[Federal Register Volume 59, Number 70 (Tuesday, April 12, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-8792]


[[Page Unknown]]

[Federal Register: April 12, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
RIN: 0905-ZA31

 

The Community Prevention Coalitions Demonstration Grant Program

AGENCY: Center for Substance Abuse Prevention, Substance Abuse and 
Mental Health Services Administration (SAMHSA), HHS.

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

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SUMMARY: The Center for Substance Abuse Prevention (CSAP) announces the 
availability of funds to support community prevention coalitions to 
demonstrate and systematically study approaches to prevent and reduce 
alcohol, tobacco and other drug abuse and other drug-related problems 
through the further development of coalitions and partnerships, at the 
State, regional, and/or local level. This will involve the expansion of 
long-range, comprehensive, multi-disciplinary community-wide substance 
abuse prevention programming that reflects the next step in furthering 
CSAP's mission to support and promote strengthening of comprehensive 
prevention systems. The Community Prevention Coalitions Demonstration 
(CPCD) Grant Program is authorized under Sections 501(d)(5) and 516 of 
the Public Health Service Act, as amended.
    Noting the development and strengthening of community partnership 
programs across the country, CSAP will support, under this 
announcement, grants to promote the progression of this programmatic 
concept. The new CPCD grant program will build on the lessons being 
learned from CSAP's Community Partnership Demonstration Grant Program 
and similar programs in the field, e.g., Robert Wood Johnson 
Foundation's ``Fighting Back'' grants.
    The CSAP model of community-based prevention facilitates the 
incorporation of substance abuse prevention services into the general 
health care system. With health care reform, this approach which 
emphasizes greater integration of services, an elimination of 
duplication, and the need for community self-sufficiency in responding 
to substance abuse problems finds particular relevance.
    The conceptual framework of the Community Partnership Program 
embraces and operationalizes community empowerment, which is a keystone 
of the Secretary of the Department of Health and Human Services goals 
for the Department--empower communities, emphasize prevention, and 
value the consumer.
    This notice consists of three parts:
    Part I covers information on the legislative authority and the 
applicable regulations and policies related to the CPCD grant program.
    Part II provides the program description and model and discusses 
eligibility, availability of funds, period of support and the receipt 
date for applications.
    Part III describes special requirements of the program, the 
application process, the review and award criteria and lists contacts 
for additional information.

Part I--Legislative Authority and Other Applicable Regulations and 
Policies

    Grants awarded under this program announcement are authorized under 
Sections 501(d)(5) and 516 of the Public Health Service Act, as amended 
(42 U.S.C. 290aa and 42 U.S.C. 290bb-22).
    Federal regulations at Title 45 CFR Parts 74 and 92, generic 
requirements concerning the administration of grants, are applicable to 
these awards.
    Grants must be administered in accordance with the PHS Grants 
Policy Statement (Rev. April 1, 1994).
    The Catalog of Federal Domestic Assistance (CFDA) number for this 
program is 93.194.
    Interim progress reports, a final report, and Financial Status 
Reports (FSRs) will be required and specified to awardees in accord 
with PHS Grants Policy requirements.
    Healthy People 2000: The Public Health Service (PHS) is committed 
to achieving the health promotion and disease prevention objectives of 
Healthy People 2000, a PHS-led national activity for setting priority 
areas. This program announcement, ``Community Prevention Coalitions 
Demonstration Grants,'' is in keeping with objectives in the priority 
areas of alcohol, tobacco and other drugs, and educational and 
community-based health programs, including objectives relating to the 
workplace.
    Applicants may obtain a copy of Healthy People 2000 (Full Report: 
Stock No. 017-001-00474-0; or Summary Report: Stock No. 017-001-00473-
01) through the Superintendent of Documents, Government Printing 
Office, Washington, D.C. 20402-9325 (Telephone: 202-783-3238).
    Non-Use of Tobacco: The medical dangers and high risk of addiction 
associated with firsthand use of tobacco products have been thoroughly 
documented. Moreover, data presented in leading medical journals (for 
example, New England Journal of Medicine, June 10, 1993) and reported 
widely in the press, associate environmental exposure to tobacco smoke 
(passive smoking) with increased rates of cancer and other pulmonary 
diseases among people of all ages and with increased rates of asthma 
among children. Further, scientific evidence supports the connection 
between the use of smokeless tobacco products, such as chewing tobacco 
and snuff, and cancer of the mouth, jaw and throat.
    Critical questions now facing public health experts concern the 
most effective methods for preventing youth from using tobacco products 
and for preventing and/or reducing infants' and children's exposure to 
smoke in both public and private environments. A combined approach 
involving public policy, media awareness, and prevention education 
strategies appears to be a promising way to address this serious 
problem; however, careful development, implementation, and evaluation 
of specific tobacco use prevention strategies is required to establish 
their efficacy.
    CSAP recognizes that its target populations are vulnerable to a 
variety of preventable health and social problems, including substance 
abuse. Therefore, CSAP believes that preventative education, policy and 
media advocacy leading to environmental and social change concerning 
use of tobacco products must be a priority for grantees. Further, CSAP 
strongly encourages all grantees to provide smoke-free programs and 
work environments.

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

    Program Description: Based on these early indications of the impact 
of community-wide coalitions, as well as a national need to develop 
promising, innovative approaches to drug abuse prevention, CSAP will 
consider applications that provide a strategy for testing the 
effectiveness of the model described below.
    Because of the long term and difficult nature of establishing 
community partnerships (Altman, Endres, Linzer, 1991; Center for 
Substance Abuse Prevention, 1994; Florin, Mitchell and Stevenson, 
1993), and the fact that this is a demonstration program seeking to 
understand the potential of partnership programs, successful applicants 
must be able to document a fully operational and effective partnership 
and provide a solid rationale to justify enhancing the nature of its 
current partnership efforts, in accord with the provisions of this 
announcement.
    The new CPCD Grant Program seeks to demonstrate the potential of: 
(1) Expanding the scope of existing, well-developed partnerships 
programmatically and geographically, and/or (2) developing multiple 
partnerships into coalitions in their current area to address other 
drug-related health and social problems.
    The CPCD Program is an important part of CSAP's ongoing, long-term 
objective to achieve and document measurable reductions in substance 
abuse incidence, prevalence, and related consequences such as alcohol, 
tobacco, and other drug-related health problems, mental disorders and 
comorbidity, crimes, deaths and injuries among all age and ethnic 
groups within a community.
    Funds are available to test the effectiveness of extending the 
original partnership concept through one of two approaches reflecting 
the above concepts: (1) Local Prevention Linkages, or (2) State/
Regional Coalitions. Applicants must choose one of these approaches and 
provide a rationale for their belief that using this approach will 
significantly enhance the effectiveness of substance abuse prevention 
efforts in the area served by the proposed multi-partnership coalition. 
Funding will be consistent with the intent of Congress that direct 
prevention services should be approximately 50 percent of the project 
budget.
    Program Model: CSAP is seeking applications that demonstrate the 
effectiveness of the two partnership/coalition approaches which are 
described below.
    1. Community Partnership-Initiated Approach--This approach would 
expand a local community partnership(s) to form a larger coalition 
comprised of a minimum of two partnerships (at least one of which is 
established and one of which is new) to provide integrated, community-
based prevention services across a larger geographical area. At a 
minimum, this expansion would require the addition of at least one new 
community-based partnership. Thus, a community partnership initiated 
approach would have at least two (2) partnerships to establish a CPCD 
coalition.
    Proposed projects must include a rationale for the expansion and 
document strategies that will enhance substance abuse prevention 
programming across the expanded area. This rationale should include 
identifying and justifying enhancements in the following: (1) 
Prevention services (such as peer counseling, pre- and post-natal care, 
cross-cultural education programs); (2) successful prevention 
activities and related services (such as youth alternative programs, 
parental support and skills development, mentoring and role modeling by 
intermediaries, violence related activities); (3) environmental, social 
policy and media strategies aimed at alcohol, tobacco and other drug 
abuse prevention; and (4) a plan and design for coordinating and 
streamlining prevention efforts that can serve to improve service 
delivery and promote cost-effectiveness.
    This approach should demonstrate how to effectively expand and 
coordinate prevention services across a broader geographical area that 
will result in sharing ideas, expanding state-of-the-art practices in 
diverse disciplines and fields, and identifying effective substance 
abuse prevention measures for implementation.
    Applicants must keep in mind that all new services must be 
community-based and developed at the local level, consistent with 
program development approaches that have been documented by CSAP. One 
of the challenges of the demonstration is to unify a number of 
disparate, geographically diverse, community-based programs.
    2. State-Coordinated Approach--This approach would have the same 
design and purpose as described for the community initiated approach, 
except that the State would be the applicant and would serve as the 
coordinating body in the formation of the broader coalition. A State-
coordinated approach could serve a particular region within the State 
or encompass the entire State.
    In particular, the State would bring together at least two (2) 
existing substance abuse prevention partnerships, allow for a broad 
array of prevention activities such as those relating to the ones 
described above, provide for the addition of at least one new 
community-based partnership, and establish the requisite coordinating 
and streamlining activities. Thus, a State initiated approach would 
have no fewer than two (2) existing partnerships and one (1) new 
partnership in the CPCD coalition. Several States have already made 
progress in developing regional and State-wide networks.
    The CSAP substance abuse partnership/coalition model may serve in 
bridging a variety of broad-based prevention efforts, including 
violence and crime reduction, adolescent pregnancy, the spread of 
sexually transmitted disease, including HIV/AIDS, and school dropout 
prevention. It allows existing community-based partnerships and 
programs that currently address substance abuse to demonstrate the 
effectiveness of expanding their base and their efforts to address 
related health, social and safety issues through further interaction 
and linkages with other local coalitions and partnerships. This type of 
expansion can have a positive impact on preventing substance abuse 
through new or stronger prevention service systems both within the 
community itself and among affiliated communities. For example, and to 
the extent appropriate, partnership substance abuse prevention 
strategies and services may include the following areas of concern:

--Reducing violence, crime and gang activity related to and/or 
aggravated by alcohol and other drug problems.
--Reducing/preventing the spread of sexually transmitted disease, 
including HIV/AIDS, with respect to alcohol and other drug use and 
abuse.
--Addressing the special needs of rural, wilderness, and frontier 
communities with alcohol, tobacco, and other drug problems.
--Addressing special needs in areas with high rates of immigration, 
poverty, disaster, and unemployment--aggravated by alcohol, tobacco, 
and other drug problems.
--Reducing substance abuse and related problems in the workforce--
including collaborative labor/management efforts.

    This program encourages that approximately 50 percent of Federal 
funds be used for the provision of prevention services and 
approximately 15-25 percent for evaluation.
    Because the CPCD Program provides the opportunity for community 
resources such as local coalitions, partnerships, service providers, 
and programs to formally collaborate, applicants are required to 
include a description of agreements, commitments and processes to be 
used in developing and implementing the proposed project. (This 
documentation must be provided in Appendix 4 of the application 
entitled, ``Letters of Commitment from Collaborating Organizations/
Agencies/Individuals.)
    Existing partnerships are expected to have conducted needs 
assessments and are to use their needs assessment to: determine gaps in 
prevention services; identify any inefficiencies in the delivery of 
these services; and to begin work towards changing formerly established 
priorities to meet current needs. All new services proposed must be 
supported by the needs assessment.
    Proposed projects submitted under this announcement must present a 
five (5) year comprehensive substance abuse prevention plan to 
demonstrate and study the development, implementation, and 
effectiveness of their design. The applicant's initial plan should 
include a discussion of all preliminary goals, objectives, and 
activities. These may be refined as appropriate, as the program evolves 
and progresses.
    Evaluation must be an essential part of the plan for assessing the 
impact of the changes and services on the substance abuse-related 
problems in the community. Details are provided in the section on 
Evaluation.
    Eligibility: Applications may be submitted by public agencies, such 
as State, local and tribal governments, or local private (non-profit) 
organizations/agencies (i.e., existing partnerships, universities). In 
all cases, the applicant must be designated to act on behalf of the 
larger evolving coalition of multiple partnerships proposed in the CPCD 
grant application.
    Because the Community Prevention Coalitions Demonstration Grant 
Program is intended to build on the work of already existing prevention 
partnerships, by expanding both the base and the service capabilities 
of these partnerships into broader-based coalitions, this announcement 
requires that applicants be part of established community partnerships.
    The applicant organization must be a member of the coalition (to be 
developed) and be supported by its (the proposed coalition) membership 
in receiving an award under this program activity. This agreement must 
be documented through a letter of support from each member of the 
proposed coalition. (These letters must be provided in Appendix 4 of 
the application entitled ``Letters of Commitment from Collaborating 
Organizations/Agencies/Individuals.)
    CSAP strongly encourages applications from tribal governments, 
Native American/Alaskan Native partnerships or Indian Nations. Such 
applicants must already be existing partnerships.
    Previous or current CSAP Community Partnership Demonstration 
Program grantees are eligible to apply for a new grant under this 
announcement. Currently funded CSAP Community Partnership grantees must 
demonstrate their ability to fulfill the requirements of their current 
grant in addition to taking on the expanded tasks and responsibilities 
of the Community Prevention Coalitions Demonstration Program.
    CSAP Community Partnership grantees will not be permitted to use 
Community Partnership project staff for full-time positions in a new 
CPCD project; nor will they be permitted to reduce the level of effort 
on the current Community Partnership project as a result of obtaining a 
grant award under this new program.
    Applicants must state how an existing partnership will work with 
the proposed coalition. If not the applicant agency, collaboration and 
involvement with State and local governments will be required.
    Other active partnerships receiving funding from private groups 
such as the Robert Wood Johnson Foundation, United Way organizations, 
or other business organizations that have formed a non-profit entity, 
may also apply.
    Applicants receiving Federal funds from other agencies such as the 
Department of Education or the Centers for Disease Control and 
Prevention may also apply, but must identify the source of funding and 
purpose of their current grant.
    Availability of Funds: It is estimated that approximately $9 
million will be available to support approximately 9-12 awards under 
this program announcement in Fiscal Year 1994. Average grants will be 
in the $500,000 range. However, funding levels will depend on the 
availability of appropriated funds.
    Period of Support: Support may be requested for a period of up to 
five (5) years. Annual awards will be made subject to continued 
availability of funds and progress achieved.
    Application Receipt and Review Schedule: Applications will be 
received and reviewed according to the following schedule: 

------------------------------------------------------------------------
                                                         Earliest start 
  Receipt date        IRG review       Council review         date      
------------------------------------------------------------------------
                  JAug. 1994........  Sept. 1994......  Sept. 30, 1994. 
------------------------------------------------------------------------

    Subject to the availability of funds in future years, CSAP may 
reissue this announcement and publish future receipt dates and a notice 
of availability of funds in the Federal Register. Because the 
President's 1995 budget request proposes to consolidate SAMHSA's 
categorical substance abuse prevention demonstrations, certain aspects 
of this program could change. Therefore, applicants are strongly 
encouraged to verify the availability and terms of funding for new 
awards for this program.
    Consequences of Late Submission: Applications must be received by 
the above receipt date to be accepted for review. An application 
received after the deadline may be acceptable if it carries a legible 
proof-of-mailing date (assigned by the carrier) and that date is not 
later than one week prior to the deadline date. However, private 
metered postmarks are not acceptable as proof of timely mailing.

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

    Evaluation Plan: This CPCD Program requires more rigor in the 
conceptualization, design and implementation of projects and in their 
evaluation than the previous Community Partnership Program. The goal is 
to achieve and document measurable reductions in alcohol, tobacco and 
other drug abuse incidence, prevalence, and related consequences such 
as alcohol and other drug related health problems, violence, deaths, 
and injuries among all age and ethnic groups within a community or 
regional area. Applications submitted under this announcement must 
present a multi-year comprehensive substance abuse prevention plan for 
systems change at the community or geographic area level through the 
design and implementation of one of the two approaches discussed in the 
Program Model section of this announcement. The application must 
contain an evaluation plan which will enable the grantee to assess the 
effect of the prevention program on a variety of indicators, as 
described in the remainder of this section.
    The ultimate goal of this program is to demonstrate significant 
reductions in substance abuse. The broad outcomes expected include:
    1. A measurable and sustained reduction in initiation of alcohol, 
tobacco and other drug use among children and adolescents.
    2. A reduction in alcohol, tobacco and other drug related deaths 
and injuries especially among children, adolescents and young adults.
    3. A decline in the prevalence of health problems related to and 
exacerbated by alcohol, tobacco and other drug use.
    4. A reduction in on the job problems and injuries related to 
substance abuse.
    5. A reduction in substance abuse related crime.
    CSAP will support only applicant projects that have a well 
developed and comprehensive evaluation plan. The evaluation plan must 
be conceptually and procedurally integrated with the overall project, 
and must have both an outcome evaluation component and a process 
evaluation component.
    Since the purpose for this program is to reduce the incidence and 
prevalence of substance abuse and related health and safety problems in 
the targeted area, instruments should be used which will provide 
periodic measures of these indicators. In addition to measures of 
incidence and prevalence related to substance abuse and related health 
and safety problems, grantees will be required to collect data on the 
seven (7) items listed in the Community Wide Indicators of Alcohol and 
Other Drug Abuse included in the Application Kit. Applicants must 
specify the means to be used to collect these data. Grantees will be 
required to collect baseline data, yearly progress report data, and end 
of project data, and may be required to collect follow-up data on all 
indices. Grantees will be required to submit all reports and results in 
both hard copy and in electronic media formats.
    The evaluation plan must present a sound methodology for the 
collection, storage, analysis, and interpretation of data. The 
evaluation plan must utilize psychometrically sound measures and 
instruments for data collection. Applicants must describe the selection 
of instruments to be used and must provide information about their 
normative properties, including the appropriateness of their use for 
the culture(s) under study. The presented evaluation methods, measures 
and instruments must be sensitive and relevant to the target groups of 
the community with respect to age and gender distribution, reading 
level, and culture. The evaluation plan must also present a time-line 
for carrying out all evaluation procedures.
    The evaluation plan must be designed and carried out by a 
professional who is highly experienced in comparative evaluation 
methodology, independent of the project, and able to work closely with 
the grantee.
    Fifteen to 25 percent of the funds available are to be used for the 
evaluation component.
    Outcome Evaluation: Outcome evaluation assesses whether the project 
was effective in achieving its goals, objectives and activities. For 
the purposes of this grant program, the outcome evaluation must provide 
periodic measures on the community or geographic area in the following 
broad categorical areas:
    (1) Substance abuse prevalence, incidence, frequency and amount;
    (2) Substance abuse-related health, safety and risk indicators 
(e.g., HIV/AIDS, crime, violence, unemployment, etc).
    The outcome evaluation design should employ a time series design, 
which allows for comparisons within and between communities or 
geographic areas.
    Outcome Evaluation Questions: At a minimum, applicants should 
include the following questions in the outcome evaluation component:
    (1) Does the presence of the Coalition and prevention program 
result in measurable reductions in use/abuse of identified substances, 
and/or health and safety problems of the target groups in the community 
or geographic area?
    (2) Does the presence of the Coalition and prevention program 
result in measurable increases in knowledge and anti-substance abuse 
attitudes by residents of the community or geographic area?
    (3) Does the presence of the Coalition and prevention program 
result in measurable increases in the target group(s)' ability to 
resist substance abuse and related risky behaviors?
    (4) Does the presence of the Coalition and prevention program 
result in measurable decreases in the target group's school absences or 
truancy rates in the community or geographic area?
    (5) Does the presence of the Coalition and prevention program 
result in a perceived increase in safety and a measurable decrease in 
drug dealing in the community or geographic area neighborhoods?
    (6) Does the presence of the Coalition and prevention program 
result in measurable decreases in the rate of domestic violence in the 
community or geographic area?
    (7) Does the presence of the Coalition and prevention program 
result in a measurable reduction in the number of violent crimes 
associated with substance abuse in the community or geographic area?
    (8) Does the presence of the Coalition and prevention program 
result in a measurable reduction in the number of substance abuse 
related emergency room admissions?
    (9) Does the presence of the Coalition and prevention program 
result in a measurable reduction in the number of substance abuse 
related vehicle crashes?
    (10) Does the presence of the Coalition result in measurable 
increases in environmental/social change policies (i.e., number of 
ordinances introduced/enacted/repealed; limited alcohol and tobacco 
advertising, etc.).
    Grantees will be required to collect uniform baseline and yearly 
data on some indicators using standardized instruments. Data collection 
and analysis, aggregation to group, and procedures for transmitting the 
results to CSAP will be provided at the first grantee meeting following 
award. OMB approval will be obtained for use of the instruments.
    Process Evaluation: Process evaluation is both a quantitative and 
qualitative description of a project. It documents the evolution of the 
project from inception through implementation and completion. The 
process evaluation documents what was actually done, what was learned, 
what barriers inhibited implementation, how such barriers were 
resolved, and what should be done differently in future projects. In 
short, process evaluation allows for successful projects to be 
replicated.
    For the purposes of this grant, program process evaluation should:
    (1) Document and describe the processes by which the coalition is 
expanded, refocused, implemented and operated; and
    (2) Identify factors associated with effective planning and 
implementation of the prevention strategies for the community or 
geographic area.
    Comparison Community or Area: Use of comparison communities or 
geographic areas which closely resemble the community or area served by 
the coalition is an excellent way to provide a rigorous test of the 
effectiveness of the interventions to be implemented under this 
announcement. CSAP realizes that finding suitable comparison 
communities may be difficult because of the increasing popularity of 
the partnership movement, and considerable effort may be needed to 
identify a similar community willing to participate in the full 
evaluation process.
    Comparison and target communities/areas should be as similar as 
possible at baseline, because the greater the similarity between the 
target and comparison communities/areas, the greater the likelihood of 
detecting and explaining effects of the coalition prevention program on 
the target community/area. The comparison communities/areas should not 
have a prevention program similar to the one intended for the target 
community/area. The target and comparison communities/areas should be 
geographically distant enough to prevent the transmission of program 
activities from the target to the comparison communities/areas.
    CSAP realizes the difficulties applicants may have in identifying 
comparison communities or areas. CSAP is also aware of the limitations 
of this approach given the variation and potential for contamination of 
prevention programs across communities, regions or States. Despite 
these limitations, applicants are encouraged to use this approach. 
However, applicants will not be adversely affected by using a different 
evaluation approach that will yield scientifically credible data.
    Participation in National Cross-Site Evaluation: A National cross-
site evaluation project will be conducted with the goals of 
identifying: (1) Successful and innovative community-based Coalition 
models; (2) effective strategies for the prevention of substance abuse, 
related health and safety problems and risk factors; (3) common 
inhibitors to forming effective Coalitions: (4) common inhibitors to 
design and implementation of effective prevention strategies; (5) 
Coalition models that effectively prepare the service infrastructure of 
communities for the eventual implementation of Health Care Reform; and 
(6) Coalition models and prevention strategies that produce the most 
benefits for the lowest monetary costs.
    Projects funded under this announcement will be required to 
participate in the National cross-site evaluation, by contributing data 
that are comparable across projects. A detailed description of the 
National Cross-site Evaluation Plan will be communicated to the funded 
projects at the beginning of the grant program.
    Although participation in the National Evaluation project is 
mandatory, grantees will not have to expend grant funds for activities 
that are not already within the local-level evaluation plans. Selected 
grantees will be technically and financially supported by the National 
Cross-site Evaluation project for activities that are not within the 
purview of their local-level projects.
    Coordination with Other Federal/Non-Federal Programs: Applicants 
seeking support under this announcement are encouraged to coordinate 
with other Federal, State, and local public and private programs 
serving their target population. Program coordination helps to better 
serve the multiple needs of the client population, to maximize the 
impact of available resources, and to prevent duplication of services. 
Funding priority will be given to applicants who demonstrate a 
coordinated approach to providing comprehensive substance abuse 
prevention services (see Award Criteria).
    Single State Agency Coordination: Coordination and collaboration 
with the Single State Agency (SSA) for alcohol and other drug abuse is 
encouraged to ensure communication, reduce duplication, and facilitate 
continuity. The application must include a copy of a letter sent to the 
SSA that briefly describes the proposed project. A copy of this letter 
should be included in Appendix B to the application entitled ``Letters 
to/from SSAs.''
    A list of SSAs can be found in the grant application kit. If the 
target population falls within the jurisdiction of more than one State, 
all representative SSAs should be involved. Evidence of support for the 
proposed project from the SSA and from the State Public Health Agency 
will be considered in making funding decisions (See ``Award Decision 
Criteria'' section).
    Intergovernmental Review (E.O. 12372): Applications submitted in 
response to this announcement are subject to the intergovernmental 
review requirements of Executive Order 12372, as implemented through 
DHHS regulations at 45 CFR Part 100. E.O. 12372 sets up a system for 
State and local government review of applications for Federal financial 
assistance. Applicants (other than Federally recognized Indian tribal 
governments) should contact the State's Single Point of Contact (SPOC) 
as early as possible to alert them to the prospective application and 
to receive any necessary instructions on the State's review process. 
For proposed projects serving more than one State, the applicant is 
advised to contact the SPOC of each affected State. A current listing 
of SPOCs is included in the application kit. The SPOC should send any 
State process recommendations to the following address at CSAP (not the 
address to which the application was mailed): Office of Review, Center 
for Substance Abuse Prevention, Rockwall II Building, Suite 630, 5600 
Fishers Lane, Rockville, MD 20857, Attn: SPOC/CPCD Grants.
    The due date for the State review process recommendations is no 
later than 60 days after the deadline date for the receipt of 
applications. CSAP does not guarantee to accommodate or explain SPOC 
comments that are received after the 60-day cutoff.
    Public Health System Reporting Requirements: The Public Health 
System Impact Statement (PHSIS) is intended to keep State and local 
health officials apprised of proposed health services grant 
applications submitted by community-based, non-governmental 
organizations within their jurisdictions.
    Non-governmental applicants who are not transmitting their 
applications through the State must submit a PHSIS to the head(s) of 
the appropriate State and local health agencies in the area(s) to be 
affected no later than the receipt date for applications. The PHSIS 
consists of the following information:

1. A copy of the face page of the application (Standard Form 424).
2. A summary of the project (PHSIS), not to exceed one page, which 
provides:
a. A description of the population to be served.
b. A summary of the services to be provided.
c. A description of the coordination planned with the appropriate State 
or local health agencies.

    State and local governments and Indian Tribal Authority applicants 
are not subject to the Public Health System Reporting Requirements.
    Application Submission Procedures: All applicants must use 
application form PHS 5161-1 (Rev. 7/92), which contains Standard Form 
424 (face page). The following information should be typed in Item 
Number 10 on the face page of the application form:
    Catalog of Federal Domestic Assistance Number: 93.194
AS 94-02  Community Prevention Coalitions Demonstration
    Grant application kits (including form PHS 5161-1 with Standard 
Form 424, complete application procedures, and accompanying guidance 
materials for the narrative approved under OMB No. 0937-0189) may be 
obtained from: National Clearinghouse for Alcohol and Drug Information, 
(NCADI), Post Office Box 2345, Rockville, Maryland 20852, 1-800-729-
6686.
    Applicants must submit:
    1. An original copy of the application, signed by the duly 
authorized official of the applicant organization, with a complete set 
of the appropriate appendices; and
    2. Two additional, legible copies of the application and all 
appendices.
    These materials should be sent to the following address: Center for 
Substance Abuse Prevention Programs, Division of Research Grants, NIH, 
Westwood Building, Room 240, 5333 Westbard Avenue, Bethesda, Maryland 
20892.*
    *If an overnight carrier or express mail is used, the Zip Code is 
20816.
    Review Process: Applications accepted for review will be assigned, 
at the central receipt point (Division of Research Grants, NIH), to an 
Initial Review Group (IRG) composed primarily of non-Federal experts. 
Applications will be reviewed by the IRG for technical merit in 
accordance with established PHS/SAMHSA peer review procedures for 
grants.
    Notification of the IRG's recommendation will be sent to the 
applicant upon completion of the initial review. In addition to the 
IRG's recommendations on technical merit, applications will undergo a 
second level of review by the appropriate advisory council, whose 
review may be based on policy considerations as well as technical 
merit. Applications may be considered for funding only if the advisory 
council concurs with the IRG's recommendation for approval.
    Review Criteria: Each application will be reviewed and evaluated 
for technical merit using the following criteria:

General

     Potential as a demonstration project to make a significant 
contribution to knowledge of comprehensive community-based substance 
abuse prevention services, and systems services development.

Knowledge

     Consistency of the project with state-of-the-art 
approaches to substance abuse prevention services, evaluation designs, 
and coalition program development;
     Demonstrated knowledge of the health and substance abuse 
problems in the target community and the ethnic, cultural, economic, 
and age factors that impact the community and prevention services.

Cultural Competence

     Evidence of understanding the significance of cultural and 
gender diversity in achieving a comprehensive community prevention 
services project; evidence in demonstrating both sensitivity and 
responsiveness to cultural differences and similarities; and 
effectiveness in using cultural symbols to communicate messages.
     Established experience and credibility in working with 
single and multi-cultural communities in developing collaborative 
working relationships that allow the members of the targeted community 
to draw on community based values, traditions, and customs in the 
development of the project's plan and strategies, in addition to other 
support.

Collaboration

     Evidence of participation, collaboration, and specific 
commitment of public and private sector organizations and service 
providers in the coalition; this should include grassroots 
organizations, health, human services, education, housing, and law 
enforcement.
     Evidence that the governing boards and/or the chief 
elected official of the applicant agency demonstrates an understanding, 
commitment, and support of this service prevention effort, the 
coalition membership, target community, and the relationship of the 
project with CSAP, the funding agency.
     Evidence of project's relationship or planned 
collaboration with existing relevant State and/or local prevention 
activities in the target community.
     Delineation of the roles and responsibilities of the 
applicant agency and the coalition in terms of prevention policy and 
activities, fiscal oversight, personnel oversight, etc. This should be 
specific in terms of areas over which the applicant agency will have 
complete control and over which the coalition may or may not be 
involved by the applicant agency.

Resources

     Adequacy, availability, and accessibility of facilities 
and resources in the target community;
     Capability, experience, and qualifications of the 
applicant organization to plan, design, and coordinate prevention 
efforts with members;
     Appropriateness of the budget for each year of the 
proposed activities;
     Ability to sustain services and systems begun under the 
project after the funding period has ended.

Management Plan/Approach

     Adequacy and appropriateness of the needs assessment;
     Appropriateness of the applicant's proposed approach, 
activities, and goals and objectives to the goals and objectives of the 
CPCD program;
     Qualifications and experience of program director, project 
director, evaluator, and other key personnel;
     Evidence that the resources required to support the 
project are clearly tied to the goals of the CPCD program and are 
delineated in the accompanying budget;
     Adequacy, rationale, appropriateness, and feasibility of 
the proposed services, strategies, and timeframes to meet the 
applicant's stated objectives;
     Appropriateness and potential of plans for improving the 
coordination and accessibility of existing prevention services and/or 
stimulating the delivery of new or additional services;
     Adequacy of procedures to identify, recruit, and retain 
the project's services provider participants.
     Adequacy of procedures for the protection of participants

Evaluation Plan

     Clarity, feasibility, appropriateness, and completeness of 
evaluation plan, measures and indicators--process and outcome.
    Award Decision Criteria: Applications recommended for approval by 
the Initial Review Group and the appropriate advisory council will be 
considered for funding on the basis of their overall technical merit as 
determined through the review process. Other award criteria will 
include:
     Availability of funds.
     Geographical distribution throughout the United States and 
its territories.
     Evidence of support from the Single State Agency for 
alcohol and other drug abuse and the State Public Health Agency.
     Coordination with other Federal/non-Federal programs.
     Neighborhoods hardest hit by drug use and related crime 
and violence.

Contacts for Additional Information

    Questions concerning program issues may be directed to: David 
Robbins, Chief, Community Prevention and Demonstration Branch, Division 
of Community Prevention and Training, Center for Substance Abuse 
Prevention, Rockwall II Building, Room 9D-18, 5600 Fishers Lane, 
Rockville, MD 20857, (301) 443-9438.
    Questions concerning grants management issues may be directed to: 
Margaret E. Heydrick, Grants Management Branch, Center for Substance 
Abuse Prevention, Rockwall II Building, Room 640, 5600 Fishers Lane, 
Rockville, Maryland 20852, (301) 443-3958.

    Dated: April 6, 1994.
Richard Kopanda,
Acting Executive Officer, SAMHSA.
[FR Doc. 94-8792 Filed 4-11-94; 8:45 am]
BILLING CODE 4162-20-P