PKG00248923-instructions.pdf

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Bureau of Health Workforce Division of Nursing and Public Health

Graduate Psychology Education (GPE) Program

Funding Opportunity Number: HRSA-19-002

Funding Opportunity Type: New

Catalog of Federal Domestic Assistance (CFDA) Number 93.191

NOTICE OF FUNDING OPPORTUNITY

Fiscal Year 2019

Application Due Date: May 7, 2019

Ensure your SAM.gov and Grants.gov registrations and passwords are current immediately!

HRSA will not approve deadline extensions for lack of registration.

Registration in all systems, including SAM.gov and Grants.gov, may take up to 1 month to complete.

Issuance Date: March 8, 2019

Andrea G. Battle, Ph.D.

Project Officer, Behavioral and Public Health Branch Division of Nursing and Public Health Fax: (301) 443-1928 Email: GPE@hrsa.gov

Authority: Section 756(a)(2) of the Public Health Service Act (U.S.C. 42 U.S.C. § 294e–1(a)(2)) mailto:charne@hrsa.gov

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EXECUTIVE SUMMARY

The Health Resources and Services Administration (HRSA) is accepting applications for fiscal year (FY) 2019 for the Graduate Psychology Education (GPE) Program. The purpose of this program is to train doctoral health psychology students, interns, and post-doctoral residents to provide integrated, interdisciplinary, behavioral health and Opioid Use Disorder (OUD)1 and other Substance Use Disorder (SUD)2 prevention and treatment services in high need and high demand areas.3 The program also supports faculty development of health service psychology.

The GPE program fosters an integrated and interprofessional approach to addressing access to care with specialized training in the provision of OUD prevention and treatment services. Through these efforts, the GPE Program transforms clinical training environments and is aligned with HRSA’s mission to improve health and achieve health equity through access to quality services, a skilled workforce, and innovative programs.

Funding Opportunity Title: Graduate Psychology Education (GPE) Program

Funding Opportunity Number: HRSA-19-002 Due Date for Applications: May 7, 2019 Anticipated Total Annual Available FY19 Funding:

$18,000,000

Estimated Number and Type of Award(s): Approximately 40

Estimated Award Amount(s): Up to $450,000 per year Cost Sharing/Match Required: No Project Period/Period of Performance: September 1, 2019 through August 31, 2022 (3 years)

1 American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM-5. Washington, DC and London, England: American Psychiatric Publishing.

2 American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM-5. Washington, DC and London, England: American Psychiatric Publishing.

3 For purposes of this NOFO, high need and high demand areas are identified as County of experiential training site location has less than 10 licensed psychologists per 100,000 population (APA County Level Analysis of US Licensed Psychologists) or experiential training site is located in a Mental Health Professional Shortage Area (HPSAs) or that are Facility Mental HPSAs with a score of 16 or above as found in the HPSA Find Tool.

http://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796962 https://data.hrsa.gov/tools/shortage-area/hpsa-find

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ii

Eligible Applicants: Eligible applicants are American Psychological Association (APA)-accredited doctoral level schools and programs of health service psychology, APA-accredited doctoral internships in professional psychology, and APA-accredited post-doctoral residency programs in practice psychology.

See Section III-1 of this notice of funding opportunity (NOFO) for complete eligibility information.

Application Guide You (the applicant organization/agency) are responsible for reading and complying with the instructions included in HRSA’s SF-424 R&R Application Guide, available online at http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf, except where instructed in this NOFO to do otherwise.

Technical Assistance HRSA will hold a pre-application technical assistance (TA) webinar(s) for applicants seeking funding through this opportunity. The webinar(s) will provide an overview of pertinent information in the NOFO and an opportunity for applicants to ask questions.

Visit the HRSA Bureau of Health Workforce’s open opportunities website at https://bhw.hrsa.gov/fundingopportunities/ to learn more about the resources available for this funding opportunity.

http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf https://bhw.hrsa.gov/fundingopportunities/

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Table of Contents

I. PROGRAM FUNDING OPPORTUNITY DESCRIPTION

1. PURPOSE

2. BACKGROUND

II. AWARD INFORMATION

1. TYPE OF APPLICATION AND AWARD

2. SUMMARY OF FUNDING

III. ELIGIBILITY INFORMATION

1. ELIGIBLE APPLICANTS

2. COST SHARING/MATCHING

3. OTHER

IV. APPLICATION AND SUBMISSION INFORMATION

1. ADDRESS TO REQUEST APPLICATION PACKAGE

2. CONTENT AND FORM OF APPLICATION SUBMISSION

i. Project Abstract

ii. Project Narrative

iii. Budget

iv. Budget Justification Narrative

v. Attachments

3. DUN AND BRADSTREET DATA UNIVERSAL NUMBERING SYSTEM (DUNS) NUMBER AND

SYSTEM FOR AWARD MANAGEMENT

4. SUBMISSION DATES AND TIMES

5. INTERGOVERNMENTAL REVIEW

6. FUNDING RESTRICTIONS

V. APPLICATION REVIEW INFORMATION

1. REVIEW CRITERIA

3. ASSESSMENT OF RISK AND OTHER PRE-AWARD ACTIVITIES

4. ANTICIPATED ANNOUNCEMENT AND AWARD DATES

VI. AWARD ADMINISTRATION INFORMATION

1. AWARD NOTICES

2. ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS

3. REPORTING

VII. AGENCY CONTACTS

VIII. OTHER INFORMATION

IX. TIPS FOR WRITING A STRONG APPLICATION

HRSA-19-002 1

I. Program Funding Opportunity Description

1. Purpose

This notice announces the opportunity to apply for funding under the Graduate Psychology Education (GPE) Program.

Program Purpose The purpose of this program is to train doctoral health psychology students, interns, and post-doctoral residents to provide integrated, interdisciplinary, behavioral health and Opioid Use Disorder (OUD) and other Substance Use Disorder (SUD) 2 prevention and treatment services in high need and high demand areas. The program also supports faculty development of health service psychology.

For purposes of this NOFO, high need and high demand areas are identified by two defined sources:

o County of experiential training site location has less than 10 licensed psychologists per 100,000 population as found in the APA County Level Analysis of US Licensed Psychologists o Experiential training site is located in a Mental Health Professional Shortage Areas (HPSAs) or that are Facility Mental HPSAs with a score of 16 or above as found in the HPSA Find Tool.

The overarching goal of the program is to prepare and build capacity of the doctoral health psychology workforce, to provide mental/behavioral health care, including OUD and other SUD prevention and treatment services, in high need and high demand areas.

Program Goal and Objectives

Goal: To increase the number of doctoral health service psychologists trained in integrated, interdisciplinary OUD and other SUD prevention and treatment services to serve in high need and high demand areas.

The GPE Program objectives are to:

• Demonstrate qualitatively and quantitatively how the GPE award will improve access to quality behavioral health and substance use services, including trauma-informed care, by increasing the number of doctoral health psychology graduates;

• Develop or enhance tele-behavioral health technology to improve access to health services and improved patient outcomes, and provide experiential training to doctoral health psychology students, interns, and post-doctoral residents to deliver behavioral health and substance use services via tele-behavioral health;

• Establish or enhance academic and community partnerships for development of experiential training sites, and a pipeline of well-trained, culturally competent health psychologists who are committed to working in high need and high demand areas following graduation;

• Demonstrate an ability to recruit and place the doctoral health psychology students, interns, and post-doctoral residents in experiential training sites that provide https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796 https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796

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integrated, interdisciplinary team-based care in high need and high demand areas with two or more health disciplines other than psychology, and at least 25 percent of the time in the experiential training site(s) must be in the delivery of OUD prevention and treatment services;

• Develop or enhance faculty development and training program content or design that includes incorporating a holistic review strategy that assesses an individual’s social determinants of health factors alongside traditional mechanism of providing behavior health services in the provision of OUD prevention and treatment and tele-behavioral health services. Training program content and design may include development or enhancement of training models, curriculum, courses, rotations, seminars, tracks, and other innovative methods that prepare health psychologists to practice in the provision of OUD prevention and treatment services;

• Develop or enhance training that focuses on field supervisors and faculty from collaborating programs to create an infrastructure of skills, expertise, and support of a behavioral health team, which provides support and services to Drug Addiction Treatment Act (DATA-waived) Medication Assisted Treatment (MAT) prescribers as part of coordinated care teams;

• Follow-up with graduates to collect post-graduation employment demographics for at least one year after program completion. Awardees should encourage doctoral psychology trainees to apply for a National Provider Identifier (NPI) number, and must collect the NPI numbers of doctoral psychology trainees who receive HRSA funds, where available;

• Develop faculty skills and expertise in OUD and other SUD prevention and treatment; and

• Collaborate regularly and work collaboratively with the technical assistance provider (to be determined) throughout the duration of the period of performance regarding technical assistance and evaluation issues.

Please note: HRSA aims to provide technical assistance and evaluation support to GPE recipients and other HRSA mental/behavioral health recipients. It is required that all applicants who are awarded under this Notice of Funding Opportunity (NOFO) must work collaboratively with the technical assistance provider (to be determined) throughout the duration of the period of performance regarding technical assistance and evaluation issues.

Refer to Section V.2 of this funding opportunity for detailed information on funding factors and qualifying for a funding preference.

2. Background

The GPE Program is authorized by Title VII, Section 756(a)(2) of the Public Health Service Act (U.S.C. 42 U.S.C. § 294e–1(a)(2)). The program was established to assist American Psychological Association (APA) accredited doctoral programs and internships in meeting the costs to plan, develop, operate, or maintain graduate psychology education programs to train health service psychologists to work with high need and high demand populations.

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The focus of the FY 2019 GPE Program is to provide specialized training to doctoral health psychology students, interns, and post-doctoral residents in the provision of OUD and other SUD prevention and treatment services. In 2017, the U.S. Department of Health and Human Services (HHS) declared a public health emergency and announced a five point strategy to combat the opioid crisis.4 Access to better prevention, treatment, and recovery services is one of the strategies and a priority for improvement of behavioral health workforce programs.

In 2017, an estimated 46.6 million adults (18.9 percent of the population) aged 18 or older were diagnosed with any mental illness (AMI) in the past year.5 In this same year, 19.7 million people, aged 12 or older, had a SUD.5 In addition, 11.4 million people misused opioids in the past year, including 11.1 million pain reliever misusers and 886,000 heroin users. 5

Moreover, an estimated 8.5 million adults, aged 18 or older (3.4 percent of all adults), had both AMI and SUD in the past year.5 Among the 8.5 million adults with co-occurring AMI and SUD, 51 percent received either substance use treatment at a specialty facility or mental health care. Similarly, in the past year, 62.7 percent of adolescents who had a major depressive episode and SUD co-occurring disorder received either substance use treatment at a specialty facility or mental health services.5

Drug overdose death rates increased from 1999 to 2017 for all age groups. In 2017, there were 70,237 drug overdose deaths in the United States.6 The age-adjusted rate of drug overdose deaths increased from 6.1 per 100,000 standard population in 1999 to 21.7 in 2017.6

The opioid crisis and its effect is especially evident in geographical areas with large rural concentrations, where nonmedical prescription opioid misuse remains a growing public problem.7 Compounding these behavioral health and substance use issues are significant behavioral health disparities in underserved communities. These disparities may be due to lack of access to health care, need for a diverse health care workforce, a lack of information, and the need for culturally and linguistically competent care and programs.8 Tele-behavioral health is an important tool for delivering services and resources to HRSA’s

4 U.S. Department of Health and Human Services (HHS). (n.d.). 5-Point Strategy to Combat the Opioid Crisis. Retrieved January 16, 2019, from https://www.hhs.gov/opioids/about-the-epidemic/hhs-response/index.html.

5 Substance Abuse and Mental Health Services Administration. (2018, September). Key Substance Use and Mental Health Indicators in the United States: Results from the 2017 National Survey on Drug Use and Health. Retrieved February 21, 2019, from https://www.samhsa.gov/data/report/2017-nsduh-annual-national-report.

6 Centers for Disease Control and Prevention. Hedegaard H, Miniño AM, Warner M. Drug overdose deaths in the United States, 1999– 2017. NCHS Data Brief, no 329. Hyattsville, MD: National Center for Health Statistics. 2018, from:

https://www.cdc.gov/nchs/data/databriefs/db329-h.pdf

7 Keyes, K.M., Cerda, M., Brady, J.E., Havens, J.R., Galea, S. Understanding the Rural-Urban Differences in Nonmedical Prescription Opioid Use and Abuse in the United States. American Journal of Public Health 2014; 104(2): e52-e59. Retrieved October 23, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935688/.

8 Substance Abuse and Mental Health Services Administration. (n.d.). Health Disparities. Retrieved July 17, 2018, from https://www.samhsa.gov/health-disparities.

https://www.hhs.gov/opioids/about-the-epidemic/hhs-response/index.html https://www.hhs.gov/opioids/about-the-epidemic/hhs-response/index.html https://www.hhs.gov/opioids/about-the-epidemic/hhs-response/index.html https://www.samhsa.gov/data/report/2017-nsduh-annual-national-report https://www.samhsa.gov/data/report/2017-nsduh-annual-national-report https://www.cdc.gov/nchs/data/databriefs/db329-h.pdf https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935688/ https://www.samhsa.gov/health-disparities

HRSA-19-002 4

target populations. Tele-behavioral health can strengthen relationships within a team and across agencies and support collaboration and integration.9

HRSA’s National Center for Health Workforce Analysis projects the demand for psychologists to grow by ten percent between 2012 and 2025.10 The projections do not account for the geographical distribution of providers which may impact access to care.

HRSA is seeking to address the shortage of psychologists and improve access to care by targeting experiential training sites in high need and high demand areas. The GPE Program works to address the need for the behavioral healthcare workforce in these areas by increasing the numbers of adequately and culturally prepared health psychologists ready to practice.

HRSA has a number of investments targeting OUD and other SUDs across its Bureaus and Offices that applicants may be able to leverage. For information on HRSA-supported resources, technical assistance, and training, visit here: https://www.hrsa.gov/opioids.

Program Definitions: A glossary containing general definitions for terms used throughout the Bureau of Health Workforce NOFOs can be located at the Health Workforce Glossary.

A listing of other key terms relevant to this announcement can be found in Section VIII Other Information.

II. Award Information

1. Type of Application and Award

Type(s) of applications sought: New

HRSA will provide funding in the form of a grant.

2. Summary of Funding

HRSA expects approximately $18,000,000 to be available annually to fund approximately forty (40) recipients. You may apply for a ceiling amount of up to $450,000 total cost (includes both direct and indirect) per year.

The period of performance is September 1, 2019 through August 31, 2022, three (3) years.

Funding beyond the first year is dependent on the availability of appropriated funds for the GPE Program in subsequent fiscal years, satisfactory recipient performance, and a decision that continued funding is in the best interest of the Federal Government.

9 Health Resources and Services Administration. Increasing Access to Behavioral Health Care Through Technology Meeting Summary.

(2012, March 30). Retrieved July 17, 2018, from https://www.hrsa.gov/sites/default/files/publichealth/guidelines/BehavioralHealth/behavioralhealthcareaccess.pdf

10 Health Resource and Services Administration. (April 2015). Health Workforce Projections: Psychologists https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/psychologistsapril2015.pdf https://www.hrsa.gov/opioids https://bhw.hrsa.gov/grants/resourcecenter/glossary https://www.hrsa.gov/sites/default/files/publichealth/guidelines/BehavioralHealth/behavioralhealthcareaccess.pdf https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/psychologistsapril2015.pdf

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All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles and Audit Requirements at 45 CFR part 75.

Indirect costs under training awards to organizations other than state, local, or Indian tribal governments will be budgeted and reimbursed at eight (8) percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment. Direct cost amounts for equipment, tuition and fees, and sub-awards and subcontracts in excess of $25,000 are excluded from the direct cost base for purposes of this calculation.

III. Eligibility Information

1. Eligible Applicants

Eligible entities are APA-accredited doctoral schools and programs of health service psychology, APA-accredited doctoral internships in professional psychology, and APA-accredited post-doctoral residency programs in practice psychology.

Accreditation Applicants applying for doctoral-level schools and program of health service psychology, professional psychology internships, and post-doctoral psychology residencies must provide documentation of their institution’s APA accreditation, specifying the dates covered by the active accreditation, including expiration date, letter as Attachment 10.

All applicants must provide proof of accreditation. HRSA may consider any application that fails to attach a copy of the required accreditation or certification documentation non-responsive, and may not consider it for funding under this notice. Applicants are required to maintain their accreditation throughout the period of performance and notify HRSA of change in status.

The eligible entities include the 50 states, and the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, the U.S.

Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Domestic faith-based and community-based organizations, and tribal organizations are also eligible to apply, if otherwise eligible.

2. Cost Sharing/Matching

Cost sharing/matching is not required for this program.

3. Other

Ceiling Amount HRSA will consider any application that exceeds the ceiling amount of $450,000 per year non-responsive and will not be considered for funding under this notice.

http://www.ecfr.gov/cgi-bin/retrieveECFR?gp=1&SID=4d52364ec83fab994c665943dadf9cf7&ty=HTML&h=L&r=PART&n=pt45.1.75

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Deadline HRSA will consider any application that fails to satisfy the deadline requirements referenced in Section IV.4 non-responsive and will not be considered for funding under this notice.

Maintenance of Effort (MoE) The recipient must agree to maintain non-federal funding for award activities at a level that is not less than expenditures for such activities during the fiscal year prior to receiving the award, as required by section 797(b). Complete the MOE information and submit as Attachment 5.

Multiple Applications Multiple applications from an organization are not allowable. An institution must select and submit an application for only one of either a doctoral school or program of health service psychology or doctoral internship in professional psychology or post-doctoral residency program in practice psychology

Independent organizations are those entities that have unique DUNS numbers.

If for any reason (including submitting to the wrong funding opportunity number or making corrections/updates), an application is submitted more than once prior to the application due date, HRSA will only accept your last validated electronic submission, under the correct funding opportunity number, prior to the Grants.gov application due date as the final and only acceptable application.

Beneficiary eligibility requirements - Trainee Eligibility Doctoral students, doctoral interns, and post-doctoral residents receiving a stipend or other funds in the GPE Program must be in an APA-accredited program, a citizen of the United States, a non-citizen national of the United States, or a foreign national who possesses a visa permitting permanent residence in the United States. Individuals on temporary or student visas are not eligible participants. In addition, trainees must be enrolled full or part time in the school or program receiving the grant award in order to receive stipend support.

Failure to include all required documents as part of the application may result in an application being considered incomplete or non-responsive.

IV. Application and Submission Information

1. Address to Request Application Package

HRSA requires you to apply electronically through Grants.gov. HRSA encourages you to apply through Grants.gov using the SF-424 Research and Related (R&R) workspace application package associated with this NOFO following the directions provided at https://www.grants.gov/applicants/apply-for-grants.html.

If you’re reading this NOFO (also known as “instructions” on Grants.gov) and reviewing or preparing the workspace application package, you will automatically be notified in the event https://www.grants.gov/ https://www.grants.gov/applicants/apply-for-grants.html

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HRSA changes and/or republishes the NOFO on Grants.gov before its closing date.

Responding to an earlier version of a modified notice may result in a less competitive or ineligible application. Please note, you are ultimately responsible for reviewing the For Applicants page for all information relevant to desired opportunities.

2. Content and Form of Application Submission

Section 4 of HRSA’s SF-424 R&R Application Guide provides instructions for the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, and abstract. You must submit the information outlined in the SF-424 R&R Application Guide in addition to the program specific information below. You are responsible for reading and complying with the instructions included in HRSA’s SF-424 R&R Application Guide except where instructed in the NOFO to do otherwise. Applications must be submitted in the English language and must be in terms of U.S. dollars (45 CFR § 75.111(a)).

See Section 8.5 of the SF-424 R&R Application Guide for the Application Completeness Checklist.

Application Page Limit The total size of all uploaded files may not exceed the equivalent of 75 pages, when printed by HRSA.

The page limit includes the abstract, project narrative, budget justification narrative, attachments including biographical sketches (biosketches), and letters of commitment and support required in HRSA’s SF-424 R&R Application Guide and this NOFO.

Standard OMB-approved forms that are included in the application package do NOT count in the page limitation. Biographical Sketches do count in the page limitation. Indirect Cost Rate Agreement and proof of non-profit status (if applicable) will not be counted in the page limit. We strongly urge you to take appropriate measures to ensure your application does not exceed the specified page limit.

Applications must be complete, within the specified page limit, and validated by Grants.gov under the correct funding opportunity number prior to the deadline to be considered under this notice.

Debarment, Suspension, Ineligibility, and Voluntary Exclusion Certification

1) The prospective recipient certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.

2) Failure to make required disclosures can result in any of the remedies described in 45 CFR § 75.371, including suspension or debarment. (See also 2 CFR parts 180 and 376, and 31 U.S.C. 3321).

3) Where the prospective recipient is unable to attest to any of the statements in this certification, an explanation shall be included in Attachment 12: Other Relevant Documents.

https://www.grants.gov/web/grants/applicants.html https://www.grants.gov/web/grants/applicants.html http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf http://www.hrsa.gov/grants/apply/applicationguide/sf424rrguidev2.pdf

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See Section 4.1 viii of HRSA’s SF-424 R&R Application Guide for additional information on all certifications.

Program-Specific Instructions

In addition to application requirements and instructions in Section 4 of HRSA’s SF-424 R&R Application Guide (including the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, and abstract), please include the following:

i. Project Abstract See Section 4.1.ix of HRSA’s SF-424 R&R Application Guide.

In addition to the requirements listed in the SF-424 R&R Application Guide, the applicant must include the following information in the abstract:

1. Project Title

2. Program Type Applying for (indicate one)

a. Doctoral Psychology School or Program

b. Internship Program

c. Post-Doctoral Residency Program

3. A brief overview of the project as a whole

4. Specific, measurable objectives that the project will accomplish

5. How the proposed project will be accomplished, i.e., the "who, what, when, where, why and how" of a project

6. Statement indicating eligibility for funding preference (if applicable).

The project abstract(s) must be single-spaced and is limited to one page in length.

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ii. Project Narrative

This section provides a comprehensive framework and description of all aspects of the proposed project. The Project Narrative should be succinct, self-explanatory, consistent with forms and attachments, and well organized so that reviewers can understand the proposed project. It must address the goals and purpose of the NOFO and the strategies to be used in attaining the goals and meeting the funding opportunity’s purpose.

Applicants who propose a tele-behavioral health component to their work plan are encouraged to reach out to one of the 12 HRSA-supported Regional Telehealth Resource Centers located at https://www.hrsa.gov/rural-health/telehealth/index.html, which provide technical assistance to organizations and individuals who are actively providing or interested in providing telehealth services to rural and/or underserved communities.

Successful applications will contain the information below. Please use the following section headers for the narrative:

PURPOSE AND NEED -- Corresponds to Section V’s Review Criterion #1

In this section, you must describe the purpose of the proposed project and need for the program. This section will help reviewers understand the organization that would receive funding for training, as well as the needs of the communities that trainees would ultimately serve.

You must describe the purpose and need for the proposed project, including:

1. The state and local health status indicators related to behavioral health, including overdose rate, and morbidity and mortality statistics of behavioral health and OUD and other SUD in the community;

2. The demographics of the community and the experiential training site(s) population that trainees will serve, and the social determinants of health, behavioral health disparities, and access to behavioral health and substance use services, including trauma-informed care, that will be addressed through the proposed project;

3. Existing or developing tele-behavioral health services in the experiential training sites and how tele-behavioral health will be used to improve access to care and training;

4. The needs of the behavioral health workforce in the community, including recruitment and retention efforts of doctoral health psychology students, interns, and post-doctoral residents, and how the community from the academic and community partnerships in the proposed project will benefit;

5. The need for development or enhancement of the applicant training program and description of training models, curriculum, courses, rotations, seminars, tracks, and other innovative methods that prepares health psychologists to practice in the provision of OUD and other SUD prevention and treatment services;

6. The need to provide integrated, interdisciplinary, team based care with two or more health disciplines;

7. The need for faculty development in OUD and other SUD prevention and treatment;

and

8. Description of the experiential training site(s) where the trainees will train and include the following information depicted in the Table 1 example as Attachment 4:

https://www.hrsa.gov/rural-health/telehealth/index.html

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Table 1

RESPONSE TO PROGRAM PURPOSE -- This section includes three sub-sections —

(a) Work Plan; (b) Methodology/Approach; and (c) Resolution of Challenges—all of which correspond to Section V’s Review Criteria #2 (a), (b), and (c).

a) Work Plan -- Corresponds to Section V’s Review Criterion #2 (a).

In this section, you must provide a comprehensive, detailed work plan that addresses how, through concrete steps, you plan to implement the proposed project in order to achieve the goals of the NOFO and successfully implement the proposed activities identified in the Methodology/Approach section. The work plan must drive and align with the methodology and include the following:

1. Description of the activities or steps, key partners, staff responsible, and timeframes during the three (3) year period of performance. Goals and objectives must be specific, measurable, achievable, realistic, and time framed;

2. Explanation of how the work plan is appropriate for the program design and how the targets for key activities fit into the overall grant implementation timeline and three

(3) year period of performance; and

3. Identification of meaningful support and collaboration with key stakeholders in planning, designing and implementing all activities, including development of the application, and, further, the extent to which these contributors reflect the populations and communities served.

A sample work plan can be found at http://bhw.hrsa.gov/grants/technicalassistance/workplantemplate.docx. Documentation of work plan must be submitted as Attachment 6.

Site/Rotation Name

Experiential Site Address

(EXAMPLE:

XX Main Street, Town, State, Zip Code)

Number of

GPE

Trainees

Number of trainee hours and weeks/months at training site

Experiential training site offers OUD prevention and/or treatment services (yes/no)

Experiential training site offers tele-behavioral health services (yes/no)

Experiential training site offers team based care with two or more health disciplines (yes/no)

Number of psychologis ts in county of experiential training site location using the

APA

County Level Analysis of

US

Licensed Psychologis ts

Mental Health or Facility Mental HPSA score using the HPSA Find Tool http://bhw.hrsa.gov/grants/technicalassistance/workplantemplate.docx https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796 https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796 https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796 https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796 https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796 https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796 https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796 https://www.apa.org/workforce/publications/15-county-analysis/report.pdf?_ga=2.145945716.1335959368.1525796962-1058508984.1525796

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b) Methodology/Approach -- Corresponds to Section V’s Review Criterion #2 (b).

In this section, you must describe how you will prepare doctoral health psychology students, interns, and post-doctoral residents to provide behavioral health care, including tele-behavioral health for substance use prevention, treatment, and recovery services, in settings that provide integrated, interdisciplinary, team-based care in high need and high demand areas. You must also describe your objectives, proposed activities, and strategies, and provide evidence for how they (1) align with and drive the work plan, (2) incorporate each of the program goals and objectives and expectations of the NOFO; and

(3) address the needs in the Purpose and Need section.

You must present the methodologies, strategies, and approaches for the following:

1. Building or enhancing academic and community partnerships that provide opportunity for doctoral health service psychology students, interns, and post-doctoral residents to train in an integrated, interdisciplinary, team-based care setting, in high need and high demand areas with two or more health disciplines other than psychology;

2. Improving access to behavioral health and substance use services in your community, particularly in the provision of OUD prevention and treatment services and use of tele-behavioral health services;

3. Demonstrating that trainees will receive at least 25 percent of the time in experiential training site(s) in the delivery of OUD prevention and treatment services;

4. Training in tele-behavioral health in the experiential training sites and an estimate of the number of tele-behavioral health patient contacts per trainee during each year of the grant;

5. Creating a pipeline of well-trained, culturally competent health service psychologists, reflective of the population served in the community, and committed to working in high need and high demand areas following graduation;

6. Implementing experiential and didactic training, including development or enhancement of curriculum that models and develops competencies in integrated, interdisciplinary, team-based care, with two or more disciplines other than psychology, incorporates a holistic review strategy that assesses an individual’s social determinants of health factors alongside traditional mechanism of providing behavioral health services, including substance use services, and links patient centered services to achieved patient outcomes;

7. Leveraging partnerships with training sites to provide behavioral health services and support DATA-waived MAT prescribers as part of coordinated care teams;

8. Implementing faculty development training and related activities, including developing skills and expertise in OUD and SUD prevention and treatment, that will benefit the training program; and

9. Developing a logic model for designing and managing the project as Attachment 7.

A logic model is a one-page diagram that presents the conceptual framework for a proposed project and explains the links among program elements to achieve the relevant outcomes. While there are many versions of logic models, for the purposes of this notice, the logic model should summarize the connections between the:

• Goals of the project (e.g., objectives, reasons for proposing the intervention, if applicable);

• Assumptions (e.g., beliefs about how the program will work and support

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resources. Base assumptions on research, best practices, and experience);

• Inputs (e.g., organizational profile, collaborative partners, key staff, budget, other resources);

• Target population (e.g., the individuals to be served);

• Activities (e.g., approach, listing key intervention, if applicable);

• Outputs (i.e., the direct products or deliverables of program activities); and

• Outcomes (i.e., the results of a program, typically describing a change in people or systems).

c) Resolution of Challenges -- Corresponds to Section V’s Review Criterion #2 (c)

In this section, you must discuss challenges that they are likely to encounter in designing and implementing the activities described in the work plan, and approaches that you will use to resolve such challenges. This section should include:

1. Challenges related to program goals and objectives, work plan, project implementation, and achievement of the proposed goals and objectives (e.g.

program performance evaluation and performance measurement requirements);

2. Challenges related to the workforce development, such as recruitment and retention, and education and training of health service psychologists in high need and high demand areas;

3. Obstacles to obtaining experiential training sites that offer OUD and other SUD prevention and treatment services and delivery of tele-behavioral health services;

and

4. Resources and plans to resolve and overcome these challenges and obstacles, and examples of such.

IMPACT -- This section includes two sub-sections— (a) Evaluation and Technical Support Capacity; and (b) Project Sustainability—both of which correspond to Section V’s Review Criteria #3 (a) and (b).

a) Evaluation and Technical Support Capacity -- Corresponds to Section V’s

Review Criterion #3 (a)

In this section, you must describe your plan for program performance evaluation. A comprehensive evaluation will yield outcome data that both you and HRSA can use throughout the project to ensure the success of the project.

Performance Evaluation Plan: You must provide a Performance Evaluation Plan that will contribute to continuous quality improvement. The plan must include:

1. How you will monitor ongoing processes and progress toward meeting goals and objectives of the project;

2. Descriptions of the inputs (e.g., key evaluation staff and organizational support, collaborative partners, budget, and other resources), key processes and variables to be measured;

3. Expected outcomes of the funded activities; and

4. Description of how all key evaluative measures will be reported and disseminated.

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In the Attachments section (IV. 2. v., Attachment 1), you must attach a complete staffing plan and job descriptions for key personnel. Bio sketches of Key Personnel should be uploaded in the SF-424 R&R Senior/Key Person Profile form. You must demonstrate evidence that the evaluative measures selected will be able to assess: 1) the extent to which the program objectives have been met, and 2) the extent to which these can be attributed to the project.

It is required that all award recipients will work collaboratively with HRSA’s technical assistance provider (to be determined) for technical assistance and evaluation needs.

Performance Reporting Plan: You must describe the systems and processes that will support your organization's collection of HRSA’s required performance measures. The following link includes examples of the required data forms for this program:

http://bhw.hrsa.gov/grants/reporting/index.html.

You must describe the data collection strategy to collect, manage, analyze and track data to measure the impact/outcomes, of the work plan in a way that allows for accurate and timely reporting of performance outcomes.

You must describe any potential obstacles for implementing the program performance evaluation and meeting HRSA’s performance measurement requirements and your plan to address those obstacles. The evaluation and reporting plan also should indicate the feasibility and effectiveness of plans for dissemination of project results, the extent to which project results may be national in scope, and the degree to which the project activities are replicable.

You must describe current experience, skills, and knowledge, including individuals on staff, materials published, and previous work of a similar nature.

Describe your process to track trainees after program completion/graduation for up to one year, to include the collection of trainees’ National Provider Identifiers (NPI). (Note:

Trainees who receive HRSA funds as a result of this award are encouraged to apply for an NPI for the purpose of collecting post-graduation employment demographics).

You must include your capacity to collect, validate, and report required data measures, including:

1. Number, setting, and location of practicum, internship, and residency experiential site(s) located in high need and high demand areas as defined by this NOFO;

2. Number, demographics of students/interns/post-doctoral residents, hours trained in experiential training site(s), hours trained in provision of OUD prevention and treatment services, and trainee-patient encounters involving tele-behavioral health;

3. Number and location of practice of graduates who pursue employment providing behavioral health and substance use services in high need and high demand areas;

4. Number of disciplines other than psychology to be trained by GPE Program activities and in the experiential training sites;

5. Number of students/interns/post-doctoral residents to receive GPE Program stipends;

http://bhw.hrsa.gov/grants/reporting/index.html

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6. Number and type of new or enhanced activities, trainings, curriculum, courses, evidence-based models, rotations, seminars, and other innovative methods to be developed, enhanced, and implemented in OUD prevention and treatment;

7. Number of faculty to receive training/development in OUD prevention and treatment;

and type of training; and

8. Availability of resources to address access to behavioral health and substance use services and the social determinants of health.

b) Project Sustainability -- Corresponds to Section V’s Review Criterion #3 (b)

In this section, you must provide a clear plan for project sustainability after the period of federal funding ends. Recipients are expected to sustain key elements of their projects, e.g., strategies or services and interventions, which have been effective in improving practices and those that have led to improved outcomes for the target population. The applicant must provide a clear plan for project sustainability after the period of federal funding ends.

The sustainability plan must include:

1. Description of specific actions applicant will take to highlight key elements of the project which have been effective in training and improving health psychology practice;

2. Future sources of potential funding;

3. Timetable for becoming self-sufficient; and

4. Challenges that are likely to be encountered in sustaining the program and approaches that will be used to resolve such challenges.

ORGANIZATIONAL INFORMATION, RESOURCES and CAPABILITIES --

Corresponds to Section V’s Review Criterion #4

In this section, you must succinctly describe your capacity to effectively manage the programmatic, fiscal, and administrative aspects of the proposed project. You must provide information on your organization’s current mission and structure, scope of current activities, leadership and personnel, quality and availability of facilities, and an organizational chart.

You must describe how all of these contribute to the ability of the organization to conduct the GPE program goals and objectives and meet program expectations.

You must describe the following:

1. The ability of your organization to conduct the GPE program goals and objectives and meet program expectations;

2. Organizational/institutional commitment to the promotion of a health psychology workforce that reflects the population served and provides evidence of recruitment, retention, and training efforts in high need and high demand areas as defined in this

NOFO;

3. Capacity to provide didactic and experiential training and supervision to health service psychology doctoral students, interns, and post-doctoral residents including OUD prevention and treatment services; identify and alleviate gaps and barriers in the training of the behavioral health workforce, linking them to best practices, improved

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access to behavioral health and substance use services, improved behavioral health outcomes, and examples of such;

4. Evidence of an adequate staffing plan as Attachment 1 and project organizational chart as Attachment 3;

5. Evidence of institutional support, e.g., letters of agreement and support and resource (commitment to provide financial or in-kind resources, including institutional policy) provided in Attachments 2 and 11; and

6. How the unique behavioral health needs of the populations in the community are routinely assessed and improved.

The staffing plan and job descriptions for key faculty/staff must be included in Attachment 1 (Staffing Plan and Job Descriptions for Key Personnel). However, the biographical sketches must be uploaded in the SF-424 RESEARCH & RELATED Senior/Key Person Profile form, which can be accessed in the Application Package under “Mandatory.”

Include biographical sketches for persons occupying the key positions, not to exceed TWO pages in length each. In the event that a biographical sketch is included for an identified individual who is not yet hired, please include a letter of commitment from that person with the biographical sketch. When applicable, biographical sketches should include training, language fluency, and experience working with groups that represent the populations that are served by their programs.

Biographical sketches should include the following information:

• Senior/Key Personnel Name

• Position Title

• Education/Training - beginning with baccalaureate or other initial professional education, such as nursing, including postdoctoral training and residency training if applicable:

o Institution and location o Degree (if applicable) o Date of degree (MM/YY) o Field of study

• Section A (required) Personal Statement. Briefly describe why the individual’s experience and qualifications make him/her particularly well-suited for his/her role (e.g., PD/PI) in the project that is the subject of the award. There can only be one Project Director. The Project Director must be employed by the awarded applicant organization and dedicate a minimum of 20 percent of his/her time (may be in-kind or funded) to grant activities, employed by the awarded applicant organization, and is encouraged to have a minimum of three (3) years of experience in the provision of services for OUD and other SUD in prevention, treatment and recovery services.

• Section B (required) Positions and Honors. List in chronological order previous positions, concluding with the present position. List any honors. Include present membership on any Federal Government public advisory committee.

• Section C (optional) Peer-reviewed publications or manuscripts in press (in chronological order). You are encouraged to limit the list of selected peer-reviewed publications or manuscripts in press to no more than 15. Do not include manuscripts

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submitted or in preparation. The individual may choose to include selected publications based on date, importance to the field, and/or relevance to the proposed research. Citations that are publicly available in a free, online format may include URLs along with the full reference (note that copies of publicly available publications are not acceptable as appendix material).

• Section D (optional) Other Support. List both selected ongoing and completed

(during the last 3 years) projects (federal or non-federal support). Begin with any projects relevant to the project proposed in this application. Briefly indicate the overall goals of the projects and responsibilities of the Senior/Key Person identified on the Biographical Sketch.

NARRATIVE GUIDANCE

To ensure that you fully address the review criteria, this table provides a crosswalk between the submission requirements and where each…