Request for Proposals Announcement

Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders Request for Proposals Announcement November 16, 2007

Contents General Information... 5 Background... 5 Stages in Implementing an Evidence-Based Practice... 6 Assessing Agency Readiness to Change... 7 Choosing an Evidence-Based Practice... 8 Applying for Assessment vs. Implementation Grants... 9 Site Visits... 9 Convening Grantees... 10 Grant Eligibility Criteria... 10 Grant Award... 10 Timeline... 11 Proposal Workshops... 11 Letters of Intent... 12 For More Information... 14 Agency Assessment Proposal Requirements and Format... 15 Cover Sheet... 15 Section A: Organizational Description... 15 Section B: Description of Planning Process... 16 Section C: Timeline and Implementation Plan... 16 Section D: Budget... 17 Section E: Collaboration and Endorsements... 17 Section F: Required Materials... 18 Proposal Selection Criteria for Agency Assessment Proposals... 18 Agency Assessment Proposal Submissions... 19 Expected Work Products of Agency Assessment Grants... 19 For More Information... 20 Implementation Proposal Requirements and Format... 21 Cover Sheet... 21 Section A: Organizational Description... 21 Section B: Description of Implementation Project... 22 Section C: Evaluation Plan... 24 Section D: Budget... 25 Section E: Sustainability... 26 Section F: Collaboration and Endorsements... 26 Section G: Required Materials... 27 Proposal Selection Criteria for Implementation Proposals... 28 Implementation Proposal Submissions... 28 For More Information... 29 References... 30

To: From: Subject: Prospective Proposal Applicants Patricia O Connor, Ph.D. Vice President, Program The Health Foundation of Greater Cincinnati Request for Proposals (RFP) Evidence- Based Practices in Treatment of Adolescent Substance Use Disorders Date: November 16, 2007 In 2008, The Health Foundation of Greater Cincinnati intends to award grants totaling $400,000 for projects addressing substance use disorders in adolescents. These grants will continue the work for the Health Foundation s Substance Use Disorders focus area and will help organizations convert existing services for adolescents with substance use disorders to evidence-based practices. According to our Advisory Group, the current funding environment dictates that new programs not be added and that the programs that are being offered produce the best outcomes possible. The Health Foundation will award grants for projects assessing agency readiness to implement evidence-based practices or projects implementing evidence-based treatment practices. The Health Foundation of Greater Cincinnati is now requesting proposals for such projects. The Health Foundation will award grants on a competitive basis to those applicants who meet the program guidelines. This is the Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

fourth round of this request for proposals. No subsequent rounds are currently planned. A Letter of Intent Workshop is scheduled for Tuesday, December 11, 2007, from 1:00 3:00 p.m., at the Health Foundation Conference Facility. This workshop will include instructions related to the letter of intent. Please RSVP to Vanessa James at 513-458-6656 or vjames@ healthfoundation.org. The RSVP deadline for this workshop is Monday, December 3, 2007. People who do not RSVP but attend the workshop will not receive handouts. Letters of intent must be submitted no later than 12:00 noon (EST), on Wednesday, January 16, 2008. Mail (no faxes) one (1) original and two (2) copies to: Ann Barnum, Senior Program Officer The Health Foundation of Greater Cincinnati Rookwood Tower 3805 Edwards Road, Suite 500 Cincinnati, OH 45209-1948 A Proposal Workshop will be held on Monday, February 11, 2008 for those agencies that are invited to submit a full proposal. If invited to submit a proposal, completed proposals must be submitted no later than 12:00 noon (EST) on Wednesday, March 5, 2008. Mail (no faxes) one (1) original (with attachments) and two (2) copies (without attachments) to: Ann Barnum, Senior Program Officer The Health Foundation of Greater Cincinnati Rookwood Tower 3805 Edwards Road, Suite 500 Cincinnati, OH 45209-1948 For grant processing information or questions concerning the application, please contact Ann Barnum at 513 458 6614 or abarnum@healthfoundation.org Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

General Information Background The rate of alcohol and other drug use among adolescents (ages 12-17) in the Greater Cincinnati area has hovered at 15 20% for the past eight years. Less than 10% of youth who are using alcohol or other drugs receive early intervention or treatment services in any given year, according to the needs assessments completed by local alcohol and other drug service funding organizations in 1999-2001. Unfortunately, adolescents are often treated as if they are little adults and receive the same assessment and treatment protocols as adults. However, adolescents differ greatly from adults in their physiological, emotional, and psychosocial development and cognitive abilities. Adolescents values and belief systems and the importance adolescents place on family and peers do not conform to the norms of adult treatment programs. Since the 1990s, researchers and program developers have been working on improving treatment for adolescents with substance use disorders. The National Institute of Drug Abuse (NIDA) and the Center for Substance Abuse Treatment (CSAT) have developed clinical practice guidelines in order to improve the consistency of treatment from one agency to another. However, these clinical practice guidelines also permit significant latitude to the agency in how it implements the practice. Treatment Improvement Protocol 32, Treatment of Adolescents with Substance Use Disorders (CSAT, 1999) and Principles of Effective Drug Treatment (NIDA, 1999) are examples of such guides. Researchers and program developers have also developed evidence-based practices. These are programs that are proven Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

General Information to be successful through research methodology and have produced consistently positive patterns of results (Southern Coast Addiction Technology Transfer Center [ATTC], 2004). Clinical practice manuals such as CSAT s Cannabis Youth Treatment series and Adolescent Treatment Models study are examples of these treatment models. Some evidence-based practices come packaged as manuals and others do not. However, some programs with manuals are not evidencebased. Evidence-based practices come with a plethora of information about the research that went into their development and the client populations on which the practice was tested (The Iowa Practice Improvement Collaborative Project, 2003). The substance use disorder treatment field is far ahead of where it was 15 years ago in understanding what really works in helping substance-using youth. We now must transfer that knowledge into practice. When an agency adopts an evidencebased practice within an existing program, significant changes occur within the entire agency, not just within the specific program. In order to manage the change process within the agency, an agency needs to assess its readiness to change on both the organizational and individual staff levels. Stages in Implementing an Evidence-Based Practice In order to successfully implement an evidence-based practice in an existing program, research has shown that agency management and staff need to understand and purposefully work through the stages and activities that are part of the implementation process (Southern Coast ATTC). The first two stages of this process include activities needed to get ready for implementation, while the last two stages are related to work that is done while the practice is being implemented (see table on the next page). Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

Stage Activities Exposure Adoption Implementation Practice General Information Dissemination of research literature Review of best practice documents Initial review of possible practices for implementation Training overviews of several possible interventions Consultation with experts Assessing the readiness of the organization to implement a particular intervention Developing a change management strategy Adapting the intervention for the local setting Preparing business plan including financial assumptions Developing and implementing communications plan Establishing data collection and quality assurance mechanisms Training in the delivery of the selected intervention Pilot studies or trial uses of the intervention Developing policies and procedures to support the practice Clinical supervision to monitor fidelity and effectiveness Develop a cadre of internal trainers to provide training in the intervention to minimize problems with turnover Review of evaluation results and client outcomes More adaptation of the intervention if indicated by data Establish mechanisms to balance fidelity and adaptation Incorporation of the intervention into overall treatment approach Sustaining use of the intervention over time Assessing Agency Readiness to Change For agencies that have not yet gone through the exposure and adoption stages, an examination of evidence-based practices Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

General Information and an assessment of the agency s readiness to change is critical to the sustainability of a new practice. The National Addiction Technology Transfer Center has published The Change Book to help addiction treatment organizations move through the process of change in a logical fashion. The Institute for Behavioral Research at Texas Christian University (TCU) has developed a set of instruments that assist organizations in assessing their readiness to change. These instruments allow for the evaluation of: motivational factors, including program needs, training needs, and pressures for change; program resources, including office facilities, staffing, training, computer equipment, and e-communications; and organizational dynamics, including scales on staff attributes (growth, efficacy, influence, adaptability, and clinical orientation) and organizational climate (mission, cohesion, autonomy, communication, stress, and flexibility for change). Agencies awarded an Assessment Grant through this RFP will be required to attend a three-day change management workshop. The material obtained in the workshop, The Change Book, and the TCU instruments will be used to guide the agency assessment process. (The TCU instruments and The Change Book will be handed out at the letter of intent workshop.) Choosing an Evidence-Based Practice When choosing an evidence-based practice for use in an agency, it is important to determine the criteria for selecting the appropriate practice. The following are criteria that the Health Foundation suggests might be helpful. These were adapted from The Change Book and publications by the Iowa Consortium for Substance Abuse Research and Evaluation at the University of Iowa and the Southern Coast ATTC. Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

General Information The evidence-based practice: is effective with a similar target population. targets behavioral outcomes you collect or want to collect. is easily applicable in your community (urban or rural, lowincome, etc.) and with the staff pool available to you. is fundable by current funding sources. is acceptable to staff and clients. is based on clear and well-articulated theory. has methods of ensuring fidelity. has a manual or has specific operational guidelines for staff use. can be evaluated. addresses cultural diversity and different populations. Applying for Assessment vs. Implementation Grants Because agencies may be at different stages, the Health Foundation is accepting proposals for either agency assessment or evidence-based practice implementation projects. In order to obtain an Implementation Grant, the agency must have completed an agency assessment for readiness to change and be able to demonstrate the results of that assessment. We anticipate that agencies funded for assessment will complete the exposure and adoption stages of implementing an evidence-based practice, with the exception of in-depth training of staff in the selected practice. Agencies funded for Implementation Grants will probably start with the in-depth education of staff in the selected practice. Site Visits Prior to the selection of proposals for funding, Ann Barnum, Senior Program Officer, will be making site visits to all agencies that submit complete proposals. Primary staff involved in the project are required to attend the site visit. These visits will be scheduled March 6 14, 2008, at a mutually agreeable date and time. Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

General Information Convening Grantees In addition to the funds awarded successful applicants, the Health Foundation will convene grantees to provide technical assistance for the planning and implementation processes. Technical assistance meetings will be held every month for those involved in planning activities and at least every quarter for those involved in implementation. The Health Foundation anticipates that grantees involved in agency assessments will also be involved in additional one- to threeday workshops during the year to assist with the change process. Grant Eligibility Criteria Applicants must meet the following criteria: be a public or private nonprofit organization or governmental agency serve at least one county of the Health Foundation s 20- county service area (see map) provide treatment services for adolescents with substance use disorders and intend to change these services by using an evidencebased practice provide evidence of an agency assessment of readiness to implement the evidence-based practice (if applying for an Implementation Grant) Grant Award Grant awards will vary in size depending upon the scope of the project and the impact upon the population being served. The Health Foundation will award a total of up to $400,000 in grants for projects assessing agency readiness to implement an evidence-based program and projects implementing 10 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

General Information evidence-based approaches. While we anticipate that the average award will be much lower, an Assessment Grant could go as high as $50,000 for 12 months with justification. The maximum award for Implementation Grants will be $150,000 for 24 months, although we believe that most programs will cost much less than this to implement. Timeline RSVP for Letter of Intent workshop: December 3, 2007 Letter of Intent workshop: December 11, 2007 1:00 3:00 p.m. Letter of intent deadline: January 16, 2008 12:00 noon Notification of acceptance of letter of intent: January 25, 2008 For organizations invited to submit a proposal: RSVP for Proposal Workshop: February 4, 2008 Proposal Workshop: February 11, 2008 Assessment Grant invitees: 1:00 2:30 p.m. Implementation Grant invitees: 2:30 4:00 p.m. Proposal deadline: March 5, 2008 12:00 noon Site visits March 6 14, 2008 Notification of grant award: May 9, 2008 Proposal Workshops The Health Foundation will offer a letter of intent workshop as an opportunity for potential applicants to ask questions about the RFP concept and letter of intent process. The letter of intent workshop is scheduled for Tuesday, December 11, from 1:00 3:00 p.m. at the Health Foundation Conference Facility. People planning to attend should call Vanessa James, Program Assistant, at 513 458 6656 by Monday, December 3, 2007. If you do not Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 11

General Information RSVP, we will not be able to provide handouts or materials for you. Proposal workshops will be offered to agencies chosen to submit full proposals. During these workshops, we will go over the application process and provide an opportunity to ask questions about the application forms and outline. The proposal workshops are scheduled for Monday, February 11, 2008, at: 1:00 2:30 p.m. for Assessment Grant invitees or 2:30 4:00 p.m. for Implementation Grant invitees, both at the Health Foundation Conference Facility. People planning to attend should call Vanessa James, Program Assistant, at 513 458 6656 by Monday, February 4, 2008, and indicate which workshop they will be attending. Attendance at the workshops is not required to receive a grant. However, it is highly recommended that agencies interested in applying for these grants attend the workshops. Directions to the Health Foundation Conference Facility can be found on our web site at http://www.healthfoundation. org/directions. Letters of Intent A letter of intent, no more than two single-spaced pages in 12-point font, must be submitted to be considered for an invitation to submit a full proposal. Letter of Intent for an Agency Assessment Grant The letter of intent for an Assessment Grant should include: a brief statement of why you think the assessment is needed, 12 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

General Information a description of the process that will be used, the anticipated work products of the assessment, and the approximate cost. The letter should state the agency s willingness to attend the change management workshop and to use The Change Book and the TCU instruments to assess its readiness to change. See information on page 8 regarding the availability of these instruments. Letter of Intent for an Implementation of an Evidence-Based Practice Grant If you are applying for an Implementation Grant, your letter of intent must show: an agency readiness assessment has already taken place, the evidence-based practice you would like to implement, the current and anticipated outcomes of the program implementing the practice, the process to be used for implementation, and the cost of implementing the new practice. Letter of Intent Deadlines Letters of intent must be submitted no later than 12:00 noon (EST), on Wednesday, January 16, 2008. Mail (no faxes) one (1) original and two (2) copies to: Ann Barnum, Senior Program Officer The Health Foundation of Greater Cincinnati Rookwood Tower 3805 Edwards Road, Suite 500 Cincinnati, OH 45209-1948 Proposal application materials will be distributed to those applicants whose letters of intent best demonstrate the ability to meet the proposal selection criteria for the appropriate type of grant (see page 18 for Proposal Selection Criteria for Agency Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 13

General Information Assessment Proposals and page 28 for Proposal Selection Criteria for Implementation Proposals). For More Information Please direct all questions to: Ann Barnum Senior Program Officer, Substance Use Disorders 513 458 6614 abarnum@healthfoundation.org 14 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

Agency Assessment Proposal Requirements and Format If your letter of intent is selected, you will be invited to submit a proposal for consideration for funding. You will receive all necessary application forms if you are selected. To prepare you, the content of the assessment proposal follows in this section. Cover Sheet The Health Foundation s Proposal Cover Sheet must be completed and will serve as the cover page for the grant application. Section A: Organizational Description 1. Describe your organization (limit to 100 words). Include: relevant history, primary funding sources, applicable certification information, current services offered, total number of staff (in full-time equivalencies [FTEs]) in the agency, and number of clients served. 2. Identify the reasons this request is being made of the Health Foundation instead of being handled by your organization or your organization s funding source(s). (Limit to 50 words.) Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 15

Agency Assessment Proposal Requirements and Format Section B: Description of Planning Process Required format: The description (Section B of the proposal): is limited to 10 pages, single-spaced; uses a type font not smaller than 12 points; and has margins of not less that one inch. 1. Problem, Opportunity, or Needs In this section, identify and describe, in general, the needs or issues regarding current adolescent treatment practices in the agency and the targeted community or area. Describe any past agency assessment or planning endeavors and the results of these efforts. 2. Assessment Process Document the process and methods to be used in selecting an evidence-based practice and assessing the agency s readiness to implement this practice. Discuss the use of existing staff, new staff, and consultants in the process. Discuss the agency s ability to assess itself, including: the agency s structure as it relates to this project and how it will manage the project, and plans for staffing the assessment project and the training of personnel, if necessary. Discuss what impact the change to evidence-based practices might have on current funding. Section C: Timeline and Implementation Plan Complete a Timeline and Implementation Plan that details the steps to be taken in the agency assessment process, including target dates for completion. (Note: a form will be included in the application packet given to organizations whose letters of intent for Assessment Grants are accepted.) 16 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

Agency Assessment Proposal Requirements and Format Section D: Budget The Health Foundation s Budget Request Form must be completed for the grant period and be accompanied with a line item narrative justification. This form will be distributed to applicants who are invited to submit proposals. Grant funds may be used for personnel (salaries and benefits), consultants, professional fees, local travel, conferences (travel and fees), office equipment, supplies including printing and copying, meeting facilitation costs, and utilities such as telephone and fax. Grant funds may not be used for space rental, overhead, capital items, or support of existing personnel or programs. If you have special budgetary requests, consult your Senior Program Officer, Ann Barnum. Applicants are encouraged to identify matching or in-kind contributions from their organizations. Volunteer time and indirect costs such as overhead (facility and administrative costs) can be counted as in-kind contributions of the organization to the project and documented in the overall project budget. Section E: Collaboration and Endorsements Appropriate endorsements, such as letters of support, may be attached. However, these endorsements should be limited to no more than three (3). A letter of endorsement from the local and/or state addiction treatment funder is encouraged. Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 17

Agency Assessment Proposal Requirements and Format Section F: Required Materials Without all the required materials, a proposal is considered incomplete. Please attach materials in this order: 1. IRS letter of determination of 501(c)(3) status or letter from the county documenting tax-exempt status under IRS sections 115 and 170 2. Most recent IRS Form 990 3. Most recent audited financial statement (if not included in annual report) 4. Copy of current operating budget 5. Most recent annual report (if available) 6. Resume of the project director 7. List of the organization s Board of Trustees, including names, employers, and position titles 8. The Health Foundation s required Disclosures Form and any explanations (this form will be distributed to agencies invited to submit proposals) 9. A concluding statement signed and dated by the organization s CEO, attesting that the application is complete and true Proposal Selection Criteria for Agency Assessment Proposals The Health Foundation will use the following criteria in selecting proposals to fund. Selected projects will: use The Change Book and TCU instruments to guide the process; identify specific outcomes anticipated from the assessment; serve a high percentage of low-income adolescents address cultural, racial, and gender issues; have a clearly-delineated budget with justification for each line item; and 18 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

Agency Assessment Proposal Requirements and Format include line staff in the assessment process, as well as adolescents and their families currently or recently receiving services. Agency Assessment Proposal Submissions If invited to submit a proposal, completed proposals must be submitted no later than 12:00 noon (EST) on Wednesday, March 5, 2008. Mail (no faxes) one (1) original (with attachments) and two (2) copies (without attachments) to: Ann Barnum, Senior Program Officer The Health Foundation of Greater Cincinnati Rookwood Tower 3805 Edwards Road, Suite 500 Cincinnati, OH 45209-1948 Please do not bind the proposals or use individual folders, as this creates difficulties for the Health Foundation in reviewing, handling, and filing them. Expected Work Products of Agency Assessment Grants If you are awarded an Assessment Grant, you will be expected to submit certain work products to the Health Foundation upon completion of your assessment process. If you determine that implementation of an evidence-based practice is feasible, you will be expected to submit: a narrative explaining why implementation is feasible and outlining the strengths of the agency; a plan for the proposed implementation that would be: A plan to implement without additional funding or A proposal to implement an evidence-based practice with additional Health Foundation funds The plan would include: a description of the chosen evidence-based practice, Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 19

Agency Assessment Proposal Requirements and Format a discussion of the existing program(s) to be affected, including baseline outcome data for clients, the process to be used in implementation, and an administrative and financial plan to sustain services; and an explanation of the facilitators and barriers to your assessment process (see Planning Grants in the Special Cases booklet of the Health Foundation s Evaluation Packet, which will be distributed to agencies who are invited to submit proposals. For more information about the Evaluation Packet, visit our web site at http://www. healthfoundation.org/granteeinfo/evaluation.) If you determine that implementation of an evidence-based practice is not feasible, you will be expected to submit: a narrative explaining why implementation is not feasible, and an explanation of the facilitators and barriers to your assessment process (see Planning Grants in the Special Cases booklet of the Health Foundation s Evaluation Packet, which will be distributed to agencies who are invited to submit proposals. For more information about the Evaluation Packet, visit our web site at http://www. healthfoundation.org/granteeinfo/evaluation.) For More Information Please direct all questions to: Ann Barnum Senior Program Officer, Substance Use Disorders 513 458 6614 abarnum@healthfoundation.org 20 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

Implementation Proposal Requirements and Format If your letter of intent is selected, you will be invited to submit a proposal for consideration for funding. You will receive all necessary application forms if you are selected. To prepare you, the content of the implementation proposal follows in this section. The intention of this funding opportunity is to change the quality of services currently being offered to adolescents. It is expected that existing staff will be used to offer the evidencebased practice and that current billing practices will be continued or improved. Cover Sheet The Health Foundation s Proposal Cover Sheet must be completed and will serve as the cover page for the grant application. Section A: Organizational Description 1. Describe your organization (limit to 100 words). Include: relevant history, primary funding sources, applicable certification information, current services offered, total number of staff (in full-time equivalencies [FTEs]) in the agency, and the total number of clients served. 2. Identify the reasons this request is being made of the Health Foundation instead of being handled by your organization or your organization s funding source(s). (Limit to 50 words.) Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 21

Implementation Proposal Requirements and Format Section B: Description of Implementation Project Required format: The program description (Section B of the proposal): is limited to 15 pages, single-spaced; uses a type font not smaller than 12 points; and has margins of not less that one inch. If your agency had an agency assessment grant, the following outlines the plan that is one of the work products of that grant. If you did not have an agency assessment grant, the following information is needed for your proposal. 1. Problem, Opportunity, or Needs In this section, the applicant must identify and describe the specific needs or issues that the project intends to address through implementation of evidence-based practices. Describe in detail: the background of the community you will serve, the history of the problem in this community, the history of implementation of evidence-based practices by this agency, information about the target population you serve, the services that currently exist and have existed in the past for this target population including current outcome data, the results of the recent agency assessment for readiness to implement the new practice, and potential risks involved in implementing your project in this community and with this target population. 2. Evidence-Based Practice Document the process used to select the model or approach to be used. Describe how your proposed intervention will address the problem, including estimates of the number of people you will serve. 22 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

Implementation Proposal Requirements and Format Describe the model you are using, including how its efficacy has been established and the history of its use as a standard or guideline. Identify the goal and objectives of the intervention. Key objectives generally address developing the infrastructure (hiring and training of staff, policies and procedures, protocols, etc.), providing the services, and sustaining the program. These will be the same as the ones you fully detail in Section C: Evaluation Plan. 3. Management of the Intervention Discuss the agency s ability to implement the program, including: the agency s structure as it relates to this project and how it will manage the project, and plans for staffing the project (including consultants) and the recruitment and training of personnel if necessary. Discuss where the services will be offered, including: the physical location of the services and why this location was selected, hours of operation and why these hours were chosen, accessibility of this location for your target population (i.e., Is it located on a bus line? Does your target population live in the neighborhood?) Describe what kind of tangible resources, aside from personnel, you will need to provide the services. Describe the change management plan you will use for this project. 4. Community Involvement and Relations How will you reach your target population to tell them about your services and get them to access your services? How will you reach referral sources to get them to refer members of your target population to you? How will you inform the community about your services and your program? Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 23

Implementation Proposal Requirements and Format How will you inform current and potential funders regarding the change in your services (i.e., newsletters, open houses, media campaigns, fundraising drives, etc.). For assistance in developing a community involvement and relations plan, please contact the Health Foundation s Director, Communications, at 513-458-6621. 5. Timeline In general, describe the timeline of the implementation of the evidence-based practice. You do not need to include specific dates, but you should have a general idea of when various activities will occur. Use the phases of the implementation process as listed on page 7 to help develop and organize the timeline. 6. Policy If applicable, describe the potential for the project to affect policy. Policy impact can be at local, state, national, or multiple levels. 7. Risks Identify the top five (5) risks associated with this project. These risks may be internal or external in nature. Section C: Evaluation Plan Complete a logic model and Process and Outcome Evaluation Plans as outlined in the Evaluation Packet, which will be distributed to applicants who are invited to submit proposals. Attach copies of the completed logic model and evaluation plans. We will require that grantees track certain outcomes. These will be discussed at the Proposal Workshop. 24 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

Implementation Proposal Requirements and Format For more information about the Foundation s Evaluation Packet, please visit our web site at http://www. healthfoundation.org/resources/evalpacket.html. The Health Foundation offers a regular workshop called Demystifying Evaluation to help grantees complete the Evaluation Plan. For information about this workshop, including upcoming dates and times, please visit our web site at http://www.healthfoundation.org/events.html. Section D: Budget The Health Foundation s Budget Request Form must be completed for each grant year plus the first post-grant year, and be accompanied by a line item narrative justification. This form will be distributed to applicants who are invited to submit proposals. This form will also be discussed at the Proposal Workshop (see pages 11 12) and Ann Barnum will be available to assist applicants in completing the form. Grant funds may be used for consultants, professional fees, local travel, conferences (travel and fees), office equipment, supplies including printing and copying, meeting facilitation costs, and utilities such as telephone and fax. Because existing staff may not be seeing as many clients or billing at the normal rate during the early months of implementation, a portion of their salaries and benefits may be an allowable expense. Because existing pay scales may not be sufficient for the expertise needed to implement the chosen practice, increases in salary and fringe benefits for an existing position may be an allowable expense. Grant funds may not be used for salaries and fringe benefits of new personnel, space rental, overhead, or capital items. If you Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 25

Implementation Proposal Requirements and Format have special budgetary requests, consult your Senior Program Officer, Ann Barnum. Applicants are encouraged to identify matching or in-kind contributions from their organization or other organizations. Indirect costs such as overhead (facility and administrative costs) should be counted as contributions of the organization to the project and documented in the overall project budget. Section E: Sustainability Required format: The sustainability plan (Section E of the proposal) is limited to 5 pages, single-spaced. Describe your plan for sustaining the fidelity to the evidencebased practice. The plan should address: The supervision and fidelity assurance methods that will be used to maintain the integrity of the practice. The methods for continuing to evaluate outcomes and feed these data back to the providers of the new practice. The methods for managing resistance to the new practice by employees. Assess whether the units of service and revenue will change as a result of the implementation of the evidence-based practice. If there will be material changes, provide a complete analysis of the financial sustainability of the project. Please call the Senior Program Officer for further information or if you have questions. Section F: Collaboration and Endorsements Letters indicating continuing involvement from organizations that currently refer to the program that is adopting the evidence-based practice or that work closely with that 26 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

Implementation Proposal Requirements and Format program may be attached. A letter of endorsement from the local and/or state addiction treatment funder is encouraged. Other appropriate endorsements, such as letters of support, may be attached. However, these endorsements should be limited to no more than three (3). Section G: Required Materials Without all the required materials, a proposal is considered incomplete. Please attach materials in this order: 1. IRS letter of determination of 501(c)(3) status or letter from the county documenting tax-exempt status under IRS sections 115 and 170 2. Most recent IRS Form 990 3. Most recent audited financial statement (if not included in annual report) 4. Copy of current operating budget 5. Most recent annual report (if available) 6. Resume of the project director 7. List of the organization s Board of Trustees, including names, employers, and position titles 8. The Health Foundation s required Disclosures Form and any explanations (this form will be distributed to agencies invited to submit proposals) 9. Attach a concluding statement signed and dated by the organization s CEO, attesting that the application is complete and true 10. Appropriate endorsements, such as letters of support from agencies not involved in your collaboration, may be attached. However, these endorsements should be limited to no more than three (3). Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 27

Implementation Proposal Requirements and Format Proposal Selection Criteria for Implementation Proposals The Health Foundation will use the following criteria in selecting implementation proposals to fund. Selected projects will: address adolescent substance use disorders, serve a high-percentage of low-income adolescents, use an evidence-based practice, have a feasible implementation plan for the selected practice, be based on a thorough agency assessment of readiness to change, have a clearly delineated budget with justification for each line item, have a viable sustainability plan to continue the project after grant support ends, have an outcome-based evaluation plan that shows adherence to the evidence-based practice guidelines, and demonstrate the capability of the applicant to implement the proposed activities. Implementation Proposal Submissions If invited to submit a proposal, completed proposals must be submitted no later than 12:00 noon (EST), on Wednesday, March 5, 2008. Mail (no faxes) one (1) original (with attachments) and two (2) copies (without attachments) to: Ann Barnum, Senior Program Officer The Health Foundation of Greater Cincinnati Rookwood Tower 3805 Edwards Road, Suite 500 Cincinnati, OH 45209-1948 Please do not bind the proposals or use individual folders, as this creates difficulties for the Health Foundation in reviewing, handling, and filing them. 28 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

For More Information Please direct all questions to: Ann Barnum Senior Program Officer, Substance Use Disorders 513 458 6614 abarnum@healthfoundation.org Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 29

References Addiction Technology Transfer Center (ATTC) National Office. (2000). The Change Book: A Blueprint for Technology Transfer. Kansas City, Missouri: University of Missouri-Kansas City. Dixon, G.D. (no date). Moving Science into Service: Preparing Your Agency to Adopt Evidence-Based Practice. Southern Coast Beacon: Evidence-based Practices (Part II). Retrieved on April 6, 2004, from http://www.scattc.org/pdf_upload/ Beacon002.pdf. Dixon, G.D. (no date). Moving Science into Service: Steps to Implementing Evidence-Based Practice. Southern Coast Beacon: Evidence-based Practices (Part III). Retrieved on April 6, 2004, from http://www.scattc.org/pdf_upload/beacon003. pdf. Iowa Practice Improvement Collaborative. (Spring, 2003). Evidence-Based Practices: An Implementation Guide for Community-Based Substance Abuse Treatment Agencies. Retrieved on April 6, 2004, from the University of Iowa, Iowa Consortium for Substance Abuse Research and Evaluation web site: http://www.uiowa.edu/~iowapic/resources_and_ publications.htm. National Institute on Drug Abuse (1999). Principles of drug addiction treatment: A research-based guide. (NIH Publication No. 99-4180). Washington, DC: National Institutes of Health. Simpson, D.D. (2002). A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment, 22, 171-182. Substance Abuse and Mental Health Services Administration. (1999). Treatment of Adolescents With Substance Use Disorders. Treatment Improvement Protocol (TIP) Series 32. Rockville, MD: U.S. Department of Health and Human Services. Waters, P. (no date). What is Evidence-based Practice? Southern Coast Beacon: Evidence-based Practices (Part I). Retrieved on April 6, 2004, from http://www.scattc.org/pdf_upload/ Beacon001.pdf. 30 Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP

Notes: Evidence-Based Practices in Treatment of Adolescent Substance Use Disorders RFP 31

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