Amendment #1 made on June 14, 2013

Note: All applicants that have not submitted a successful application into Grants.gov, would need to download the attached application package to submit successfully. If you have already submitted your application successfully under the original announcement, there is no need for you to re-apply.

  1. The Application Deadline Date has been changed on pages 1 and 35
  2. The page limit for the workplan section is 10 pages (p. 40)
  3. Questions and Answers added starting on page 61

Contents

Part I. Overview Information

A.Federal Agency Name

B.Funding Opportunity Title: Youth Violence Training and Technical Assistance

C.Announcement Type

D.Agency Funding Opportunity Number

E.Catalog of Federal Domestic Assistance Number

F.Dates

G.Executive Summary

Part II. Full Text

A.Funding Opportunity Description

1. Background

a. Statutory Authorities

b. Problem Statement

c. HealthyPeople2020

d. Other National Public Health Priorities and Strategies

e. Relevant Work

2. CDC Project Description

a. Approach

i.Purpose

ii.Outcomes

iii.Program Strategy

iv. Work Plan

b. Organizational Capacity of Awardee to Execute the Award

d. CDC Monitoring and Accountability Approach

e. CDC Program Support to Awardee

B. Award Information

1.Type of Award

2. Award Mechanism

3. Fiscal Year

4. Approximate Total Fiscal Year Funding

5. Approximate Total Project Period Funding

6. Approximate Number of Awards

7. Approximate Average Award

8. Floor of Individual Award Range

9. Ceiling of Individual Award Range

10. Anticipated Award Date

11. Budget Period Length

12. Project Period Length

13. Direct Assistance

C. Eligibility Information

1.Eligible Applicants

2.Special Eligibility Requirements

3.Justification for Less Than Maximum Competition

4.Other

5.Cost Sharing or Matching

6.Maintenance of Effort:

D. Application and Submission Information

1. Required Registrations:

a.Data Universal Numbering System

b.System for Award Management

c.Grants.gov

2. Request Application Package

3. Application Package

4. Submission Dates and Times

5. CDC Assurances and Certifications

6. Content and Form of Application Submission:

7. Letter of Intent:

8. Table of Contents

9. Project Abstract Summary

10. Project Narrative

a.Background

b.Approach

c.Organizational Capacity of Awardee to Execute the Approach

d.Evaluation and Performance Measurement

11. Work Plan

12. Budget Narrative

13. Tobacco and Nutrition Policies

14. Intergovernmental Review

15. Funding Restrictions:

16. Other Submission Requirements:

a.Electronic Submission

b.Tracking Number

c.Validation Process

d.Technical Difficulties

e.Paper Submission

E. Application Review Information

1. Criteria

2. Review and Selection Process

a.Phase I Review

b.Phase II Review

3. Anticipated Announcement and Award Dates

F. Award Administration Information

1. Award Notices

2. Administrative and National Policy Requirements

3. Reporting

4.Federal Funding Accountability and Transparency Act of 2006

G. Agency Contacts

H. Other Information

I. Glossary

Page 1

Part I. Overview Information

To receive notifications of any changes to CDC-RFA-CE13-1305, return to synopsis page of this announcement at: check on the “Send Me Change Notifications Emails” link. Applicants must provide an email address to receive notifications.

  1. Federal Agency Name: Centers for Disease Control and Prevention (CDC)
  2. Funding Opportunity Title: Youth Violence Training and Technical Assistance
  3. Announcement Type:New—Type 1
  4. Agency Funding Opportunity Number:CDC-RFA-CE13-1305
  5. Catalog of Federal Domestic Assistance Number:93.136 Injury Prevention and Control Research and State and Community Based Programs
  6. Dates:
  • Letter of Intent Deadline Date: Due May 24, 2013
  • Application Deadline Date:Due June 26, 2013at 11:59 p.m. U.S. Eastern Daylight Time, on
  • Informational Conference Call:

An informational conference callwill be held for potential applicants concerning this Funding Opportunity Announcement (FOA). The call will be held on Thursday, May 2, 2013at 3:00 p.m., EasternDaylight Time. The conference call can be assessed by calling this toll-free number, 877-925-3145, and entering the passcode 1370479.

This announcement is only for non-research domestic activities supported by CDC. If research is proposed, the application will not be reviewed. For the definition of research, visit:

.

  1. Executive Summary:

Youth violence, including behaviors such as homicide, gang violence, and bullying, affects individuals, families, and communities nationwide. TheCDC National Center for Injury Prevention and Control is requesting applications fromeligible applicants for a cooperative agreement to develop and provide training and technical assistance to local health departments and their partners in 12 high-risk communities to address high rates of youth violence. The application deadline is June 26, 2013. One award for $750,000 per year for five years ($3,750,000 total) will be announced on or about September 30, 2013. The awardee will provide tailored training and technical assistance (TTA) to 1) build local infrastructure and 2) implement or plan to implement strategies to prevent young people from dying or being hurt. This TTA will catalyze or sustain these efforts by a) coordinating/enhancing a multi-sector team/coalition focused on preventing youth violence, b) developing/enhancing a comprehensive plan to prevent youth violence, and c) leveraging existing resources or identifying new resources to implement and scale-up strategies to prevent youth violence. TTA will be provided to 12 communities selected by the awardee. Eight communities will not have an existing plan to prevent youth violence or will have a plan that includes a very minimal focus on preventing violence before it occurs; these communities will receive Basic Training and Technical Assistance (Basic TTA). Four communities will have an existing plan to prevent youth violence that includes a significant prevention component with a history of multi-sector efforts to prevent youth violence; these communities will receive Intensive Training and Technical Assistance (Intensive TTA).

Indicators that demonstrate the extent to which the TTA was successful will include outputs and process and outcome indicators. Project outputs across Tier 1 (basic) and Tier 2 (intensive) communities include strategies to recruit and select communities;a list of training needs based upon an assessment of participating communities’ existing youth violence prevention efforts;a protocol/plan for TTA that includes training content, materials, and methods; and a summary report detailing outcomes from the participating communities.

For Tier 1 or basic training and technical assistance, the primary output will be the formation of a formal, multi-sector community coalition. The two process indicators for Tier 1 (basic) communities will be the development of a comprehensive plan and identification of one new collaborative project. Finally, the primary outcome indicator for Tier 1 communities will be increased leadership and infrastructure within the local health department to apply the STRYVE principles to youth violence prevention work.

For Tier 2 or intensive training and technical assistance, the outputs will be new or re-allocated funds devoted to youth violence prevention and demonstrated infrastructure to scale up youth violence prevention strategies based upon the best available evidence. Tier 2 process indicators will primarily be the adoption of youth violence prevention strategies and implementation fidelity of youth violence prevention strategies. Finally, primary outcome indicators for Tier 2 (intensive) communities will be decreases in risk factors for youth violence, increases in protective factors for youth violence, and significant reductions in rates of youth violence during the project period that could lead to long-term reductions of up to 20% in rates of youth homicide and 25% in other types of serious youth violence and school violence.

Part II. Full Text

  1. Funding Opportunity Description

1. Background:

a. Statutory Authorities

This program is authorized under Sections301 and 393 of the Public Health Service Act (42 U.S.C. sections 241 and 280b-1a), as amended.

b. Problem Statement

Youth violence, including behaviors such as homicide, gang violence, and bullying, affects individuals, families, and communities nationwide. Although rates of youth homicide have generally declined in most regions of the United States over the past 15 years, rates of violent injury and death and violence perpetration among youth remain unacceptably high. For instance, over 700,000 youth ages 10-24 were treated in U.S. emergency departments for injuries resulting from violence in 2010. Homicide is the second leading cause of death among 15- to 24-year-olds and the third leading cause of death among 10- to 14-year-olds. For Black youth ages 15-24, homicide is the leading cause of death. In addition to the emotional impact of loss of life, there is also a financial impact; in 2005, in the United States, homicides resulted in lifetime costs of over $25 billion. Other types of violence, such as violence in the community and violence in the home, are risk factors for youth violence and are also extremely prevalent. National survey data indicate that over 60% of children in the US were exposed to violence within the past year, either directly or indirectly (i.e., as a witness to a violent act; by learning of a violent act against a family member, neighbor, or close friend; or from a threat against their home or school).

Effectively preventing youth violence requires the implementation of complementary strategies and activities across the prevention spectrum: primary prevention (strategies to prevent violence before it occurs); secondary prevention (more immediate responses to violence such as emergency services or treatment immediately following violence); and tertiary prevention (long-term care or rehabilitation or reducing the impact of the violence). Moreover, effective prevention requires implementing strategies that are based upon the best available evidence, that are appropriate to the community context, and that are implemented with fidelity.

Decades of research have resulted in a strong and growing evidence-base about what works to prevent youth violence . Unfortunately, communities often do not implement these strategies, do not implement them on a broad enough scale to have a community-wide impact, or do not implement them with fidelity. The degree to which strategies based upon the best available evidence are implemented and are implemented with fidelity is greatly influenced by the system(s) responsible for planning, delivering, and sustaining the strategies. Research suggests that a community’s ability to prevent youth violence is based on its internal level of support, connection, and organization. In communities where there are higher levels of autonomy and silo-thinking (money, regulations, and expectations flow through separate and distinct funnels to the community) among the partners responsible for implementing an evidence-based strategy, there are lower levels of adoption of that strategy. Additionally, efforts to mobilize a multi-sector team or coalition within the community and efforts to implement and disseminate strategies based upon the best available evidence are intertwined. For example, one study reported that communities with evidence-based programs (such as those found at and in the context of a coalition, demonstrated lower levels of delinquency and better academic achievement than communities implementing strategies not embedded in this context.

Some specific barriers to implementing and disseminating strategies based upon the best available evidence have been identified:

•Chasing money rather than outcomes

•Lack of a single guiding philosophy (many separate but disconnected efforts)

•Little accountability

•Lack of good data to drive decision-making and resource allocation

•Reliance on untested (or ineffective) programs

•Poor implementation quality

•Inability to sustain programs

Research examining the uptake of evidence-based strategies in several Ohio communities suggests that the number of factors facilitating implementation, such as shared funding strategies and entrepreneurial leadership, are better correlated with implementation than are the number of barriers to implementation. Thus, the intent of this FOA is tofacilitate implementation by enhancing the level and quality of support, connection, and organization betweenhealth departments, other local agencies, and community members around the prevention of youth violence. By improving the infrastructure around prevention, it is anticipated that this will increase the likelihood that communities implement strategies that are based upon the best available evidence, that are sustainable over time, and ultimately, that decrease rates of youth violence.

c. HealthyPeople2020

Injury and Violence is one of the leading health indicator (LHI) topics for Healthy People 2020. The Leading Health Indicators were selected to identify high-priority health issues. This FOA addresses Healthy People 2020 goal IVP-1: Reduce fatal and nonfatal injuries, and more specific goals related to reducing: homicides(IVP-29), firearm-related deaths (IVP-30), non-firearm-related injuries (IPV-31), nonfatal physical assault injuries (IVP-32), physical assaults (IVP-33), physical fighting among adolescents (IVP-34), bullying among adolescents (IVP-35),and weapon carrying by adolescents on school property (IVP-36).

d. OtherNational Public Health Priorities and Strategies

This FOA is aligned with the National Prevention Strategy ( “Injury and Violence Free Living,” particularly with recommendation 5: “Strengthen policies and programs to prevent violence” and recommendation 6: “Provide individuals and families with the knowledge, skills, and tools to make safe choices that prevent violence and injuries.”

e. Relevant Work

This FOA builds upon lessons learned from three prior CDC youth violence prevention investments: 1) Striving to Reduce Youth Violence Everywhere (STRYVE) ( 2) Urban Networks to Increase Thriving Youth (UNITY) ( and 3) Academic Centers of Excellence on Youth Violence Prevention (ACE)( and one US Department of Justice investment, The National Forum on Youth Violence Prevention (

STRYVE (Striving to Reduce Youth Violence Everywhere) is CDC’s national initiative to prevent youth violence. STRYVE’s vision is safe and healthy youth who can achieve their full potential as connected and contributing members of thriving, violence-free families, schools, and communities. STRYVE works to:

  • Increase public health leadership to prevent youth violence;
  • Promote the widespread adoption of youth violence preventionstrategies;
  • Reduce the rates of youth violence on a national scale.

STRYVE helps communities take a public health approach to preventing youth violence—stopping it before it starts. The STRYVE initiative funds four local health departmentsto engage in a structured, multi-sector planning process to develop a local plan to prevent youth violence, including the implementation of two strategies to prevent youth violence based upon the best available evidence. Atraining and technical assistance website was developed to support the violence prevention efforts. The website, features tools to help health departments and coalitions undertake this planning and implementation process. For more information, visit: and

2. CDC Project Description

a. Approach


i. Purpose

The purpose of this FOA is to provide training and technical assistance (TTA) to local health departments and their partners working in high-risk communities to: 1) build local health department infrastructure to prevent youth violence; and 2) implement or plan to implement strategiesbased upon the best available evidence to prevent young people from dying or being hurt. The TTA should help communities create and sustain the efforts needed to prevent youth violence by:

a)coordinating or enhancing a multi-sector team or coalition focusing on preventing youth violence;

b)developing or enhancing a comprehensive plan to prevent youth violence based upon the public health approach; and

c)leveraging existing resources or identifying new resources to implement and scale-up strategies to prevent youth violence based upon the best available evidence to make a population level impact on youth violence in participating communities.

ii.Outcomes

This project is expected to result in outputs and outcomes. Some of these outputs and outcomes are broad and are expected of the awardee; some of the outputs and outcomes are expected of both the communities that receive basic TTA and communities that receive intensive TTA; other outputs and outcomes are unique to the communities receiving basic TTA and those receiving intensive TTA. These distinctions are outlined below.

Anticipated awardee project outputs include:

  1. Strategies to recruit and select communities to receive basic and intensive TTA
  2. List of training needs of selected communities
  3. A protocol/plan for TTA,based upon needs of selected communities, that includes the development of training content, tools, materials and methods that are:
  4. based on SMART (specific, measurable, attainable, realistic, and time-phased) goals, objectives, and activities
  5. based on STRYVE principles
  6. replicable and can be shared with other potential TTA providers addressing youth violence
  7. aligned with the anticipated community-level outcomes described below and in the logic model
  8. Summary report detailing outcomes from the participating communities.

Expected output for the communities receiving basic TTA: formation of a multi-sector coalition focusing on youth violence prevention that is led or co-led by the local health department.

Expected outputs for the communities receiving intensive TTA:

  • Documentation of infrastructure changes necessary to scale up youth violence prevention strategies
  • Secured memoranda of understanding (MOUs) or agreement (MOAs) between the health department and local partners agreeing to commit resources to scale up violence prevention strategies.
  • Documentation of infrastructure changes necessary to scale up youth violence prevention strategies

Key outcomes demonstrating successful TTA include:

1. For communities receiving basic TTA:

  • The development of a comprehensive plan that addresses youth violence and includes prevention strategies based upon the best available evidence. The comprehensive plan should reflect the public health approach, include strategies that decrease rates of risk factors and increase rates of protective factors, and have empirically demonstrated reduced rates of youth violence.
  • Documentation of enhanced infrastructure to implement the youth violence prevention plan, for example:
  • Increased support and capacity for a public health approach to youth violence prevention as evidenced by:
  • Increased infrastructure in local public health departments, other government agencies, and formal coalitions
  • Increased public health roles and leadership in implementing prevention strategies
  • Institutionalization of prevention in organizations and coalitions addressing youth violence as evidenced by revised mission and vision statements; staff roles and responsibilities; staff training and performance; and operational procedures.

2. For communities receiving intensive TTA, documentation of: