CDC-RFA-CE-24-0050_ Attachments_Supporting Materials_Feb 12.docx

Supporting Materials Notice of Funding Opportunity Drug-Free Communities (DFC) Support Program: NEW (Year 1)

CDC-RFA-CE-24-0050

Table of Contents

Statutory Eligibility Requirements (SER) Checklist The SER Checklist can be used to ensure you have the required evidence to meet the DFC Statutory Eligibility Requirements.

Requirement 1: 12 Sectors Did you include:

· Sector Table with rationale

Requirement 2: Six Month Existence

· One set of coalition minutes dated prior to the deadline for the submission of the application

Requirement 3: Mission Statement Did you write:

· A coalition mission statement that addresses youth substance use prevention

Requirement 4: Multiple Drugs of Misuse Did you include in your 12-month action plan:

· At least two drugs of use for the coalition to address

Requirement 5: ZIP Code Overlap

· A letter(s) of mutual cooperation between the coalitions outlining their efforts to collaborate, if applicable

· Does the letter include the ZIP code(s) that overlaps?

· Does the letter describe a plan for collaboration?

· Is the letter signed by both coalitions?

Requirement 6: Entity Eligible to Receive Federal Grants

· A signed Statement of Legal Eligibility If the applicant is a fiscal agent applying on behalf of a coalition, did you include:

· Memorandum of Understanding between the coalition and the fiscal agent

Requirement 7: No More Than 10 Years of DFC Funding

· The assurance certifying that your coalition has not received more than 10 years of DFC funding

· Did you sign and date the assurance?

Requirement 8: Evaluation and Performance Measurement Plan Did you include in your Project Narrative:

· An evaluation and performance measurement plan that outlines how you will provide data every two years on core measures for alcohol, tobacco, marijuana, and prescription drug use in at least three grades between sixth and twelfth grade.

Requirement 9: Federal Request

· Budget forms and a budget narrative that does not request more than $125,000 per year

Requirement 10: Substantial Support from Non-Federal Sources (Matching Funds)

· Budget forms and a budget narrative that describe 100 percent matching funds

NOFO-Specific Glossary and Acronyms Achievable (related to outcomes): Attainable within a given timeframe and with available project resources.

Activities: The actual events or actions that take place as a part of the program.

Allocability (cost principle): A cost is allocable to a specific grant, function, department, or other component, known as a cost objective, if the goods or services involved are chargeable or assignable to that cost objective in accordance with the relative benefits received or other equitable relationship.

Allowable cost: A cost incurred by a recipient that is:

Reasonable for the performance of the award Allocable In conformance with, or incorporated by reference, any limitations or exclusions set forth in the federal cost principles applicable to the organization incurring the cost or the Notice of Award (NOA) as to type or amount Consistent with regulations, policies and procedures of the recipient that apply uniformly to both federally supported and other activities of the organization Determined in accordance with generally accepted accounting principles; and not included as a cost in any other federally supported award (unless specifically authorized by statute).

Authorized Organization Representative: The AOR is the representative of the applicant/recipient organization with authority to act on the organization’s behalf in matters related to the award and administration of grants. In signing a grant application, this individual agrees that the organization will assume the obligations imposed by applicable Federal statutes and regulations and other terms and conditions of the award, including any assurances, if a grant is awarded. These responsibilities include overseeing the financial aspects of the grant and the performance of the grant-supported project or activities as specified in the approved application. This person must be an employee of the applicant/recipient organization.

Coalition Involvement Agreement: A single, mutual agreement between the coalition and each one of its 12 sector members establishing the minimum expectations and contributions to be leveraged on behalf of the community, the coalition, and the implementation of the award.

Community-level Change: Change that occurs within the overall population of the community.

Community Readiness: The degree to which a community is prepared to take action on an issue.

Congressional District: An electoral division of a state entitled to send one member to the U.S. House of Representatives (federal congressional district).

Consistency (cost principle): Regulations regarding cost assignment must be consistent for all work of the organization under similar circumstances, regardless of the source of funding, to avoid duplicate charges.

DFC & CARA Me: DFC’s Management and Evaluation system used for grant communications and progress reporting in concert with CDC’s grants management system GrantSolutions. DFC & CARA Me is also used as a learning center for award recipients.

Economically Disadvantaged Area: An area with 20 percent or more children living in households below the poverty line as defined by the U.S. Census Bureau.

Fiscal Agent: Fiscal Agents are those entities or organizations with high-quality financial and management expertise that agree to serve as the legal applicant for DFC funding when community-based coalitions are unable to apply on their own behalf. The fiscal agent serves to administer and protect the grant funds to further the nonprofit agency's mission. The fiscal agent assumes all responsibility for the grant and the grant requirements by providing timely reporting to allow CDC to monitor performance while the work is carried out and performed by the community-based coalition. The relationship with the coalition is established prior to application for funding though a Memorandum of Understanding (MOU).

Key Personnel: Individuals, in addition to the principal investigator/program director (PI/PD), identified by the operational division in the Notice of Award (NOA) that are considered critical to the project (i.e., their removal or absence from the project would have a significant impact on the project). The PI/PD is always considered both a “key person” and a “principal.” Other key personnel generally are not considered “principals” for purposes of suspension and debarment.

Level of Effort: Direct time spent by an individual on program-related work. Across all projects/grants/positions, the level of effort for an individual may not exceed 100 percent.

Measurable (related to outcomes): Amount of expected change that is possible or a way to quantify an activity or its results. It also means that the source of and mechanism for collecting measurement data can be identified and that collection of the data is feasible for the project. A baseline measurement is required to document change (e.g., to measure the percentage of increase or decrease). If an applicant plans to use a specific measurement instrument, it is recommended that the instrument is incorporated into the outcome.

New Coalition: A new coalition must fit the following criteria.

The proposed new, unique, and distinct coalition:

must be made up of different leadership and sector representatives from the community must have a new name and mission statement must have a 12-Month Action Plan based on a newly conducted community needs assessment must serve a new population Objectives: What is to be accomplished during a specific period of time to move toward achievement of a goal. Measurable objectives must include the following elements:

The type of change How much change will occur, including the specific amount of increase or decrease The specific population to be addressed (if population is youth, the ages of youth or grade level are identified) A specific date (month/year) by when change will be accomplished; and indicates how change will be measured Other Sources of Support: Funds or resources, whether federal, non-federal, or institutional, available to the Program Director, Principal Investigator, or Project Coordinator in direct support of their activities through grants, cooperative agreements, contracts, fellowships, gifts, prizes, and other means.

Pass-through Program: A program where the recipient’s role is to select subrecipients that are expected to provide the services that are the purpose of the grant, coordinating and overseeing their activities, and providing the administrative support needed to meet OPDIV requirements. Recipients under the DFC Support Program are not permitted to run their program as a pass-through program.

Program Director/Principal Investigator (PD/PI): The individual(s) designated by the recipient to direct the project or program being supported by the grant. The PD/PI is responsible and accountable to officials of the recipient organization for the proper conduct of the project, program, or activity. The PD/PI cannot be the same person as the AOR.

Project Coordinator: An individual who coordinates the work of the coalition and program activities, including training, coalition communication, data collection, and information dissemination. The Project Coordinator will be listed on the DFC website if the grant is awarded.

Reasonableness (cost principle; including necessity): A cost if it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost.

Realistic (related to outcomes): Within the scope of the project and propose reasonable programmatic steps that can be implemented within a specific time frame. Recipient: Conduct the day-to-day operations of the grant program.

Rural: According to the Drug-Free Communities Act of 1997, rural is defined as a county with a population that does not exceed 30,000 individuals.

Social Indicator Data: Numerical measures that describe the well-being of individuals or communities. Indicators are comprised of one variable, or several components combined into an index. They are used to describe and evaluate community well-being in terms of social, economic, and psychological welfare. Community-level social indicators can be useful in community assessments for different purposes. An assessment to identify community issues and problems, for instance, might rely on such indicators as the incidence of a disease or medical condition either in the community at large, or in a particular social, ethnic, or geographic group.

Specific (related to outcomes): Includes the “who” and “what” of program activities. Use only one action verb to avoid issues with measuring success.

Strategy: An overarching strategic plan, action, initiative, or policy approach designed to achieve a key or primary aim or objective the coalition intends to achieve intended results.

Supplement, not supplant: A form of maintenance of effort requirement that specifies that federal funds received may not be used to replace existing state, local, or agency funds with federal funds. Federal funds may be used to supplement existing activities. Existing state, local, or agency funds for a project may not be replaced by federal funds and reallocated for other organizational expenses. The baseline for a supplement-not-supplant requirement may be the recipient’s previous fiscal year or another baseline year or period.

Time-bound (related to outcomes): Provide a timeframe indicating when the outcome will be measured or a time by when the outcome will be met.

Urban: All territory, population, and housing units located within an urbanized area (UA) or urban cluster (UC) as classified by the Census Bureau It delineates UA and UC boundaries to encompass densely settled territory, which consists of Core Census block groups or blocks that have a population density of at least 1,000 people per square mile and surrounding Census blocks that have an overall density of at least 500 people per square mile.

Statistics According to the 2021 Youth Risk Behavior Survey:

· 23 percent of high school students reported consuming alcohol

· Almost 11 percent of high school students engaged in binge drinking

· 18.7 percent reported current use of a tobacco product, mainly electronic vapor products

· 16 percent reported current marijuana use

· 6 percent reported current prescription opioid misuse

· Female students fared more poorly than male students across most measures of youth substance use

· Students who identified as lesbian, gay, bisexual, transgender, questioning, or another non-heterosexual identity (LGBTQ+) and those who have any same-sex partners were more likely than their peers to have used or misused substances

· Black and Hispanic students were more likely than Asian and White students to currently misuse prescription opioids

· White students were more likely than Asian, Black, and Hispanic students to currently drink alcohol

· Youth reported higher rates of persistent feelings of sadness or loneliness and seriously considering attempting suicide

According to the National Center for Health Statistics:

· Drug overdose deaths among 15- to 19-year-olds doubled from 2019 to 2022

· Approximately 109,000 drug overdose-related deaths occurred from March 2021 to March 2022

Evidence-Based Resources The following resources are a collection of evidence-based and practice-based strategies from the Centers for Disease Control and Prevention (CDC) and additional sources to address substance use among youth. This is not an exhaustive list, but rather a starting point for coalitions to refer to as they consider which strategies will work best in their communities to implement the DFC program and support evidence-and practice-based prevention efforts to reduce youth substance use.

Following the 2022 release of the White House Guidance for Federal Agencies and Departments on Indigenous Knowledge, strategies and activities are inclusive of Indigenous Knowledge, “a valid form of evidence...[that] can provide accurate information, valuable insights, and effective practices that complement practices and knowledge derived from other approaches.”

Adolescent and School Health Prevention Principles and Curriculum Analysis The Preventing Drug Use among Children and Adolescents: A Research-Based Guide for Parents, Educators, and Community Leaders presents updated prevention principles, an overview of program planning, and outlines specific school-based programs to prevent substance use among adolescents. It also highlights actions that parents, educators, and community leaders can take to support substance-use prevention.

CDC’s Health Education Curriculum Analysis Tool (HECAT) develops appropriate and effective curricula across grade spans (e.g., PreK-2; 3-5; 6-8; 9-12). The HECAT includes nine health-related topic modules, including Alcohol and Other Drugs, and Tobacco, and outlines health behavior outcomes (HBOs) to be addressed by health education curricula. Schools can use these topic-specific HBOs to help evaluate existing substance use prevention programs or use as the foundation for creating new curricula.

CDC’s Developing a Scope and Sequence tool help create or revise a substance use scope and sequence (S&S). A S&S is an essential element of a curriculum outlining the breadth of health topics across grade levels (scope), and the logical progression of essential health knowledge, skills, and behaviors to be addressed at each grade level (sequence) from pre-kindergarten through the 12th grade.

The SAMSHA Preventing Marijuana Use Among Youth Guide goal is to review the literature on prevention of marijuana use among youth, distill the research into recommendations for practice, and provide examples of the ways these recommendations can be implemented.

Public Health and Public Safety Resources CDC’s Public Health and Public Safety Resources for Drug Overdose uses an operational framework that aims to enhance relationship-building and collaborative, data-informed decision making between public health, public safety, and other sectors to reduce overdose deaths and harms associated with drug use.

The Overdose Response Strategy (ORS) conducts an annual initiative-wide cornerstone project. These projects answer common questions or address shared informational needs that affect the ORS region. These projects focus on a different priority topic each year and build upon evidence-based practices to reduce overdose. Read the 2019 Overdose Response Strategy Cornerstone Report: Overdose Prevention Services in Jails pdf icon [PDF] The Public Health Public Safety Team Toolkit (PHAST Toolkit) [PDF] is available in its pilot format and uses an operational framework that aims to enhance relationship-building and collaborative, data-informed decision making between public health, public safety, and other sectors to reduce overdose deaths and harms associated with drug use.

Excessive Alcohol Use Prevention Background Information

· Preventing Excessive Alcohol Use lists strategies that can help communities create social and physical environments that discourage excessive alcohol consumption, thereby reducing alcohol-related fatalities, costs, and other harms.

· CDC information, data, and resources on underage drinking can be found here.

· CDC information, data and resources on binge drinking and binge drinking prevention can be found here.

· CDC’s Chronic Disease Indicators are a set of uniformly defined state-level surveillance indicators of chronic disease and related risk factors (e.g., Alcohol use among youth) that can be used for surveillance, prioritization, and evaluation of public health interventions.

· CDC PLACES allows users to understand the burden and geographic distribution of health outcomes by providing small area estimates (e.g., Current binge drinking among adults) by county, place (incorporated and census designated places), census tract, or ZIP Code Tabulation Area.

· The Interagency Coordinating Committee on the Prevention of Underage Drinking web portal has resources for providers, practitioners, researchers, policymakers, educators and parents, including The Report to Congress, State Performance and Best Practices Report, and 51 Individual State Reports.

Effective Population-Level Alcohol Prevention Strategies

· The Community Guide Chapter on Excessive Alcohol Consumption provides detailed information on the evidence-based findings of the Community Preventive Services Task Force (CPSTF) to help with the selection of interventions for a state, community, business, healthcare organization, or school.

· CDC’s Prevention Status Reports on Alcohol-Related Harms highlight—for all 50 states and the District of Columbia—the status of select public health policies and practices, namely increasing state excise taxes on alcohol and commercial host liability laws, which are recommended by the CPSTF.

· ChangeLab Solutions’ Alcohol-Related Harms: User’s Guides for CDC’s Prevention Status Reports complement the Prevention Status Reports with an overview of alcohol taxes, commercial host liability, and limiting alcohol outlet density in a given geographic area.

· CADCA’s Strategizer, Regulating Alcohol Outlet Density: An Action Guide, can assist communities in planning, implementing and evaluating efforts to limit alcohol outlet density.

· CDC’s Alcohol Outlet Density Measurement Tools includes the CDC Guide for Measuring Alcohol Outlet Density and CDC’s new Alcohol Outlet Density Surveillance Toolkit, which provides steps to use alcohol outlet density indicators for surveillance in states and local jurisdictions.

· CADCA’s Strategizer, Reducing Alcohol-Related Harms Through Commercial Host Liability, introduces public health departments, community coalitions and other organizations and individuals to an intervention that can reduce the health and social problems associated with excessive alcohol use.

Violence Prevention Resources for Action (formerly Technical Packages)

· CDC’s A Comprehensive Technical Package for the Prevention of Youth Violence and Associated Risk Behaviors represents a select group of strategies based on the best available evidence to help communities and states sharpen their focus on prevention activities with the greatest potential to prevent youth violence and its consequences.

· CDC’s Preventing Intimate Partner Violence Across the Lifespan: A Technical Package of Policy, Programs, and Practices offers a select group of strategies based on the best available evidence to help communities and states sharpen their focus on prevention activities with the greatest potential to prevent intimate partner violence (IPV) and its consequences across the lifespan.

· CDC’s Preventing Suicide: A Technical Package of Policy, Programs, and Practices represents a select group of strategies based on the best available evidence to help communities and states sharpen their focus on prevention activities with the greatest potential to prevent suicide.

· CDC’s STOP SV: A Technical Package to Prevent Sexual Violence represents a select group of strategies based on the best available evidence to help communities and states sharpen their focus on prevention activities with the greatest potential to reduce sexual violence (SV) and its consequences.

· CDC’s Preventing Child Abuse and Neglect: A Technical Package for Policy, Norm, and Programmatic Activities represents a select group of strategies based on the best available evidence to help prevent child abuse and neglect.

· CDC’s Violence Prevention in Practice | VetoViolence (cdc.gov) helps communities select and implement the strategies presented in the technical package.

· CDC background information and data resources on violence prevention in youth can be found here.

ACEs Resources

· Preventing Adverse Childhood Experiences: Leveraging the Best Available Evidence is a resource to help states and communities leverage the best available evidence to prevent ACEs from happening in the first place as well as lessen harms when ACEs do occur. It features six strategies drawn from the CDC Technical Packages to Prevent Violence.

· CDC background information on ACEs, including publications, presentation graphics and data sources can be found here.

Smoking and Health Background Information

· CDC’s Quick Facts on the Risks of E-cigarettes for Kids, Teens, and Young Adults provides information, data and resources on e-cigarette use in youth.

· Boosting the Tobacco Control Vaccine: recognizing the role of the retail environment in addressing tobacco use and disparities provides an overview of the importance of incorporating strategies focused on the tobacco retailer environment as part of a comprehensive approach to tobacco prevention and control

· CDC’s E-cigarettes and Youth: What Parents Need to Know is a factsheet designed to provide information on the risks of e-cigarette use in youth.

· American Academy of Pediatrics resource and pediatric patient care guide for Youth Tobacco Cessation

· The Tobacco Control Network contains a listing of state and territorial representatives as well as staff contacts, web and social media links, and seminal documents for the tobacco control agencies that are funded by CDC’s Office on Smoking and Health (OSH) in each state and territory.

Best Practice User Guides

· CDC’s Best Practices Guide for Youth Engagement contains strategies to engage youth in tobacco prevention efforts that can be adapted to other programs.

· CDC’s Best Practices User Guide: Health Equity presents how comprehensive tobacco control programs can work to achieve health equity in tobacco prevention and control.

· CDC’s Best Practices User Guide: Cessation focuses on how comprehensive tobacco control programs can promote cessation through population-wide efforts.

· CDC’s Best Practices User Guide: Health Communications focuses on how comprehensive tobacco control programs can deliver effective health communications.

· CDC’s Office of Smoking and Health’s Media Campaign Resource Center (MCRC) acts as a source for free and low-cost tobacco education campaign materials in Multimedia & Tools | Smoking & Tobacco Use | CDC

· CDC’s resources on training effectiveness

Opioids Strategies to Prevent Prescription Opioid Misuse

· CDC’s Rx Awareness Campaign website provides community education on the dangers of youth opioid and/or prescription drug use/misuse.

· Evidence-Based Strategies for Preventing Opioid Overdose, serves as an introduction to 10 opioid overdose prevention strategies for community leaders, public heath, law enforcement, local organizations, and others striving to serve their community.

· CDC’s guidance on promising strategies states have used to address prescription drug misuse, abuse, and overdose.

Strategies for Community-wide Prevention of Prescription Drugs

· CADCA’s Online PreventMedAbuse Toolkit contains facts, strategies and tools to prevent and reduce teen Rx and over-the-counter (OTC) medicine abuse in communities. This resource is based on CADCA’s Seven Strategies for Effective Community Change. Incorporating these strategies will help communities formulate, modify and implement prevention and intervention strategies.

· The 2018 Overdose Response Strategy Cornerstone Project is part of the Overdose Response Strategy, a public health-public safety collaboration between the Centers for Disease Control and Prevention (CDC) and 11 High Intensity Drug Trafficking Areas (HIDTA).

Search Tools for Evidence-Based Interventions

· SAMHSA’s Finding Evidence-based Programs and Practices a resource to find information on evidence-based prevention programs and practices for prevention practitioners and individuals working in related behavioral health fields.

· IES’ What Works Clearinghouse (WWC) reviews the existing research on different programs, products, practices, and policies in education. Their goal is to provide educators with the information they need to make evidence-based decisions.

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