Summary Budget Form
NH Strategic Prevention Framework State Incentive Grant COMPLETE ONE BUDGET FORM FOR EACH BUDGET PERIOD
Coalition Name/Region: Budget Period: October 1, 2009 - September 30, 2010
Under each strategy, list the subcontracts/providers that your coalition will employ to implement that strategy. If a provider is not being funded by your coalition but is incorporated into your plan, leave the "Strategy Funds Requested" field for that provider blank and fill in only the "Other Funds" field.
Strategy/Subcontracts or Providers 1. Communities that Care Capacity Development 2. Social Norms/marketing campaign 3. Youth Advisory Council Transportation Collaboration Expense Training (CADCA, Teen Institute, CADY Class Action Program (Mat and Prog) Programming Strategies for youth effecting change in Substance 4. Screening, Intervention, and Referral Council Develop Council Training and Screening Intervention Tools 4. Resource, Education, and Collaboration Council Develop Council Effective Resource and Collaboration Strategies for Business 4. Enforcement, Judicial, and Rehabilitation Council Develop Council Develop effective judicial and rehabilitation strategies and provide support to address the Multigenerational issue for those families involved in the judicial system.
Strategy Funds Requested
In-Kind, Leveraged, or Other Funds 0 $ 0 $ 1,500.00 1,700.00 5,500.00 15,000.00 6,000.00 4,500.00 5,500.00 8,000.00 -
Total $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,000.00 5,000.00 1,500.00 9,700.00 1,000.00 5,500.00 10,000.00 15,000.00 1,000.00 6,000.00 10,000.00 4,500.00 1,000.00 5,500.00 10,000.00 8,000.00 2,000.00
3,000 $ $ 5,000 $ 0 $ 8,000 $ $ 1,000 $ $ 10,000 $ 1,000 $ $ 10,000 $ $ 1,000 $ $ $ $ $ 10,000 $ 0 $ 2,000 $
Develop online resource directory in collaboration with other entities Coalition Marketing and Awareness-Flyers, Printing, to support Facilities Resources needed now for prevention (Desk, or place, Alateen, Alanon, Faster, volunteer base, person to talk to place to go, build resource library, pay for volunteer training, marketing of availability) Grant writing assistance and resource development for DFC, mentoring,
0 $ 3,000 $
2,500.00
$ $
5,500.00
APPENDIX G-5: Subcontracts by Strategy
Summary Budget Form
Identify and Develop Young Adult Issues in Cooperation with Local Community College, training assistance and sharing resources. They will take lead as a Career Development and Community Service Project. Including working with the SPF evaluator to collect information, host gatherings, determine primary strategies needed and implement. “Family Matters” Or Similar Outreach Program with part-time support,
Materials Support
1,500 $ $ 2,500 2,500 $
2,200.00 2,100.00
$ $ $ $
3,700.00 2,500.00 4,600.00
Business Involvement- Conferences: Reducing and Addressing
Substance Abuse in Your Workplace. (Screening, Intervention and Treatment) , Speakers from programs, Resource Awareness, Mentoring opportunities, Collaboration with Local Schools, Training Centers, Colleges Share in Resources with Region G to involve Business in Coalition efforts. Information Gap Support Assessment Gap: cost for printing / scanning / analysis Parent and Young Adult Surveys: -Parents -- Is there a perception of risk of enforcement and health for themselves; or risk to health/safety and future for youth? What are parental attitudes about monitoring and guidance? Information Source: SPF Parent Survey Collection Procedure: Random Sample Survey using SPF Parent Survey instrument - conducted by personal interviews at Motor Vehicle Bureaus and City Clerk offices in major communities. Conducted by hired support personnel (youths from region) -Young Adults -- What is the extent of the drug and alcohol use by young adults? What are the main issues, causes and concerns? Information Source: SPF Parent Survey Collection Procedure: Random Sample Survey using SPF Parent Survey instrument - conducted by personal interviews at Motor Vehicle Bureaus and City Clerk offices in major communities.
1,000 $
8,500.00
$
9,500.00
5,000 $ 1,500 $ 1,000 $
7,100.00 1,500.00 2,400.00
$ $ $
12,100.00 3,000.00 3,400.00
1,000 $ APPENDIX G-5: Subcontracts by Strategy
2,100.00
$
3,100.00
Summary Budget Form
Medical and Businesses: -Medical: Not engaged in screening - why? How to change? Information Source: Physicians, statisticians and administrators at regional hospitals and healthcare practices Collection Procedure: Small group meetings, personal interviews -Businesses- Are unaware of how to identify and screen, and what could/should be done to intervene in terms of both resources available and policies/best practices. Information Source: Business owners / managers Collection Procedure: Personal executive telephone interviews Person Responsible: Staff hired to work with regional evaluator (executive interviewers)
1,000 $ 3,200.00 $ 4,200.00
Capacity Building Implementation Programming funds for General Membership (Excutive Representative Body) it facilitate development or distribution to Councils
1,000 $ 72,000 $
3,300.00 82,600.00
$ $
4,300.00 154,600.00
DHHS Program/Section Manager Approval _______ initials
APPENDIX G-5: Subcontracts by Strategy