[Federal Register Volume 69, Number 68 (Thursday, April 8, 2004)]
[Notices]
[Pages 18620-18623]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-7911]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Funding Opportunity Title: Notice of Funding Availability (NOFA) 
for Community Treatment and Services Centers of the National Child 
Traumatic Stress Initiative (Short Title: NCTSI--Community Treatment 
and Services Centers)

    Announcement Type: Initial.
    Funding Opportunity Number: SM 04-010.
    Catalog of Federal Domestic Assistance (CFDA) Number: 93.243.
    Due Date for Application: June 10, 2004.

    Note: Letters from State Single Point of Contact (SPOC) in 
response to E.O. 12372 are due August 9, 2004.

SUMMARY: The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Mental Health Services (CMHS), announces the 
availability of FY 2004 funds for Community Treatment and Services 
Centers of the National Child Traumatic Stress Initiative (NCTSI). A 
synopsis of this funding opportunity, as well as many other Federal 
Government funding opportunities, is also available at the Internet 
site: http://www.grants.gov.
    For complete instructions, potential applicants must obtain a copy 
of SAMHSA's standard Best Practices Planning and Implementation Grant 
Program Announcement [BPPI-04 PA (MOD)], and the PHS 5161-1 (Rev. 7/00) 
application form before preparing and submitting an application. The 
BPPI-04 PA (MOD) describes the general program design and provides 
instructions for applying for all SAMHSA Best Practices Planning and 
Implementation Grants, including the Community Treatment and Services 
Centers of the National Child Traumatic Stress Initiative (NCTSI). 
Additional instructions and specific requirements for this funding 
opportunity are described below.

I. Funding Opportunity Description

    Authority: Section 582 of the Public Health Service Act, as 
amended and subject to the availability of funds.

    Community Treatment and Services Centers of the National Child 
Traumatic Stress Initiative (NCTSI--Community Treatment and Services 
Centers) is one of SAMHSA's Best Practices and Planning Implementation 
Grants.
    The purpose of NCTSI--Community Treatment and Services Centers 
grants is to improve treatment and services for all children and 
adolescents in the United States who have experienced traumatic events 
and to increase access to effective trauma treatment and services. A 
network of centers, the National Child Traumatic Stress Network 
(NCTSN), has been established to achieve the goals of the NCTSI. NCTSN 
consists of three types of centers: a national coordinating center, the 
National Center for Child Traumatic Stress (NCCTS), Intervention 
Development and Evaluation Centers (IDECs), and Community Treatment and 
Services Centers (CTSCs).
    NCCTS provides leadership and coordination for the activities of 
the Network of IDECs and CTSCs. IDECs have primary responsibility for 
developing effective interventions for specific types of trauma (e.g., 
child abuse or refugee trauma), different service settings (e.g., 
schools or residential treatment centers), or different populations of 
traumatized children and/or adolescents (e.g., preschool children or 
children living in rural areas). CTSCs are programs that primarily 
provide treatment or services in community settings or in specialty 
youth-serving service systems. Centers in NCTSN work collaboratively to 
identify, develop, and implement effective treatments and services in 
community and child-serving service systems settings; collect clinical 
data on child trauma cases and services; develop resources on trauma 
for professionals, consumers, and the public; and develop trauma-
focused public education and professional training. NCTSN grantees not 
only assist the children directly affected by traumatic events, but 
also provide support and assistance to their families, caretakers, and 
advocacy/consumer groups.
    Background: In recognition of the serious impact that trauma can 
have on children's mental health, Congress authorized the development 
of programs focusing on psychological trauma response and the 
development of knowledge in evidence-based practices for treating 
trauma-related psychiatric disorders of children and youth. The target 
populations for this initiative are children who are abused, witness 
family or community violence, lose a family member, experience serious 
medical problems, experience war zone or displacement trauma, or endure 
natural and human caused disasters or terrorism. Traumatic events often 
involve a life-threat, severe physical injury, threat to psychological 
control or physical or psychological integrity, loss of a primary 
caretaker, or loss of one's community or social environment.

[[Page 18621]]

Effects of trauma can include emotional problems such as depression, 
anxiety, and chronic or impulsive outbursts of anger; suicide attempts; 
behavior problems such as antisocial behavior and substance abuse; 
cognitive and motivational distortions including hopelessness, chronic 
shame, or guilt; learning and academic problems resulting from 
learning, memory, and attention difficulties; and interpersonal 
problems. Intervention in the aftermath of trauma is perhaps the most 
significant clinical issue in child and adolescent mental health. Of 
particular concern for receipt of intervention services are children in 
child service systems with high rates of trauma exposures such as the 
child welfare and child protective services systems, the juvenile 
justice system, hospitals and emergency clinics, child rehabilitation 
services, and service systems for refugee children.

II. Award Information

    1. Estimated Funding Available/Number of Awards: It is expected 
that up to $4.8 million will be available to fund up to 12 awards in FY 
2004. There will be no Phase I awards for NCTSI--Community Treatment 
and Services Centers. These Phase II awards will be up to $400,000 in 
total costs (direct and indirect) for one year, rather than the award 
duration stated in the BPPI-04 PA (MOD). Proposed budgets cannot exceed 
the allowable amount. The actual amount available for the award may 
vary, depending on unanticipated program requirements and the number 
and quality of the applications received.
    2. Funding Instrument: Cooperative Agreement
Role of Federal Staff:

     Consult with NCCTS staff, IDEC project 
directors, and CTSC project directors on all phases of the project to 
ensure accomplishment of the goals of the Initiative;
     Review critical project activities for 
conformity to the goals of NCTSI;
     Assume overall responsibility for monitoring the 
conduct and progress of NCTSI programs;
     Make recommendations regarding continued 
funding;
     Provide feedback on project design and 
components;
     Participate in selected policy and steering 
groups or related work groups;
     Review quarterly reports and conduct site 
visits, if warranted;
     Provide support services or recommend outside 
consultants, if needed;
     Author or co-author publications on program 
findings;
     Collect and disseminate site- and NCTSN-
developed intervention and training products; and
     Provide technical assistance on ways to help 
disseminate and implement products of collaborative activities.
Role of Awardee:
     Comply with the terms of the cooperative 
agreement award as specified in the requirements of the BPPI-04 PA 
(MOD) and the Notice of Grant Award (NOGA);
     Participate in collaborative activities with 
other NCTSN centers and other collaborative Network activities;
     Participate in grantee meetings;
     Accept guidance and respond to requests for data 
from CMHS;
     Participate in policy steering groups and other 
work groups to help accomplish project goals;
     As appropriate, author or co-author publications 
on project results for use by the field;
     Provide at least one electronic or other-media-
type copy of all site- or NCTSN-developed intervention or training 
products developed through the use of grant funds to the Government 
Project Officer;
     Participate in post-award, cross-site process 
and outcome evaluation activities; and
     Implement specified activities, data collection, 
quality control, and complete required SAMHSA reports.

III. Eligibility Information

    1. Eligible Applicants are limited to CTSCs (Category III grantees) 
funded in FY 2001 under the NCTSI. These eligibility criteria supersede 
the criteria specified in Section III-1 of the BPPI-04 PA (MOD). 
SAMHSA/CMHS is currently funding four cohorts of CTSC grantees with 
different start and end dates, as well as different project periods. By 
funding the original cohort of grantees for an additional year, SAMHSA/
CMHS will: (1) Enable the original cohort of grantees (whose funding is 
coming to an end) to continue the positive work they have started; and 
(2) bring three of the four cohorts of grantees to a common 
developmental endpoint. This will set the stage for grantees in those 
three cohorts, along with other providers in the field that have not 
yet received funding, to compete in FY 2005 for National Child 
Traumatic Stress Initiative grants.
    2. Cost Sharing or Matching is not required.
    3. Other: Applicants must also meet certain application formatting 
and submission requirements or the application will be screened out and 
will not be reviewed. These requirements are described in section IV-2 
below as well as in the BPPI-04 PA (MOD).

IV. Application and Submission Information

    1. Address to Request Application Package: Complete application 
kits may be obtained from: the National Mental Health Information 
Center at 1-800-789-2647. When requesting an application kit for this 
program, applicants must specify the funding opportunity title (NCTSI--
Community Treatment and Services Centers) and the funding opportunity 
number (SM 04-010). All information necessary to apply, including where 
to submit applications and application deadline instructions, is 
included in the application kit. The PHS 5161-1 application form is 
also available electronically via SAMHSA's World Wide Web Home Page: 
http://www.samhsa.gov/ (click on ``Grant Opportunities'') and the BPPI-
04 PA (MOD) is available electronically at http://www.samhsa.gov/grants/2004/standard/BPPI/index.asp.
    When submitting an application, be sure to type ``SM 04-010, 
NCTSI--Community Treatment and Services Centers'' in Item Number 10 on 
the face page of the application form. Also, SAMHSA applicants are 
required to provide a DUNS Number on the face page of the application. 
To obtain a DUNS Number, access the Dun and Bradstreet Web site at 
http://www.dunandbradstreet.com or call 1-866-705-5711.
    2. Content and Form of Application Submission: Information 
including required documents, required application components, and 
application formatting requirements is available in the BPPI-04 PA 
(MOD) in section IV-2.

Checklist for Formatting Requirements and Screenout Criteria for SAMHSA 
Grant Applications

    SAMHSA's goal is to review all applications submitted for grant 
funding. However, this goal must be balanced against SAMHSA's 
obligation to ensure equitable treatment of applications. For this 
reason, SAMHSA has established certain formatting requirements for its 
applications. If you do not adhere to these requirements, your 
application will be screened out and returned to you without review.

    [squ] Use the PHS 5161-1 application.
    [squ] Applications must be received by the application deadline. 
Applications received after this date must have a proof of mailing date 
from the carrier

[[Page 18622]]

dated at least 1 week prior to the due date. Private metered postmarks 
are not acceptable as proof of timely mailing. Applications not 
received by the application deadline or not postmarked at least 1 week 
prior to the application deadline will not be reviewed.
    [squ] Information provided must be sufficient for review.
    [squ] Text must be legible.
     Type size in the Project Narrative cannot exceed 
an average of 15 characters per inch, as measured on the physical page. 
(Type size in charts, tables, graphs, and footnotes will not be 
considered in determining compliance.)
     Text in the Project Narrative cannot exceed 6 
lines per vertical inch.
    [squ] Paper must be white paper and 8.5 inches by 11.0 inches in 
size.
    [squ] To ensure equity among applications, the amount of space 
allowed for the Project Narrative cannot be exceeded.
     Applications would meet this requirement by 
using all margins (left, right, top, bottom) of at least one inch each, 
and adhering to the page limit for the Project Narrative stated in the 
specific funding announcement.
     Should an application not conform to these 
margin or page limits, SAMHSA will use the following method to 
determine compliance: The total area of the Project Narrative 
(excluding margins, but including charts, tables, graphs and footnotes) 
cannot exceed 58.5 square inches multiplied by the page limit. This 
number represents the full page less margins, multiplied by the total 
number of allowed pages.
     Space will be measured on the physical page. 
Space left blank within the Project Narrative (excluding margins) is 
considered part of the Project Narrative, in determining compliance.
    [squ] The page limit for Appendices stated in the specific funding 
announcement cannot be exceeded.

    To facilitate review of your application, follow these additional 
guidelines. Failure to adhere to the following guidelines will not, in 
itself, result in your application being screened out and returned 
without review. However, the information provided in your application 
must be sufficient for review. Following these guidelines will help 
ensure your application is complete, and will help reviewers to 
consider your application.

    [squ] The 10 application components required for SAMHSA 
applications should be included. These are:
     Face Page (Standard Form 424, which is in PHS 
5161-1)
     Abstract
     Table of Contents
     Budget Form (Standard Form 424A, which is in PHS 
5161-1)
     Project Narrative and Supporting Documentation
     Appendices
     Assurances (Standard Form 424B, which is in PHS 
5161-1)
     Certifications (a form in PHS 5161-1)
     Disclosure of Lobbying Activities (Standard Form 
LLL, which is in PHS 5161-1)
     Checklist (a form in PHS 5161-1)
    [shabox3] Applications should comply with the following 
requirements:
     Provisions relating to confidentiality, 
participant protection and the protection of human subjects, as 
indicated in the specific funding announcement.
     Budgetary limitations as indicated in sections 
I, II, and IV-5 of the specific funding announcement.
     Documentation of nonprofit status as required in 
the PHS 5161-1.
    [shabox3] Pages should be typed single-spaced with one column per 
page.
    [shabox3] Pages should not have printing on both sides.
    [shabox3] Please use black ink, and number pages consecutively from 
beginning to end so that information can be located easily during 
review of the application. The cover page should be page 1, the 
abstract page should be page 2, and the table of contents page should 
be page 3. Appendices should be labeled and separated from the Project 
Narrative and budget section, and the pages should be numbered to 
continue the sequence.
    [shabox3] Send the original application and two copies to the 
mailing address in the funding announcement. Please do not use staples, 
paper clips, and fasteners. Nothing should be attached, stapled, 
folded, or pasted. Do not use heavy or lightweight paper, or any 
material that cannot be copied using automatic copying machines. Odd-
sized and oversized attachments such as posters will not be copied or 
sent to reviewers. Do not include videotapes, audiotapes, or CD-ROMs.
    3. Submission Dates and Times: Applications must be received by 
June 10, 2004. You will be notified by postal mail that your 
application has been received. Additional submission information is 
available in the BPPI-04 PA (MOD) in section IV-3.
    4. Intergovernmental Review: Applicants for this funding 
opportunity must comply with Executive Order 12372 (E.O. 12372). E.O. 
12372, as implemented through Department of Health and Human Services 
(DHHS) regulation at 45 CFR part 100, sets up a system for State and 
local review of applications for Federal financial assistance. 
Instructions for complying with E.O. 12372 are provided in the BPPI-04 
PA (MOD) in section IV-4. A current listing of State Single Points of 
Contact (SPOCs) is included in the application kit and is available at 
http://www.whitehouse.gov/omb/grants/spoc.html.
    5. Funding Restrictions: Information concerning funding 
restrictions is available in the BPPI-04 PA (MOD) in section IV-5.

V. Application Review Information

    1. Evaluation Criteria: Eligible applicants have been determined to 
have met comparable requirements to those required in BPPI Phase I 
grants. Therefore, applicants are expected to apply for a Phase II 
grant and to follow procedures outlined in the BPPI-04 PA (MOD) for 
applicants who have not previously applied for a Phase I award. In 
sections where the language in the BPPI-04 PA (MOD) requires discussion 
of Phase I BPPI activities, applicants are expected to discuss 
activities conducted to date within their previous Community Treatment 
and Services Center grant.
    Applications will be reviewed against the Evaluation Criteria and 
requirements for the Project Narrative specified in the BPPI-04 PA 
(MOD). The following information describes exceptions or limitations to 
the BPPI-04 PA (MOD) and provides special requirements that pertain 
only to the NCTSI--Community Treatment and Services Centers cooperative 
agreement.
    1.1 Allowable Activities:
    Community Treatment and Services Centers are allowed to provide and 
support inpatient treatment, which is an exception to the BPPI-04 PA 
(MOD). Additional Network participation activities allowed and expected 
of NCTSI--Community Treatment and Services Centers grantees include:
    (1) Providing outreach to the community in the areas of identifying 
and providing trauma services to children and families who do not seek 
services;
    (2) Training community providers in child trauma services;
    (3) Developing or monitoring trauma services appropriate to the 
race/ethnicity/culture/age of the community's service population;
    (4) Educating the community on child trauma issues; and
    (5) Educating and training staff in specialty child service systems 
such as juvenile justice, emergency medical services, or child 
protective services.
    1.2 Applicants for the NCTSI--Community Treatment and Services

[[Page 18623]]

Centers cooperative agreement are required to discuss the following 
requirements in their applications, in addition to the requirements 
specified in the BPPI-04 PA (MOD):
    a. In ``Section A: Need, Justification of Best Practice, and 
Readiness'':
    (1) Applicants do not need to produce evidence that a community of 
stakeholders has achieved a ``decision to adopt'' the best practices. 
Instead, applicants may describe relationships with existing community 
``stakeholders'' and partnerships with key community ``stakeholders'' 
already achieved under current NCSTI Category III Community Treatment 
and Service grants.
    (2) Applicants must include in their financing plan a statement and 
description of their plan to dedicate at least 20% of the grant funds 
to the following Network participatory and collaborative activities:
     Linking, networking, collaborating, and 
coordinating with other NCTSN Centers to improve access to and quality 
of treatment and services for children and adolescents exposed to 
traumatic events such as collaborating with other NCTSN centers in 
multi-site treatment/services studies, jointly developing clinical data 
and evaluation data collection protocols, etc.;
     Participating in NCTSN committees, workgroups, 
and taskforces;
     Implementing consensus decisions made by the 
NCTSI Steering Committee;
     Serving as a resource for the NCTSI and the 
National Resource Center for Child Traumatic (NRC-CTS) in aspects of 
community treatment/service delivery; and
     Working with the NCTSN and NRC-CTS to ensure 
that best practices in training, assessment, and/or intervention 
approaches from your center can be documented, standardized, evaluated, 
and disseminated to other service programs nationwide.
    b. In ``Section B: Proposed Approach'': Applicants are required to 
document their plans for continuing to participate and collaborate in 
the Network for pilot testing, adaptation, implementation, and 
evaluation of the best practice. They should indicate with which IDECs 
and CTSCs in the Network they will collaborate for these purposes.
    c. In ``Section D: Evaluation Design and Analysis'': Applicants 
must indicate that they will participate in cross-site evaluation 
efforts.
    1.3 Performance Measurement: All SAMHSA grantees are required to 
collect and report certain data, so that SAMHSA can meet its 
obligations under the Government Performance and Results Act (GPRA). 
Grantees of the NCTSI `` Community Treatment and Services Centers 
program will be required to report performance in: (1) increasing the 
number of children and adolescents reached by improved services; and 
(2) improving children's outcomes. Specific indicators include: (1) 
Number of persons served; (2) number, type, and capacity of services 
available; and (3) participants (consumer/family) reporting involvement 
in behavioral/emotional outcomes. The applicant must document its 
ability to collect and report the required data in ``Section D: 
Evaluation Design and Analysis'' of its application. An instrument will 
be developed by CMHS staff to report on these indicators.
    2. Review and Selection Process: Information about the review and 
selection process is available in the BPPI-04 PA (MOD) in section V-2. 
Award Criteria: Because eligibility is limited to NCTSI--Community 
Treatment and Services Centers grantees funded in FY 2001, equitable 
distribution of awards in terms of geographic criteria does not apply.

VI. Award Administration Information

    Award administration information, including award notices, 
administrative and national policy requirements, and reporting 
requirements are available in the BPPI-04 PA (MOD) in section VI. In 
addition to the reporting requirements stated in the BPPI-04 PA (MOD), 
the applicant must provide quarterly progress reports and an annual 
evaluation report that documents progress in achieving project goals. 
SAMHSA's standard terms and conditions are available at http://www.samhsa.gov/grants/2004/useful_info.asp.

VII. Agency Contact for Additional Information

    For questions about program issues contact: Christine Guthrie, MPH, 
Division of Prevention, Traumatic Stress, and Special Programs, SAMHSA/
CMHS, 5600 Fishers Lane, Room 15-99, Rockville, MD 20857; (301) 443-
0691; E-mail: [email protected]. For questions on grants management 
issues contact: Gwendolyn Simpson, SAMHSA/Division of Grants 
Management, 5600 Fishers Lane, Room 13-101, Rockville, MD 20857; (301) 
443-4456; E-mail: [email protected].

    Dated: April, 2, 2004.
Daryl Kade,
Director, Office of Policy, Planning and Budget, Substance Abuse and 
Mental Health Services Administration.
[FR Doc. 04-7911 Filed 4-7-04; 8:45 am]
BILLING CODE 4162-20-P