Common use of Agency Contacts Clause in Contracts

Agency Contacts. For questions about program issues contact: Xxxx Xxxxxx Center for Mental Health Services Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 6-1026 Rockville, Maryland 20857 (000) 000-0000 xxxx.xxxxxx@xxxxxx.xxx.xxx For questions on grants management and budget issues contact: Xxxxxx Xxxxxxxx Office of Financial Resources, Division of Grants Management Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 7-1091 Rockville, Maryland 20857 (000) 000-0000 xxxxxx.xxxxxxxx@xxxxxx.xxx.xxx Appendix I – Using Evidence-Based Practices (EBPs) SAMHSA recognizes that EBPs have not been developed for all populations and/or service settings. For example, certain practices for American Indians, rural or isolated communities, or recent immigrant communities may not have been formally evaluated and, therefore, have a limited or nonexistent evidence base. In addition, other practices that have an established evidence base for certain populations or in certain settings may not have been formally evaluated with other subpopulations or within other settings. Applicants proposing to serve a population with a practice that has not been formally evaluated with that population are required to provide other forms of evidence that the practice(s) they propose is appropriate for the population(s) of focus. Evidence for these practices may include unpublished studies, preliminary evaluation results, clinical (or other professional association) guidelines, findings from focus groups with community members, etc. You may describe your experience either with the population(s) of focus or in managing similar programs. Information in support of your proposed practice needs to be sufficient to demonstrate the appropriateness of your practice to the individuals reviewing your application.  Document the evidence that the practice(s) you have chosen is appropriate for the outcomes you want to achieve.  Explain how the practice you have chosen meets XXXXXX’s goals for this grant program.  Describe any modifications/adaptations you will need to make to your proposed practice(s) to meet the goals of your project and why you believe the changes will improve the outcomes. We expect that you will implement your evidence-based service(s)/practice(s) in a way that is as close as possible to the original service(s)/practice(s). However, XXXXXX understands that you may need to make minor changes to the service(s)/practice(s) to meet the needs of your population(s) of focus or your program, or to allow you to use resources more efficiently. You must describe any changes to the proposed service(s)/practice(s) that you believe are necessary for these purposes. You may describe your own experience either with the population(s) of focus or in managing similar programs. However, you will need to convince the people reviewing your application that the changes you propose are justified.  Explain why you chose this evidence-based practice over other evidence-based practices.  If applicable, justify the use of multiple evidence-based practices. Discuss how the use of multiple evidence-based practices will be integrated into the program. Describe how the effectiveness of each evidence-based practice will be quantified in the performance assessment of the project.  Discuss training needs or plans for training to successfully implement the proposed evidence-based practice(s).

Agency Contacts. For questions about program issues contact: Xxxxxxx Xxxx Xxxxxx Center for Mental Health Substance Abuse Treatment, Division of Services Improvement Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 65-1026 1038 Rockville, Maryland 20857 (000) 000-0000 xxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxxxx.xxxx@xxxxxx.xxx.xxx For questions on grants management and budget issues contact: Xxxxxx Xxxxxxxx Office of Financial Resources, Division of Grants Management Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 7-1091 Rockville, Maryland 20857 (000) 000-0000 xxxxxx.xxxxxxxx@xxxxxx.xxx.xxx XXXXXXX@xxxxxx.xxx.xxx Appendix I – Using Evidence-Based Practices (EBPs) SAMHSA recognizes that EBPs have not been developed for all populations and/or service settings. For example, certain practices for American Indians/Alaska Natives, rural or isolated communities, or recent immigrant communities may not have been formally evaluated and, therefore, have a limited or nonexistent evidence base. In addition, other practices that have an established evidence base for certain populations or in certain settings may not have been formally evaluated with other subpopulations or within other settings. Applicants proposing to serve a population with a an practice that has not been formally evaluated with that population are required to provide other forms of evidence that the practice(s) they propose is appropriate for the population(s) of focus. Evidence for these practices may include unpublished studies, preliminary evaluation results, clinical (or other professional association) guidelines, findings from focus groups with community members, etc. You may describe your experience either with the population(s) of focus or in managing similar programs. Information in support of your proposed practice needs to be sufficient to demonstrate the appropriateness of your practice to the individuals reviewing your application.  • Document the evidence that the practice(s) you have chosen is appropriate for the outcomes you want to achieve.  • Explain how the practice you have chosen meets XXXXXX’s goals for this grant program.  • Describe any modifications/adaptations you will need to make to your proposed practice(s) to meet the goals of your project and why you believe the changes will improve the outcomes. We expect that you will implement your evidence-based service(s)/practice(s) in a way that is as close as possible to the original service(s)/practice(s). However, XXXXXX understands that you may need to make minor changes to the service(s)/practice(s) to meet the needs of your population(s) of focus or your program, or to allow you to use resources more efficiently. You must describe any changes to the proposed service(s)/practice(s) that you believe are necessary for these purposes. You may describe your own experience either with the population(s) of focus or in managing similar programs. However, you will need to convince the people reviewing your application that the changes you propose are justified.  • Explain why you chose this evidence-based practice over other evidence-evidence- based practices.  • If applicable, justify the use of multiple evidence-based practices. Discuss how the use of multiple evidence-based practices will be integrated into the program. Describe how the effectiveness of each evidence-based practice will be quantified in the performance assessment of the project.  • Discuss training needs or plans for training to successfully implement the proposed evidence-based practice(s).

Agency Contacts. For questions about program issues contact: Xxxx Xxxxxx Xxxxx Xxxxxx, LCPC Suicide Prevention Branch Division of Prevention, Traumatic Stress, and Special Programs Center for Mental Health Services Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 6-1026 0000 Xxxxxxx Xxxx, 00X00X Rockville, Maryland 20857 (000) 000-0000 xxxx.xxxxxx@xxxxxx.xxx.xxx xxxxx.xxxxxx@xxxxxx.xxx.xxx For questions on grants management and budget issues contact: Xxxxxx Xxxxxxxx Xxxxxxxxx Xxxxxxx Office of Financial Resources, Division of Grants Management Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 7-1091 Rockville, Maryland 20857 (000) 000-0000 xxxxxx.xxxxxxxx@xxxxxx.xxx.xxx XXXXXXX@xxxxxx.xxx.xxx Appendix I A – Using Evidence-Based Practices (EBPs) SAMHSA recognizes that EBPs have not been developed for all populations and/or service settings. For example, certain practices for American Indians/Alaska Natives, rural or isolated communities, or recent immigrant communities may not have been formally evaluated and, therefore, have a limited or nonexistent evidence base. In addition, other practices that have an established evidence base for certain populations or in certain settings may not have been formally evaluated with other subpopulations or within other settings. Applicants proposing to serve a population with a practice that has not been formally evaluated with that population are required to provide other forms of evidence that the practice(s) they propose is appropriate for the population(s) of focus. Evidence for these practices may include unpublished studies, preliminary evaluation results, clinical (or other professional association) guidelines, findings from focus groups with community members, etc. You may describe your experience either with the population(s) of focus or in managing similar programs. Information in support of your proposed practice needs to be sufficient to demonstrate the appropriateness of your practice to the individuals reviewing your application.  Document the evidence that the practice(s) you have chosen is appropriate for the outcomes you want to achieve.  Explain how the practice you have chosen meets XXXXXX’s goals for this grant program.  Describe any modifications/adaptations you will need to make to your proposed practice(s) to meet the goals of your project and why you believe the changes will improve the outcomes. We expect that you will implement your evidence-based service(s)/practice(s) in a way that is as close as possible to the original service(s)/practice(s). However, XXXXXX understands that you may need to make minor changes to the service(s)/practice(s) to meet the needs of your population(s) of focus or your program, or to allow you to use resources more efficiently. You must describe any changes to the proposed service(s)/practice(s) that you believe are necessary for these purposes. You may describe your own experience either with the population(s) of focus or in managing similar programs. However, you will need to convince the people reviewing your application that the changes you propose are justified.  Explain why you chose this evidence-based practice over other evidence-based practices.  If applicable, justify the use of multiple evidence-based practices. Discuss how the use of multiple evidence-based practices will be integrated into the program. Describe how the effectiveness of each evidence-based practice will be quantified in the performance assessment of the project.  Discuss training needs or plans for training to successfully implement the proposed evidence-based practice(s).

Agency Contacts. For questions about program issues contact: Xxxx Xxxxxx Xxxxx Center for Mental Health Services Substance Abuse Prevention Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 6-1026 Rockville, Maryland 20857 (000) 000-0000 xxxx.xxxxxx@xxxxxx.xxx.xxx For questions on grants management and budget issues contactXXXXXXX@xxxxxx.xxx.xxx: Xxxxxx Xxxxxxxx Office of Financial Resources, Division of Grants Management Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 7-1091 Rockville, Maryland 20857 (000) 000-0000 xxxxxx.xxxxxxxx@xxxxxx.xxx.xxx XXXXXXX@xxxxxx.xxx.xxx Appendix I A – Using Evidence-Based Practices (EBPs) SAMHSA recognizes that EBPs have not been developed for all populations and/or service settings. For example, certain practices for American Indians/Alaska Natives, rural or isolated communities, or recent immigrant communities may not have been formally evaluated and, therefore, have a limited or nonexistent evidence base. In addition, other practices that have an established evidence base for certain populations or in certain settings may not have been formally evaluated with other subpopulations or within other settings. Applicants proposing to serve a population with a practice that has not been formally evaluated with that population are required to provide other forms of evidence that the practice(s) they propose is appropriate for the population(s) of focus. Evidence for these practices may include unpublished studies, preliminary evaluation results, clinical (or other professional association) guidelines, findings from focus groups with community members, etc. You may describe your experience either with the population(s) of focus or in managing similar programs. Information in support of your proposed practice needs to be sufficient to demonstrate the appropriateness of your practice to the individuals reviewing your application.  Document the evidence that the practice(sEBP(s) you have chosen is appropriate for the outcomes you want to achieve.  Explain how the practice you have chosen meets XXXXXX’s goals for this grant program.  Describe any modifications/adaptations you will need to make to your proposed practice(s) to meet the goals of your project and why you believe the changes will improve the outcomes. We expect that you will implement your evidence-based service(s)/practice(s) in a way that is as close as possible to the original service(s)/practice(s). However, XXXXXX understands that you may need to make minor changes to the service(s)/practice(s) to meet the needs of your population(s) of focus or your program, or to allow you to use resources more efficiently. You must describe any changes to the proposed service(s)/practice(s) that you believe are necessary for these purposes. You may describe your own experience either with the population(s) of focus or in managing similar programs. However, you will need to convince the people reviewing your application that the changes you propose are justified.  Explain why you chose this evidence-based practice EBP over other evidence-based practices.  If applicable, justify the use of multiple evidence-based practicesEBPs. Discuss how the use of multiple evidence-based practices EBPs will be integrated into the program. Describe how the effectiveness of each evidence-based practice will be quantified in the performance assessment of the project.  Discuss training needs or plans for training to successfully implement the proposed evidence-based practice(s). Resources for Evidence-Based Practices (EBPs): You will find information on EBPs at xxxx://xxxxx.xxxxxx.xxx/resources/term/Evidence- Based-Practice-Resource-Library. SAMHSA has developed this website to provide a simple and direct connection to websites with information about evidence-based interventions to prevent and/or treat mental and substance use disorders. The Resource Library provides a short description and a link to dozens of websites with relevant EBPs information – either specific interventions or comprehensive reviews of research findings. In addition to the website noted above, you may provide information on research studies to show that the services/practices you plan to implement are evidence-based. This information is usually published in research journals, including those that focus on minority populations. If this type of information is not available, you may provide information from other sources, such as unpublished studies or documents describing formal consensus among recognized experts. [Note: Please see PART II: Appendix C – Standard Funding Restrictions, regarding allowable costs for EBPs.] Appendix B – Statement of Assurance As the authorized representative of [insert name of applicant organization] , I assure XXXXXX that all participating service provider organizations listed in this application meet the two- year experience requirement and applicable licensing, accreditation, and certification requirements. If this application is within the funding range for a grant award, we will provide the SAMHSA Government Project Officer (GPO) with the following documents. I understand that if this documentation is not received by the GPO within the specified timeframe, the application will be removed from consideration for an award and the funds will be provided to another applicant meeting these requirements.  official documentation that all substance misuse prevention provider organizations participating in the project have been providing relevant services for a minimum of two years prior to the date of the application in the area(s) in which services are to be provided. Official documents must definitively establish that the organization has provided relevant services for the last two years; and  official documentation that all substance misuse prevention provider organizations: 1) comply with all local (city, county) and state requirements for licensing, accreditation and certification; OR 2) official documentation from the appropriate agency of the applicable state, county, or other governmental unit that licensing, accreditation, and certification requirements do not exist.5 (Official documentation is a copy of each service provider organization’s license, accreditation, and certification. Documentation of accreditation will not be accepted in lieu of an organization’s license. A statement by, or letter from, the applicant organization or from a provider organization attesting to compliance with licensing, accreditation, and certification or that no licensing, accreditation, certification requirements exist does not constitute adequate documentation.)  for tribes and tribal organizations only, official documentation that all participating substance misuse prevention provider organizations: 1) comply with all applicable tribal requirements for licensing, accreditation, and certification; OR 2) documentation from the tribe or other tribal governmental unit that licensing, accreditation, and certification requirements do not exist. Signature of Authorized Representative Date 5 Tribes and tribal organizations are exempt from these requirements. Appendix C – Confidentiality and SAMHSA Participant Protection/Human Subjects Guidelines Confidentiality and Participant Protection: Because of the confidential nature of the work in which many SAMHSA grantees are involved, it is important to have safeguards protecting individuals from risks associated with their participation in SAMHSA projects. All applicants (including those who plan to obtain IRB approval) must address the seven elements below. Be sure to discuss these elements as they pertain to on-line counseling (i.e., telehealth) if they are applicable to your program. If some are not applicable or relevant to the proposed project, simply state that they are not applicable and indicate why. In addition to addressing these seven elements, read the section that follows entitled “Protection of Human Subjects Regulations” to determine if the regulations may apply to your project. If so, you are required to describe the process you will follow for obtaining Institutional Review Board (IRB) approval. While we encourage you to keep your responses brief, there are no page limits for this section and no points will be assigned by the Review Committee. Problems with confidentiality, participant protection, and the protection of human subjects identified during peer review of the application must be resolved prior to funding.

Agency Contacts. For questions about program issues contact: Xxxx Xxxxxxxx Xxxxxx Center for Mental Health Services Substance Abuse Treatment Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 65-1026 1058 Rockville, Maryland 20857 (000) 000-0000 xxxx.xxxxxx@xxxxxx.xxx.xxx xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx For questions on grants management and budget issues contact: Xxxxxx Xxxxxxxx Office of Financial Resources, Division of Grants Management Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 7-1091 Rockville, Maryland 20857 (000) 000-0000 xxxxxx.xxxxxxxx@xxxxxx.xxx.xxx Appendix I – Using Evidence-Based Practices (EBPs) SAMHSA recognizes that EBPs have not been developed for all populations and/or service settings. For example, certain practices for American Indians/Alaska Natives, rural or isolated communities, or recent immigrant communities may not have been formally evaluated and, therefore, have a limited or nonexistent evidence base. In addition, other practices that have an established evidence base for certain populations or in certain settings may not have been formally evaluated with other subpopulations or within other settings. Applicants proposing to serve a population with a practice that has not been formally evaluated with that population are required to provide other forms of evidence that the practice(s) they propose is appropriate for the population(s) of focus. Evidence for these practices may include unpublished studies, preliminary evaluation results, clinical (or other professional association) guidelines, findings from focus groups with community members, etc. You may describe your experience either with the population(s) of focus or in managing similar programs. Information in support of your proposed practice needs to be sufficient to demonstrate the appropriateness of your practice to the individuals reviewing your application.  • Document the evidence that the practice(s) you have chosen is appropriate for the outcomes you want to achieve.  • Explain how the practice you have chosen meets XXXXXX’s goals for this grant program.  • Describe any modifications/adaptations you will need to make to your proposed practice(s) to meet the goals of your project and why you believe the changes will improve the outcomes. We expect that you will implement your evidence-based service(s)/practice(s) in a way that is as close as possible to the original service(s)/practice(s). However, XXXXXX understands that you may need to make minor changes to the service(s)/practice(s) to meet the needs of your population(s) of focus or your program, or to allow you to use resources more efficiently. You must describe any changes to the proposed service(s)/practice(s) that you believe are necessary for these purposes. You may describe your own experience either with the population(s) of focus or in managing similar programs. However, you will need to convince the people reviewing your application that the changes you propose are justified.  • Explain why you chose this evidence-based practice over other evidence-based practices.  • If applicable, justify the use of multiple evidence-based practices. Discuss how the use of multiple evidence-based practices will be integrated into the program. Describe how the effectiveness of each evidence-based practice will be quantified in the performance assessment of the project.  • Discuss training needs or plans for training to successfully implement the proposed evidence-based practice(s).

Agency Contacts. For questions about program issues contact: Xxxx Xxxxxx Xxxxx Xxxxx Center for Mental Health Substance Abuse Treatment, Division of Services Improvement Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 65-1026 1097 Rockville, Maryland 20857 (000) 000-0000 xxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.xxxxx@xxxxxx.xxx.xxx For questions on grants management and budget issues contact: Xxxxxx Xxxxxxxx Office of Financial Resources, Division of Grants Management Substance Abuse and Mental Health Services Administration 0 Xxxxx Xxxxxx Xxxx Room 7-1091 Rockville, Maryland 20857 (000) 000-0000 xxxxxx.xxxxxxxx@xxxxxx.xxx.xxx Xxxxxx.xxxxxxxx@xxxxxx.xxx.xxx Appendix I – Using Evidence-Based Practices (EBPs) SAMHSA recognizes that EBPs have not been developed for all populations and/or service settings. For example, certain practices for American Indians/Alaska Natives, rural or isolated communities, or recent immigrant communities may not have been formally evaluated and, therefore, have a limited or nonexistent evidence base. In addition, other practices that have an established evidence base for certain populations or in certain settings may not have been formally evaluated with other subpopulations or within other settings. Applicants proposing to serve a population with a an practice that has not been formally evaluated with that population are required to provide other forms of evidence that the practice(s) they propose is appropriate for the population(s) of focus. Evidence for these practices may include unpublished studies, preliminary evaluation results, clinical (or other professional association) guidelines, findings from focus groups with community members, etc. You may describe your experience either with the population(s) of focus or in managing similar programs. Information in support of your proposed practice needs to be sufficient to demonstrate the appropriateness of your practice to the individuals reviewing your application.  • Document the evidence that the practice(s) you have chosen is appropriate for the outcomes you want to achieve.  • Explain how the practice you have chosen meets XXXXXX’s goals for this grant program.  • Describe any modifications/adaptations you will need to make to your proposed practice(s) to meet the goals of your project and why you believe the changes will improve the outcomes. We expect that you will implement your evidence-based service(s)/practice(s) in a way that is as close as possible to the original service(s)/practice(s). However, XXXXXX understands that you may need to make minor changes to the service(s)/practice(s) to meet the needs of your population(s) of focus or your program, or to allow you to use resources more efficiently. You must describe any changes to the proposed service(s)/practice(s) that you believe are necessary for these purposes. You may describe your own experience either with the population(s) of focus or in managing similar programs. However, you will need to convince the people reviewing your application that the changes you propose are justified.  • Explain why you chose this evidence-based practice over other evidence-based practices.  If applicable• In the case of selecting MAT, justify the use of multiple evidence-based practices. Discuss how the use of multiple evidence-based practices will be integrated into the program. Describe how the effectiveness of each evidence-evidence- based practice will be quantified in the performance assessment of the project.  • Discuss training needs or plans for training to successfully implement the proposed evidence-based practice(s).