Family Centered Treatment-Recovery Implementation

Maximum points available for this section: 20

Address the needs of the population(s) of focus. 

• Describe how the program will ensure parents and caregivers with an opioid use disorder  and/or substance use disorder/mental health conditions and their children and family members will be served and how it will meet their needs.
• Describe the program's experience working with parents and caregivers with children who have complex needs such as trauma, behavioral, mental health, and substance use concerns.
• Describe how families will access FCT-R services. A crucial piece to FCT-R is that programs should initiate contact with a family within 48 hours of referral. Describe how your program will specifically adhere to this guideline.
• Describe the geographic area your program intends to serve. 
• Describe the gaps in services your program aims to address with this funding. 

If you are an existing FCT-R provider, describe your program's new population focus for this funding. 

Describe how the programming will address and integrate all the following areas:

• On average six hours of direct service provided a week including an average of 90–120-minute sessions with an FCT-R practitioner.
• How a peer professional (certified peer specialist, certified parent peer specialist, or recovery coach) will be integrated into the team and how your program will support their role. 
• Random drug screening.
• Contingency management in alignment with the population being served and the Substance Abuse and Mental Health Services Administration's guidance on implementing evidence-based contingency management services.  

Maximum points available for this section: 15

The capacity to do the work and meet the program requirements is different from the experience doing the work.

Describe capacity to implement the program design.

• List new or existing staff positions that will work under this grant and the anticipated full-time equivalents for each position.
• If hiring new positions, describe the recruitment process and the anticipated timeline.
• Describe how the agency will ensure the program continues if there is turnover in staff.
• Describe other resources/partnerships and their role in ensuring success of this program.

If subcontractor(s) will be used to perform activities to achieve program goals, describe:

• The extent of the relationship.
• How the subcontractor(s) capacity relates to the overall ability to implement this program.
• Roles, responsibilities, and expectations of the subcontractor(s).
• Experience managing and monitoring subcontractor(s).

Maximum points available for this section: 20

Describe experience with, and/or knowledge similar to, this program:

• Providing services to parents and/or caregivers with substance use concerns and their children and family members. Specify if your program has experience providing services in homes and within the community.
  • FCT-R requires services to take place in the home and community to families/caregiver(s) multiple times per week depending on the family’s needs. Services should be available 24/7/365. FCT-R practitioners assigned to families will be available to families for crisis response 24/7. Duration of FCT-R for most families is approximately six-to-eight months.
• Implementing an evidence-based treatment model preferably related to substance use and/or family systems.   
  • Include information on how the agency provided oversight and monitoring to ensure fidelity and how any applicable certifications were maintained. 
  • Describe your organizational experience in recording when and how services were provided, evaluating services, and outreaching the target population. 
• Building relationships with and/or working with the population(s) of focus or similar population(s).
• Collecting and using data or other information to determine if efforts had an impact.
• Hiring and supervising staff with specialized knowledge or licensure.

If you will be using subcontractor(s) to perform activities to achieve program goals, describe their experience with, and/or knowledge similar to, this program:

• Providing services to parents and/or caregivers with substance use concerns and their children and family members. Specify if they have experience providing services in homes and within the community.
  • FCT-R requires services to take place in the home and community to families/caregiver(s) multiple times per week depending on the family’s needs. Services should be available 24/7/365. FCT-R practitioners assigned to families will be available to families for crisis response 24/7. Duration of FCT-R for most families is approximately six-to-eight months.
• Implementing an evidence-based treatment model preferably related to substance use and/or family systems.   
  • Include information on how the agency provided oversight and monitoring to ensure fidelity and how any applicable certifications were maintained. 
  • Describe their organizational experience in recording when and how services were provided, evaluating services, and outreaching the target population. 
• Building relationships with and/or working with the population(s) of focus or similar population(s). 
• Collecting and using data or other information to determine if efforts had an impact. 
• Hiring and supervising staff with specialized knowledge or licensure.

Maximum points available for this section: 40 total

For each priority, describe the:

• Objectives: Measurable and time-bound efforts to achieve the priority.
• Activities: Specific steps your program will take to meet the objectives.
• Timelines: When your program anticipates starting and finishing each activity.
• Measurable impact: Describe how your program will measure or demonstrate a desirable outcome is being achieved for the priority (for example, data source(s) or measurements that will be used, surveys of clientele, etc.).

Priority one

Maximum points available for priority one: 10

Successfully complete the training and certification program in FCT-R.

• Identify appropriate clinicians and management staff to participate, complete, and receive certification in FCT-R.
• Dedicate staff time to training and certification requirements.
• Develop an implementation team to lead the effort throughout implementation, training, and completion of FCT-R.

Priority two

Maximum points available for priority two: 10

Develop policies within the agency’s existing community systems that will allow for appropriate referrals, timely screening, and admittance of families to be served under the FCT-R model. 

• Collaboratively work across multiple adult, child, and family serving systems to ensure seamless access to parents/caregivers with opioid use disorder and/or substance use disorder/mental health conditions and their children. Specifically address how the agency will work with systems such as child welfare, behavioral health, treatment courts, criminal justice, and other community agencies that serve individuals and families with substance use concerns. 
• Establish eligibility requirements and appropriate referrals to FCT-R programming. 
• Ensure timely responses to referrals consistent with best practice under the FCT-R model which is that initial contact with a family is made within 48 hours of a referral.
• Manage referrals and staff caseload expectations.

Priority three

Maximum points available for priority two: 10

Decrease substance use, mental health, and trauma symptoms, increase family functioning, increase treatment engagement, and decrease the need for out-of-home placements by providing an evidence-based in-home therapy model to families.

• Engage and educate families on FCT-R.
• Provide intensive in-home services to families for approximately six or more hours a week. Along with providing in-home services, program must also provide the following services:
  • Peer professional 
  • Random drug screens at least once per week 
  • Contingency management 
• Manage family crises, provide relapse prevention, and develop appropriate response plans to meet a family’s acute needs.
• Develop and maintain data tracking systems that measure both baseline and post-treatment outcomes in the following areas:
  • Substance use, mental health, and trauma symptoms
  • Family functioning
  • Treatment engagement and completion rates
  • Out-of-home placement 

Priority four

Maximum points available for priority two: 10

Maintain FCT-R certification requirements and programming post grant funding by implementing a sustainability plan.

• Utilize Medicaid or other funding sources to allow for the sustainability of FCT-R services.
• Support workforce development and retention of staff trained in FCT-R.
• Identify funding mechanisms to address FCT-R ongoing certification costs.

Maximum points available for this section: 5

The following documents must be submitted with the narrative response. These documents do not count toward the narrative response page limit.

• IRS Form W-9.
• Line-Item Budget (Form F-01601) outlining the costs for the first year.
  • In general, agencies can expect that FCT-R training and certification costs through the FCT Foundation for year one to be approximately $42,000 and in year two to be approximately $36,000. Agencies should factor in other agency costs to implement the FCT-R model in addition to the training and certification costs, such as practitioner and peer professional time/salary, random drug screens, contingency management, and overall operational costs. 
  • The total amount of funding awarded to each agency will be approximately $166,666 over the course of two years. Agency budgets for year one and year two may differ based upon cost needs related to staffing and training. Reflect the anticipated costs and budget for year one with your submitted application. 
• Organizational chart(s) that shows where the FCT-R program and associated staff would be positioned.
• Position description for each position directly involved with this program.