the current Fiscal Year contract value Is increased/decreased by $183,877.00 to a new
contract value of $625,999.00 ($193,695.00 for FY 07, $248,427.00 for FY 08, and 183,877.00) to satisfy
services/goods ordered under the contract for the current fiscal year 2008. The first sentence in Paragraph
13 of Exhibit A is hereby modified accordingly.
The total contract value to include all previous amendments, option letters, etc. is $625,999.00.
APPROVALS:
State of Colorado:
Bill Ritter Jr r
By: Date:
For the Executiv Dir tor
Colorado Department of Human Services
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This contract is not valid
until the State Controller, or such assistant as he may delegate, has signed it. The contractor is not
authorized to begin performance until the contract is signed and dated below. If performance begins prior
to the date below, the State of Colorado may not be obligated to pay for goods and/or services provided.
tate Controller
D i J. mott, CPA
By:
Dat :
Date Issued: February 10, 2003
Colorado Alcohol&Drug Abuse Division(ADAD)
CPP BUDGET PAGE
CONTRACTOR: Weld County Department of Human Services
PROJECT TITLE: Weld County CPP Project Time Period: 09/30/2008-9/29/2009
Other Other Source
il Annual Full # Hrs/ Total CPP Source Non-Cash/
Category&Line Item Time Salary Mos Wk Budget Funds Cash In-Kind
A.Personnel %
I.CPP Coordinator 1 43,677,00 12 40 43677.00 43677.00 0.00 0.00
Fringe Benefits 28% 12230.00 12230.00
2.Eval Liaison 12,000.00 12 10 12000.00 12000.00 0.00 0.00
Fringe Benefits 0% 0.00 0,00
3.Administrative Assistant 0.00 0.00 0.00 0.00 0.00
Fringe Benefits 0% 0.00 0.00
Total Personnel I 67907.00 67907.001 0.001 0.00
Consultants
I,Youth Coordinator 0.00 0,00 0.00 0.00
2.Subcontractor 0.00 0.00 0.00 0.00
3.OMNI RPC 720.00 0.00 0.00 720.00
Total Consultants 720.00 0.00 0,00 720.00
C.Travel
I.Local 1908.00 1908.00 0.00 0.00
2.Out of Area 2225.00 2225.00 0.00 0.00
Total Travel 4133.00 4133.00 0.00 0.00
D.Operating
I.Training/Conference 0.00 0.00 0.00 0.00
2.Copying/Printing 600.00 600.00 0.00 0.00
3.Meeting Room Rental 300.00 300.00 0.00 0.00
4.Food/Meetings 2,400.00 2,400.00 0.00 0.00
5.Indirect 12,000.00 12,000.00 0.00 0.00
6.Data Collection/HKCS 13,590.00 13,590.00 0.00 0.00
7.Incentives/stipends 1,944.00 1,944.00 0.00 0.00
8.Rent/phone 7,800.00 7,800.00 0.00 0.00
9.Office supplies 300.00 300.00 0.00 0.00
Total Operating 38,934.00 38,934.00 0.00 0.00
E.Implementation
1.Goal I 68,243.00 68,243.00 0.00 0.00
2.Goal 2 4,700.00 3,700.00 0.00 1,000.00
3.Goal 3 960.00 960.00 0.00 0.00
Total Implementation 73,903.00 72,903.00 0.00 1,000.00
Grand Total I $185,597.001 $183,877.001 $0.001 $1,720.00
Contract No: SFY08-09-CPP
EXHIBIT A
ASSURANCES
1. North Range Behavioral Health agrees it is an independent contractor and that its officers
and employees do not become employees of Weld County, nor are they entitled to any
employee benefits as Weld County employees, as the result of the execution of this
Agreement.
2. Weld County,the Board of County Commissioners of Weld County, its officers and
employees, shall not be held liable for injuries or damages caused by any negligent acts
or omissions of North Range Behavioral Health-contracted providers or its employees,
volunteers, or agents while performing duties as described in this Agreement. North
Range Behavioral Health shall indemnify, defend, and hold harmless Weld County, the
Board of County Commissioners of Weld County, its employees, volunteers, and agents.
North Range Behavioral Health shall provide adequate liability and worker's
compensation insurance for all its employees, volunteers, and agents engaged in the
performance of the Agreement upon request, North Range Behavioral Health shall
provide Human Services with the acceptable evidence that such coverage is in effect.
3. No portion of this Contract shall be deemed to constitute a waiver of any immunities the
parties or their officers or employees may possess, nor shall any portion of this
Agreement be deemed to have treated a duty of care with respect to any persons not a
party of this Agreement.
4. No portion of this Contract shall be deemed to create an obligation on the part of the
County of Weld, State of Colorado, to expend funds not otherwise appropriated in each
succeeding year.
5. If any section, subsections, paragraph, sentence, clause, or phrase of this Contract is for
any reason held or decided to be unconstitutional, such decision shall not affect the
validity of the remaining portions. The parties hereto declare that they would have
entered into this Contract and each and every section, subsection, paragraph, sentence,
clause, and phrase thereof irrespective of the fact that any one or more sections,
subsections, paragraphs, sentences, clauses, or phrases might be declared to be
unconstitutional or invalid.
6. No officer, member or employee of Weld County and no member of their governing
bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or
the proceeds thereof.
7. North Range Behavioral Health assures that they will comply with the Title VI of the
Civil Rights Act of 1986 and that no person shall, on the grounds of race, creed, color,
sex, or national origin, be excluded from participation in, be denied the benefits of, or be
otherwise subjected to discrimination under this approved Contract.
8. North Range Behavioral Health assures that sufficient, auditable, and otherwise adequate
records that will provide accurate, current, separate, and complete disclosure of the status
of the funds received under the Contract are maintained for three(3)years or the
completion and resolution of an audit. Such records shall be sufficient to allow
authorized local, Federal, and State auditors, and representatives to audit and monitor
North Range Behavioral Health.
Page 1 of 4
Contract No: SFY08-09-CPP
9. All such records,documents, communications, and other materials shall be the property
of Human Services and shall be maintained by North Range Behavioral Health, in a
central location and custodian, in behalf of Human Services, for a period of four(4)years
from the date of final payment under this Contract, or for such further period as may be
necessary to resolve any matters which may be pending, or until an audit has been
completed with the following qualifications: If an audit by or on behalf of the federal
and/or state government has begun but is not completed at the end of the four(4)year
period, or if audit findings have not been resolved after a four(4)year period,the
materials shall be retained until the resolution of the audit finding.
10. North Range Behavioral Health assures that authorized local, federal, and state auditors
and representatives shall, during business hours, have access to inspect any copy records,
and shall be allowed to monitor and review through on-site visits, all contract activities,
supported with funds under this Contract to ensure compliance with the terms of this
Agreement. Contracting parties agree that monitoring and evaluation of the performance
of the Agreement shall be conducted by appropriate funding sources. The results of the
monitoring and evaluation activities shall be provided to the appropriate and interested
parties.
11. This Contract shall be binding upon the parties hereto, their successors, heirs, legal
representatives, and assigns. North Range Behavioral Health or Human Services may not
assign any of its rights or obligations hereunder without the prior written consent of both
parties.
12. North Range Behavioral Health certifies that federal appropriated funds have not been
paid or will be paid, by or on behalf of North Range Behavioral Health,to any person for
influencing or attempting to influence an officer or employee of an agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress
in connection with the awarding of any Federal contract, the making of any federal grant,
the making of any federal loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any Federal contract,
loan, grant, or cooperative agreement.
13. North Range Behavioral Health assures that it will fully comply with all other applicable
federal and state laws. North Range Behavioral Health understands that the source of
funds to be used under this Contract is Colorado Works or Temporary Assistance for
Needy Families funds.
14. North Range Behavioral Health assures and certifies that it and its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transaction by a federal
department of agency.
b. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or
performing a public (federal, state, or local)transaction or contract under a public
Page 2 of 4
Contract No: SFY08-09-CPP
transaction; violation of federal or state antitrust statutes or commission of
embezzlement,theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the
offenses enumerated in paragraph 11(b) of this certification; and
d. Have not within a three-year period preceding this Contract, had one or more
public transactions(federal, state, and local)terminated for cause or default.
15. The Appearance of Conflict of Interest applies to the relationship of a contractor with
Human Services when the contractor also maintains a relationship with a third party and
the two relationships are in opposition. In order to create the appearance of a conflict of
interest, it is not necessary for the contractor to gain from knowledge of these opposing
interests. It is only necessary that the contractor know that the two relationships are in
opposition. During the term of the Contract, North Range Behavioral Health shall not
enter any third party relationship that gives the appearance of creating a conflict of
interest. Upon learning of an existing appearance of a conflict of interest situation,North
Range Behavioral Health shall submit to Human Services, a full disclosure statement
setting forth the details that create the appearance of a conflict of interest. Failure to
promptly submit a disclosure statement required by this paragraph shall constitute
grounds for Human Services' termination, for cause, of its contract with North Range
Behavioral Health.
16. North Range Behavioral Health shall protect the confidentiality of all applicant records
and other materials that are maintained in accordance with this Contract. Except for
purposes directly connected with the administration of Child Protection, no information
about or obtained from any applicant/recipient in possession of North Range Behavioral
Health shall be disclosed,in a form identifiable with the applicant/recipient or a minor's
parent or guardian unless in accordance with North Range Behavioral Health written
policies governing access to, duplication and dissemination of, all such information.
North Range Behavioral Health shall advise its employees, agents, and subcontractor, if
any, that they are subject to these confidentiality requirements. North Range Behavioral
Health shall provide its employees, agents, and subcontractors, if any, with a copy or
written explanation of these confidentiality requirements before access to confidential
data is permitted.
17. Proprietary information for the purposes of this Contract is information relating to a
party's research, development,trade secrets, business affairs, internal operations and
management procedures and those of its customers, clients or affiliates, but does not
include information (1) lawfully obtained from third parties, (2)that which is in the
public domain, or(3)that which is developed independently. Neither party shall use or
disclose directly or indirectly without prior written authorization any proprietary
information concerning the other party obtained as a result of this Contract. Any
proprietary information removed from the State's site by North Range Behavioral Health
in the course of providing services under this Contract will be accorded at least the same
precautions as are employed by North Range Behavioral Health for similar information in
the course of its own business.
Page 3 of 4
Contract No: SFY08-09-CPP
18. North Range Behavioral Health certifies it will abide by Colorado Revised Statue
(C.R.S.)26-6-104, requiring criminal background record checks for all employees,
contractors, and sub-contractors.
19. North Range Behavioral Health certifies that it shall comply with the provisions of
Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. North Range Behavioral Health
shall not knowingly employ or contract with an illegal alien to perform work under this
Contract or enter into a contract with a subcontractor that fails to certify to North Range
Behavioral Health that the subcontractor shall not knowingly employ or contract with an
illegal alien to perform work under this Contract. North Range Behavioral Health
represents, warrants, and agrees that it(a) has verified that it does not employ any illegal
aliens, through participation in the Basic Pilot Employment Verification Program
administered by the Social Security Administration and Department of Homeland
Security, and(b) otherwise will comply with the requirements of C.R.S. 8-17.5-
102(2)(b). North Range Behavioral Health shall comply with all reasonable requests
made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado
Department of Labor and Employment. If North Range Behavioral Health fails to
comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Human
Services may terminate this Contract for breach and North Range Behavioral Health shall
be liable for actual and consequential damages to Human Services.
Except where exempted by federal law and except as provided in C.R.S. 24-76.5-103(3),
if North Range Behavioral Health receives federal or state funds under this Contract,
North Range Behavioral Health must confirm that any individual natural person eighteen
(18)years of age or older is lawfully present in the United States pursuant to C.R.S. 24-
76.5-103(4) if such individual applies for public benefits provided under this Contract. If
North Range Behavioral Health operates as a sole proprietor, it hereby swears or affirms
under penalty of perjury that it(a) is a citizen of the United States or is otherwise
lawfully present in the United States pursuant to federal law, (b) shall produce one of the
forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one
of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of
this Contract.
Page 4 of 4
Contract No: SFY08-09-CPP
EXHIBIT B
CONTRACT BETWEEN COLORADO DEPARTMENT OF HUMAN SERVICES AND
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
ROUTING NO. 08-IHM-00161
Table of Contents
Section Description Page Nos.
1. Contract Page 1 of 11 Pages
2. Exhibit A—Additional Provisions Page 1 of 7 Pages
3. Exhibit B — Phase 2 Strategic Plan and Budget Page i through 41 Pages
4. Exhibit C—Contractor Response Page i through 14 Pages
5. Exhibit D—CPP General Guidelines Page i through 19 Pages
6. Exhibit E—CPP Budget Page Page lof l
7. Exhibit F—Option Letter Page lof 1
8. Exhibit G— Sample Bilateral Change Order Letter Page 1 of 1
9. Exhibit H— Sample Funding Letter Page 1 of 1
Page 1 of 1
Attachments - Colorado Prevention Partners Continuation Application for Funds (AFF)
2008-2009
Attachment Section
Colorado Prevention Partners
Continuation Application for Funds (AFF)
2008-2009
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment I
ASSURANCES
(For Reference Only—Do Not Sign)
This itemization of Assurances is to be read, each assurance initialed, and the document signed
by the autographic signature of the Applicant or an officer of the Applicant legally authorized to
execute contractual obligations to indicate that the Applicant agrees to comply with the
Assurances through the end of the grant period. An original of these pages must be included with
your original hardcopy Response to this Continuation Application for Funding
ACCEPTANCE OF CPP APPLICATION TERMS AND CONDITIONS: An application
submitted in response to this application is a binding offer. ADAD assumes that by submitting
an application the Applicant acknowledges all Terms and Conditions of the Application.
APPLICATION CONTENT ACCEPTANCE: The contents of the response (including
persons specified to implement the project) of the successful Applicant will become contractual
obligations if acquisition action ensues. Failure of the successful Applicant to accept these
obligations in a contract, purchase document, delivery order or similar acquisition instrument
may result in cancellation of the award and such Applicant may be removed from future
solicitations.
INCURRING COSTS: The State of Colorado is not liable for any cost incurred by
Applicants prior to issuance of a legally executed contract. No property interest of any nature
must occur until a contract is awarded and signed by all concerned parties.
PRIVACY, CONFIDENTIALITY: The Applicant will comply with all federal and state
laws, regulations and rules related to the privacy and confidentiality of client information,
records, etc., including compliance with both 42 CFR Part 2 and HIPAA, where applicable,
throughout the duration of any resulting contract. (http://www.hiPaa.samhsa.gov/Priyacvmle.htm)
CHARITABLE CHOICE: Faith-based recipients have read, understand and will comply
with Charitable Choice Provisions and Regulations found in 42 CFR Parts 54 and 54a.
(http://www.access.epo.Rov/nara/cfr/waisidx 03/426.54 03.html)
Handwritten Signature by Authorized
Date
Officer of Fiscal Agency
or Agent of Applicant
2
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment II
TERMS AND CONDITIONS
(For Reference Only—Do Not Sign)
Colorado Prevention Partners and The Alcohol and Drug Abuse Division, Prevention Services
Section, require the following Terms and Conditions for any County or Tribal Community
funded by this contract. The applicant's signature at the end of this section, returned with the
Continuation Application, signifies that the applicant understands and agrees to the terms and
conditions as well as agreements for participation.
A. Terms and Conditions
• All activities supported by ADAD/CPP funding including printed materials, notice of
these materials or trainings on websites, etc., must acknowledge ADAD, COLORADO
DEPARTMENT OF HUMAN SERVICES, COLORADO PREVENTION PARTNERS
and CSAP/SAMHSA as the funding sources, using the ADAD, CDHS, CPP and
SAMHSA logos when appropriate.
• All collections—data requirements, training materials, videos, books, files such as
evaluation instrument files, and other library collections—purchased under a contract
resulting from this application may be requested to be returned or given to another
recipient at ADAD's option, when the contract ends.
• Any equipment purchase over $1,000 must first be approved by ADAD as part of the
ongoing Continuation Application review. All equipment valued at $2,500 or over which
is purchased under a contract resulting from this Continuation Application may be
requested to be returned or given to another recipient at ADAD's option, when the
contract ends.
• All computer equipment and software used to implement any contract resulting from this
Continuation Application must be compatible with ADAD's requirements and must meet
evaluation requirements. Funds can be budgeted for that purpose. (Only one computer
purchase is allowed per contract per grant.)
• Communities are also strongly encouraged to use CPP dollars to support an upgrade of
internet service (e.g. high speed line, DSL etc.). Dial-up internet access will cause
increased delays in data entry.
Current minimum requirements:
IBM PC or compatible, Pentium class (II or III) CPU, VGA 800x600, 16mb Ram,
tomb free hard drive space, 56.6k modem, Windows 95 and up or NT 4.0 and up,
Internet connection (regular phone line) with Microsoft Internet Explorer browser 5
and up.
3
Colorado Prevention Partners AFF Continuation Application 2008-2009- Attachments
If you are purchasing new equipment,the following set ups are recommended:
If stand-alone workstation: Pentium III 450+ CPU, SVGA 8mb video card, 64mb+
SDRAM, 6GB hard drive, CD-ROM, sound card and speaker, 56k modem or high
speed connection through DSL or cable, Windows 98 or 2000, Microsoft Explorer
browser 5 and up.
If on a network: Pentium III 450+ CPU; SVGA 8mb video card; 128mb+ SDRAM;
6GB hard drive, CD-ROM; sound card and speaker; Ethernet network card; high
speed connection through DSL, Frame Relay, or TI line; Windows 98 or 2000;
Microsoft Explorer browser 5 and up
Web Browser:
The web browser supported by the CO Prevention System is Microsoft Internet
Explorer (IE). Currently Mozilla Firefox, Netscape, AOL, MSN and other browsers
are not supported. They may function, but not to design specifications. We
recommend users have the latest version of IE installed on their computer along with
the updates provided by Microsoft(which are released periodically).
• Any agency receiving a contract resulting from this Continuation Application must have
an e-mail address.
• No Federal appropriated funds will be used for any activity that would he deemed as
lobbying.
• Any agency receiving a contract resulting from this Continuation Application for
Funding whose staff, subcontractors and volunteers have direct contact with
children/youth or other vulnerable populations must have a background screening policy
in keeping with CRS 27-1-110 that requires fingerprinting and a nationwide criminal
check (including Colorado) for felonies, misdemeanors and outstanding warrants. This
screening is permitted under CRS 24-72-305.3 (Part II,Overview).
• No vehicles will be leased or purchased under any contracts funded by this Continuation
Application for Funding.
• Indirect rates are not to exceed 20%. The applicant must justify in the "budget narrative"
section all costs that have been placed in both the "direct" and "indirect"categories. The
process for arriving at the costs listed must be clearly described.
4
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Colorado Department of Heinen Services
people who help people A !8 76
Instructions for Colorado Prevention Partners Continuation Application
September 30,2008-September 29,2009
Use this page as a checklist to ensure inclusion of all required pages.
❑ Review 08-09 CPP Continuation Application:
❑ Instructions and timeline
❑ Attachments
❑ Modify forms as needed(including HKCS Reporting Request Form)
❑ Sign and submit 2008-2009 Work Agreement
❑ Complete Cover Page(Part I)
❑ Complete ADAD Prevention Program Directory Summary(Part 2)
❑ Describe any changes from your 2007-2008 AFF response and the rationale for those
changes(Part 3)
❑ Complete CPP Program Outcomes Narrative Summary(Part 4)
❑ Submit a revised Strategic Prevention Plan(see Part 5 for directions)using the original
format
❑ Complete the Line Item Budget and Budget Narrative for year 2008-2009(Part 6)
❑ Send one electronic copy of the application to Melody.Dursostate.co.us no later than
close of business Tuesday,July 15,2008
❑ If you have electronic signature technology,send the signed cover page(Part 1)
with your electronic copy
❑ If you do not have electronic signature technology, mail the signed cover page
(Part 1)to the address below no later than close of business Tuesday, July 15,
2008.
By mail or hand delivered:
Alcohol and Drug Abuse Division
4055 South Lowell Blvd
Denver,CO 80236
Attention: Melody Durso
adad
Alcohol and Drug Abuse Division
Colorado Prevention Partners 2008-1009 Continuation Application
'.__- f Formatted:Bottom: 0.13'
.
CPP Application for Continuation Funding
Cover Page 2008-2009
Fiscal Agent Weld County Department of Human Services
Address 315 North I I'a Avenue,Greeley,Co.80631
Central Telephone 970 352-1551 Fax 970 353-5215
Fiscal Contact Person Lennie Bottorff
Email
Phone Number 970352-1551 x6530 Address bettorll@co.weld.co.us
Total Amount Requested(Must agree with budget forms) $ 183,876.56
2. Project Director/Coordinator Maria"Nomie"Ketterling
Agency Employed By North Range Behavioral Health/Island Grove Treatment Center
Address 1260 H Street Greeley,CO 80631
Phone 970 313-1159 Email Address maria.ketterling@northrange.org
Name of CPP Project Weld County Colorado Prevention Partners(CPP)
3. APPROVALS:
a.Officials Authorized to Sign Contract
"1--1LG>. JUL 1 6 2008
William 11.lathe,Weld Cou Commissioner Date Phone
7 ( 110(c a 70. 352 - 1551
Judy go,Dire for Dat Phone
Billing Address P.O.Box A,Greeley,Co 80632
Federal Tax ID Number #84-6000813
b F' ancial) leer r e Contractor
7hylox T7o-IC2.-isS- 1-eii--( CCg7
Lennie B..• `, .scal and Budget Manager Date Phone
Colorado Prevention Partners 2008-1009 Continuation Application
2.
ADAD Prevention Contract Directory Summary
Please complete the following items. Your responses will be used in the ADAD
Prevention Directory and ADAD's website so, please be clear and concise.
Fiscal Agency Name Weld County Department of Human Services
Fiscal Agency Director Judy Griego
Telephone 970 353-1551 800 Number Fax 970 353-5215
Fiscal Agency Director's Email Address greigoja@co.weld.co.us
Website Address www.weldhumanservices.org
Program Title: Colorado Prevention Partners Weld County Colorado Prevention Partners Formatted:Right: 0.48",Tabs:
Program(CPP)Coordinator Maria"Nomie"Ketterling 1.34",Right+ 2",Left
Program Mailing Address 1260 H Street,Greeley,Co. 80631
Coordinator Email Address maria.ketterling@northrange.org Telephone 970 313-1159
•-------{Formatted Table
Prevention Strategies
XX Information Dissemination Alternative Drug-Free Activities
Problem ID and Referral XX Prevention Education
XX Environmental Strategies
Community-Based Process(list training and technical assistance)
Other activities or services delivered to individuals
Other activities or serviced not delivered to individuals
Geographical region(s)served by this program
Target Populations(check all that apply)
African
American Pregnant women _ Asian/Pacific Islander
White Hispanic Elementary school students
Middle
school
XX students XX High school students College students
Under 18 Under 21 Young adults(18-25)
Construction American Indian/ Gay/lesbian/bisexual/transgender/
workers Alaska Native men who have sex with men
Other target population
(describe)
XX Parents/community
2
Colorado Prevention Partners 2008-1009 Continuation Application
Project Description
The WC CPP is a Colorado Prevention Partners(CPP)project funded by the Substance Abuse and Mental
Health Services Administration's(SAMHSA)Center for Substance Abuse Prevention's Strategic
Prevention Framework State Incentive Grant.
WC CPP Mission Statement:To promote a safer, healthier Weld County through strategies that prevent
and reduce substance abuse.
The WC Colorado frevention Partner's strategic prevention plan includes the following evidence-based Deleted:PP's
strategies using a multi-tiered approach.
I. Community Environmental Strategies:
• Community Trials-Responsible Alcohol Retailer Group forming and to begin implementation
summer'08.
• Keep Events Festive and Safe- Supporting law enforcement at the Greeley Stampede to provide
police officers at the event.
• Social marketing-Windsor and Greeley to begin the process this summer with the likely focus on
parents.
• Social Norms-Team Fort Collins ACTUALITY campaign to be implemented in Windsor High
School fall '08.
H. Family/Parents and Youth:
• Substance Abuse Prevention Handbook-Dissemination/Education in Windsor High School
complemented with facilitated sessions for faculty/staff and parent/community held at the Windsor
Recreation Center.
• Family Classes for parents and MS youth-to be implemented in Greeley School District 6 through
the school-based health centers.The model currently being researched is the Strengthening
Families which includes both parents and youth.
• Life Skills curriculum to supplement health sessions of ninth graders in Greeley School District 6.
• Functional Family Therapy model to fill the need of addressing youth who selected and indicated
in Greeley School District 6 provided by North Range Behavioral Health.
Information dissemination/Education - Supporting community wide prevention events/activities in the
area-Tailgate the Safety Way, Substance Abuse Summit with IOG/JAC,the 9 Health Fair and Journey-
a young women's conference and paid advertising in the Windsor Beacon-Prevention TIP of the Month
which is geared towards parents.
3
Colorado Prevention Partners 2008-1009 Continuation Application
3.
Changes for FY 2008-2009 from Original RFP Response
In Parts A and B,please describe any changes from your 2007-2008 AFF response and the
rationale for those changes. If there are no changes from last year's application,please continue
with Part 4 of the application.
A. Community Wide Collaboration/Planning
• Target Community
• K-12
• Higher Education
Aims Community College located in Greeley,Colorado has made a recent
commitment to engage with WC CPP for their students. Aims is a community
college with recent expansion to their student numbers(with more younger aged
students) and programming. Along with six other Team Greeley members,an Aims
representative attended social norms training with ACTUALITY Summer Camp.
• Youth Engagement
• Cross-Discipline/Cross-Agency Collaboration
B. Prevention Infrastructure Development
• Prevention Policy Board
• Community/Coalition Infrastructure Development
• Cultural Responsiveness
• Sustainability
4
Colorado Prevention Partners 2008-1009 Continuation Application
4.
Program Outcomes Narrative Summary
For each of the following questions,please answer in 2-3 paragraphs or less. The purpose is to
be brief Feel free to add additional information.
A. Please describe how the Strategic Prevention Framework process has contributed to your
efforts to prevent or reduce underage drinking.Please refer to your local data in your
discussion.
Issue Statements/Supporting Data:
From the needs assessment conducted in 2007 and an updated look at the Healthy Kids Colorado
Survey data in 2008,there are high rates of reported alcohol use by students in Weld County. As
compared to the state and other urban counties(Denver,Mesa,and Pueblo),Weld is either
higher or comparable in 30-day alcohol use and 30-day binge drinking among juveniles and
young adults. In addition, in 2002 and 2003 Weld County had higher rates of Alcohol Related
Fatal Accidents among 15-20 year olds than state and these urban counties.These numbers speak
to a need to have strategies in place for the more indicated and selected populations.
There is a rise in 30 day use from grades 7th tol2th,coupled with reports of favorable attitudes
to drug use(by youth and parents),low perceived risk,and easy access to alcohol in middle and
high school aged youth were reported through surveys and focus groups. Weld County's Health
Status Report 2006,as well as the standard indictors from ASPIRE,provide a picture of some of
the consequences of underage drinking such as the high rates of alcohol-related car crashes,
underage alcohol treatment admission rates,teen pregnancy and attempted suicides. These are of
great concern to the Coalition.Also troubling are high rates of youth antisocial behaviors,
favorable attitudes of parents toward antisocial behaviors, and a steady decline of parental
involvement from middle school through high school.Misdemeanor alcohol filing rate was also
higher than the state average for Weld County.
In examining the consumption,consequence,and causal data in conjunction with the resource
assessment,there is a need for dissemination of information and broad-based environmental
strategies to address the prevention of underage drinking in Weld County. Also, as it regards the
data on 30 day binge drinking and alcohol-related car fatalities,there is a need to address the
indicated and selected population in addition to the universal strategies.There are also a
variety of programs/practices/policies that have been identified and have been integrated into the
implementation of the plan.
One of the identified communities- Windsor has demonstrated in numerous ways their readiness
for the CPP project. Windsor schools and parents have cooperated since the beginning of 2007,
asking for assistance with the concerns the community was having for substance use at the high
school level. The community group morphed into the CPP community coalition in Windsor
called WC CPP TEAM WINDSOR and began meeting regularly May 2007. TEAM WINDSOR
membership includes representatives from all levels in the Windsor school district,parents and
grandparents,police,treatment professionals, health professionals,journalist,local media,and
other interested citizens. The group actively identified and acquired parent information in the
5
Colorado Prevention Partners 2008-1009 Continuation Application
purchase of the"Parent Guidebook to Substance Abuse Prevention"though the Circle of
Concern Consortium and than developed a local resource list as an attachment. The guidebooks
were systematically placed in the hands of every high school and middle school family by
February 2008. Elementary school is also included in the distribution. Parents who have been
involved in the smaller forums have identified the need to have more community-wide
messaging,hence TEAM WINDSOR will be developing a social marketing campaign for
parents and have been doing information dissemination in the newspaper.
The other identified community is Greeley/UNC/AIMS. Greeley schools have been on academic
watch from the State of Colorado until recently. The focus has been on improvement in all
academic areas at all levels. The school District has been cooperative in the administration of
the HKCS and participated in the CDE school engagement activities as a part of the WC CPP
efforts. A pilot pro bono project in the schools,Functional Family Therapy(FFT)for selected
and indicated populations,was implemented by North Range Behavioral Health(NRBH)and
WC CPP in the Spring of'08. FFT has proven successful and will be offered in the next school
year. Other seeds have been sowed with regard to more prevention strategies in the schools,for
example, Strengthening Families,social norms and supplementing the health curriculum with
decision making/life skills tools.TEAM GREELEY has also identified the need to do a social
marketing campaign in the community and might be coordinated with Windsor depending on the
selected behavior/outcomes and target audience. A social marketing campaign might also
involve the Responsible Alcohol Retailers Group/Community Trials.
B. Please describe your 2007-2008 project successes and challenges/lessons learned.
CHALLENGES:
1.Turnover and attrition is a CHALLENGE: Since beginning this work in Weld County,
members have joined and left,(including two OMNI RPC's). Community coalition
membership and agency representation on the community coalition changes. The
CHALLENGE of new members is to orient and ground each new member in the SPF
SIG framework and the history and goals of WC CPP. Also Island Grove Treatment
Center is merging with North Range Behavioral Health (NRBH). WC CPP staff will be a
part of the NRBII Youth and Family team. Weld County Social Services is merging with
Weld County Human Services but will continue to be the WC CPP fiscal agent.
42. Also a CHALLENG is that the"process"of coalition work takes time,and lots of it! -- (I Deleted:Others
Since decisions and discussions happen with many voices,at meetings and trainings the
work is slow. It is important to provide a forum for networking and discussions,as well
as decision-making/visioning for the group. Consequently,the work of coalition building
and introduction to the framework and the science of prevention has to happen to identify
prevention strategies that may be implemented
SUCCESSES:
The SUCCESS of the community coalition comes from commitment and hard work from (I Deleted:has been exceptional
all the members. The WC CPP community coalition structure has provided effective . I Deleted:since It I)
Ieadership_From Jhe two CO-CHAIRS whom were selected from each identified - I Deleted:fonned as the
community and team: TEAM GREELEY and TEAM WINDSOR. This executive board Deleted:
consisting of the four CO CHAIRS have worked together;o solve problems,find - Deleted:ha
resources and guide the WC CPP work.Group decisions are meaningful and accepted.
I Deleted:communicat
6
Colorado Prevention Partners 2008-1009 Continuation Application
Kacy Murray a TEAM WINDSOR CO CHAIR has become the WC CPP Evaluation
Liaison.
C. Besides what you are currently doing as part of the statewide evaluation of CPP,please
describe any current or planned local evaluation efforts for your CPP project.That is,
what are you measuring;how are your using your data?For example,are you conducting
a community survey?How often?How does it inform your local evaluation efforts?(If
you include the CLI,please describe how you are using that information to inform your
local evaluation efforts.)
1. Locally,the results of the HKCS has been shared in a number of planning venues. - -. Formatted:Indent:left: 0.5 First
line: 0^
The data is being used for grant writing in Fort Lupton Schools,for prevention planning `
in Greeley Schools,and shared with the Windsor School Board for information and
planning as they implement a social norm campaign this fall '08. In addition,working
with the WC Department of Health and Environment,WC CPP has had discussions
regarding the results of the YRBS and how best to administer the fall '08 surveys and to
benefit from the data in our organizations and community.
2. A pro bono pilot FFT project was made available to School District 6 youth by North
Range Behavioral Health with the intention that WC CPP would support the project if
positive outcomes/feedback were received. The project is deemed"successful"by the
District 6 Administration and Weld County Probation both reporting that youths/families
involved are in school and making healthy progress,
D. Describe collaborations related to your CPP work and how such collaborations have
impacted your efforts. If you have identified areas where increased collaboration
between organizations or sectors would lead to increased positive outcomes,please
briefly describe your ideas.
WC CPP collaborates with many organizations and agencies in the two targeted
communities,as well as working with eight school districts to administer the HKCS in
the fall. The membership list of WC CPP community coalition members includes a
number of schools,Probation,Social Services,State Liquor Enforcement,the Windsor
and Greeley Police Departments,private treatment providers and health professionals,
local recreation center,the lOG executive director, Aims Community College,the
University of Northern Colorado.the Health Department.concerned citizens,business
owners,parents and grandparents and retired professionals. Youth have been involved as
an"advisory group"to WC CPP through Windsor High School. WC CPP is hopeful to
expand this"advisory group"and the contribution it can make to the WC CPP project.
Here are some specific examples of collaboration and impact:
-WC CPP has been asked for letters of support from the WC Tobacco Coalition,the Weld---- • Formatted:Indent:Left: 0.5",First
County Health Department and School District 6. line: 0",Border:Right:(Single solid
P line,Auto, 0.5 pt Line width)
-WC CPP is collaborating with the IOG/PPB to assist with the October 2008 Substance
Abuse Summit in Greeley. The WC CPP Coordinator participates with the planning
committee.
7
Colorado Prevention Partners 2008-1009 Continuation Application
-WC CPP has contracted with Team Fort Collins for assistance with their social norm
project called"ACTUALITY"and their Responsible Alcohol Retailers group- RAR.
-WC CPP partnered with the Greeley Police Department to provide law
enforcement/officer for the Greeley Stampede event.
-WC CPP has coordinated with North Range Behavioral Health(NRBH)to support the
Functional Family Therapy project at School District 6.
-WC CPP coordinated with School District 6 and the CDE school engagement
application to provide the Prevention Institute and focus groups for WC school staff.
-WC CPP are sponsors with many agencies for community events, including the Weld Formatted:Indent:Left: 0.5•,First
County Department of Health and Environment on the"Tailgate the Safety Way"event. line: 0 Border:Right:(Single solid
line,Auto, 0.5 pt Line width)
-WC CPP has coordinated with Weld County Department of Health and Environment on
planning the administration of HKCS in School District 6.
-WC CPP provided through Island Grove Treatment Center trained facilitators to provide 4- Formatted:Indent:Left: 0.5",First
education/information and planning for the Windsor School District faculty/staff and line: Q°,Border:Right:(Single solid
line,Auto, 0.5 pt Line width)
parents/community around the Guide for Substance Abuse Prevention. Those
guidebooks were purchased with WC CPP dollars in addition to monies from the Town
of Windsor, the Windsor Chamber of Commerce and local service club contributions_
-WC CPP has purchased paid advertising with the local newspaper the Windsor Beacon _..--f Formatted:Font:Italic }
for a monthly Prevention TIP. This non-profit arrangement comes after months of free
coverage of the WC CPP Team Windsor activities.
-It is anticipated that implementation of prevention strategies will occur in Greeley
School District 6 and possibly,at Aims Community College-both entities are interested
in social norming.
-Additionally,as WC CPP Team Greeley continues to work on the goal of reduction of
retail access in Weld County. We anticipate working closely with business owners and
operators to develop a Responsible Alcohol Retailers group that will meet regularly,
create RAR by-laws,a code of ethics,advertising standards,and enforcement
considerations,and continue to make available beverage server trainings for new
employees and establishments in Weld County_ This will also include a close working
relationship with law enforcement.
E.Please share any ideas for further support of technical assistance needed to carry out
your work.
Support for the writing of subcontracts,training of trainers in identified strategies,
assistance with budget revision when necessary,facilitator for the Substance Abuse
Summit to be held October 2008,searching for appropriate strategies to
implement/curriculum and supplemental materials for in school projects,application
writing,budgeting and evaluation of implemented strategies.
F. Please share with us any recommendations;you have for the CPP grant making or
reporting process.
1 appreciate the text boxes that make it easier to submit the request electronically. The
technical assistance and support from OMNI staff is priceless.
The availability of funds from CDE as well as ADAD(carry over dollars)do not
coincide with the planning process and are difficult to budget and spend out in the federal
fiscal year.
Colorado Prevention Partners 2008-1009 Continuation Application
5.
Strategic Prevention Plan
. Please submit an updated copy of your Strategic Prevention Plan as an attachment. Please work
with your Regional Prevention Consultant regarding the format for presenting updates.
Implementation Planning Template Format
Narrative story:
In Weld County, our readiness assessments told us that some sectors of the county were unaware
of the problems with underage drinking and/or not ready to work on solutions. In some cases,
there may have been more pressing issues such as in Greeley School District 6-the need for
academic recovery-making it difficult to make inroads into the District 6 schools. hi Windsor,
the schools were the driving force for change. The underage drinking concerns for Windsor
schools,parents and community have spurred the efforts to raise awareness,educate and effect
the misunderstood perceptions. Parents were clamoring for information about how to talk to
their kids and school personnel wanted tools to identify and address substance use violators.
Through a number of approaches, WC CPP has made inroads into raising awareness and
providing guidance and resources to the communities to implement strategies into the two-
targeted communities of Greeley and Windsor.
Goals/Objectives:
Overall goals and objectives were a result of three strategic planning sessions held in March
2007 and strategies were selected based on a set of criteria,which includes having broad-based
applicability to Weld County as a whole.Draft versions of the goals/strategies* were then
presented to key Coalition members for discussion and feedback;final versions are shown below
and have evolved since the first version of the plan.
* In May 2008 the WC CPP invited community and coalition members to revisit the original
plan at a Spring Retreat facilitated by OMNI staff,resulting in approaches reflected in the work
plan provided. The WC CPP Prevention plan document has been a useful tool that has guided
the WC CPP work in our county.
1.To modify social norms accepting/encouraging youth drinking and reduce social access to
alcohol by middle and high school aged population using a multilevel parent, school, and
communitywide program designed to be alcohol specific.
2.To reduce access and availability of alcohol to Middle School and High School youth by
reducing retail and social access through increased enforcement of underage drinking
laws/penalties.
3.To modify the social norms accepting/encouraging youth drinking alcohol and reduce social
access of alcohol to youth through the strategy of keeping special events festive and safe in
Windsor and Greeley(to be addressed in year two of implementation).
9
• Colorado Prevention Partners 2008-1009 Continuation Application
GOAL 1 -Team Greeley
To modify social norms accepting/encouraging youth drinking and reduce social access to
alcohol by middle and high school aged population using a multilevel parent,school, and
communitywide program designed to be alcohol specific.
OBJECTIVE 1.1 - Explore strategies/resources that provide in school or community prevention
education and support to parents/families and youth.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
1. In school: introduce Introduce August 2008- -CPP Coordinator and
and/or shore up ongoing Evaluation Liaison
parent/family support -School Administration and
opportunities through allies at District 6
existing programs at -Comprehensive Health
District 6 such as,PBS staff at District 6
parent training at the middle
school level and implement
new models through school
based health centers i.e.
Strengthening Families for
parent and MS youth.
2. In community: support Introduced in District 6 -CPP Coordinator
Functional Family Therapy spring 2008-ongoing 2008 -NRBH FFT Team Leader
being provided by NRBH. -District 6 Administration
The schools will be
providing referrals. Fall 2008-ongoing -CPP Coordinator
-District 6 staff
3. In school: provide
supplemental materials for
the adopted Health
curriculum-the Glencoe
model that will focus on
decision-making and life
skills for ninth graders.
OBJECTIVE 1.2 - Explore media campaign at middle school or high school level.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
Introduce school August-December 2008 -CPP Coordinator
administration to social -Social norm project staff
norm theory and model and -OMNI staff
social marketing at the
Prevention and Health
Institute-to be held August
6 and 7,2008.
10
•
Colorado Prevention Partners 2008-1009 Continuation Application
OBJECTIVE 1.3-To conduct a social marketing/media campaign in the community to focus
on family/parenting.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
I. 1. Introduce concept and Beginning summer 2008- -CPP Coordinator
model;begin selection of ongoing -Team Greeley members
behavior/outcome based on -OMNI Staff
data and community
information.Answer the
six essential questions
through a facilitated
process and research,
including:targeted
behaviors and audience,
benefits to promote,costs
to address,products to
support change,and
_promotion/places.
2. Test messaging and Fall 2008 -CPP Coordinator
work with designer and -Team Greeley members
anticipate promotion in the -OMNI Staff
community via newspaper,
TV,radio,table tents,
posters,door hangers,
billboard,etc...
3. Launch of ongoing January 2009 -CPP Staff
campaign. -Team Greeley members
-OMNI Staff
4. Continue monitoring and January-September 2009 -CPP Staff
revision as necessary of the -Team Greeley member
campaign. -OMNI Staff
GOAL 2-Team Greeley
To reduce access and availability of alcohol to Middle School and High School youth by
reducing retail and social access through increased enforcement of underage drinking
laws/penalties.
OBJECTIVE 2.1 -Implement"Community Trials"interventions in our community-Community
Mobilization.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
WC CPP brought Dr. February 2008 -Co Chair Team Greeley
Treno, CA of"Community -CPP Coordinator
Trials"to Greeley to -Team Greeley members
introduce and train including City of Greeley
community coalition Clerk to the Liquor Board
members. and Greeley Police
(.Community mobilization: Summer 2008-ongoing Department
n
Colorado Prevention Partners 2008-1009 Continuation Application
Contact and organize a
Responsible Alcohol
Retailers groups to meet
regularly and create by-
laws, code of ethics and
standards around the service
and access of alcohol to
minors.
OBJECTIVE 2.2-Implement"Community Trials" interventions in our community-
Responsible Beverage Server training.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
Training alcohol retailers Fall 2008 -ongoing -Trainers provided by CPP
and servers to avoid selling -Consultants from Greeley
to minors and those who Police Department
provide alcohol to minors.
OBJECTIVE 2.3 Implement"Community Trials"interventions in our community-
Community member recognition.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
Recognition of those Summer 2008-ongoing -Co Chair Team Greeley
retailers who are in -CPP Staff
compliance with state and -Consultants from State
local compliance checks Liquor Enforcement
through media articles and
certificates/plaques.
GOAL 3-Team Greeley
To modify the social norms accepting/encouraging youth drinking alcohol and reduce social
access of alcohol to youth through the strategy of keeping special events festive and safe in
Windsor and Greeley(to be addressed in year two of implementation).
OBJECTIVE 3.1 -Implement"Community Trials"interventions in our community-law
enforcement and compliance.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
Support the Greeley Police Summer 2008 -CPP Coordinator
Department and the -Team Greeley members
Colorado State Liquor from law enforcement-the
enforcement to shore up Greeley Police Department,
existing compliance UNC Police Department
operations and enforcement
of state and local liquor
laws at the Greeley
12
Colorado Prevention Partners 2008-1009 Continuation Application
Stampede and other
community events.
GOAL 1 -Team Windsor
To modify social norms accepting/encouraging youth drinking and reduce social access to
alcohol by middle and high school aged population using a multilevel parent,school,and
communitywide program designed to be alcohol specific.
OBJECTIVE 1.1- Provide education and information dissemination to parents and families.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
I.Distribution of Began in July 2007- -CPP Coordinator
educational, parenting and ongoing -Team Windsor members
prevention materials to -Windsor School Staff
parents and families at all
school levels. Free-
"Substance Abuse
Prevention Guidebook to
Parents"and other
materials.
OBJECTIVE 1.2- Implement a social norms campaign called-ACTUALITY in Windsor
High School-to reduce underage drinking and related risky behaviors in and around the
community of Windsor.
Note: ACTUALITY will provide training,implementation and evaluation of this social norm
campaign in the Windsor High School. Seven WC CPP coalition members attended a two and one
half day social norm training provided by ACTUALITY,June 2008.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
I. Initial two day training September 2008-June 2009 -Team Fort Collins-
and site visit ACTUALITY staff
2. Data/survey coordination -CPP Coordinator
and consultation -Team Windsor members
3.Technical assistance and -Windsor School staff
trouble shooting
4. Youth marketing
strategic development and
research/creative
development and ongoing
youth marketing
consultation.
5 Follow-up site visits,
consultation and
management
13
Colorado Prevention Partners 2008-1009 Continuation Application
OBJECTIVE 1.3-Implement a community based social marketing focused on parents.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
I. Introduce concept and Beginning summer 2008- -CPP Staff
model;begin selection of ongoing -Team Windsor members
behavior/outcome based on -OMNI Staff
data and community
information. Answer the
six essential questions
through a facilitated
process and research,
including: targeted
behaviors and audience,
benefits to promote,costs
to address,products to
support change,and
promotion/places.
2. Test messaging and Fall 2008 -CPP Staff
work with designer and -Team Windsor members
anticipate promotion in the -OMNI Staff
community via newspaper,
TV,radio,table tents,
posters,door hangers,
billboard,etc...
3.Launch of ongoing January 2009 -CPP Coordinator
campaign. -Team Windsor members
-OMNI Staff
4. Continue monitoring and January-September 2009 -CPP Staff
revision as necessary of the -Team Windsor members
campaign. -OMNI Staff
OBJECTIVE 1.4-To effect school policy for substance use violations.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
1. Establishing a Fall 2008 -Windsor School staff
philosophy of concern -Team Windsor members
instead of punishment for -Juvenile Assessment
those students who have Center staff
substance use violations.
Recommendations from
Team Windsor are
currently being presented
to the Windsor school
board. Students will have
an option for
assessment/evaluations and
14
• Colorado Prevention Partners 2008-1009 Continuation Application
referrals for
classes/treatment that will
defer expulsion/suspension
time by the school.
GOAL 2-Team Windsor
To reduce access and availability of alcohol to Middle School and High School youth by
reducing retail and social access through increased enforcement of underage drinking
laws/penalties.
OBJECTIVE 2.1 -Implement"Community Trials"interventions in our community-Community
member recognition.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
Recognition of those Spring 2008-ongoing -Co Chair Team Greeley
retailers who are in -CPP Staff
compliance with state and -Consultants from State
local compliance checks Liquor Enforcement
through media articles and
certificates/plaques.
GOAL 3-Team Windsor
To modify the social norms accepting/encouraging youth drinking alcohol and reduce social
access of alcohol to youth through the strategy of keeping special events festive and safe in
Windsor and Greeley(to be addressed in year two of implementation).
OBJECTIVE 3.1-To educate/inform/disseminate prevention information to the
community.
ACTION STEPS TIMEFRAME RESPONSIBLE PARTIES
I,Participate in Fall 2008-ongoing -WC CPP Coordinator
school/community -Team Windsor members
health/activity booths and -Windsor school personnel
venues to distribute
prevention information. i.e.
Spirit Night at the Windsor
school
2.Create and publish a April 2008-ongoing -WC CPP Coordinator
PREVENTION TIP of the -WC CPP Evaluator
month in the local -Team Windsor members
newspaper,the Windsor
Beacon
15
Colorado Prevention Partners 2008-1009 Continuation Application
Participation of school district representatives in the community planning process is essential. Be
sure to list in your plan any school engagement activities that will be included in your CDE
school engagement application later this year.
As a reminder,school engagement funds cover:
• School personnel time compensation(out-of-contract work for classroom teachers, and if
applicable,time compensation for other district/school personnel,i.e., administrators, finance
office,data assembly,etc.)
l The CDE-School engagement application made it possible to hold a community focus group/Spring
Retreat on May 21,2008. Those participants received stipends as well as lunch. The groups
revisited the WC CPP Prevention Plan goals and new strategies to implement. High on the list for
Team Greeley in the Strengthening Families project and for Team Windsor ACTUALITY the social
norm project.
The Health and Prevention Institute will be a two-day in-service training held August 6 and 7,
2008 at school District 6 Administration Building,Greeley. The Institute is the cooperative work of
District 6 Comprehensive school grant/personnel and WC CPP grant/personnel. Being offered to
school faculty(for a stipend and one CEU credit)across the county,especially in those districts that
have participated in the I-IKCS processes,the Institute will offer an introduction to prevention
science,a review of the current HKCS Weld Community Report, presentations on prevention
strategies such as social marketing,social norming, Strengthening Families,Functional Family
Therapy and supplemental curriculum to the Glencoe health curriculum.
It is anticipated that additional funding would continue the work of this Institute in providing
prevention education/information and strategies for schools.
A Substance Abuse Summit is planned for October 2008 with the IOG members with CPP
supporting those efforts with incentives and conference costs.
Budget Narrative
Personnel: $67,906.56
Project director salary=$43,677.00 annually full time,which includes a 3.5%cost of
living increase from the previous year. Finge benefits are calculated at an additional 28%
annually.
FTE$43,677.00= 12 months x$3639.75
28%fringe benefits x $3639.75/month=$1019.00/month x 12=$12,299.56
Evaluation Liaison salary=$12,000.00.25 FTE,no benefits. Hourly rate of$25.00/hour
for 10 hours/week=$250.00 x 4=$1000.00/month for one year= 12 x$1000.00=
$12,000.00
16
• Colorado Prevention Partners 2008-1009 Continuation Application
Consultant: $720.00
Services you receive from consultants:
• RPC facilitator from OMNI for community meeting: $50/hour x 15 hours =
$750 in-kind
• RAR(Responsible Alcohol Retailers)facilitator/consultant from Team Fort
Collins$40.00/hour x 3 hours x 6(once a month meeting for six month)_
$720.00.
Travel: $4133.00
Out-of-area expenses: Conference-$1210.00
• Denver Trips: Mileage for two trips to Denver @ 130 miles round trip x 2 trips=260
miles @.53 per mile=$138; lodging for two rooms @$120 per room=$240 per
night x 1 night=$240 x 2 meetings=$680; meals per diem($49 per day Denver)x 2
people=$98 x 2 days=$196 x 2 meetings=$392.
• Regional Prevention Summit Meeting: $1015.00
One trip to Colorado Springs for 3 people @ 200 miles round trip @ .53 per mile=
$106; lodging for 3 rooms @$65 per room=$195 per night x 3 nights=$585;meals
per diem($49 per day less$13 lunch=$36)x 3 people=$108 x 3 days=$324.
In-area
Local mileage:300 miles per month x 12 months @.53 cents=$1908.
Out of county: included above
Operating Expenses: $38,934.00
Training and conferences: Social norm training for team of four i.e.(Spring Camp-
Actuality)x$400.00 each=$1600.00(if available in spring '09)
Copying/printing: copy paper, ink,toner,$50.00/month x 12=$600.00
Meeting Room Rental: $100/2 hour meeting x 3=$300.00
Food for meetings: $100/meeting x 2 per month x 12=$2400.00
Indirect-(utilities,bookkeeping staff, IT support, insurance)—$1000/month—$12,000.00
Data Collection costs: $13,590.00
HKCS -survey materials-5,000 students x$2.15=$10,750.00
• Administration costs may include substitute teacher @ $55.00/hr x 4 hours x 2=
$440.00
• Mailing supplies, copies and postage-$1,500.00
• Incentives for classrooms- $ 900.00(Weld County Health Department will
support District 6 survey process)
Incentives/stipends: $18/hour for attending meetings(3 hours each),or in equivalent gift
card; trainings and assisting the project x 3 volunteers x 12 month=$1944.00
Office rent/phone: $650/month x 12=$7800.00
Office supplies: $25/month x 12= $300.00
Implementation Expenses: Please break down your implementation expenses in detail,
listing each approach in your implementation plan.
n
•
Colorado Prevention Partners 2008-1009 Continuation Application
Greeley
Goal 1: I.Team Greeley- Strengthening Families-$25,443.00 (if available spring '09)
• Trainer's fee for a three day training for up to 30 people-$3000.00
• Travel, food and lodging for two trainers-$1500.00
• Training manuals-$525.00 per 3 -$1575.00
• Nine DVD/videos-$298.00
• Implementation : Family incentives-$100.00 per 15 families x 3 sessions
=$4500.00
• Teaching staff-$110.00/session for 4 staff for 3 program series/7
sessions- 15 families/group-$12,320.00
• Food-$500.00,transportation and childcare costs$250.00 x 3 series of 15
families each-$2250.00.
Goal 1: 2.Team Greeley-Functional Family Therapy- 8 cases=$20,800.00
Fifteen cases for year optimally. ($39,000.00 if available spring '09)
Services(trained FFT therapist,transportation,materials)provided to families
can range from 2-7 months(average 4 months)at a monthly rate of$650.00
Goal 1: 3.Team Greeley- Life Skills trainers-$200.00/person x 10 staff=$2,000.00
Supplemental materials to complement the Glencoe Health Curriculum-
(iffunds are available)
Goal 1: 4.Team Greeley/Windsor- Social marketing/media campaign in two communities
-$20,000.00
Print materials,advertising,bill boards, radio, and website
Trainers provided by OMNI- in kind- 10 hours/$50.00/hr x 2=$1000.00
Goal 2: 1.Team Greeley-Retail Access-Community Mobilization-$2000.00
Meeting expenses-refreshment, invitations,postage-brochures
Goal 2: 2.Team Greeley-Retail Access- Beverage Server training=$1200.00-
4/available spring '09) $200.00 x 6 sessions with trainer instructor
Goal 2: 3.Team Greeley-Retail Access- Incentives/recognition-$500.00
Windsor
Goal 1.Team Windsor-ACTUALITY-social norm campaign-$13,925.00(-)
(paid in July 2008 for fall '08 school year)
Project design and management:Total $9,300.00
• Initial 2 day training and site visit-$4,000.00
• Follow-up site visit,consultation and management-$2,500.00
• One year technical assistance,trouble shooting(50 hours @$40.00/hour)-
$2,000.00
• Communication,reporting,documents for community,under- $800.00
Message Development and Marketing: Total $4,000.00
18
• Colorado Prevention Partners 2008-1009 Continuation Application
• Youth Marketing Strategic Development and Research-$1,000.00
• Creative Development-$2,500.00
• On-going Youth Marketing Consultation-$500.00
Research and Evaluation:Total $625.00
• Data/Survey Coordination and Consultation(includes coordination with on-site
Evaluator,question development,coordination with CSU R&D Center)
Goal 3.Team Windsor-Paid advertising-$80.00/month x 12=$960.00
19
Colorado Prevention Partners 2008-1009 Continuation Application
20
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment I
ASSURANCES
(For Reference Only —Do Not Sign)
This itemization of Assurances is to be read, each assurance initialed, and the document signed
by the autographic signature of the Applicant or an officer of the Applicant legally authorized to
execute contractual obligations to indicate that the Applicant agrees to comply with the
Assurances through the end of the grant period. An original of these pages must be included with
your original hardcopy Response to this Continuation Application for Funding.
ACCEPTANCE OF CPP APPLICATION TERMS AND CONDITIONS: An application
submitted in response to this application is a binding offer. ADAD assumes that by submitting
an application the Applicant acknowledges all Terms and Conditions of the Application.
APPLICATION CONTENT ACCEPTANCE: The contents of the response (including
persons specified to implement the project) of the successful Applicant will become contractual
obligations if acquisition action ensues. Failure of the successful Applicant to accept these
obligations in a contract, purchase document, delivery order or similar acquisition instrument
may result in cancellation of the award and such Applicant may be removed from future
solicitations.
INCURRING COSTS: The State of Colorado is not liable for any cost incurred by
Applicants prior to issuance of a legally executed contract. No property interest of any nature
must occur until a contract is awarded and signed by all concerned parties.
PRIVACY, CONFIDENTIALITY: The Applicant will comply with all federal and state
laws, regulations and rules related to the privacy and confidentiality of client information,
records, etc., including compliance with both 42 CFR Part 2 and I-IIPAA, where applicable,
throughout the duration of any resulting contract. (http://www.hipaa.samhsa.gov/privacyrule.htm)
CHARITABLE CHOICE: Faith-based recipients have read, understand and will comply
with Charitable Choice Provisions and Regulations found in 42 CFR Parts 54 and 54a.
(http://www.access.gpo.gov/nara/cfr/waisidx 03/42cfr54 03.html)
Handwritten Signature by Authorized Date
Officer of Fiscal Agency
or Agent of Applicant
2
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment II
TERMS AND CONDITIONS
(For Reference Only—Do Not Sign)
Colorado Prevention Partners and The Alcohol and Drug Abuse Division, Prevention Services
Section, require the following Terms and Conditions for any County or Tribal Community
funded by this contract. The applicant's signature at the end of this section, returned with the
Continuation Application, signifies that the applicant understands and agrees to the terms and
conditions as well as agreements for participation.
A. Terms and Conditions
• All activities supported by ADAD/CPP funding including printed materials, notice of
these materials or trainings on websites, etc., must acknowledge ADAD, COLORADO
DEPARTMENT OF HUMAN SERVICES, COLORADO PREVENTION PARTNERS
and CSAP/SAMHSA as the funding sources, using the ADAD, CDHS, CPP and
SAMHSA logos when appropriate.
• All collections—data requirements, training materials, videos, books, files such as
evaluation instrument files, and other library collections purchased under a contract
resulting from this application may be requested to be returned or given to another
recipient at ADAD's option, when the contract ends.
• Any equipment purchase over $1,000 must first be approved by ADAD as part of the
ongoing Continuation Application review. All equipment valued at $2,500 or over which
is purchased under a contract resulting from this Continuation Application may be
requested to be returned or given to another recipient at ADAD's option, when the
contract ends.
• All computer equipment and software used to implement any contract resulting from this
Continuation Application must be compatible with ADAD's requirements and must meet
evaluation requirements. Funds can be budgeted for that purpose. (Only one computer
purchase is allowed per contract per grant.)
• Communities are also strongly encouraged to use CPP dollars to support an upgrade of
internet service (e.g. high speed line, DSL etc.). Dial-up internet access will cause
increased delays in data entry.
Current minimum requirements:
IBM PC or compatible, Pentium class (II or III) CPU, VGA 800x600, 16mb Ram,
10mb free hard drive space, 56.6k modem, Windows 95 and up or NT 4.0 and up,
Internet connection (regular phone line) with Microsoft Internet Explorer browser 5
and up.
3
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
If you are purchasing new equipment, the following set ups are recommended:
If stand-alone workstation: Pentium III 450+ CPU, SVGA 8mb video card, 64mb+
SDRAM, 6GB hard drive, CD-ROM, sound card and speaker, 56k modem or high
speed connection through DSL or cable, Windows 98 or 2000, Microsoft Explorer
browser 5 and up.
If on a network: Pentium III 450+ CPU; SVGA 8mb video card; 128mb+ SDRAM;
6GB hard drive, CD-ROM; sound card and speaker; Ethernet network card; high
speed connection through DSL, Frame Relay, or T1 line; Windows 98 or 2000;
Microsoft Explorer browser 5 and up
Web Browser:
The web browser supported by the CO Prevention System is Microsoft Internet
Explorer (IE). Currently Mozilla Firefox, Netscape, AOL, MSN and other browsers
are not supported. They may function, but not to design specifications. We
recommend users have the latest version of IE installed on their computer along with
the updates provided by Microsoft (which are released periodically).
• Any agency receiving a contract resulting from this Continuation Application must have
an e-mail address.
• No Federal appropriated funds will be used for any activity that would be deemed as
lobbying.
• Any agency receiving a contract resulting from this Continuation Application for
Funding whose staff subcontractors and volunteers have direct contact with
children/youth or other vulnerable populations must have a background screening policy
in keeping with CRS 27-1-110 that requires fingerprinting and a nationwide criminal
check (including Colorado) for felonies, misdemeanors and outstanding warrants. This
screening is permitted under CRS 24-72-305.3 (Part II, Overview).
• No vehicles will be leased or purchased under any contracts funded by this Continuation
Application for Funding.
• Indirect rates are not to exceed 20%. The applicant must justify in the "budget narrative"
section all costs that have been placed in both the "direct" and "indirect" categories. The
process for arriving at the costs listed must be clearly described.
4
•
Colorado Alcohol&Drug Abuse Division(ADAD)
CPP BUDGET PAGE
CONTRACTOR: ! Weld County.Department of Humati:ServicO,7 ., ._
EIROJECx`( T)TCE-- Weld Counts/CPP.. ' . TIME PERIOD: 9/30/2008 -9/29/2009
Other Source
Hrs/ TOTAL Other Source -Non-Cash I
Category & Line Annual Time #Mos Week BUDGET CPP FUND -Cash In-Kind
Personnel
1. CPP Coordinator 43,677.00 12 : : 40 43,67 ,30 0.00 0.00 0.00
Fringe Benefits 28% 12,229.56 0.00 0.00 0.00
2. oval Liaison 12,000:00 12 r , 10 : 12,000;0.0, 0.00 0.00 0.00
Fringe Benefits 0"10 0.00 0.00 0.00 0.00
3. Admin Assistant 0.00 0.00 0.00 0.00
Fringe Benefits 0%Lo; 0.00 0.00 0.00 0.00
i otal Personnel I I I 1 1 67,906.561 0.001 0.001 0.00
Consultants
1. Youth Consultants 0.00 0.00 0.00 0.00
2. Subcontractor 0.00 0.00 0.00 0.00
3. Consultants/OMNI 0.00 0.00 0.00 720.00
total Consultant I I 1 1 I 0.001 0.001 0.001 /20.00
I ravel
1. Local 1,908.00 0.00 0.00 0.00
2. Out of Area 2,225.00 0.00 0.00 0.00
I otat i ravel I 1 1 1 1 4,133.001 0.001 0.001 0.00
Operating
1. Training/Conference 0.00 0.00 0.00 0.00
2. Copying/Printing 600.00 0.00 0.00 0.00
3. Meeting Room 300.00 0.00 0.00 0.00
4. Food 2,400.00 0.00 0.00 0.00
5. Indirect 12,000.00 0.00 0.00 0.00
6.Data Colllection/HKCS 13,590.06
7.1 ncentives/stipends 1,944.00
8.Rent/phone 7,800.00
9.Office supplies 300.00
I otal Operating I I I I 138,934.001 0.001 0.001 0.00
Implementation
1. Goal 1 68,243.00 0.00 0.00 0.00
2. Goal 2 3,/00.00 0.00 0.00 1,000.00
3. Goal 3 960.00 0.00 0.00 0.00
l otal Implementation I I I 1 1 /2,903.001 0.001 0.001 1,000.00
Granci Iota! I I 1 I 11ss,61b.bbl 0.001 U.UUI 1,/ZU.UU
Instructions: This is the budget format required for the next fiscal year. The budget should
reflect and individually identify costs for both the fiscal agent and any
subconstractors. Billings to ADAD should be prepared referencing the line items
in the budget. Your budget narrative must match the budget.
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment III
WORK AGREEMENT
CPP Strategic Prevention Framework Funds 2008.2009
PLEASE RETURN A SIGNED COPY OF THIS WORK AGREEMENT
WITH THE 2008-2009 CONTINUATION APPLICATION.
Timeline: September 30, 2008 to September 29,2009
Goals and Objectives:
Goal#1: Continue with SPF Steps 1-3 of Needs Assessment, Readiness Assessment, Capacity
Development and Planning to Enhance and Improve the Strategic Prevention Framework
(SPF)Plan
Objective 1.1: Between September 30, 2008 and September 29, 2009, continue SPF-SIG
work on Steps One —Three (].Conduct needs assessments; 2. Build state and local capacity;
3. Develop a comprehensive strategic plan) and as needed, submit any revisions to the
Comprehensive Strategic Plan&budget to the CPP Management Team for approval.
Activities:
Revisit Needs Assessment
• Revise or update as needed the indicators that are part of the Needs Assessment
section in ASPIRE.
• Revisit your data with subcommittee on the cause-consumption pattern-consequence
model as needed to see what more can be learned about underage drinking and related
issues in the community.
• As needed, subcommittee identifies additional steps for the collection of local data
and entry into ASPIRE.
• Revise or update the resource assessment in ASPIRE.
• As needed, subcommittee reports additional findings from Step I activities to
PPB/Coalition.
• Continue to refine a plan of action for working with school officials to administer the
Healthy Kids Colorado Survey in targeted schools.
• Review results of the Healthy Kids Colorado Survey and share highlights with the
PPB/Coalition.
• Conduct higher education CORE surveys in any higher education institutions
that are included in the community strategic plan. Only communities that have
identified using the CORE survey in their strategic plan need to administer this
survey. Data collected through the CORE survey should be used for needs
assessment purposes.
Continue to Enhance Local Capacity
• Hold Coalition/PPB meetings to review any updated assessment findings and to
refine capacity building goals and action steps.
7
•
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
• Continue to build relationships with potential partners in sectors of the community
that do not participate actively in prevention.
• Continue to address sustainability, including preparation of a local sustainability
plan.
• Continue to address cultural responsiveness in all aspects of strategic plan
implementation.
• For those communities that include higher education in their strategic plan,
work with technical assistance provider, BACCHUS Network, to enhance
community prevention efforts related to prevention in higher education.
Comprehensive SPF Plan for Prevention
• PPB/Coalition revisits or updates identified goals and action steps based on
readiness and available community resources for addressing underage drinking.
• PPB/Coalition revisits or updates identified goals and action steps based on
underage drinking data and the gaps in prevention services.
• Hold meetings with key stakeholders, other coalitions or community groups, and
service providers to gather any additional feedback on findings, goals and action
steps.
• Evidence-based prevention programs, policies and practices are identified with
the technical support of OMNI RPCs, based on the assessment of needs and
existing resources.
• Identified set of evidence-based prevention programs, policies and practices are
examined for complementary and comprehensive design with fidelity and
adaptation considerations to make strategies responsive to local culture,
populations and assessment findings.
• Strategic plan is updated or refined as needed, at a minimum annually with the
Continuation Application, and submitted to ADAD with a revised budget that
details the use of implementation funds for specific strategic plan approaches.
Goal#2: Continue with SPF-SIG Step 4 and Implement Programs, Policies, and Practices
Objective 2.1: Between September 30, 2008 and September 29, 2009, Coalition and/or PPB
will continue to implement evidence-based prevention programs,policies and practices based
on the approved Strategic Plan developed during SPF Steps One-Three.
Activities:
• Staff are trained and appropriate protocol are developed to implement selected
evidenced-based prevention programs,policies, and practices.
• The CPP project continues to implement selected evidenced-based prevention
program, policy and practice approaches as reflected in Strategic Prevention Plan
and Template with guidance from Community Coalition/Prevention Policy Board,
Project Director/Coordinator, Local Evaluation Liaison and OMNI RPCs.
Goal #3: Continue with SPF-SIG Step 5 Evaluation of the Strategic Prevention Framework
project
8
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Objective 3.1: Implementation of the Strategic Prevention Framework will be evaluated
within identified community.
Activities:
• PPB/Coalition notes are submitted to OMNI on a monthly basis.
• Local Evaluation Liaison and Project Coordinator work with OMNI evaluation
Liaison to coordinate completion of the CLI every 6 months.
• Local Evaluation Liaison works with the OMNI Evaluation Liaison to coordinate -
evaluation activities such as site visits, stakeholder interviews and technical
assistance when needed.
• Continue using process/fidelity instruments and the Environmental Output
Instrument on a monthly basis or as otherwise stated. Communities implementing
programs such as Project Alert should continue administering the YPLAN
instrument. These communities should contact their OMNI Evaluation Liaison for
administration assistance.
• Submit NOM Implementation Spending Form to OMNI Evaluation Liaisons on
a monthly basis. Communities will be trained by.their OMNI Evaluation
Liaisons on how to complete these forms.
Goal #4: Prepare for FY09-10 CPP Strategic Prevention Framework No-Cost Extension
Funding Year
Objective 4.1: By July 2009,an application is submitted for No-Cost Extension Year 09-10
of the CPP Strategic Prevention Framework project,which includes a sustainability plan.
Activities:
• No-cost Extension Application is completed and approved.
• Planning for transition of activities into final fiscal year is carried out.
• Sustainability plans are finalized.
• Project close out activities are forecast.
Hand • :'g• •lure by Authorized Date
Officer of Fiscal Agency
or Agent of Applicant
Weta C...,.41 Ott.Li flvnow .S[rv.?-G
.'.t C,t.dj. j Mn.,,,sr-
9
, e
Attachments - Colorado Prevention Partners Continuation Application for Funds (AFF)
2008-2009
Attachment Section
Colorado Prevention Partners
Continuation Application for Funds (AFF)
2008-2009
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
• Attachment I
ASSURANCES
(For Reference Only—Do Not Sign)
This itemization of Assurances is to be read, each assurance initialed, and the document signed
by the autographic signature of the Applicant or an officer of the Applicant legally authorized to
execute contractual obligations to indicate that the Applicant agrees to comply with the
Assurances through the end of the grant period. An original of these pages must be included with
your original hardcopy Response to this Continuation Application for Funding.
ACCEPTANCE OF CPP APPLICATION TERMS AND CONDITIONS: An application
submitted in response to this application is a binding offer. ADAD assumes that by submitting
an application the Applicant acknowledges all Terms and Conditions of the Application.
APPLICATION CONTENT ACCEPTANCE: The contents of the response (including
persons specified to implement the project) of the successful Applicant will become contractual
obligations if acquisition action ensues. Failure of the successful Applicant to accept these
obligations in a contract, purchase document, delivery order or similar acquisition instrument
may result in cancellation of the award and such Applicant may be removed from future
solicitations.
INCURRING COSTS: The State of Colorado is not liable for any cost incurred by
Applicants prior to issuance of a legally executed contract. No property interest of any nature
must occur until a contract is awarded and signed by all concerned parties.
PRIVACY, CONFIDENTIALITY: The Applicant will comply with all federal and state
laws, regulations and rules related to the privacy and confidentiality of client information,
records, etc., including compliance with both 42 CFR Part 2 and HIPAA, where applicable,
throughout the duration of any resulting contract. (http://www.hipaa.samhsa.gov/privacvrule.htm)
CHARITABLE CHOICE: Faith-based recipients have read, understand and will comply
with Charitable Choice Provisions and Regulations found in 42 CFR Parts 54 and 54a.
(http://www.access.gpo.cov/nara/cfr/waisidx 03/42cfr54 03.html)
Handwritten Signature by Authorized Date
Officer of Fiscal Agency
or Agent of Applicant
2
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment II
TERMS AND CONDITIONS
(For Reference Only —Do Not Sign)
Colorado Prevention Partners and The Alcohol and Drug Abuse Division, Prevention Services
Section, require the following Terms and Conditions for any County or Tribal Community
funded by this contract. The applicant's signature at the end of this section, returned with the
Continuation Application, signifies that the applicant understands and agrees to the terms and
conditions as well as agreements for participation.
A. Terms and Conditions
• All activities supported by ADAD/CPP funding including printed materials, notice of
these materials or trainings on websites, etc., must acknowledge ADAD, COLORADO
DEPARTMENT OF HUMAN SERVICES, COLORADO PREVENTION PARTNERS
and CSAP/SAMHSA as the funding sources, using the ADAD, CDHS, CPP and
SAMHSA logos when appropriate.
• All collections—data requirements, training materials, videos, books, files such as
evaluation instrument files, and other library collections—purchased under a contract
resulting from this application may be requested to be returned or given to another
recipient at ADAD's option, when the contract ends.
• Any equipment purchase over $1,000 must first be approved by ADAD as part of the
ongoing Continuation Application review. All equipment valued at $2,500 or over which
is purchased under a contract resulting from this Continuation Application may be
requested to be returned or given to another recipient at ADAD's option, when the
contract ends.
• All computer equipment and software used to implement any contract resulting from this
Continuation Application must be compatible with ADAD's requirements and must meet
evaluation requirements. Funds can be budgeted for that purpose. (Only one computer
purchase is allowed per contract per grant.)
• Communities are also strongly encouraged to use CPP dollars to support an upgrade of
internet service (e.g. high speed line, DSL etc.). Dial-up internet access will cause
increased delays in data entry.
Current minimum requirements:
IBM PC or compatible, Pentium class (II or III) CPU, VGA 800x600, 16mb Ram,
10mb free hard drive space, 56.6k modem, Windows 95 and up or NT 4.0 and up,
Internet connection (regular phone line) with Microsoft Internet Explorer browser 5
and up.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
If you are purchasing new equipment, the following set ups are recommended:
If stand-alone workstation: Pentium III 450+ CPU, SVGA 8mb video card, 64mb+
SDRAM, 6GB hard drive, CD-ROM, sound card and speaker, 56k modem or high
speed connection through DSL or cable, Windows 98 or 2000, Microsoft Explorer
browser 5 and up.
If on a network: Pentium III 450+ CPU; SVGA 8mb video card; 128mb+ SDRAM;
6GB hard drive, CD-ROM; sound card and speaker; Ethernet network card; high
speed connection through DSL, Frame Relay, or T1 line; Windows 98 or 2000;
Microsoft Explorer browser 5 and up
Web Browser:
The web browser supported by the CO Prevention System is Microsoft Internet
Explorer (IE). Currently Mozilla Firefox, Netscape, AOL, MSN and other browsers
are not supported. They may function, but not to design specifications. We
recommend users have the latest version of IE installed on their computer along with
the updates provided by Microsoft (which are released periodically).
• Any agency receiving a contract resulting from this Continuation Application must have
an e-mail address.
• No Federal appropriated funds will be used for any activity that would be deemed as
lobbying.
• Any agency receiving a contract resulting from this Continuation Application for
Funding whose staff, subcontractors and volunteers have direct contact with
children/youth or other vulnerable populations must have a background screening policy
in keeping with CRS 27-1-110 that requires fingerprinting and a nationwide criminal
check (including Colorado) for felonies, misdemeanors and outstanding warrants. This
screening is permitted under CRS 24-72-305.3 (Part II, Overview).
• No vehicles will be leased or purchased under any contracts funded by this Continuation
Application for Funding.
• Indirect rates are not to exceed 20%. The applicant must justify in the "budget narrative"
section all costs that have been placed in both the "direct" and "indirect" categories. The
process for arriving at the costs listed must be clearly described.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Agreements for Participation
By submitting this Continuation Application you are agreeing to:
• Maintain staffing requirements, including at a minimum a .5 FTE Project
Director/Coordinator and a .25 FTE Local Evaluation Liaison to work with ADAD,
OMNI, and CPP.
• Maintain and enhance a Community Coalition and/or Prevention Policy Board and
describe the roles and responsibilities of those groups.
• Maintain the involvement of a Fiscal Agent (Unit of Local Government) to a) receive the
funds from ADAD and b) complete and submit monthly billings for reimbursement to
ADAD.
• If not yet submitted, provide a statement or statements of participation (MOU) that
identify the key stakeholders who have agreed to participate in the CPP Project as of July
13, 2007 and identify their roles and participation commitments.
• Continue to implement a youth involvement strategy for SPF Steps 1-5 of the CPP
process.
• Continue to collaborate across funding streams, disciplines, age and cultural groups.
• Obtain a written Memoranda of Agreement (MOA) with required signatures from
participating school districts.
• Obtain required consent forms, preferably passive, from all students that will participate
in the next administration of the Healthy Kids Colorado Survey.
• Administer the Healthy Kids Colorado Survey in the fall of every grant year among all
high schools and feeder middle schools in the target area, using either a census or
sampling model based on population, for all 6th— 11th graders.
• If desired, apply through one designated school district for SPF-SIG funds through the
Colorado Department of Education for out-of-contract stipends and related costs to
involve all K-12 representatives in the target area to help ensure school participation on
the Coalition and/or PPB.
• Involve representatives from Higher Education institutions in planning, and build funds
into the budget to support higher education involvement.
• Conduct higher education CORE surveys in any higher education institutions that are
included in the community strategic plan.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
• Send CPP-funded staff to required meetings and trainings, including the following:
o CPP Community Infrastructure Workgroup and Colorado Prevention Partners
Advisory Council (CPPAC): The CPP Community Project Director/Coordinator
and Local Evaluation Liaison must attend a minimum of three annual 2-day
Denver-based meetings.
o State Workgroups: The Project Director is encouraged to participate in, or assign
other staff, to other possible workgroups that advance the work of the statewide
project (e.g., Underage Drinking Prevention & Reduction Workgroup, Evaluation
Workgroup, etc.).
o Substance Abuse Prevention Specialist Training (SAPST): All CPP staff must
complete the SAPST within 6 months of contract start or hiring, whichever date
comes first, unless the training was completed in the last 3-5 years;
o Prevention Summit: CPP Coordinator and Local Evaluation Liaison must attend a
two-day Prevention Summit;
o Other Strategic Prevention Framework or Evaluation Trainings: CPP staff as
designated must attend any other required trainings or meetings announced by
Colorado Prevention Partners.
• Build funds from this contract into the budget for required trainings and professional
development. For example, $75 per registrant (and an optional $90 for continuation
education credits) for the four-day Substance Abuse Prevention Specialist Training
(SAPST) plus lodging and per diem at the state rate (if applicable), and lodging and per
diem costs at the state rate for two people to attend a two-day local or regional orientation
and evaluation training.
• Fiscal agency tracks time and effort of project staff and tracks costs by programs and/or
funding source.
Handwritten Signature by Authorized Date
Officer of Fiscal Agency
or Agent of Applicant
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment III
WORK AGREEMENT
CPP Strategic Prevention Framework Funds 2008-2009
PLEASE RETURN A SIGNED COPY OF THIS WORK AGREEMENT
WITH THE 2008-2009 CONTINUATION APPLICATION.
Timeline: September 30, 2008 to September 29, 2009
Goals and Objectives:
Goal #1: Continue with SPF Steps 1-3 of Needs Assessment, Readiness Assessment, Capacity
Development and Planning to Enhance and Improve the Strategic Prevention Framework
(SPF) Plan
Objective 1.1: Between September 30, 2008 and September 29, 2009, continue SPF-SIG
work on Steps One — Three (1.Conduct needs assessments; 2. Build state and local capacity;
3. Develop a comprehensive strategic plan) and as needed, submit any revisions to the
Comprehensive Strategic Plan& budget to the CPP Management Team for approval.
Activities:
Revisit Needs Assessment
• Revise or update as needed the indicators that are part of the Needs Assessment
section in ASPIRE.
• Revisit your data with subcommittee on the cause-consumption pattern-consequence
model as needed to see what more can be learned about underage drinking and related
issues in the community.
• As needed, subcommittee identifies additional steps for the collection of local data
and entry into ASPIRE.
• Revise or update the resource assessment in ASPIRE.
• As needed, subcommittee reports additional findings from Step 1 activities to
PPB/Coalition.
• Continue to refine a plan of action for working with school officials to administer the
Healthy Kids Colorado Survey in targeted schools.
• Review results of the Healthy Kids Colorado Survey and share highlights with the
PPB/Coalition.
• Conduct higher education CORE surveys in any higher education institutions
that are included in the community strategic plan. Only communities that have
identified using the CORE survey in their strategic plan need to administer this
survey. Data collected through the CORE survey should be used for needs
assessment purposes.
Continue to Enhance Local Capacity
• Hold Coalition/PPB meetings to review any updated assessment findings and to
refine capacity building goals and action steps.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
• Continue to build relationships with potential partners in sectors of the community
that do not participate actively in prevention.
• Continue to address sustainability, including preparation of a local sustainability
plan.
• Continue to address cultural responsiveness in all aspects of strategic plan
implementation.
• For those communities that include higher education in their strategic plan,
work with technical assistance provider, BACCHUS Network, to enhance
community prevention efforts related to prevention in higher education.
Comprehensive SPF Plan for Prevention
• PPB/Coalition revisits or updates identified goals and action steps based on
readiness and available community resources for addressing underage drinking.
• PPB/Coalition revisits or updates identified goals and action steps based on
underage drinking data and the gaps in prevention services.
• Hold meetings with key stakeholders, other coalitions or community groups, and
service providers to gather any additional feedback on findings, goals and action
steps.
• Evidence-based prevention programs, policies and practices are identified with
the technical support of OMNI RPCs, based on the assessment of needs and
existing resources.
• Identified set of evidence-based prevention programs, policies and practices are
examined for complementary and comprehensive design with fidelity and
adaptation considerations to make strategies responsive to local culture,
populations and assessment findings.
• Strategic plan is updated or refined as needed, at a minimum annually with the
Continuation Application, and submitted to ADAD with a revised budget that
details the use of implementation funds for specific strategic plan approaches.
Goal #2: Continue with SPF-SIG Step 4 and Implement Programs, Policies, and Practices
Objective 2.1: Between September 30, 2008 and September 29, 2009, Coalition and/or PPB
will continue to implement evidence-based prevention programs, policies and practices based
on the approved Strategic Plan developed during SPF Steps One-Three.
Activities:
• Staff are trained and appropriate protocol are developed to implement selected
evidenced-based prevention programs, policies, and practices.
• The CPP project continues to implement selected evidenced-based prevention
program, policy and practice approaches as reflected in Strategic Prevention Plan
and Template with guidance from Community Coalition/Prevention Policy Board,
Project Director/Coordinator, Local Evaluation Liaison and OMNI RPCs.
Goal #3: Continue with SPF-SIG Step 5 Evaluation of the Strategic Prevention Framework
project
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Objective 3.1: Implementation of the Strategic Prevention Framework will be evaluated
within identified community.
Activities:
• PPB/Coalition notes are submitted to OMNI on a monthly basis.
• Local Evaluation Liaison and Project Coordinator work with OMNI evaluation
Liaison to coordinate completion of the CLI every 6 months.
• Local Evaluation Liaison works with the OMNI Evaluation Liaison to coordinate
evaluation activities such as site visits, stakeholder interviews and technical
assistance when needed.
• Continue using process/fidelity instruments and the Environmental Output
Instrument on a monthly basis or as otherwise stated. Communities implementing
programs such as Project Alert should continue administering the YPLAN
instrument. These communities should contact their OMNI Evaluation Liaison for
administration assistance.
• Submit NOM Implementation Spending Form to OMNI Evaluation Liaisons on
a monthly basis. Communities will be trained by their OMNI Evaluation
Liaisons on how to complete these forms.
Goal #4: Prepare for FY09-10 CPP Strategic Prevention Framework No-Cost Extension
Funding Year
Objective 4.1: By July 2009, an application is submitted for No-Cost Extension Year 09-10
of the CPP Strategic Prevention Framework project, which includes a sustainability plan.
Activities:
• No-cost Extension Application is completed and approved.
• Planning for transition of activities into final fiscal year is carried out.
• Sustainability plans are finalized.
• Project close out activities are forecast.
Handwritten Signature by Authorized Date
Officer of Fiscal Agency
or Agent of Applicant
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment IV
EVALUATION REQUIREMENTS
Overview
Evaluation and monitoring is one of the five steps of the Strategic Prevention Framework.
Colorado is utilizing CPP funding to develop and implement evaluation systems that can be used
statewide. OMNI Institute will continue to work closely with CPP-funded communities to
implement these evaluation systems so that information is available at the federal, state and local
levels to monitor and refine Strategic Prevention Framework implementation and outcomes.
Evaluation Expectations for 2008-2009
Counties receiving CPP continuation funds remain committed to the following requirements:
Local Evaluation Liaison
• Identify a minimum .25 FTE Local Evaluation Liaison to coordinate with the OMNI
evaluation team and to notify the OMNI evaluation team contact of any project changes.
Training and Technical Assistance
• Participate in CPP evaluation trainings and technical assistance forums (e.g., webinars,
conference calls, etc.). Please see the CPP Training and TA Calendar for more
information.
• Utilize the assigned OMNI evaluation team contact to address evaluation questions such
as submission of the semiannual cross-site Community Level Instrument (CLI) and
monthly data collection forms.
• Utilize the assigned OMNI evaluation team contact to address technical needs
assessment questions, such as use of ASPIRE or Healthy Kids Colorado Survey data to
update needs assessments annually.
CPP Formative Evaluation
• Participate in formative evaluation activities such as coalition and PPB note taking,
(submitted to OMNI evaluation contact on a monthly or bimonthly basis), OMNI
stakeholder interviews, and OMNI evaluation site visits.
• Assist with coordination of at least one annual OMNI evaluation site visit (primarily
observational to learn from your process) and supplemental stakeholder interviews.
Healthy Kids Colorado Survey (HKCS)
• The Local Evaluation Liaison will oversee the administration of the school survey with
OMNI evaluation TA and coordinate the ordering of needed survey supplies (including
answer sheets forms) through online registration
(http://omnisurvev.omni.orq/ssc/survey/hkcsregistration.htm) and phone confirmation with
OMNI. Online registration for survey administration is due a minimum of two weeks
prior to the planned administration dates, in order to ensure adequate time for
ordering and delivery of survey materials.
• Costs: $2.15 per person/survey
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
• Survey administration: Administer the Healthy Kids Colorado Survey in the fall of every
year among all high schools and feeder middle schools in the target area, using either a
census or sampling model based on population, for all 6th— 11`h graders. (Communities
are welcome to include 12`h graders, but this is not required as a part of the state
evaluation.) Survey administration must be completed no later than December 15, 2008.
• OMNI Institute must be consulted on the development and implementation of any student
level or school level sampling procedures. Sampling strategies that do not meet OMNI's
guidelines will make HKCS participation null and void for the school entities where the
non-scientific sampling strategies were employed.
• MOA: In 2007-2008 the contractual period for the MOA was modified to reflect the
remainder of the SPF-SIG project, 2007 through 2009. If the Superintendent has
changed since that time, work with target schools to develop a new MOA. A sample
MOA document and instructions are located in section IV of the Attachments.
Submit completed MOAs, including all necessary signatures from participating school
districts 2 weeks prior to survey administration. Be mindful of confidentiality protections
and sensitive to potential concerns of school regarding public release of information.
• MOA Reporting Request Form: Please review your FY07-08 Reporting Request
Form for any necessary changes (e.g. different individuals should be receiving reports
or additional school-level reports are needed this year). If changes are required,please
update the form and send it with your continuation application. If no changes are
needed OMNI will use the FY07-08 form for report dissemination in FY08-09.
ASPIRE
• Continue the use of ASPIRE to review updated data indicators and enter custom-level
indicators. This information will be used to update the strategic plan as needed for next
year's continuation application.
CPP Data Collection Forms
• Submit monthly process data collection forms.
• Submit outcome data collection forms on a semiannual basis.
• Utilize OMNI evaluation contact to ensure data quality.
CLI (Community Level Instrument)
• Coordinate with the Project Coordinator, Local Evaluation Liaison and OMNI to
complete the web-based Community Level Instrument for the national cross-site
evaluation every 6 months, and any other supplemental evaluation instruments required.
Higher Education CORE Surveys:
• Conduct higher education CORE surveys in any higher education institutions that
are included in the community strategic plan. Only communities that have
identified using the CORE survey in their strategic plan need to administer this
survey. Data collected through the CORE survey should be used for needs
assessment purposes.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment V
PARTICIPATION AGREEMENTS/MOA
Non-school Agency or Entity
If you did not submit a participation document or documents (e.g., Memorandum of
Understanding, letter of support or other) with your 2006-2007 or 2007-2008 application that
details the commitment of all participating non-school agencies or entities, including PPB
representatives, submit that document or documents with this Continuation Application, or
provide an updated document or documents to reflect new agency or entity representatives.
School Participation
Each participating school district must sign a Memorandum of Agreement. In 2007, the
contractual period for the MOA was modified to reflect the remainder of the SPF-SIG project,
2007 through 2009, unless there was a change in the superintendent. If a change has occurred,
a new MOA must be agreed upon. A sample MOA document and instructions are located
in Part IV of the Attachments below. If required, submit completed MOAs, including all
necessary signatures, no later than 2 weeks prior to survey administration. Be mindful of
confidentiality protections and sensitive to potential concerns of school regarding public release
of information.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
MOA Attachment A:
Memorandum of Agreement (MOA) Template for Schools
CPP Strategic Prevention Framework Funds 2008-2009
Memorandum of Agreement Between
Community Coalition/PPB
And
School District Name
School District Name
(Use additional blank if appropriate)
School District Name
(Use and add additional school district and potentially individual school name lines as appropriate)
I. Background
In fiscal year 2004-05, the Colorado Prevention Partners (CPP) received funding from a
State Incentive Grant from the Substance Abuse and Mental Health Services
Administration (SAMHSA), awarded to the Governor's Office to implement the
Strategic Prevention Framework. The state underwent a preliminary needs assessment
process to identify areas in Colorado that have elevated rates of underage drinking,
substance abuse and related problems and that have proportionately fewer public
resources allocated to address these issues.
The Colorado Prevention Partnership Advisory Council (CPPAC) selected [County] and
13 other areas in Colorado to receive funding in fiscal year 2005-06. One purpose of
these funds is to support collaboration between school systems and other organizations in
the community to promote the prevention of underage drinking and other problems by
supporting communities in building and enhancing local prevention infrastructure.
Infrastructure includes prevention-focused coalitions, organizations and networks,
professional workforce, and policy decision-making bodies.
Purpose of the Agreement
The CPP awarded funding to [County] to enhance school-community collaboration and
the coordination of substance abuse-related prevention efforts for children, youth and
adults. This MOA represents an agreement between the [Community Coalition/PPB]
and the [School District(s)] to collaborate on the implementation of the Strategic
Prevention Framework in [Community]. Through this collaboration, [School
District(s)] and [Coalition/PPB] will collaborate on their efforts to reduce substance
13
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
abuse within [Community] and to build, enhance and sustain effective prevention
strategies, policies, programs and practices, particularly as these relate to underage
drinking.
II. Shared Concerns
Both the [Community Coalition/PPB] and [School District(s)] recognize that
enhancing the collaboration between [Community Coalition/PPB] and [School
District(s)] represents an essential step in strengthening local prevention and reducing
substance abuse, particularly underage drinking, in [Community]. We recognize that
children and youth spend a significant amount of time working with school personnel on
a daily basis, making school personnel and school systems a key part of prevention
efforts. We also recognize that underage drinking and substance abuse impact school
attendance, academic performance and other areas of students' lives that are important
predictors of current and future health and well-being. Collectively, our work will
strengthen schools and the broader community.
III. Substance of Agreement
The [Coalition/PPB] will advise community needs assessment, mobilization, planning,
implementation and evaluation activities funded through the CPP. School
representatives have agreed to serve on the [Coalition]. A district official or designated
representative also has agreed to serve on the [PPB or policy-making subcommittee of
the Coalition]. Refer to Attachment 2 for details about coalition and school plans to
work together.
In their roles on the [Coalition/PPB], school representatives will help support and guide
the CPP Project Coordinator, Local Evaluation Liaison, and state evaluator (OMNI) in
administering the Healthy Kids Colorado Survey (HKCS) as part of the local needs
assessment and state evaluation. HKCS is supported by the Colorado Department of
Education and Colorado's interagency Prevention Leadership Council. Refer to
Attachment 3 for survey administration and data sharing protocol.
IV. Confidentiality Protection
The local PPB and participating schools must be in agreement that HKCS data can be
used in the planning process. To protect the identity of individual respondents, a number
of safeguards are put in place. These are as follows:
a. PPBs/Coalitions and schools will not have access to raw data.
b. Data will be presented in the aggregate with summaries of items and scales.
c. Data will be disaggregated by gender and grade (giving the presence of certain
conditions (see d.). No other sub-groups will be provided (i.e., by ethnic group).
d. No data for gender or grade will be provided for any sub-group smaller than 30
students.
e. Either participating schools or the Coalition/PPB can specifically ask that no sub-
group comparisons are provided in the report.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
f. Schools with fewer than 30 students will not be presented singly (i.e., schools will be
aggregated with other schools in the district, and no individual school data will be
available for these schools).
g. OMNI will not release school or community-identified data to the general public for
any purposes. There must be written agreement between the school(s) and
Coalition/PPB in order for data to be used for any other than the purposes detailed in
this document. (See Attachment 4, Data Release Form for Other Community Needs,
on page 29.)
V. CPP Project Staff and Participating School District Representatives Contact
Information
[Project Coordinator name and contact information]
[Local Evaluation Liaison name and contact information]
[School representative names and contact information]
VI. Period of Agreement
September 30, 2008 —September 29, 2009, to be renewed annually if a change in
superintendent occurs.
VII. Acceptance and approval of authorizing officials
The following signatures verify that the schools and community groups have discussed data
dissemination, agreed to the above-mentioned administration procedures and confidentiality
protections, and clarified at what level data release permissions have been granted. All
Community Level Reports will be sent to the CPP Coordinator to be shared with the
Coalition. School and District Level Reports will be sent to individuals identified on the
Reporting Request Form (Attachment 1). [If superintendents and/or principals are
releasing the district and/or individual school level reports to the CPP Coalition for
planning purposes (with the same confidentiality agreements, as specified in
Attachment 3), this should be indicated here. In addition, they will be asked to sign the
Reporting Request Form (Attachment B)].
School Superintendent Date
[Name,Position of School District Official] Date
[Name, Position of School District Official] Date
[Name, Position of School Official(if applicable)] Date
CPP Project Coordinator Date
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
MOA Attachment B: Reporting Request Form
2008-2009 CPP HKCS Survey Year
In addition to the CPP Community Healthy Kids Colorado Reports, OMNI also will create
district and school level reports upon request.
District Level Reports
A district level report will provide survey results for all of the high schools and middle schools
that participated in the Healthy Kids Colorado Survey for a given district. This report will be
submitted to the superintendent of the district. If signatures are provided and it is specified in the
MOA, a copy of this report also can be provided to the CPP Project Coordinator.
School Level Reports
A school level report will present the data for an individual middle or high school that
participated in the survey. The final school report will be submitted to the school principal. If
signatures are provided and it is specified in the MOA, a copy of this report also can be provided
to the CPP Project Coordinator.
In both cases, district level and school level data cannot be released to the public without a
written release from school partners. Please complete the information below and return to your
OMNI evaluation contact. Thank you!
County Name:
CPP Coordinator:
Date Submitted:
The following district level HKCS Reports are requested:
School District Name Superintendent Phone Email Signature
Name Number Address (indicates agreement to release a
copy to the CPP Project
Coordinator)'
Note: A signature of the superintendent named must be provided in the signature section of the MOA.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
The following school level HKCS Reports are requested:
School Name Principal Name Phone Email Signature
Number Address (indicates agreement to release a
copy to the CPP Project
Coordinator)*
Note: A signature of the school principal named must be provided in the signature section of the MOA.
17
Attachments - Colorado Prevention Partners Continuation Application for Funds (AFF)
2008-2009
MOA Attachment C: Agreement and Work Plan Details
Example
CPP Project will:
• Notify school officials of Coalition/PPB meeting times, locations and related information
on a regular basis.
• CPP Project Coordinator will serve as a liaison between community and school
stakeholders.
• CPP Local Evaluation Liaison will work with OMNI to obtain survey supplies and to
provide information about the school sample and survey administration timeline.
• Work with appointed school officials to coordinate the HKCS administration including
mailing out passive/active consents to families, meeting with school personnel to review
administration procedures, and ensuring that completed surveys are boxed, inventoried
and returned to OMNI in a timely manner.
• Pay for costs associated with the administration of HKCS.
• The Coalition/PPB review school/school district data for needs assessment, planning and
evaluation purposes.
• Obtain technical support on interpreting school data from OMNI evaluation team contact.
• Obtain technical support on using school data for planning purposes from OMNI
Regional Prevention Consultant (RPC).
Appointed School District Officials will:
• Appoint school official(s) to participate in Coalition/PPB meetings, strategic planning
activities and project advisory/oversight responsibilities.
• School officials represent school perspective, serve as a resource on school issues and
serve as a liaison between the CPP project and others involved in the school system.
• Work with the CPP Local Evaluation Liaison to provide needed information.
• Work with CPP Project Coordinator and Local Evaluation Liaison to provide information
and support needed to coordinate the HKCS administration each fall in grades 6-11 of
participating schools. Help prepare teachers for survey administration.
• Dedicate approximately 1-hour classroom period to administer the HKCS.
• As members of the Coalition/PPB, participate in reviewing school/school district data for
needs assessment, planning and evaluation purposes.
• Participate in Coalition/PPB meetings to discuss school survey results.
• Participate in Coalition/PPB meetings that use school and other sources of data to
develop Community Strategic Prevention Plan.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
MOA Attachment D: Healthy Kids Colorado Survey (HKCS)
Administration and Data Sharing Protocol
I. Administration Protocol and Agreements
1. Surveys will be administered to participating high schools and feeder middle schools in the
fall semester of each year, beginning fall 2007.
2. Surveys will be administered to students in grades 6-11 in participating school district(s),
during one classroom period of approximately one hour.
3. OMNI Institute must be consulted on the development and implementation of any student
level or school level sampling procedures. Sampling strategies that do not meet OMNI's
guidelines will make HKCS participation null and void for the school entities where the non-
scientific sampling strategies were employed. (Refer to sampling procedures in CPP General
Guidelines, Evaluation Requirements, Section 4 last paragraph.)
4. School personnel and CPP project staff work together to implement HKCS administration
guidelines, including the use, appropriate labeling and timely return of sealable envelopes for
student answer sheets.
II. Individual Protections and Agreements
1. Parental Consent: If there is a district policy regarding parental consent, schools follow
district policy. If there is not a district policy regarding parental consent, schools may choose
to utilize either an active or passive parental consent process for students being requested to
participate in the HKCS. "Active Consent" means that a parent must explicitly state on paper
that his or her child may participate. If no record of this consent is obtained, a student may
not participate in the survey. "Passive Consent" means that a parent must explicitly state on
paper that his or her child cannot participate in the survey, otherwise it is assumed that the
student can. Note that active consent procedures are more time consuming and are more
difficult to manage as they require schools to track parent consent forms for all possible
students.
2. Student Participation: Despite a parent's acknowledgement that his or her child may
participate in the HKCS (through either passive or active consent processes), a child is
always instructed before the survey administration that he or she may voluntarily choose not
to participate in the entire survey or may choose not to answer any items for which he or she
feels uncomfortable.
3. Survey Completion: Upon completion of a classroom survey administration, teachers are
instructed to have all students insert their completed scan form (student answer sheets) into a
sealable envelope. Once all the scan forms are in the envelope, it is to be sealed and
assembled with other classroom envelopes. No teacher or school administrator is allowed to
examine an individual student's survey responses. Students are instructed not to write their
names anywhere on the answer sheet.
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•
Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
4. Survey Reporting: Raw data will not be released to school, community or state entities.
Aggregate raw data, using school and individual identifying numbers, may be provided to the
federal cross-site evaluators.
III. Limited Use of Survey Data Agreements and Protections of School Survey Data
1. State Evaluation. As a recipient of federal SPF-SIG dollars, Colorado is required to
participate in the SPF-SIG national evaluation and to collect National Outcome Measures.
The HKCS is one part of this evaluation. OMNI Institute will analyze HKCS for this
purpose.
Confidentiality protection: While these data will be analyzed at the school, district, and/or
community level, these analyses will use confidential and unique identifying identification
numbers. No data for individual schools, districts, or communities will be released to the
public. A final report may be issued from ADAD for the CPP project, but no HKCS data
will be presented that specifically identifies participating schools or districts by name.
2. Local Planning. HKCS data is meant to be used to support planning and decision making at
the local level. To do so requires that the local Coalition/PPB have access to the data for use
in planning processes. An aggregated data report will be provided to agreed upon school
entities and the CPP Project Coordinator simultaneously, unless an alternative agreement has
been made between the Coalition/PPB and schools. The CPP Coalition/PPB is not permitted
to use, distribute or advertise these data to any party or group outside of the Coalition/PPB
structure unless there is written agreement between the Coalition/PPB and appropriate school
officials.
3. Local Evaluation: Annual HKCS data also will be used for the PPB local evaluation effort.
The data will be used to help the PPB reflect on any changes to targeted population groups,
possible emerging trends, and to support changes to the local strategic plan.
Confidentiality Protection: All conditions cited in Local Planning (above) apply for the
Local Evaluation use of the data.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
•
MOA Attachment E: HKCS Data
Release Form for Other
()MN I Community Needs COLORADO
. >,
HEALTHY KIDS COLORADO SURVEY (HKCS)
DATA REPORT
RELEASE OF INFORMATION
I give the OMNI INSTITUTE permission to
name of authorized school/district representative
provide access to
name of person requesting data,organization name
2008-09 HKCS school survey report.
name of school or district
I understand that information contained in this report will be used only to support
community planning and decision-making. The person and organization requesting
the data is not allowed to use, distribute, or advertise the information contained in the
report(s) to any party or group outside of those named in this release without written
agreement between the authorized school/district representative and the requester of
the data report. There must be written agreement between the school(s) and the
requester for data to be used for any other purposes than that detailed in this document.
[See attachment 5 for an example of a written agreement.]
Authorized School Representative Signature Date
Authorized School Representative Printed Name and Title Date
Name of Requester of Data,Organization Name Date
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
MOA Attachment F:
Example of Data Sharing Letter
April 12, 2008
To: Superintendent
From: CPP Coordinator
Re: Healthy Kids Colorado Survey Data
Dear Superintendent,
This letter is to confirm yesterday's conversation and outline our agreement regarding the release
and sharing of data from the Healthy Kids Colorado Survey (HKCS). We have appreciated the
opportunity to partner with the School District to conduct the HKCS this past year. Because the
work of the is focused on the prevention of substance abuse and our goals
and strategies are data-driven, the results from the HKCS will be invaluable to us in seeking
funding.
The CPP and the School District agreements for releasing and sharing HKCS data with potential
funders are outlined as follows:
1- Aggregate data at the district level only will be shared;
2- The content of data shared will be limited to HKCS survey results on Substance Use
(Section IV.,pp. 12- 46) and Risk and Protective Factors (Section IV., pp. 132-146); and
3- School specific HKCS reports will remain on file with the CPP Coordinator and the
School District for reference purposes only. No school-level specific data will be released
or shared.
Our signatures below indicate acceptance of this agreement.
CPP Coordinator Date
Superintendent Date
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment VI
LIST OF FREQUENTLY USED ACRONYMS
ATOD Alcohol, Tobacco, & Substance abuse prevention focus.
Other Drugs
SPF-SIG Strategic Prevention The federal name for the federal grant that Colorado received to do a
Framework- State multi-county funded process and apply a specific 5 step planning
Incentive Grant process that it requires.
CPP Colorado Prevention What Colorado calls the multi-county funded process and the
Partners specific 5 step planning process that is required.
PLC Prevention Leadership The name of the group that meets with all of the leaders of
Council prevention efforts in the state.
ADAD Alcohol Drug Abuse The name of the state agency in Colorado which receives the federal
Division block grant dollars for substance abuse prevention and treatment.
CDPHE Colorado Department The state agency for addressing public health and environment for
of Public Health & all of Colorado.
Environment
CDE Colorado Department The state agency for addressing education in the state.
of Education
CDOT Colorado Department The state agency for addressing transportation in the state.
of Transportation
RPCs Regional Prevention The name of the statewide project which provides prevention
Services(project) technical assistance and training and what the regional staff calls
Regional Prevention themselves.
Consultants
PPB Prevention Policy What the required advisory boards are called which each CPP
Boards funded community must have.
ASPIRE Assessment Prevention Data assessment system to manage and report indicator and resource
Indicators& Resources data.
(Web-based system)
CO KIT Colorado Knowledge- The web-based evaluation system which each CPP funded
based Information community will use.
Technology
HKCS Healthy Kids Colorado The integrated school youth survey which each CPP funded
Survey community will have their schools use.
SEOW State Epidemiological State group assembled to look at data sets.
Outcomes Workgroup
SWCAPT CSAP's Southwest
Center for the Provides technical assistance &training to the states in their
Application of prevention work. They cover multiple states in the Southwest part
Prevention of the country.
Technologies
CSAP Center Substance National agency that leads policy on substance abuse prevention.
Abuse Prevention Their website is a good resource for lots of information.:
http://prevention.samhsa.gov/
SAMHSA Substance Abuse &
Mental Health Services Federal agency that is the parent organization of CSAP.
Administration
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Attachment VII
GLOSSARY
*(Note: Changes from previous year are noted in italics)
ASPIRE: (Assessment Prevention Indicators and Resources) ASPIRE is a web-
based data system designed to store and manage indicator and resource
data that can be queried to meet the user's needs. ASPIRE contains
indicator data within numerous domains such as demographics, early
childcare and education, community and civic involvement, mental health,
and substance abuse and treatment.
Capacity: The process by which a community develops the ability to build an
effective and sustainable infrastructure. The community will have various
types and levels of resources at its disposal to meet implementation
demands.
Community Level Web-based community level instrument for the national cross-site
Instrument (CLI): evaluation
Community
Coalition: CPP communities are required to have a community-based coalition that will
work in conjunction with or include policy makers as members that serve as
a Prevention Policy Board (PPB) to plan, manage, and implement the CPP
project. Because many of Colorado's communities already have one or
more functioning coalitions, CPP communities have been encouraged to
build on these existing groups as considered appropriate, particularly if the
community has a coalition funded by a federal Drug Free Community Grant.
CPP communities are expected to have developed their coalitions and to
have obtained participation agreements (e.g., Memoranda of Understanding,
letters of support, declaration of support). Updates are to be submitted with
the Continuation Application Packet. However, the process of building a
coalition is ongoing and will continue throughout the CPP project.
Coalitions are defined as organized groups with multiple partners that have
in place a process that includes a needs assessment; vision, mission, and
goals; an action plan; and benchmarks for specific outcomes addressing
reductions in alcohol, tobacco, or other drug use or related problems.
Coalitions need not be separate legal entities or have non-profit status.
Community Prevention
Policy Board (PPB): CPP communities are required to continue efforts to engage key decision-
makers from across disciplines to comprise a Prevention Policy Board that
will work in conjunction with, or be part of, a Community Coalition to
plan, mobilize and implement the project. Key decision-makers are
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
defined as those individuals that hold policy-level positions in the county
(e.g., school district superintendents, sheriffs, county commissioners, city
officials and other governmental representatives, school board presidents,
etc.) and that have the authority to institute changes in the local
infrastructure.
CPP communities are expected to have progressed considerably in the
development of their PPBs and to have obtained participation agreements
(e.g., Memoranda of Understanding, letters of support, declaration of
support). Updates are to be submitted with the Continuation Application
Packet. However, the process of building a PPB is ongoing and will continue
throughout the CPP project.
Contract Signer: The individual in the Fiscal Agency that is authorized to obligate the
agency.
Cultural
Responsiveness: An inclusive approach of inquiry and action to foster effective programs,
policies, and practices that is respectful of cultural conditions within
communities.
Evaluation: The systematic collection of information about community needs,
prevention strategies and program activities, participant characteristics
and outcomes.
Evidence Based: To include those interventions that fall within one of the following three
categories:
• Included on a Federal List or Registries of evidence-based
interventions;
• Reported with positive effects in peer reviewed journals; or
• Documented effectiveness based on guidelines for evidence:
An outside evaluator has written a comprehensive evaluation report
which includes:
1) A pre-post quantitative design using statistical analyses; and
2) A thorough literature review of the theoretical basis behind the
approach; and
3) A comparison group (which could be comparable data such as
national or state-level data); and
4) Positive findings.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Fiscal Agent: Person or persons responsible for financial matters; the agent must be a
representative of a Unit of Local Government.
Formative Evaluative activities undertaken during the design and pretesting of
Evaluation: programs to guide the design process.
Goal: Clearly stated, specific, measurable outcome(s) or change that can be
reasonably expected at the conclusion of a methodically selected program.
Key Informant: A community representative identified to participate in an evaluation or
community readiness interview.
Memorandum of Official and formalized contractual agreement with schools for their
Agreement (MOA): participation and administration of the FMCS. (See Appendix F).
Memorandum of
Understanding
(MOU): Participation agreements from community members involved with
coalitions and/or PPB's to formalize relationships supporting the
community initiative. The MOU may be a collectively signed document
or individual letters of agreement.
Needs Assessment: This is a type of evaluation that involves the systematic assessment of
various targeted populations and prevention resources within the
community and studies of current indicators to identify unique
vulnerabilities and strengths that affect substance abuse in communities.
Outcomes: The extent of change in targeted attitudes, values, behaviors or conditions
between baseline measurement and subsequent points of measurement.
Changes may be identified as immediate, intermediate, and long term.
Prevention
Infrastructure: The policies, networks, coalitions, resources, professional staff and skills,
programs and delivery system that serve as a foundation for prevention
work within a community.
Stakeholder: An individual or an organization that has a vested interest and investment
in a project or program (e.g., funder, program champion, community
leader, etc.).
Strategic Plan: A plan developed and used to guide the successful implementation of
prevention programs, practices and policies. The strategic plan defines
specific objectives and actions to be taken, in order to accomplish the
proposed goals.
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Colorado Prevention Partners AFF Continuation Application 2008-2009 - Attachments
Supplanting: According to OMB A-133, a compliance supplement used by auditors to
determine federal grantee compliance with federal laws and regulations,
federal funds should be used so as to supplement the level of Federal,
State and local public funds that, in absence of such availability, would
have been expended for programs and in no case to supplant such Federal,
State and local public funds.
The "supplement, not supplant" provision means that federal funds must
be used only to provide additional services, staff, programs, or materials
that could not be provided by the state of local agency in the absence of
the federal funds. In other words, federal funds cannot be used to pay for
things that would otherwise be paid for with state and/or local funds.
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