HomeMy WebLinkAbout20000534.tiff h \
RESOLUTION
RE: APPROVE INVITATION TO BID FOR YOUTH ABSTINENCE EDUCATION GRANT
AND AUTHORIZE CHAIR TO SIGN
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 an Invitation to Bid for a Youth
Abstinence Education Grant from the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Weld County Department of
Public Health and Environment, to the Colorado Department of Public Health and Environment,
with terms and conditions being as stated in said bid, and
WHEREAS, after review, the Board deems it advisable to approve said bid, 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 Invitation to Bid for a Youth Abstinence Education Grant from
the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Weld County Department of Public Health and Environment, to
the Colorado Department of Public Health and Environment be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said bid.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 6th day of March, A.D., 2000.
BOARD OF COUNTY COMMISSIONERS
WELD COUNT COLORADO
ATTEST: Li/ 1 /1 \ / \ ?JD L,La EXCU ir/ ! i
irkmeyer, Chair
Weld County Clerk to the; a • 4 �oari� ��
•�= 0/.14/
Mr.�i1n►`�
. J. eile, Pro-Tem
Deputy Clerk to the Boar•) (I i \ �� EXCUSED
. Baxter/
APPROVED.AS T ORM:
Dale K. Hall
Co .._ y Att ney _- - Ur'//
Glenn Va
2000-0534
p-t: HL0027
• (i
DEPARTMENTOF PUBLIC HEALTH AND ENVIRONMENT
1555 N. 17TH AVENUE
GREELEY,COLORADO 80631
ADMINISTRATION(970)304-6410
PUBLIC HEALTH EDUCATION AND NURSING(970)304-6420
C FAX(970)304-6416
O ENVIRONMENTAL HEALTH SERVICES(970)304-6415
FAX(970)304-6411
COLORADO
Memorandum
TO: Barabara J. Kirkmeyer, Chair, Board of County Commissioners
From: Pat Persichino, Interim Director, Department of Public Health and Environment
Subject: Youth Abstinence Education Grant Proposal
Date: March 3, 2000
Enclosed for your approval is the Youth Abstinence Education Grant Proposal for the period of
June 1, 2000 through May 31, 2002. The proposal is summarized in the enclosed abstract. This
grant will allow us to continue the successful school based abstinence education programs begun
in 1998 and increase services to youth through additional components. We recommend your
approval of this proposal.
2000-0534
STATE OF COLORADO
Bill Owens, Governor
Jane E.Norton, Executive Director "more°Dedicated to protecting and improving the health and environment of the people of Colorado4300 Cherry Creek Dr.S. Laboratory and Radiation Services Division Denver,Co orado 80246-1530 8100 Lowry Blvd. 'ets'Phone(303)692.2000 Denver CO 80230-6928
MD Line(303)691-7700 (303)692-3090 Colorado Department
Located in Glendale, Colorado
of Public Health
hap://www.cdphestate.co.us and Environment
INVITATION TO BID
DATE: January 28, 2000
RFP NO: RO-ADL0002
DIRECT INQUIRIES TO: ROBERT M. O'NEILL
PHONE NO: (303) 692-2074
DATE RFP DUE: Thursday, 03/09/00 @3:00PM MST
Bids properly marked as to RFP NO., DATE and HOUR of opening, subject to the conditions herein stipulated and
in accordance with the specifications set forth and/or attached hereto, will be accepted at the address listed below,
prior to the date and time listed for the bid opening. All bids shall be quoted F.O.B. destination, unless otherwise
specified, to the delivery location or jobsite listed herein.
SEALED COMPETITIVE PROPOSAL FOR:
YOUTH ABSTINENCE EDUCATION GRANTS
RETURN PROPOSAL TO:
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
ASD-PURCH-A2
4300 CHERRY CREEK DRIVE SOUTH
DENVER, CO 80246-1530
Prices shall be quoted F.O.B. destination and include delivery to the CDPHE.
SEE ATTACHED PAGES FOR TERMS AND CONDITIONS AND RFP REQUIREMENTS.
IMPORTANT: Bidders should read the entire bid document before submitting bid.
RFP'S MUST BE SIGNED IN INK
VENDOR Weld County Board of Commissioners, on behalf of the Weld County
Department of Public Health and Environment
ADDRESS 915 10th Street, Greeley, Colorado 80631
C it Pro-Tern
TYPED OR P TED SIGNATURE
n fi en Signature by Authorized Officer or Agent of Vendor
TERMS
Terms of less than 30 calendar days will not be considered.
TITLE Chair Pro—Tem
DATE 03/06/00 PHONE # (970)356-4000FAX# (970)352-0242
The above bid is subject to Terms and Conditions on attached sheets.
RETURN THIS COPY
vlO06 -O57.3
Youth Abstinence Education
Grant Proposal
•
Building Bright Futures:
Promoting Youth Abstinence Awareness and Education
Weld County Department of Public and Environment
1555 N. 17th Ave. Greeley, CO 80631
Contact: Gaye Akin, Health Promotion Program Supervisor
Phone: (970) 304-6420, ext. 2380
Abstinence Education Program Abstract
Building Bright Futures:Promoting Abstinence Awareness and Education
Weld County Department of Public Health and Environment Tax# 84 6000 813
Contact person: Gaye Akin, RD, MPH, Health Promotion Program Supervisor
1555 N. 17th Avenue
Greeley, CO 80631
Phone: (970) 304-6420, ext. 2380 Fax: (970) 304-6416 E-mail address:gakin@co.weld.co.us
Funds requested from CDPHE: $63,234.35 for year one.
Number of clients to be served by the project 4515 & 6675
Anticipated number of hours of contact hours per client per year 9.8 hr & 10.2 hr
Total Program cost per client per year, including matching funds and $131,365.32,(1)
CDPHE funds (year one plus 10% for year two) $144,501.82 (2)
Program Goals
The overall goals of the program are to reduce out-of-wedlock pregnancy and sexually
transmitted diseases in youth ages 10 - 17 including youth of color, low income and youth with
special needs in Weld County; and to increase knowledge, skills and support to youth ages 10-17
in Weld County for delaying sexual activity and remaining abstinent until marriage.
Target Population
The target population(s) for Weld County are youth ages 10-17, with a priority on youth of
color, low income youth and youth with special needs. The teen fertility rates in Weld Count,
15.7 per 100,000, consistently exceed those of the state. In Weld County in 1998, 9.7% of the
births were to Hispanic youth, ages 10-17, compared to 3.6% for white, non Hispanic females,
ages 10-17. In Weld County in 1996, there were 2915 new cases of Chlamydia out of 48,155
teens ages 10 - 17, or 6197 per 100,000.
Program Services
The services include strengthening and expanding the school based abstinence education
programs in Weld County, adding curricula and teachers; a peer support program; an outreach
program for the Hispanic community and a medical model for abstinence education in the health
department clinics.
Evaluation
We will contract with an evaluator to develop and implement the evaluation. Process evaluation
will track the number of clients participating in all programs, number of events, presentations,
classes, groups, and visits. Impact evaluation will include a series of three measures of change in
knowledge, attitudes and behaviors and client satisfaction surveys using written evaluation,
focus groups and key informant interviews.
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Target Population
a. Describe the target population(s), how they were selected, and how the population(s) will be
recruited to participate in the project.
The target populations for this projects are (1) Weld County youth ages 10-17, (2) low income
youth, (3) youth of color, (4) youth with special needs and (5)parents. The youth ages 10 - 14
within these populations are a primary focus of this project.
1) Youth ages 10 - 17 were identified as a target population by researching the teen fertility rates
in Weld County. The teen fertility rates consistently exceed those of the state. The 1998 fertility
rate for Weld County for youth ages 10 - 17 was 15.7 births per 1000. In 1995, a Youth Risk
Behavior Survey (YRBS) was conducted by Weld County Department of Public Health and
Environment, 41% of the students grades 9 - 12 reported having had sexual intercourse. A
national YRBS conducted in 1997 by the Centers for Disease Control and Prevention indicated
that 48% of students had had sexual intercourse.
(2) Low income youth are a priority for abstinence education in Weld County. Nationwide
declines in pregnancy and birth rates for teens may be due in part to the increased economic
opportunity for education and work. 1999 U.S. poverty measures are defined by family size and
income, listing an income of under $20,000 for a family of 5 within those measures. According
to the Alan Guttmacher Institute, youth from families with incomes below$20,000 are more
likely to give birth as teenagers than their higher income peers.
(3) The majority of the youth of color in Weld County are Hispanic. They are identified as a
priority population for abstinence education due to high teen fertility rates and number of births.
In Weld County in 1998, 9.7% of the births were to Hispanic youth 10-17 compared to 3.6% for
white, non Hispanic females, ages 10-17. According to the 1997 YRBS, Hispanic students
(7.7%)were significantly more likely than white students (4.0%) to have sexual intercourse
before 13 years of age.
(4) Youth with special needs include youth with learning/developmental disabilities, adjudicated
youth, youth out of school and homeless youth. Many of these youth are low income and youth
of color. These youth need abstinence education as well as character building skills that promote
self advocacy. The Colorado Abstinence Education Committee, special education teachers and
the Federation of Families for Children's Mental Health have identified gaps in services
providing abstinence and sexuality education for these groups. The Weld County Department of
Public Health and Environment provides services through the health clinics and home visitation
to low income families and youth and to youth with special needs.
(5) Parents were chosen because they and other adults are the most significant role models in the
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lives of youth. The Journal of the American Medical Association, 1997, reported findings from
the National Longitudinal Study on Adolescent Health that family factors associated with
delaying sexual activity included high levels of parent/ family connectedness and parental
disapproval of adolescents being sexually active or using contraception. Adults need education
on developing assets among youth and providing support for character building and abstinence.
Youth ages 10- 14 are targeted because it is more effective to prevent initiation of sexual activity
than to change that behavior once started. According to the 1997 YRBS, 7.2% of youth had
intercourse before age 13. Research conducted by the National Center for Health Statistics found
that many teenage girls are ambivalent about their first intercourse. The changes associated with
adolescence, including physical, cognitive, social, and emotional growth, impact decision
making. Promoting effective decision making skills at this age encourages youth to take
responsibility for their own actions. Addressing high risk behavior is more promising if begun in
elementary or middle school and reinforced throughout junior high and high school.
Members of the target populations will be recruited to participate through informal presentations,
posters, flyers and newspaper articles, and referrals from teachers, counselors, youth group
leaders and the faith community. Students attending the schools where the abstinence program is
in place will receive the curriculum as part of required and elective class programming.
Participation at health fairs and community events will provide information to students that can
be shared with parents. To reach more youth with special needs, low income youth and youth of
color we will work with teachers, counselors and peers to refer these teens into the programs.
We will implement the abstinence education in an alternative highschool in Greeley that serves
these priority populations. Teens and/or parents utilizing the services at the Weld County
Department of Public Health and Environment will be targeted for abstinence education and
counseling.
b. Provide a brief demographic description of the project community. Justify the need for
abstinence education with qualitative and quantitative data such as local STD rates and
fertility rates, level of poverty and community perception of need.
Weld County's estimated population for 2000 is 164, 320 with 33.2% under age 21. Weld
County population is 23.8 % Hispanic and in Greeley, the largest city, 23.7% are Hispanic. The
county encompasses 4033 square miles and is still primarily rural and agricultural.
Weld County's fertility rate for youth ages 10 -14 was 1.4 per 1000 births and in Colorado, .8 per
1000. Fertility rates for teens ages 15 - 17 were 38.3 per 1000 in Weld County and 30.2 in the
state. (1998 Colorado Vital Statistics)
15.3 million Americans are newly infected with an STD each year, including 3 million teens.
Adolescents and young adults (15-24) are the age groups at greatest risk for acquiring an STD.
More teens have chlamydia, a disease that is a common cause of pelvic inflammatory disease. In
Weld County in 1996, there were 2915 new cases of Chlamydia out of 48,155 teens ages 10 -
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177, or 6197 per 100,000. This is a staggering increase over 1995. ( Centers for Disease Control,
Sept.1996; Colorado Health Information Dataset: Weld County, 1996)
According to the 1996 Census Bureau estimates, 13.7% of families are living in poverty in the
United States. In 1995, Weld County had 13.3 % of families and 16.9% of youth under age 18
living in poverty. (U.S. Census Bureau, Poverty Estimates for Weld County, July 1996)
Weld County's Hispanic population is estimated at 24%. Forty four percent of the Hispanic live
population lives in Greeley. The fertility rate for Hispanic teens ages 15 -17 in Colorado is 93
births per 1000. Nationally, birth rates for all teens have declined since 1991 (43.4%), but for
Hispanic teens, declines began later (1994) and have been smaller(12%). In Colorado,two-
thirds of the Hispanic and African American youths come from low income households. (Weld
County Demographic Profile; Colorado Vital Statistics, 1998;National Center for Health
Statistics)
Youth with all types of disabilities, learning, developmental and physical are integrated into the
school systems in Weld County are integrated into the schools unless gravely disabled, according
to Greeley-Evans School District Six and Centennial Board of Cooperative Educational Services
which serves 8 rural districts in Weld County. This represents approximately 2452 students in all
grades. The Department of Social Services in Weld County reports a case load of approximately
496 families for January, 2000 for youth involved in the justice system, out of school, or
involved in dependency and neglect issues. Although many of the older youth are not in school,
over 200 are in the public/private school system.
Weld County Department of Public Health and Environment has implemented abstinence only
education programs in eight middle,junior high and high schools in Weld County. These
programs have been very well received and 22 other schools have expressed interest. We
continue to provide information, materials and videos at no cost to all community members as a
part of our comprehensive health library.
c. Describe the lack of resources or gaps in service with respects to the unique
characteristics of the target population and how this program will address the gaps.
The Weld County Department of Public Health and Environment provides education and
awareness on abstinence only through the Abstinence Education grant program, to 8 schools in
Weld County, 6 in rural communities and 2 in Greeley. Much of our effort was focused on
providing services to the under served rural communities. With this project we will continue to
support and enhance these programs and expand services to other target populations, youth of
color, low income and other high risk groups. We will introduce new curricula, Character First
and Character First Business from the Essentials For Life Institute in Denver for ages 10-14.
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d. Describe the organization's expertise directly serving the target populations or plan to
collaborate with organizations that have the expertise.
Weld County Department of Public Health and Environment has established successful
abstinence education program in 8 schools in Weld County. The health department consults and
contracts with the Friends First project of Longmont for the abstinence education program
development and support. We have worked with the Youth Exploring Abstinence program, in
Greeley, to provide complimentary abstinence education service. In addition, the health
department is active in many advisory boards and coalitions that represent the community, with
youth, adult and bi-cultural members. The abstinence coordinator is trained in Assets, and is
active in the Youth Initiative Network in Greeley. WCDPHE employs 81 people, 33 of whom are
of Hispanic origin,bilingual and live in the county.
e. Explain how the program addresses cultural competency and inclusion of individuals
with special needs.
We have investigated acquiring bilingual, culturally sensitive materials for the Hispanic, low
income and other high risk populations similar to the curriculum already in use in Weld County,
Wait Training and The Art of Loving Well. There are several organizations in the U.S. currently
developing culturally appropriate materials, ETR Associates of Santa Crus, CA, and The
National Latina Health Organization of Oakland, CA, but they are not yet available. We will ask
focus groups representative of the community, including members of the faith community,
schools, community leaders,teens and parents to review and evaluate the current and new
curricula. Although these curricula are not bilingual or bi-cultural, they have been used
successfully for several years in many schools including Longmont, CO. where the population is
similar demographically to Weld County.
3. Proposed Project Detail
a. Abstinence Education Program Project Description, program services and
interventions:
This program is a comprehensive abstinence education program that will provide multiple levels
of intervention and intensity to support the youth of Weld County. The curricula we have chosen
for the school based programs are scientifically based programs that provide the abstinence only
message through asset and skill building activities. The clinical delivery of abstinence education
is based on the medical model from the Medical Institute for Sexual Health and will be designed
and implemented based on the eight criteria of the Federal Abstinence Education Program.
Our program includes character, relationship and abstinence education and skill building
activities to strengthen the resiliency of youth ages 10 -17. Youth will have the opportunity to
develop leadership skills and participate in the project through a peer educator program, focus
groups and presentations for peers and community members. Teachers, counselors, clinicians,
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program coordinators and parents will provide supervision and mentoring for the program.
Family members will be invited to participate in presentations, focus groups and community
meetings to increase the opportunity for open communication and support of this message. The
community is dedicated to providing the best possible resources for our youth to attain their
highest potential and we feel abstinence education is part of that comprehensive goal.
Provide positive messages that support youth in remaining sexually abstinent by
strengthening and expanding the established 8 schools (5 school systems) based abstinence
education programs in Weld County. This is a medium to high level of intensity intervention
that provides a variety of contacts, including 1-2 times weekly for a semester in classes and 1-2
hour presentations during school hours. Introduction of new curricula will provide a multi level
approach where students receive character building and abstinence messages in progressive
grades that compliment and build on the other. We propose to add a bi-lingual/bi-cultural health
educator to provide outreach to the Hispanic members of the schools and community.
The program coordinator and outreach specialist will work with teachers, administration and the
community to maintain and enhance the abstinence education programs in 8 schools in Weld
County; Eaton Middle and Highschool, Briggsdale Middle and Highschool, Weld Central Junior
and Senior Highschool, University of Northern Colorado Laboratory School, and Day Spring
High School.
We will continue using the Wait Training and The Art of Loving Well programs for students in
middle schools,junior high and high schools. Contemporary methods of teaching sex education
have not reduced rates of teen pregnancy or sexually transmitted diseases. These curriculum
based programs equip youth to make healthy life choices through relationship education and
promoting abstinence until marriage. They incorporate the nine characteristics sited by the
Division of Adolescent Health at the Centers for Disease Control and Prevention in Atlanta, GA
that linked curricula with these traits to positive behavioral results. The abstinence educational
programs we have implemented have been well received by students, teachers, parents and
administration.
We will recruit additional teacher(s) in each school to receive training on the current curricula
during the first year. We will recruit bi-cultural, bi-lingual staff if available to receive the
training. This will ensure continuation of the program and provide more support and flexibility
for the teachers and students. Additional teachers will increase the number of students who
participate in the abstinence education programs in the second year.
We will introduce character education curricula, Character First, ages 10-12, and Character First
Business, ages 12 and up, to the participating school systems (5) and train at least one teacher in
each school to add the curricula. These are complimentary educational programs for youth ages
10-17 designed to promote characteristics of responsibility, patience,punctuality, self-control,
resourcefulness, discretion, creativity, and tolerance. Providing the foundation needed to remain
abstinent begins with developing resiliency skills through character education.
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We will provide presentations for all-school assemblies and parent-teacher organizations with
outside speakers for students, parents and staff The presentations will cover the topics of:
positive health gains to be realized from remaining sexually abstinent; refusal skills; developing
protective factors; affects of drugs and alcohol on decision making and consequences of pre-
marital sexual involvement. These presentations increase awareness and support for programs in
the communities and the schools. The hours may vary depending on the needs of the community.
Expand the current school based abstinence education programs into an alternative
highschool(s) in Greeley, targeting the youth of color, low income youth and youth at risk.
This is a medium level intervention in health classes withl-2 sessions per week per semester
during the day and at some early evening classes. If appropriate, presentations will be provided
in Spanish and English.
The abstinence program coordinator and outreach specialist will work with the administrator and
health teachers to implement the character and abstinence education curricula at Trademark
Learning Center in Greeley, CO. We will use the same curricula, Character First Business, Wait
Training and the Art of Loving Well for youth grades 9 - 12. These youth are 100% high risk
youth, 90 % of Hispanic origin, many low income. Because there is a clear connection between
teen substance abuse and early sexual intercourse, this is an important addition to the health
classes at Trademark. The characteristics of these curricula are similar to those of educational
programs found to be effective at reducing substance abuse (Dusenbury & Falco, 1995). Training
on the curricula will be provided for two teacher(s) and/or counselor in the school. Presentations
(as described above) on the benefits of abstinence will be held for students, parents, teachers and
other staff during and after school to increase participation and support. This is a medium
intensity intervention.
Implement a Peer Education Program in two schools already participating in the
abstinence education program. This is a high level intervention that includes one-on-one
counseling for teens and provides regular weekly activities during and after school to support and
enhance their decision to be abstinent.
Effective programs provide modeling and practice of communication, negotiation and refusal
skill by teachers and peers who believe in the program. Peer education and support provides a
high intensity intervention to those students who choose to be sexually abstinent. We will
develop a peer education group in at least one school(s) each year, a highschool and a middle
school. With the assistance of the Friends First Network, we will implement the program
STARS ( Self-Control, Trust, Abstinence, Responsibility and Self-Respect Program).
During year one, we will recruit two teens and two adults to attend the STARS training from a
participating highschool. With the assistance of the adult mentors and the abstinence staff, the
STARS "club" will hold regular meetings and plan events for the students and the parents during
and after school, and on weekends. The STARS participants will have the opportunity to develop
leadership skills and serve as mentors for teens to remain sexually abstinent. They will work
7
with the program coordinator to provide community presentations and serve as teen advisors for
the program.
Provide outreach to the Hispanic community through presentations on the abstinence
program and developing a network of parents, teens, leaders, ministers, and agency staff to
assist with program content and referrals. This is medium level intervention that includes 1-2
hour presentations (day or evening) and meetings on a monthly basis for 8 - 18 months.
The program coordinator and abstinence specialist will provide presentations to members of the
Hispanic community through a variety of venues and hours including: churches, community
centers, schools, businesses and homes. The specialist, who will be a bi-lingual and bi-cultural
member of that community, will host focus group meetings with community members on teen
pregnancy, STDs and the role of abstinence education in their communities. These groups will be
asked to review the curricula and programs for cultural appropriateness, language and need.
Suggestions will be sent to the WAIT Training, Friends First and Essentials for Life contractors
for consideration.
Participate in Abstinence Awareness Week and other community health fairs and events.
This is a low intensity intervention for 1-8 hours for large numbers of participants one time.
Weld County Department of Public Health and Environment will sponsor community events that
support and promote a positive abstinence message. The program coordinator will market
abstinence awareness kits and materials to help communities implement Abstinence Awareness
Week projects. We will also participate in local health fairs providing materials and information
on asset building and abstinence. We plan to bring in a national speaker on Abstinence Education
to create awareness and help market the program to the entire county.
Promote abstinence in a clinical setting by implementing a clinical model for abstinence
education in the health department and in physician's offices in Weld County. This is a
high intensity intervention that involves one-on-one counseling for a period of months to years
depending on the clinical setting. This intervention will target all youth 10-17 and have a
primary impact on youth of color, youth with special needs and low income youth.
The medical community plays a significant role in helping curb the level of high-risk behaviors
among people in the United States, as evidenced by the sound smoking cessation methods that
are integrated into clinical practice. Health care providers have unique and ample opportunity to
curb the trends of sexually transmitted diseases and pregnancy among the adolescent population.
Over 70% of the adolescents visit a physician yearly and they regard physicians and clinicians as
credible sources of information. Providers need an effective intervention that overcomes the
barriers of time, reimbursement, lack of adequate training, embarrassment and fear of offending a
patient. . Primary prevention efforts are the optimal solutions to the twin epidemic of STDs and
nonmarital pregnancy and targets AVOIDANCE of risky behavior, not modification of risks.
8
Through The Medical Institute of Sexual Health, Curtis Stine, M.D.and Gina Sunukjian, M.Ed.,
have developed a module "Promoting Abstinence in a Clinical Setting" to assist health care
professionals in giving sexual guidance to their adolescent clients to promote abstinence. This
model provides for primary prevention using these interventions during clinic visits: assessment
for risky behaviors and adverse sexual outcomes; advice not to become sexually active or advice
quit if they are, assistance with supportive materials, and appointment, letter or phone call for
follow up. There is potential for following an adolescent for a number of month to years
depending on the client and provider.
We propose to implement this model at Weld County Department of Public Health and
Environment in our nursing clinics. The health department will sponsor the two day training
seminar for our employees and recruit members of the local medical community to participate.
We will include members of the Weld Teen Pregnancy Work Group and medical clinics in the
county that serve low income and youth of color. The health department provides clinic services
to the public on a daily basis through Women's Health and Family Planning Clinics. The director
of the Public Health and Nursing Division was certified in the Wait Training program in January,
2000. She and health department staff will train in the medical model. As providers for Colorado
Access, The Health Care Program for Children with Special Needs, and Prenatal Plus, we serve
the low income, special needs, and youth of color populations in Weld County.
Assist with the development and/or implementation of a statewide social marketing
campaign to provide a unified positive message promoting abstinence for teens. This is a
medium intensity intervention that impacts potentially every adolescent in Weld County and
Colorado in a variety of formats over several months to a year on a daily basis. We will
cooperate with CDPHE and the agency developing the campaign to provide assistance as needed.
Provide and estimate of the number of participants to be served per year and the estimated
cost per client.
We plan to serve the following numbers of clients through the various program components as
follows:
Year one Year two
School based classes with four curricula : 1500 2500
All school assemblies 1280 1800
Peer Support group-students/parents 75 125
Health Fairs & presentations,AAW 1500 2000
Health Department Clinic Model 160 250
Totals number of clients: 4515 6675
We hope to be able to serve more clients through each of our levels of services during the next
two years. We will encourage participation in all levels of the program and continue to make
information available to all residents of Weld County via pamphlets, materials, videos, newspaper
articles and speakers. The total request including matching funds for year one is $131,365.00 and
the cost per client for year one is $29.08.
9
b. Describe how the project will involve youth in meaningful ways in planning as well as
implementing the program.
The program coordinator and evaluator have conducted pre and post tests, surveys, essays and key
informant interviews with youth participating in the school based abstinence education programs
in Weld County. From this feedback, we know that participants enjoy the curricula because they
learn skills that are relevant and they can apply in their current relationships, friendships and
family situations. We will continue to use these methods to obtain input from youth and revise
and refine our programs. We will recruit teens to participate in STARS Program to develop
activities and presentations that will appeal to their peers. We will use our outreach specialist,
community focus groups and teens to assist us in evaluating curricula for cultural and language
appropriateness.
c. Provide a plan for collaborating and/or coordinating with other abstinence education
programs, local agencies and others in the community to accomplish this work.
We will continue to consult and contract with the Colorado Coalition for Abstinence Education,
Inc. and it's project, Friends First, to build and enhance the abstinence education program in Weld
County. We will consult with Friends First to assist us in developing and implementing the teen
mentor ship program STARS. We will continue using the Art of Loving Well and Wait Training
(now marketed by Choose The Best, Inc) curricula.. We will coordinate activities with "Youth
Exploring Abstinence" (YEA) to enhance the programs we now have for teen mentoring. We will
continue to work cooperatively with the schools and communities that have abstinence education
programs to expand the programs to younger youth, 10 - 12. We will collaborate with Trademark
Learning Center to implement the abstinence and character education programs. We will also
consult and contract with the Medical Institute of Sexual Health (MISH) to implement the
Medical Model for abstinence education in the health department. We will support other medical
providers to implement the Medical Model as a resources for abstinence education referrals. We
will continue to work with North Colorado Medical Center Foundation and the Greeley Youth
Initiative to promote the Assets program in Greeley and Weld County as an integral part of the
abstinence message.
Participants in the abstinence education program in need of other services will be referred to the
appropriate agency/individual. There is an established Weld Teen Pregnancy Workgroup in Weld
County that provides services for safety, family planning and pregnant and parenting teens.
Agencies in this network include: Child Advocacy Resource and Education, parent counseling),
Crisis Pregnancy Center(counseling, health care,parent counseling), Monfort Children's Clinic
(health care, counseling, parent education, referral), First Steps (case management, counseling,
nutrition counseling, parenting education, North Colorado Family Medicine (health care, case
management, referral, counseling) and WCDPHE (family planning, STD/HIV testing, case
management). We will ensure that a referral agency will sign a letter of confidentiality before the
name is released to the agency and the teen and/or parents will sign a release of information form
prior to the referral.
10
1. Letters of support are provided in the Attachment A.
g. Describe how the program will evaluate progress toward meeting goals and objectives
assess project impact and assess client satisfaction.
We will contract with an evaluation specialist in Ft. Collins, CO to assist us in completing an
evaluation plan for the program. We have worked with this evaluator for the past 4 months to
gain input and information on the school based abstinence programs implemented in Weld
County during 1998-1999. From this information and using the Logic Model as a guideline, we
have looked at activities, outputs and outcomes based on the Colorado Abstinence Education
Goals. We used this information to guide us in the development of this proposal. We will
incorporate process, impact and outcomes measures into the plan to ensure we meet our stated
goals, objectives and activities.
Process evaluation will include tracking the number of presentations, articles, health fairs, classes,
visits, and participants in each part of the abstinence education program. We will document our
progress on the established time line to ensure we are meeting stated objectives. Continual
communication with the schools, collaborators, staff and students will provide input on the
progress of the program. From this information, we can make necessary changes in the program
to ensure the most efficient use of funds and staff time and the most effective activities to help us
reach our goals.
To assess knowledge, attitude and behavior change, we will use several methods. In the school
based programs, 1) we will use a pre/post questionnaire series, one for a baseline measurement,
one at the end of the class or program and another to measure intention of remaining abstinent 3-6
months after the classes; 2) we will use an evaluation following all presentations and activities
that are held for schools or communities; we will do interviews and/or focus groups with a
sample of students and teachers once a year to gain additional feedback. The evaluator will assist
us with tallying and reviewing the evaluation information. This will allow us to analyze and
change the school based programs on a regular basis twice a year.
In the clinical model, we will use the assessment tool provided with the program to establish
baseline data and document changes in knowledge, attitude and behavior as they occur. Tracking
the clients through follow up visits and/or phone calls to determine if they are remaining
abstinent, have not contracted an STD or become pregnant will be ongoing. This information will
be tallied and reviewed every six months to determine if we are meeting our goals and objectives
and allow us to change activities to accomplish this.
To measure participant/client satisfaction, we will use the evaluations, and hold focus groups and
key informant interviews with students and clients, teachers, counselors, clinic staff,
administrators, collaborators and our county commissioners. Information we have collected on
the current programs gives us a baseline for future projects. Input from participants will be
collected every six months to help us adjust program activities as needed to meet our goals.
11
The Evaluation Model and Plan are included in Attachment B.
h. Describe the tracking mechanisms to fulfill reporting requirements.
The health department provides a computer equipped with a Lotus software program to assist us
in tracking the number of events, programs, classes, activities and participants. We will ask all
participants to fill out forms that provide demographic information for the program. Teachers
providing the curricula will advise us of participants who drop out of the classes. We will send
them a post test on the program. We will use evaluations to record the number and opinion of
participants at presentations, training and those attending other activities. Clients in the medical
model will be tracked through the assessments in medical record. Costs of the program will be
tracked by the program coordinator using the Lotus software and by the county financial tracking
system. All reports will be filed with the state on appropriate forms according to the prescribed
guidelines.
4. Methodology
a. Provide the rationale for models of service and interventions, including peer-reviewed
research to support rationale.
The activities in this project are based on two main health promotion theories. The first theory is
the Health Belief Model which focuses on individual perception and change. The second is the
Social Learning Theory, which addresses both the psycho social dynamics underlying health
behavior and the methods of promoting change.
The Health Belief model has been used extensively for preventive health behavior programs such
as flu shots, breast self-exam and blood pressure screening. Other preventive behaviors include
seat belt use, nutrition and exercise, smoking cessation and physician office visits. Individuals
will take action to ward off, screen for, or control ill-health if they regard themselves as
susceptible to the condition, if they believe it has serious consequences, the course of action will
be beneficial to them and that the benefits outweigh the barriers. Of the Health Belief Model
(1989) components, the most powerful predictors are the perceived barriers. Perceived
susceptibility was stronger than perceived benefits and perceived seriousness was least important.
The abstinence education curricula we have chosen is very comprehensive and addresses each of
these components. It is particularly strong in regards to perceived benefits and barriers, such as
peer pressure and expectations of love. Education on true bonding and intimacy help the teens
understand the benefits of waiting to have sex until marriage. Early character education will
strengthen the perceived self efficacy needed to support this decision.
The socio demographic factors such as education, age, sex, race, ethnicity, and income are
believed to influence behavior indirectly by affecting perceived threat, outcome and efficacy
expectations. The Social Learning Theory suggests that individual and environmental constructs
12
influence each other simultaneously. The environment provides the physical situation in which
the person must function and also the incentives or disincentives for behavior. The participants
are taught they have capability to act and have self control over their actions. The anticipated
negative outcomes of early sexual activity are presented and discussed through the literature and
activities and alternative behaviors and rewards provided.
Across a variety of health behaviors, screening for risky behavior followed by clinician advice
and assistance has been a powerful agent for personal change. The rationale behind recommended
strategies and techniques for counseling adolescents have been extrapolated from adult data and
from schools and community interventions. The clinical model for this program is based in part
on the Transtheoretical Model for Change. This model is circular and includes contemplation,
determination, action, maintenance. Interventions must be appropriate for the stage the client is at
in the process. The assessment is done, adolescents can be provided the intervention that meets
their needs.
B. Describe how the interventions/strategies will respond to characteristics unique to the
target population including language, culture, developmental and literacy level, and special
needs.
The school based abstinence programs have been very well received by students, parents and
teachers over the past two years. The curricula is in English but most of the youth of color in
Weld County are bi-lingual. We are looking for other options to address this issue. A bi-lingual,
bi-cultural Hispanic health education intern from our community has reviewed both the WAIT
Training and the Character First curricula. Other that a few activities in the WAIT Training, she
thought they were very good and something the Hispanic community would support. As part of
our program, we will ask focus groups from that community to review these materials. The low
income youth and the youth with special needs are incorporated into the public school system for
the most part and/or are served by the health department and other medical clinics in Weld
County. By offering the abstinence education message through the schools and the medical
model, we can reach more of these youth.
5. Goal(s), Objectives(s) and Work Plan
Goal 1: To reduce out-of-wedlock pregnancy and sexually transmitted diseases in youth
ages 10 - 17 including youth of color, low income and youth with special needs in Weld
County.
Goal 2: To increase knowledge, skills and support to youth ages 10-17 in Weld County for
delaying sexual activity and remaining abstinent until marriage,
13
Process Objectives: Year One
1) By June 1, 2001, strengthen and expand the abstinence education programs by adding at least
one new teacher and two new curricula to each of the 5 school systems in Weld County.
2) By October 1, 2000, implement the STARS peer support program at one participating
highschool with an abstinence education program by training two students and two adults in the
program.
3) By January 15, 2001, expand the current school based abstinence education program into an
alternative highschool in Greeley by training 2 teachers and implementing 3 curricula.
4) By December 31, 2000, develop a network of individuals to a) evaluate materials and 2)
provide feedback on programs by hosting at least 5 presentation/meetings in the Hispanic
communities in Weld County.
5) By June 1, 2001, participate in Abstinence Awareness week and 5 other community events and
health fairs for students, parents and community members in Weld County.
6) By October 1, 2000, implement the Abstinence Education Clinical Model in two nursing
clinics at Weld County Department of Public Health and Environment for adolescent clients.
Impact Objectives:
1) By June 1, 2001, show a 40% increase in participating youths intention to delay sexual activity.
2) By June 1, 2001, show a 40% increase in participating youths commitment to engaging in
positive health-enhancing behavior.
3) By June 1, 2001, show a 75% increase in participating youths knowledge of the a) social,
psychological, and health gains realized from remaining sexually abstinent b) consequences of
pre marital sex, c)how alcohol and drug use increases vulnerability to sex.
4) By June 1, 2001, show a 40% increase in participating youth skills to delay sexual activity and
remain abstinent.
5) By June 1, 2001, show a 40 % increase in participating youths knowledge of support systems
to delay sexual activity and remain abstinent.
D. Work plan for June 1, 2000 to May 31, 2001 is provided in Attachment C.
14
6. Budget Justification
a. A line item budget for year one is provided in Attachment D.
B. Budget Justification
Describe and justify each category in the budget and demonstrate appropriate allocation of
staff and resource to produce the results detained in the work plan.
Funds requested from Colorado Abstinence Education Program
The total amount requested from the Colorado Abstinence Education Program for one year, June,
1, 2000 to May 31, 2001 is $48,663.66.
1.Direct Costs will cover the following:
Personnel:
The .5 Health Educator @ $16,304.00, to coordinate and implement the program activities, which
include community presentations, school based abstinence education programs, peer mentorship
program, the medical clinic model and evaluation as well as providing counseling in the health
department clinics.
The .25 Health Educator @ $8152.00, to provide outreach activities with the Hispanic
community, including presentations, focus groups, facilitation, and assist with the coordination of
the school based programs, peer mentoring programs and counseling in the health department
clinics.
Contractual Fees:
a. Trainer fees, $7960.00, for trainer fees for(6) teachers in WAIT Training at $250.00 each; (6)
teachers in The Art of Loving Well @ $150.00 each; (10)teachers in Character First/Character
First Business @ $150.00 each; (2) adults and(2) teens in STARS @ $295.00 each; and (10)
WCDPHE staff for the Medical Model @$ 250.00 each.
b. Substitute teacher pay, $3360.00, for training, $60 per day for 42 days; teacher meals while
attending training, $20 per day for 42 days.
c. Consultation fees, $3750.00, for program evaluation design for Prime Solutions, 75 hours @
$50.00 per hour.
d. Technical Assistance, $1080.00, Friends First , Lisa Ruh @ 2 hours per month @ $20.00, and
two training to launch the peer support network @ $300.00 each.
Professional Services
a. Speakers fees, $3300.00, for Friends First, Speakers Fees, 3 @ $1100.00;
b. Youth Support, $1500.00, youth support to launch the peer support network and parent
component, $1500.00 per day for one day.
2. Operating Expenses
a. Books and Curricula, $5836.00, 150 Textbooks for Loving Well @ $20.00 each; Character
15
First posters, (10) @ $20.00 ea.; Character Cards (233) @ $3.00 ea.; Songbooks (6) @ $4.00 ea.;
CD's (6) @ $10.00 each.
Conferences and Training, $1450.00, Grantee conferences and ongoing training for the program
coordinator and outreach specialist.
Travel, $1500.00, for out of state travel expenses for out-of-state speakers, including airfare,
hotel, car and meals.
Matching Funds;
The total amount of matching funds from Weld County Department of Public Health and
Environment, including staff, teachers from the schools, and volunteers from the community to
participate in the Hispanic advisory groups and the peer mentoring program is $52,859.00
Direct Costs will cover:
Personnel:
The Department Director, .02 FTE, $2245.00, to administer the program and the oversee the
contractual arrangements with Friends First, The Medical Institute, and Essentials for Life. The
Director will provide valuable support for the program with policy makers and community
leaders.
he Division Director, .05 FTE, $3049.00, to direct the clinical staff and oversee the program
implemented in the health department clinics. The director will provide a valuable link between
the health department and other agencies supporting teen pregnancy prevention programs.
Health Promotion Program Supervisor, .20 FTE, $8380.00, to provide direct supervision of the
program staff and to promote the program within the Weld County communities.
The .3 Office Technician, $2458.00, will provide technical office support for the program
coordinator and the outreach specialist in the record keeping and materials development.
The Nursing Practioner,125 FTE @ $4764.97 for adolescent counseling at WCDPHE.
The Community Health Nurse, .125 FTE @ $3391.89 for counseling adolescents at WCDPHE.
Indirect (10.04%) for indirect costs covers accounting and payroll, budgeting costs, office space
and related utilities, data processing and maintenance, use of office machines and equipment,
office supplies, postage and freight, purchasing costs, and use of telephone.
Professional Services:
Teacher and Volunteers, $17,092, $20.31 per hour for 842 hours for WAIT Training, Loving
Well, Character First and Character First Business contact time for classroom curricula.
16
Peer Support, $3249.60, for 2 adults @ $20.31 per hour for 160 hours to supervise and support
the peer mentor ship program.
Hispanic Community Volunteers, $2400.00, 120 hours @ $20.31 per hour to provide feedback on
curricula and programs for the Hispanic community.
Operating Expenses:
Educational Brochures and videos, $700.00 for community presentations and loan library.
Medical Institute for Sexual Health, training materials, $500.00, for staff and clients.
Meeting Expenses, $1828.00, for room rental, refreshments, Conference accommodation.
Printing, $1650, for flyers, evaluations, promotional materials and reports.
Advertizing, $500.00, announcements for community meetings and promotional advertizing for
speakers and MISH training.
Focus Group Incentives, $300.00, for refreshments for the community focus groups, student and
teacher interviews.
Mileage, $$3407.00, for local mileage to travel to schools, presentations, programs, meetings for
the program coordinator and the outreach specialist.
7. Federal Abstinence Education Criteria
List the criteria (A-H) of the Federal Abstinence Education Definition that your project
plans to emphasize and describe your process for doing this.
The criteria we plan to address includes the following:
(A) has as its exclusive purpose, teaching the social, psychological and health gains to be realized
from abstaining from sexual activity;(B) teaches abstinence from sexual activity outside marriage
as the expected standard for all school age children;
(C)teaches that abstinence from sexual activity is the only certain way to avoid out-of-wedlock
pregnancy, sexually transmitted diseases, and other associated health problems;
(D) teaches that a mutually faithful monogamous relationship in the context of marriage is the
expected standard of human sexual activity;
(E)teaches that sexual activity outside of the context of marriage is likely to have harmful
psychological and physical effects;
(F)teaches that bearing children out-of-wedlock is likely to have harmful consequences for the
child, the child's parents and society;
(G) teaches the importance of attaining self-sufficiency before engaging in sexual activity.
17
All criteria will be addressed in our project through school based character, relationship and
abstinence educational curricula; school, group and community presentations; peer mentoring
program; clinic abstinence counseling; and media messages.
The curricula and activities for school based programs and the peer mentoring program, materials
for presentations and the medical/clinical intervention model for youth and adults include:
✓ The character skills and assets youth need in order to make healthy life choices, reject
risky behavior, reject sexual advances and choose abstinence.
✓ The social psychological, and health gains to be realized by abstaining from sexual
activity;
✓ Abstinence outside of marriage as being the expected standard for all school age children
✓ Abstinence as the only sure way to prevent sexually transmitted diseases and other
associated health problems, including out-of-wedlock pregnancy that have harmful
consequences for the child, the child's parents and society;
✓ The effects of drugs and alcohol on decision making;
✓ That a sexually abstinent lifestyle during adolescence gives youth more personal freedom
and time to define who they are and who they want to become.
The characteristics identified in curricula showing strong evidence for reducing sexual risk-
taking behavior by a panel of experts selected by the Centers for Disease Control, Division of
Adolescent and School Health, (Kirby, et al, 1994 and Kirby) are embodied in the curricula,
model and materials used for the interventions in this project.
They:
1) focus clearly on reducing one or more sexual behaviors that lead to unintended pregnancy or
HIV/STD infection;
2) have behavioral goals, teaching methods, and materials that are appropriate to the age, sexual
experience and culture of the students;
3) are based on theoretical approaches that have been demonstrated to be effective in influencing
other health-risk behavior:
4) last a sufficient length of time to adequately complete a variety of activities;
5) employ a variety of teaching methods designed to involve the participants and have them
personalize the information;
6) provide basic, accurate information about the risks of unprotected intercourse and methods to
avoid intercourse;
7) include activities that address social pressures on sexual behaviors;
8) provide modeling and practice of communication, negotiation, and refusal skills; and
9) select teachers or peers who believed in the program they were implementing and provided
training for those individuals.
8. Capability of the applicant
The Weld County Department of Public Health and Environment was established in 1938 and
has been providing preventive health services to the residents of Weld County for over 60 years.
18
The Public Health Education and Nursing Division is dedicated to providing community
education and support to reduce teen pregnancy and STDs in Weld County. The health
promotion and nursing staff are trained to plan and implement health interventions that are based
on sound health education principals that are targeted to specific populations. The health
department has established excellent relationships with many local, state and national
organizations and will use their resources and materials for abstinence education and teen
pregnancy prevention programs.
The health department has,through a Colorado Department of Public Health and Environment
Youth Abstinence Education Grant(1997), established school based abstinence education
programs in 8 schools in Weld County. Through a contract with Friends First, we trained teachers
in each of these schools on the curricula WAIT Training and the Art of Loving Well. We have
created abstinence awareness through community presentations, school assemblies, health fairs,
Abstinence Awareness week activities and the traveling exhibit,"Plan for Me". We utilized a
billboard on Highway 34, the I-25 access to Greeley, to promote abstinence through a month long
billboard campaign. We have recently (February 1, 2000) begun an abstinence media campaign
using 2 video media messages purchased through the Campaign For our Children which will be
shown before each feature movie at a locally owned movie theater in Greeley during the next 6
months.
The schools who are providing the abstinence education curricula want to continue to expand
this program. It has been very well received by teachers, students, parents and administration.
Our focus group and key informant interviews indicate the students want this opportunity to learn
about healthy relationships and good decision making. The community agencies who are part of
the Weld Teen Pregnancy Prevention Network are very excited about promoting and supporting
this project in Weld County. The Director of the Public Health Education and Nursing Division,
Linda Carlson, RN, MA, the Director of Weld County Department of Public Health and
Environment and the Weld County Board of County Commissioners supports the Youth
Abstinence Education Project.
The Health Department staff(Director, Division Director, Supervisor and Health Educators) will
be responsible for providing presentations, conducting focus groups and interviews, coordinating
and facilitating the school based educational and peer mentoring programs, developing materials,
coordinating the evaluation, and any other activities needed to meet the objectives stated in this
proposal. The Health Department will be responsible for tracking, reporting and evaluating the
program data and information. The health department will provide office space, computer and
software, computer support, accounting support, office supplies and equipment as needed.
The health department is the fiscal agent for the grant. The agency will sub contract with Friends
First, The Medical Institute for Sexual Health, and Essentials for Life (Character First) for
providing training and providing materials. The Health Department will sub contract with Prime
Solutions to develop evaluation materials and analyze data. The Health Promotion Program
Supervisor from WCDPHE will assist the program coordinator as needed with the project.
19
Attachments
Assurances
Organizational Chart
Budget
Work Plan
Letters of Support
Title V Abstinence Education Program -- Program RFP 34
Appendix F
Assurances
I hereby affirm the following regarding my organization's Title V funded abstinence education project:
(please initial)
Project staff/volunteers will provide education and materials that are scientifically and medically sound.
The project will follow a model that builds and the strengths and assets of youth.
No component of the project shall be inconsistent with the eight criteria of the Federal Abstinence Education
Definition.
QA Project staff/volunteers will not provide any education about contraceptive methods.
ea This project shall be delivered separate and apart from any religious education or affiliation.
24, The project will provide direct services to youth between 5th to 12" grade, or 10 to 17 years of age.
rk Project staff/volunteers will incorporate higher-risk youth into the programs' demographic mix.
9... Organization staff and program volunteers will assure the confidentiality of the youth. Information will not
be shared unless the youth has signed a Release of Information form.
The project will pursue collaborations with parents,parent groups,community leaders,educators,healthcare
professionals,other youth-serving agencies and other potential stakeholders as necessary to accomplish the
scope of work.
ORGANIZATION NAME: elled Cfebnfr ..O oo. ntn&f, % ,ed 7$t t., frerl teriwntt t
NAME OF INDIVIDUAL AUTHORIZED TO SIGN THIS FORM: v
9€14,
(2/14.43/
fc.a -/% flO fn9cam . u,Jo-J
Weld County Health Department -- Organizational Chart
Board of County
Commissioners
Health Department
Responsible for public health matters,
promoting health,protecting and providing
Advisory Board preventive health services for residents of Consultant Consultant
of Health Weld County. Pharmacist Pathologist
Director-MD,MPH
Environmental Protection Administrative Services Public Health Education and
Services Nursing Services
Accounting,personnel,vital statistics,billing,
Responsible for monitoring, sampling, and clerical,purchasing,and inventory.
p g Promotes preventive health practices,provides
protection of environmental health county- health education services, and provides a full
wide. range of disease prevention and preventive
health care services.
Laboratory Services
Consumer Health Team Child Health Team
Environmental Team Women's Health Team
Environmental Education&Outreach Communicable Disease Team
Health Promotion Team
Budget Request
(Page 1)
Applicant: Weld County Department of Public Health and Environment
Project: Abstinence Education Project
Detailed Budget Annual Number of % Total Source of Funds
for the period Salary Months for Time Amount Applicant Requested
06/01/00 to Rate Budget Required and from
05/31/01 Other CDP}EE
DIRECT COST
Personal Services:
Program Coordinator $32,608.00 12 .50 $16,304.00 0 $16,304.00
Hispanic Outreach $32,608.00 12 .25 $8,152.00 0 $8,152.00
Specialist
Office Technician $8,196.00 12 .30 $2,458.80 $2,458.80 0
Nursing Staff
Nurse Practitioner $56,670.00 8 .125 $4,764.97 $4,764.97 0
Comm. Hlth.Nurse $40,339.00 8 .125 $3,391.87 $3,391.87 0
Contractual/Fee-for-service:
Trainer Fees:
WAIT Training (6 @ $295.00 each) $1,770.00 0 $1,770.00
Loving Well (6 @ $150.00 each) $900.00 0 $900.00
Character First& Character $1,500.00 0 $1,500.00
First Business (10 @ $150.00 each)
STARS..(2 adults @ $350.00 &2 teens @ $295.00 each) $1,290.00 0 $1,290.00
Clinical Model (10 @ $250.00 each) $2,500.00 0 $2,500.00
Substitute Teacher Pay...($60.00/day @ 42 days) $2,520.00 0 $2,520.00
Teacher Meals While Attending
Training ($20.00/day @ 42 days) $840.00 0 $840.00
Consultation Fees:
Cindy Kronauge, MPH....($50.00/hr @ 6.25 hrs/month) $3,750.00 0 $3,750.00
Program Evaluation Design
Budget Request
(Page 2)
Applicant: Weld County Department of Public Health and Environment
Project: Abstinence Education Project
Detailed Budget Annual Number of % Total Source of Funds
for the period Salary Months for Time Amount Applicant Requested
06/01/00 to Rate Budget Required and from
05/31/01 Other CDPHE
DIRECT COST (Continued)
Contractual/Fee-for-service:
Trainer Fees:
Technical Assistance..($20.00/hour @ 2 hours/month) $480.00 0 $480.00
Friends First—Lisa Rue
Technical Assistance:
Friends First—Lisa Rue..(2 brief trainings to launch Peer $600.00 0 $600.00
Support Network @ $300.00 each)
Speaker Fees:
Friends First (3 @ $1,100.00/event) $3,300.00 0 $3,300.00
Youth Support (1 @ $1,500.00/day to launch Peer $1,500.00 0 $1,500.00
Support Network and Parent Component)
Teacher and Volunteer Time:
WT, LV, CH 1 (842 hours @ $20.31/hour) $17,092.60 $17,092.60 0
Peer Support (160 hours @ $20.31/hour) $3,249.60 $3,249.60 0
Spanish Program (120 hours @ $20.00/hour) $2,400.00 $2,400.00 0
SUB-TOTAL $43,692.20 $22,742.20 $20,950.00
Supervising Personnel:
Hlth. Dept. Director $112,275.00 12 .02 $2,245.51 $2,245.51 0
Division Director $60,981.00 12 .05 $3,049.00 $3,049.00 0
Health Promotion Program
Supervisor $41,901.00 12 .20 $8,380.00 $8,380.00 0
SUB-TOTAL $13,674.51 $13,674.51 0
Fringe Benefits: $9,084.41 $5,826.75 $3,257.66
TOTAL PERSONAL SERVICES $101,522.76 $52,859.10 $48,663.66
Budget Request
(Page 3)
Applicant: Weld County Department of Public Health and Environment
Project: Abstinence Education Project
Detailed Budget Annual Number of % Total Source of Funds
for the period Salary Months for Time Amount Applicant Requested
06/01/00 to Rate Budget Required and from
05/31/01 Other CDPHE
DIRECT COST (Continued)
Operating Expenses:
Office Supplies $165.00 $165.00 0
Books and Curriculum
Loving Well Texts...(150 @ $20.00 each) $3,000.00 0 $3,000.00
Character First
Posters (Full size — 10 @ $20.00 each) $2,000.00 0 $2,000.00
Character Cards (233 @ $3.00 each) $750.00 0 $750.00
Songbooks (6 @ $6.00 each) $36.00 0 $36.00
CD's (6 @ $10.00 each) $60.00 0 $60.00
Educational Brochures and Videos $700.00 $700.00 0
MISH Materials $500.00 $500.00 0
Meeting Expenses $1,828.00 $1,828.00 0
Room Rental, Refreshments, and
Conference Accommodation
Printing $1,650.00 $1,650.00 0
Flyers, Evaluations, and Promotional Materials
Advertising $500.00 $500.00 0
Focus Group Incentives $300.00 $300.00 0
Conferences and Training $1,450.00 0 $1,450.00
Grantee Conferences and Ongoing Training
SUB-TOTAL $12,939.00 $5,643.00 $7,296.00
Budget Request
(Page 4)
Applicant: Weld County Department of Public Health and Environment
Project: Abstinence Education Project
Detailed Budget Annual Number of % Total Source of Funds
for the period Salary Months for Time Amount Applicant Requested
06/01/00 to Rate Budget Required and from
05/31/01 Other CDPHE
DIRECT COSTS (Continued)
Travel:
Local Mileage @ 30.5 cents/mile for Program Staff $3,407.00 $3,407.00 0
and Local Trainers/Speakers
Travel for out of State Speakers $1,500.00 0 $1,500.00
Airfare, Hotel, Car, and Meals
SUB-TOTAL $4,907.00 $3,407.00 $1,500.00
Equipment:
None 0
0 0
SUB-TOTAL 0
0 0
TOTAL DIRECT COST $119,368.76 $61,909.10 $57,459.66
ADMINISTRATIVE/INDIRECT COST •
Indirect Costs (10.05% of Direct Costs)
SUB-TOTAL $11,996.56 $6,221.86 $5,774.69
TOTAL PROJECT COSTS $131,365.32 $68,130.96 $63,234.35
Budget Request
(Page 5)
Applicant: Weld County Department of Public Health and Environment
Project:Abstinence Education Project
* SOURCE OF FUNDING FOR THE MATCH, i.e. State, Local, In-Kind, etc.
In-Kind: WCDPE $45,388.76
Donated: Participating Schools and Volunteers $22,742.20
Other (Itemize): None -0-
TOTAL MATCH: $68,130.96
* May the non-Federal funds be used to match this grant? Yes X No
Signature of Director or Authorized Representative
Name of Organization:Weld County Department of Public Health and Environment
Grant Period:06-01-0 to 05-31-01.
WORK PLAN
GOAL(S):
Objective: #1: By June 1, 2001, strengthen and expand the abstinence education programs by adding at least one new teacher and two new
curricula to each of the 5 school systems in Weld County.
Activities By When Person Tracking(Notes, lists, Evaluation (Task completion,
Responsible meeting, minutes, etc.) report, submission, etc.)
Schedule WAIT training and Loving July 1, 2000 Program Dates and locations set and
Well licensure workshops with Coordinator confirmed with Friends First
Friends First for summer and fall
2000.
Schedule Character First and July 15, 2000 Program Dates and locations set and
Character First Business training Coordinator confirmed with Essentials for
workshops with Essentials for Life for Life.
summer and fall 2000.
Create informational packets for July 15,2000 Program Information will be Completed packets will be
prospective teachers and Coordinator kept on file placed in resource book/file.
administrators.
Meet with 12 teachers or May 31, 2001 Program Schedules of meetings Included in regular reports.
administrators over the next twelve Coordinator and lists of attendees
months to promote the abstinence will be kept.
program and distribute informational
packets.
Name of Organization:Weld County Department of Public Health and Environment
Grant Period:06-01-00 to 05-31-01.
WORK PLAN
GOAL(S):
Objective: #1 con't: By June 1, 2001, strengthen and expand the abstinence education programsby adding at lease one new teacher and two new
curricula to each of the 5 school systems in Weld County.
Activities By When Person Tracking (Notes, lists, Evaluation (Task completion,
Responsible meeting, minutes, etc.) report, submission, etc.)
Coordinate the registration of a May 31,2001 Program Copies of registration Training evaluations from
minimum of 6 teachers to attend the Coordinator forms and billing Friends First will be obtained..
WAIT training licensure workshop. invoices will be filed
Coordinate the registration of a May 31,2001 Program Copies of registration Training evaluations from
minimum of 6 teachers to attend the Coordinator forms and billing Friends First will be obtained.
Loving Well training workshop. invoices will be filed.
Coordinate the registration of a May 31,2001 Program Copies of registration Training evaluations from
minimum of 10 teachers to attend the Coordinator forms and billing Essentials for Life will be
Character First or Character First invoices will be filed. obtained.
Business training workshop.
Prepare and distribute training May 31, 2001 Program Names and addresses of Copies of all training materials
materials to all training participants. Coordinator all recipients will be will be maintained in resource
logged. file.
Purchase books and curriculum for May 31, 2001 Program Purchase orders will be Billing invoices will be
participating schools. Coordinator retained retained.
Name of Organization: Weld County Department of Public Health and Environment
Grant Period:06-01-00 to 05-31-01.
WORK PLAN
•
GOAL(S):
Objective: #1 cont: By June 1, 2001, strengthen and expand the abstinence education programs by adding at least one new teacher and two new
curricula to each of the 5 school systems in Weld County.
Activities By When Person Tracking (Notes, lists, Evaluation (Task completion,
Responsible meeting, minutes, etc.) report, submission, etc.)
Support and assist teachers as May 31, 2001 Program Schedules of meetings Included in regular reports.
necessary in designing an Coordinator and lists of attendees
implementation plan for the new will be kept.
curricula.
Name of Organization: Weld County Department of Public Health and Environment
Grant Period:06-01-00 to 05-31-01.
WORK PLAN
GOAL(S):
Objective: #2: By October 1, 2000, implement the STARS peer support program at one participating high school with an abstinence education
program by training two students and two adults in the program.
Activities By When Person Tracking (Notes, lists, Evaluation (Task completion,
Responsible meeting, minutes, etc.) report, submission, etc.)
Meet with teachers and administrators June 30, 2000 Program Schedules of meetings Completion of meetings.
from two participating high schools to Coordinator and lists of attendees
discuss and promote the STARS will be kept
program and request nominations of
students to be selected to attend the
peer training.
Meet with teachers and administrators June 30, 2000 Program Schedules of meetings completion of meetings.
from two participating high schools to Coordinator and lists of attendees
discuss and promote the STARS will be kept.
program and recruit teachers or
counselors to attend the adult training.
Create information packets for June 10, 2000 Program Information will be Completed packets will be
prospective teachers and students. Coordinator kept on file placed in resource book/file.
Coordinate the registration of a August 4, 2000 Program Copies of registration Training evaluation forms and
minimum of 2 adults and 2 teens to Coordinator forms will be kept. invoices from Friends First
attend the STARS training workshop will be kept.
in August,2000.
Name of Organization: Weld County Department of Public Health and Environment
Grant Period:06-01-00 to 05-31-01.
WORK PLAN
GOAL(S):
Objective: #2 con't: By October 1, 2000, implement the STARS peer support program at one participating high school with an abstinence
education program by training two students and two adults in the program.
Activities By When Person Tracking (Notes, lists, Evaluation (Task completion,
Responsible meeting,minutes, etc.) report,submission, etch
Support and assist adult and teen October 1, Program Schedules of meetings Completion of meetings.
leaders as necessary in planning an 2000 Coordinator and lists of attendees
implementation plan for their school. will be kept.
rwi
IdaNORTH COLORADO
MEDICAL CENTER FOUNDATION
1801 16th Street
Greeley,Colorado 80631-5199
303356-9020
February 23, 2000
Ms. Carla Casias
Abstinence Education Director
FCHSD-ADL-A4
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
Dear Ms. Casias:
I am pleased to write this letter in support of the Abstinence Education program of the
Weld County Department of Public Health and Education. Because Weld County has
one the highest teenage pregnancy rates in Colorado, it is important for our community to
do all we can to provide education to our children allowing them to make better
reproductive choices.
The current Weld County Abstinence Education program has been well received by local
parents, teachers, and students. Following participation in the program, many students
have made the decision to maintain or return to abstinence. The ability of our health
department to take the lead in promoting healthy lifestyles is well known, as is their
success in helping teens and others avoid behaviors that can put them at risk.
The health department has been successful in large measure, because of their ability to
provide leadership in establishing collaborative relationships with other area healthcare
providers. As such, the Weld County Department of Public Health and Education is in an
excellent position to reach a broad spectrum of community members. We support their
efforts in the continuation of the Abstinence Education program and ask your help in
maintaining this excellent resource for our community.
Sincer ,
ary . Schrenk
President
M O N F O Ft T
\e I r O
chi Idre n:s
CLINIC
c S S r S c FOR KIDS
February 28, 2000
Ms. Carla Casias
Abstinence Education Director
FCHSD-ADL-A4
4300 Cherry Creek Drive South
Denver, CO 80246-1530
Dear Ms. Casias:
We are pleased to write this letter of support for the Weld County Department of Public Health and
Environment's application for continued funding for the Abstinence Education program.
Monfort Children's Clinic is located in poverty-stricken North Greeley and serves a federally designated
Medically Underserved Area of 170,000 residents spread over 4,000 agricultural square miles. Weld
County has one of Colorado's highest teenage pregnancy rates; and specifically, one of the highest rates in
the state among Hispanic women between the ages of 12-18.
In the upcoming grant period, Weld County's Abstinence Education program plans on targeting this
population with programming specialized to meet their unique needs. There has been an enthusiastic
response for the current Weld County Abstinence Education program within our community. Monfort
Children's Clinic whole-heartedly support these plans and efforts.
Numerous community agencies and organizations, one of which is the Weld County Department of Public
Health & Environment, are assuming leadership roles in a variety of community based initiatives to improve
the health of our community. Through cooperation and this intensively managed network of care, which
results in comprehensive "wrap around" services, the individual and/or family is quickly propelled into a
supported state of improving health. This strong support network enables the WCDPHE to reach a broad
spectrum of community members, including the young people at higher risk.
Your consideration of continuing funding for the Abstinence Education program here in Weld County will
strengthen Weld County Health Department of Public Health and Environment's efforts to significantly
impact the lives of thousands of young people in our community. Thank you for your consideration of this
valuable program.
Best Regards„
Bob Francella
Executive Director
Winner of the 1999 Joel A.H.Webb Award for Excellence in Small Health Care Facilities presented by the El Pomar Foundation
100 North 11th Avenue • Greeley, CO 80631-2011 • (970) 352-8898 • FAX: (970) 351-7075 • E-MAIL: mcclintc@pawneenetcom
February 23, 2000
Ms. Carla Casias,
Abstinence Education Director
FCHSD-ADL-A4
4300 Cherry Creek Drive South
Denver, CO. 80246-1530
Dear Ms. Casias,
I am pleased to write this letter to show my support for the Weld County Department of
Health and Environment's application to receive funding for the Abstinence Education
program.
I am the Abstinence Coordinator for the Greeley Pregnancy Resource Center,which is a
non-profit organization. The Pregnancy Resource Center is committed through the love
of Jesus Christ -to develop and administer programs designed to assist in confronting and
dealing with the physical, emotional, economic, social, and spiritual issues associated with
pregnancy;to eliminate crisis pregnancies through prayer, prevention education, peer
advisement and practical assistance. I take the abstinence message into the Weld County
Jr. and Sr. High Schools as a guest speaker. I was able to attend the WAIT Training
courtesy of the Weld County Department of Public Health and Environment's Abstinence
Program. I whole-heartedly believe in the difference the Abstinence education is making
on our youth.
Several teachers I work with personally in the Weld County School District have also been
able to attend and participate in either the WAIT Training or the Living Well Curriculums.
I am encouraged by the boldness that has been taken in our community, to educate our
teens and young adults to avoid risky behaviors.
I, along with the staff of the Pregnancy Resource Center offer our continued support for
the Abstinence Education program within Weld County. This is a vital and valuable
program. Thank you for you consideration.
Sincerely, (�
Paula Blumhoefer
Abstinence Coordinator
Pregnancy Resource Center
re-
to
1 BOARD OF COUNTY COMMISSIONERS
PHONE (970) 356-4000, Ext. 4200
FAX: (970) 352-0242.
P. O. BOX 758
�• GREELEY, COLORADO 80632
COLORADO
March 2, 2000
Carla Casias, Abstinence Education Director
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246-1530
Dear Ms. Casias:
We are pleased to provide this letter of support for the Weld County Department of Public Health and
Environment's application to provide abstinence education for the residents of Weld County. The Weld
County Health Department has implemented very successful abstinence education programs in eight
schools in Weld County. There is enthusiastic support among the schools and other agencies in Weld
County to sustain and expand this program.
The Weld County Health Department intends to increase efforts targeting Hispanic teens in Weld County
during the upcoming grant period. This population has one of the highest teen pregnancy rates in
Colorado. The program will be expanded to include more classes and new curriculum, and a medical
model for abstinence education will be implemented in the Health Department and private provider
clinics in Weld County.
The Weld County Health Department has always been a leader in implementation of new and innovative
strategics to improve the health of the residents in Weld County. It has a proven track record for
providing successful community and school-based youth programs and has developed strong alliances
with the schools,agencies, parents, teens, teachers, and administrators. The Board of Weld County
Commissioners supports the Health Department in its goal to increase the knowledge, skills,and support
needed for youth to choose to be sexually abstinent.
Very Truly Yours,
BOARD OF WELD COUNTY COMMISSIONERS
1
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Barbara J Kirkmey Chair
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Dale K. Ha Glenn Vaad
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M. J. eile ' Georg E. Baxter
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