2Nd Draft RCSP-SN RFA

Department of Health and Human Services

Substance Abuse and Mental Health Services Administration

Recovery Community Services Program-Statewide Network

RCSP-SN

(Initial Announcement)

Request for Applications (RFA) No. TI-14-001

Catalogue of Federal Domestic Assistance (CFDA) No.: 93.243

Key Dates:

52

Table of Contents

EXECUTIVE SUMMARY: 4

I. FUNDING OPPORTUNITY DESCRIPTION 5

1. PURPOSE 5

2. EXPECTATIONS 5

II. AWARD INFORMATION 10

III. ELIGIBILITY INFORMATION 10

1. ELIGIBLE APPLICANTS 10

2. COST SHARING and MATCH REQUIREMENTS 11

3. OTHER 11

IV. APPLICATION AND SUBMISSION INFORMATION 11

1. CONTENT AND GRANT APPLICATION SUBMISSION 11

2. APPLICATION SUBMISSION REQUIREMENTS 15

3. INTERGOVERNMENTAL REVIEW (E.O. 12372) REQUIREMENTS 15

4. FUNDING LIMITATIONS/RESTRICTIONS 15

V. APPLICATION REVIEW INFORMATION 16

1. EVALUATION CRITERIA 16

2. REVIEW AND SELECTION PROCESS 19

VI. ADMINISTRATION INFORMATION 19

1. AWARD NOTICES 19

2. ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS 20

3. REPORTING REQUIREMENTS 21

VII. AGENCY CONTACTS 21

Appendix A – Checklist for Formatting Requirements and Screen-out Criteria for SAMHSA Grant Applications 22

Appendix B – Guidance for Electronic Submission of Applications 24

Appendix C – Intergovernmental Review (E.O. 12372) Requirements 31

Appendix D – Funding Restrictions 33

Appendix E – Biographical Sketches and Job Descriptions 35

Appendix F – Sample Budget and Justification (no match required) 36

Appendix G – Confidentiality and SAMHSA Participant Protection/Human Subjects Guidelines 46

Appendix H – Addressing Behavioral Health Disparities 50

Appendix I – Certificate of Eligibility 52

EXECUTIVE SUMMARY:

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT) is accepting applications for fiscal year (FY) 2014 Recovery Community Services Program-Statewide Network (RCSP-SN) grants. The purpose of this program is to expand the capacity of addiction recovery community organizations (RCOs) through the development of an organized statewide network. In collaboration with other relevant groups, grantees will work to strengthen the voice of the larger addiction recovery community at the local and state levels. There is a need for greater recognition of the scope and value of addiction recovery community organizations, peer recovery supports and services, and the need for the peer voice to be represented in state-level policy planning and implementation.

I. FUNDING OPPORTUNITY DESCRIPTION

1. PURPOSE

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT) is accepting applications for fiscal year (FY) 2014 Recovery Community Services Program-Statewide Network (RCSP-SN) grants. The purpose of this program is to expand the capacity of addiction recovery community organizations (RCOs) through the development of an organized statewide network. In collaboration with other relevant groups, grantees will work to strengthen the voice of the larger addiction recovery community at the local and state levels. There is a need for greater recognition of the scope and value of addiction recovery community organizations, peer recovery supports and services, and the need for the peer voice to be represented in state-level policy planning and implementation.

The intent of this program is to further enhance the presence of RCOs as key partners in treatment, recovery, and affiliated health systems. In accordance with SAMHSA’s Strategic Initiative on Recovery Support, this program aims to highlight the value of lived experience through the inclusion of addiction RCOs, which are led by those in recovery, as an organized statewide presence. Although many states have made great strides in recognizing addiction peer recovery services as viable, further efforts are required in order to fully optimize the potential of these services and supports. Through this program, it is expected that the infrastructure of RCOs will be strengthened and the delivery of addiction peer recovery services will be more meaningfully supported.

RCSP-SN grants are authorized under Section 509 of the Public Health Service Act, as amended. This announcement addresses Healthy People 2020 Substance Abuse Topic Area HP 2020-SA.

2. EXPECTATIONS

The goals of the RCSP-SN program are to: 1) establish sustainable mechanisms for integrating the peer voice in state addiction and health systems change and service delivery; 2) promote skill development with an emphasis on leadership and business management for RCOs; 3) identify technical assistance needs of peer providers and provide training and support to ensure that they are seen as viable players in the delivery system; and 4) develop partnerships that support access to addiction recovery peer support along with policy and program development in behavioral health systems. To achieve these goals, the program enables RCOs around the country to work with policymakers, other members of the addiction recovery community, and service providers to improve services for those struggling with substance use disorders.

If your application is funded, you will be expected to develop a health disparities impact statement. This statement consists of three parts: 1) identify subpopulations vulnerable to disparities (e.g., racial, ethnic and sexual minority groups) and how they will be engaged in infrastructure activities (e.g., training, collaborations and partnerships, outreach, etc.); 2) propose a quality improvement plan to decrease the differences in access to, use, and outcomes of these infrastructure activities among these subpopulations; and 3) the quality improvement plan should include an alignment with the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care. (See Appendix H: Addressing Behavioral Health Disparities.)

SAMHSA strongly encourages all grantees to provide a tobacco-free workplace and to promote abstinence from all tobacco products (except in regard to accepted tribal traditions and practices).

Recovery from mental disorders and/or substance use disorders has been identified as a primary goal for behavioral health care. SAMHSA’s Recovery Support Strategic Initiative is leading efforts to advance the understanding of recovery and ensure that vital recovery supports and services are available and accessible to all who need and want them. Building on research, practice, and the lived experiences of individuals in recovery from mental and/or substance use disorders, SAMHSA has developed the following working definition of recovery: A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. See http://store.samhsa.gov/product/SAMHSA-s-Working-Definition-of-Recovery/PEP12-RECDEF for further information, including the four dimensions of recovery, and 10 guiding principles. Programs and services that incorporate a recovery approach fully involve people with lived experience (including consumers/peers/people in recovery, youth, and family members) in program/service design, development, implementation, and evaluation.

SAMHSA’s standard, unified working definition is intended to advance recovery opportunities for all Americans, particularly in the context of health reform, and to help clarify these concepts for peers/persons in recovery, families, funders, providers and others. The definition is to be used to assist in the planning, delivery, financing, and evaluation of behavioral health services. SAMHSA grantees are expected to integrate the definition and principles of recovery into their programs to the greatest extent possible.

NOTE: In order to strengthen and expand the impact of this program across the nation and ensure broad geographic distribution, SAMHSA will make only one award per state, territory, or tribe.

2.1 Required Activities

The RCSP-SN grant funds must be used primarily to support infrastructure development of a statewide networkincluding the following types of activities. Applicants are expected to choose a total of at least three activities from the lists below.

Infrastructure development activities: Applicants are expected to choose at least two of the five activities in bold from the list below to develop infrastructure in their state.

·  Partner with state and local organizations in workforce development activities, such as:

o  developing competencies and certification standards of addiction peer recovery support/recovery coach services;

o  providing addiction peer recovery coach training and training for providers on incorporating peers into the workforce;

o  developing culturally and linguistically competent peers, providers, and administrators;

o  addiction peer recovery coach mentoring; and

o  developing strategies for licensure, credentialing, or accreditation of peers and recovery community organizations.

·  Develop linkages with addiction recovery community organizations throughout the state in order to:

o  develop a collective approach around promoting addiction peer recovery supports and services;

o  identify needs of the addiction recovery community and devise strategies to address these needs; and

o  promote infrastructure development of RCOs through training and education on issues such as operations, billing systems, recruitment, sustainability and integration into larger systems.

·  Serve as a catalyst for organizational/structural change in order to create a locus of activity for promoting the importance of:

o  trauma-informed peer support and increased sensitivity to trauma issues;

o  the availability and expansion of addiction peer recovery support services , such as mutual aid groups, peer mentoring/coaching, responsive to needs based on gender, race, and ethnicity

o  elimination of barriers to recovery, such as employment and housing; and

o  addressing negative attitudes associated with addictions

·  Participate in local, county, and state systems improvement planning, policy and program development for special populations, such as:

o  veterans and military families;

o  criminal justice re-entry populations;

o  sexual and gender minorities;

o  co-occurring mental health and other primary health conditions;

o  individuals with histories of chronic homelessness;

o  youth in transition/young adults;

o  communities of color and/or ethnic minorities; and

o  tribal communities.

·  Participate in policy, planning and program development discussions at the state, community and local level to ensure the inclusion of addiction recovery community organizations in program and systems planning.

Health coverage access and peer services integration activities: Applicants are expected to choose at least one of the three access or integration related activities in bold from the list below.

·  Partner with health insurance coverage outreach and enrollment assistance programs operating in the state to inform and supplement their outreach efforts to populations with substance use conditions.

·  Promote the use of peer recovery support services in integrated primary care and behavioral health settings.

·  Facilitate education/training efforts regarding mental health and addictions parity to increase awareness/understanding of the law (Mental Health Parity and Addiction Equity Act of 2008).

2.2 Data Collection and Performance Measurement

All SAMHSA grantees are required to collect and report certain data so that SAMHSA can meet its obligations under the Government Performance and Results (GPRA) Modernization Act of 2010. You must document your ability to collect and report the required data in Section D: Data Collection and Performance Measurement of your application. Grantees will be required to report performance on the following performance measures:

o The number of training/technical assistance events held;

o  The number of participants trained;

o  Satisfaction with the event; and

o  Usefulness of the information provided during the event.

This information will be gathered using the Services Accountability Improvement System (SAIS). Data will be collected and reported on a regular and real-time basis, within 7 business days. Data will be collected via the Best Practices Data Collection tool [www.samhsa-gpra.samhsa.gov (Click Data Collection Tools/Select Best Practices)]. Subsequent to each training event, grantees will be required to enter baseline data in the SAIS system within 7 business days. Grantees will be expected to follow-up with training participants 30 days post each event. An 80 percent follow-up rate is required. Applicants should be aware that the SAIS reporting system will migrate to the Common Data Platform (CDP) during the life of the grant.

Performance data will be reported to the public, the Office of Management and Budget (OMB), and Congress as part of SAMHSA’s budget request.

2.3 Local Performance Assessment

Grantees must periodically review the performance data they report to SAMHSA (as required above) and assess their progress and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments should be used also to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually.

At a minimum, your performance assessment should include the required performance measures identified above. The following measures should also be included as part of your performance assessment.

Outcome Questions:

•  What was the effect of program on raising awareness about addiction peer recovery support?

•  What policy/program discussions included addiction peer recovery support as a result of your efforts?

•  What changes were made in the processes and systems of RCOs based on information provided through your program?

•  How durable were the effects?

Process Questions:

•  With how many RCOs did you link across the state?

•  What was the number and nature of messages that promoted recovery and how were they disseminated?

•  How many state sponsored or facilitated events did you participate in?

Reporting on the data above will be required quarterly as part of the quarterly progress report.

No more than 15 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections 2.2 and 2.3 above.