Community Prevention and Wellness Initiative (CPWI)

Community Prevention and Wellness Initiative (CPWI) Training Project Funding Request Form

February 10, 2016

The Washington State Department of Social and Health Services, Division of Behavioral Health and Recovery (DSHS/DBHR) intends to provide Dedicated Marijuana Account (DMA) Prevention Program Training Project funding to current Community Prevention and Wellness Initiative (CPWI) Community Coalitions in Washington State to provide trainings for select* evidence-based, research-based and promising substance abuse prevention programs from the menu below. Trainings must be completed by June 30, 2016.

This funding is for CPWI Contractors only. CPWI Contractors can request funding to support one or more trainings from the menu below, up to $12,000 each (if the cost of the training exceeds $12,000 please note that in your request). DBHR reserves the right to negotiate with applicants for project scope and funding amounts. Successful requests will complete the questions below and provide a clear budget of all training related costs. Not all requests will be funded. CPWI Training Project selection will be based on consideration of the following: when the training is scheduled, geographic location - to provide training distribution state-wide, reach to diverse populations, and date and time requests are received by DBHR. DBHR encourages CPWI Contractors to collaborate with other CPWI Contractors and community partners in their area.

First review of requests and selection will begin on February 19, 2016. CPWI Contractors may continue to submit requests after February 18, 2016, however, these requests will be reviewed and funded as funds are available.

Interested CPWI Contractors should submit the following information via email to [email protected]. Please copy the contractor contact identified on your Prevention Services Contract in your email.

Questions? E-mail Julee Christianson at [email protected].

Please answer the following questions:

a) CPWI Community Coalition name: b) Coalition Coordinator name: c) Coalition Coordinator e-mail address: d) Coalition Coordinator phone number: e) Which do you plan to implement? Facilitator Training Training of Trainers

CPWI Training Project Funding Request February 2016 Page 1 f) Are you planning to collaborate with another coalition or community partner? Yes No If yes, who do you plan to collaborate with? g) How many people will be trained? h) When will the training(s) be? i) Total dollar amount requested for training(s)? j) If the total cost of the training(s) is more than $12,000, please identify what other funds will be used and the amount.

Submit a brief budget outline of anticipated training costs per training requested (template attached).

Please check the program(s) from the list below that you would like to request CPWI Training Project funds for:

Evidence-Based & Research-Based Programs Good Behavior Game Lions Quest Skills for Adolescence

Guiding Good Choices Project Northland

Incredible Years Project STAR

Keepin it REAL SPORT Prevention Plus Wellness

LifeSkills Training – Middle School Strengthening Families Program: For Parents and Youth 10-14 (Iowa version)

Promising Programs Athletes Training & Learning to Positive Action

Avoid Steroids (ATLAS) Project Towards No Drug Abuse

Communities that Care PROSPER

Curriculum-Based Support Group Raising Healthy Children (using SSDP model)

(CBSG) Program Familias Unidas Strong African American Families

Teen Intervene

Environmental Strategies (Promising Programs) Policy Review and Development Restrictions at Community Events Social Norms Marketing

Purchase Surveys coupled with Reward and Reminder

*Please note some programs from the original Prevention Programs and Practices for Youth Marijuana Use Prevention list for DMA CPWI Prevention Enhancement Services are not listed in this opportunity.

CPWI Training Project Funding Request February 2016 Page 2