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HomeMy WebLinkAbout2005-346E OCT 11 2005 INDIAN RIVER COUNTY to 44 -7 GRANT CONTRACT c) S 3 � °� fir ) This Grant Contract ("Contract") entered into effective this P day of October 2005, by and between Indian River County, a political subdivision of the State of Florida ; 1840 25th Street , Vero Beach , Florida , 32960-3365 ; and Substance Abuse Council of Indian River County, ( Recipient) , of: Substance Abuse Council of Indian River County 1151 19th Street Vero Beach , Florida 32960 PREVENT! Program Background Recitals A. The County has determined that is in the public interest to promote healthy children in a healthy community. B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance") , and established the Children 's Services Advisory Committee to promote healthy children in a healthy community, and to provide a unified system of planning and delivery within which children 's needs can be identified , targeted , evaluated and addressed . C . The Children 's Services Advisory Committee has issued a request for proposals from individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling its purpose . D . The proposal submitted to the Children 's Services Advisory Committee and the recommendation of the Children 's Services Advisory Committee have been reviewed by the County. E . The Recipient, by submitting a proposal to the Children 's Services Advisory Committee , has applied for a grant of money ("Grant") for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (such term is hereinafter defined ) on the terms and conditions set forth herein . NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged , the parties agree as follows : 1 . Background Recitals . The background recitals are true and correct and form a material part of this contract. 2 . Purpose of the Grant . The Grant shall be used only for the purposes set forth in the complete proposal submitted by the Recipient , attached hereto as Exhibit "A" and incorporated herein by this reference (such purposes hereinafter referenced as "Grant Purposes") . 3 . Term . The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2005/2006 ("Grant Period") . The Grant Period commences on October 1 , 2005 and ends on September 30 , 2006 . - 1 - OCT 11 2005 INDIAN RIVER COUNTY to 44 -7 GRANT CONTRACT c) S 3 � °� fir ) This Grant Contract ("Contract") entered into effective this P day of October 2005, by and between Indian River County, a political subdivision of the State of Florida ; 1840 25th Street , Vero Beach , Florida , 32960-3365 ; and Substance Abuse Council of Indian River County, ( Recipient) , of: Substance Abuse Council of Indian River County 1151 19th Street Vero Beach , Florida 32960 PREVENT! Program Background Recitals A. The County has determined that is in the public interest to promote healthy children in a healthy community. B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance") , and established the Children 's Services Advisory Committee to promote healthy children in a healthy community, and to provide a unified system of planning and delivery within which children 's needs can be identified , targeted , evaluated and addressed . C . The Children 's Services Advisory Committee has issued a request for proposals from individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling its purpose . D . The proposal submitted to the Children 's Services Advisory Committee and the recommendation of the Children 's Services Advisory Committee have been reviewed by the County. E . The Recipient, by submitting a proposal to the Children 's Services Advisory Committee , has applied for a grant of money ("Grant") for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (such term is hereinafter defined ) on the terms and conditions set forth herein . NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged , the parties agree as follows : 1 . Background Recitals . The background recitals are true and correct and form a material part of this contract. 2 . Purpose of the Grant . The Grant shall be used only for the purposes set forth in the complete proposal submitted by the Recipient , attached hereto as Exhibit "A" and incorporated herein by this reference (such purposes hereinafter referenced as "Grant Purposes") . 3 . Term . The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2005/2006 ("Grant Period") . The Grant Period commences on October 1 , 2005 and ends on September 30 , 2006 . - 1 - 4 . Grant Funds and Payment . The approved Grant for the Grant Period is : FIFTY SIX THOUSAND , FOUR HUNDRED SIXTEEN DOLLARS ($56 ,416 . 00 ) . The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for the Grant Purposes provided in accordance with this Contract. Reimbursement requests may be made no more frequently than monthly. Each reimbursement request shall contain the information , at a minimum , that is set forth in Exhibit "B", attached hereto and incorporated herein by this reference . All reimbursement requests are subject to audit by the County. In addition , the County may require additional documentation of expenditures , as it deems appropriate . 5 . Additional Obligation of Recipient . 5 . 1 . Records . The Recipient shall maintain adequate internal controls in order to safeguard the Grant . In addition , the Recipient shall maintain adequate records fully to document the use of the Grant funds for at least three (3 ) years after the expiration of the Grant Period , The County shall have access to all books , records , and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense , upon five ( 5) days prior to written notice . 5 . 2 . Compliance with Laws . The Recipient shall comply at all times with all applicable federal , state , and local laws and regulations . 5 . 3 . Quarterly Performance Reports . The Recipient shall submit quarterly, cumulative , Performance Reports to the Human Services Department of the County, within fifteen ( 15) business days following : December 31 , March 31 , June 30 and September 30 . 5 .4 . Audit Requirements . If Recipient receives $25 , 000 , or more in aggregate , from all Indian River County government funding sources , the Recipient is required to have an audit completed by an independent certified public accountant at the end of the Recipient's fiscal year. Within 120 days of the end of the Recipient's fiscal year, the Recipient shall submit the audit to the Indian River County Office of Management and Budget. The fiscal year will be as reported on the application for funding , and the Recipient agrees to notify the County prior to any change in the fiscal period of Recipient . The Recipient acknowledges that the County may deny funding to any Recipient if an audit required by this Contract for the prior fiscal year is past due and has not been submitted by May 1 . 5 .4 . 1 . The Recipient further acknowledges that, promptly upon receipt of a qualified opinion from its independent auditor, such qualified opinion shall immediately be provided to the Indian River County Office of Management and Budget . The qualified opinion shall thereupon be reported to the Board of Commissioners and funding under this Contract will cease immediately. The foregoing termination right is in addition to any other right of the County to terminate the Contract . 5 .4 . 2 . The Indian River County Office of Management and Budget reserves the right at any time to send a letter to the Recipient requesting clarification if there are any questions regarding a part of the financial statements , audit comments , or notes . 5 . 5 . Insurance Requirements . Recipient shall , no later than September 21 , 2005 provide to Indian River County Risk Management Division a certificate , or certificates , issued by an insurer, or insurers , authorized to conduct business in Florida that is rated not-less-than Category A- :VII by A. M . Best, subject to approval by Indian River County's Risk Manager, of the following types and amounts of insurance : - 2 - 4 . Grant Funds and Payment . The approved Grant for the Grant Period is : FIFTY SIX THOUSAND , FOUR HUNDRED SIXTEEN DOLLARS ($56 ,416 . 00 ) . The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for the Grant Purposes provided in accordance with this Contract. Reimbursement requests may be made no more frequently than monthly. Each reimbursement request shall contain the information , at a minimum , that is set forth in Exhibit "B", attached hereto and incorporated herein by this reference . All reimbursement requests are subject to audit by the County. In addition , the County may require additional documentation of expenditures , as it deems appropriate . 5 . Additional Obligation of Recipient . 5 . 1 . Records . The Recipient shall maintain adequate internal controls in order to safeguard the Grant . In addition , the Recipient shall maintain adequate records fully to document the use of the Grant funds for at least three (3 ) years after the expiration of the Grant Period , The County shall have access to all books , records , and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense , upon five ( 5) days prior to written notice . 5 . 2 . Compliance with Laws . The Recipient shall comply at all times with all applicable federal , state , and local laws and regulations . 5 . 3 . Quarterly Performance Reports . The Recipient shall submit quarterly, cumulative , Performance Reports to the Human Services Department of the County, within fifteen ( 15) business days following : December 31 , March 31 , June 30 and September 30 . 5 .4 . Audit Requirements . If Recipient receives $25 , 000 , or more in aggregate , from all Indian River County government funding sources , the Recipient is required to have an audit completed by an independent certified public accountant at the end of the Recipient's fiscal year. Within 120 days of the end of the Recipient's fiscal year, the Recipient shall submit the audit to the Indian River County Office of Management and Budget. The fiscal year will be as reported on the application for funding , and the Recipient agrees to notify the County prior to any change in the fiscal period of Recipient . The Recipient acknowledges that the County may deny funding to any Recipient if an audit required by this Contract for the prior fiscal year is past due and has not been submitted by May 1 . 5 .4 . 1 . The Recipient further acknowledges that, promptly upon receipt of a qualified opinion from its independent auditor, such qualified opinion shall immediately be provided to the Indian River County Office of Management and Budget . The qualified opinion shall thereupon be reported to the Board of Commissioners and funding under this Contract will cease immediately. The foregoing termination right is in addition to any other right of the County to terminate the Contract . 5 .4 . 2 . The Indian River County Office of Management and Budget reserves the right at any time to send a letter to the Recipient requesting clarification if there are any questions regarding a part of the financial statements , audit comments , or notes . 5 . 5 . Insurance Requirements . Recipient shall , no later than September 21 , 2005 provide to Indian River County Risk Management Division a certificate , or certificates , issued by an insurer, or insurers , authorized to conduct business in Florida that is rated not-less-than Category A- :VII by A. M . Best, subject to approval by Indian River County's Risk Manager, of the following types and amounts of insurance : - 2 - (i ) Commercial General Liability Insurance in an amount not less than $ 1 , 000 , 000 combined single limit for bodily injury and property damage , including coverage for premises/operations , product/completed operations , contractual liability, and independent contractors ; ( ii) Business Auto Liability Insurance in an amount not less than $ 1 , 000 , 000 per occurrence combined single limit for bodily injury and property damage , including coverage for owned autos and other vehicles , hired autos and other vehicles , non -owned autos and other vehicles ; and (iii ) Worker's Compensation and Employer's Liability (current Florida statutory limit. ) . 5 . 6 . Insurance Administration . The insurance certificates , evidencing all required insurance coverages shall be fully acceptable to County in both form and content , and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30) calendar days prior written notice having been given the County. In addition , the County may request such other proofs and assurances as it may reasonable require that the insurance is and at all times remains in full force and effect. Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s ) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract . The County shall be listed as an additional insured on all insurance coverage required by this Contract, except Worker's Compensation Insurance . The Recipient shall , upon ten ( 10 ) days prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient's place of business , of any and all insurance policies that are required in this Contract . If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract, then the County may, at its sole option , terminate this Contract . 5 . 7 . Indemnification . The Recipient shall indemnify and save harmless the County, its agents , officials , and employees from and against any and all claims , liabilities , losses , damage , or causes of action which may arise from any misconduct, negligent act, or omissions of the Recipient, its agents , officers , or employees in connection with the performance of this Contract . 5 . 8 . Public Records . The Recipient agrees to comply with the provisions of Chapter 119 , Florida Statutes (Public Records Law) in connection with this Contract. 6 . Termination . This Contract may be terminated by either party, without cause , upon thirty (30) days prior written notice to the other party. In addition , the County may terminate this Contract for convenience upon ten ( 10 ) days prior written notice to the Recipient if the County determines that such termination is in the public interest . 7 . Availabilitv of Funds . The obligations of the County under this contract are subject to the availability of funds lawfully appropriated for its purpose by the Board of County Commissioners of Indian River County. 8 . Standard Terms . This Contract is subject to the standard terms attached hereto as Exhibit C and incorporated herein in its entirety by this reference . - 3 - IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date first above written . INDIAN RIVER COUNTY BOARD OF COMMISSIONERS By: 5. Thomas S . Lowther, Chairman BCC Approved : A9 f Attest: J . K . Barton , Clerk Deputy Clerk , , , , ` Approved : , Josey A. Baird County Administrator Approve s o form and legal sufficiency: By: Marian E . Fell , Assistant Cou y ttorney RECIP T : By: Substance Abuse Council of Indian River County - 4 - (i ) Commercial General Liability Insurance in an amount not less than $ 1 , 000 , 000 combined single limit for bodily injury and property damage , including coverage for premises/operations , product/completed operations , contractual liability, and independent contractors ; ( ii) Business Auto Liability Insurance in an amount not less than $ 1 , 000 , 000 per occurrence combined single limit for bodily injury and property damage , including coverage for owned autos and other vehicles , hired autos and other vehicles , non -owned autos and other vehicles ; and (iii ) Worker's Compensation and Employer's Liability (current Florida statutory limit. ) . 5 . 6 . Insurance Administration . The insurance certificates , evidencing all required insurance coverages shall be fully acceptable to County in both form and content , and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30) calendar days prior written notice having been given the County. In addition , the County may request such other proofs and assurances as it may reasonable require that the insurance is and at all times remains in full force and effect. Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s ) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract . The County shall be listed as an additional insured on all insurance coverage required by this Contract, except Worker's Compensation Insurance . The Recipient shall , upon ten ( 10 ) days prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient's place of business , of any and all insurance policies that are required in this Contract . If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract, then the County may, at its sole option , terminate this Contract . 5 . 7 . Indemnification . The Recipient shall indemnify and save harmless the County, its agents , officials , and employees from and against any and all claims , liabilities , losses , damage , or causes of action which may arise from any misconduct, negligent act, or omissions of the Recipient, its agents , officers , or employees in connection with the performance of this Contract . 5 . 8 . Public Records . The Recipient agrees to comply with the provisions of Chapter 119 , Florida Statutes (Public Records Law) in connection with this Contract. 6 . Termination . This Contract may be terminated by either party, without cause , upon thirty (30) days prior written notice to the other party. In addition , the County may terminate this Contract for convenience upon ten ( 10 ) days prior written notice to the Recipient if the County determines that such termination is in the public interest . 7 . Availabilitv of Funds . The obligations of the County under this contract are subject to the availability of funds lawfully appropriated for its purpose by the Board of County Commissioners of Indian River County. 8 . Standard Terms . This Contract is subject to the standard terms attached hereto as Exhibit C and incorporated herein in its entirety by this reference . - 3 - EXHIBIT A (Copy of complete Request for Proposal ) EXHIBIT - A - Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC PROGRAM COVER PAGE Organization Name: Substance Abuse Council of Indian River County Executive Director: Colette Heid, MS Ed. , CAPP E-mail : sacirckbellsouth. net Address: 1151 19"' Street Telephone : 772-770-4811 Vero Beach, Florida 32960 Fax : 772-770-4822 Program Director: Colette Heid E-mail : Address : Telephone : Flax: Program Ti e : PREVENT ! �{ Priority Need Area ddressed: Mental Wellness Issues )Substance Abuse Counseling LX-650. 800 (According to the Taxonomy of Human Services) Brief Description of the Program: The PREVENT! program is a 10 week individual and group counseling program that is targeted at reducing and preventing substance use/abuse among IRC youth. This program is designed to change adolescent and parental perceptions of risk vs benefits of ATOD use Additionally, this program provide community wide prevention education via the DEEP Impact- TARGET troupe- SUMMARY REPORT — (Enter Information In The Black Cells Amount Requested from Funder for 2005 / 06 : $ Total Proposed Program Budget for 2005 / 06 : $ *00 . 00 Percent of Total Program Budget : Current Program Funding ( 2004 / 05 ) : $ 603000 Dollar increase / ( decrease ) in request : $ 27500 Percent increase / ( decrease ) in request * * : 4 . 2 % Unduplicated Number of Children to be served Individually : 80 Unduplicated Number of Adults to be served Individually : 55 Unduplicated Number to be served via Group settings : 65000 Total Program Cost per Client : 10 . 19 * *If request increased 5 % or more, briefly explain why: If these funds are being used to match another source, name the source and the $ amount: The Organization 's Board of Directors has approved this application e4 27/05 Chief Hugh Cox Name of President/Chair of the Board Signature Colette Heid, CAPP, Executive Director Name of Executive Director/CEO Signature Oil 1 I IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date first above written . INDIAN RIVER COUNTY BOARD OF COMMISSIONERS By: 5. Thomas S . Lowther, Chairman BCC Approved : A9 f Attest: J . K . Barton , Clerk Deputy Clerk , , , , ` Approved : , Josey A. Baird County Administrator Approve s o form and legal sufficiency: By: Marian E . Fell , Assistant Cou y ttorney RECIP T : By: Substance Abuse Council of Indian River County - 4 - Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) 1 . a) What is the unacceptable condition requiring change? b) Who has the need ? c) Where do they live? d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. Alcohol and drug abuse continues to be the number one problem facing the youth of America. The use of mind altering chemicals has proven to be especially harmful to the adolescent growth and development process. Psychoactive drugs interfere with physical, social and emotional growth during the critical years of adolescent development. An adolescent who uses intoxicants is not only at high risk of becoming drug dependent but is also at an increased risk of dropping out of school, getting involved in crime, attempting suicide, or becoming involved in an assortment of dangerous behaviors. The prevention of adolescent drug and alcohol abuse is most likely to occur when parents, teachers, and other individuals in the community who are part of the youth ' s circle : ➢ are well informed of the harmful effects of drugs ➢ recognize behavioral changes that accompany drug use ➢ understand how drug use is encouraged and accepted in the social world of a youth. According to the 2003 PRIDE Survey of Indian River County students, IRC students continue to have incidences of substance abuse that are above national averages . Over the 14 years of data gathered, we have seen significant changes in youth usage, but our youth continue to report a high level of availability for alcohol, marijuana and other illegal drugs . Of 6th through 10d' graders, 33 . 86% also reported a perceived harm for usage of alcohol as very harmful, but continue to use alcohol at a rate of 42 .78%. (PRIDE 2003 ) . When comparing the PRIDE Survey to the Florida Substance Abuse Survey (FSAS), we see comparable rates within Indian River County. Reporting levels indicate that Indian River County youth are at the highest category for Binge Drinking, Alcohol use in the past 30 days and Marijuana use in the past 30 days . (FSAS 2004) All of this combined have made it increasingly more important for efforts to focus on behavior strategies and intervention for youth by promoting behavioral change including healthy lifestyles . (i . e . , not using drugs, alcohol, tobacco ; practicing abstinence; participating in school ; anger control with focus on alternatives to violence) With substance use/abuse intertwined with so many other high risk behaviors, early intervention must be available to specifically target the prevention education needs. a) Identify similar programs that are currently serving the needs of your targeted population ; b) Explain how these existing programs are under-serving the targeted population of your program. The Substance Abuse Council ' s program is the only program that provides comprehensive community based prevention education within Indian River County. The Mental health Association does provide the CLIP program where crisis intervention services are available but are not specifically substance abuse related. New Horizons provides Student Support Specialist in the middle schools. DATA also provides services to youth. Both these agencies work with a very small indicated population of students and can not serve the entire indicated population of youth. These youth would receive no additional program services if the PREVENT ! Program was not available . The PREVENT ! program provides no duplication of services . Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC co PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Mental Wellness Issues 2. Briefly describe program activities including location of services. PREVENT! combines outreach and group support to reach economically disadvantaged youth . These youth are ages 13 - 18 ; ✓ who have repeated failure in school and/or little commitment to school ✓ do not have a supportive environment and ✓ whose lack of decision making skills may lead them to abuse tobacco, alcohol and other drugs . The Substance Abuse Council, a not-for-profit substance abuse prevention agency, proposes to continue this project through a comprehensive range of substance abuse and educational activities for males and females with substance abuse issues. Daily program services are provided by a full time program coordinator and a licensed mental health counselor. Two different components will constitute the PREVENT ! program . The components are as follows : • Crisis Intervention and Counseling • Deep Impact-TARGET Troupe participation The first comp2nent of the PREVENT program will be comprised of Crisis Intervention/ Counseling. ✓ A total of 80 individuals will receive Crisis Intervention or counseling services . The program will be cyclical in nature, servicing approximately 15 individuals per cycle . Each treatment and education cycle will last for ten ( 10) weeks. ✓ A total of 27 families will be provided with comprehensive assessments . Evaluation of adolescents identified via psycho-socials comprehensive evaluations will be conducted. Adolescents selected from this population will also be assigned to the Crisis Intervention and Counseling component. ✓ On-going, frequent drug screening will be conducted to provide IRC juveniles and families with objective and accurate drug testing. An accurate testing program is the most objective and efficient way to establish a framework for accountability and to gauge each participant's progress. Modern technology offers highly reliable testing to determine if an individual has recently used specific drugs Substance abuse counseling and education will consist of a group therapy session a week, and one aftercare session weekly focused on relapse prevention. There will also be family workshops conducted at SAC for family members during the treatment cycle. Once the ten week cycle is completed, Aftercare will be conducted weekly. The Aftercare component is structured to focus on relapse prevention and life skills development. Behavioral Therapy for adolescents incorporates the principle that unwanted behavior can be changed by clear demonstration of the desired behavior and consistent reward of incremental steps towards achieving it. Therapeutic activities include fulfilling specific assignments, rehearsing desired behaviors, and recording and reviewing progress, with praise and privileges given for meeting assigned goals. Urine samples are collected regularly to monitor drug use. The program aims to equip the individual to gain three types of control : ✓ Stimulus Control- helps individual avoid situations associated with drug use and learn to spend more time in activities incompatible with drug use ✓ Urge Control- helps individual recognize and change thoughts, feelings, and plans that lead to drug use . ✓ Social Control- involves family members and other people important in helping individuals avoid drugs . A parent or significant other attends program sessions when possible and assists with assignments and reinforcing desired behavior. According to research studies, these type of services help adolescents become drug free and increase their ability to remain drug free after the ro am ends . Adolescents also show improvement in several other 61, r7 EXHIBIT A (Copy of complete Request for Proposal ) EXHIBIT - A - Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC areas—employment/school attendance , family relationships, depression , institutionalization, and alcohol use. Such favorable results are attributed largely to including family members in services and rewarding drug abstinence as verified by urinalysis. The second component will be Deep Impact- TARGET troupe . The Deep Impact- TARGET troupe actively develops innovative and high energy skits related to life issues they and their peers are facing . The troupe has created a collections of 35 different skits- for performances . The troupe continues to develop skits dealing with issues on substance abuse/use, dieting (anorexia and bulimia), HIV/AIDS , pregnancy and violence and will reach approximately 6 ,000 individuals. The Deep Impact- TARGET troupe members are mentors to other youth, as well as friends, family and neighbors within the community. Participants in the Deep Impact- TARGET troupe need not have any previous acting experience , just a desire to participate . In many cases, we find that high risk youth become the best performers . Their presentations via improvisation is not acting, but is real and from the heart. 80% of the youth participating in the troupe have never had any formal training in acting. 1. 3. Briefly describe how your program addresses the stated need/problem. Describe how your program follows a recognized " best practice" (see definition on page 12 of the Instructions) and provide evidence that indicates proposed strategies are effective with target population. According to Center for Substance Abuse prevention (CSAP), Selected Findings In Prevention, A Decade of Results from the Center For Substance Abuse Prevention , 1997, the findings indicate that the proposed strategies above are effective with target population. They demonstrated repeated documentation that adolescent risk perceptions were favorably impacted by reducing favorable parental , peer and community attitudes towards ATOD . The National Institute in Drug Abuse (NIDA) indicates that three decades of scientific research and clinical practice have yielded a variety of approaches to prevent drug addiction. The PREVENT ! Program incorporates those approaches into its program design. 4. List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers (this section should conform with the information in the Position Listing on the Budget Narrative Worksheet). The PREVENT program will be staffed by two Council employee and one Licensed Mental Health Counselor. The Program Coordinator assumes primary responsibility for the PREVENT ! program . An Information Specialist is also assigned to this program and will dedicates 25 % of the position ' s time to the program . The Prevent program staff has three (3) years of experience in the substance abuse prevention field with extensive background in administration. The Information Specialist has four (4) years experience and has an extensive background in program coordination and evaluation. The Licensed Mental Health Counselor holds a Masters Degree in Mental Health and is licensed by the State of Florida as a Clinical Certified Forensics Counselor with a specialty in criminal offender counseling and youthful offender counseling. 5. How will the target population be made aware of the program ? The PREVENT! program awareness was designed with the target population in mind. Many different marketing campaigns are utilized to make the community at large aware the services are available . The program is open to all residents of Indian River County. The Council promotes the use of the PREVENT! program via it' s newsletters and brochures . Law enforcement, school personnel, probation officers, student support specialist have all been briefed on the PREVENT! program. The Council also recommends the PREVENT! program to parents . Youth and families can be referred to the PREVENT! program . How will the program be accessible to target population (i.e., location, transportation, hours of operation)? The Council attempts to be very accommodating in service offering times / hours for the community. The PREVENT ! Program services occur Monday through Friday . Group sessions begin either at 4 : 30 p.m . or 6 : 30 p.m. to . accommodate work and travel schedules . Individual appointments accommodate the individual schedules . The Council office is located in Vero Beach and iso en from {o Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC D. MEASURABLE OUTCOMES (Description of Intent) Use the Measurable Outcomes orm. This desELi tiona e does not need to be included in the proposal In order to show the impact that your program is having on the target population and the community, the funders are requiring measurable outcomes . Please review the examples and summaries below to insure your understanding of what is expected. OUTCOMES : Describes what you want to achieve with the target population. Indicates the results of the services you provide, not the services you provide. Outcomes utilize action words such as maintain, increase, decrease, reduce, improve, raise and lower. ACTIVITIES : Describes the tasks that will be accomplished in the program to_achieve the results stated in the outcomes . Activities utilize action words such as complete, establish, create, provide, operate, and develop . The activities should reflect the services described in the PROGRAM DESCRIPTION C2). Use the following elements to develop your outcomes. All elements must be included: • Direction of change • Timeframe • Area of change • As measured by • Targetpopulation • Baseline: The number that you will be • Degree o chane measuring against Example 1 (Outcome) . To decrease (direction of change) number of unexcused absences (area of change) of enrolled boys and girls (target population) by 75% (degree of change) in one year (time frame) as reported by the 2003 School Board attendance records (as measured by). Baseline : 2003 School Board attendance records for enrolled boys and girls . Example 1 (Activity) : To provide anger management classes to enrolled boys and girls 2 times a week for 12 weeks . Example 2 (Outcome) : 75 % (degree of change) of youth (target population) who have participated in the academic enrichment activities (as measured by) for 6 months or more (time frame), will improve (direction of change) their scores in one or more subject area (area of change) . 25 % of participants in academic enrichment activities will maintain the initial level of performance assessed at entry. Baseline : Pre-test scores from the academic enrichment test . Example 2 (Activity) : 1 ) Provide pre and post-test exercises on the Advanced Learning System software; 2) Participants will go through the one lesson per week and be graded for 10 weeks . IMPORTANT NOTE : Keep in mind when developing your PROGRAM OUTCOMES , that if funded, this will be what you are held accountable to accomplish. Also, the PROGRAM OUTCOMES should reflect the information described in the PROGRAM NEED STATEMENT (B 1 ) . All Program Need Statements should flow from the Mission & Vision. Measurable Outcomes should be based on and measure program needs . Activities are the tasks you do that are going to influence the outcome and impact the unacceptable condition in your Program Need Statement. Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC PROGRAM COVER PAGE Organization Name: Substance Abuse Council of Indian River County Executive Director: Colette Heid, MS Ed. , CAPP E-mail : sacirckbellsouth. net Address: 1151 19"' Street Telephone : 772-770-4811 Vero Beach, Florida 32960 Fax : 772-770-4822 Program Director: Colette Heid E-mail : Address : Telephone : Flax: Program Ti e : PREVENT ! �{ Priority Need Area ddressed: Mental Wellness Issues )Substance Abuse Counseling LX-650. 800 (According to the Taxonomy of Human Services) Brief Description of the Program: The PREVENT! program is a 10 week individual and group counseling program that is targeted at reducing and preventing substance use/abuse among IRC youth. This program is designed to change adolescent and parental perceptions of risk vs benefits of ATOD use Additionally, this program provide community wide prevention education via the DEEP Impact- TARGET troupe- SUMMARY REPORT — (Enter Information In The Black Cells Amount Requested from Funder for 2005 / 06 : $ Total Proposed Program Budget for 2005 / 06 : $ *00 . 00 Percent of Total Program Budget : Current Program Funding ( 2004 / 05 ) : $ 603000 Dollar increase / ( decrease ) in request : $ 27500 Percent increase / ( decrease ) in request * * : 4 . 2 % Unduplicated Number of Children to be served Individually : 80 Unduplicated Number of Adults to be served Individually : 55 Unduplicated Number to be served via Group settings : 65000 Total Program Cost per Client : 10 . 19 * *If request increased 5 % or more, briefly explain why: If these funds are being used to match another source, name the source and the $ amount: The Organization 's Board of Directors has approved this application e4 27/05 Chief Hugh Cox Name of President/Chair of the Board Signature Colette Heid, CAPP, Executive Director Name of Executive Director/CEO Signature Oil 1 I Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all of the elements or the Measurable Outcomes Add the tasks to accomplish the Outcome(s) 1 a. To provide PREVENT ! Individual and group 1 . To decrease the number of positive drug sessions to individual and families screens among enrolled PREVENT ! participants We will provide a total of ten( 10) weekly 1 hour by 80% over a 10 weeks as reported by random individual and group sessions on various substance drug screen. abuse and resiliency skills building topics . Session Baseline: Initial drug screening results prior to admission are based upon Behavioral Therapy for Adolescent to Prevent program. Program which focuses upon increasing protective factors, decreasing risk factors, Stimulus Control , Urge Control and Social Control b. Conduct weekly random sampling of program participants following four weeks in program . 1b . To create a system of substance abuse screening, assessment and intervention for youth involved in the PREVENT ! Program . ■ Heighten the youth' s awareness to : ➢ The realities of drug use ➢ Victim awareness education ➢ Legal consequences of drug and alcohol use/possession Build external & internal protective factors of. ➢ Empowerment ➢ Boundaries & Expectations ➢ Positive values ➢ Social competency ➢ Positive Identity 2 . To increase audience knowledge of program 2 . To provide factual, current and up-to-date participants by 25 % following Deep Impact- information via Deep Impact- TARGET sessions TARGET educational presentation concerning concerning drugs and their harmful effects . drugs and their harmful effects as reported by pre/ post testing will be conducted and rated to self-disclosure on pre-testing. indicate a change in knowledge. (Baseline: Individual and group administered Pre-tests of forum participants.) 3 . To reduce self-reported high-risk behaviors 3 . To provide factual, current and up-to-date responses reported by audience participants by information via Deep Impact- TARGET educational 20% following Deep Impact- TARGET sessions concerning high-risk behaviors and resulting harmful effects . educational presentation forums . (Baseline: pre/post evaluations of the KABPs to indicate a Individual and group administered KABP [Knowledge, ■ attitude, belief and practice] of forum participants .) change in participation in high-risk behaviors . � 0 . Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC E. COLLABORATION (Entire Section E not to exceed one page) 1 . List your program ' s collaborative partners and the resources that they are providing to the program beyond referrals and support. (See individual funder requirements for inclusion of collaborative agreement letters. Collaborative Agency Resources provided to the program Indian River School District Referrals to program Mental Health Association Children ' s Home Society Referrals to program Case management of Client Progress Vero Beach School Resource Referrals to program Officers Sebastian Police Resource Officers Indian River County Sheriff' s Office 31 Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) 1 . a) What is the unacceptable condition requiring change? b) Who has the need ? c) Where do they live? d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. Alcohol and drug abuse continues to be the number one problem facing the youth of America. The use of mind altering chemicals has proven to be especially harmful to the adolescent growth and development process. Psychoactive drugs interfere with physical, social and emotional growth during the critical years of adolescent development. An adolescent who uses intoxicants is not only at high risk of becoming drug dependent but is also at an increased risk of dropping out of school, getting involved in crime, attempting suicide, or becoming involved in an assortment of dangerous behaviors. The prevention of adolescent drug and alcohol abuse is most likely to occur when parents, teachers, and other individuals in the community who are part of the youth ' s circle : ➢ are well informed of the harmful effects of drugs ➢ recognize behavioral changes that accompany drug use ➢ understand how drug use is encouraged and accepted in the social world of a youth. According to the 2003 PRIDE Survey of Indian River County students, IRC students continue to have incidences of substance abuse that are above national averages . Over the 14 years of data gathered, we have seen significant changes in youth usage, but our youth continue to report a high level of availability for alcohol, marijuana and other illegal drugs . Of 6th through 10d' graders, 33 . 86% also reported a perceived harm for usage of alcohol as very harmful, but continue to use alcohol at a rate of 42 .78%. (PRIDE 2003 ) . When comparing the PRIDE Survey to the Florida Substance Abuse Survey (FSAS), we see comparable rates within Indian River County. Reporting levels indicate that Indian River County youth are at the highest category for Binge Drinking, Alcohol use in the past 30 days and Marijuana use in the past 30 days . (FSAS 2004) All of this combined have made it increasingly more important for efforts to focus on behavior strategies and intervention for youth by promoting behavioral change including healthy lifestyles . (i . e . , not using drugs, alcohol, tobacco ; practicing abstinence; participating in school ; anger control with focus on alternatives to violence) With substance use/abuse intertwined with so many other high risk behaviors, early intervention must be available to specifically target the prevention education needs. a) Identify similar programs that are currently serving the needs of your targeted population ; b) Explain how these existing programs are under-serving the targeted population of your program. The Substance Abuse Council ' s program is the only program that provides comprehensive community based prevention education within Indian River County. The Mental health Association does provide the CLIP program where crisis intervention services are available but are not specifically substance abuse related. New Horizons provides Student Support Specialist in the middle schools. DATA also provides services to youth. Both these agencies work with a very small indicated population of students and can not serve the entire indicated population of youth. These youth would receive no additional program services if the PREVENT ! Program was not available . The PREVENT ! program provides no duplication of services . Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC co PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Mental Wellness Issues 2. Briefly describe program activities including location of services. PREVENT! combines outreach and group support to reach economically disadvantaged youth . These youth are ages 13 - 18 ; ✓ who have repeated failure in school and/or little commitment to school ✓ do not have a supportive environment and ✓ whose lack of decision making skills may lead them to abuse tobacco, alcohol and other drugs . The Substance Abuse Council, a not-for-profit substance abuse prevention agency, proposes to continue this project through a comprehensive range of substance abuse and educational activities for males and females with substance abuse issues. Daily program services are provided by a full time program coordinator and a licensed mental health counselor. Two different components will constitute the PREVENT ! program . The components are as follows : • Crisis Intervention and Counseling • Deep Impact-TARGET Troupe participation The first comp2nent of the PREVENT program will be comprised of Crisis Intervention/ Counseling. ✓ A total of 80 individuals will receive Crisis Intervention or counseling services . The program will be cyclical in nature, servicing approximately 15 individuals per cycle . Each treatment and education cycle will last for ten ( 10) weeks. ✓ A total of 27 families will be provided with comprehensive assessments . Evaluation of adolescents identified via psycho-socials comprehensive evaluations will be conducted. Adolescents selected from this population will also be assigned to the Crisis Intervention and Counseling component. ✓ On-going, frequent drug screening will be conducted to provide IRC juveniles and families with objective and accurate drug testing. An accurate testing program is the most objective and efficient way to establish a framework for accountability and to gauge each participant's progress. Modern technology offers highly reliable testing to determine if an individual has recently used specific drugs Substance abuse counseling and education will consist of a group therapy session a week, and one aftercare session weekly focused on relapse prevention. There will also be family workshops conducted at SAC for family members during the treatment cycle. Once the ten week cycle is completed, Aftercare will be conducted weekly. The Aftercare component is structured to focus on relapse prevention and life skills development. Behavioral Therapy for adolescents incorporates the principle that unwanted behavior can be changed by clear demonstration of the desired behavior and consistent reward of incremental steps towards achieving it. Therapeutic activities include fulfilling specific assignments, rehearsing desired behaviors, and recording and reviewing progress, with praise and privileges given for meeting assigned goals. Urine samples are collected regularly to monitor drug use. The program aims to equip the individual to gain three types of control : ✓ Stimulus Control- helps individual avoid situations associated with drug use and learn to spend more time in activities incompatible with drug use ✓ Urge Control- helps individual recognize and change thoughts, feelings, and plans that lead to drug use . ✓ Social Control- involves family members and other people important in helping individuals avoid drugs . A parent or significant other attends program sessions when possible and assists with assignments and reinforcing desired behavior. According to research studies, these type of services help adolescents become drug free and increase their ability to remain drug free after the ro am ends . Adolescents also show improvement in several other 61, r7 Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to accurately describe your target population including demographics (age, gender, and ethnic background) required by the funder in Section H? What are the pieces of information that qualify them for your target population ? How do you document their need for services or their "unacceptable condition requiring change" from Section Bl ? As a licensed substance abuse provider in the State of Florida, the Council is required to utilize the State of Florida, Department of Children and Families, MA-SA (Mental Health-Substance Abuse) Data Warehouse Database . Complete, detailed, but confidential information is complied an all clients who request services of the Council . The demographic information required includes but is not limited to : • Name • Living accommodations • Family composition • Address • Type of services provided • Frequency of Use • Type of services • Gender and ethnic • Length of Stay needed background • Age • Duration of services • SS # • Drug of Abuse • Age of onset In addition non-client specific data is also maintained. Time, duration, number of participants, location of service delivery and date are maintained. Client and non-client specific data are maintained in a confidential, password protected database . Additionally the Council maintains statistics on the PREVENT ! Program. Clients may access confidential Information and Referral services by the telephone, or in person. This additional information helps the Council to track new trends of use or abuse, types of drugs being used, types of services needed and provides information on the type of educational development and continuing education needed for both staff and community. 2. MEASURES : What data elements will you need to collect to show that you have achieved (or made progress toward) your Measurable Outcomes in Section D ? What tools or items are you using as measures (grades, survey scores, attendance, absences, skill levels) for your program? Are you getting baseline information from a source on your Collaboration List in Section E? Are there results from your Activities in Section D that need to be documented ? How often do you need to collect or follow-up on this data? The collection of data elements will be collected as described in section F . 1 . Client demographic information is requested of clients upon the client intake. Each client is provided a client questionnaire. The PREVENT ! Program utilizes several short term indicators to measure the impact on achievement of this program' s goals. The evaluation tools used are as follows : • Pre and Post testing - Pre test are performed to measure the audience ' s basal knowledge prior to the presentation. Following the presentation, post tests are conducted. It is possible to measure the increase in knowledge directly related to the educational presentation. Changes in attitudes, beliefs and practices take longer to manifest in the target population. It is for this reason that a KABP was designed. KABP - (Knowledge, Attitude, Beliefs and Practice) is administered prior to and again following presentations . This tool may be administered several times to the target population. This evaluation tool indicates if an impact has manifested itself into daily life, but no change in attitudes , beliefs or practices can be expected without the prevention education. 31 Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC 1 REPORTING : What will you do with this information to show that change has occurred ? How will you use or present these results to the consumer, the funder, the program, and the community? How will you use this information to improve your program ? Data is complied via computer database programs. Each staff member is responsible for the collection of his or her confidential program data. Data and statistics are shared, as the law allows, with the appropriate concerned parties Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC areas—employment/school attendance , family relationships, depression , institutionalization, and alcohol use. Such favorable results are attributed largely to including family members in services and rewarding drug abstinence as verified by urinalysis. The second component will be Deep Impact- TARGET troupe . The Deep Impact- TARGET troupe actively develops innovative and high energy skits related to life issues they and their peers are facing . The troupe has created a collections of 35 different skits- for performances . The troupe continues to develop skits dealing with issues on substance abuse/use, dieting (anorexia and bulimia), HIV/AIDS , pregnancy and violence and will reach approximately 6 ,000 individuals. The Deep Impact- TARGET troupe members are mentors to other youth, as well as friends, family and neighbors within the community. Participants in the Deep Impact- TARGET troupe need not have any previous acting experience , just a desire to participate . In many cases, we find that high risk youth become the best performers . Their presentations via improvisation is not acting, but is real and from the heart. 80% of the youth participating in the troupe have never had any formal training in acting. 1. 3. Briefly describe how your program addresses the stated need/problem. Describe how your program follows a recognized " best practice" (see definition on page 12 of the Instructions) and provide evidence that indicates proposed strategies are effective with target population. According to Center for Substance Abuse prevention (CSAP), Selected Findings In Prevention, A Decade of Results from the Center For Substance Abuse Prevention , 1997, the findings indicate that the proposed strategies above are effective with target population. They demonstrated repeated documentation that adolescent risk perceptions were favorably impacted by reducing favorable parental , peer and community attitudes towards ATOD . The National Institute in Drug Abuse (NIDA) indicates that three decades of scientific research and clinical practice have yielded a variety of approaches to prevent drug addiction. The PREVENT ! Program incorporates those approaches into its program design. 4. List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers (this section should conform with the information in the Position Listing on the Budget Narrative Worksheet). The PREVENT program will be staffed by two Council employee and one Licensed Mental Health Counselor. The Program Coordinator assumes primary responsibility for the PREVENT ! program . An Information Specialist is also assigned to this program and will dedicates 25 % of the position ' s time to the program . The Prevent program staff has three (3) years of experience in the substance abuse prevention field with extensive background in administration. The Information Specialist has four (4) years experience and has an extensive background in program coordination and evaluation. The Licensed Mental Health Counselor holds a Masters Degree in Mental Health and is licensed by the State of Florida as a Clinical Certified Forensics Counselor with a specialty in criminal offender counseling and youthful offender counseling. 5. How will the target population be made aware of the program ? The PREVENT! program awareness was designed with the target population in mind. Many different marketing campaigns are utilized to make the community at large aware the services are available . The program is open to all residents of Indian River County. The Council promotes the use of the PREVENT! program via it' s newsletters and brochures . Law enforcement, school personnel, probation officers, student support specialist have all been briefed on the PREVENT! program. The Council also recommends the PREVENT! program to parents . Youth and families can be referred to the PREVENT! program . How will the program be accessible to target population (i.e., location, transportation, hours of operation)? The Council attempts to be very accommodating in service offering times / hours for the community. The PREVENT ! Program services occur Monday through Friday . Group sessions begin either at 4 : 30 p.m . or 6 : 30 p.m. to . accommodate work and travel schedules . Individual appointments accommodate the individual schedules . The Council office is located in Vero Beach and iso en from {o Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC D. MEASURABLE OUTCOMES (Description of Intent) Use the Measurable Outcomes orm. This desELi tiona e does not need to be included in the proposal In order to show the impact that your program is having on the target population and the community, the funders are requiring measurable outcomes . Please review the examples and summaries below to insure your understanding of what is expected. OUTCOMES : Describes what you want to achieve with the target population. Indicates the results of the services you provide, not the services you provide. Outcomes utilize action words such as maintain, increase, decrease, reduce, improve, raise and lower. ACTIVITIES : Describes the tasks that will be accomplished in the program to_achieve the results stated in the outcomes . Activities utilize action words such as complete, establish, create, provide, operate, and develop . The activities should reflect the services described in the PROGRAM DESCRIPTION C2). Use the following elements to develop your outcomes. All elements must be included: • Direction of change • Timeframe • Area of change • As measured by • Targetpopulation • Baseline: The number that you will be • Degree o chane measuring against Example 1 (Outcome) . To decrease (direction of change) number of unexcused absences (area of change) of enrolled boys and girls (target population) by 75% (degree of change) in one year (time frame) as reported by the 2003 School Board attendance records (as measured by). Baseline : 2003 School Board attendance records for enrolled boys and girls . Example 1 (Activity) : To provide anger management classes to enrolled boys and girls 2 times a week for 12 weeks . Example 2 (Outcome) : 75 % (degree of change) of youth (target population) who have participated in the academic enrichment activities (as measured by) for 6 months or more (time frame), will improve (direction of change) their scores in one or more subject area (area of change) . 25 % of participants in academic enrichment activities will maintain the initial level of performance assessed at entry. Baseline : Pre-test scores from the academic enrichment test . Example 2 (Activity) : 1 ) Provide pre and post-test exercises on the Advanced Learning System software; 2) Participants will go through the one lesson per week and be graded for 10 weeks . IMPORTANT NOTE : Keep in mind when developing your PROGRAM OUTCOMES , that if funded, this will be what you are held accountable to accomplish. Also, the PROGRAM OUTCOMES should reflect the information described in the PROGRAM NEED STATEMENT (B 1 ) . All Program Need Statements should flow from the Mission & Vision. Measurable Outcomes should be based on and measure program needs . Activities are the tasks you do that are going to influence the outcome and impact the unacceptable condition in your Program Need Statement. Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC G. TIMETABLE (Section G not to exceed one page) 1 . List the major action steps, activities, or cycles of events that will occur within the program year. New programs should include any start-up planning that may occur outside the funding year. In c mpleting the timetable, review information detailed in prior sections. Month/Period Activities October 2005- June Coordinate the PREVENT ! Program Schedule 2006 Coordinate delivery and implementation of the program Coordinate the collection of program statistical data for evaluation. Post testing following program completion. December 2005 Compilation and evaluation of data for the 1St quarterly report March 2006 Compilation and evaluation of data for the 2nd quarterly report June 2006 Compilation and evaluation of data for the 3rd quarterly report September 2006 Compilation and evaluation of data for the 4th quarterly and annual report Ongoing collaboration with all collaborating agency on program progress, October 2005 - June obstacles and any other program responsibilities as they arise. 2006 Address any additional program responsibilities Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC H. PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Last` s`�cal Year Current Fiscal Year Next .scal Year Location A4 04 Budget 2004/05 Projections 2005/06 , Unduplicated Clients Unduplicated Clients Unduplicated Clients N. Indian River County - 3,062 3,062 S. Indian River County - 3,063 33063 Indian River Co. Total - 65125 6, 125 Greater Stuart - - Hobe Sound - - Indiantown - -Jensen Beach - - Palm City - - - Martin County Total - - - Fort Pierce Port Saint Lucie St. Lucie Co. Total Other Locations TOTAL SERVED - 6, 125 61125 Number of Unduplicated Clients by Age 4 � IYear Current Fiscal Year al Year: Location k AcTak003r2t10 Budget 2004/05 Paje+ctons, OOStOb Individuals Group IndividualsGroup WWII . Group . 0 to 4 - (Pre-school) 5 to 10 - (Elementary) - - - - - - 11 to 14 - (Middle) - - 37 2, 500 40 35000 15 to 18 - (High School) - - 38 2, 500 40 35125 Total Children - - 75 5 , 000 80 6, 125 19 to 59 - (Adults) - - 50 - 55 - 60 + (Seniors) - - - - - - Total Adults - - 50 - 55 - TOTAL SERVED - - 1251 5,000 1351 6, 125 .1J&� Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all of the elements or the Measurable Outcomes Add the tasks to accomplish the Outcome(s) 1 a. To provide PREVENT ! Individual and group 1 . To decrease the number of positive drug sessions to individual and families screens among enrolled PREVENT ! participants We will provide a total of ten( 10) weekly 1 hour by 80% over a 10 weeks as reported by random individual and group sessions on various substance drug screen. abuse and resiliency skills building topics . Session Baseline: Initial drug screening results prior to admission are based upon Behavioral Therapy for Adolescent to Prevent program. Program which focuses upon increasing protective factors, decreasing risk factors, Stimulus Control , Urge Control and Social Control b. Conduct weekly random sampling of program participants following four weeks in program . 1b . To create a system of substance abuse screening, assessment and intervention for youth involved in the PREVENT ! Program . ■ Heighten the youth' s awareness to : ➢ The realities of drug use ➢ Victim awareness education ➢ Legal consequences of drug and alcohol use/possession Build external & internal protective factors of. ➢ Empowerment ➢ Boundaries & Expectations ➢ Positive values ➢ Social competency ➢ Positive Identity 2 . To increase audience knowledge of program 2 . To provide factual, current and up-to-date participants by 25 % following Deep Impact- information via Deep Impact- TARGET sessions TARGET educational presentation concerning concerning drugs and their harmful effects . drugs and their harmful effects as reported by pre/ post testing will be conducted and rated to self-disclosure on pre-testing. indicate a change in knowledge. (Baseline: Individual and group administered Pre-tests of forum participants.) 3 . To reduce self-reported high-risk behaviors 3 . To provide factual, current and up-to-date responses reported by audience participants by information via Deep Impact- TARGET educational 20% following Deep Impact- TARGET sessions concerning high-risk behaviors and resulting harmful effects . educational presentation forums . (Baseline: pre/post evaluations of the KABPs to indicate a Individual and group administered KABP [Knowledge, ■ attitude, belief and practice] of forum participants .) change in participation in high-risk behaviors . � 0 . Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC E. COLLABORATION (Entire Section E not to exceed one page) 1 . List your program ' s collaborative partners and the resources that they are providing to the program beyond referrals and support. (See individual funder requirements for inclusion of collaborative agreement letters. Collaborative Agency Resources provided to the program Indian River School District Referrals to program Mental Health Association Children ' s Home Society Referrals to program Case management of Client Progress Vero Beach School Resource Referrals to program Officers Sebastian Police Resource Officers Indian River County Sheriff' s Office 31 Substance Abuse Council of Indian River County PREVENT! Children Services Advisory Committee I. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below. " Core Budget Forms " 36 Substance Abuse Council of Indian River County UNIFORM GRANT APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific Budget Forms. AGENCY/PROGRAM NAME : Substance Abuse Council of Indian River County / Ptrevent! Program FUNDER: Indian River County CSAC 1 CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should be I used for providing information and calculations only. REVENUES Proposed Total Program Budget Funder Speck Total Agency Budget Budget 1 Children's Services Council�St Lucie 0.00 0.00 0.00 2 Children's Services Council-Martin 0. 00 0 .00 0 .00 3 Advisory Committee-Indian River 627500.00 629500. 00 199 , 536 .00 4 United Way-St Lucie County 0. 00 0.00 0.00 5 United Way-Martin County 0.00 0.00 0.00 6 United Way-Indian River County 0.00 0.00 411000. 00 7 Deparbrient of Children & Families 0.00 0 .00 301000.00 8 County Funds 0.00 0.00 0.00 9 Contributions-Cash 0. 00 0 .00 75, 000.00 10 Program Fees 0.00 0.00 551000.00 11 Fund Raising Events-Net 0.00 0.00 359000.00 12 Sales to Public - Net 0.00 0 .00 10 ,000.00 13 Membership Dues 0.00 0 .00 6 ,500.00 14 Investment Income 0 .00 0.00 500 .00 15 Miscellaneous 0. 00 0.00 0.00 16 Legacies & Bequests 0 .00 0.00 0.00 17 Funds from Other Sources 0. 00 0.00 397 ,000.00 18 Reserve Funds Used for Operating 0.00 0.00 0 .00 19 I"Ind Donations (Not included in total) 0. 00 0.00 0.00 20 TOTAL REVENUES (doesn't include line 19) $62 , 500 . 00 62500.00 849 ,536.00 B C EXPENDITURES A Funder Specific Total Agency Proposed Total Program Budget Budget Budget 21 Salaries - (must complete chart on next page 34 , 915 . 00 34 ,915 . 00 331 , 536 . 00 22 FICA - Total salaries x 0. 0765 21671 .00 21671 . 00 25, 362 .50 Retirement - Annual pension for qualified 23 staff 11047.45 17047 . 45 51629 .80 Llfe/Health - 'Medica enta Short-term 24 Disab. 21100.00 21100 . 00 33 ,600.00 Workers Compensation - # employees x 25 rate - �T 450.401 450 .40 41276. 81 --- Florida Unemployment - # projected 26 employees x $7,000 x UCT-6 rate 0.00 0 . 00 0. 00 5/16/2005 Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to accurately describe your target population including demographics (age, gender, and ethnic background) required by the funder in Section H? What are the pieces of information that qualify them for your target population ? How do you document their need for services or their "unacceptable condition requiring change" from Section Bl ? As a licensed substance abuse provider in the State of Florida, the Council is required to utilize the State of Florida, Department of Children and Families, MA-SA (Mental Health-Substance Abuse) Data Warehouse Database . Complete, detailed, but confidential information is complied an all clients who request services of the Council . The demographic information required includes but is not limited to : • Name • Living accommodations • Family composition • Address • Type of services provided • Frequency of Use • Type of services • Gender and ethnic • Length of Stay needed background • Age • Duration of services • SS # • Drug of Abuse • Age of onset In addition non-client specific data is also maintained. Time, duration, number of participants, location of service delivery and date are maintained. Client and non-client specific data are maintained in a confidential, password protected database . Additionally the Council maintains statistics on the PREVENT ! Program. Clients may access confidential Information and Referral services by the telephone, or in person. This additional information helps the Council to track new trends of use or abuse, types of drugs being used, types of services needed and provides information on the type of educational development and continuing education needed for both staff and community. 2. MEASURES : What data elements will you need to collect to show that you have achieved (or made progress toward) your Measurable Outcomes in Section D ? What tools or items are you using as measures (grades, survey scores, attendance, absences, skill levels) for your program? Are you getting baseline information from a source on your Collaboration List in Section E? Are there results from your Activities in Section D that need to be documented ? How often do you need to collect or follow-up on this data? The collection of data elements will be collected as described in section F . 1 . Client demographic information is requested of clients upon the client intake. Each client is provided a client questionnaire. The PREVENT ! Program utilizes several short term indicators to measure the impact on achievement of this program' s goals. The evaluation tools used are as follows : • Pre and Post testing - Pre test are performed to measure the audience ' s basal knowledge prior to the presentation. Following the presentation, post tests are conducted. It is possible to measure the increase in knowledge directly related to the educational presentation. Changes in attitudes, beliefs and practices take longer to manifest in the target population. It is for this reason that a KABP was designed. KABP - (Knowledge, Attitude, Beliefs and Practice) is administered prior to and again following presentations . This tool may be administered several times to the target population. This evaluation tool indicates if an impact has manifested itself into daily life, but no change in attitudes , beliefs or practices can be expected without the prevention education. 31 Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC 1 REPORTING : What will you do with this information to show that change has occurred ? How will you use or present these results to the consumer, the funder, the program, and the community? How will you use this information to improve your program ? Data is complied via computer database programs. Each staff member is responsible for the collection of his or her confidential program data. Data and statistics are shared, as the law allows, with the appropriate concerned parties Substance Abuse Counci of Indian River County o N SALARIES / Gross ►► Portion !ll Funder / of Gross Annual POSITION LISTING Annual Salary of Salary on Proposed Program Specific Budget Salary Position Title / Total Hrs/wk (Agency) Requested(CIA) Example: Executive Director140 hrs 70,000.00 107000.00 51000.00 7. 14% Executive Director -40 hrs/ wk 65,000.00 0 .00 0.00 0 . 00% Prevention Program Coordinator-40 hrs / wk 42,000.00 0.00 0.00 0 . 00 % PREVENT Program Coordinator-40 hrs / wk 29,000.00 29,000.00 290000.00 0 . 00% Lifeskills Educator 1 - 33 hrs / wk/$16 27,456.00 0.00 0 .00 0 . 00% Lifeskills Educator (2) -33 hrs / wk/$13 221300.00 0.00 0.00 0 . 00% Diversion Specialist -40 hrs / wk 28,000.00 0.00 0 .00 0 . 00% Diversion Assistant 1 20 hrs/wk /$12 12,480.00 0.00 0.00 0 . 00% Information Specialist- 35 hrs / wk/ $13 233660.00 5,915.00 5 ,915.00 25 . 00 % Case Manager - 25 hrs / wk $16 .00 20, 800.00 0.00 0.00 0 . 00% Under Age Prog Coord 20hrs/ wk $15 15,600.00 0.00 0.00 0 . 00 % Lab Techician 30 hrs/ wk/ $ 13 20,280.00 0.00 0.00 0 . 00% Diversion Assistant 20 2 hrslwk /$ 12 12,480. 00 0.00 0.00 0 . 00% Diversion Assistant 20(3) hrs/wk /$12 12,480.00 0.00 0.00 0 . 00% 0.00 0.00 0 . 00% 0.00 0.00 #VALUE ! 0.00 0.00 #VALUE ! 0.00 0.00 #VALUE ! #VALUE ! #VALUE ! #VALUE ! Remaining positions throughout agency en Total Salaries $331 , 536 .001 $34 ,915.00 $34 , 915 .00 10 . 53% FRINGE BENEFITS DETAIL V V11 (Funder Speck Budget 1 Funder 11 Pension IV Worker's Unemployme Total Fringes Funder Column C only, from line 21 to 26) Specific Budget FICA 7.65% (A x %) Health Ins. Compens. nt Compens. Specific Position Tide / Total Hrs/wk Example: Qm& ManaW140hrs 5,000.00 382.50 200.00 500.00 300.00 200,001 1,582.50 Executive Director -40 hrsl wk 0 . 00 0 . 00 0.00 0.00 0 . 00 0. 0 Prevention Program Coordinator-40 hrs / wk 0.00 0 . 00 0.00 0. 00 U6 0.00 0 . 0 PREVENT Program Coordinator-40 hrs / wk 29 , 000. 00 21218. 50 11050.00 3 , 268 . 50 Lifeskilis Educator 1 ) - 33 hrs / wkl$16 0. 00 0 . 00 0.00 0.00 0.00 0 . 0 Lifeskills Educator 2 -33 hrs / wk/$13 0 .00 0 . 00 0.00 0. 00 0.00 0 . 0 Diversion Specialist -40 hrs / wk 0 . 00 0 . 00 0 . 0 Diversion Assistant 1 20 hrs/wk /$12 0. 00 0 . 00 0 . 00 Information Specialist- 30 hrs / wk/ $13 5 ,915. 00 452 . 50 177.45 1 ,050.00 76.30 0 .00 11756 . 25 Case Manager - 25 hrs / wk $ 16.00 0. 00 0 . 00 0 .0 Under Age Prog Coord 20hrs/ wk $15 0.00 0 . 00 1 0 . 0 Lab Techician 30 hrs/ wk/ $13 0. 00 0. 00 0. 0 Diversion Assistant 20 2 hrsANk /$12 0. 00 0.00 0 . 0 Diversion Assistant 20(3) hrs/wk /$ 12 0 . 00 0 . 00 0 . 0 Case Manager - 25 hrs / wk $ 16 . 00 0.00 0 . 00 0 . 0 0 . 00 0.00 0. 0 0. 00 0. 00 1 0 . 0 0.00 0 . 00 0 . 00 0.00 0 . 000 . 0 0 .00 0. 00 0 . 00 0.00 1 1 0 . 001 0. 0 To"Funder Request Fringe Benefits 34 , 915 . 00 $2 , 671 . 001177.45 $21100. 001 - - $76 . 30 0 . 00 5 , 024 .75 B C EXPENDITURES A Total Program Budget Proposed Funder Specific Total Agency Budget Budg`et 5/16/2005 � �M Substance Abuse Council of Indian River County 27 Travel-Daily 500. 00 500. 00 21 ,400 . 00 # of Staff x average # of miles/wk x 50 Wks x SWAT 310 miles a month $ = Estimated Daily Travel/Mileage Reimb. LST 385 miles a month 28 Travel/Conferences/Training 0 . 001 0 . 00 349600 . 03 • National Conference (cost per staff) FADDA registration $250 • Training/Seminar (cost per staff) Hotel $ 150 per night x 3 nights = $450 $21 Per diem per day x 3 days = $63 • Other Trainings (cost of travel, lodging , 250 miles x .29 = $72.50 registration, food) Tolls $ 15 PRIDE $9000 29 Office Supplies 1 , 000. 00 11000. 00126, 600 .00 Office supplies (monthly average x 12 Other Programs $500 a month x 12 months = $6000 months = estimated cost of office supplies $50 x 12 months for UW = based on present history. Other Programs $500 a month x 12 months = $6000 30 Telephone 0. 00 0.001 8 ,460 . 00 • # Phone lines x average cost per month x Long distance charges $ 120 per month x 12 months= 1440 12 months = local phone cost Cell phones 4 phones x $60 per line per month =240x 12 months= 2880 Average long distance calls x 12 months = Pagers $8 per month x 12 employees =96 x 12 = 1152 Estimated cost of long distance Internet connection $ 25 per month x 12 months= $300 31 Postage/Shipping 100.00 100 . 001V�v4 , 250 . 00 • Quarterly Mailing of Newsletter Bulk Mail $ 200 per month x 12 months= 2400 • Special events, etc. Bulk mail permit $300 • Bulk mailings - appeals Post office Box Rental $200 32 Utilities 0. 00 0 .00 4 , 500.00 • Electricity ($ x 12 months) • Water/Sewer ($ x 12 months) • Garbage ($ x 12 months) Utilities $375 per month x 12 months+ $4500 33 Occupancy (Building & Grounds) 61480.00 61480. 00 393000 . 00 • Mortgage/Rent ($ x 12 months) • Janitorial ($ x 12 months) • Grounds Maint ($ x 12 months) • Real Estate Taxes Rent $ 13058 a month x 12 months 36,696 Printing 8r Publications 0.001 0.001 461200.00 Quarterly Newsletter ($ x 4) Letterheads, Envelopes, etc. Fundraising materials Other 35 Subscription/Dues/Memberships; 0. 001 0 .001 1 ,000.00 • Membership to National Organization • Dues • Subscriptions to Newspapers/magazines, etc. 36 Insurance 0.00 0 .001 14,328 .00 • Directors/Officers Liab. • Commercial/General Insurance • Bond Ins. • Auto Insurance 37 Equipment:Rental & Maintenance 0 .001 0 .001 70400.00 • Copier lease ($ x 12 months) • Meter lease ($ x 12 months) • Copier Maintenance ($ x 12 months) • Computer Maintenance ( $ x 12 months) • Other 38 Advertising 500 .001 500 . 001 91000 . 00 • Newspaper ads • Fundraising ads/promotions • Other (vacancies) 39 Equipment Purchases:Capital Expense 0.00 0 .00 13 , 153. 00 • Computer/monitor (# x $) • Laser Printer 40 Professional Fees (Legal, Consulting) 0.00 0 . 001 21500. 00 • Legal advice ( estimated #hrs x $) • Consultant fees • Other 5/162005 Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC G. TIMETABLE (Section G not to exceed one page) 1 . List the major action steps, activities, or cycles of events that will occur within the program year. New programs should include any start-up planning that may occur outside the funding year. In c mpleting the timetable, review information detailed in prior sections. Month/Period Activities October 2005- June Coordinate the PREVENT ! Program Schedule 2006 Coordinate delivery and implementation of the program Coordinate the collection of program statistical data for evaluation. Post testing following program completion. December 2005 Compilation and evaluation of data for the 1St quarterly report March 2006 Compilation and evaluation of data for the 2nd quarterly report June 2006 Compilation and evaluation of data for the 3rd quarterly report September 2006 Compilation and evaluation of data for the 4th quarterly and annual report Ongoing collaboration with all collaborating agency on program progress, October 2005 - June obstacles and any other program responsibilities as they arise. 2006 Address any additional program responsibilities Substance Abuse Council of Indian River County PREVENT! Indian River County CSAC H. PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Last` s`�cal Year Current Fiscal Year Next .scal Year Location A4 04 Budget 2004/05 Projections 2005/06 , Unduplicated Clients Unduplicated Clients Unduplicated Clients N. Indian River County - 3,062 3,062 S. Indian River County - 3,063 33063 Indian River Co. Total - 65125 6, 125 Greater Stuart - - Hobe Sound - - Indiantown - -Jensen Beach - - Palm City - - - Martin County Total - - - Fort Pierce Port Saint Lucie St. Lucie Co. Total Other Locations TOTAL SERVED - 6, 125 61125 Number of Unduplicated Clients by Age 4 � IYear Current Fiscal Year al Year: Location k AcTak003r2t10 Budget 2004/05 Paje+ctons, OOStOb Individuals Group IndividualsGroup WWII . Group . 0 to 4 - (Pre-school) 5 to 10 - (Elementary) - - - - - - 11 to 14 - (Middle) - - 37 2, 500 40 35000 15 to 18 - (High School) - - 38 2, 500 40 35125 Total Children - - 75 5 , 000 80 6, 125 19 to 59 - (Adults) - - 50 - 55 - 60 + (Seniors) - - - - - - Total Adults - - 50 - 55 - TOTAL SERVED - - 1251 5,000 1351 6, 125 .1J&� Substance Abuse Cound of Indian River County 41 Books/Educational Materials 737.001 737.001 87 ,000 .00 • Books/videos • Materials ($ x staff) 42 Food & Nutrition 0 . 001 0 . 00 41213 . 85 • Meals ( # meals x clients x 5days x 50 wks) • Snacks 43 Administrative Costs 0 .001 0 .001 0.00 Admin. Cost (% of total budget) 44 Audit Expense 1 ,000 . 00 11000 .00 9 ,000.00 Independent Audit Review 45 Specific Assistance to Individuals 0. 001 0. 001 21000.00 • Medical assistance • Meals/Food • Rent Assistance • Other 46 Other/Miscellaneous 0.001 0 . 001 51 , 350.00 • Background check/drug test • Other 47 Other/Contract I I ,000 .001 111000.00 65,000. 00 Sub-contract for program services 48 TOTAL EXPENSES $62 ,500 .85 $627500 .85 $851 , 360.00 -0.85 0.00 5/162005 V EXHIBIT B ( From policy adopted by Indian River County Board of county Commissioners on February 19 , 2002 ) " D . Nonprofit Agency Responsibilities After Award Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only. All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check . Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed . If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board of Commissioners . In the event an agency provides inadequate documentation on a consistent basis , funding may be discontinued immediately. Additionally, this may adversely affect future funding requests . Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For example , no expenditures prior to October 1 " may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year and (September 30th) must be submitted on a timely basis . Each year, the Office of Management and Budget will send a letter to all nonprofit agencies advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early to mid October, since the Finance Department does not process checks for the prior fiscal year beyond that point . Each reimbursement request must include a summary of expense by type . These summaries should be broken down into salaries , benefit , supplies , contractual services , etc . If Indian River County is reimbursing an agency for only a portion of an expense (e . g . salary of an employee) , then the method for this portion should be disclosed on the summary. The Office of Management & Budget has summary forms available . Indian River County will not reimburse certain types of expenditures . These expenditure types are listed below. a ) Travel expenses for travel outside the County including but not limited to : mileage reimbursement , hotel rooms , meals , meal allowances , per diem , and tolls . Mileage reimbursement for local travel (within Indian River County) is allowable . b ) Sick or Vacation payments for employees . Since agencies may have various sick and vacation pay policies , these must be provided from other sources . c) Any expenses not associated with the provision of the program for which the County has awarded funding . d ) Any expense not outlined in the agency's funding application . The County reserves the right to decline reimbursement for any expense as deemed necessary. " EXHIBIT - B - Substance Abuse Council of Indian River County PREVENT! Children Services Advisory Committee I. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below. " Core Budget Forms " 36 Substance Abuse Council of Indian River County UNIFORM GRANT APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific Budget Forms. AGENCY/PROGRAM NAME : Substance Abuse Council of Indian River County / Ptrevent! Program FUNDER: Indian River County CSAC 1 CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should be I used for providing information and calculations only. REVENUES Proposed Total Program Budget Funder Speck Total Agency Budget Budget 1 Children's Services Council�St Lucie 0.00 0.00 0.00 2 Children's Services Council-Martin 0. 00 0 .00 0 .00 3 Advisory Committee-Indian River 627500.00 629500. 00 199 , 536 .00 4 United Way-St Lucie County 0. 00 0.00 0.00 5 United Way-Martin County 0.00 0.00 0.00 6 United Way-Indian River County 0.00 0.00 411000. 00 7 Deparbrient of Children & Families 0.00 0 .00 301000.00 8 County Funds 0.00 0.00 0.00 9 Contributions-Cash 0. 00 0 .00 75, 000.00 10 Program Fees 0.00 0.00 551000.00 11 Fund Raising Events-Net 0.00 0.00 359000.00 12 Sales to Public - Net 0.00 0 .00 10 ,000.00 13 Membership Dues 0.00 0 .00 6 ,500.00 14 Investment Income 0 .00 0.00 500 .00 15 Miscellaneous 0. 00 0.00 0.00 16 Legacies & Bequests 0 .00 0.00 0.00 17 Funds from Other Sources 0. 00 0.00 397 ,000.00 18 Reserve Funds Used for Operating 0.00 0.00 0 .00 19 I"Ind Donations (Not included in total) 0. 00 0.00 0.00 20 TOTAL REVENUES (doesn't include line 19) $62 , 500 . 00 62500.00 849 ,536.00 B C EXPENDITURES A Funder Specific Total Agency Proposed Total Program Budget Budget Budget 21 Salaries - (must complete chart on next page 34 , 915 . 00 34 ,915 . 00 331 , 536 . 00 22 FICA - Total salaries x 0. 0765 21671 .00 21671 . 00 25, 362 .50 Retirement - Annual pension for qualified 23 staff 11047.45 17047 . 45 51629 .80 Llfe/Health - 'Medica enta Short-term 24 Disab. 21100.00 21100 . 00 33 ,600.00 Workers Compensation - # employees x 25 rate - �T 450.401 450 .40 41276. 81 --- Florida Unemployment - # projected 26 employees x $7,000 x UCT-6 rate 0.00 0 . 00 0. 00 5/16/2005 EXHIBIT C STANDARD TERMS FOR GRANT CONTRACT 1 . Notices . Any notice , request, demand , consent, approval , or other communication required or permitted by this Contract shall be given , or made in writing , by any of the following methods : facsimile transmission ; hand delivery to the other party; delivery by commercial overnight courier service ; or mailed by registered or certified mail (postage prepaid ), return receipt requested at the addresses of the parties shown below: County: Joyce Johnston -Carlson , Director Indian River County Human Services 184025 th Street Vero Beach , Florida 32960-3365 Recipient : Substance Abuse Council of Indian River County 1151 19th Street Vero Beach , Florida 32960 Attention : Colette Heid , MS Ed . , CAPP , Executive Director 2 . Venue : Choice of Law. The validity, interpretation , construction , and effect of this Contract shall be in accordance with and governed by the laws of the State of Florida only. The location for settlement of any and all claims , controversies , or disputes , arising out of or relating to any part of this Contract, or any breach hereof, as well as any litigation between the parties , shall be Indian River county, Florida for claims brought in state court, and the Southern District of Florida for those claims justifiable in federal court . 3 . Entirety of Agreement. This Contract incorporates and includes all prior and contemporaneous negotiations , correspondence , conversations , agreements , and understandings applicable to the matters contained herein and the parties agree that there are no commitments , agreements , or understandings concerning the subject matter of this Contract that are not contained herein . Accordingly, it is agreed that no deviation from the terms hereof shall be predicated upon any prior representations or agreements , whether oral or written . It is further agreed that no modification , amendment or alteration in the terms and conditions contained herein shall be effective unless contained in a written document signed by both parties . 4 . Severability. In the event any provision of this Contract is determined to be unenforceable or invalid , . such unenforceability or invalidity shall not affect the remaining provisions of this Contract, and every other provision and term of this Contract shall be deemed valid and enforceable to the extent permitted by law. To that extent, this Contract is deemed severable . 5 . Captions and Interpretations Captions in this Contract are included for convenience only and are not to be considered in any construction or interpretation of this Contract or any of its provisions . Unless context indicates otherwise , words importing the singular number include the plural number, and vise versa . Words of any gender include the correlative words of the other genders , unless the sense indicates otherwise . 6 . Independent Contractor The Recipient is and shall be an independent contractor for all purposes under this Contract . The Recipient is not an agent or employee of the County, and any and all persons engaged in any of the services or activities funded in whole or in part performed pursuant to this Contract shall at all times and in all places be subject to the Recipient's sole direction , supervision and control . 7 . Assignment . This Contract may not be assigned by the Recipient without the prior written consent of the County. EXHIBIT - C - 1 it 1 . ' MLIRERS AFFORDING 1 Box "60 Progrisissive Express ( Vero Beach , FL 32961 EP Z41 - 1 r � r Aq Aji • S - • • . ♦ t • • • 1 • F . i 1II ONE 111 I1F Willi , r • 111 LII © SYr r JrI ■ ■ ♦ r r ®� • • r r 1 ■ OCCUR ■ "AM MME G. r Ell -. • ! . . a WC9547452Loyew CERMOMER 1MRli _ ' . • - � - r l t r r r . C' . . ., . r • ItIX 1 _.=11 • •7 1 Ir! r • a « 1 f - • all 1 � ; fes - 0 01 0 - ' • - •. - Substance Abuse Counci of Indian River County o N SALARIES / Gross ►► Portion !ll Funder / of Gross Annual POSITION LISTING Annual Salary of Salary on Proposed Program Specific Budget Salary Position Title / Total Hrs/wk (Agency) Requested(CIA) Example: Executive Director140 hrs 70,000.00 107000.00 51000.00 7. 14% Executive Director -40 hrs/ wk 65,000.00 0 .00 0.00 0 . 00% Prevention Program Coordinator-40 hrs / wk 42,000.00 0.00 0.00 0 . 00 % PREVENT Program Coordinator-40 hrs / wk 29,000.00 29,000.00 290000.00 0 . 00% Lifeskills Educator 1 - 33 hrs / wk/$16 27,456.00 0.00 0 .00 0 . 00% Lifeskills Educator (2) -33 hrs / wk/$13 221300.00 0.00 0.00 0 . 00% Diversion Specialist -40 hrs / wk 28,000.00 0.00 0 .00 0 . 00% Diversion Assistant 1 20 hrs/wk /$12 12,480.00 0.00 0.00 0 . 00% Information Specialist- 35 hrs / wk/ $13 233660.00 5,915.00 5 ,915.00 25 . 00 % Case Manager - 25 hrs / wk $16 .00 20, 800.00 0.00 0.00 0 . 00% Under Age Prog Coord 20hrs/ wk $15 15,600.00 0.00 0.00 0 . 00 % Lab Techician 30 hrs/ wk/ $ 13 20,280.00 0.00 0.00 0 . 00% Diversion Assistant 20 2 hrslwk /$ 12 12,480. 00 0.00 0.00 0 . 00% Diversion Assistant 20(3) hrs/wk /$12 12,480.00 0.00 0.00 0 . 00% 0.00 0.00 0 . 00% 0.00 0.00 #VALUE ! 0.00 0.00 #VALUE ! 0.00 0.00 #VALUE ! #VALUE ! #VALUE ! #VALUE ! Remaining positions throughout agency en Total Salaries $331 , 536 .001 $34 ,915.00 $34 , 915 .00 10 . 53% FRINGE BENEFITS DETAIL V V11 (Funder Speck Budget 1 Funder 11 Pension IV Worker's Unemployme Total Fringes Funder Column C only, from line 21 to 26) Specific Budget FICA 7.65% (A x %) Health Ins. Compens. nt Compens. Specific Position Tide / Total Hrs/wk Example: Qm& ManaW140hrs 5,000.00 382.50 200.00 500.00 300.00 200,001 1,582.50 Executive Director -40 hrsl wk 0 . 00 0 . 00 0.00 0.00 0 . 00 0. 0 Prevention Program Coordinator-40 hrs / wk 0.00 0 . 00 0.00 0. 00 U6 0.00 0 . 0 PREVENT Program Coordinator-40 hrs / wk 29 , 000. 00 21218. 50 11050.00 3 , 268 . 50 Lifeskilis Educator 1 ) - 33 hrs / wkl$16 0. 00 0 . 00 0.00 0.00 0.00 0 . 0 Lifeskills Educator 2 -33 hrs / wk/$13 0 .00 0 . 00 0.00 0. 00 0.00 0 . 0 Diversion Specialist -40 hrs / wk 0 . 00 0 . 00 0 . 0 Diversion Assistant 1 20 hrs/wk /$12 0. 00 0 . 00 0 . 00 Information Specialist- 30 hrs / wk/ $13 5 ,915. 00 452 . 50 177.45 1 ,050.00 76.30 0 .00 11756 . 25 Case Manager - 25 hrs / wk $ 16.00 0. 00 0 . 00 0 .0 Under Age Prog Coord 20hrs/ wk $15 0.00 0 . 00 1 0 . 0 Lab Techician 30 hrs/ wk/ $13 0. 00 0. 00 0. 0 Diversion Assistant 20 2 hrsANk /$12 0. 00 0.00 0 . 0 Diversion Assistant 20(3) hrs/wk /$ 12 0 . 00 0 . 00 0 . 0 Case Manager - 25 hrs / wk $ 16 . 00 0.00 0 . 00 0 . 0 0 . 00 0.00 0. 0 0. 00 0. 00 1 0 . 0 0.00 0 . 00 0 . 00 0.00 0 . 000 . 0 0 .00 0. 00 0 . 00 0.00 1 1 0 . 001 0. 0 To"Funder Request Fringe Benefits 34 , 915 . 00 $2 , 671 . 001177.45 $21100. 001 - - $76 . 30 0 . 00 5 , 024 .75 B C EXPENDITURES A Total Program Budget Proposed Funder Specific Total Agency Budget Budg`et 5/16/2005 � �M Substance Abuse Council of Indian River County 27 Travel-Daily 500. 00 500. 00 21 ,400 . 00 # of Staff x average # of miles/wk x 50 Wks x SWAT 310 miles a month $ = Estimated Daily Travel/Mileage Reimb. LST 385 miles a month 28 Travel/Conferences/Training 0 . 001 0 . 00 349600 . 03 • National Conference (cost per staff) FADDA registration $250 • Training/Seminar (cost per staff) Hotel $ 150 per night x 3 nights = $450 $21 Per diem per day x 3 days = $63 • Other Trainings (cost of travel, lodging , 250 miles x .29 = $72.50 registration, food) Tolls $ 15 PRIDE $9000 29 Office Supplies 1 , 000. 00 11000. 00126, 600 .00 Office supplies (monthly average x 12 Other Programs $500 a month x 12 months = $6000 months = estimated cost of office supplies $50 x 12 months for UW = based on present history. Other Programs $500 a month x 12 months = $6000 30 Telephone 0. 00 0.001 8 ,460 . 00 • # Phone lines x average cost per month x Long distance charges $ 120 per month x 12 months= 1440 12 months = local phone cost Cell phones 4 phones x $60 per line per month =240x 12 months= 2880 Average long distance calls x 12 months = Pagers $8 per month x 12 employees =96 x 12 = 1152 Estimated cost of long distance Internet connection $ 25 per month x 12 months= $300 31 Postage/Shipping 100.00 100 . 001V�v4 , 250 . 00 • Quarterly Mailing of Newsletter Bulk Mail $ 200 per month x 12 months= 2400 • Special events, etc. Bulk mail permit $300 • Bulk mailings - appeals Post office Box Rental $200 32 Utilities 0. 00 0 .00 4 , 500.00 • Electricity ($ x 12 months) • Water/Sewer ($ x 12 months) • Garbage ($ x 12 months) Utilities $375 per month x 12 months+ $4500 33 Occupancy (Building & Grounds) 61480.00 61480. 00 393000 . 00 • Mortgage/Rent ($ x 12 months) • Janitorial ($ x 12 months) • Grounds Maint ($ x 12 months) • Real Estate Taxes Rent $ 13058 a month x 12 months 36,696 Printing 8r Publications 0.001 0.001 461200.00 Quarterly Newsletter ($ x 4) Letterheads, Envelopes, etc. Fundraising materials Other 35 Subscription/Dues/Memberships; 0. 001 0 .001 1 ,000.00 • Membership to National Organization • Dues • Subscriptions to Newspapers/magazines, etc. 36 Insurance 0.00 0 .001 14,328 .00 • Directors/Officers Liab. • Commercial/General Insurance • Bond Ins. • Auto Insurance 37 Equipment:Rental & Maintenance 0 .001 0 .001 70400.00 • Copier lease ($ x 12 months) • Meter lease ($ x 12 months) • Copier Maintenance ($ x 12 months) • Computer Maintenance ( $ x 12 months) • Other 38 Advertising 500 .001 500 . 001 91000 . 00 • Newspaper ads • Fundraising ads/promotions • Other (vacancies) 39 Equipment Purchases:Capital Expense 0.00 0 .00 13 , 153. 00 • Computer/monitor (# x $) • Laser Printer 40 Professional Fees (Legal, Consulting) 0.00 0 . 001 21500. 00 • Legal advice ( estimated #hrs x $) • Consultant fees • Other 5/162005 Substance Abuse Cound of Indian River County 41 Books/Educational Materials 737.001 737.001 87 ,000 .00 • Books/videos • Materials ($ x staff) 42 Food & Nutrition 0 . 001 0 . 00 41213 . 85 • Meals ( # meals x clients x 5days x 50 wks) • Snacks 43 Administrative Costs 0 .001 0 .001 0.00 Admin. Cost (% of total budget) 44 Audit Expense 1 ,000 . 00 11000 .00 9 ,000.00 Independent Audit Review 45 Specific Assistance to Individuals 0. 001 0. 001 21000.00 • Medical assistance • Meals/Food • Rent Assistance • Other 46 Other/Miscellaneous 0.001 0 . 001 51 , 350.00 • Background check/drug test • Other 47 Other/Contract I I ,000 .001 111000.00 65,000. 00 Sub-contract for program services 48 TOTAL EXPENSES $62 ,500 .85 $627500 .85 $851 , 360.00 -0.85 0.00 5/162005 V EXHIBIT B ( From policy adopted by Indian River County Board of county Commissioners on February 19 , 2002 ) " D . Nonprofit Agency Responsibilities After Award Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only. All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check . Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed . If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board of Commissioners . In the event an agency provides inadequate documentation on a consistent basis , funding may be discontinued immediately. Additionally, this may adversely affect future funding requests . Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For example , no expenditures prior to October 1 " may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year and (September 30th) must be submitted on a timely basis . Each year, the Office of Management and Budget will send a letter to all nonprofit agencies advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early to mid October, since the Finance Department does not process checks for the prior fiscal year beyond that point . Each reimbursement request must include a summary of expense by type . These summaries should be broken down into salaries , benefit , supplies , contractual services , etc . If Indian River County is reimbursing an agency for only a portion of an expense (e . g . salary of an employee) , then the method for this portion should be disclosed on the summary. The Office of Management & Budget has summary forms available . Indian River County will not reimburse certain types of expenditures . These expenditure types are listed below. a ) Travel expenses for travel outside the County including but not limited to : mileage reimbursement , hotel rooms , meals , meal allowances , per diem , and tolls . Mileage reimbursement for local travel (within Indian River County) is allowable . b ) Sick or Vacation payments for employees . Since agencies may have various sick and vacation pay policies , these must be provided from other sources . c) Any expenses not associated with the provision of the program for which the County has awarded funding . d ) Any expense not outlined in the agency's funding application . The County reserves the right to decline reimbursement for any expense as deemed necessary. " EXHIBIT - B - EXHIBIT C STANDARD TERMS FOR GRANT CONTRACT 1 . Notices . Any notice , request, demand , consent, approval , or other communication required or permitted by this Contract shall be given , or made in writing , by any of the following methods : facsimile transmission ; hand delivery to the other party; delivery by commercial overnight courier service ; or mailed by registered or certified mail (postage prepaid ), return receipt requested at the addresses of the parties shown below: County: Joyce Johnston -Carlson , Director Indian River County Human Services 184025 th Street Vero Beach , Florida 32960-3365 Recipient : Substance Abuse Council of Indian River County 1151 19th Street Vero Beach , Florida 32960 Attention : Colette Heid , MS Ed . , CAPP , Executive Director 2 . Venue : Choice of Law. The validity, interpretation , construction , and effect of this Contract shall be in accordance with and governed by the laws of the State of Florida only. The location for settlement of any and all claims , controversies , or disputes , arising out of or relating to any part of this Contract, or any breach hereof, as well as any litigation between the parties , shall be Indian River county, Florida for claims brought in state court, and the Southern District of Florida for those claims justifiable in federal court . 3 . Entirety of Agreement. This Contract incorporates and includes all prior and contemporaneous negotiations , correspondence , conversations , agreements , and understandings applicable to the matters contained herein and the parties agree that there are no commitments , agreements , or understandings concerning the subject matter of this Contract that are not contained herein . Accordingly, it is agreed that no deviation from the terms hereof shall be predicated upon any prior representations or agreements , whether oral or written . It is further agreed that no modification , amendment or alteration in the terms and conditions contained herein shall be effective unless contained in a written document signed by both parties . 4 . Severability. In the event any provision of this Contract is determined to be unenforceable or invalid , . such unenforceability or invalidity shall not affect the remaining provisions of this Contract, and every other provision and term of this Contract shall be deemed valid and enforceable to the extent permitted by law. To that extent, this Contract is deemed severable . 5 . Captions and Interpretations Captions in this Contract are included for convenience only and are not to be considered in any construction or interpretation of this Contract or any of its provisions . Unless context indicates otherwise , words importing the singular number include the plural number, and vise versa . Words of any gender include the correlative words of the other genders , unless the sense indicates otherwise . 6 . Independent Contractor The Recipient is and shall be an independent contractor for all purposes under this Contract . The Recipient is not an agent or employee of the County, and any and all persons engaged in any of the services or activities funded in whole or in part performed pursuant to this Contract shall at all times and in all places be subject to the Recipient's sole direction , supervision and control . 7 . Assignment . This Contract may not be assigned by the Recipient without the prior written consent of the County. EXHIBIT - C - 1 it 1 . ' MLIRERS AFFORDING 1 Box "60 Progrisissive Express ( Vero Beach , FL 32961 EP Z41 - 1 r � r Aq Aji • S - • • . ♦ t • • • 1 • F . i 1II ONE 111 I1F Willi , r • 111 LII © SYr r JrI ■ ■ ♦ r r ®� • • r r 1 ■ OCCUR ■ "AM MME G. r Ell -. • ! . . a WC9547452Loyew CERMOMER 1MRli _ ' . • - � - r l t r r r . C' . . ., . r • ItIX 1 _.=11 • •7 1 Ir! r • a « 1 f - • all 1 � ; fes - 0 01 0 - ' • - •. -