Milwaukee Cocaine Use Prevention and Treatment

Maximum points available for this section: 40

All applicants

• Describe how this program will collaborate with other awardees to develop a multidisciplinary team and address cocaine use in Milwaukee County.
• Describe how this program will provide, or arrange for, education regarding the risk of overdose, improve access to naloxone, and discuss any relapse prevention and overdose prevention planning this program will provide.  
• State if peer specialist and/or peer recovery coaching services will be offered as part of programming.
• Highlight the innovative features of the program that could be considered distinct from other applications that may be under consideration.

Substance use primary prevention services applicants

• Describe how the proposed services use the SAMHSA Strategic Prevention Framework. This framework includes assessment, capacity, planning, implementation, and evaluation. 
• Summarize the comprehensive prevention services that this program will provide. Include the plan for a minimum of three of the SAMHSA’s Center for Substance Abuse Prevention (CSAP) primary prevention strategies: 
  • Information dissemination: One-way communication to provide information and awareness about substances and substance use disorder, as well as available prevention, treatment, overdose prevention, and recovery programs and services.
  • Prevention education: Two-way communication between an educator or trained peer and participants that provides information and activities aimed to support behavior change and/or risk reduction and to improve critical life and social skills. 
  • Alternative activities: Provides opportunities for priority populations to participate in activities that exclude high-risk behaviors and/or substance use by providing alternative, healthy activities.
  • Problem identification and referral: Aims to identify those who are using substances and to assess if their high-risk behavior can be reversed and/or moderated through education. 
  • Community-based processes: Enhances the ability and capacity of the community to more effectively provide substance use prevention services and provides ongoing networking activities and technical assistance to community groups or agencies. It encompasses neighborhood-based, grassroots empowerment models using action planning and collaborative systems planning. 
  • Environmental: Establishes or changes community standards, codes, and attitudes, with the goal of reducing substance use in the focus population.
• Describe the approach the program will use to reach pregnant and parenting women who are at risk of developing a pattern of cocaine use.

Substance use disorder treatment services applicants

• Describe how the program provides Wis. Admin. Code ch. DHS 75 certified  substance use treatment services for women in a residential, outpatient, community-based, or in-home setting that provide the minimum services required under 45 CFR 96.124(e). The minimum requirements include case management that arranges for: primary medical and prenatal care, pediatric care, childcare, substance use disorder treatment services, therapeutic services for women and their children, and transportation to ensure women and children have access to these services. 
• Describe how the program will treat the family as a unit. 
  • Describe the gender-responsive substance use disorder treatment services provided by the program for women who have a stimulant use disorder.
  • Describe the care coordination and collaboration with services that address the needs of women and their dependent children that meet the requirements of 45 CFR 96.124(e).
  • Describe how the program will engage family members and provide services, education, or support for the family unit that a program participant identifies.

Residential substance use disorder services applicants (required for applicants seeking the additional funding)

Describe how the program will provide residential treatment services that address family relationships, mental health needs, and employability. 

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, and any professional licenses they hold, that will work under this grant and the anticipated number of hours per week 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 your experience with, and/or knowledge similar to, this program:

• Providing services, conducting activities, and/or fulfilling requirements.
• 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, conducting activities, and/or fulfilling requirements.
• 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.

Maximum points available for this section: 20

There are defined priorities for the two-year term of this funding opportunity.

• Year one work should be dedicated to hiring staff, training, developing the multidisciplinary team, and implementing the new program.
• Years two work should focus on stabilization and sustainability of the program.

For each priority, describe the:

• Objectives: Measurable and time-bound efforts to achieve the priority.
• Activities: Specific steps you will take to meet the objectives.
• Timelines: When you anticipate starting and finishing each activity.
• Measurable impact: Describe how you 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.).

Objectives, activities, timelines, and measurable impact should be described for each year of the funding opportunity for each priority. For example, priority one should have objectives, activities, timelines, and measurable impact described individually or separately for year one and year two.

Priority one

Maximum points available for priority one: 5 points

Collaborate with awarded agencies to establish, implement, and sustain a multidisciplinary prevention and treatment team, with a focus on addressing cocaine use in Milwaukee County.

Priority two

Maximum points available for priority two: 5 points

Reduce cocaine related hospitalizations and overdose deaths in Milwaukee County.

Priority three

Maximum points available for priority three: 5 points

Engage the program participant’s identified family through services, education, or support. 

Priority four

Maximum points available for priority four: 5 points

Substance use primary prevention services applicants
Implement a comprehensive primary prevention program that includes a minimum of three of these strategies: information dissemination; prevention education; alternative activities; problem identification and referral;  community-based process; and environmental strategies.

Substance use disorder treatment services applicants
Provide or arrange for case management, prenatal care, medical care, pediatric care, transportation, childcare, and therapeutic interventions for women and their children.
 

Priority five

Maximum points available for priority five: 0 points

Residential substance use disorder treatment services applicants only
Provide services that address family relationships, mental health needs, and employability, in a long-term residential substance use disorder treatment facility. 

Maximum points available for this section: 5

These documents do not count toward the narrative response page limit.

All applicants

• IRS Form W-9
• Line-Item Budget (Form F-01601-C) outlining the costs for the first year

Substance use disorder treatment services applicants

• Medicaid enrollment number (MA ID)
• Wis. Admin. Code ch. DHS 75 certification documentation