Oregon Strategic Prevention Framework Partnership for Success Initiative Invitation Application. September 30 via

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Deschutes County Health Services GRANT APPLICATION REQUEST Official Grant Title: Source of Grant Funds: Funding Amount (include amount per year if multiple years): Required Matching Funds (if applicable): Application Due Date and Submission Method: FTE Required and Cost of FTE: Staff Responsible: Grant Administrator (if awarded): Oregon Strategic Prevention Framework Partnership for Success Initiative Invitation Application Federal via the State $125,000 starting October 2015 with re-application and likely award for subsequent three years n/a September 30 via e-mail 1.0 FTE required at a cost of $96,491 (salary and benefits); utilizing existing FTE and assigning Julie Spackman the work Jessica Jacks Oregon Health Authority Please answer the following questions: 1. Briefly summarize what work the grant is intended to accomplish: The Strategic Prevention Framework Partnerships For Success (SPF-PFS) grant will require Deschutes County to conduct a community assessment, prioritize work based on need and capacity, and develop an implementation plan. This work must be done in collaboration with our local prevention coalitions and community partners. Ultimately, one or two focus areas will be prioritized for the work. 2. What priorities in the Health Services Strategic Plan would this grant activity support? Provide data to describe a documented health need that would be addressed and that is consistent with the Strategic Plan. Deschutes County was selected as one of ten counties to participate in this funding opportunity based on a data review by the State. These ten counties are now asked to complete an invitation application prior to an official contract of services. This form is requesting approval to submit the Invitation Application. This funding opportunity would potentially support both the high risk drinking prevention ages 18-25 and substance abuse prevention priorities identified by the current Health Services Strategic Plan. It also supports data identified in the Regional Health Assessment for Deschutes County. This funding opportunity requires that we assess our local community through data and current readiness to be able address 1 to 2 of the following issue areas: 1. Underage drinking among persons 12-20 years 2. High risk drinking among persons aged 18-25 years 3. Prescription drug misuse and abuse among persons aged 12-25 years old

A community-based process will determine which of the above issue areas Deschutes County will address. In addition, the current Regional Health Assessment process, Regional Health Improvement Plan process and upcoming Prescription Drug Summit will be used to inform this decision. The following data is a brief overview of the Deschutes County data related to these issues: 20.9% 8 th graders report drinking alcohol on at least 1 day in the past 30 days 43.9% 11 th graders report drinking alcohol on at least 1 day in the past 30 days 4.3% 8 th graders report using a prescription drug at least 1 time in the last 30 days 8.7% 11 th graders report using a prescription drug at least 1 time in the last 30 days Opioid related unintentional prescription drug mortality in Central Oregon was 3.6/100,000 Central Oregon is not meeting the CCO benchmark for the percentage of adult patients (aged 18+) who had appropriate screening and intervention for alcohol to other substance abuse 3. Would this support core program activities and, if so, which one(s)? Are additional funds needed to support these activities? Yes. This funding opportunity requires that we support the Strategic Prevention Framework (SPF). Our substance abuse prevention program has been utilizing the SPF for the past several years. Staff are skilled in the approach and our local coalitions, of which we are required to work with, are familiar with the process. Additional funds are not needed to support activities at this time 4. Does this funding add new program activities? If so, what are the activities? Is it appropriate to add these new activities at this time? Depending on the outcome of the community-based process, this funding may add prescription drug abuse prevention activities to existing activities. Activities related to alcohol prevention are already underway. It remains to be seen what specific strategies will be selected to address these issues; however, the substance abuse prevention program has historically had an emphasis on education and supporting environments through policy or guidelines to enhance healthful living. It is anticipated that this philosophical approach will continue. 5. Is there a science base to support delivering the activities and services listed? Please describe that science base. The Strategic Prevention Framework (SPF) is a community based planning process that results in the identification of culturally appropriate and evidenced based strategies based on data informed decision making. The SPF is an evidence based approach endorsed by SAMHSA, Substance Abuse and Mental Health Services Administration. 6. How long would the funding be available? If the funding is for less than three years, what is the plan to transition the work, staffing and expenses after the funding ends? Funding is available for four years, starting October 2015. However a re-application is required each year

7. What is the application deadline? Do you anticipate any problems meeting this deadline? The deadline is September 30, 2015 and staff do not foresee problems meeting this deadline. 8. Do you have the staffing to write a competitive proposal? If not, how will you contract for these services? Yes. 9. Are there any matching requirements? No. 10. What other partner organizations could potentially be applying? What is the plan to work with them? Only the 10 identified counties are allowed to apply. If one of the ten opts out, the next county in line will be asked to participate. The following listed identified the original ten Counties selected and we are pleased that it includes Crook and Jefferson, for the potential collaboration opportunities, if we are all successful with this submission process: Baker Clackamas Crook Curry Deschutes Jefferson Lake Lane Lincoln Union 11. What are the potential political issues that could arise as a result of this application, funding, and/or activity? Substance abuse prevention is historically political. Every effort is made to proceed with community-based informed and prioritized strategies so that political issues are minor. It is unknown what might surface from this funding opportunity. 12. What is the fiscal impact to the department if we are awarded this grant? Please attach fiscal impact analysis form completed with Business Manager approval. $125,000 awarded annually, see attached budget. 13. Will a contract be required if we are awarded this grant? If yes, is there sufficient time to complete the contract process (estimated timeline: 4-6 weeks) prior to starting the work? Yes, with Addictions and Mental Health Services. Yes.

SPF-PFS Budget Projection, October 2015 to September 2016 Budget Item Projected Expense Notes Personnel $ 60,699 Must be 1.0 FTE Fringe Benefits $ 35,792 Travel $ 5,000 Must allocate a minimum of $5K Training $ 2,500 Must allocate a minimum of $2,500 Equipment $ - Program Supplies $ 2,509 food, meeting supplies Contracts $ 6,000 facilitation, data analysis, training Other $ - Total Direct Costs $ 112,500 Total Indirect Costs (10%) $ 12,500 Total Projected Expense $ 125,000 Cannot exceed 15% of total budget

Deschutes County Board of County Commissioners P. O. Box 6005, Bend, OR 97708-6005 1300 NW Wall St., Suite 206, Bend, OR 97703-1960 (541) 388-6570 - Fax (541) 385-3202 www.deschutes.org board@deschutes.org Tammy Baney Anthony DeBone Alan Unger September 23, 2015 Kerryann Bouska Oregon SPF-PFS Director Health Systems 500 Summer Street, E-86 Salem, OR 97301-1118 Dear Ms. Bouska, I am submitting this letter of commitment in support of Deschutes County Health Services application for funds to implement the Strategic Prevention Framework Partnership for Success (SPF-PFS) Initiative. I firmly believe that the Substance Abuse Prevention Program will be effective at coordinating an effective SPF-PFS initiative, which complements the work we have been doing with high-risk drinking among 18-25 year olds the past three years. This will allow our County to plan and implement strategies to prevent substance abuse focused on one or two of the following focus areas: 1. Underage drinking among persons aged 12-20 years, 2. High risk drinking among persons aged 18-25 years, and 3. Prescription drug misuse and abuse among persons aged 12-25 years. I am aware that the SPF-PFS is a community-wide program that requires a high level of communication, collaboration and involvement on the part of those involved. In my role as Deschutes County Commissioner, I commit to working with our partner organizations to ensure the success of this effort in Deschutes County. I am pleased to convey my support and offer my commitment to helping our community in this initiative. Thank you for your consideration of Deschutes County Health Services in this funding opportunity. Sincerely, Anthony DeBone Commissioner Chair tony.debone@deschutes.org