HomeMy WebLinkAboutMINUTES - 09141993 - 1.89 TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services DirectorContra
By: Elizabeth A. Spooner, Contracts AdministratorCoS}a
DATE: September 1, 1993 Cou� ty
SUBJECT: Approve submission of Funding Application #29-482 to the U.S.
Department of Health and Human Services for the Healthy TIES
Adolescent Treatment Project
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve submission of Funding Application #29-482 to the U. S. Depart-
ment of Health and Human Services, in the amount of $573 , 256, for the
period from September 30, 1993 through September 29, 1994, for the
Healthy TIES (Treatment, Intervention, Education and Socialization)
Adolescent Treatment Project.
II. FINANCIAL IMPACT:
Approval of this application by the U. S. Department of Health and
Human Services will result in $573 , 256 for the first year of a three-
year Healthy TIES Adolescent Treatment Project. No County funds are
required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
The Center for Substance Abuse Treatment (CSAT) has announced a
continuation of its Critical Populations Demonstration Grant Program
to expand the availability of high quality treatment services for
individuals who suffer from alcohol and drug problems.
The Healthy TIES Project is an effort to expand the delivery of
innovative services to County's adolescent residents who have an
identified substance abuse problem and are currently seeking substance
abuse treatment through a variety of community-based organizations.
In order to meet the deadline for submission, the application has been
forwarded to the U. S. Department of Health and Human Services, but
subject to Board approval. Three certified copies of the Board Order
authorizing submission of the application should be returned to the
Contracts and Grants Unit.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENATI N OF BOARD/CO MITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON SE 1 4 NOR APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
Contact: Chuck Deutschman (313-6350) OF SUPERVISORS ON THE DATE SHOWN.
SEP 14 1993
CC: Health Services (Contracts) ATTESTED
Auditor-Controller (Claims) Phil Batchelor, Clerk of the Board of
U.S. Dept. of Health & Human Services SupeNi;itIl �AdrAd�n
M3e2/7-83 BY i
, DEPUTY
Deutschman (Healthy TIES), California
OMd Approval MM 03444M
APPLICATION FOR L OAT!SUBBaTTEO Applicant Identifier
FEDERAL.ASSISTANCE . June 16 1993 527-78-5675
1. TYPE OF SUBMISSION: 3.DATE RECEIVED aV STATE State Application Identifier
Application Prestpplicafion
❑ Construction ❑.Construction
a.DATE RECEIVED 9V FEDERAL AGENCY Federal Identifier
Non-Construction ❑ Non-Construction
s APPLICANT INFORMATION
Legal Name: Organizational Urot:
D S .
Address(give city:.-county.state.and zip code): Name and telephone number of the person to be contacted on matters involving
595 Center Avenue, Suite 200
this application (give area code)
Martinez, CA 94533 same
510— 313-6350 2 g - 4 g 2 ;
S. EMPLOYER IDENTIFICATION NUMBER IEINI: 7. TYPE OF APPLICANT:(enter appropriate letter to box)
9 4 — 2 5 2 0 8 4 0 A. state H Independent School Dist.
B. County 1. State Controlled Institution of Higher Learning
L TYPE OF APPLICATICW C. Municipal J. Private University
0. Township K. Indian Tribe
® New ❑ Continuation ❑ Revision E. Interstate L. Individual
F. Intermumapat M Profit Organization
If Revision.enter appropriate letter(s)in box(es): ❑ ❑ G.Special District N.Other(Specify).
A.'ncrease Award B.Decrease Award C.Increase Duration
0.Decrease Duration Other(speaty): f. NAME OF FEDERAL AGENCY:
Center for Substance Abuse Treatment
10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT.
ASSISTANCE NUMBER: AS 9 3 .L 0 1 2 A
TITLE- Critical Populations—Adolescents Healthy TIES
12. AREAS AFFECTED BY PROJECT(citieS.courif iliX States.silicj
California, Contra Costa County
13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF.
Start Date Ending Date a.Applicant b.P•olect
9/30/93 9/29/96 07th 07th and 08th
13.ESTIMATED FUNDING: 1s.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
s YES. THIS PREAPPLICATIOWAPPLICATION WAS MADE AVAILABLE TO THE
a. Federal :
573,256 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON
b. Applicant s 0 .00 DATE June 19, 1993
c State f .00
b NO. ❑ PROGRAM IS NOT COVERED BY E.O. 12372
d Local f .00
16,000 ❑ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW
e.Other f .00
t Program Income S .00 17. 13 THE APPLICANT DEUNOUENT ON ANY FEDERAL DEBT?
20.000
q TOTAL f .00 C3Yes If'Yes.'attach an mptanatton. ® No
609,256
1e. i0 THE BEST OF MY KNOWLEDGE AND BELIEF.ALL DATA IN THIS APPLICATIONNREAYPUCATWN ARE TRUE AND CORRECT,THE DOCUMENT HAS BEEN DULY
AUTHORIZED SY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED
a. Typed Name of Authorized Representative b Title c Teleonone number
d signaturw
At Authorized Reorese alivea Oate Sgnea
JI
June 14, 1993
I
•evUUi�oWOnS`lot USd01e Jed +_V 1481
1
INSTRUCTIONS FOR THE SF 424
This is a standard form used by applicants as a required facesheet for preapplications and applications submitted
for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have
established a review and comment procedure in response to Executive Order 12372 and have selected the program
to be included in their process,have been given an opportunity to review the applicant's submission.
Item: Entry: Item: Entry:
1. Self-explanatory. 12. List only the largest political entities affected
2. Date application submitted to Federal agency(or (e.g.,State,counties,cities).
State if applicable) & applicant's control number
13. Self-explanatory.
(if applicable).
3. State use only(if applicable). 14. List the applicant's Congressional District and
4. If this application is to continue or revise an any District(s)affected by the program or project.
existing award, enter present Federal identifier 15. Amount requested or to be contributed during
number. If for a new project,leave blank. the first funding;/budget period by each
5. Legal name of applicant, name of primary contributor. Value of in-kind contributions
organizational unit which will undertake the should be included on appropriate lines as
assistance activity, complete address of the applicable. If the action will result in a dollar
applicant,and name and telephone number of the change to an existing award, indicate only the
person to contact on matters related to this amount of the change. For decreases, enclose the
application. amounts in parentheses. If both basic and
6. Enter Employer Identification Number (EIN) as supplemental amounts are included, show
assigned by the Internal Revenue Service. breakdown on an Lt..ached sheet. For multiple
program funding,use totals and show breakdown
7. Enter the appropriate letter in the space using same categories as item 15.
provided.
8. Check appropriate box and enter appropriate 16. Applicants should contact the State Single Point
letter(s)in the space(s)provided: of Contact (SPDC) for Federal Executive Order
12372 to determine whether the application is
—"New"means a new assistance award. subject to the State intergovernmental review
—"Continuation"means an extension for an process.
additional funding(budget period for a project
with a projected completion date. 17. This question applies to the applicant organi-
-"Revision"means any change in the Federal zation, not the person who signs as the
Government's financial obligation or authorized representative. Categories of debt
contingent liability from an existing include delinquent audit disallowances, loans
obligation. and taxes.
9. Name of Federal agency from which assistance is
being requested with this application. 18. To be signed by the authorized representative of
the applicant. A copy of the governing body's
10. Use the Catalog of Federal Domestic Assistance authorization for you to sign this application as
number and title of the program under which official representative must be on file in the
assistance is requested. applicant's office. (Certain Federal agencies may
11. Enter a brief descriptive title of the project, if require that this authorization be submitted as
more than one program is involved, you should part of the application.)
append an explanation on a separate sheet. If
appropriate (e.g., construction or real property
projects), attach a map showing project location.
For preapplications, use a separate sheetto
provide a summary description of this project.
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g agency in assuring
10. Will comply, if applicable, with flood insurance ..'.' 13 Will assist the awardin
purchase requirements of Section 102(a) of the compliance with Section 106 of the National
Flood Disaster Protection Act of 1973(P.L.93-234) Historic Preservation Act of 1966, as amended(16
which requires recipients in a special flood hazard U.S.C. 470), EO 11593 (identification and
area to participate in the program andto purchase protection of historic properties), and the
flood insurance if the total cost of insurable Archaeological and Historic Preservation Act of
construction and acquisition is$10,000 or more. 1974(16 U.S.C.469a-1 et seq.).
11. Will.comply with environmental standards which 14. Will comply with P.L. 93-348 regarding the
may be prescribed pursuant to the following: (a) protection of human subjects involved in research,
institution of environmental quality control development, and related activities supported by
measures=-under the National Environmental this award of assistance.
Policy Act.of 1969 (P.L. 91-190) and Executive 15. Will comply with the Laboratory Animal Welfare
Order (EO) 11514; (b) notification of violating Act of 1966 (P.L. 89-544, as amended, 7 U.S.C.
facilities pursuant to EO 11738; (c) protection of 2131 et seq.) pertaining to the care, handling, and
wetlands pursuant to EO 11990; (d) evaluation of treatment of warm blooded animals held for
flood hazards in floodplains in accordance with EO research,teaching,or other activities supported by
11988; (e)assurance of project consistency with this award of assistance.
the approved State management program
developed under the Coastal Zone Management 16. Will comply with the Lead-Based Paint Poisoning
Act of 1972 (16 U.S.C. §§ 1451 et seq.); (f) Prevention Act (42 U.S.C. §§ 4801 et seq.) which
conformity of Federal actions to State (Clear Air) prohibits the use of lead based paint in
Implementation Plans under Section 176(c) of the construction or rehabilitation of residence
Clear Air Act of 1955, as amended (42 U.S.C. § structures.
7401 et seq.);(g)protection of underground sources 17 Will cause to be performed the required financial
of drinking water under the Safe Drinking Water and compliance audits in accordance with the
Act of 1974, as amended, (P.L. 93-523); and (h) Single Audit Act of 1984.
protection of endangered species under the
Endangered Species Act of 1973,as amended,(P.L. 18. Will comply with all applicable requirements of all
93-205). other Federal laws, executive orders, regulations
12. Will comply with the Wild and Scenic Rivers Act and policies governing this program.
of 1968 (16 U.S.C. §§ 1271 et seq.) related to
protecting components or potential components of
the national wild and scenic rivers system.
SIGNATOR OF AUTHORIZED CERT ING OFFICIAL TITLE
Health Services Director
APPLICANT ORGANIZATION DATE SU8MITTED
Health Services Department, Substance Abuse Division June 16, 1993
SF 4248 (4.881 Sack
5
Deutschman (Heali:hy TIES), California
CUB Approval No.0344-OW
ASSURANCES —NON—CONSTRUCTION PROGRAMS
Note: .Certain of these assurances may not be applicable to your project or program. If you have questions,
please contact the awarding agency.Further,certain Federal awaiding agencies may require applicants
to certify to additional assurances.If such is the case,you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal (e)the Drug Abuse Office and Treatment Act of
assistance, and the institutional, managerial and 1972 (P.L. 92-255), as amended, relating to
financial capability (including funds sufficient to nondiscrimination on the basis of drug abuse; (f)
pay the non-Federal share of project costs) to the Comprehensive Alcohol Abuse and Alcoholism
ensure proper planning, management and com- Prevention, Treatment and Rehabilitation Act of
pletion of the project described in this application. 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
2. Will give the awarding agency, the Comptroller alcoholism;(g) §§ 523 and 527 of the Public Health
General of the United States, and if appropriate, Service Act of 191.2(42 U.S.C.290 dd-3 and 290 ee-
the State, through any authorized representative, 3), as amended, relating to confidentiality of
access to and the right to examine all records, alcohol and drug abuse patient records; (h) Title
books, papers,or documents related to the award; VIII of the Civil Rights Act of 1968 (42 U.S.C. §
and will establish a proper accounting system in 3601 et seq.), as amended, relating to non-
accordance with generally accepted accounting discrimination inthe sale, rental or financing of
standards or agency directives.
housing; (i) any other nondiscrimination
3. Will establish safeguards to prohibit employees provisions 'in the specific statute(s) under which
from using their positions for a purpose that application for Federal assistance is being made.
constitutes or presents the appearance of personal and Q) the requirements of any other
or organizational conflict of interest, or personal nondiscrimination statute(s) which may apply to
gain. the application.
4. Will initiate and complete the work within the 7. Will comply, or has already complied, with the
applicable time frame after receipt of approval of requirements of Titles II and III of the Uniform
the awarding agency. Relocation Assistance and Real Property
5. Will comply with. the Intergovernmental Acquisition Policies Act of 1970 (P.L. 91-646)
Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) Which provide for fair and equitable treatment of
relating to prescribed standards for merit systems persons displaced or whose property is acquired as
for programs funded under one of the nineteen a result of Federal or federally assisted programs.
statutes or regulations specified in Appendix A of These requirements apply to all interests in real
OPM's Standards for a Merit System of Personnel property acquired for project purposes regardless
Administration(5 C.F.R.900,Subpart F). of Federal participation in purchases.
6. Will comply with all Federal statutes relating to 8. Will comply with the provisions of the Hatch Act
nondiscrimination. These include but are not (5 U.S.C. §§ 1501.-1508 and 7324-7328)which limit
limited to: (a) Title VI of the Civil Rights,.Act of the political activities of employees whose
1964 (P.L. 88-352) which prohibits discrimination principal 'employment activities are funded in
on the basis of race, color or national origin; (b) whole or in part with Federal funds.
Title IX of the Education Amendments of 1972, as 9. Will comply,as applicable, with the provisions of
amended(20 U.S.C. §§ 1681-1683,and 1685-1686), the Davis-Bacon Act (40 U.S.C. §§ 276a to 276a-
which prohibits discrimination on the basis of sex; 7), the Copeland Act (40 U.S.C. § 276c and 18
(c)Section 504 of the Rehabilitation Act of 1973,as U.S.C. §§874),and the Contract Work Hours and
amended (29 U.S.C. § 794), which prohibits dis- Safety Standards Act (40 U.S.C. §§ 327-333),
crimination on the basis of handicaps; (d)the Age regarding labor standards for federally assisted
Discrimination Act of 1975, as amended (42 construction su.bagreements.
U.S.C.§§ 6101-6107), which prohibits discrim-
ination on the basis of age;
Standard Focm 4248 11-831
Prescribed by OMe Circular .;•+02
1
Deutschman (Healthy TIES), California
Page 18 PA5S161-)lt(fl'9Zj"•`�
(1) Taking appropriate personnel action against (2) If any funds other than Federally appropriated
such an employee, up to and including ter- funds have been paid or will be paid to any
mination; or person for influencing or attempting to influence
(2) Requiring such employee to participate satis- an officer or employee of any agency, a Mem-
factorily in a drug abuse assistance or reha- ber of Congress, an officer or employee of Con-
bilitation program approved for such pur- grecs, or an employee of a Member of Congress
poses by a Federal, State, or local health, in connection with this Federal contract, grant,
law enforcement, or other appropriate loan, or cooperative agreement, the undersigned
agency; shall complete and submit Standard Form-LU,
(g) Malang a good faith effort to continue to main- "Disclosure of Lobbying Activities," in accor-
dance with its instructions.
fain a drug free workplace through implements- (If needed, Standard
tion of paragraphs (a), (b), (c), (d), (e), and (f), Form-LLL, "Disclosure of Lobbying Activities,"
above. its instructions, and continuation sheet are
included at the end of this application form.)
(3) The undersigned shall require that the language
3. CERTIFICATION REGARDING LOBBYING (3)
this certification be included in the award
Title 31, United States Code, Section 1352, entitled documents for all subawards at all tiers (includ-
"Limitation on use of appropriated funds to in ing subcontracts, subgrants, and contracts under
fluence certain Federal contracting and financial its, loans and cooperative agreements) and
transactions," generally prohibits recipients of Fed- that all subrecipients shall certify and disclose
eral grants and cooperative agreements from using accordingly.
Federal (appropriated) funds for lobbying the This certification is a material representation of fact
Executive or Legislative Branches of the Federal upon which reliance was placed when this transac-
Government in connection with a SPECIFIC grant tion was made or entered into. Submission of this
or cooperative agreement. Section 1352 also certification is a prerequisite for making or entering
requires that each person who requests or receives into this transaction imposed by Section 1352, U.S.
a Federal grant or cooperative agreement must dis- Code. Any person who fails to file the required cer-
close lobbying undertaken with non-Federal (non tification shall be subject to a civil penalty of not
appropriated) funds. These requirements apply to less than $10,000 and not more than $100,000 for
grants and cooperative agreements EXCEEDING each such failure."
$100,000'in total costs (45 CFR Part 93).
The undersigned (authorized official signing for the 4. CERTIFICATION REGARDING PROGRAM
applicant organization) certifies, to the best of his FRAUD CIVIL REMEDIES ACT (PFCRA)
or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid The undersigned (authorized official signing for the
or will be paid, by or on behalf of the under- applicant organization) certifies, to the best of his
or her knowledge and belief, that the statements
signed, to any person.for influencing or attempt- herein are true, accurate, and complete, and agrees
ing to influence an officer or employee of any to comply with the Public Health Service terms and
agency, a Member of Congress, an officer or
employee of Congress, or an employee of a conditions if an award is issued as a result of this
Member of Congress in connection with the application. Willful provision of false information is
a criminal offense (Title 18, U.S. Code, Section
awarding of any Federal contract, the making of 1001). Any person making any false, fictitious, or
any Federal grant, the making of any Federal fraudulent statement may, in addition to other
loan, the entering into of any cooperative agree- remedies available to the Government, be subject to
ment, and the extension, continuation, renewal, civil penalties under the Program Fraud Civil
amendment, or modification of any Federal con-
tract, grant, loan, or cooperative agreement. Remedies Act of 1986 (45 CFR Part 79).
SIGNATURE OF AUTHORIZE CERTIFYING OFFICIAL TITLE
/,&" Health Services Director
APPI-ItANT ORGANIZATI DATE SUBMITTED
Health Services Department, Substance Abuse Division June 16, 1993
7
Deutschman (Healthy TIES), California
PHS-5161-1 (7/92) P.js 1T."
OMB Approval No.0937-0189
Expiration Date: March 31, 1995
CERTIFICATIONS
1. CERTIFICATION REGARDING DEBARMENT 2. CERTIFICATION REGARDING DRUG-FREE
AND SUSPENSION WORKPLACE REQUIREMENTS
The undersigned (authorized official signing for the The undersigned (authorized official signing for the
applicant organization) certifies to the best of his applicant organization) certifies that it will provide
or her knowledge and belief, that the applicant, a drug-free workplace in accordance with 45 CFR
defined as the primary participant in accordance Part 76 by:
with-45 CFR Part 76, and its principals:
(a) Publishing a statement notifying employees that
(a) are not presently debarred, suspended, pro- the unlawful manufacture, distribution, dispens-
posed for debarment, declared ineligible, or ing, possession or use of a controlled substance
voluntarily excluded from covered transactions is prohibited in the grantee's workplace and
by any Federal Department or agency; specifying the actions that will be taken against
(b) have not within a 3-year period preceding this employees for violation of such prohibition;
proposal been convicted of or had a civil judg- (b) Establishing a drug-free awareness program to
meat rendered against them for commission of inform employees about—
fraud or a criminal offense in connection with (1) The dangers of drug abuse in the workplace;
obtaining, attempting to obtain, or performing a (2) The gran'tee's policy of maintaining a drug-
public (Federal, State, or local) transaction or free workplace;
contract under a public transaction; violation of .(3) Any available drug counseling, rehabilita
Federal or State antitrust statutes or commis- tion, and employee assistance programs; and
sion of embezzlement, theft, forgery, bribery, (4) The penalties that may be imposed upon
falsification or destruction of records, making employees for drug abuse violations occur-
false statements, or receiving stolen property; ring in the workplace;
(c) are not presently indicted or otherwise crimi- (c) Making it a requirement that each employee to
nally or civilly charged by a governmental be engaged in the performance of the grant be
entity (Federal, State, or local) with commission given a copy of the statement required by para-
of any of the offenses enumerated in paragraph graph (a) above;
(b) of this certification; and (d) Notifying the employee in the statement re-
(d) have not within a 3-year period preceding this quired by paragraph (a), above, that, as a con-
application/proposal had one or more public dition of employment under the grant, the
transactions (Federal, State, or local) terminated employee will—
for cause or default. (1) Abide by the terms of the statement; and
(2) Notify tl:e employer of any criminal drug
Should the applicant not be able to provide this certifi- statute conviction for a violation occurring
cation, an explanation as to why should be placed in.the workplace no later than five days
after the assurances page in the application package. after such conviction:
The applicant agrees by submitting this proposal that it (e) Notifying the agency within ten days after re-
calving notice under subparagraph (d)(2),
will include, without modification, the clause titled
"Certification Regarding Debarment, Suspension, In- above, from: an employee or otherwise receiving
eligibility, and Voluntary Exclusion—Lower Tier Coy- actual notice of such conviction;
eyed Transaction" (Appendix B to 45 CFR Part 76) in (fl Tag one of the following actions, within 30
all lower tier covered transactions (i.e., transactions days of receiving notice under subparagraph
with subgrantees and/or contractors) and in all solicita-
tions for lower tier covered transactions. is so convicted-
6
Chuck Deutschman (Healthy TIES), California
Abstract for Healthy TIES
The Substance Abuse Division of the Health Services Department of Contra Costa County,
California, proposes to engage six community-based organizations throughout the county to con-
duct an adolescent treatment program. With a particular focus on students at continuation high
schools, this program will fill a virtual void in the County for comprehensive low-cost treatment for
youth and their families. The program will serve an ethnically mixed groups of students at schools
in each of four distinct regions of the County with the goal of increasing students' functionality,
school productivity and chances of graduation by addressing their alcohol and other drug problems
and factors that contribute to those problems. Objectives toward this goal include facilitating insti-
tutional changes toward creating positive school environments; providing alcohol and drug educa-
tion that emphasizes the risks of addiction based on high current usage among these 1,194 students
and that focuses on cross-cultural sensitivity, anger management, conflict resolution and family
systems issues; facilitating the creation of attractive social and recreational opportunities to fill un-
structured leisure time and reduce negative peer influences; scheduling monthly visits by public
health workers; providing on-campus individual counseling and on-going Level 1 treatment groups
for 322 students, providing case management to reduce impediments to successful participation in
the program for 322 students;and providing intensive, structured community-based treatment that
includes family work and aftercare for 193 students. Entitled Healthy TIES (Treatment, Interven-
tion, Education, Socialization), the program will provide training in building positive school envi-
ronments for personnel from four continuation high schools and three geographically proximate
community day schools; workshops on valuing diversity for school staff and students; workshops
on strengthening family communication and functioning for parents of those students; education
through a 10-session interactive curriculum that focuses on the high-risk situations and behaviors
of these students; site- and culturally-specific social and recreation opportunities for students whose
primary outlets for many years have been drug-related; school-based intake assessments and refer-
ral to individual counseling through which commitment to abstinence will lead to placement in on-
going treatment groups; school-based case management to assist students and their families in be-
coming and remaining active participants in the treatment program; four months of low-cost com-
munity-based treatment utilizing weekly relapse prevention groups, weekly education groups for
teens and their families, multifamily groups, parent groups, 12-step meetings, individual and family
counseling sessions, and weekly urine testing; and seven months of aftercare based on decreasing
involvement with the agencies and increasing involvement with 12-step support activity. Healthy
TIES evaluation will consist of process and outcome components relying on both quantitative and
qualitative measures. The guiding principal for the evaluation will be to ascertain whether program
participants have an improved rate of graduation compared to their peers in other continuation
schools or previous classes of the same schools and whether the program continuum correlates
with declining acting out or high-risk behaviors among program participants. Major linkages in-
clude the sit community-based agencies, schools and programs in four public school districts, the
County Office of Education, the County Public Health Service, Private Industry Councils, repro-
ductive health clinics, mental health clinics,abuse centers, County Probation Department , city
government and the County's CSAP-funded Community Partnership program.
8
Chuck Deutschman (Healthy TITS), California
Table of Contents
Narrative
Section A. Background and Significance Page 10
Section B. Target Population and Needs Assessment Page 14
Section C. Goals and Objectives Page 18
Section D. Approach/Method Page 20
Section E. Evaluation Plan Page 26
Section F. Project Management/Organization Structure
and Implementation Plan Page 30
Section G. Project Staffing Page 35
Section H. Budget, Budget Justification and Existing Resources Page 38
Section I: Confidentiality Requirements/Participant Protection Page 39
Appendices
I. Document 1, State Applicant Documentation Page 42
II. Document 2, Provider Applicant Eligibility Documentation Page 44
Document 3, Facility Certification
III. Document 4, Non-supplantation Page 47
Document 5, Letters of Commitment/Linkages
IV. Document 6, Organizational Structure Page 79
V. Document 7, Job Descriptions/Resumes Page 84
VI. Document 8, Resources/Other Financial Support Page 121
VII. Document 9, Confidentiality Protocol and Assessment Instrument Page 123
9
Chuck Deutschman (Healthy TIES), California
Proposal to the Center for Substance Abuse Treatment
from Contra Costa County, California, to Conduct
Healthy TIES, Adolescent Treatment Program
A. Background and Significance
The Health Services Department of Contra Costa County and the community-based service
providers that will be involved with the proposed program agree with the estimate in Healthy People
2000 that at least one-quarter of adolescents in this country are at very high risk for alcohol or other
drug problems, school failure, early unwanted pregnancy and/or delinquency. Our experience sup-
ports the observation that drug use rates have not declined among school drop-outs, lower income
and inner-city youth to the extent that they have among the general population of youth. While we
recognize that all adolescent alcohol and other drug users have unique service needs, we heartily
echo the recommendation from Healthy People 2000 that"special attention to the treatment needs
of homeless, runaway and school dropout youth is needed."t This application proposes a program
that will target adolescents who are at very high risk of falling into those categories by virtue of their
enrollment in continuation high schools throughout our County. In developing our program, we
have taken cues from Bonnie Benard and the Western Regional Center for Drug-Free Schools and
Communities and are addressing the problem from a systemic perspective2 and from Dr. Martha A.
Morrison who writes:
A plan to solve the problem of adolescent chemical dependence must focus on
education, demonstration, cooperation, prevention, intervention, habilitation, treatment
and recovery. The phenomenon of denial in a chemically dependent adolescent yields a
more complex delusional system that dictates age-specific intervention approaches.
Habilitation is necessary for successful adolescent treatment and recovery because what is
needed is an initial process of learning, not relearning or rehabilitation. If specific
adolescent issues are addressed through comprehensive, multimodality treatment
approaches, then treatment and recovery outcomes for chemically dependent adolescents
and their fattri.lies are substantially improved. 3
Based on this advice, we have created a program that addresses the total student including
his/her school environment, socialization skills, career visions and family system as well as alcohol
and drug use. All of this will occur within a framework that addresses and responds to the rapidly
changing communities that comprise Contra Costa County. We call our program Healthy TIES
(Treatment, Intervention, Education, Socialization/Recreation), and it responds to a significant need
for low-cost treatment services for a very high-risk population of adolescents.
We are particularly concerned about addressing substance abuse issues with students who
are still involved with secondary education since Fagan and Pabon report that one in three mate
dropouts use serious substances nearly three times more often than males who are still enrolled in
school. Serious drug involvement among female dropouts is twice as high as among females still in
school with female dropouts more seriously involved with more kinds of substances than either
1 U. S. Department of Health and Human Services Public Health Service, Healthy People
2000: National Health Promotion and Disease Prevention Objectives, Boston: Jones and
Bartlett Publishers, 1992.
2 Benard, B. Fostering Resiliency in Kids: Protective Factors in the Family, School and
Community, Portland, OR: Western Regional Center Drug-Free Schools and Communities,
1991 .
3 1%Qorrison, M. Addiction in Adolescents, The Western Journal of Medicine, Mav 1990.
10
Chuck Deutschman (Healthy TIES), California
males or females still in school. Male dropouts have the highest rates of use for all types of sub-
stances with at least monthly use of hard liquor reported by 52.3%, of marijuana by 40.9%, and of
amphetamines and cocaine by 18.4% and 18.2%, respectively. Fagan and Pabon also report that
both male and female dropouts have more serious involvement in and higher rates of delinquency
than students who stay in school. This is particularly true for males,42.1% of whom the re-
searchers classified as multiple index offenders, compared with only 16.1% of their peers who are
still in school.4
.:That continuation high school students stay in school,stabilize their lives and not risk be-
coming homeless is of urgent concern to us. While a 1990 study in nearby San Francisco revealed
lower recent use of hard liquor among homeless youth than in the general population (39.7% com-
pared to 65.3% for high school seniors), it also showed significantly higher rates of tobacco, mari-
juana and LSD use (45.9%v compared to 29.6%, 31.1% compared to 23.41-4o, and 10.2% compared
to 2.5%). The sample of homeless adolescents studied revealed that 6.5% of them had been in a
drug treatment facility, 9.3% felt that drugs were a problem for them, 15.1% used drugs intra-
venously (IV), and 12.4% had IV drug using partners.5
The risks posed by these last two statistics are reiterated by Athey who reports that since the
substance abuse rate among homeless adolescents is estimated to range from 70% to 85%, it is
clear that both IV and non-IV drug use is a major risk factor for HIV infection. She reports that a
Los Angeles study of runaways found 34.5% had used IV drugs and that among "street kids" in
Houston cocaine injection or cocaine in combination with another drug accounted for 82% of the
137 adolescent IV drug users in a sample. Of the youth tested at a New York City homeless shelter
over a two year period from 1987-89,5% were found to be seropositive for HIV. Among 20-year-
olds who had been on the streets longer than younger adolescents, 8.6% were seropositive.6
The 1989 report from the California Attorney General's office on student drug use indi-
cated that 60% of eleventh graders in continuation high schools could be classified as high-risk
users of alcohol or other drugs as compared with only 20% of students enrolled in regular high
schools.?That California adolescents at high risk of dropping out of school are also at high risk for
alcohol or other drug problems is also revealed in another survey supported by several state agen-
cies.$This research is of particular interest to us because one of the two cities chosen for the study
was Oakland in neighboring Alameda County. Many of the larger cities in Contra Costa County
share similar demographic indicators with Oakland. Of the 1,436 youths age 15 to 17 who were
studied, more than half of them had dropped out of school at some time in their lives. As an unfor-
tunately frequent correlate to substance abuse and dropping out — which our program also pro-
poses to address — one-third of the respondents had been involved with gangs at some point in
4 Faban, J. and E. Pabon, Contributions of Delinquency and Substance Use to School
Dropout among Inner-city Youths, Youth and Society, March 1990.
5 Sherman, D. The Neglected Health Care Needs of Street Youth, Public Health Reports,
July-August 1992.
6 Athey, J. HIV Infection and' Homeless Adolescents, Child Welfare, September-October,
1991 .
7 Skager, R. and S. Frith, Identifying High Risk Substance Users in Grades 9 and 11,
Sacramento: California State Office of the :attorney General, 1989.
8 Southwest Regional laboratory, Survey of Alcohol and Other Drug Use Among Chronic
Absentee Students and Dropout in California, Los Alamitos, CA: California Department
of Justice, Department of Alcohol and Drug Programs, and Department of I-ducation,
1992.
11
Chuck Deutschman (Healthy TIF,S), California
their lives, 31.8% within the year prior to the survey. This research among dropouts and chronic ab-
sentees revealed:
• Alcohol and marijuana were the drugs of choice with high rates of use. Better than 50% of
respondents reported using:these substances at least once in the six months prior to the study.
Within the previous 30 days, 65.3% had used alcohol (6.3% on a daily basis) and 56.7% marijuana
(14% daily).
Although the great majority of respondents had never used ice (crystal methamphetamine)
or crack (rock cocaine), 5% were classified as heavy users of these substances. However, we believe
the percentage of Contra Costa County adolescents who fall into this category is much higher due
to the high number of methamphetamine labs that are known to appear and reappear along the ma-
jor freeways in the county.
• Multiple substance use is common with 51.8% reporting such practice in the six months
prior to the survey. One in eight youth reported doing so more than 10 times in that time period.
• Consuming five or more alcohol drinks in a row within the previous two weeks (a measure
of heavy drinking) was reported by 45.9%of these adolescents. About one in five drank five or
more drinks in a row three or more times in that time period.
• Over half of the respondents had tried alcohol by the age of 13 and another kind of drug
by the age of 14,of particular concern given Healthy People 2000's warning about the gateway
phenomenon of early onset of use predicting serious later problems.
• Of activities related to their alcohol and drug use, 40.7% reported having ever sold or dealt
drugs, 16.2% committed a crime to get drugs, 7.41% had sex to get drugs, and 6.9% used a needle to
inject drugs. Forty-three percent (43%) had been drunk or high at school, 14.4% arrested for alco-
hol or drug related offenses, and 5.8% admitted to a hospital emergency room for alcohol or drug
related reasons.
• Of salient concern to us, 23.9% cited alcohol or other drugs as a reason why they dropped
out of school and 22.4% as a reason for not returning to school.
• Even greater discrepancies between dropouts/chronic absentees and the in-school popula-
tion were reported than were found with homeless youth in San Francisco above. In the previous
six months, 73.4% of survey respondents reported drinking beer (compared with 65.7% of in-
school youth), 63.7% used marijuana (compared with 29.5%) 23.9% used methamphetamines
(compared with 6.5%), 24.5% used cocaine (compared with 6.5%) and 25.9% used LSD
(compared with 7.9%n of in-school youth). Daily use of beer was reported by 8.9% of the survey
(compared with 1.3% of in-school youth)and of marijuana by 16.2% (compared with 3%n).
• With the exception of daily alcohol use which was seen as extremely harmful, dropouts
and chronic absentees perceived use of alcohol and marijuana as less harmful than did their in-
school peers.
• One-third of respondents had been gang-involved at some time in their lives with slightly
fewer reporting gang involvement in the year prior to the survey.
• 24.1% indicated that trouble with gangs was why they dropped out of school and 26.7%
listed the same reason for not returning to school.
As will be discussed below, the proposed program will take a public health approach and
target not only students but also one environment in which they spend much of their lives. That is,
the continuation schools themselves as institutions. Our experiences with these institutions are
corroborated by the findings of this study of dropouts and chronic absentees where previous nega-
tive school experiences seem to be associated with the reasons most youth do not return to school.
12
Chuck Deutschman (Healthy TIES), California
"Problems dealing with teachers and other staff" were identified as reasons why dropouts did not
return to school by 34.8% of respondents and "problems with other kids -it school" by 32.1%.
Another report on dropout prevention programs that work revealed that substance abuse awareness
is one of 10 characteristics that ensures the success of programs designed to retain students in
school.9
California is the only state in the nation to require at least part-time compulsory school
attendance by students until they are 18 years old or graduate. To facilitate this requirement for cer-
tain students, the state has provided a continuation option since 1919. There are currently 425 such
schools.in the state serving more than 115,000 students, nearly 10% of the state's high school
population. These schools are designed to help students acquire a high school diploma or Califor-
nia High School Proficiency Certificate; become productive persons by convincing them of the im-
portance of vocational preparation and by assisting them in acquiring entry-level job skills;develop
feelings of self-worth, self-confidence and personal satisfaction; develop a sense of responsibility;
develop a tolerance and understanding of a variety of viewpoints; engage in meaningful recreational
and leisure-time activities;understand and obey laws and participate in constructive civic activities;
and understand and practice sound money management and become intelliigent consumers.10
Officials in neighboring Santa Clara County have created a special program designed to si-
multaneously address students' chemical dependency and enable them to continue their education.
They report that in a survey of students identified as potential dropouts due to absenteeism half of
them defined themselves as being out of control with drug and alcohol use.t 1 When the program
was established, approximately two-thirds of students sought out the on-campus social worker, and
11 were admitted for in-patient chemical dependency treatment. By mid-year, 23 students were as-
sessed to be chemically dependent but the only available in-patient treatment was sadly not afford-
able for them. The following statement from the developers of that prograrn speaks to the need for
the Socialization and Recreation component envisioned for Healthy TIES:
A common difficulty for students with a substance abuse problem is scheduling
their time wisely. For certain students, using drugs virtually eliminates a kind of gnawing
indecision about what to do; it removes the responsibility for snaking decisions. Drug use
utterly conswnes the students and constitutes his or her complete reality. ... once students
can manage to stay off drugs, they face another challenge that often takes them by
surprise. He or she is far more likely to be at the developmental stage he was at when he
or she started using drugs.
Collectively, the service providers involved with our program have. more than 100 years ex-
perience working with high-risk adolescents. This includes outpatient counseling and intervention
with those youth who are at high risk as measured by poor academic performance or truancy and
those who are already experimenting with alcohol or other drugs. However, there has been virtually
no reliable public funding available for comprehensive adolescent treatment in Contra Costa
County. As reported recently in a local newspaper:
Officials estimate that one-third of the county's $600 millionn budget is absorbed by
drug- and alcohol-related problems. ... Budget cats have whittled. away Contra Costa's
9 O'Connor, P. Dropout Prevention Programs That Work, OSSC Bulletin, December 1985.
10 California State Department of Education, Continuation Education Programs in
California Public Schools.
11 Carey, J. and A. Knight, County Collaboration Creates a Unique Drug Treatmetet
Program for Adolescents, Thrust, January 1990.
13
Chuck Deutschman (Healthy TIES), California
treatment programs over the past decade, even as the number of addicts needing help has
risen.12
The response to that situation has been ad hoc treatment planning with a very few adoles-
cents who are extremely motivated to get into recovery. Three years of funding for this program is a
long period of time compared to the small amounts of transient funding we have received in the past
for adolescent treatment. This amount of time will allow us to institutionalize the components of our
proposed.,program in order to maintain the services after the grant period.
On top of the simple lack of services, a major barrier to service delivery to continuation stu-
dents is their inability to access resources. Many come from significantly dysfunctional families
who are not even aware that health resources exist. Others are relatively recent immigrants whose
cultures do not have traditions of using helping institutions. For those students who must rely on
their parents for transportation,even getting to service providers is difficult. These are major rea-
sons why most components of our program will be delivered on the.school sites.
In spite of the very positive goals and objectives of California continuation schools as de-
scribed above, many students - and indeed adults - have internalized notions that continuation
school is a dead end. This attitude in itself presents a major barrier to working with these students,
one that we intend to address both with the students themselves and through the institutional change
component of our program.
B. Target Population and Needs Assessment
Contra Costa County is one of several counties that comprise what is often known as the
San Francisco Bay Area While the County's 732.6 square miles of land and 73.3 square miles of
water make it the ninth smallest in land area among the 58 counties in California, it holds ninth
highest place in total population size with a 1992 count of 836,900. The County is experiencing a
dramatic increase in ethnic diversity with the Asian/Pacific Islander population growing 156% in the
past decade and the Latino population growing 62%. The compares with a growth rate for County
Caucasians of II%. West County contains 70% of Contra Costa's African Americans and 43% of
its Asian/Pacific Islanders. East County has experienced the largest overall growth in population in
the last decade and is home to 33% of the County's Latinos. For the purposes of our program, the
Count,.- is divided into four regions with demographic break-downs as follows:
County = West South Central East
Percent of 100 = 25.0 12.0 45.0 18.0
Population:
Ethnicities:
Caucasian 69.7 45.1 86.0 85.3 65.1
African Amer. 9.1 24.7 1.3 1.3 7.5
Native Amer. .4 .6 .3 .35 .8
Asian/Pac. Is. 9.2 15.6 7.6 7.0 6.7
Latino 11.4 13.7 4.8 5.85 19.6
Other .2 .2 .1 .1 .2
Contra Costa County is also experiencing a growing number of unemployed and working
poor residents. The County ranks second among five urban Bay Area counties for the number of
homeless families. More than 22,00 County children live below the poverty line. Growing num-
bers of teenage mothers, single parents, infants and toddlers and the elderly comprise County fami-
lies with a dramatic increase in the number of families for whom English is a second language. This
is especially the case in East and West County where poverty, poor education and housing and lim-
ited access to health care place ever-increasing numbers of families at risk for poor health status.
12 Craura, M. Big Bucks Fail to Aid County in Drug Fight, Contra Costa Times, May 11,
1993.
14
Chuck Deutschman (Healthy TIES), California
While problems related to low incomes and recent immigration arc :most visible in East and
West County, ethnic children in South and Central County often suffer unseen and in silence due to
their.relative isolation in their new communities. For this reason, the program we propose will op-
erate at school sites in each region of the County. High school districts by .geographic region, 1992-
93 enrollment and dropout rates for the Class of 1992 as reported by the Contra Costa Times on
May 25, 1993,are:
*:West: Richmond with 31,267 students and 9.5% dropout rate and John Swett with 2,037
students and 12.9% dropout rate.
• South: San Ramon Valley with 16,066 students and 3% dropout rate
• Central: Acalanes Union with 3,945 students and 2.2% dropout rate, Martinez with 3,438
students and 3.2% dropout rate, and Mt. Diablo with 33,100 students and 11.8%
dropout rate.
• East: Antioch with 12,951 students and 5.3% dropout rate, Liberty Union with 1,875
students and 5.2% dropout rate, and Pittsburg with 8,174 students and 11.8%
dropout rate.
Four continuation high schools and three county-operated days schools in close geographic
proximity to three of the continuation schools will be involved with our program. Demographics
and static enrollment for the continuation and day schools are:
San Ramon
Mt. Diablo's Valley's Richmond's Pittsburg's
Olympic Del Amigo Gompers Marina
385 students 137 students 164 student`, I10 students
American Indian 0.8% 0.9% 0% 0%
Asian 1% 1.8% 4.3% 0%
Pacific Islander 1% 0.9% 0% 0%
Filipino 2.1%n 0.9% 0% 2.4%
Latino 18.4% 10.7% 10.1% 45.9%
African American 10.4% 1.9% 84.2% 35.3%
Caucasian 66.2% 83% 1.4% 16.5%
Contra Costa County Office of Education operates community day school sites in various
locations for students who have been expelled from regular school districts. Each of these classes
has an enrollment of approximately 25 students at any given time. Three of these classes are in
close geographic proximity to Del Amigo, Gompers and Marina high schools so personnel and the
approximately 550 students who are served by these three sites each year will also be involved with
our program. Many of these students will return to the local continuation schools when they are el-
igible for re-admittance by their home districts which will facilitate continuation in our program.
Local problem indicators
Thirteen percent(13%) of Contra Costa County's population is aged 10 to 19 and is
roughly evenly divided between mates and females. Data from annual plans compiled by the Alco-
hol Program and the Drug Abuse Program of the Health Services Deparn:ment's Substance Abuse
Division, the county-wide Master Plan for Reducing Alcohol and Other Drug Problems, a 1988-89
United Way needs assessment, and a survey conducted by students at Del Amigo High School give
cause for great concern about alcohol and other drug use among our adolescents:
• 241% of problem drinkers in Contra Costa County arc 1.4-17 years of age.
• 53% of school-age children in the County use alcohol weekly or more often, 27% use
marijuana weekly or more often, and 11% use other drugs weekly or more often.
15
Chuck Deutschman: (Healthy TIES), California
•That young minors are obtaining alcohol and drinking is evident when 32%v of 1989 liquor
law arrests of minors in Contra Costa County were of children under 17.
•The number and arrest rates for liquor law violations by 10-17-year-olds among all age
categories were second only to 18-24-year-olds.
•.:;10% of arrests for being drunk in public in 1989 were of minors, 28% of those were be-
tween 11 and 17 years of age.
• 7.8% of the 4,314 school crimes in 1989 were for substance abuse offenses.
•160 County youth 17 or under were arrested on felony narcotics charges in 1986, 104 for
being drunk in public and 78 for driving under the influence.
• A 1985 study of County high school students showed approximately 63% used marijuana,
75% hard liquor, 87% wine and 86% beer in the month prior to the survey.
• In 1993, 18% of students at a continuation high school reported drinking every day. 93%
have smoked marijuana, and 94% would cut class to smoke pot. 44% get high before school, but
only 3% believe that the use of marijuana is wrong. 36%'have experimented with the drug Ecstacy.
• 7.3% of patients hospitalized in 1.988 with drug diagnoses were between 4 and 17 years
old; 10.9% were 18 to 20 years old.
• An estimated 9,500 children are homeless in Contra Costa County.
Rapidly changing demographics in the County are reflected in students enrolled in virtually
all districts. A document issued in 1991 by Mt. Diablo Unified School District (which is actually
one of the relatively affluent districts in the County) entitled Our Changing Students says:
Our students' needv are increasing every year. By 1996, over 10% of our students
will come from families at or near the poverty level, almost 6%n will have limited command
of the Englivh language, and about 12% will receive special education services. These
three indicators in combination suggest that by 1996 about one out of every four Mt.
Diablo students could be "at risk." As evideru;e, our student suspension rate has
increased by over 12%for each of the last five years. By 1996, we will rnake 7,000
savpensionr in contrast to the 3,000 in. 1986. In addition, almost one student in three will
be a tnember of an ethnic minority.
The largest continuation high school in Contra Costa County — Olympic Nigh School in
the Mt. Diablo Unified School District — serves approximately 750 students each year. Its 1991-
92 statistics describe a student population that is 19%v language minority, 20%n received public as-
sistance, 19% on free or reduced.lunch program, 9% dropped out of school, only 40% of those on-
line chronologically to graduate did so, 10% had probation officers, 38%v of students identified as
serious habitual offenders by Central Contra Costa County law enforcement agencies were
Olympic students, 25%n of the female students were either already mothers or pregnant and facing a
decision to continue or terminate their pregnancies, and 80% were or had been regular users of al-
cohol or other drugs excluding tobacco.
The tensions created by these rapid personal and.social changes are leading to increased
violence among adolescents throughout Contra Costa County. In schools, most problems fall into
three categories: threatening or injuring another person, possessing or selling drugs and alcohol,
and possessing guns, knives, explosives or other dangerous objects. Student suspensions due"to
causing, attempting or threatening physical injury nearly doubled in Mt. Diablo school district from
school year 198E-87 to 1991-92. Suspensions related to weapons more than quadrupled in that
time period. Affluent school districts are not immune to this increase in adolescent violence. From
16
Chuck Deutschman (Healthy TIES), California
the 1990-91 school year to the 1991-92 year, San Ramon Valley Unified School District reported
nearly twice the number of student suspensions for inflicting physical injury and more than double
the number for possession of weapons or explosives. According to a major series of stories in the
local Contra Costa Times newspaper run during February 1993, adolescent violence extends well
beyond these indiscretions with juvenile homicide arrests in the County increasing 7-50% from
1982 to 1991.
Local planning responses
The Contra Costa Countv Master Plan states "a particularly important area of concern is
the extent to which substance abuse amongst dropout students exacerbates their potential for being
unemployed," and it reports that 13.5% of those in the County age 25 and older have not com-
pleted high school. The plan advises, "Special attention needs to be paid to youth at-risk, through
special projects, early identification and resolution of those in trouble, and development of methods
to reach dropouts or students with truancy problems."
In response to concerns about adolescent alcohol and drug use, the County has allocated in-
creased funding for high-risk youth services. New State funds were acquired recently for a case
management program for 20 high-risk youth and their families in the Richmond area of West
County. The County's Substance Abuse Division also advanced several recommendations for its
1992-93 operating year related to adolescent services:
•Develop comprehensive non-residential services and an advocacy office for youth.
•Plan and develop comprehensive treatment.services to include a residential recovery fa-
cility, shelter for abused youth, respite care and homeless shelter.
• Provide alcohol and drug intervention teams within school settings to provide services to
youth identified as at high risk for drug abuse.
• Provide intervention teams for youths who have dropped out from school settings.
In addition to these recommendations, the Alcohol and Drug Plans identified specific 1992-
93 operating objectives that also addressed adolescents:
• Provide early intervention services to persons at risk for drug abuse and especially to
high-risk youth and their families.
• Assist high-risk youth who have participated in a school-based prevention program by
utilizing community-based support systems.
However, several barriers were also identified in the County's service plans for 1992-93 that
continue to hinder adequate responses to adolescents with alcohol or other drug related problems:
• Inability of school districts to identify substance abuse issues as a priority.
• School-based programs that conflict with district rules and poiicies thus making imple-
mentation difficult.
• 2equired'parent consent may limit youth participation in scho-91-based programs.
• Inadequate linkages with the juvenile justice system.
• Lack of outreach designed to address cultural barriers.
We have learned a great deal about students in continuation high schools from the educa-
tion, outreach, prevention and intervention services delivered by participating providers in Contra
Costa County over the past two decades. We know that they often have 'family problems including
17
Chuck Deutschman (Healthy TIE'S), California
neglect, physical abuse and substance abuse, they experience learning and language barriers-, they
arc seen as misfits and are too often neglected as such-, they are transient and lack focus and direc-
tion; they are lonely, depressed and socially isolated; they lack basic health information and educa-
tion; they are either overburdened with responsibility or have too much time on their hands; and
they find themselves in systems that do not meet their needs, not the least of which is failing to
identify and respond to their alcohol or other drug problems. On the other hand, continuation stu-
dents are often creative,energetic and mature survivors. They may be parentified in their families
and as such actually manage their households. They are often emancipated minors who have broken
free of-negative home environments. Honoring these strengths and helping students draw on them
to change what they can and cope with what they can't is the goal of our program.
To do so most effectively will require a partnership with those institutions where students
spend a significant portion of their lives: the continuation schools themselves. A County school
district administrator is quoted in one of the stories in the newspaper series: "We're lacking the
community services and our own resources because of the loss of counselors. The only way we
have to deal with really violent behavior is through the expulsion process. It really doesn't fix any-
thing in the way the child is going to behave in the future."Although Healthy TIES will not entirely
replace the school counselors lost to recent budget cuts, our intent is to work with those continua-
tion high schools that agree to our public health approach. That is, they will work with us at both the
individual student level and the institutional level. The loss of counselors at continuation schools
has resulted in teachers being forced to take on counseling duties. They are often ill-trained for this
task, and personal burn-out follows quickly. Continuation high school principals are expected to
become social workers, but they are often unaware of the referral resources that do exist in the
community. Given the recent and rapid diversification of students, school personnel often fear
overstepping their bounds in culturally unknown situations. They need training in both classroom
management and working with families whose own history and experience with educational sys-
tems may well have been negative. In addition to personnel issues, most continuation schools lack
social and recreational opportunities for their students, further contributing to the internalized notion
that such students are throw-aways and not worthy of the experiences enjoyed by their peers in
regular high schools. This, in turn, can lead to feelings of isolation that can be strong contributors to
alcohol and drug abuse.
(Sources used to compile local needs include: Contra Costa County Alcohol Program Plan
for 1992-1993, Contra Costa County Drug Abuse Program Plan for 1992-1993, Contra Costa
County Master Plan Report published September 1992, United Way Needs Assessment, Contra
Costa Titnes, 1992 Report on Status of Health in Contra Costa and Recommendations for Action
from the Public and Environmental Health Advisory Board, Our Changing Students published by
Mt. Diablo Unified School District, program information from Olympic High School, data from
San Ramon Valley Unified School District, the Del Amigo Tirnes.)
C. Goals and Objectives
The goat of our Healthy TIES program is to increase the functionality, school productivity
and chances of graduation among Contra Costa County continuation high school students by ad-
dressing their alcohol and other drug problems and factors that contribute to them such as family
dysfunction, social isolation, unstructured free time, negative peer influences, risky health practices,
and school climate through activities that improve students' self-images, focus on their positive
characteristics, and enhance their strengths. To achieve that goal, our seven-component program has
the following objectives:
1. Strengthen the capability of four continuation high schools and three nearby day schools to
effect positive environmental changes within their institutions. During the three years of
Healthy TIES, 95-125 school personnel will receive training in a process that fosters positive
school climates, 500-800 school personnel and students will be engaged in workshops to un-
derstand and value diversity, and 210-270 parents of continuation high school students will
undergo workshops to improve family community and functioning.
18
Chuck Deutschman (Healthy TIES), California
The principal of one local continuation school tells us that continuation teachers tend to have
good rapport with their students, but those relationships often result in unhealthy enabling of stu-
dents in continuing their substance abuse. She reports that many continuation teachers see them-
selves as the last defense for their students against an uncaring society. They are, therefore,reluctant
to impose limits on behaviors and to report criminal activity including alcohol or drug involvement.
Our Institutional Change component is designed to address this negative situation as well as to
equip school personnel to better handle the violence that is ever-more prevalent on their campuses.
According to the head of a local school district's teachers' union in the Contra Costa Times series
on adolescent violence, teachers would welcome training in conflict resolution and handling violence
since no such training is available in her district. A teacher is quoted: "Safety is going to be a really
big issue. We need to have our fears addressed as much as is humanly possibly so we can feel
positive in our work and teach in a safe environment. No learning goes on if you are constantly
afraid." What is true for teachers is no less true for students, and we know that successful learning
environments carry a theme that runs through all the policies and practices of the school,a theme
that says administrators, teachers, aides, parents and students must share a sense of community, a
sense of purpose and pride in the school.
2. Coordinate curriculum implementation at each of the schools so that an estimated 1194 stu-
dents have the opportunity to participate in alcohol and drug education programs each year.
The curriculum used with these students will address their particular high-risk situations
and behaviors focusing on cross-cultural sensitivity, anger management and conflict resolution. The
urgent need for this training is unintentionally expressed by a Latino student in the newspaper se-
ries: "If we see our race fighting and our race losing, we're going to jump in. It's pride. All of us
Latinos have gone a long way to earn our respect."A continuation students who tries to avoid the
violence found it followed him anyway: "I had a girl offer to sell me a gun a few weeks ago for
$15. I have no use for a gun, really. For some reason I wasn't really scared. It wasn't the same as
having one pulled on you. Most adults don't know about the degree of drugs and weapons you can
get in high school." Frustration with this response among students is expressed by law enforce-
ment and criminal justice officials: "If anybody looks at somebody, that's cause to have a whole
vendetta against them. They have short, short fuses." "Hard looks, mugging, dogging, dissing.
Apparently nobody tries to resolve anything short of violence."
Given the high rates of current alcohol and drug use among continuation high schools
(from above: daily drinking by 8.918%, daily marijuana use by 16.2% 44% get high before school),
the curriculum will go beyond typical alcohol and drug education and deal with signs and symp-
toms of addiction, the role of treatment in establishing recovery and the irnportance of relapse pre-
vention. In this way, the Education component will be a vital part of the Treatment component.
3. Provide opportunities for an estimated 1194 students at participating; schools to obtain in-
formation on family systems to help them cope with and accept their family situations.
As one high school freshmen is quoted in a newspaper article on the dropout rate among
schools in the County, "They do a lot to keep us here, but the school can do only so much. It
comes from your house, if your family doesn't care. You want to give up on life, be an average per-
son."The consequences of negative home situations are poignantly revealed in these excerpts from
the newspaper series:
77iey're drawn into gangs when their need aren't met at hone, police .ray. Gangs
offer.security, a sense of belonging, a family to teens who come,from dvsfiurctional homes.
A lot of time, police and therapists say, youngsters' role models at home aren't
much better than the "vets" [students' term for boys who are looked up to for having been
in jail] of jail and Juvenile Hall. "I've dealt with their parents." .says a Martinelz detective.
"A lot, you know exactly why they are the way they are."
19
Chuck Deutschman (Healthy TIES), California 1
I
4. Facilitate students at each of the school sites in creating attractive socialization and recre-
ation options for themselves and their peers to both fill the unstructured leisure time of many of
these .students and to reduce the negative peer influences. At least 25% of students will be active
participants in twice monthly drug-free club membership meetings and monthly social activities.
The principal of Olympic High School — a model continuation school that will be part of
our program — who began placing students in community service agencies for eight-week stints
recently.is reported as saying, "This will channel the energy that students might otherwise use for
gang activity or other anti-social behavior into efforts that improve society."The urgent need to re-
duce negative peer influences is revealed by this newspaper excerpt:
They learn from and look rip to older felons and peers who have been. in trouble.
"People know who are the murderers, other kids," a detective says. "77rey are looked up
to. They say, 77th kid's got the juice." One 17-year-old West Pittsburg boy who has been
in many fights says he has never been arrested and that he looks up to boys who have
been. He calls them "vets, guys in jail."
5. Schedule a monthly visit to each school site by staff from the County Public Health Clinic
Services to make health risk assessments, referrals and health education available to the 1194
students.
6. Identify during each school year approximately 322 students at participating school with al-
cohol or other drug problems as measured by self-reports, TIES and school referrals and pro-
bation officers and involve them in individual counseling and ongoing weekly recovery support
groups at each of the four school.sites.
7. Provide a case manager at each school site to work with approximately 322 students from the
counseling groups and their families in addressing other problems that may impede successful
treatment outcomes and to supplement the career development opportunities already provided
by each school.
8. Involve approximately 60% (193) of the students in the school-based counseling groups
each year with comprehensive, community-bared treatment that includes four months of
structured out-patient work and eight months of intensive after-care.
D. Approach/Method
Six community-based alcohol and drug service providers will collaborate in delivering this
program at four continuation high schools and three near-by County day schools in the four re-
gions of Contra Costa County. On the official reporting day for school year 1992-93, enrollment at
all of these schools totaled approximately 796 students. However, given the transiency experienced
by continuation high school which can see a 50% turn-over in students each year, the program is
expected to touch an estimated 1194 students annually. The seven-component Healthy TIES pro-
gram is designed to triage students for participation based on levels of risk determined by school
personnel and program staff. Since all continuation students arc at high risk for not graduating and
for other problems including potential homelessness and alcohol and drug related issues, three
components will be available to and benefit all students in our target schools. Three components
will serve students at very high levels of risk for becoming addicted, and the fourth component will
work with those who require more intensive attention in maintaining abstinence from alcohol or
other drugs_ A graphic representation of the Healthy TIES model is presented on the following
page. The seven components of Healthy TIES are:
Institutional Change
Because we arc operating from a public health model, the school environment — where stu-
dents spend a significant portion of their time —will be addressed. Each of the four continuation
schools has agreed to this approach which will also involve personnel from the County Office of
Education-operated day schools that serve students who have been expelled from regular school
20
Deutschman (Healthy TIES), California
Contra Costa County Healthy TIES Model
A continuation high school student could be involved at any level from
simply benefiting from an improved institutional climate to an intensive overlap-
ping of school-based counseling
basegroups with case management with community-
d treatment.
Institutional Change
to benefit all students
Education available
to all students
SocializationlRecreation
available to all students
Health Screening
targeting some,
available to all
School-Based Case
Counseling Management
Treatmen I
Groups
Community-Based
Treatment
21
Chuck Deutschman (Healthy TIES), California
districts. Through this component, school administrators and staff will learn the difference between
empowering students to make healthy decisions and enabling them in continuing to use alcohol and
other drugs. These institutional changes will occur at schools in communities where Contra Costa
County's CSAP-funded Community Partnership program is also making changes in the larger so-
cial environments of continuation high school students. Nationally acclaimed programs developed
by the Center for Human Development will be the basis for strategies used in this Institutional
Change component as summarized below:
'.Trainings modeled on CHD's High-Risk Tribes program will teach school personnel in the
skills necessary to build positive relationships with the students, to resolve interpersonal conflicts
that inhibit growth and learning, and to create a peer culture that promotes health and well-being.
The Tribes process creates an environment conducive to learning and relationship-building.
Workshops based on New Bridges will empower people to deal creatively and effectively
with issues of diversity: racism, sexism, adultism and homophobia. New Bridges is about building
confidence and self-esteem, becoming empowered, appreciating the richness of diversity, and cre-
atively discovering ways to overcome the social divisions that have pitted groups against each other.
Workshops for both staff and students will be provided to build this cultural competency.
Workshops based on Strengthening Family Ties will acknowledge the role of parents in the
education of their children. Parents will be taught how to build protective factors in their families.
They will also learn to improve communication, control and effectively express anger, help their
children understand and resist peer pressure,enhance self esteem within the family unit, and be-
come effective partners with the schools to enhance their children's chances of success.
Healthy TIES staff will also undergo these trainings to both improve their own knowledge
and skills in cultural competency and to reinforce messages from the trainings with students and
school personnel on an ongoing basis.
Education
Given the chronic absenteeism that often precedes placement in continuation school, it is
quite probable that many of the students failed to receive basic alcohol and drug education . There-
fore, all students enrolled in our participating schools will have the opportunity to receive such in-
formation through a curriculum that address their particular high-risk issues such as the very real
potential of addiction given current levels of use, cultural sensitivity, conflict resolution and anger
management. Since many continuation students lack fully-functional families, all students will also
receive family systems education to help them better understand,cope with and survive in their
families.
A very high percentage of continuation students are at these schools because of their in-
volvement with alcohol or other drugs. Research has indicated that traditional lecture forms of alco-
hol and drug education have little or no impact upon the drug-using behavior of these individuals.
To truly reach this population of young people, a curriculum which incorporates proven methods
for decreasing substance abuse in high-risk teenage populations will be presented. This 10-session
curriculum uses small group discussions and creative work-books to maximize participant involve-
ment. The program promotes a continuous challenge for students to address their unhealthy behav-
ior and provides a plan to systematically address their problems that relate to the use of alcohol or
other drugs. School credits will be awarded to students who complete the program. San Ramon
Valley Discovery Center will coordinate this component to implement the curriculum outline below:
Session 1. Alcohol mid Other Drug Use enables students to learn about the effects of alcohol and
drug use on physical and emotional levels.
Session 2. Addiction Warning Signs and Community Resources uses a questionnaire to gauge the
level of existing problems and introduces students to community services — with a particular em-
phasis on the school-based Counseling and Treatment Groups and Case Management of our pro-
gram — and how to access them.
22
Chuck Deutschman (Healthy TIPS), California
Session 3. Environmental Influences examines the influences students face daily from their peers,
advertising and other sources.
Session 4. Social and Coping Skills teaches effective communication techniques, particularly in a
multi-cultural environment, as well as how to be assertive in saying no to fri.ends and keeping them
as friends and how to identify and express feelings effectively.
Session 5. Family Systems explains how families may contribute to problerns which influence alco-
hol and-other drug use and explores practical solutions for students to deal :more effectively with
their family situations.
Session F. Effective Problem .Solving focuses on real life problems student,: are experiencing and
discusses how to find realistic solutions or alternatives that do not involve abuse or violence.
Session 7. Leisure Time and Me delves into how students can use the extraordinary amount of free
time that results from their generally shortened school days with encouragement to become involved
with the Socialization and Recreation component of our program.
Session 8. How to Set and Achieve Goals allows students to formulate an actual goal and develop a
plan for achieving it.
Session 9. How to Live a Healthy Lifestyle guides students in developing individualized plans to
improve their lifestyles with attention to their emotional, physical, spiritual .and nutritional needs.
Session 10. Working a Program summarizes the work of the curriculum and allows students, re-
gardless of their personal involvement with alcohol or other drugs, to understand the concept of
working a program as an integral part of recovery. Those who indicate a desire to begin working
their own program of recovery will be referred to our school-based case manager for assessment
and referral.
Socialization and Recreation
Many continuation high school students are transferred out of regular school settings due to
inappropriate behavior in relating to their peers. Much of this behavior results from never develop-
ing age appropriate social skills. To enhance both their chances for staying in school and graduat-
ing and for engaging in effective interpersonal relationships in the adult world, students will be fa-
cilitated in designing and implementing socialization and recreational activities that are attractive to
themselves and their peers and that provide opportunities (or developing social skills. Many contin-
uation high school students have already developed a style of recreation that includes the use of al-
cohol or other drugs. For many of them, this is a behavior that started in elementary or junior high
school and is fairly well entrenched by the time they are in high school. Recreation involving alco-
hol or other drugs, of course, puts them at risk of other negative behaviors including unplanned and
unwanted sexual activity, truancy, physical abuse,stealing, vandalism,and gang and wanna-be-gang
activity,but they often do not know how to socialize without chemical lubricants.The recreational
activities of our program will focus on drug-free socializing for all students regardless of their cur-
rent personal involvement with alcohol or other drugs. They will provide safe and supportive oppor-
tunities for students to exercise the new skills and understandings they have learned through New
Bridges trainings and the TIES Education component.
To facilitate positive social and recreational experiences for continuation students, the Alco-
hol and Drug Abuse Council of Contra Costa will coordinate programming based on the Friday
Night Live model. FNL is a statewide program sponsored by the California Department of Alcohol
and Drug Programs. It has operated for seven years in our County and reaches thousands of teens
every year. Recognized in 1987 as the top health promotion program in California and in 1988 with
the National Health Promotion Award from the U.S. Department of Health and Human Services,
FNL demonstrates to students that they can have fun, fit in with the crowd,and be accepted without
using alcohol or other drugs. With support from school administrators and on-site coordination by
faculty members, the will initiate FNL membership drives on each campus;encouraging participation
23
Chuck Deutschman (Healthy TIES), California
by all students, help with the selection of slates of officers for each chapter, conduct leadership
training with chapter officers, convene regular membership meetings,and facilitate students in cre-
ating recreation and service opportunities that meet their unique situations and community person-
alities. Recreational and social activities that appeal to adolescents depend upon the cultural mix,
social norms and existing paradigms. It is recognized that activities which are appropriate for one
area will not be appropriate for all four regions of the county. The recreation specialist will conduct
an in-depth evaluation at each school to obtain input from the students regarding attractive options.
S/he will then facilitate FNL chapter leaders in creating activities in response to that input. The
Socialization and Recreation component will directly address the fact that many continuation school
students lack structure in their lives and have little direction for much of their out-of-school time.
Through all activities both our FNL recreation specialist and each on-site teacher will be on
the lookout for high-risk behavior and high-risk students.As situations are identified, students will
be referred to the on-site ease manager for assessment and placement into other components of the
program as appropriate and for referral to other community agencies as indicated. Each local FNL
chapter will also serve as a referral source for students involved in other program components who
have not already involved themselves with this Socialization and Recreation component. The clean
and sober activities will also be important to relapse prevention for that portion of TIES students
who move into the Counseling and Treatment Groups and Treatment components.
Counseling and Treatment Croups
Because adolescent substance abuse is a complex problem, a multi-faceted approach must
be used. Through these first three components involving school personnel and all students, program
staff will identify those students who are at exceptionally high risk. By reaching youth where they
are — on-site at their schools — with the initial phases of a treatment program, we will then link
those needing more extensive care into a community-based treatment system. Youth will be referred
to the substance abuse case manager on campus if they are actively using alcohol or drugs or if
other significant attributes are present that might indicate substance use such as anti-social behavior,
poor academic performance,truancy, friends who use or family members who use. Through pri-
mary assessments,TIES counselors and case managers at each school site will determine the level
of use. and make recommendations for referral in and outside the program. The assessment tools
currently used by New Connections, which will provide coordination for the Treatment component
of TIES, are included as part of Appendix VII, Document 9. If the referral by the case manager or
counselor is to the on-site substance abuse counselor from our program, the counselor will meet
with the student individually until s/he can gain motivation from the student for stopping use and
regaining a clean and sober lifestyle.
Once this commitment has been obtained through individual counseling sessions, the stu-
dent will be referred to an ongoing teen support recovery group with other students who have
stopped using or will have greatly reduced their use, thereby showing a strong commitment to
treatment. Each campus will have an on-going support group (two groups will be created at
Olympic High School due to its large student population) that will be led weekly by a substance
abuse counselor from New Connections, San Ramon Valley Discovery Center, the Drug and Alco-
hol Prevention Program of East County Boys and Girls Club or the Center for Human Develop-
ment trained in addiction and adolescent development. The primary focus of the groups will be peer
support and skill building. Specifically, groups will address recovery and relapse prevention with
techniques for reaching cognitive and behavioral changes leading to long-term abstinence. Those
youth needing more intensive treatment will be referred to one of four community sites for a full
menu of groups and counseling for the young person and his/her family. It is expected that many
students will be referred to the community sites for treatment at the same time they are involved with
school-site services. School-based counselors will participate in case consultation and clinical su-
pervision with community-based treatment providers as described below under Treatment.
Case management
In addition to the primary assessment and referral conducted by the case manager at each
school site, other services needed by the student or his/her family to facilitate recovery and enhance
the treatment outcome will be identified and secured. Our program's case management team will
24
Chuck Deutschman (Healthy TIES), California
establish local referral banks as well as one that is county-wide to assist in linking students and
families to services as needed. Case managers will work with families in their homes to further en-
sure that there is follow through with referrals and the recommendations o:f the counseling and
treatment teams. Although counseling and treatment services will be conducted on school sites and
at agencies in the close vicinity,ease managers will also work with students and families to handle
any transportation problems that could impede successful participation in Healthy TIES. Case man-
agers will also work with students to enhance the job development training that is provided at con-
tinuation high schools. The schools, themselves, conduct resume writing and interviewing skills
classes: However, they lack the resources to put students in direct contact with potential employers
in the community. Our case managers will assume that responsibility with the students who are in-
volved with the Counseling and Treatment Groups and Treatment components of our program. As
indicated above, Contra Costa is an increasingly ethnically diverse county. Case managers who re-
flect the ethnicity of the students they primarily serve will be hired. As members of the case man-
agement team, each case manager will also be available to his/her teammates in working with ethni-
cally diverse students from any of the participating schools. A case.manage ment coordinator from
the East County Boys and Girls Club's Drug and Alcohol Prevention Program will oversee the
case management team to ensure this collaboration and sharing of expertise.
Health Screenings
Assessments of the health behaviors of students involved with the counseling groups will be
conducted by arranging for staff from the County's Public Health Clinic :cervices to visit each
school campus each month. Public health workers will provide immunization updates, HIV risk as-
sessment counseling and referrals for testing, and tuberculosis exposure screening. Health educa-
tion and risk reduction information about STDs, HIV, date rape,sexual responsibility, nutrition and
other health related topics will be provided by cross-age peer counselors. These issues will also be
reinforced through the Education and Counseling and Treatment Groups components. General an-
nouncements of the scheduled visits will be made on each campus so that their services can also be
utilized by students who are not in the counseling groups. During the course of the first project
year, we will also explore with the County Public Health Department and other interested programs
the possibility of equipping a mobile health van to provide on-site medical services to a variety of
populations with limited access to health care. San Ramon Valley Discovery Center will coordinate
the scheduling of the health screening services at each school.
Treatment
The treatment component of our program is based on the philosophy that:
• Addiction is a treatable disease. Recovery is possible.
• Recovery is a process. It involves a life-long commitment.
• It is important to nurture and encourage individual, family and community strengths in
dealing with substance abuse.
• Prevention, intervention and treatment are all necessary for effective reduction of substance
abuse.
• Adolescent treatment and recovery require varying levels of treatment with flexibility to
meet individual, family and community needs.
Those students who are assessed to need more intensive treatment than the school counsel-
ing groups will be referred to one of four sites in the County: New Connections in Concord, the
Drug and Alcohol Prevention Program of East County Boys and Girls Club in Pittsburg, San Ra-
mon Valley Discovery Center in Danville and Neighborhood House in Richmond. Given the vary-
ing levels of addiction and differing ethnic, geographic and economic characteristics of the popula-
tion of Contra Costa Countv,each treatment site will have the flexibility to utilize its own treatment
planning in order to best meet individual needs. However, each site will offer a consistent menu of
treatment services so that an appropriate response will be available to each student and to facilitate
25
Chuck Deutschman (Healthy TIES), California
evaluation of our model. That menu will complement the support groups and individual counseling
offered at the four schools with a variety of relapse prevention, recovery and 12-step groups. A si-
multaneously run family component will include family sessions, multifamily and parent support
groups as well as education and 12-step meeting attendance. The family is critical to teen recovery if
it can be included. For those youth without a supportive family system,at least one adult caregiver
or mentor will be identified to accompany the teen throughout treatment. Weekly urine testing will
be used as a monitoring tool. Youth will be encouraged to stay in school, thus learning to cope with
their actual life situations without the use of chemical substances.
A treatment coordinator from one of the six participating agencies in this program — New
Connections — will provide ongoing case and group consultation to the treatment providers from
all four community sites (and the four school sites) to ensure consistency. At anv given time, each
community site will have eight to ten treatment slots available for adolescents referred from the
school counseling groups. Overall the treatment program will encompass 12 months of program-
ming with four levels of treatment:
Level 1 will be conducted on school campuses and will last one to three months. As de-
scribed above under Counseling Groups, it will include an initial assessment to determine the extent
of alcohol or drug use and weekly individual counseling. Participants will transfer to weekly teen
support recovery groups when commitment to recovery is made. Level 1 activity will be also include
involvement with other program components: Education, Socialization and Recreation, Case Man-
agement and Health Screenings.
Level 2 will be conducted at the four community sites and will last one to four months, con-
currently with school-based counseling groups. It will include weekly relapse prevention groups for
three months, weekly education groups for teens and their families for six weeks, and multifamily
groups for two months. This level will also involve weekly urine testing, 12-step meeting attendance,
weekly parent groups and Alanon attendance, and family or individual sessions twice monthly.
Level 3 community-based aftercare will commence at approximately month five and last for
three months. It will include weekly recovery groups, individual or family sessions approximately
once a month, multifamily groups twice a month, weekly parent groups, and 12-step meetings.
Level 4 community-based aftercare will round out the 12-month program with weekly re-
covery groups, family or individual sessions as needed, monthly multifamily groups, and 12-step
meetings.
The interconnectedness and overlapping of services provided through Healthy TIES's
Counseling and Treatment Groups, Case Management and Treatment components are illustrated by
the graphic on the following page. Service providers in this program will constitute a TIES
Coordinating Council that will meet monthly to ensure collaboration and consistency within the
program. As seen in the ethnic distribution of students in the four continuation high schools
involved with the program, we will be working with a variety of cultural backgrounds. As indicated
above, the Center for Human Development has a long history of providing trainings in cultural
competence and will be responsible for ensuring that activities of this program meet the needs of
participating students and their families.
E. Evaluation
The evaluation of Healthy TIES will be conducted by EMT Associates, Inc. based in
Sacramento, CA, and Healthy TIES participants will willingly participate in CSAT's national eval-
uation efforts. EMT has been engaged in program evaluation research since 1981. This independent
research firm has extensive experience evaluating local programs that respond to alcohol and other
drug issues and a commitment to providing rigorous, accurate and useful information for policy and
program improvement. A statement of capability is included with Appendix V, Document 7. The
evaluation of Healthy TIES will be organized to include both process and outcome components
26
Deutschman (Heal(ley TIES), California
Relationship of Healthy TIES Treatment Components
School-Based Case
Counseling & Level 1 Management
Ireatment
Groups
L vel2
Levels 3 & 4
Community-Based
M-eatment
Level I — One-three months of individual and group wort:on campus.
Level 2 — One-four months at agency concurrent with school-based work
and including family sessions, 12-step meetings and weekly urine testing.
Level 3 — Agency-based intensive aftercare.
Level — Less intensive agency-based aftercare.
27
Chuck Deutschman (Healthy TIES), California
within a management focused approach to providing feedback to program staff on a regular basis
toward program development. The research questions that will be the framework for guiding this
evaluation relate to the process and outcome components. Process evaluation questions will be:
1. How is Healthy TIES structured and implemented? Describe school sites, interagency relation-
ships, staffing and student outreach/recruitment for various program components as appropriate.
2. Describe the alcohol and drug abuse education curriculum and how it is integrated with other
school.curriculum and scheduling.
3. Describe the target population of continuation high school students in terms of demographics,
school performance, high-risk behaviors, various areas of existing or potential risk for substance
abuse, and personal attributes or characteristics that are identified as resiliency factors. The product
of this description will be a detailed profile of the population served that will facilitate analysis of
various outcomes that might align with specific characteristics of the students.
4. What steps/measures are taken to involve school administrative and teaching staff to effect
"empowering students to make healthy decisions" versus the perpetuation of a school climate
characterized as "enabling" with respect to alcohol and drug use.
S. How will the program introduce social skills development and provide positive social and recre-
ation activities?What skills and activities will be promoted?What will be the level of student in-
volvement and participation in each of these activities?
6. How will case managers identify, recruit and provide linkages for students with alcohol or other
drug abuse problems for the purpose of forming counseling support groups and making referrals
to other resources in the community?What criteria will be used to guide these case management
decisions?
7. How will case management be integrated into this multi-faceted program? Describe the case
management team and how it will function as a "team."
8. Describe the services provided by the County's Public Health Clinic Services and determine how
many of each type of service is provided to students participating in Healthy TIES.
9. Describe the school-based individual counseling and recovery groups processes and track en-
rollment and attendance for students referred for participation.
10. Track the number of referrals to community-based treatment as well as other referrals for stu-
dents in need. Also track and monitor the participation of students referred for community-based
treatment. How many students successfully complete their treatment program requirements and
goals?
11. How many students complete each of the four levels of Healthy TIES treatment.?
Outcome evaluation questions
Research questions for the outcome evaluation component of Healthy TIES will be:
1. To what extent did Healthy TIES have an impact on positive outcomes for the population of stu-
dents enrolled at the four continuation and three community day schools? What was the program
impact on class attendance,dropout/completion rates, grades or other performance criteria, gradua-
tion rates, other behavioral factors related to school performance?
2. Of the seven program components and their respective objectives, which were the most effective
for working with the target population of high-risk students enrolled in continuation high schools?
Which community-based treatment resources work best with which students?
3. How well did the program serve the intervention and treatment needs of continuation high school
students overall?
28
Chuck Deutschman (Healthy TIES), California
The information gathered and reported for the evaluation will not only be useful for regular
feedback to program staff, participating agencies and even students, but it will also contribute to the
knowledge and understanding of interventions with high-risk adolescents. The evaluation study will
provide evidence to tie specific practices with specific needs and populations to enhance chances for
successful outcomes.
Data collection issues
Data collection issues for the evaluation of Healthy TIES reflect the complexity of the pro-
posed
....Data
model as well as the rigors of the research design. The proposed data collections
procedures recognize the need to focus on selected program Service Delivery Units (SDUs) and the
value of utilizing data collection instruments and measures that complement the program and/or are
already integrated with agency service delivery. Data analysis should also maximize the utility of
descriptive statistics and comparisons (quantitative data) as well as interview feedback and subjec-
tive assessments from staff and program participants (qualitative data). EIAT has considerable ex-
perience conducting complex evaluation studies of demonstration initiatives and is sensitive to data
collection issues that are recurring as well as those that are unique to Healthy TIES. Among the re-
curring issues are: 1) the need to address client confidentiality and consent with respect to data col-
lection, 2) identification of a basis for comparison for client outcomes, and 3) balancing the need for
data with the staff's time allocated to completing forms with the need to deliver services.
Data collection issues which will need to be resolved specifically for this study include 1)
defining and quantifying specific SDUs, 2) comparing program activities that are directed toward a
captive audience versus those dependent upon identification, outreach and recruitment, and 3) ob-
taining treatment feedback from the community-based sites. In particular, will there be data on stu-
dent alcohol and drug use and,if it is self-reported,will there be collateral observations to confirm
self-reporting? How strongly will use and/or relapse incidents factor into the relative success of
failure of each student in treatment?At a minimum,these issues will be addressed by the evaluator
and the program management and staff early in the evaluation.
Data collection procedures
Data collection procedures for Healthy TIES will consist of maintaining student-specific
records (centralized as much as possible); program component-specific logs, attendance sheets and
performance; and program management from a systems perspective to assess the interrelationships
and coordination among the various providers involved in this effort. Measures will include both
quantitative and qualitative indicators with primary focus on student participation levels and out-
comes. Examples of student-specific informational requirements include demographic profile data,
history of alcohol and drug use, academic performance including attendance and graduation re-
quirements, psychosocial and/or family related risks, health status and related risks, participation in
both required and elective program components, targeted outcomes based on criteria for program
success as defined with staff, length of time in treatment and progress toward treatment goals and
objectives.
An intake and assessment form is already available, school related data will be readily pro-
vided, and specific program providers will integrate their assessment and progress measures into the
program. The evaluator has also developed and pilot tested two instruments that may augment this
study: the Drug Use Screening Form and the Individual Protective Factors Index (IPFI), both of
which have been used with high-risk youth populations. Standardized measures of academic perfor-
mance and alcohol and drug education, for example,could also be identified and incorporated into
the curriculum. Client records will be maintained by the participating agencies and made available to
the evaluator as needed. Some process information forms such as intake and assessment may be
submitted to the evaluator on a monthly basis.
Program component data collection will focus on implementation initially. In addition-to
describing components as they evolve and develop, the evaluator will gauge student receptivity
through measures of attendance and participation. Interviews with students and staff will be useful
for obtaining subjective feedback about various components of the program. It will be critical to de-
29
Chuck Deutschman (Healthy TIES), California
velop logs to record attendance and participation in various components. The evaluator will develop
a method for tracing case management tasks and activities in order to assess how this particular
component contributes to the general treatment model. In addition,every effort will be made to insti-
tute the same data collection and record keeping for the program and evaluation at each of the four
school sites. Most program component reporting requirements will be monthly and will be the re-
sponsibility of either program administrators, case managers or service delivery staff. Staff perfor-
mance measures will most likely rely on existing professional training and licensure requirements,
plus organizational assessment as scheduled.
Program mairagement assessment will address the degree to which the program concept is
implemented and administered in a coordinated and integrated fashion. With multiple components
and several providers involved,it will be critical to describe roles and responsibilities, frequency of
interactions such as case conferencing or referrals, definitions and criteria identification, and prob-
lem resolution strategies. Organizational philosophies and practices may vary and require clarifica-
tion. At a minimum, staff of the participating community-based agencies will be required to come to
consensus about criteria for success along a continuum with varied categories of student outcome.
Interviews with key staff will be the primary data collection related to assessing program manage-
ment although other techniques will be explored and considered.
Data analysis
EMT will conduct data analysis in three stages through this evaluation. Baseline and de-
scriptive statistics will be presented in simple frequency distributions. Where comparison data are
available (i.e., for pre-program groups or non-participating continuation schools) differences and/or
increments of change will also be computed. Secondly,the evaluator will likely identify some vari-
ables for cross-tabulation to examine interrelationships between two study variables. The frequency
data will be used to determine which variables to cross-tabulate. And finally, the evaluator will con-
sider employing regression analysis to identify the strength variable association with successful and
unsuccessful outcomes. This process will require identifying and selecting the strongest measures
of SDUs in conjunction with other student characteristics and performance outcomes.
Beyond the quantitative data analysis, the evaluator will also be prepared to analyze qualita-
tive data from student and staff interviews,direct observation,written procedures and protocols that
emerge from the program, and narratives provided with the quarterly reports to the County Sub-
stance Abuse Division and CSAT. Interviews will be useful for eliciting information about the feasi-
bility of program design compared with implementation experience, student reception to various
components and identification of implementation barriers and solutions.
The evaluation of Healthy TIES will be designed in greater detail with a specific workplan
and task outline following the grant award. The evaluator will initially meet with program adminis-
trators and staff to develop a data checklist consisting of all data elements that would satisfy the re-
quirements for a comprehensive process and outcome study. The next step will be to determine
which data elements are essential and to rank the priorities for data collection focus in order to en-
hance the evaluator's ability to assess program outcomes for the target population. Then it will be
necessary to identify where various data elements are already available in current procedures and
paperwork and where new data collection tools will be required. The evaluator will then draft addi-
tional forms as needed, provide training to designated personnel responsible for collecting or
administering the forms, and establish a reporting schedule and process. The guiding principal for
the evaluation and decisions related to the conduct of this study will be to assure an ability to ascer-
tain whether program participants have an improved rate of graduation compared to their peers in
other continuation schools or previous classes of the same schools and whether the program con-
tinuum correlates with declining acting out or high-risk behaviors among program participants.
F. Project Management, Organizational Structure and Implementation Plan
The Substance Abuse Division of the Contra Costa County Health Services Department is
the applicant for this proposal and will provide overall coordination of its activities. The Substance
Abuse Division operates both residential and non-residential treatment programs in the County and
30
Chuck Deutschman (Healthy TIES), California
contracts for treatment and prevention services with a variety of community-based non-profit orga-
nizations. The actual implementation of this program will be achieved through a collaborative effort
among six of those community-based, non-profit service providers. They are_
Alcohol and Drug Abuse Council of Contra Costa, Inc. was founded in 1975 to provide in-
formation, education and referral to alcoholics and their families, friends and employers. The
Council coordinates Club Live and Friday Night Live chapters in 32 junior and senior high schools
in the County. The agency also conducts courses for adults who have been convicted of driving un-
der the..influence and court-ordered education for adolescents convicted of driving under the influ-
ence and other alcohol and drug related misdemeanors.
Center for Htanan Development has developed and implemented innovative prevention and
community health promotion programs throughout the San Francisco Bay Area since 1972.
Through partnerships with individuals, families and communities, CHD seeks to strengthen protec-
tive health factors and to reduce and eliminate environmental risk factors. Recognizing the rich di-
versity of skills and experience abundant in communities and the power of natural helpers, CHD
has transferred the technology of prevention to thousands of adult and youth volunteers who have
become proactive forces for systemic changes in their communities.
Drug and Alcohol Prevention Program has been offered by the East County Boys and
Girls Club since 1987 to youth, adults and families in eastern Contra Costa County. Services in-
clude community education seminars, individual and group sessions in locil schools, individual and
family intervention sessions, and a treatment program that includes three to six months of early re-
covery activity, middle recovery services to support abstinence promoting behaviors, and aftercare to
assist clients in maintaining healthy lifestyles and preventing relapse.
Neighborhood House of North Richmond, founded 43 years ago by the Quakers to provide
educational support services to impoverished youth and their families who had come to California
from the rural South, currently operates Holloman Detox Program,a 14-bed residential social
model detoxification program for adults,and North Star Drug Treatment Center, an outpatient pro-
gram for adults. It also provides after-school tutorial programs through its Laura Hunter Education
Center as well as programs for senior citizens and HIV/AIDS and Southeast Asian education and
outreach.
New Connections was established in 1972 with a recreational focuis to address drug abuse.
That focus soon expanded to include tutoring and family counseling services. Today New Connec-
tions provides comprehensive alcohol and other drug abuse programs including youth and family
counseling and intervention, on-site school programs,juvenile diversion programs, prevention
workshops and activities, and structured chemical dependency treatment for adults. Individual
treatment pians are also developed for those adolescents.who show active addictions and who have
no resources to obtain costly private treatment which is the only alternative currently available for
adolescents in Contra Costa County.
San Ramon Valley Discovery Center was established in 1971 in response to community
concern about alcohol and other drug use among youth. Over the years, services have grown to in-
clude mental health and alcohol and other drug information and education, referrals, workshops,
counseling groups and prevention projects in schools. The agency created a School Counseling and
Intervention.Program in 1991 to work with at- risk youth and their families in middle and high
schools. Youth targeted for the program are engaged in such high-risk behaviors as alcohol or other
drug abuse, fighting and truancy. Counselors work with youth individually and in groups at their
school sites and, in some instances, with their families in the evening at the Discovery Center.
Although each of the agencies involved with our program has considerable experience pro-
viding counseling and early intervention services to adolescents and their families, low-cost treat-
ment at the levels we are proposing does not currently exist for this population. Through ad hex:
treatment planning as possible, adolescents now receive attention through approximately Level 1 as
described in this proposal; that is, they arc receiving early intervention and some counseling, but
31
Chuck Deutschman (Healthy TIES), California
very little family work and virtually no aftercare to help maintain their recovery. Static capacity for
treating adolescents at Level 1 is estimated to be 650 per year among the three agencies which now
provide such services. Resources are available to provide some aspects of Level 2 services to no
more than 20% of these individuals with nothing currently available at Levels 3 and 4. Healthy
TIES will, in effect, increase capacity to provide four levels of treatment by 100%, not to mention
the other components of the program which are now not available to continuation high school stu-
dents. All agencies involved with Healthy TIES are currently providing services through contracts
with the Contra Costa County Substance Abuse Division. Those that provide treatment services are
also licensed by the California Department of Alcohol and Drug Programs.
As project director, Chuck Deutschman, director of the Substance Abuse Division of the
Contra Costa County Health Services Department, will have overall responsibility for this program.
His resume is appended_ Mr. Deutschman will delegate coordination of Healthy TIES activities to a
part-time contracted coordinator, the job description for which is appended. Programmatic network-
ing and collaboration will be ensured through monthly participation on a TIES Coordinating Coun-
cil by the health educator;all counselors, case managers and treatment providers; and the recrea-
tional specialist. There will also be a Treatment Coordinator and a Case Management Coordinator
to ensure that services are provided consistently and that cross-cultural.issues are addressed
through staff time-sharing when necessary. Each individual on the Coordinating Council will be re-
sponsible to his or her employing agency which will then be responsible to the County of Contra
Costa through contractual agreements. All of the participating community-based agencies in this
program currently provide services under contract to the County. Organizational charts for Contra
Costa County and Healthy TIES are included as Document 6, Appendix IV.
For the purposes of this program(as well as for many other services provided in the Coun-
ty), Contra Costa County is divided into four geographic regions. One continuation school from
each region will participate in the program along with three near-by community day programs. A
consistent program will be provided in each of the regions although the specific economic and eth-
nic make-up of each school will influence the particulars at each school site. Gompers High School
in the West County city of Richmond is predominantly African-American with a growing popula-
tion of Southeast Asians. Manna High School in the East County city of Pittsburg is predomi-
nantly Latino. South County's Del Amigo High School in Danville serves diverse students who are
in ethnic isolation in communities that are predominantly Caucasian. Staff members will be hired
who reflect these differences and who will tailor program specifics to match the needs of their re-
spective students.
In addition to the collaboration among these six agencies and the Substance Abuse Division
in implementing this program, linkages with the County's Public Health Division will provide
health screenings for adolescent participants. Letters of commitment from these participants and the
schools that will be involved are included as Appendix III, Document 5 which also includes evi-
dence of linkages with the County's CSAP-funded Community Partnership, Private Industry
Council of Contra Costa County, the City of Danville, Crisis and Suicide Intervention of Contra
Costa, Contra Costa County Probation Department, Battered Women's Alternatives, DATE pro-
gram, Child & Family Therapy Center and Planned Parenthood.
Just as this Healthy TIES program is multi-faceted, so will be its implementation plan. It
seems most logical to describe that plan in relation to each of our objectives:
Objective 1
Institutional change activity will begin in year one and continue throughout the three years
of the project. The timeline for year one is:
By the end of the second project month, the Tribes coordinator will have met with the prin-
cipals of all participating schools to discuss the program and to begin scheduling trainings and
workshops.
i2
Chuck Deutschman (Healthy TIES), California
By the end of the third project month, the New Bridges coordinator will have conducted
training in the New Bridges program for school personnel and TIES staff.
By the end of the fourth project month, High Risk Tribes training for 30-35 school person-
nel and Healthy TIES Days using the New Bridges model for 200-400 staff and students from
Olympic High School will have been conducted.
By the end of the seventh project month, High Risk Tribes training for 10-15 school per-
sonnel-and Healthy TIES Days for 100-150 staff and students will have been conducted at a second
school. A three-session Strengthening Family Ties workshop for parents from Olympic High
School will also have been conducted.
By the end of the eighth project month, Strengthening Family Ties workshops will have
been conducted with parents from the second high school.
The remainder of the project year will be used to complete another cycle of Strengthening
Family Ties workshops at these two schools, to provide technical assistance to school personnel in
implementing the High Risk Tribes process, and to conduct a final, make-Lip High Risk Tribes
training for any staff who were not able to participate at the school sites.
Tribes and New Bridges coordinators currently on staff at the Center for Human Develop-
ment will be responsible for this objective. Their resumes are appended.
Objectives 2, 3 and S
Alcohol and drug education and family systems education will be provided by one FTE
TIES health educator along with activities that reinforce the cultural sensitivity trainings provided
under Objective 1. The health educator will also be responsible for scheduling visits by the mobile
health van. The timeline for implementing these objectives is:
By the end of the second project month, the health educator will be hired and trained.
By the end of the third project month, the health educator will have compiled curriculum
materials including student workbooks that contain a list of community resources, will have sched-
uled presentation of the curriculum with each school site, and will have scheduled and advertised
visits by the health van at each school site.
The remainder of the project year will be spent delivering the curriculum at each school site
and collaborating with other TIES components to identify and refer students for other services.
Objective 4
Socializing based on the award-winning Friday Night Live model will be facilitated by one
FTE recreation specialist. The timeline for implementing this objective is:
By the end of the second project month, the recreation specialist will be hired and trained
and will have met with administrators at each school site to explain the Friday Night Live program.
A faculty coordinator at each site will have been selected and trained and a. planning group from
each student body selected.
By the end of the third project month, rallies will be held at each school site to introduce the
FNL program, members will be recruited, initial membership meeting will be convened,officers
elected for each chapter, and leadership training for those officers provided.
The remainder of the project year will be spent facilitating the students in planning and con-
ducting FNL chapter meetings and agendas of social activities and in collaborating with other TIES
components in identifying and referring students for other services.
33
Chuck Deutschman (Healthy TIES), California
The recreation specialist will be trained in the specifics of FNL by Irene Dwinnell, program
director with the Alcohol and Drug Abuse Council of Contra Costa, whose resume is appended to
this proposal.
Objective 7
We believe that a significant key to the success of Healthy TIES is the case management of
students in the program to enhance the potential for their success. A team of case managers equal-
ing 2.65..FTE will be responsible for the achievement of this objective. The timeline for its imple-
mentation is:
By the end of the second project month, hire and train case managers and ease management
coordinator. Training will be conducted by Christine Morris, clinical supervisor with the East
County Boys and Girls Club's Drug and Alcohol Prevention Program whose resume is included as
an appendix.
By the end of the third project month, case managers will have agreed to services coordina-
tion with the administrators of their school sites and each school-based counselor, will have devel-
oped referral banks and linkages with appropriate community services, and will begin on-site needs
assessments with students in the school-based counseling groups.
By the end of the fourth-project month,case managers will have developed resources for
providing work exploration opportunities for students in the counseling groups and will have begun
in-home services as needed.
The remainder of the project year will be spent providing case management services and in
collaborating with other TIES components to identify where such services are needed.
Objectives 6 and 8
As indicated throughout this proposal, we believe that all components of Healthy TIES are
crucial to the successful treatment of alcohol and drug addiction among adolescents. Objectives 6
and 8 refer to school-based counseling groups and Levels 1-4 of what could traditionally be con-
sidered treatment. Seven FrE staff and interns will be responsible for implementing these two ob-
jectives on the following timeline:
By the end of the second project month, counselors, interns and a treatment coordinator will
be hired and trained. Linda Mackinson, program director of youth services at New Connections,
will be responsible for this training. Her resume is included as an appendix.
By the end of the third project month, counselors will have met with administrators at each
school site to explain the specifics of the program, will identify and meet school staff training needs
regarding signs and symptoms of addiction and how to refer students for services, will have adver-
tised availability of the counseling groups in conjunction with the TIES health educator and other
media, will have begun initial assessments and screenings for the first groups, will have scheduled
the first groups, will have begun individual counseling with students to obtain commitments from
them, and will have begun collaboration with school-based case managers. Some aspects of Level 1
treatment will be underway by the end of this third month.
By the fourth project month, school-based counseling groups will have begun and contacts
will be made with families to invite their attendance at community-based parenting or educational
groups. Level 2 treatment at the community agencies will be underway at this point including edu-
cation and relapse prevention groups, individual counseling sessions, 12-step meetings and weekly
urine testing.
By the end of the sixth project month, family sessions and parent groups will be up and
running.
34
Chuck Deutschman (Healthy TIES), California
$573,256 - direct cost
By the seventh project month, Level 3 aftercare plans with students and families will begin
to be developed.
By the end of the project year, students will be moving into Level 4 aftercare.
Throughout the project year, counselors will collaborate with other TIES components to
meet the.-needs of students in treatment.
A task sequencing chart follows on the next page.
G. Project Staffing
Overall coordination of this program will be provided by a .75 FT): contracted coordinator
from the Contra Costa County Substance Abuse Division.
In the Counseling Groups and Treatment Components, coordination will be provided by a
FTE staff member who will also carry a counseling caseload. In addition to the treatment coordina-
tor, school-based counseling and Levels 1-4 of treatment will be provided by 4.6 FTE counselors
and 2.4 FTE counseling interns.
Case Management coordination will be provided by a .75 FTE case management coordina-
tor whose responsibilities will include .6 FTE as a'school-site case manager. Another 2.25 FTE
case managers at three school sites will comprise the TIES case management team which will also
provide work exploration opportunities for students in the counseling groups. Case management
allocations vary across the four school sites in response to the identified needs of each student
population. For instance, 1 FTE case manager will be assigned to students at Gompers High School
in West County where the need for work exploration and job development is much greater than in
other parts of the County.
The alcohol and drug education, family systems,cultural sensitivioi curriculum will be pre-
sented at all school sites by 1 FTE health educator who will also schedule+mobile health van visits.
One FTE recreation specialist will facilitate the Friday Night Live Socialization and Recre-
ation component of TIES.
A .5 FTE Tribes coordinator and a .25 FTE New Bridges coordinator will be responsible
for the Institutional Change component including High Risk Tribes trainings, New Bridges Healthy
TIES Days and Strengthening Family Ties workshops. This component will also utilize 10 different
diversity consultants for 16 hours each during the project year.
It is expected that new hires will fill all of these staff positions with the exception of Lyn
Gandy as Tribes coordinator and David Hafter as New Bridges coordinator whose resumes and
job descriptions are appended. Recuitment and hiring will focus on matching staff with the students
they will serve based on cultural, ethnic and language criteria. This will be especially true for case
managers who will conduct much of their work in homes with family members who may have only
limited English proficiencies. Staff activities for each component are illustrated by the graphic on
the page after next. Job descriptions for each position and resumes of key players who will be
involved in implementing, supervising or training for this program are included as Document 7,
Appendix V.
35
Deutschman (Healthy TIES), Caiitornia
Healthy TIES Task Sequencing Chart
(Activity to be completed by end of timeline)
Project Month
Activity 1 2 3 4 5 7 8 9 10 1t 12
Tribes trainings scheduled i
All new staff`hired and trained ■ a
New Bridges training for school personnel ■ ■ ■ L ■ ■
and TIES staff conducted ■ ■ ■ L ■
Curriculum materials compiled and I 1
presentations scheduled i I
Health van visits scheduled ■ ■ ■ I ■ aI i
FNL introduced, members recuited, ■ ■ ■ •
leaders trained
Availability of counseling groups confirmed
and advertised
Initial intake assessments completed ■ ■ ■ ■
Individual counseling underway ■ ■ ■ ■
Case management referral bank completed ■ ■ ■ 11111 ■
Needs assessments with group members
underway
First High Risk Tribes training conducted ■ ■ ■ ■.■ i ■ ■�
First Healthy TIES Days conducted ■ ■ ■ ■ ■ L ■ ■�
Work exploration resources developed NEW • • 0a NJ
I � i
In-come case management underway ■ ■ ■ ■ • ! ■ '
i
School-basee counseling groups underway . . . , ■ ■ i. ■ ■ I
Level 2 treatment underway ■ ■ ■ Manuel.
Family and parent sessions underway ■ ■ ■ n . .I■ ■ . ■ . . ■� J
Level 3 aftercare underway ■ ■ ■ ■ ■ ■ ■ M • H ■ ■ ■ ■ ■i
Second High-Risk Tribes training conducted■ ■ ■ a ■ ■�■ ■ a ■ to ■ ■ ■. ■ ■
Second Healthy TIES Days conducted ■ ■ ■ . ■ ■. ■ ■ - - - - -- - -
First
■ ■ ■ ■- ■ ■First Strengthening Family Ties workshop
conducted
I
Second Strengthening Family Ties workshop I 1
■ ■ ■ ■ ■ ■ ■ ! ■ ■ ■ ■ Y ■ Min ■ ■
� ' J�conductedThird and fourth Strengthening Family Ties ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ � ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■
workshops conducted i r
On-going Tribes technical assistance ■ ■ ■ m ■ ■ r ■ �■ ■ ■ ■■ ■ ■ ■ + ■ ■I■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ �
High Risk Tribes makeuptraining . . . . . � . I. . . . . � ■ ■ : ■ ■+■ ■ ■ ■ ■ ■ k■ ■ ■ ■ ■ ■ ■ ;
Curriculum presented at all school sites ■ ■ .i . . * ■ r• • ■ ■ . ■ ■ � . ■I■ ■ . ■ ■ ■ . ■ • • • . . . i
On-doing case management , ■ ■ 1 ■ ■ : ■ �. . ■ .. ■ . . : ■ . . . . . . . . . . . . . . . .
Level 4 aftercare underway was ■ ■ , ■ 0■ ■ ■ ■ ■ : . ■ . ■ min ■ ■ ■ ■ ■ ■ • aa ■ •36of
Deutschman (Healthy TIES), California
Staff Activities of Contra Costa County Healthy TIES Prograirn
Component Position Activities
Healthy TIES TIES Coordinator Coordinates overall program
Convenes coordinating council
Reports to County and CSAT
Institutional Change Tribes Coordinator Trains in Tribes and Strengthening Family Ties
Co-facilitates Healthy TIES Days
New Bridges Coordinator Conducts New Bridges trainings
Co-facilitates Healthy TIES Days
Diversity Consultants Co-facilitate Healthy TIES Days
Education Health Educator Delivers curriculum in each school
Socialization Recreation Specialist Organizes FNL chapter at each school
Facilitates FNL activities
Health Screening Health Educator Schedules visit`, by public health clinic staff
Counseling Groups School-based Conduct intake assessments
Counselors Provide individual counseling
Facilitate wecldy recovery groups
Case Management Coordinator Designs intake and assessment processes
Establishes referral system
Coordinates ca:>e supervision & training
Provides case consultation as needed
Carries caseload
Case Managers Conduct overall needs assessments
Administer on-site and in-home case
management
Provide communication bridge between schools,
families and counselor as needed
Develop work exploration opportunities
Treatment Coordinator Provides case consultation for counselors and
interns
Provides training as necessary
Carries caseload
Community-based Facilitate individual and family sessions and
Counselors treatment groups
Interns Co-facilitate groups and family sessions
37
Chuck Deutschman (Healthy TIES), California
H. Budget, Budget Justifications and Existing Resources
As a result of Healthy TIES,adolescents and the educational institutions they attend will re-
ceive services that are not currently available to them. Institutional change will be initiated within
systems that have not yet addressed such issues. An educational curriculum that goes beyond tradi-
tional alcohol and drug information to address the particular high-risk activities and behaviors of
continuation school students in newly multi-cultural situations will be developed and implemented.
Socialization and recreation opportunities for a group of adolescents that is attracted to neither the
activities nor participants of many teen-oriented events will be created. Peer support groups for
adolescents who have committed to abstinence will be developed in schools that currently lack such
programs. Case managers will be available to help them and their families access services in support
of their recovery_ Visits from public health workers will provide health risk screenings for students
who may rarely see health care providers. Most significantly,a comprehensive,consistent and
affordable program will fill the void that currently exists in the area of low-cost addiction treatment
for adolescents and their families in Contra Costa County. The cost per patient for treatment
provided through Healthy TIES can be calculated in a variety of ways depending upon which
students are the identified patients. If all students who attend the participating schools and who will
benefit from the Institutional Change, Education, Sociali-zation and Recreation and Health
Screening components are so defined, the cost per patient is $510.26. If those students who
participate through Treatment Level 1 are the patients, the cost per patient is $1,892.10. If those
students who participate through Treatment Level 4 are the identified patients, the cost is$3,156.77
per patient. This represents a total budget of$609,256,of which $573,256 is requested from the
Office for Substance Abuse Treatment for the first year. To allow for cost-of-living adjustments,
etc., five percent increases will be requested in years two and three for$601,919 and$632,924,
respectively. Budget figures and ustifications for the first year budget are:
$ 35,000 - Personnel covers a.75 contract county employee to provide overall coordination.
$ 3,850 - Fringe Benefits for these staff.
$ 1,200 - Travel to attend the required technical assistance meeting.
$ 5,000 - Supplies for the County Public Health Service in providing on-site risk assessments.
$498,206 - Contractual for sub-contracts with the six community-based organizations that will
conduct this project. Since each agency has slightly different salary scales and
fringe packages, the sub-contract amounts for each are indicated below. Supplies
and operating expenses will vary depending upon the component of the program for
which each agency has responsibility. For instance the Alcohol and Drug Abuse
Council will use recreational equipment and cover costs of social events, while San
Ramon Valley Discovery Center will develop curriculum workbooks, and the Drug
and Alcohol Prevention Program could need vouchers for transportation to needed
services identified by case managers. Therefore, the participating agencies have
agreed upon a uniform allotment of 15% of total personnel costs for supplies and
operating expenses. Overhead varies as well with each agency and includes such
costs as administrative supervision,clerical support, rent, insurance,fiscal operations,
etc. Again, the agencies have agreed to an overhead rate of 13% of total budgets.
Personnel Fringes Supplies Overhead Total
Alcohol and Drug 30,000 5,0(X) 5,250 5,233 45,483
Abuse Council for
1 FTE recreation
specialist
Center for Hrunan 43,726 8,186 7,787 7,761 67,460
Development for
.5 FTE counselor,
38
Chuck Deutschman (Healthy TIES), California
.5 FTE Tribes,
.25 New Bridges,
10 hourly diversity
trainers
Drug and Alcohol . 57,599 10,093 10,139 10,105 87,837
Prevention Program
for .75 FTE case
manager, 1 FTE
..counselor, .6 FTE
intern
Neighborhood House 51,000 9,700 9,105 9,075 78,880
for .75 FTE counselor,
1 FTE case manager,
.6 FTE intern
New Connections 63,050 11,570 11,193 11,156 96,969
for 1 FTE treatment
coordinator, 1 FTE
counselor/case
manager, .10 FTE
clerical support,
.6 FTE intem
San Ramon Valley 79,286 14,271 14,033 . 13,987 121,577
Discovery Center
for 1 FTE counselor,
.65 case manager,
1 FTE health educator,
.6 intern
$30,000 - Evaluation to EMT Associates, Inc. which covers 360 hours for an evaluation director,
240 hours for a programmer/data analyst, 112 hours for a project secretary, travel,
data entry, photocopying, telephone,overhead and administrative costs.
Local contributions
$20,000 - Program Income generated through client fees on a sliding scale basis to cover costs of
urine testing.
$16,000 - In-kind contributions from participating agencies to cover clinical and intern
supervision, use of Friday Night Live vehicle and equipment, training space and
some support staff.
Other than the in-kind contributions made by participating agencies in this program, there
are no other Resources/Financial Support available or pending for this program. A statement to that
effect is Document 8, Appendix VI.
I. Confidentiality Requirements/Participant Protection
Contra Costa County Substance Abuse Division provides both residential and non-residen-
tial treatment services and is licensed by the California Department of Alcohol and Drug Programs
to do so. However, the County will not be a treatment service provider for Healthy TIES. Since New
Connections will provide the staff to coordinate the Treatment component of Healthy TIES, we are
submitting the confidentiality protocol currently in use by that agency as ZLpproved by the California
Department of Alcohol and Drug Programs. It is included as Appendix VtI, Document 9 and will
be utilized by all participating TIES agencies.
39
Deutschman (Healthy TIES), California
PHSS161-1 (7/92) Page 23
OhtB Approval No.0937-0189
CHECKLIST Expiration Date: March 31, 1995
Public Burden Statement: Public reporting burden for this collection of Washington,D.C.20201,and to the Office of Management and Budget,
information is estimated to average 10 minutes per response, including Paperwork Reduction Project(0937-0189),Washington, D.C.20503.
the time for reviewing instructions,searching existing data sources,gathering
and maintaining the data needed,and completing and reviewing the col- NOTE TO APPLICANT:This form mast be completed and submitted with
lection of information.Send comments regarding this burden estimate,or the original of your application.Be sure to complete both sides of this forth.
any other aspect of this collection of information,including suggestions for Check the appropriate boxes and provide the information requested.This
reducing this burden,to PHS Reports clearance Officer,ATTN:PRA,Hubert form should be attached as the last page of the signed original of the appli-
H. Humphrey Bldg., Room 721-B, 200 Independence Ave., S.W., cation.This page is reserved for PHS staff use only.
Noncompeting Competing
Type of Application: ❑ NEW ❑ Continuation ❑ Continuation ❑ Supplemental
PART A: The following checklist is provided to assure that proper signatures,assurances,and certifications have been submitted.
NOT
Included Applicable
1. Proper Signature and Date for Item 18 on SF 424 (FACE PAGE) . . . . . . . . . . . . . . 12
2. Proper Signature and Date on PHS-5161-1 "Certifications" page. . . . . . . . . . . . . . . Q
3. Proper Signature and Date on appropriate "Assurances" page, i.e.,
SF-4248 (Non-Construction Programs) or SF-4240 (Construction Programs) . . . . . .
4. If your organization currently has on file with DHHS the following individual
assurances, please identify which have been filed by indicating the date of such
filing on the line provided.
❑ Civil Rights Assurance(45 CFR 80) .....................
❑ Assurance Concerning the Handicapped(45 CFR 84) .......
❑ Assurance Concerning Sex Discrimination(45 CFR 86)......
❑ Assurance Conceming Age Discrimination(45 CFR 90&
45 CFR 91) ........................................
5. Human Subjects Certification, when applicable (45 CFR 46) . . . . .. . . . . . . . . . . . . ❑ ❑
PART B:This part is provided to assure that pertinent information has been addressed and included in the application.
NOT
1. Has a Public Health System Impact Statement for the proposed program/project YES Applicable
.been completed and distributed as required? . . . . . . . . . .. . . .. . . .. . . . . . . . . . . . ❑ El
2. Has the appropriate box been checked for item #16 on the SF-424 (FACE PAGE)
regarding intergovernmental review under E.O. 12372? (45 CFR Part 100) . . . . . . Q
3. Has the entire proposed project period been identified in item #13 of the FACE
PAGE? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
4. Have biographical sketch(es) with job description(s) been attached, when
required? . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . Q ❑
5. Has the "Budget Information" page, SF-424A (Non-Construction Programs) or
SF-424C (Construction Programs), been completed and included? . . . . . . . . . . . . .
6. Has the 12 month detailed budget been provided? . . . . . . . . . . . . . . . . . . . . . . . . . Q ❑
7. Has the budget for the entire proposed project period with sufficient detail been
provided? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. For a Supplemental application, does the detailed budget only address the addi-
tional funds requested? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D Q
9. For Competing Continuation and Supplemental applications, has a progress report
been included ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . ❑ FC7
PART C. in the spaces provided below, identify the applicant organization's admhdstrative official to be notified if an award is made
and the individual responsible for directing the proposed program/project.
Name, title,organization,address and telephone number of the Name,title,organization,address and telephone number of the pro-
administrative official to be notified if an award is to be made. gram director/project director/principal investigator designated to
—Ghuc4- .— eu-tsc tmaii ls, IFGG, . BA direct the proposed project or program.
.�� 11— �tv—ii$
---Di-rt�t�r;�vuhs-t:$see--Abuse---D�v-isr- on asDe��t�hmaAHealth >
es Department _ -D-i-ree-t-or-r-Stabs-take-Akrttse-&i visi —
45�e1tt�r A
e. S1uiTe- 2Oa �9��miter�v . , Suite 2-VO
i A 6_ - __H tinez, C 33-f-5$i�33=6350-
DHH� NMR U I IN already assigned) SOCIAL SECURITY NUMBER HIGHEST DEGREE EARNED
Sf 61 1
(OVER)
Deutschimm (Healthy TIES), California
Appendix I, Document 1: State Applicant Documentation
42
Deutschman (Healthy TIES) ,PCalifornia
STATE OF CALIFORNIA—HEALTH AND WELFARE AGENCY PETE WILSON, Govemor
DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS RECEIVED
1700 K STREET
4
SACRAMENTO, CA 95814-4037
TTY (916) 445-1942 UAA
(916) 324-7829 ( 1 r+�1Y
1
SUBS TA,NCEAgUSr AD.,
May 7, 1993
TO: Participating Treatment Program
ATTN: Steve Loveseth
Your program was nominated to participate in the procurement
process of applying for new funds under the Program Announcement
(PA No. AS-93-02) for the Critical Populations Grant Program.
At the same time, your office also certified that the program
meets the eligibility requirements as identified in the PA.
Enclosed are two State certification/assurance letters that must
be placed within the appendices of your proposal prior to
submission. to the State. The letters are:
• Appendix II, Document 2 : Provider Applicant Eligibility
Documentation
• Appendix III, Document 4: Non-Supplantation Certification
If you have any questions, please contact me at (916) 324-7829 or
Michael Caron at (916) 323-2051.
Sincerely,
a /
FEROL UPTON
Project Coordinator
Grants Management Section
Enclosures
Deutschman (Healthy TIES), California
Appendix II, Document 2: Provider Applicant
Eligibility Documentation
Appendix II, Document 3: Facility Certification
44
Af
Doc .�
Deutschman (Healthy TIE , California
STATE OF CALIFORNIA—HEALTH AND WELFARE AGENCY PETE WILSON, Govnmor
DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
1700 K STREET , e
SACRAMENTO, CA 95814-4037
TTY (916) 445-1942
(916) 323-2051
June 19, 1993
Lisa W. Scheckel, Acting Director
Center for Substance Abuse Treatment
Rockwall II, 10th Floor
5600 Fishers Lane
Rockville, MD 20857
Dear Ms. Scheckel:
RE: Provider Eligibility Certification - Critical Populations
Grant Program
PROVIDER: Contra Costa County Health Services Department
This letter verifies that the above-mentioned provider is
capable of performing the proposed services based on one or more
of the following criteria:
�f- An adequate infrastructure upon which to initiate a
treatment program for the target population exists for
the above-mentioned provider.
The provider, or at least one member of the provider
consortium, has provided substance abuse treatment or
recovery services to the target population for at least
two year.
The provider is appropriately licensed or accredited to
provide the substance abuse treatment or recovery
services that they are proposing for the grant
initiative.
This certification was based on a statement received from
the respective county documenting that the provider is capable to
providing the proposed services.
If you have any questions, please contact Michael Caron at
(916) 323-2051.
Sincerely,
` tDREW M. rECCA, Dr. P.H.
Director
Health Services Department
�- SUBSTANCE ABUSE SERVICE
DIVISION ADMINISTRATION
.595 Center Ave.,Suite 200
W. ) Q, Martinez,CA 94553-4639
Alcohol Program (510)313-6300
Drug Program (510)313-6350
rt cou�� `
Deutschman (Healthy TIES) California
Appendix II, Document 3
June 14, 1993
Lisa Scheckel, Acting Director
Center for Substance Abuse Treatment
Grant Review Office
Rockwall II Building, 10th Floor
Rockville, Maryland 20857
Dear Ms. Scheckel:
This is to certify that all facilities -to be used by the
Healthy TIES program meet the accessibility requirements for
contracting with Contra Costa County and those required for
licensing by the California Department of Alcohol and Drug
Programs.
Yours Truly,,
Chuck Deu schman, MFCC, MBA
Substance Abuse Division Director
CD/ec
46
A-371-A ,12,921 Contra Costa County
Deutschman (Healthy TIES), California
Appendix III, Document 4: Non-supplantation
Appendix III, Document 5: Letters of Commitment/Linkages
47
Deutschman (Healthy TIES), California
STATE OF CALIFORNIA--HEALTH AND WELFARE AGENCY PETE WILSON, Governor
DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
K STREET
SACRAMENTO, CA 95814-4037 Ape
TTY (916) 445-1942
(916) 323-2051
June 19, 1993
Lisa W. Scheckel, Acting Director
Center for Substance Abuse Treatment
Rockwall II, 10th Floor
5600 Fishers Lane
Rockville, MD 20857
Dear Ms. Scheckel:
RE: Non-Supplantation Certification - Critical Populations Grant
Program
PROVIDER: Contra Costa County Health Services Department
This letter certifies that neither the State: nor the above-
mentioned provider will use funds awarded under this grant to
replace funds that are currently supporting or are committed to
support the proposed program activities.
If you have any questions, please contact Michael Caron at
(916) 323-2051.
Sincerely,
G ANDREW M. MECCA, Dr.P.H.
Director
Deutschman (Healthy TIES), California
ALCOHOL AND DRUG ABUSE COUNCIL
SACC OF
P CONTRA COSTA, INC. App.17T, Dae_s
Telephone: (510) 932-8100 • FAX (510) 932-8392
171 Mayhew Way, Suite 210, Pleasant Hill, CA 94523
AN INDEPENDENT. NON-PROFIT CORPORATION - CONTRIBUTIONS ARE TAX DEDUCTIBLE
i� Chuck Deutacrtman
I�
I
5ubatance Abuae Diractor
i Cantra Costa Coun-Ly
Il X1+5 Canter AVE!. , Suite '200
DRINKING DRIVER Martine:-., CA 9455"3
PROGRAM.
FIRST OFFENDER
EDUCATION AND Dear Mr. Deutachman :
COUNSELING
The Alcohol and Drug_ Abuse Council of Contra Costa, Inc.
is one of the community based organizations who are par_
of the callaboratlan a: agencies applying tar the-
Treat.ment for Crit-icai populations Grant,. Specificaiiy ,
IAIApY
NIGhil -t-ha gran- 1P. ictent.ified as -,rte Demonatratlon Grant
Pro am for Mode' Comprehensive Treatment for C'rita
PREVENTING Papulationa, !-'2 oaram Announcemenm VO . A5-y3-Ci21-A
ALCOHOL AND (Adoleacents) .
OTHER DRUG
PROBLEMS AMONG ..
TEENAGERS Ag you know the target population is ado'-scents who are
S:.udent.s in continuation high schools in tate four -arts
OS =ham- County , vie are prOua, and very excl tcei, _o JC
working wit-:t the Contra Costa Cc:,Unt.y 5ubst.ance. Abuse
program Divlalon and aue i an OutBtanding group ui rlort-
proglt agencies On =his grant applicezion. We have
_argctea a grouping of very in.ign-ria;: youth in an
environment- which y its very nature is also sign-ris-A .
FUN ALTERNATIVES aaaed upon our wor;c in zhe conn—nu3tiun :11•74:t ac.-loo-'La _- n
TO ALCOHOL AND
OTHER DRUGS FOR t.Sa Mast w. our Friday lana _ive program _ El,i
THE JUNIOR HIGH -'
SCHOOL STUDENTS _0!-IV1i C CA ==1h- =r-,1aa col =c�Atpr:---neneive __xQ
Wim_, Pt-lire III-a j or _rCcatlnent aavancc!R� W 1.'L 1-1 ea cr 1Z Ica�
aegmen- o2 our ac10iescent population Where alcohol ane.
aru,f ac,usc an.:, acilaiczlon is ea very prevalent.
-.fit 1•�
A :cey part C,x our atrategy is to aaaress -rea-men_ on a
t,otai cal• basis for :.nese yout.n . WnIIe a r.%or Port.ion
Cj the Dro'lram will by Scriaol Oases we recogn_z= an-aL
A SAFE WAY FOR
77k 1_1�� Gi mese s�LtGenzs lack st-ruc-cure and d1reC:_iQ111 2C,r
FOR TEENAGERS
^.luc:t Gf =%_lr •gut-of-achoo_ time. The primary function
,,f Ine of the Counci' ' s =riday Nign L1VF
r—dream incomorehenaive Lr_atmen- .:,-_tin will G== -.a
_a=3G_ 1_.:1 =.,_ -!c__cr%raii!Dna/ apc_al iDor:1ut7 Or C.:,!-
:.1 proc.IaTR wl�_ a(ac, =aa � .re.:: VTAa.ny -
. .._ .GUr:-y._ wi __ comT1 re -3 Iasem..-_ S e%r
RASAF-ROTARIANS
AGAINST C7, VICi'.lai W 0 M-7%S a Z•aCiC•arounc. -ZdGr�:liZro_ , ..,
SUBSTANCE ABUSE - 3`�_;i•3_ "li�� == W': _.-, �_,L Fz -
FOUNDATION -
., CC" C=i = 11'i,; Or _--'J.-Si= •1'D 1-1 1
Deutschman (Healthy TIES), California
APPJIT, Dof, S
;his individual will 'rye given the t_it.ic ��= Adoieacent
Treatment Project. Coordinator and wily_ report directly r-C,
Irene Dwinnell , the Youth Prevention program Director .
Irene currently supervises the individuals who coordinate
the Friday Might Live- and Club Live programa in the higrl
schools and junior high schools throughout Contra Costa
county . In aauition the worn, of the Adolescent Treatment
project Coorainator will be monitored by Michael king ,
the Executive Director of the Council .
The Council has worked in the continuation high school
environment in the peat and has alwaya been challenged by
the opportunities and frustrated by the lack of adequate
resources to meet the challenges. Because these atudenta
are high-risk, in a high-risk environment., they require a
ateady, concentrated Effort by personnel who are trained
to work with this special population. The Treatment
project Coordinator will have the opportunity to be an
the four high school campuses on a continual basis and
can become an integral part o: the network of acr,00l
administrators and faculty; the network of the other
agencies who are components of this treatment proposal :
and the network of the -school and the community beaea
organimationa such as parks and recreation , law
enforcement juvenile officer, youth services council ,
organi_-ed aporia and recreation activltyea. •_tc.
The Treatment Pro.)ect Coordinator will work on the
astabliahment of recreational/social activities for tr,-
continuation nigh school students suc;, as dances, =1ald
T_rins' aRateboard activities, rali._, ea, muelcal ?am
sessions. =.alent. shows, traits ane; activities, aoc;a_
activiti=-a in the community. =unci-raiaing •activitia_a r
their recreational activitlea, etc. The focus will be on
creating these activities in the school setting and for
the out-of-school hours. In addition activities wil; ne
planned to allow for tie natural merging cs students from
the continuation nioh schools wits, zlhe stucents f rG`:R tr,e
reqular high achoola in t:,eir geograU1-11caI -area.
We will concentrate on providing act.lvities and creat- in;
1ntcreat5 wn•=r; the atude-nta can 13a: =ICC ani= lli 3 Z'_
manner wit:,out. the need t-o use a;cc'Q1 rnC Gru,=; _
important Yrr them 11:.0 see =riaz -a is -Cr
socialise wit;, tieir peers in.. a new paraciam . Ica i_�.D
:mtor_ant <' or Z=:'em tG _=aYn -,Jai J•=_-ali�
mar^tet _•_,;tmUtil- , E�Uc n ae. _:,% •z'Z..-,•=r :.�-a:. E..C:,00_a - _ _V
a•I•_na:L4 , _aw =r..o:•c.-.^.i•=r.t , =t_.
Deutschman (Healthy TIES), California
j
The Council wli = also provide leaderahlp trainin•q to the
atudenta who ,3ecome ]cera and leadera of the Friday
Night Live. Chinot.ers on the campuses. We will work with
theae atudenta to teach them about recruiting other
atudenta, planning , leading a mectinq , delegating ,
creating an agenda , etc.
We believe that develovment of recreational and social
skills are estecially important to these students. It. is
very di££icult for adoleacenta to address the issue of
treatment and recovery if they believe that they are
going to iaoiate themaeivea and not ne able to fit into
their peer group. In addition the need for peer support
ana peer camaraderie is critical . For thoaE atudenta who
are already 2.n recovery food aaciei and recreat�oi;al
akiila and activitiea are necessary to prevent relapse .
The Alcohol and �'- ruq Abuse Council of Contra Costa, Inc.
is dedicated to living out the spirit and specific
,program features as described in the collaborative reply
to the Demonntrataon - Grant ;�rograrr, £or moael
Comprehensive Treatment. for Critical Populat-ions, Program
Announcement No. AS-93-021-A (Adoleacenta) .
Tf you have any questions alease don' "-. hesitate to give
me a call .
5incerely ,
Michael R. Kinq
Executive Director
Deutschman (Healthy TIES), California
CENTER
FOR May 27, 1993
HUMAN
DEVELOPMENT
Mr. Chuck Deutschman
Chief Substance Abuse Division
suite 120
PIcasant I fill.CA 94523 County of Contra Costa
(10)087-8844 595 Center Avenue, Suite 200
FIX(31 0)087-6903 Martinez, CA 94553
Dear Mr. Deutschman:
On behalf of the Center for Human DevelopmerLt (CHD), I am pleased
to pledge my participation in the Contra Costa County Substance Abuse
Division's proposed plan to provide comprehensive treltment services to
adolescents in Contra Costa County. I understand that the County is
responding to the Request for Applications for treatment programs for
critical populations issued by the Center for Substance Abuse Treatment
(CSAT), and that Contra Costa is proposing a three-year pilot program
to develop the comprehensive model.
The Center for Human Development has been providing substance
abuse related services in Contra Costa County since 1972. Our agency
provides health promotion programs that support healthy human
development for people of all ages. CHD programs span a wide variety
of service needs including prevention and intervention for alcohol and
other drug abuse, youth leadership, community organizing, counseling
and psychotherapy, parenting skills, and cooperative learning.
The professional staff at CHD have not only designed programs, but
have also provided training and technical assistance to numerous local,
state, and national efforts.
The Center for Human Development plans to participate in the program
by providing the institutional change component which addresses the
school environment in which students spend a significant part of their
time. CHD will train school personnel and other service providers in the
High-Risk Tribes social development model. The educators and service
provider staff will learn to empower students to develop a positive,
supportive peer culture that promotes health and well-being.
The Center for Human Development will also join with Neighborhood
House in the Counseling Groups Component, providing support groups,
counseling, and referral services to students at Gompers Continuation
High School.
Deutschman (Healthy TIES), California
Mr. Chuck Deutschman App-21C bot. 5-
May 27, 1993
Page 2
We believe the project represents an important opportunity to
implement a continuum of care and support to high-risk adolescents.
The goal of the program is to increase the functionality, school
productivity and chances of graduation of these students by addressing
their alcohol or other drug use and related issues. The program
includes seven components in response to the complex and
comprehensive needs of this high-risk group of adolescents.
We are looking forward to working with the County on this important
project, as well as to an extension of our already strong working
relationship with the Substance Abuse Division.
Sincerely,
VAAL
Jan Falk, MSW, LCSW
Executive Director
Deutschman (Healthy TIES), California
App,ff . boc..�/ East County
Boys & Girls Club
Drug &Alcohol Prevention
Program(O.A.P.P.)
335 East Leland Road
Pittsburg, CA 94565
L-t1Uc1: Llelli. C:II1::y.r' JU0110)439-86S�
Contra 'L'o :t._i 1J.3 r,t
substance Amuse Eli-vision
5y5 renter Avenue
Martinez, t_-A
Derr Mr_ Deutscnman.
The E;asL County boys and 6'irls Club, -)rug and A _Coni of Prevention
Program ( DAPP i would i_i-re LQ G_:press our comtTlitment to the
Healthy Z'_ E _ rra rale _'ronosea to Worm in cont inuation schools
throughout the county to provide on-site intensive Substance abuse
services_
DAPP WOLll:.i .i.nvo�:'epi prQvriding ccun;selingy and !ease I.nanFi4t'Mellt at
Marina i4igh 'S.cilooi tnr(vuen thC, Pittsburg '•_)nitied ._,cnool District .
The DAr'i' counselor1::.red to serve `'Marina hl i!?n •lt_uid 'Provide on-site
individual and group counseiin% "'o students identiiiZd as involved-1,
with J11bjLdiic:C rtbuso , a's We;ti as oiler:in : aGid.—ional groups and
counseling services at the DAP P oldie to tine 3 ucLent and, his/her
family_ The came Inana._,::,,er CdQuid be involved in providing the iamily
services neCes:.i-qtr tc, .'!'tar•pe_.'t --he cJhilt' .-- retver;'_ fi'2e case
manager ��i i_ :1c,, 0111.,' :a::.11'I: t� er.=. - -- .ti, g
t »?.'O' Line i:�f2'i__i in Cv�alnS''�.11n�
services , iDucc eiii' l provi.ct= ?c.' 1,-jz_ zo O-Aer %:1om.1L n:_-`,J serviCes t.rl(�_
family IlE eds -- Pie L1Ua ill", Ot t laml7.i;T' OL^Ovldilir?
nealt:�i an::: elftj'1-�;.%11�I1t i:t.2r:;:i'^latiuYi iL'r i'BrCnt3 3n(�i 1:�1121,r_s ) _ •fn is
Inaj7 121:%O)..Vr;' V itc• i11. %l1E �aI:i [1GlTtE . iSU: n�'.l' i n ;psni"II ,
knowledge e (11 crVJ7-cU1L:111'31 1S UGC.=na <:rle ''level, _)n nt
Community resc.!ur(� t- banX 1:or
LIAZ'1 loci := 102'. :trt:1 _) i?;): ,✓Q�a :� :nr i' sEr V__C'
throughout tlne- our. with Kite i e- Se( r'vic,. to t:11:3
MOST d1LZ1.0:i.i..0 `.i) IFttiV' 0 f vc,ut
-in-- rely .
1
'ferry J _ Ba 01.1e
Prograin Director
East CountyBoy-- and Gir-Ls
Drug and Alcohol Prevention r'rclgram
Deutschman (Healthy TIES), California
NEIGHBORHOOD HOUSE OF NORTH RICHMOND
305 CHESLEY AVENUE
RICHMOND, CALIFORNIA 94801 A V
ppoc.-
(510) 235-9780 �L11-
MEMORANDUM OF UNDERSTANDING
TO: CSAT
FROM: Neighborhood House of North Richmond
SUBJECT: "HEALTHY TIES" PROPOSAL
Contra Costa County
DATE : June 8, 1993
Neighborhood House of North Richmond will collaborate with New
Connections , Center for Human Development, San Ramon Valley
Discovery Center and ADA to execute the services set forth in this
proposal .
Neighborhood House of North Richmond will provide a "Work
Exploration" component for Continuing Education students of West
County while supporting collaborative efforts of the entire County
as a whole .
Michele Jackson, Executive Director
Member- United Way
1 '
Deutschman (healthy TIES), California
=�
0-13 :, j0 RECEIVED
10
_ "Working Toward a Drug-Free Future"
12 01` _ ' J��'�rf } Prevention • Counseling •Treatment
L- A'C'E—�
bet .
BOARD OF DIRECTORS f_
Marcie K.Miller,President June 1 , 1993
Principal,Olympic High School
Bill McGrath,Vice President Chuck Deutschman
Broker,Cushman&Wakefield
Bob Weis,Treasurer Contra Costa Health Services Department
President,Strategic Financial Services
Leslie A.Dalrymple.Secretary Division of Substance Abuse
Chevron U.S.A. 595 Center Avenue
Ang Bracco
Detective,Concord Police Department Martinez, CA 94553
Karen L Brown
Helen Fox Dear Mr. Deutschman,
Principal,The Fox Company
Cheryl Franklin-Golden
Program Manager,Head Start New Connections is proud to be participating in the
Patricia Goodday
Principal,Concord High School Adolescent Treatment Program currently being Planned
Ken Gray by the Division of Substance Abuse as a submission to the
Supervisor,Pittsburg Leisure Services
Zoe Lighty Center for Substance Abuse Treatment. As one of the four
Trustee,John Swett Unified School District treatment sites, New Connections will be responsible for
Timothy J.McGarvey
Vice President,Tosco Refining Company coordinating and implementing the treatment component at
Kerry Reynolds Olympic Continuation High School and the community
The Marketing Manager
John W.Schlendorf,III treatment services in Central Contra Costa County. In
Accountant,Armstrong,Gilmour&Assoc. addition, we agree to provide a portion of a staff position to
Theresa A.Triplett 9 P P
Financial Analyst,World Savings&Loan serve as treatment coordinator for all the treatment sites in
EXECUTIVE DIRECTOR
order to insure consistency and quality.
Beth L Schecter,M.P.H. As a provider of adolescent substance abuse services in the
PROFESSIONAL ADVISORY BOARD County for the last 21 years, we feel able to carry out the
Barbara Cross.MS,Associate Director terms of the project as stated and look forward to being part of
Center for Working Life
Jon Oashner.Police Manager an exciting effort to improve and expand much needed
City of Orinoa services in Contra Costa.
Jane Emanuel,Tax Practitioner
Emanuel&Associates
Jon Frank.Superintendent
John Swett Unified School Disinci Sincerely
Carol Humphrey,MFCC '
Counselor.Pacific Gas&Electric L
Employee Assistance Program
Ron Levinson.Ph.D.
Dean.Graduate School of Professional Psychology
John F.Kennedy University Beth L. Schecter, MPH
Vie Presidebbey.t&M Executive Director
Vice President&Manager,Bank of America
Employee Assistance Program
Derek Matthews.Attorney
McCutchen,Doyle.Brown&Enersen
Alex C.Ozuna.Supervisor
Chevron U.S.A.
Richard L Patsey,Judge
Contra Costa County Superior Court
Richard Rainey,Assemblyman
State of California
Richard A.Rawson.Ph.D.
Executive Director.Matrix Center
Myra Redick.Assistant Superintendent
Mt.Diablo Unified School Distrix
Gary E.Strankman.Presiding Justice
tst District Court of Appeals
Hugh Winig,M.D.
Director.CPC Walnut Creek Hospital
Gary Yancey.Distrix Attorney
Contra Costa Couniv
Hal Zuckerman
EducauonaiConsWfani The Keller House - 1760 Clayton Road - Concord.CA 94520 - i510) 676-1601
'Nest Contra Ccsta County :5101 222-1500 Fax (510) 676-1q-50
Deutschman (Healthy TIES), California
SAN PANIOV VALLEY
DISCOVERY A pp� bac
CENTER
June 7, 1993
To: Chuck Deutchman, Substance Abuse Program Administrator
From: Diana Li-Repac, Ph.D.
Re: Critical Populations - Healthy TIES Program Proposal
This memorandum is to verify San Ramon Valley Discovery Center's commitment
to the Critical Populations, Healthy TIES program proposal . The Discovery
Center is a com unity counseling program serving residents of and those
employed in the San Ramon Valley.
The -Center was established in 1971 in response to commmity concern about
alcohol and other drug use among youth in the San Ramon Valley. Over the
years, our services have grown to provide mental health as well as alcohol and
other drug information and education, referrals, workshops, counseling groups
and special prevention projects in the schools. Discovery Center's primary
service remains crisis intervention and short-term counseling for individuals,
couples and families. This service is provided by licensed mental health
professionals and graduate school psychology interns on a sliding fee scale.
A large part of Discovery Center's cases involve working with adolescents and
their families concerning the issues of alcohol and other drug use.
The Discovery Center has had a contract with Contra Costa County since
November 1989 to provide drug prevention and intervention/treatment to the
members of the San Ramon Valley comm mity. Discovery Center has exceeded the
service unit requirements of this contract each year. Discovery Center
augments its core services whenever possible with special programs funded
through grants. The Tri-Vallev Community Fund provided start-up funds
January-November, 1991 for two co-dependency groups which continue to run on
a weekly basis. In the Fall of 1991, Discovery Center was able to bring Teens
Kick Off (TKO) to Monte Vista, San Ramon and California High Schools through
funding received from the Kiwanis Club of San Ramon Valley, Rotary Club of San
Ramon, SRV—..ASA, Danville Parks and Recreation Department, and John Muir
Adolescent Treatment Center.
Two special projects offered in the schools have received funding through the
Drug, Alcohol , Tobacco Education (D.A.T.E. ) Committee of the San Ramon Valley
Unified School District. The Drug Abuse Prevention Project (DAPP) received
funding February 1990-June 1992 and was very well received by both students
and school personnel. DAPP was presented to every seventh and ninth grade
student in the District and was unique in that the presenter was a recovering
addict and alcoholic and could therefore speak about alcohol and other drugs
from personal experience. The School Counseling & Intervention Program (SLIP)
has been funded .February 1991 to the present. Graduate school interns are
placed in each of the middle and high schools in the District one day per
week, seeing at-risk students individually, in groups and in some instances in
the evening with their families. During the 1991-92 school year the interns
..; ; \ i.. `v1;:c'
Deutschman (Healthy TIES), California
Chuck Deutschman ADOC� •
June 7, 1993
Page 2
were overwhelmed with referrals, and many schools expressed the need for . the
interns to be at the schools every day of the week. The combination of DAPP
and SLIP is an effective means of providing both education about the effects
of alcohol and other drug use and an immediate resource to those students who
may need help.
Discovery Center actively participates with other comminit:y groups and service
providers to facilitate the effective delivery and coordination of services
throughout the San Ramon Valley. Discovery Center keeps abreast of co m unity
needs and services through involvement in the local School Attendance Review
Board (SARB) , D.A.T.E. Carmi.ttee, D.A.T.E. Parent Education Subcommittee,
D.A.T.E. Youth Advisory Committee, D.A.T.E. Special Projects Subcarmittee,
Health and Human Services Coordinating Council, ConTmmity Against Substance
Abuse (CASA), Valley Interagency Planning (VIP), and Youth Resources
Carmittee. Together with the San Ramon Valley Unified School District and the
;Alcohol and Drug Abuse Council, Discovery Center has recently established a
ccmmn-ity coalition to review the current needs of the San Ramon Valley in
terms of alcohol and other. drug abuse education, prevention and
intervention/treatment. At least one staff member has been present at each of
the meetings of the coalition, and Discovery Center has been an integral part
of .the coordination of services included in the grant proposal. We have a
strong commitment to this process and our agency will continue to be an active
participant.
Under contract with the Contra Costa County Department of Health in the amount
of $121,577, as part of the Our Healthy TIES project, Discovery Center will
provide the following services and staffing.
1. Hire a full-time Health Educator to deliver a 10 lesson alcohol and drug
education curricula to continuation and day school students identified in
the program proposal.
2. Hire a full-time licensed Counselor to provide alcohol and drug counseling
services for continuation and day school students attending school in the
San Ramon Valley.
3. Hire a half-time Social Worker (case manager) to provide case management
services for continuation and day school students attending school in the
San Ramon Valley to include job mentoring and other employment services.
4. Recruit one part-time graduate school counseling intern to provide alcohol
and drug and mental health counseling services for- students attending
continuation and day school in the San Ramon Valley.
5. Participate and cooperate with the County Department of Health in
monitoring and evaluation of the project in areas of contract canpliance,
performance, and fiscal and programmatic accountability.
6. Participate in service provider meetings to foster collaboration. Meetings
will provide a forum for case consultation, networking of services,
planning, and discussion of the progress in meeting objectives.
Deutschman (Healthy TIES), California
,Q p.l-,Dec , s
Chuck Deutschman
June 7, 1993
Page 3
Funds provided by the Critical Populations, Healthy TIES program will allow us
to expand our service delivery into the continuation and day school here in
the San Ramon Valley. This student population is estimated to have close to 90
percent self-reported active drug abuse with little or no subsidized services
available to them.
We appreciate this opportunity to participate in this worthwhile and much
needed program.
Signed this Z day of June, 1993 by:
Diana Li-Repac, Ph.D. , Executive Director
San Ramon Valley Discovery Center
Deutschman (Healthy TIES), California
MT.DIABLO UNIFIED SCHOOL DISTRICT
IUD seOOL
#1 OLYMPIC2 30 SA VIO STREET
CONCORD,CALIFORNIA 94519-2599 A
pp.]Z,
� (415)687-0363 Doc I
Y -v
� OFFICE OF PRINCIPAL
June 4; 1993
Chuck Deutschman
Contra Costa Health Services Department
Substance Abuse Division
595 Center Avenue, Suite 200
Martinez, CA 94553
Dear Chuck,
With great pleasure I wholeheartedly support the adolescent
treatment proposal developed by the consortium of alcohol and
drug service providers in conjunction with Contra Costa County.
As Principal of Olympic High School, one of California's largest
continuation high schools, as well as President of the Board of
Directors of New Connections, I have been aware for some time of
the urgent need for a comprehensive intervention program for high
risk youth.
This collaborative multi-faceted approach offers the best hope
for a long-term solution to the serious drug and alcohol problems
which inhibit student progress and trap students .in a cycle
of addiction.
I met with the team and provided input to the proposal from the
school' s perspective. I feel very comfortable with the
professionalism and expertise of the service providers.
Olympic High School is fully committed to participating in the
adolescent treatment program. Our staff consistently names
substance abuse as one of our major concerns. We are prepared to
participate in staff development, provide meeting space, offer
students class time and credit for participation in the program,
publicize the program components for parent and student outreach,
and assist in program evaluation.
During these most difficult economic times, this unified
comprehensive approach bringing together a variety of community
support services and schools in their common mission of reducing
substance abuse is creative as well as cost effective.
Thank you for your support in recognizing this important need.
Sincerly,
i t
Marcie K. Miller
Principal I '1 r s�a3
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER
.Deutschman (Healthy TIES), California
�-- �
�rir�a 111GIISCHOOL
Apoi
SM 131ac+Dlamofvl, pill-
.tbuf%CA 94565
-i I th -i(- .9 L)epartmenf.
Martin(7— J-'A
June
Dear Mr -
As Pri,nci.pal of Marina High 'school. a continuation program for the
Pittshiirg School. District, I would like to express our
commit.mnnt tn wnrk with your department and the service providers
i.nvolve.d i.n Ynur application for federal funding to develop a.
pro ar,)ITI f(:)t, tre,-.itment and intervention with addiction among
a(Jo i e s.r(--.t 11-.S at. (-0 n t i.nua t.-L on schools througliout Contra Costa
o U n
fr-el thr. .al.:-prc)r-(-.-.h of intervention and treatment that
in Arld i.f-.! ,-%!i i.r, involves our students with health,
.social i.--atico) . rase management and employment services will be a
powerful rlddit-,ion to our program at Marina-
I loc)k fnrw.-t-: to working wi th you,
Ic r.I
4�wlp.- I w!m,1
P
Harinri High
Deutschman (Healthy TIES), California
RICHMOND UNIFIED SCHOOL DISTRICT
GOMPERS HIGH SCHOOL
157 9th Street .
Richmond, California 94801 p�
(510) 234-1172
June 9, 1993
Chuck- Deutschman, Substance Abuse Chief
Contra Costa County Health Services Department
Alcohol and Drug Abuse Administration
595 Center Avenue, Suite 200
Martinez CA 94553-4639
Dear Mr. Deutschman:
We at Gompers welcome the proposed project to provide drug and alcohol
intervention services to our youth and their families at the school site. The
agencies that will offer these services, Familias Unidas and the Center for
Human Development, are well respected in the community and the school.
Our students deal with critical issues that interfere with their learning and
achieving. A major issue is substance use, their own or someone else's.
Professional counselors and support services at the school site will provide a
much-needed network of school and community working together to set
standards of behavior and. opportunities for healthy change.
Gompers High School is fully committed to participating in this adolescent
treatment project. The staff is deeply concerned about students' involvement
with substances and will support the work of agency staff at the site. As a
school community, we will participate in staff development;. provide meeting and
office space, publicize information about the program, and assist in parent and
student outreach and in program evaluation. We will, as viell, provide class
time and offer credit for participation to our students.
We appreciate the effort and planning of the County and the consortium agencies
in developing this project. Thank you for inviting the Gompers school community
to participate.
Sincerely,
Bill Parnell
Principal, Gompers High School
BP:jg
Deutschman (Healthy TIES), California
Del .Amigo High Ami o i h School A
ISu 1)r1 Af"iro Ro--iii ♦ Danville, ('a. Q4526
SAN RAN40N VALLEY UNIFIED SCHOOL DISTRICT • John W. Duncan, Superintendent
699 01d1•Orchard Drive, Danville, California 94526 • (510) 837-1511 • FAX (510) R37-9247
MEMORANDUM OF UNDERSTANDING
TO: Chuck Deutschman , Substance Abuse Program Chief
County of Contra Costa Drug Abuse Program Administ:rat:ion
595 Center Avenue, Suite 200
Martinez , California 94553
FROM: Jack Marlowe, Principal
Del Amigo High School
189 Del Amigo Road
Danville , California 94526
DATE: June 1 , 1993
This Memorandum of Understanding is written to support the
efforts of the County to secure funding f r.om the Cr- i t ir:n1.
Populations Grant Program, and to outline the involvemr�nt of
students and faculty in the project should it be funded.
I . Treatment Component:
Work with San Ramon Valley Discovery Center staff to insure
that students , faculty and parents are aware of the treatment
services available to them and, as appropriate , initiate
referrals into the program.
2 . institutional Change Component :
Dcl Amigo school faculty will participate in the Tribe.,
training and agrees to become a Tribes operated institution.
3 . Education Component :
Del Amigo school agrees to work with the San Ramon Valley
Discovery Center to provide a 20 hour alcohol and drug
education program for the continuation students .
In addition , Del Amigo will provide whatever assistance is
necessary to insure that students and faculty are supportive and
involved in all the components of the program.
Signed this day of June, 1993 , by:
Jack Marlowe , Principal
Deutschman (Healthy TIES)California
JUN 15 '93 02:26PM CCC OFFICE OF ®. P.2
App III , Doc. 5
Ir�r Ronald L Stewart. Ed.D.. Superintendent
• • • 77 Santa Barbara Road • Pleasant Hill, California 94523
• ' (415) 944~3388
15 June 1993
Chuck Deutschman, Director
Substance Abuse Division
Contra Costa County Health Services Department
595 Center Avenue, Suite 200
Martinez CA 94553
Dear Mr. Deutschman:
On behalf of the Contra Costa County Office of Education, I
am pleased to commit our involvement in your proposed Healthy
TIES program to provide alcohol and drug treatment to
students in three of our community day schools. In addition
to these much needed services for our students, staff of
these three school sites look forward to the training offered
through the Institutional Change component of the program.
We are also pleased that the continuation schools our
students are most likely to return to are involved with
Healthy TIES so that they will receive on-going support in
their efforts to eliminate alcohol and drug use from their
lives.
Yours truly,
'&AkU (3&
U, r�
Bianca Bloom, Director
Alternative Education Department
64
Deutschman (Healthy TIES), California
SE-A& Contra Costa County
s: Health Services Department
PUBLIC HEALTH DIVISION
Public Health Clinic Services
App
The TeenAge Program which operates under the Public Health Division
of Contra Costa County Health Services agrees to provide the
following health related topics to participating schools in the
Healthy TIES proposal:
Communication Skills/Decision Making
Self Esteem
violence Prevention
Date Rape
Sexual Responsibility
Contraception
STD/HIV
Physical Fitness
Nutrition
Smoking/Tobacco
Other health related topics.-
These
opics-These presentations will be provided at each of four sites at least
once monthly by cross-age peer counselors from TAP.
Referral and confirmed access to comprehensive TAP (teen health)
clinics in central and west county will be offered to all TIES
participants. additionally on-site services for the following will
be offered at least monthly:
Immunization update
HIV/Risk Assessment counseling
Tuberculosis exposure screening
We will work closely with TIES to. explore the possibility of a
mobile health team/van to expeditiously deliver health care
delivery on site.
Beverly V Jac , FNP
Director, Clinic Services
595 Center Avenue, Suite 120 Martinez, CA 94553 (510) 313-6250
Deutschman (Healthy TIES) , California
EMT Associates, Inc.
Evaluation, Management and Training
EMT
3090 Fite Circle, Suite 201
Sacramento,CA 95827
(916)363-94.5
FAX(916)363-6689
June 11, 1993 'E• DOC
PP
William E. L'Heureux, Assistant Director
San Ramon Valley Discovery Center
530 LaGonda Way, Suite A
Danville, CA 94526
Dear Mr. L'Heureux:
EMT Associates, Inc. is pleased to submit the enclosed evaluation proposal for inclusion with
Contra Costa County's application to the Center for Substance Abuse Treatment (CSAT) to
develop a comprehensive Adolescent Treatment Program through four continuation high schools.
Although the evaluation section is preliminary, it addresses the issues and priorities outlined in
CSAT's Program Announcement. The evaluation proposed by EMT would include process,
outcome, and program development components. The data collection would emphasize the
information on the student participants, in the form of eliciting a detailed profile, identifying a
baseline or comparison group, and in terms of both utilization of and progress through various
program components. EMT proposes to conduct the evaluation for the first year for $29,987
(see budget). A detailed workplan and evaluation design would be submitted following a CSAT
award.
The key personnel for this evaluation would include senior staff at EMT. I would act as the
Evaluation Director, assisted by Linda Phillips who will be the Programmer/Data Analyst.
Together we would devote 600 professional hours to the evaluation, or 50 hours per month on
the average. In addition to Project Secretary, Evelyn Boehm, EMT would contract out the data
entry to a consultant who works with us on a regular basis. Project staff would also be able to
consult with EMT's President, Joel Phillips and Research Director, Fred Springer for ongoing
oversight and consultation. A copy of EMT's corporate capabilities is enclosed.
Please let me know if you need additional information in order to be responsive to CSAT's
application process. Good luck, and we are looking forward to working with you and the other
organizations that will be implementing this innovative and promising intervention and treatment
program.
Sincerely,
Lynne P. Cannady
Sr. Associate
Enclosures
Deutschman (Healthy TIES) Californiz
L Health Services Department
SUBSTANCE ABUSE SERVICES
DIVISION ADMINISTRATION P
595 Center Ave.,Suite 200 00C.5
Martinez,CA 94553-4639
" .__7 h``� .��` Alcohol Programs (510) 313-6300
Drug Programs (510)313-6350
June 9 , 1993
Chuck Deutschman, MFCC, MBA
Substance Abuse Director
595 Center Ave. #200
Martinez, CA 94553
Dear Chuck:
Participants in the five Community Partnership regions enthusiastically
support the Healthy TIES proposal to the Center for Substance Abuse
Treatment.
We have activities in the communities where each of the four continuation
schools are located and would be eager to support both students and their
schools in the empowering work of making community changes for reducing
alcohol and other drug. problems.
Yours,
�i bave Stegman, eslie Phi brook, CHD
Regional Coordinatori `Cent 1 County
County
t
Chuck Stephenson, Caroline Kelley,/0 S Coufity
Opportunity West Acalanes/Lamori da
West County
4"ast
Beck rD to 2000Zl County
CK/LP/JB/DS/CS:JR
a:tiesprrn,lit
The Action Plan
A Partnership for a Drug-Free Contra Costa County
-17 11,0141 Centra Costa Countv
Deutschman (Healthy TIES), California
0NpUSTq
tiE Y CO
ac AF
COSTA �
PRIVATE INDUSTRY COUNCIL
242S Bisso Lane, Suite 100
Concord, CA 94520-4891 June 4, 1993
(510) 646-5239 Lisa Scheckel, Acting Director
FAX (510) 646-5517
Center for Substance Abuse Treatment
EXECUTIVE COMMITTEE Grant Review Office
UDAJOHNSON Rockwall II Building, 10th Floor
Chair Rockville, Maryland 20857
Bank of America Attn: SPOC
JOAN KELLEY-WILLIAMS
Vice Chair
BABCO Dear 11s. Scheckel:
BARBARA N. SHAW
Past Chair It is with great pleasure that I enclose this support letter
Barbara Shaw Seminars for the Healthy Treatment, Intervention, Education, Sociali-
zation (TIES) Critical Populations program proposal for Contra
ALANCosta County. The Private Industry Council looks forward to
Membeerraatt Large
workingwith staff of the program and with continuatuon and
Chevron,U.S.A. p g
day school students to assist them in meeting their employment
JONOTHAN DUMAS needs.
Chair Oversight Committee
Richmond Community Outreach Program This proposal offers what I believe to be a most comprehensive
CC Bldg.&Const.Trades Council/AFL-CIO
and state-of-the-art approach for service delivery to at-risk
ERIC FRANK youth. Our Private Industry Council programs provide employment
Chair Marketing Committee services for at-risk youth and we have found that many of these
Business Consultant individuals have difficulty maintaining a3table employment, I
GUY MOORE believe that the counseling, education, socialization, and
Chair Proposal Review Committee institutional components of the Healthy "CIES program will help
Wells Fargo Bank these youth lead more productive lives and provide a good
HELEN SPENCER foundation for their future careers.
Chair Planning Committee
C.C,Community College Distrix This proposal deserves consideration for the highest priority for
fending.
DIRECTORS
George Hamm
Steve Giacomiir: Sincerely, 9
Sylvester Greenwood
Beth Lee `-�V r
Charee Lord
Elaine Miyamori Robert Whatford, Deputy Direc or
Patricia Porter Contra Costa County Private I dustry Council
Christopher Smith
Wanda Viviano
Marshall Walker, III RW:bw
EXECUTIVE DIRECTOR
ARTHUR C. MINER
Deutschman (Healthy TIES), California
A ppTIC, S
June 2, 1993
Mr. Chuck Deutchman
Substance Abuse Program Administrator
Contra Costa County Health Services Department
595 Center Avenue, Suite 200
Martinez, CA 94553
Dear Mr. Deutchman:
This letter is written in support of the Critical Populations Program proposal to fund
substance abuse outpatient treatment for students attending targeted Continuation and Day
schools in Contra Costa County. I am especially pleased that a portion of the funds for
this innovative program will provide needed substance abuse treatment services for youth
resident here in the San Ramon Valley area.
It appears that a great deal of thought went into the design of the program reflected in the
grant proposal. To provide a public health and environmental approach, education, and
comprehensive treatment as the main focus, is commendable. I truly believe that this
program will make a difference here in the San Ramon Valley and will be embraced by
the community.
Please accept my standing offer to provide you with whatever assistance is necessary to
ensure the success of this valuable and most needed program.
Sincerely,
Michael K Shimansky
Mayor
510 La Gonda Wav • Danville,California 94526-1722 (510)820-6337
. t
Deutschman (Healthy TIES), California
Aoe,S'
�P
June S, 1993
Chuck Deutchman
Substance Abuse Program Administrator
Contra Costa County Health Services Department
1�95 A;-ens_? Su r<, 20-0
Martinez, California 94553
Dear Mr. Deutchman,
This letter is written in support of the Critical Populations,
Healthy Ties program proposal to fund substance abuse outpatient
treatment for students attending targeted Continuation and Day
schools in Contra Costa County. I interact daily with young people
here in the San Ramon Valley and am aware of how great the need is
for substance abuse treatment services. ThereforE!, I am especially
pleased that a portion of the funds for this innovative program
will be utilized in the San Ramon Valley area.
I truly believe that this program will be welcomed by the community
as a whole and will make a difference. I look forward to assisting
the program in the future.
Sincerely,
. Nancy Harris
Youth Services Coordinator
510 La Gonda Wav • Danville,California 94526-1722 (510)820-6337
J 04 U4 '`"J U'=:44 Hi-1-U"UL �_' LJKU{a F bU'J t WUN'_1 L )10~JZdJ�G I U' J1�� J`tiS'� bbzb r1ol
JUN 01 '90- 15"41 -1OvELLWC. INC. 415 947 123$
Deutschman (Healthy TIES), California
CRISIS AND SUICIDE b4TERVENTION OF CONTRA COSTA
A ppA Doc
, Sy
June 3, 1993
Chuck Deutschman
Contra Costa Health services Department
Substance Abuse Division
595 Center Avenue, Suite 200
Martinez , CA 94553
Dear Mr. Deutschman:
I am pleased to write in support of the proposed grant by the
coalition or service providers to provide addiction treatment
services at four continuation high schools and three community day
programs in the county. The need for such a program at the present
time is amply demonstrated in the content of our crisis calls, as
well as in the needs. of community members requesting grief
counseling after the loss of a young life through accident or
suicide.
This agency is committed to providing crisis and suicide
intervention services to the youth of this county, as well as
training to mental health and educational professionals who serve
them. We could provide speakers and/or training on depression,
grief and loss, and crisis and suicide intervention to support the
proposal .
In addit iis.1, we teach a two-day auicido intervention nki11s
workshop for professionals, teachers, and other gatekeepers. The
psychological equivalent of CPR, this workshop provides critically
jxeLportanti sAilis far working effeatively with poopla at risk of
suicide. (The next . workshop will be held July 9 and 10 at the
Crisis Line. in Walnut Creek. A brochure and registration form is
enclosed for your information. )
To sum up, we support the coalition' s efforts to provide these
essential services to our adolescents at risk and in need of
addiction treatment.
Sincerely,
an W. Stern, MFCC
otline Program Director
1 .
PA). BOX 4952,WALNur CREEK.CALIFORNIA 94590 :- BLsi,4Es5 LINE(415)939-1910 ee CRIT Lvc.:(415)970.323 A VI lILEI WA
Deutschman (Healthy TIES), California
Probation DepartmentContra Gerald S. Buck
County Probation Officer
Administrative Offices
Costa
50 Douglas Drive, Suite 201 County
Martinez,California 94553-8500 � J]1(5i0)3i3-4180 (/(510)313-4191 FAXvly,
Vlt—+ .' <
q•�a �`J
June 1, 1993
Mr. Chuck Deutschman
Contra Costa Health Services
Substance Abuse Division
595 Center Avenue, Suite 200
Martinez, CA 94553
Dear Mr. Deutschman,
The Probation Department endorses and supports the collaborative
effort of six alcohol and drug service providers to deal more
effectively with students in continuation schools and County
Office of Education schools .
A high percentage of the enrollees in these schools exhibit
substance abuse symptomatology which frequently results in their
failure to complete their education.
The programs outlined, which will be addressed if the grant is
awarded, will greatly enhance the chances of success for youth
who are under the jurisdiction of this department or who are at
high risk of being under our jurisdiction.
If these programs are possible, we would be prepared to share our
knowledge and expertise in support of the collaborative efforts
of the coalition. We could provide speakers through our
speakers ' bureau and participate in other ways as needed.
Sincerely,
j
GERALD S. BUCK
COUNTY PROBATION OFFICER
GSB:ds
-7 -�
- Deur an (Healthy 'TIES) , California
A PJT1
Doc. 5`
rf,
3 Planned Parenthood®
Shasta-Diablo
June 9 , 1993
Chuck Deutschman
Contra Costa Health Services Department
Substance Abuse Division
595 Center Avenue
Suite 200
Martinez, CA 94553
Dear Mx. Deutschman:
This letter is to support the application for federal funds for
Healthy T. I .E.S . to provide a program of intervention and
treatment for substance abuse addiction with continuation
students throughout Contra Costa County,
We believe the utilization of health, case management, employment
and socialization services to be an important addition to the
comprehensive on-site and community substance abuse counseling.
As an organization which works with adolescents at risk fvr
substance abuse and other self destructive behaviors, we would
.w6lcome Healthy Ties to our county. We are willing to
collaborate with any other social service organization to provide
the best services possible .
Sincerely,
Mitzi K. Sales
Acting Executive Director
• • .. .-.. .... ..vim r .,.�:-. .�
Deutschman (Healthy TIES), California
FAMILY
STRESS
CENTER APP.71c, Joc, S-
June 8 , 1993
BOARD OF DIRECTORS t .
$d Beat
"m Chuck Deutschman
A111 Brown
mm Contra Costa Health Services Department
M1chcheDavis Substance Abuse Division
Coruultant -
JackDawson.Ph.D. 595 Center Avenue, Suite 200
clinical Puychologlst Martinez. CA 9 4 5 5 3
Melanie Del Romnttno
Public Health Nurse
DavldDoider Dear Mr. Deutschman,
DolderA Associates
Jack A`orrney This letter is to support the efforts of the application
Edcfraseeltine for federal funds for Healthy T. I. E. S . to provide a
Heat
Virginiaiu Hoover multi-level program of intervention and treatment for
ltpiHS !'
Yon-pn,etConsunant substance abuse addiction with continuation students
Mark LopeLALA throughout Contra Costa County.
Architect
J.ICJm ASorQ.an MD.
Pediatrician We believe the utilization of health. case management,
Putnclvegroon
la. employment and socialization services to be a much needed
CarrerDlsc•+n•ery•.Inc.
Melinda Pate addition to comprehensive on-site and c-ommunity substance
Educator
Gary Snyder abuse counseling.
Attorney
l.lndaWeitzman The Family Stress Center would welco-me Healthy T. I.E. S.
Community Volunteer
E>¢cvrrv6otltecroe to Contra Costa County and would be willing to
HarbamEyelekr_c.S.w. collaborate as needed to provide services to adolescents
at risk for substance abuse and other self-destructive
behaviors ,
Sincerely.
arbara Byaiek, LCSW
Executive Director '
BE i dd
r,
A United Way Agency
WILLIE MAE AND JOHN MARSHALL TYLER BUILDING
2086 COMMERCE AVENUE CONCORD.CA 44520 (510)827-021'2 FAX(510)827-1122
ri �
Deutschman (Healthy TIES) , California
Appendix III , Document 5
30 JO 30# 2� 190U 60 :91 20/90
BWA
P.O. Box 64o6
C4mcvwd. CA 94324 Bnahjes* (510) 676-2843
-
Aattered WomeW3 rw— 4510) 6762326
-s Cdd& 1510) O.-OWW
Alternative
June 1, 1993
Mr. Chuck Deutschman
Contra Costa Health Services Department, Substance Abuse Division
595 Center Avenue, Suite 200
Martinez, CA 94533
Dear Mr. Dcuts,clunan,
As the only domestic violence agmncy in Contra Costa County, Battered
Women's Alternatives works collaboratively with many agencies and coalidons to
help Contra Costars live without violence- or abuse.
We are happy to support and participate in the Adolescent "l*rcaunent
Proposal to increase the functionality, school producAivity, and chances of
graduation of students by addressing alcohol or other drug use and related issues.
The epidemic experience of family violence is a leading factor in teen substance
abuse. Since 1985 BWA!s Teen Violence Prevention Program has reached over
40,000 youth and has presented violence prevention programs at all County
Continuation High Schools.
B'vVA!s multicultural staff and teen volunteers are available to the
colLaboration to speak in classrooms and train staff who are working on the
project.
t wish you well in your grant application. These program activities would
tie an asset: to the youth in our cotnmuniLy-
=14--�
Mollie Mullen
Executive Director
24 Hour cAtaft Un4d Counse& la-ftm Adwoa*cy Prowma Teen rtwum
�2, 'XG*PtP
Wr Mq
Homes UppOK Chwpd Pro""
rr8MOU01W UGUSInQ Mnptoyment ASSL-tM10-- CNW".Ws Primum3pt-,akers Bureau-74 R
Deutschman (Healthy TIES), California
C
cftx 6400
�tARCOrd, CA 94324
Battdred Women's BUSIAC a: (510) 676.2945PPIT,
i"ex: (310 87b-2526
Alternatives C+to1e�: 310; 616-8326
,June 1, 1993
s
Mir. (shuck Dcutschnlan .-
Contra Costa health Services Department, Substance Abuse Division
595 Center Avenue, SUiLe 200
Mart1ncz, CA 94553
Dear fir. Deutschman, r
As the only dorrie.S& violence agency in Contra Costa County, battered
Wornerl's Alternatives works collaboratively with many agencies and coalitions to
hell} Contra Costans live without violence or abuse.
%`'c are. haply to support. and participate in the Adolescent Treatlnent
Proposal to incr
e-ase the functionality, school productivity, and chances of
gracluat.ion of SLudmiu, by addressing alcohol or other drug use and related issues.
The epid4-nic experience of family violence is a. leading ia.ctor in icer substance
abuse. Singe 1 �lft� RWA'. Tcen Vitalencti Yrerention Program ha. rcftch�d c,vi.r
4.0,000 ya1"lth and has presentect violence prevention programs at all County
Coll tinitatLori High Schools.
BIVYVs mult'tcultM-011 staff and teen volunteers are available to the
collabo ation to speak in classrooms and train staff' «•ho are working on the
project
I wish you well in your grant .lpplicadon. These prognml -t(:6VitiC:S would
ke an asset to the youth In our community.
Sincerely,
Rollie Mullcn
Exccutivc Dircc:tor
24 flour Crtsts t.tne Couiweb S--Mete Legal AdVOCacy rrograni Tzcn rrogram
Shefttr/sate homes Support GPOUN Men'3 Progn+nt _� wortspptece imam
Ttanaltional Houstrv3 tmployment AUlat.anoe childrtn's rmvam SpeaMir6 Bureau n
Deutschman (Healthy TIES), California
DRUG, CO Q,, TOBACCO EDUCATION
D eA.TZeApp.]E' Doc'rl
Pittsburg Unifled School District 2000 Railroad Avenue * Pittsburg, CA 94685 lir 432-4705 Ext. 254
June 7, 1993
Chuck Deutschman
Contra Costa Health Department
Substance Abuse Division
595 Center Avenue — —
Suite 200
Martinez, CA 94553
Dear Mr.Deutschman:
I am writing in support of the Adolescent Treatment Proposal for students in
continuation schools throughout Contra Costa County.
The Pittsburg Unified School District is In the process of strengthening and expanding
our prevention, intervention and referral services to our students and families. As the
Substance Abuse Prevention Supervisor, I see this grant as a wonderful opportunity
to collaborate with the Drug and Alcohol Prevention Program (D.A.P.P.) to provided
needed services to our continuation students at Marina High School.
I appreciate the project being very comprehensive and addressing the complex needs
of students living In high risk environments. I am eager to work In cooperation with
your department, D.A.P.P., and Marina High School to successfully implement this
project.
If further information or.assistance is needed, please do not hesitate to contact me at
43'.22-4705, ext. 254.
Sincerely,
Ticka Simon-Rossetto
Substance Abuse Prevention Supervisor
Drug, Alcohol and Tobacco Education (D.A.T.E.)
cc: Henry Dorsey, Director of Student Services
Deutschman, (Healthy TIES) , California
LSUBSTAN10EA8U_SE,ADFW1N1
June 9, 1993 '' i cc's
Board of Directors
Jose Lopez
Chairman
Drinda Brennan
Vice Chairman Chuck Deutschman
Contra Costa Health Services Department
Ruben Rosalez Substance Abuse Division
Treasurer
_ 595 Center Avenue, Suite 200
Alex Ozuna Martinez, CA 94553
Alicia Reardon
'. Alfonso Vega
Julio Martinez Dear Mr. Deutschman:
Lucinda Morales
Luciano T.Perez
Martha Saucedo ,I am writing you in support of the Easy County Girls Club Drug and
" Richard.J.Martinez Alcohol Prevention -Program (DAPP) application for federal funds for
Stephanie Belzan Health T.I.E.S. This will provide a multi-level program of
Skip Solorzano Y . P P $T
intervention and treatment for substance abuse addiction with
Richard S.Lujan continuation students at Marina school Pittsburg.High hl in Pittsb
Executive President. g g
Furthermore, we would like to acknowledge the significant projected
enrollment of the Hispanic participants. This proposal also includes
the progressive idea of having materials available in Spanish. As the
needs of this population increases, programs that: are culturally
sensitive must also increase.
I encourage to support the East County Girls Club proposal. Thank you
for your consideration.
Sincerely,
Richard S. Lujan
Administrative Offices �b q
837 Arnold Dr. - Martinez, California 94553 � A United
0S i( � 194.9910 . FA x r5 i rn 919-0109 WayAgency
Deutschman (Healthy TIES), California
RICHMOND UNIFIED SCHOOL DISTRICT
OFFICE OF HEALTH EDUCATION
DRUG,ALCOHOL,AND TOBACCO EDUCATION PROGRAMS
2465 Dolan Way
San Pablo,California 94806
(510) 741-2852 ✓q
PP �
June 9, 1993
Chuck Deutschman, Substance Abuse Chief
Contra Costa County Health Services Department
Alcohol and Drug Abuse Administration
595 Center Avenue, Suite 200
Martinez CA 94553-4639
Dear Mr. Deutschman:
We wholeheartedly support the proposed consortium-developed project to place
community agencies at Gompers High School to provide a continuum of drug and
alcohol intervention services for youth and their families.
The need in West County is great. Many of our young people are in serious trouble
with alcohol and other drugs, are alienated from traditional .values, have little or no
sense of purpose and possibility, lack affect and self-esteem. West County resources
for these young people are inadequate: we do not have enough services to meet
youth's--and their families'—needs. The faculty and staff at Gompers are dedicated
professionals who, hard as they work, simply cannot address all the needs of the
school's student population.
The project design models a true collaboration of family, schools, community, and
peers. School staff will be brought into the process through training in cooperative
learning and group process (Tribes) and in multicultural awareness and issues and
through participation in the referral network. Families will be invited in to the
process through counseling and workshops. Familias Unidas and the Center for
Human Development will bridge the community commitment to the school and
family commitments. Young people will receive necessary treatment and support,
learn new skills, and develop a positive network for each other.
We are grateful for the opportunity provided by this project to serve our young
people at Gompers. We are, as well, excited by the power inherent in the project
design of networking resources to create a stronger community spirit directed
toward wellness. Our office will work with the Gompers and community agency
staffs to facilitate the project's success.
Thank you for inviting us to participate.
Sinerely '
Diana DeGracia J&n/Georgakopouias
D.A.T.E. Coordinator D T.E. Project Assistant, Secondary
ig
Deutschman (Healthy 'TIES), California
SAN 123%MON VALLEY UNI F I E SCHOOL :O I STR I CT
DRUG� ALCOHOL AND TOBACCO EnU�:AT I ON
Drug-Free Schools/Comunities (DFS)
Tobacco Use Prevention Education (LUPE)
1 5 1 LOVE LANE_DANV I LLE CALIFORNIA 9 4 5 2 6
510 820-6818 - FAX 510 820--5277
June 2 , 1993
Mr. Chuck Deutchman
Substance Abuse Program Administrator
Contra Costa County Health Services Dept.
595 Center Avenue, Suite 200
Martinez , California 94553
Dear Mr. Deutch-nan:
This letter is written in support of the Critical Populations ,
Healthy TIES Program Proposal to fund substance abuse outpatient
treatment for students attending targeted Continuation and Day
schools in Contra Costa County. I am especially pleased that a
portion of the funds for this innovative program will provide
needed substance abuse treatment services for youth residing here
in the San Ramon Valley area.
It appears that a great deal of thought went into the design of the
program reflected in the grant proposal . To provide a public
health and environmental approach, education, and comprehensive
treatment as the main focus, is commendable. I truly believe that
this program will make a difference here in the San Ramon Valley
and will be embraced by the community.
Please accept my standing offer to provide you with whatever
assistance is necessary to ensure the success of this valuable and
most needed program.
Sincerely,
Marcia Newey
D.A.T.E. Program Manager
deutchman.ams
Deutschman (Healthy TIES), California
PfilT
L)D��
• :�a 1i
June 7, 1993
To Whom It May Concern:
The Child and Family Therapy Center is happy to support the proposal of
New Connections and the collaborating agencies for its new Adolescent
Addiction Treatment Program.
�6'�IiliR"'GCis•' i
The Child and Family Therapy Center works closely with New
Connections in providing maximum assistance to families affected by both
child abuse and substance abuse. We are happy to extend this cooperation
to the team of this new proposed program.
Child and Family Therapy Center staff is available to provide training at
the schools to students, teachers and parents regarding child sexual abuse
and the links with substance abuse. In addition, treatment services are
available for children or adults who are survivors of child sexual abuse.
Contra Costa County is lacking the kind of comprehensive, integrated
program presented in this proposal. We strongly urge your support of this
important program.
Sincerely,
Patricia M. Chambers, Ph.D.
Executive Director
IDeutschimn (Healthy TIES), California
Appendix IV, Document 6: Organizational Structure
79
Deutschman (Healthy TIES), California
APP. f 1
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Deutsch►nan (Healthy TIES), California
Contra Costa County Healthy TIES Organizational Chart
ApjgDoc- �
Board of Supervisors
Health Services Department
Substance Abuse Division
Healthy TIES Coordinator
entero Human t ounty oys Neighborhood Ncw Connections an anion Valley
Abuse Council [Board
evelopment and Girls Club House Bo�ird of Directors Discovery Center
Board of Directors of Directors Board of Directors Board of Directors
Ex utive Executive Executive Executive Executive
Executive
Director Directo Director Director Director Director
Youth I I I
T s DA Alcohol/ Youth & Family Assistant
Prevention dinator Program Detox Program Director
Program Director Director Director I
IDirector w _-. I
ES H alth
B ridges Clinical TES TIES Treatment Mucatur
TIES ordinator Supervisor C Dum elor Coordinator/
Recreation I I Counscior IES
Specialist Diversity IES TES I ounse or
nsultants ouns or se TIES Counselor
Manager and Intern IES Case
T I IES Case anager
Family anagement TIES
Director Coordinator Intern TIES
IIntern
IES TIES
Counselor Intern
TIES
Intern
83
Deutschman (Healthy TIES),California
Appendix V, Document 7: Job DescriptionslResumes
84
Deutschman (Healthy TIES), California
Healthy TIES Project Coordinator
Job Description A PpIrD oc.7
TITLE: Project Coordinator - -
DUTIES AND RESPONSIBILITIES: The Project Coordinator oversees the daily activities
of the project. This individual is responsible for all project records including personnel,
contrasts, MOU's, client information, data collection for OTI, internal evaluation, etc. The
Coordinator is the central point of contact for all project staff and is fully responsible for
implementation of the five year federal grant program. r
The Coordinator plays a key role in intra-agency and interagency coordination as well as
community relations and networking. The Coordinator represents the project on
appropriate community forums and boards. This individual is responsible for project
planning, evaluation, reporting and all external communications to the County and O.T.I.
EXAMPLES OF DUTIES:
1.) Supervises project staff and activities.
2.) Designs and develops workshops on policies and procedures.
3.) Develops and implements project public information and community relations
materials.
4.) Develops, monitors and amends contracts and MOU's as necessary with service
providers.
5.) Assists in preparing and monitoring the project budget.
6.) Prepares necessary fiscal and narrative reports.
7.) Acts as project representative at local and national meetings.
QUALIFICATIONS:
Education
A Bachelor's Degree from an accredited college or university. Master's degree is preferred.
Skills and Knowledge - -
The Project Coordinator will have at least two years of administrative experience preferably
in a government or not-for-profit social service or health agency. The individual will have
Deutschman (Healthy TIES), Cal;.fornia
14 PP-7 1)A--.I .
demonstrated ability to coordinate a multi-site project and facilitate the work of field-based
staff. The individual will have a solid background in fiscal management and be skilled at
data collection and record keeping. The individual will be skilled at oral and written
communication and will be able to represent the project at interagency forums.
Work Experience
Three years experience with substance abuse programs and a familiarity with the provision
of services to cultural minorities is preferred.
Personal Qualities
The individual will be able to work in close cooperation with other agencies and project
staff. The coordinator will possess leadership abilities to manage a complex project.
Minority applicants are encouraged to apply. Recovering individuals will be required to
have maintained at least two years of continuous drug-free living.
Supervisory Relationships
The Project Coordinator reports to the County Drug Program Administrator or designate.
This individual supervises Facility Coordinators at the two housing authority sites.
Salary: Contract position - $35,000 for .75 FTE
rr
Deutschman (Healthy TIES), California
JOB DESCRIPTION App-Y 60 -7
CENTER FOR HUMAN DEVELOPME.vT
Job Title: Project Director - Tribes Program
Program Description:
Tribes is a national training program designed to assist those working with groups
of any age to help members of those groups build supportive relationships and self-
esteem; learn responsible decision making, effective communication, and other
skills vital to leading a healthy life; resist abuse of alcohol and. other drugs; and
become more motivated to learn. Developed in 1973, the program has a long and
outstanding record of successful use in schools and centers throughout the country.
The Center for Human Development is a nonprofit organization, established in
1972, that is committed to developing programs and providing services which
advocate for the health and well-being of individuals, families, and communities.
Reporting to the Executive Director, the primary responsibility of the Tribes
Project Director is assure that all programs for which he/she is responsible meet
or exceed fiscal, programmatic, and implementation commitments.
Key Responsibilities:
- Conduct and/or coordinate trainings, workshops, and presentations in the
Tribes model for school districts, treatment centers, day-care centers, after
school programs, recreational programs, etc.
- Provide technical assistance to schools, agencies, and individuals using the
Tribes process.
- Manage the program budget.
- Develop funding sources and write grants to expand the program.
- Develop relationships with related agencies and programs such as child-care
centers, cooperative learning programs, etc.
- Update materials such as curriculum guide, brochures, and fee scales.
- Maintain communication with a nationwide network of 400 plus trainers.
Education:
- Bachelors degree or equivalent, preferably in human services.
Qualifications:
- Knowledge and experience in the Tribes process preferred.
- Knowledge and experience in school systems.
- Understanding of substance abuse issues.
- Experience in group process and public presentations.
- Demonstrated skills in proposal writing, employee supervision, training,
budget management, public speaking, staff development, working with
diverse populations, fundraising, and program development, implementation,
and evaluation.
in
Deutschman (Healthy TIES), California
JOB DESCRIPTION Appr N
CENTER FOR HUMAN DEVELOPMENT
Job Title: Project Director - New Bridges Program
Program Description:
The New Bridges Program empowers youth to deal creatively and effectively with
issues of diversity: sexism, adultism, and homophobia. New Bridges brings
together young people in a one-week intensive summer day camp to develop a
diverse community of mutual trust and respect. New Bridges also offers
community and workplace seminars and workshops for adults throughout the year.
Participants find new ways to build bridges across the divisions that have
separated them and to make that experience a part of their schools,
neighborhoods, organizations, and families.
The Center for Human Development is a nonprofit organization, established in
1972, that is committed to developing programs and providing services which
advocate for the health and well-being of individuals, families, and communities.
Reporting to the Executive Director, the primary responsibility of the New Bridges
Project Director is assure that all programs for which he/she is responsible meet
or exceed fiscal, programmatic, and implementation commitments.
Key Responsibilities:
- Conduct and/or coordinate trainings, seminars, workshops, and
presentations in the New Bridges model for schools, treatment centers,
after-school programs, recreational programs, etc.
- Coordinate the New Bridges summer camp for youth.
- Provide technical assistance to schools, agencies, and individuals who have
participated in New Bridges trainings.
- Manage the program budget.
- Develop funding sources and write grants to expand the program.
- Update materials such as curriculum guide, brochures, and fee scales.
Education:
- Bachelors degree or equivalent, preferably in human services.
Qualifications:
- Demonstrated ability to work with diverse populations.
- Knowledge and experience in the fields of diversity and cultural competency.
- Experience working with youth and understanding of youth issues.
- Understanding of substance abuse issues.
- Experience in group process and public presentations.
- Demonstrated skills in proposal writing, employee supervision, training,
budget management, public speaking, staff development, fundraising, and
program development, implementation, and evaluation_
Chuck Deutschman (Healthy 77F_S), California —7�/�
Health TIES Adolescent Treatment Program A 7�D- ox 1,
Health Educator 1"1
,Job Description
The Health Educator is responsible for the development and implementation of an alcohol and drug
education curriculum for high-risk adolescents at continuation high schoo.is and county day schools
in four regions of Contra Costa County.
RESPONSIBILITIES
Create and provide education to continuation and county day school students on alcohol and other
drugs, the addiction process, family systems,anger management, problem; solving,conflict
resolution, goal setting,healthy lifestyles,etc.
Research and develop community resource referral bank.
Identify and refer appropriate students to other components of Healthy TIES program.
Schedule visits by Public Health Clinic Services to each school on a monthly basis.
Maintain records in accordance with agency requirements.
QUALIFICATIONS
B.A. or B.S. in public health, social work, psychology or related field.
Knowledge of alcohol and other drug abuse issues; personal recovery preferred with a minimum of
two years sobriety.
Good presentation and writing skills.
Experience in community outreach and public speaking.
Good organizational skills and ability to work independently.
Valid California driver's license and dependable car.
SALARY
Salary is $27,000. Benefits include health,dental, vision,disability and life insurance, 12 sick days
and 15 days vacation annually as well as personal time and fixed holidays.
Chuck Deutschman (Healthy TIES), California
Health TIES Adolescent Treatment Program P A11 b0c. 7
Recreation Specialist
Job Description
The Recreation Specialist facilitates the development, implemention and maintenance of
socialization and recreational activities for high-risk students at continuation high schools and
community day schools in four regions of Contra Costa County. Activities are to be culturally-
relevant versions of the Friday Night Live model.
RESPONSIBILITIES
Develop on-site links with school personnel and administrators.
Modify Friday Night Live programs for critical populations at target schools.
Implement modified FNL programs in a viable and relevant manner for target schools.
Establish strong working relationships with recreation and park districts to enhance effective
socialization activities for critical population youth.
Identify and refer appropriate students to other Healthy TIES components.
Participate as active member of Healthy TIES overall team.
QUALIFICATIONS
Masters degree with strong emphasis on counseling adolescents with alcohol or drug related issues.
Recrcationa/social and/or health promotion related experience.
Good written, verbal and public communication skills.
Initiative, independence and ability to be a role model for youth.
Ability to work effectively within the structure of Healthy TIES.
If in recovery from substance abuse or other addiction, a minimum of three years sobriety.
SALARY
This is a fulltime position with salary of$30,000 plus benefits.
Cluick Deutschman (Healthy TILS), California
Health TIES Adolescent Treatment Program A PPI(U DC. 1.
Case Management Coordinator I
Job Description
The Case Management Coordinator will develop with other case managers processes for assessing
the needs of continuation high school students and their families that should be met to enhance the
potential of the students successfully completing alcohol or drug treatment program.
RESPONSIBILITIES
Design and implement needs assessment tool and appropriate track=ing form for school-based case
managers.
Set up countywide referral system for all case managers with the ability for each case manager to
add specific resources that apply to their school community.
Coordinate bi-monthly case supervision and training for all case managers.
Provide case consultation on an as needed basis to all case managers.
Administer on-site and in-home case management services to identified treatment and intervention
students and their families with the goal of enabling change that supports recovery and/or builds a
positive family environment that deters further involvement with alcohol or drugs.
Reflect in all interactions a multi-cultural sensitivity and awareness.
Provide services in Spanish as needed.
QUALIFICATIONS
M-A. of M.S.W. in counseling or social work.
Three years casework experience with substance abuse issues with low income, multi-cultural
families and teenagers, preferably in a school setting.
Knowledge and experience work=ing with local and county resources, particularly in the area of
substance abuse.
Experience in team leadership with the ability to develop and implement project casework goals and
procedures.
Bilingual in Spanish.
Knowledgeable in multi-cultural issues for the major minority groups thrc)ughout Contra Costa
County including Latino, African American and Asian American.
SALARY
This is a .75 FTE position with salary of $25,000
Chuck Deutsclunan (Healthy TIES), California
Health TIES Adolescent Treatment Program
Appy� (�OC.
Case Manager
Job Description
The Case Manager is a member of a team that assesses the needs of continuation high school
students and their families that should be met to enhance the potential of the students successfully
completing alcohol or drug treatment program. Team members are available to each other to work
with students who have culturally-specific needs.
RESPONSIBILITIES
Administer on-site at continuation high school and in-home case management services to identified
treatment and intervention continuation school students and their families with the goal of enabling
change that supports recovery and/or builds a more positive family environment that deters further
involvement with alcohol or durs.
Reflect in all interactions a multi-cultural sensitivity and awareness.
Responsible for accurate ease records.
Provide a community bridge as needed between the school, outpatient counselor, student and
family.
QUALIFICATIONS
B.A. in social work, a related field or para-professional with comparable work experience.
Skilled in providing support, referrals, direction and crisis management and in enabling family
systems to change as a support to the recovery process.
Knowledgeable in the multi-cultural issues that reflect the client population of the school to which
assigned.
Demonstrated ability to work with an inter-disciplinary team following clear procedures and goals
as an effective team member.
SALARY
Positions range from .65 to 1.00 FTE with salary based on $26,000 fulltime.
Chock Deutschman (Healthy TIES), California
Health TIES Adolescent Treatment Program A P P Doc,7
Treatment Coordinator
Job Description
The Treatment Coordinator is a key management position for New Connections, a substance abuse
prevention, counseling and treatment agency. The Treatment Coordinator is responsible for
overseeing four county sites which offer outpatient treatment services to adolescents through a
federal grant program. As the team leader, the coordinator will work closely with the counselors
involved in the overall project to assure project consistency and quality as it relates to grant goals
and objectives.
QUALIFICATIONS
A minimum of three years experience working with substance abuse problems as they relate to
adolescents.
Two years experience providing individual, group and family counseling.
A minimum of three years experience in a coordination role with a private non-profit or government
agency. Demonstrated ability to effectively manage program services and motivate individuals
toward achievement of program goals. Management team experience preferred.
Ability to communicate effectively orally and in writing.
Demonstrated ability to carry out duties in a professional manner.
M.S. or M.S.W. in counseling or social work. L.C.S.`vJ. or M.F.C.C. required. Minimum of two
years post-license experience.
Demonstrated awareness and sensitivity to a variety of populations and their needs.
RESPONSIBILITIES
Weekly group clinical supervision to counseling team.
Lead program development and enhancement efforts.
Provide training in program modules to other counseling staff, Some module development.
Provide case consultation to other counselors.
Carry a caseload of clients and provide treatment services at a site in Concord.
Supervise one intern and one full-time counselor/case manager.
Oversee treatment program at Concord site. Report to Youth and Family :Program Director.
SALARY
$28,000-35,000 depending on experience and licensing. Position will be ,10 hours per week with
minimum of two evenings. Partial health, full dental and life available. People of color and
recovering individuals are encouraged to apply. EOE_
Chuck Deutschman (Healthy TIES), California
Health TIES Adolescent Treatment Program
Counselor �P
Job Description
Healthy TIES counselor is responsible for providing direct clinical services to youth and their
families. Individual, group (adolescent and multi-family) and family counseling are provided on site
at local continuation high school and at the community-based agency.
QUALIFICATIONS
Licensed or license-eligible M.F.C.C. or L.C.S.W. or clinical psychologist.
Minimum of two years of alcohol and other drug abuse treatment experience.
Minimum of three years experience in areas of crisis intervention, assessment, individual and family
counseling and group work.
Experience working with adolescents in the schools and/or community agency.
Ability to work cooperatively as part of a treatment team.
RESPONSIBILITIES
Perform initial assessments to determine extent of alcohol or other drug use.
Conduct individual and family counseling sessions.
Conduct relapse prevention for adolescents, parenting, education and multi-family groups.
Participate in program planning and attend treatment team meetings, clinical supervision and staff
meetings.
Maintain records in compliance with agency requirements.
SALARY
$30,000-31,000 depending on experience and licensing. Position will be 40 hours per week
including two evenings. Benefits include health, dental, vision, disability and life insurance, 12 days
sick leave and 15 days vacation annually,as well as personal time and fixed holidays.
Chuck Deutschman (healthy 77ES), California
Health TIES Adolescent Treatment Program
Counselor Intern �p
Job Description
Healthy TIES counselor intern is responsible for providing direct clinical services to youth and their
families. Individual, group (adolescent and multi-family) and family counseling are provided on site
at local continuation high school and at the community-based agency..
QUALIFICATIONS
Student in either Masters or Ph.D. graduate school program in counseling., clinical psychology or
related field.
Minimum of one year experience providing either mental health or alcohol/drug abuse counseling.
Interest in working with adolescent population with substance abuse!issues.
Ability to work cooperatively as part of a treatment team.
RESPONSIBILITIES
Perform initial assessments to determine extent of alcohol or other drug use.
Conduct individual and family counseling sessions.
Conduct relapse prevention for adolescents, parenting, education and multi-family groups.
Participate in program planning and attend treatment team meetings,'clinic:al supervision and staff
meetings.
Maintain records in compliance with agency requirements.
STIPEND
$2,500 per year, paid in ten monthly installments. Position will be 20 hours per week including two
evenings.
Deutschman (Healthy TIES), California
CHUCK DEUTSCHMAN ,q Doc.
625 Creekmore Court ►Hd"me: x(510) 937-6579
Walnut Creek, CA 94598 Office: (510) 313-6350
SUMMARY OF QUALIFICATIONS
• Over 20 years of progressively responsible healthcare administration experience.
• Innovative and committed problem solving skills required in highly technical and complex organizations.
• Strong interpersonal skills with excellent public relations background.
• Accomplished manager of organizations requiring rapid change under conditions of limited resources.
• Ability to rapidly assess and understand new and varied healthcare situations.
• Proven track record in managing systems which emphasize client service and interagency
collaborations.
PROFESSIONAL BACKGROUND
SUBSTANCE ABUSE DIRECTOR 1992-Present
Contra Costa County Health Services Department Martinez, CA
• Responsible for alcohol and drug abuse services in a county of approximately 840,000 residents and
with a budget in excess of $11 million.
• Principle responsibilities in this senior management position are the development of an improved
standard of care for alcohol and drug services; establishment of an integrated service system which
is responsive to co-morbidity factors such as HIV disease and perinatal substance abuse; and, the
design and implementation of a community based health care system which is responsive to the needs
of a diverse population.
DRUG ABUSE PROGRAM CHIEF 1986-1992
Contra Costa County Health Services Department Martinez, CA
• Managed operating budget of over $7 million comprised of multiple funding sources and a service
delivery continuum which included a wide array of programs.
• Recruited, hired and developed a mid-management team to provide drug abuse services. This
management team implemented quality of care standards, developed and implemented state and
nationally recognized programs; and developed a patient centered service delivery system.
• Served as the Principal Investigator for the first award cycle of Community Partnership grants from the
Federal Office for Substance Abuse Prevention totalling $2.5 million over 5 years.
• Served as the Principal Investigator for the first award cycle of the Critical Populations grants from the
Federal Office for Treatment Improvement totaling $1.5 million over 3 years. This highly competitive
grant program was to improve and expand treatment services for residents of public housing
developments.
• Played a key role in the development and implementation of a Federal Office for Substance Abuse
Prevention grant for Pre and Post Partum Women and Their Infants and a separate statewide Perinatal
Pilot Protect grant. The federal grant of approximately $1.5M for 5 years was one of the first in the
nation. The Perinatal Pilot grant was the only competitive grant awarded to a county in the State of
California and is funded for a total of $4.5M for 3 years.
Deutschman (Healthy TIES), California
CHUCK OEUTSCHMAN /) Doc,
PROGRAM DIRECTOR 1985-1986
Pros for Kids San Mateo, CA
• Responsible for the design, implementation and operation of an outpatient alcohol and drug abuse
program.
• Wrote and developed various prevention, treatment, and fundraising proposals.
• Developed employee assistance programs for Bay Area Businesses.
PROGRAM DIRECTOR 1983-1985
Community Human Services Project Monterey, CA
• Director of an outpatient medical clinic providing methadone maintenance, symptomatic detoxification
and drug-free counseling services for residents of Monterey County.
• Director of a 34 bed coed residential facility with an outpatient service program and residential services
for women and their children.
STAFFING COORDINATOR 1982-1983
Hollywood Presbyterian Medical Center Hollywood, CA
• Staffing coordinator for approximately 200 temporary, per diem and float pool employees in this 386
bed hospital.
• Responsible for acuity based staffing which included administration of an annual $4 million registry
budget with over 10 nursing registry contracts.
DRUG ABUSE PROGRAM ADMINISTRATOR 1977-1981
San Mateo County San Mateo, CA
• Administration of over $1 million in drug abuse services from prevention to residential/recovery
services. Challenges of this position included working within a complex organization; utilizing zero
based budgeting; working with an active advisory board; and, managing through the passage of
Proposition 13.
RELATED PROFESSIONAL EXPERIENCE
• Significant prior experience as an alcohol and other drug prevention and recovery expert in many
different settings.
• Author of numerous studies, articles, reports on alcoholldrug abuse.
• Speaker on alcohol and other drug abuse issues at many different events; including service clubs,
community forums, and schools.
OTHER ACTIVITIES
• President, California Association of County Drug Program Administrators, 1992
• Appointed to State Select Committee on Perinatal Substance Abuse and the State Master Plan
Advisory Board, 1989-1991.
• Member State SB 2669 Implementation Committee. Established :statewide hospital protocols for the
identification of drug exposed infants, 1990-91.
• Chairman, Perinatal Committee of the California Association,of County Drug Program Administrators,
1989-1991.
• Consultant to the Federal Office for Substance Abuse Prevention (O.S.A.P.)-for the. grant review
process.
• Consultant to the Federal Office for Treatment Improvement (O.T.I.) for the grant review process.
• Trainer for N.I.D.A., 1974.
Deutschman (Healthy TIES), California
CHUCK DEUTSCH MAN /4 �-� DC, 1
EDUCATIONAL BACKGROUND
• M.S., Rehabilitation Counseling, 1975, San Francisco State University
• B.A., Psychology, 1973, San Francisco State University
• M.B.A., Healthcare Administration, Golden Gate University.
1993
PROFESSIONAL LICENSES AND CERTIFICATIONS
• Marriage, Family, and Child Counselor ##MB008215
• Community College Instructor and Counselor
• Certified Rehabilitation Counselor
References aiwilable upon request
Deutschman (Healthy TIES), California
Doe ' t?
LYN DANDY
P O Box 1911
Benicia, CA 94510
707-745-5630
BACKGROUND SUMMARY: Four years in progressively more
responsible nonprofit management. Over fifteen years in administrative
management with an emphasis on marketing.
PROFESSIONAL QUALIFICATIONS:
Planning and Administration
-Marketed and directed statewide and national trainings. for teachers,
counselors and school district personnel
-Successfully negotiated and administered contracts with private
companies, vendors, schools, and county and state agencies
•Developed and managed $400K marketing communications budget
•Developed and implemented Management Information System to
streamline communications and information flow
Program Development and Training
•Managed national training program for teachers, parents, counselors, and
others working with groups
•Facilitated workshops on parenting skills, group process and development
•Promoted staff development
•coordinated and facilitated staff retreats and in'-services
•implemented policies, procedures, and employee training and orientation
*created effective internal and external communications
Resource Development
•Directed fundraising activities: direct mail, Human Race walk-a-thon,
grant writing, donor solications
Marketing/Public Relations
•Produced newsletters, brochures, flyers, training materials, direct mail
•Expanded media resources and trained others in media communications
•Established guidelines and training to ensure professional appearance of
marketing or public relations materials
Other Skills
Computer literate (Mac and IBM)
•Working knowledge of desktop publishing, graphic design, and print
production
*Excellent verbal and written communication skills
�i 9
Deutschman (Healthy TIES), California
EXPERIENCE. Ap,%.
Center for Human Development, Pleasant Hill, CA 1989-present
Tribes Project Director/Operations Manager
Direct national training program in TRIBES, a group development
process. Responsible for managing agency-wide operating functions and
assisting Executive Director to achieve corporate goals and objectives.
SBE, Inc., Concord, CA 1985-1988
Marketing Communications Coordinator
Developed and implemented marketing communications objectives.
Office Manager
Managed office reception area; supervised administrative support to all
departments.
Dunlop Manufacturing, Benicia, CA 1982-1985
Administrative Assistant
Assistant to owner; managed office; inside sales support; customer service.
Systron-Donner Corp, Instrument Division, Concord, CA 1981-1982
Marketing Services Supervisor
Plantronics/Zehntel, Walnut Creek, CA 1980-1981
Regional Sales Coordinator
Systron-Donner, Inertial Division, Concord, CA 1976-1980
Sales Order Administrator/Export Secretary
PROFESSIONAL TRAINING:
Devious Resource Raising 1989
How to Select and Purchase Direct Mail Lists 1990
Conflict Resolution 1990
Introduction to Pagemaker 1990
Grantwriting-How to Write Proposals That Get Funded 1990
Strengthening Family Ties - Certified Facilitator 1990
Program Development and Evaluation 1992
How to Ask for Money 1992
TRIBES Training of Trainers - Certified Trainer 1992
Parent Educator Program - Certified Trainer 1992
EDUCATION:
Solano Community College, Suisun City, CA 1988-1989
Diablo Valley College, Pleasant Hill, CA 1976-1980
Capital University, Columbus, OH 1971-1973
REFERENCES: Available upon request.
Deutschman (Healthy TIES), California
Doc, I
CLINICAL RESUME -- DAVID NATHAN RAFTER, MFCC. 1" 13 /
3810 MAYBELLE AVE #7
OAKLAND, CA. 94619
(510)531-4737
Education: Bachelor of Arts in Religion -- Wesleyan University
Middletown, Connecticut -- 1980
Master of Arts -- John F. Kennedy ,University --
Orinda, California -- Clinical Psychology -- 1984
Marriage , Family and Child Counselor
CA License #MFC24935
Member of the Board of Directors --
Center for Human Development -- Contra Costa County
Internship settings:
Spring 1982 - Spring 1983 JFK Community Counseling Center ,
Concord, Ca.
Individual counseling.
Summer 1983 Veterans Hospital , Maritnez , Ca.
In-patient alcohol and drug ward.! Conducted education
classes ; ran therapy groups; performed individual and family
counseling and developed discharge plans for. clients.
Supervisor: Gerri Miller , MFCC
Fall 1983 to Summer 1984 -- Solano County Menta]. Health
Three settings :
1 ) Out-patient drug and alcohol program in Vallejo
Conducted individual and family counseling sessions -- not
all issues drug and alcohol related. Also worked shifts as
therapist on duty for the Vallejo Drop-In center doing crisis work
with the local chronically mentally ill and addicted population.
Supervisor: Don Lavoie, MFCC
2 ) Benicia Middle School
Co-led group for adolescents whose parents were divorced or
deceased. ' Co-led group for students with behavior problems . Also
conducted individual and family counseling. :
Supervisor: Linda Cole, Phd
3) Solano County Jvenile Probation Department
Conducted individual and family counseling for clients who
were involved in the juvenile criminal justice system.
_ 1 _
Deutschman (Healthy TIES), California
Paid Positions : A n pY Doc,
1'
Summer 1984 to winter 1987 -- Payco General American Credits
Oakland, Ca.
Position: Employee Assistance Director/Training Supervisor
(Note -- Worked part-time through graduate school collecting
on defaulted student loans . Success therein merited acceptance of
my proposal to direct the training program and start an EAP and at
Payco, a first for the industry)
Developed and conducted in-house counseling program focused
on evaluation and referral of employees to outside treatment
agencies/therapists . Did follow-ups on referred employees .
Typical issues: substance abuse; family discord, depression
Conducted short-term crisis intervention therapy with
employees and management . Facilitated communications between
employees and management -- "troubleshooting" -- for conflicts
between individuals .
Taught conflict resolution skills to management through
seminars and individual sessions -- leading to reduced turnover
and increased employee and management satisfaction. Also taught
stress management seminars for employees at all levels .
Supervised and managed other instructors in the collector
training program. Left Payco to do more hands-on counseling.
Winter 1985 to Winter 1986 -- Henry Ohloff Counseling Service
Staff counselor (part-time)
Conducted individual , marriage and family counseling . Ran
group for drug and alcohol abusing adolescents . Site director in
Oakland overseeing the activities of all clinical personnel .
January 1987 to January 1991 -- Bridges Counseling Services
Counseling program specializing in family , couples , group and
adolescent counseling.
Current Practice
March 1988 to Feb 93 -- Group Counselor -- Occupational Health
Services Second Offender Drinking
Driver Program, Oakland, Ca . Running
four men's groups per week. I also pro-
vide training for new counselors . All
part-time counselors layed off in 2/93
January 1991 to present -- Private practice specializing in . work
with adolescents, families , couples and young adults . Specialty in
Brief Therapy, family systems work and abuse/addiction issues.
2 -
Deutschman (Healthy TIES),} Calrba0 C, h
September 1991 to present -- Clinical Supervisor for W IGS 1- a
battered women's shelter under the SAVE program in Hayward, Ca.
At WINGS I supervise S interns providing . direct services to
shelter clients .
November 1992 to present -- Preceptor (Civilian Clinical
Supervisor) for the Navy Drug and Alcohol program at Mare Island,
Vallejo, CA. I oversee the clinical services performed there and
provide training in clinical issues for the staff
, I also periodically run couples groups for RESOLVE, an
organization dedicated to the needs of infertile couples .
Lecturer and consultant for business ' and local industry.
Presentations given on conflict resolution, management/employee
relations , employee/customer communications and clinical issues as
they relate to the workplace.
Personal information:
I am an unpublished author with two manuscripts : a non-
fiction book on family dysfunction and a science fiction novel .
I am in search of a publisher for both books . I also am a
musician (guitar, banjo, piano, percussion and voice) and am
active in tennis , swimming, weightlifting, ' basketball and golf .
Personal and professional references available upon request .
3 -
Deutschman (Healthy TIES), California
Doc, 'I
IRENE DWINNELL J r
2148 Ramona Drive
Pleasant Hill , CA 94523
(510) 689-7609
OBJECTIVE
Program Coordinator, Counselor, Community Organizer for a
Contra Costa County program.
HIGHLIGHTS
♦ 6 Years experience in program management, counseling, and
community organizing.
♦ MFCC Candidate
Effective supervisor who builds quality working
relationships.
♦ Energetic, charismatic leader who can motivate others.
♦ Strong team member with ability to work independently.
♦ Self-motivated and good at trouble-shooting.
RELEVANT SKILLS & EXPERIENCE
Program Administration
• As Prevention Program Director:
- Supervised and trained staff in effective prevention
programs for teens 12-18 .
- Developed and implemented innovative programs for teens
and their parents .
- Collaborated and developed efficient networking systems .
• . As Community Prevention Coordinator:
- Monitored 10 recipients for grant compliance, and wrote
quarterly reports to the federal Office for Substance
Abuse Prevention.
- Trained community volunteers in consensus decision-
making.
- Served as Central County contact person for State of
California's Master Plan for substance abuse issues .
• As Adolescent Program Director:
- Created and implemented substance abuse curriculum for
high school students , reducing drop outs , arrests , and
drug dealing among at risk students .
- Designed positions , sought candidates , and hired 10 new
staff members .
- Designed and delivered experiential trainings for all new
staff .
- Supervised two full -time drug & alcohol counselors.
• As Co-chair of Delta 2000 Substance Abuse Action Committee,
secured United Way grand funding for a media campaign
targeting violence associated -with substance abuse in East
Contra Costa County.
Deutschman (Healthy TIES), California
�
PP
COUNSELING
• As Drug and Alcohol Prevention Program Counselor:
- Provided individual counseling for over 100 youth,
responding -to numerous personal requests and referrals
from Child Protective Services .
- facilitated support groups for over 400 adolescents .
- Assisted foster-care placements , conducted assessments ,
and wrote case reports on all clients .
- Developed and facilitated conflict managers program at
Pittsburg High School and group counseling classes at
PHS, La Cheim School and Byron's Boys Ranch.
Community Organizing
• Served as community liaison for the Central County Steering Committee on substance
abuse prevention,treatment, and criminal Justice issues:
-Initiated and facilitated the process of defiling and prioritizing committee goals
for 1992-
-Created
992-Created and recruited members for a new youth advisory and policy-making
committee on substance abuse issues.
-Implemented and followed-through on decisions made by the Steering Committee,
for example,insuring that Central County cities adopted the Juvenile Party
Ordinance.
• Initiated centralized theme and coordinated organization of Red Ribbon week
activities in Central County as Community Prevention Coordinator.
-Brought together community representatives who hadn't previously worked on a
pint project-
-Sought and secured television,radio,and newspaper coverage.
-Provided logistical support and problem-solving for all participating programs.
• Spearheaded Central County's adopt-highway program,lbringing together various
substance abuse prevention groups to remove litter.
• Initiated and organized 1989 Youth Empowerment Conference attended by 200 Contra
Costa youth-
WORK
outh.WORK HISTORY
1991-present Community Prevention Coordinator Partnership for a Drug-Free Contra Costa
Concord,CA
1987-91 Adolescent Program Director Drug&Alcohol Prevention Program
CounselorlI Pittsburg,CA
1987 Counselor I Pride House
Martinez, CA
EDUCATION
John F.Kennedy University,Orinda California,GPA 3.7,degree expected 1992-93.
MFCC Candidate,emphasis in Transpersonal Psychology
St. Mary's College,Moraga California,GPA 3.8.
Multiple Subject Credential Program
B.S., Psychology
B.A.,Diversified Liberal Arts
Deutschman (Healthy TIES), California
,4 PP 1
D OC, f)
Resume of: 601 Bluerock Drive
CHRISTINE ABEL MORRIS , L.C.S .W . Antioch, CA 94509
( 415 ) 754-4951
EDUCATION
1985-. The Menninger Foundation, Topeka, Kansas
1:987
Certificate , Two-year Marriage and Family Therapy
Training Program.
1976- The University of Kansas , Lawrence , Kansas
1980
Master of Social Work degree , May 1980 .
First year practicum: Topeka Veterans Administration
Medical Center, Adult Inpatient Psychiatric Unit .
Second year practicum: Topeka State Hospital
Children' s Services, Section: Preadolescent Unit.
1970- New England College , branch in Arundel , Sussex, England
1974
Bachelor of Arts degree , with double major in
sociology and history.
Honors: Dean' s list; received Certificate of British
Studies for year of study at the University of Kent at
Canterbury.
WORK EXPERIENCE
1/91- Boys & Girls Club of East Countv' s Drug & Alcohol
Present Prevention Program ( DAPP ) , Pittsburg , California
Clinical Supervisor
Duties :
Develop and implement an internship program which will
provide treatment services . Provide direct clinical
supervision to all staff and interns ; utilization
review and quality assurance of client services ,
documentation and record keeping ; presentations and
inservice trainings on substance abuse and therapy
related issues ; liaison with intern schools ,
recruitment, supervision and evaluation of interns ;
and evaluation input with respect to paid employees .
6/90- Family Stress Center, Concord, California
1/91
Contract Therapist
Duties : Provide individual , family and group therapy.
Deutschman (Healthy TIES), California
A Doe �
• 5/89- New Connections , Concord, California
6/90
Clinical Supervisor
Duties : Provide individual and group supervision for
student interns and staff counselors who-do short-term
individual , family and group therapy with a substance-
abuse focus ; supervise school-site counseling
program.
9/88- New Connections , Concord, California
5/89
Counselor
Duties : Provide short-term outpatient substance abuse
counseling and education to adolescents and their
families; complete mandatory and. non-mandatory drug
assessments .
8/87- Contra Costa County Social Services Richmond and
12/87 Antioch, California
Social Service Specialist II
Duties : Protective Services Worker completing child
abuse investigations , child placements , court reports
and reunification services for minors in protective
custody of the court.
1983- Kansas Children' s Services League , Topeka, Kansas
1987
Social Worker IV and Program Coordinator
Duties : Provided short-term social work services for
children and their families , including family
counseling , crisis intervention, and case management .
Also supervised staff social workers and students , and
planned staff development .
1982- Topeka State Hospital , Adult Services , Topeka, Kansas
1983
Social Worker II
Duties : Provided short-term social work services for
patients and their families on 20-bed ward for court-
ordered referrals ; prepared social work assessments ,
planned aftercare , performed crisis intervention, and
court liaison.
Deutschman (Healthy TIES), California
1982 Topeka State Hospital , Adolescent Services, Topeka,
Kansas
Social Worker II
Duties: Provided family therapy for severely
disturbed inpatient adolescents and their families
(temporary position) .
1980- Woodland Health Center, Topeka, Kansas
1981
Director of Social Services
PROFESSIONAL AFFILIATIONS
California Licensed Clinical Social Worker, #LT13699
Member, National Association of Social Workers
Kansas Licensed Specialist Clinical Social Worker.
Deutschman (Healthy TIES), California
LINDA S. MACKINSON ACSW, LCSW, CADC A ,
25 6 Carmel Street
Oakland, CA 94602
(510) 482-4447
Career
O b j ectime: Psychotherapist in mental health or substance abuse treatment setting. Ideal
position would include opportunities to teach, consult, and supervise.
Professional
Employment:
9/89-present Program Director of Youth Services, New Connections, Concord, CA
Manage youth substance abuse prevention and treatment program. Provide
individual and group supervision to counselors and graduate student interns.
Recruit, train, and evaluate counselors and interns. Provide co-therapy with
youth program staff. Coordinate school and office based programs including
proposal writing, program development and evaluation. Provide community
outreach, educational presentations and marketing of agency services.
5/89-8/89 Counselor II, New Connections, Concord, CA
Developed assessment forms and conducted comprehensive family
substance abuse assessments. Oriented school faculty and community
organizations to new contract. Provided ongoing individual and family
therapy.
7/86-2/89 Substance Abuse Specialist/Clinical Social Worker, Medical
Associates Health Center, Menomonee Falls, Wl
Served as psychiatric consultant to physicians at Community Memorial and
Waukesha.Memorial Hospitals. Provided individual, couples, and family
therapy. Coordinated adolescent substance abuse treatment services,
including assessment and development/facilitation of psycho-education and
aftercare groups. Implemented Johnson Institute Intervention Model.
Facilitated adult aftercare and co-dependency groups. Participated in
outreach presentations and projects.
7/84-6/86 Family Therapist/Adolescent Counselor, Kettle Moraine Hospital,
Oconomowoc, Wl
Provided family assessments and family therapy for adolescent and adult
patients. Facilitated multi-family group therapy ifor weekend family treatment
program. Provided individual and group therapy for adolescent patients.
Coordinated patient treatment and discharge planning. Developed and
presented lectures on chemical dependency. Trained students in family
assessment and family therapy.
9/83-7/84 Clinical Social Worker, University Hospital, and Clinics, Madison, W1
Began as Masters Program Intern; hired as employee 1/84 for Adolescent
Alcohol/Drug Abuse Intervention Program. Provided crisis intervention with
acutely intoxicated adolescents and families. Advised physicians on
admission/discharge plans for adolescent patients. Conducted substance
abuse assessments and arranged appropriate, referrals.
Deutschman (Healthy TIES), California
LINDA S. MACKINSON ACSW, LCSW, CADC l]O�,
10/80-8/83 Coordinator/Counselor, Briarpatch, Madison, Wl
Managed court diversion program including supervision of clinical staff and
interns, liaison work to generate referrals, and preparation of proposals and
reports. Counseled sexual abuse victims in connection with court
appearances. Provided in-home counseling and on-call emergency
services for youth and families.
9/79-5/80 Social Worker, Madison Public Schools, Madison, Wl (Undergraduate
Internship)
Professional
Licenses and
Memberships: LCSW #14416, 1989
ACSW (Academy of Certified Social Workers); 1986
CADC (Certified Alcohol/Drug Counselor) # RA807190, 1987
NASW (National Association of Social Workers)
Education: M.S.S.W., University of Wisconsin, Madison, 1984
B.A. Social Work, University of Wisconsin, Madison, 1980
Community
Involvement: Executive and Program Committees for Mt. Diablo Unified School District
Drug Free Schools Task Force
Walnut Creek CASA (Communities Against Substance Abuse)
References Available Upon Request
Deutschman (Healthy TIES), California
i
Doe, ?
EMT CORPORATE CAPABILITIES
IN EVALUATING SUBSTANCE ABUSE
IN PREVENTION INITIATTV'ES
EMT Associates, Inc.
3090 Fite Circle, Suite 201
Sacramento, CA 95827
(916) 363-9415
April 26, 1991
X11
Deutschman (Healthy TIES), California
oC. '7
EMT (Evaluation, Management and Training) Associates, Inc., is a professional
consulting organization dedicated to evaluation research, management development,
technical assistance and training in drug and alcohol abuse prevention. Directed by Joel
Phillips, the staff of EMT have an extensive collective experience conducting multi-site
studies, designing and conducting evaluation plans, providing on-site technical assistance and
training, developing and disseminating products, and visiting a wide array of prevention
programs throughout the U.S. This corporate capability statement provides summary
descriptions of this experience.
APPROACH TO EVALUATING PREVENTION PROGRAMS
EMT Associates has been evaluating programs in the criminal and juvenile justice
system, as well as substance abuse prevention areas for a decade. The principals of the
organization have been working together for as long as twelve years. From this extensive
experience, EMT has developed an approach.. to evaluation research which we call a
"management focused" approach.
Management focused evaluation is designed for program managers as a means of
providing operational feedback during the course of the evaluation data collection and
analysis. EMT staff have worked in close cooperation with program directors and staff to
develop evaluation designs which will achieve the maximum informational value to the
program directors as well as those who are interested in program outcome, such as funding
sources.
Particularly for evaluation studies of prevention programs, EMT emphasizes process
evaluation in order to fully understand the goals, objectives and rationales behind program
implementation. This feature generally assists program managers and staff in clarification
of their own understanding of their intentions. EMT also determines ways to evaluate the
immediate and intermediate outcomes of prevention programs, in order to satisfy as
assessment of goals and objectives satisfied, changed or failed. Finally, EMT identifies ways
EMT Corporate Capabilities 1
I ,
Deutschman (Healthy TIES), California
hoc.
to assess the program impact, preparing the program management for collecting baseline
data from which comparisons can be made in future studies. For rciany types of prevention
efforts the impact of the program is in the distant future when pre-schoolers are entering
junior or senior high school for example. In our experience, most evaluation studies
emphasize the impact component of an assessment, and minimize -the process and outcome
components. EMT's management focused approach essentially reverses these priorities, or
at least orders them to meet the practical.realities and needs of program managers.
STAFF AND ORGANIZATIONAL RESOURCES
EMT Group, Inc., has a core staff of six professionals.- In addition, EMT employs a
number of consulting associates, many with several years of affiliation with the firm. EMT
staff activities are directed by Joel L Phillips within an organizational philosophy that
emphasizes teamwork, creativity and the highest standards of quality concerning services and
products. Qualifications of key staff members involved in Alcohol and Other Drug Studies
Division are summarized below.
JOEL L PHILIWS, Director
Mr. Phillips is the director and one of the founders of EMT Group, Inc. He has over 19
years experience in planning, conducting and managing research efforts in the fields of
criminal justice, and alcohol and drug abuse. His skills include designing project procedures,
developing data collection instruments,selecting appropriate evaluation methods,conducting
extensive literature reviews, authoring final reports, and managing multi-site projects to
successful conclusion within budget. His research accomplishments range from the
development of research proposal to the direction of statewide and national assessments
studies. As the manager or senior staff person, Mr. Phillips has been involved in over 60
major studies involving local, state and federal agencies.
Mr. Phillips contributes the following professional experiences and skills involving studies of
prevention efforts:
EMT Corporate Capabilities 2
Deutschman (Healthy TIES), California
• Director of previous contract with California Department of Alcohol and Drug
Programs (DADP) to provide training and technical assistance to alcohol
treatment programs on volunteerism and program management.
0 Evaluation Director on current DADP/OSAP High Risk Youth Prevention
Demonstration Project.
• Senior Associate on DADP funded project to evaluate eight community-based
prevention programs.
0 Co-author of a "How to Manual" on conducting evaluation of community-
based prevention programs.
e General Session speaker on Management Focused Evaluation for the National
Office of Substance Abuse Prevention (OSAP) sponsored conference: First
National Learning Community Conference on High Risk Youth (November
1987). In addition, at this conference, Mr. Phillips trained three other
evaluators to facilitate sessions on conducting management focused (process)
evaluation of prevention programs.
O Developed a 3-day course on Evaluating Prevention Programs that was
presented to the Illinois Prevention program staff.
e Participated in 18 on-site technical assistance assignments on management and
evaluation issues for prevention projects funded by OSAP.
U Participation in two national state-of-the-art studies, examining drug abuse
treatment programs. A primary focus of the NIDA sponsored study was on
the provision of services to youth with alcohol/drug abuser programs. This
national study identified over 300 non-opiate treatment programs, resulted in
the development of a classification scheme, intensive site visits to 15 programs,
and a comprehensive state-of-the-art final report on treatment programs. A
separate study for NIAAA examined the organization structure and funding
basis for a variety of alcohol treatment programs.
A Evaluation of the District of Columbia's Alcohol Treatment Plan.
• Evaluation of a week-long pilot session on alcohol abuse presented to a
nationally represented selection of judges.
EMT Corporate Capabilities 3
Deutschman (Healthy TIES), California
A p @�
FRED J. SPRINGER, PAD, Research Director
Dr. Springer has worked with EMT since its founding, and has directed numerous research
projects related to the abuse of alcohol or other drugs, particularly in relation to the criminal
justice system. As EMI's Research Director, Dr. Springer writes or reviews all proposed
research designs for EMT projects; develops technical components of EMT research projects
such as sampling plans, data collections instruments, measures and indicators, and statistical
analyses; and provides ongoing research consultation to EMT staff.
In his eight years with EMT, Dr. Springer has been principal author or co-author to more
than two dozen technical evaluation reports, including a national study of Career Criminal
Prosecution, two studies of juvenile community placement by the Arizona Department of
Corrections a statewide study of local programs for alcohol and drug prevention and
intervention, and evaluations of local prevention programs targeting high risk youth. He has
also served as a keynote speaker or trainer in prevention evaluation at conventions and
seminars in several western and mid-western states.
Dr. Springer is also on the Political Science and Public Policy faculty at the University of
Missouri - St. Louis where he teaches policy analysis and program evaluation. His
publications include more than 25 journal articles and three books including co-authoring
Policy Research: Concepts, Methods and Applications, recently published by Prentice Hall.
Dr. Springer brings the following professional skills and experience to his work at EMT:
• Extensive field work and consultation with local prevention programs and state
alcohol and drug agencies.
• Fifteen years of experience, research, teaching and publication in research
design and techniques for program evaluation and policy analysis.
• Numerous talks, training sessions and presentations on evaluation methods for
prevention programs.
LY.MIVE P. CANNADY, MS., Senior Associate
Ms. Cannady has been involved in program evaluation, policy analysis and survey research
since 1972. She has directed or served as senior staff to several projects related to drug or
alcohol and delinquency prevention. Ms. Cannady has evaluated numerous projects serving
high risk youth in the context of pretrial diversion, restitution with probation, and
rehabilitation in group homes for adjudicated delinquents. Currently, she is participating in
EMT Corporate Capabilities 4
Deutschman (Healthy TIES), California
A n o DOC, �
the evaluation studies of several demonstration grant programs funded through the Office
of Substance Abuse Prevention. These programs involve high risk teens, pre-schoolers,
parents and communities at large. The evaluations cover prevention approaches ranging
from.K-12 school-based curriculum, art and play therapy, community organizing, parent
groups, student support groups, alternative activities, and public awareness and education
efforts.
Ms. Cannady has extensive experience conducting field research for case study analysis,
designing and managing evaluation studies,developing data collection instruments and forms,
and creating interview guides and data checklists. She has also authored and co-authored
several evaluation reports, as well as prevention oriented manuals for organizing with
churches, developing an effective board of directors, and managing volunteer programs. Ms.
Cannady also serves on the Board of Director's to a local family violence non-profit in
Sacramento. She has an M.S. in Public Administration with emphasis on juveniles and adult
criminal justice system.
DAVM R GRAY, Senior Associate
Mr. Gray has participated in social program research and design since the early 1970s and
has been associated with EMT for the past year. His work has concentrated on populations
that traditionally have been difficult to serve: physically disabled, developmentally delayed,
deaf and deaf-blind, non-English speakers, male victims of physical and sexual assault,
homeless persons, and violent male offenders. For the past six years, he has concentrated
his efforts on family violence, including the relationship between substance abuse and family
conflict. He directs a Men's Violence Prevention Training program at a Northern California
prison.
Mr. Gray's technical experience includes program delivery, program planning,volunteer and
staff training, program evaluation design, and evaluation research implementation. He has
worked on international, national, state and local social service delivery and evaluation
programs. Recently, he has evaluated prevention programs that serve school children,
college students, homeless alcohol and other drug abusers, mentally ill adults, women co-
dependents, emotionally disturbed adolescents, Vietnam-era veterans, and alcohol retailers.
RELEVANT CORPORA'T'E EXPERIENCE
The Alcohol and Other Drugs Division has a nine year history of research, training and
technical assistance with federal, state and local governmental and nonprofit organizations.
EMT Corporate Capabilities 5
Deutschman (Healthy TIES), California
An jo
EMT has developed special expertise in working with local, commimity based organizations
and nonprofit service providers in the prevention, intervention and treatment areas. The
firm's.intensive work in this areas has included management issues, work with volunteers and
the development of program evaluation procedures for special application to the difficult
task of prevention evaluation. EMT's work with community prevention has produced a
publication series that addresses critical issues in program planning, administration and
evaluation.
• An Evaluation of Six California Community Prev,�ntion Planning Projects
Between 1984 and 1986, EMT conducted. a study of six prevention
demonstration programs which were funded by the DADP. Three of the six
programs served minority communities. The study was an evaluation of the
prevention planning approaches used in diverse communities,identification of
program components which worked and those which did not, and production
of case studies, a report and a series of five manuals for implementing various
prevention strategies. As a spinoff of this project, EMT hosted a meeting of
prevention program directors and other individuals interested in prevention
initiatives in minority communities.
California Department of Alcohol and Drug Programs
Period of Performance: 1984 through 1986
Project Officer: Noraless Jennings-Bradley, 916/322-8404
• Comprehensive Community Development and&2 )Ort Project for High Risk
Youth: A Demonstration Program in Five Cafifornia Counties EMT
conducted evaluation case studies for five sites in a comprehensive prevention
demonstration grant funded under OSAP's high risk youth initiative from 1987
- 1990. Sites represented diverse approaches and targeted ethnic populations
including African American,Hispanic and American Indian youth at risk. The
study required considerable on-site presence from staff, and resulted in both
case studies and a final report.
California Department of Alcohol and Drug Programs
Period of Performance: 12/87 to 12/90
Project Officer: Marshall Wilkerson, 916/323-2087
EMT Corporate Capabilities 6
Deutschman (Healthy TIES), California
q1 n-T. "e. 7
• Other OSAP High Risk Youth Demonstration Proiect Evaluation
Subcontracts Since 1986, EMT has continued to develop clients among
prevention practitioners, many of which are recipients of demonstration grant
funding from the Office of Substance Abuse Prevention. EMT staff have been
engaged in studies of the following programs:
• Asian Youth Substance Abuse Project (AYSAP), San Francisco, CA.
(Bart Aoki (415) 541-9285)
• Children of Drug and Alcohol Abuse (CODA) Project, Downey, CA.
(Peggy Van Fleet (213) 923-4545
• Blue Bay Healing Center, Ronan, MT.
(Anna Sovell (406) 675-2700)
• Project RFD, Mt. Pleasant, UT.
(Rhea Stewart (801) 462-2416)
• High Risk Youth Project, an OSAP high risk youth grant recipient_
University of Southwest Texas, San Marcos, Texas
(Roquez Mendez (512) 245-2449)
• Early Childhood Substance Abuse Prevention Program (ECSAPP),
Tacoma, WA.
(Suzy Olt (206) 591-6490)
EMT has received contracts to extend evaluation studies for CODA, Blue Bay and
ESCAPP. In addition, staff will be conducting the evaluation study for LaNueva, a high risk
prevention demonstration project in New Mexico.
EMT is in the process of evaluating five demonstration programs for Children of
Alcoholics (COA) and 18 drug abuse prevention, intervention and treatment programs that
received funding under the 1986 Anti-Drug Act. Two related prevention evaluations include
studies of a jail-based program for DUI offenders in Santa Clara County, California, and
four sites of a demonstration project regarding "ignition interlock" devices installed on the
vehicles of convicted DUI offenders for the Office of Traffic Safety in California.
EMT is also in the process of conducting several evaluation studies that assure
EMT Corporate Capabilities 7
Deutschman (Healthy TIES), California
40 1
relevant experience to apply to the proposed effort. These include: evaluation subcontracts
for (1) two OSAP community partnership demonstration grants, (2) two OSAP perinatal
demonstration grants, (3) an assessment of the California Attorney General's Drug Free
Zones Challenge Seminars, (4) a needs assessment study for the gay and lesbian community
in San Francisco, and (5) an evaluation of a multi-site recreation program for high risk
youth.
These studies require considerable on-site presence, application of ethnographic
research methodologies, implementation of the logic model,; data collection from primary
and secondary sources, observation of community level forums and meetings, use of grantee
GOAMS and MIF date, and far-reaching data gathering from multiple disciplines,
institutional sources, and representatives from the community at large. Specific project sites
include:
• Tahoe Prevention Network, A OSAP community partnership grant recipient
(El Dorado County Department of Health, El'Dorado, California)
(Galye-Erbe (916) 621-6191)
• Coalition for a Drug Free San Marcos for OSAP community partnership grant
recipient. University Southwest Texas, San Marcos, Texas
(Nina Wright (512) 245-2449)
• Northern California Drug Free Perinatal Project (NCDFPP), Far Northern
Regional Center, Redding, California
(Susan Ferrell (916) 222-4791)
• M.A.M.A. Perinatal Project, an OSAP grant recipient, Haight-Ashbury Free
Clinics, Inc., San Francisco, California
(Latifu Munirah (415) 386-4458)
• Assessment of the Impact of Drug Free Zones Challenge Seminars, California
Office of the Attorney General, and Department of Alcohol and Drug
Programs, Sacramento, California
(Cathy Jett (916) 324-7863)
• San Francisco Lesbian and Gay Substance Abuse Needs Assessment Study,
18th Street Services, San Francisco, California
(Frank Davis or Susan Foster (415) 861-4898)
EMT Corporate Capabilities 3
Deutschman (Heathy TIES), California
• National' youth Sports Program (second of two studies) for the National
Collegiate Athletic Association
(Ed Thiebe (913) 339-1906)
These projects are currently underway and most will continue through 1991. All
require varying degrees of staff on-site presence, process and impact assessment and will
result in written case studies.
EMT Corporate Capabilities 9
Deutschman (Healthy TIES), California
Appendix VI, Document 8: ResourceslOther Financial Support
121
S E L Health Services Department
ALCOHOL AND DRUG ABUSE
ADMINISTRATION
•;j_� _ _ - 595 Center Ave.,Suite 200
Martinez,CA 94553-4639
Alcohol Program (510) 313-6300
m:
Drug Program (510) 313-6350
Sr"� C041N��
Deutschman (Healthy TIES) California
Appendix VI, Document 8
June 14, 1993
Lisa Scheckel, Acting Director
Center for Substance Abuse Treatment
Grant Review Office
Rockwall H, Building, 10th Floor
Rockville, Maryland 20857
Dear Ms. Scheckel:
This is to certify that no other resources are either available or pending for
conducting adolescent treatment through the Healthy TIES program proposed by Contra
Costa County.
Yours truly,
Chuck Deutschman, MFCC, MBA
Substance Abuse Division Director
CK.jr
122
A_'171_A !1111,11, \ . /ntrR C;\ /. )tR \/ou Il.\J
Deutschinan (Healthy TIES), California
Appendix VII, Document 9: Confidentiality and Assessment
123
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1
Ap/��, Doc. q
MEMORAN�M ! 1
TO: Lid
l i.
FROM:
DATE Ap it 28 , 1989
RE: St to laws relating to treatment of minors
In his training session to the staff, Dr . Lemmon confirmed the
correctness of the information that I found regarding treatment of
minors. I thought it might be helpful to the staff to put it in
writing and discuss in a staff meeting .
From: 1988 Edition , California Laws Relating to Minors
MEDICAL CARE, DRUG OR ALCOHOL
Notwithstanding any other provision of law, a minor 12 years of age
or older may give consent to the furnishing of medical care and
counseling relating to the diagnosis and treatment of a drug or
alcohol related problem. Such consent shall not be subject to
disaffirmance because of minority.
The consent. of parent, parents, or legal guardian of a minor shall
not be. necessary to authorize hospital care, medical care , or
counseling relating to a drug or alcohol related problem, and
except as otherwise provided , the parent, parents or legal guardian
of the minor shall not be liable for payment of any such care
rendered pursuant to this section .
The treatment plan of a minor authorized by this section shall
include the involvement of the minor ' s parent, parents or legal
guardian , if appropriate , as determined by the professional person
or treatment facility treating the minor . The professional person
rendering medical treatment or counseling to a minor shall state
in the mino'r ' s treatment plan whether and when he or she attempted
to contract the parent, parents or legal guardian of the minor and
whether such attempt to contact the parent, • parents or legal
guardian of the minor was successful , or unsuccessful , or the
reason why, in his or her opinion , it would not be appropriate to
contact the parent, parents or legal guardian of the minor .
. . . if the minor ' s parent, parents or legal guardian participates
in the counseling program pursuant to this section , such parent ,
parents or legal guardian shall be liable for the cost of services
provided to the minor and the parent, parents or legal guardian .
MENTAL HEALTH TREATMENT
Notwithstanding any other provision of law, a minor who has
Deutschman (Healthy TIES), California
Applg;"Doc
attained the age of 12 years who , in the opinion of: the attending
professional person , is mature enough to participate intelligently
in mental health treatment or cbunseling on an outpatient basis ,
and (1) would present a danger of serious physical or mental harm
to himself or herself or to others without such mental health
treatment or counseling , or (2) has been the alleged victim of
incest or child abuse, may give consent to the furnishing of such
outpatient services . Such consent shall not be subject to
disaffirmance because of minority. The consent of the parent,
parents and legal guardian of the minor shall not be necessary to
authorize the provision of such services. Mental hE!alth treatment
or counseling of a minor as authorized by this section shall
include the involvement of the minor ' s parent,. parents or legal
guardian , unless in the opinion of the professional person who is
treating or counseling the minor , such involvement would be
inappropriate . Such person shall state in the client record
whether and when he or she attempted to contact the parent, parents
or legal guardian of the minor , and whether such attempt to contact
was successfuly or unsuccessful , or the reason why, in his or her
opinion , it would be inappropriate to contact the parent, parents
or legal guardian of the minor .
Deutschman (Healthy TIES), California
LEGAL C0NSENT REQUIREMENTS FOR MEDICAL
TREATMENT OF MINORS IN VARIOUS CIRCUKSTANCES TOC,
MayJM.D.
Infdrm Parents
: Is Parental Are Parents Is Minor's of Treatnent
Consent Responsible Consent without Minor'
If Patient Is: Required? for Cost? Sufficient? Consent
5
Under.,;18, unmarried. no
special circumstances.......... Yes •' Yes No Yes
Under 18, married or previously
married No No Yes No
(Civil Code Sec. 25.6, 60-70) '
Under 18, no special circum-
stances, emergency b parents (if
not available No Yes Yes(capable) Yes
Emancipated Minor (declaration
by court, I0 card OMY.......... No No Yes No
Civil Code Sections 64, 60-70) _
Self-Sufficient Minor (over 15, `
not living at home, manages "• .
own financial affairs) ......... No No Yes Yes
(Civil Code Section 34.6)
Not married, pregnant,- under" 18 5
(care related to prevention or
treatment of pregnancy, in-
cluding consent to abortion) ... No Yes* a Yes Probably Not
(Civil Code Section 34.5)
Not married, pregnant, under 18 -
(care not related to preven-
tion or treatment *of pregnancy
no other circumstances) ........ Yes Yes No Yes
Under 18, on active duty with
Armed Forces................... No No Yes No
Under 18, over 12, care for
*,*contagious reportable disease ,
or condition (Civ.Code 34.7) ... No - No Yes Probably Not
Under 18, over 12, care for rape
(Civil Code Section 34.8) ...... No Yes* Yes Probably Not
Under 18, care for sexual assault
(Civil Code Section 34.9) ...... No Yes* Yes Yes, Usually
Under 18, over 12: care for
alcohoi 'or drug abuse.... ...... No Only if Yes Yes, Usually
(Civil Code Section 34.10) participate in
counseling
Under 18, over 12. care for
mental health treatment, Only if
outpatient only..:.............. No participate in Yes Yes, Usually
_(Civil Code Section 25.9) counseling
* It should be recognized that although the minor's parents or guardian are legally
responsible for payment (even though the law allows the minor to give consent) , other
considerations, such as confidentiality of medical information, may prevent the hospit;
from seeking payment from the minor' s parent or guardian.
*„Reportable diseases: See page 39 for a list of reportable diseases.
SOURCE: . California Hospital Association Consent Manual .
3/87 MINORS
Deutschman (Healthy TIES), California
A .IL1l ��C • l
Program Director. P
Non-discrimination Policy
New Connections does not discriminate in its admissions policy
on the.; basis of race, sex, sexual orientation, reigion, national
origin, health, or ability to pay for services : If a client feels
his/her application for counseling was denied for reasons which
contradict the above policy, s/he may appeal this decision by
following our appeal process . For details please contact the
Executive Director of New Connections .
The following is a description of how New Connections provides
services to its clients . All of the information on client forms is
in compliance with CA Standards for Treatment Programs . These
procedures must be followed for individual; f2Lmily, or group
clients !
Drug Assessments
The first office visit for every New Connections ' client is a
comprehensive drug assessment which- will last approximately two
hours . There is no charge to the client for this session. The
client is advised of this before arriving for the assessment. All
family members living at home are required to attend if at ail
possible. New Connections believes that the family working
together will be more effective in resolving the problem( s ) than an
individual on his/her own. Experience has indicated that this is
particularly true when working with youth.
The counselor greets the family in the waiting room and asks
the parent( s ) to complete the Confidential Background Information
(office) form while the IP completes Do You Have A Problem: A Test
For Teens .
The counselor then meets with the whole family and provides a
brief description of the services offered at New Connections ,
explains the format of the assessment, and answers any questions .
The counselor also discusses the Confidentiality Regulations which
include the need to report any physical or sexual abuse or neglect
6
Deutschman (Healthy TIES), California
ApP07, Doc .9
to Child Protective Services . These regulations also include
clients who are a threat to themselves or anyone else. (See
Critical Issues section)
The counselor completes the first two pages of the Office
Assessment Form with all family members . The counselor collects
information on the family background and their perceptions of the
problem, and substance abuse history. The counselor completes the
3rd page of the Office Assessment Form following the drug
assessment .
After the counselor completes the first two pages of the.
Office Assessment Form, s/he then discusses the type of information
s/he will discuss with the family following the individual portion
of the assessment with the IP . For example, information will be
given about drugs used most often, potentially dangerous drugs ,
stages of addiction, clinical impressions , and recommendations for
counseling/ treatment. However, the counselor lets the client know
s/he will discuss these issues with him/her first before including
i
the rest of the family.
The counselor then meets with ..the IP and goes through the
remainder of the assessment forms . The following order is
suggested:
i ) Begin with the Drug Inventory and assess the frequency
( how often is the drug used) and the amount (how much of the drug
is used) . Find out how the drug is used and complete the comments
section ( e . g. binge use, when did peak frequency occur, etc. ) .
2 ) The next form is the Adolescent Drug Assessment. Complete
general questions for all clients . Complete the questions on
specific drugs if used once per month or more. Put N/A at specific
drug category if used less than once per month. The counselor
should use checklists (example question #9 under alcohol) as a
brief check on extent of abuse or addiction. If several of these
are checked, addiction is likely (some of these points are covered
in other questions ) .
7
Deutschman (Healthy TIES), California
A Doe.
APP q
paragraph which pertains to the entire group, ( this part may be
xeroxed) and then write any notes which pertain to a particular
client on that client ' s group case note.
Clinical Release of Information
Whenever the need arises to contact another agency therapist,
physician, probation officer, etc. , a Clinical Release of
Information form must be completed, signed by client, and placed
on the left side of the chart. This is for compliance with
confidentiality laws and in order to protect they client. If the
client is a minor, the release must also be signed by his/her
parent( s ) or legal guardian.
Consent to Videotape/Audiotape
Before audiotaping or videotaping any session, all family
members who may be taped need to sign the appropriate consent
forms . These are placed on the left side of the chart after
Consent to Services .
FAX-ing Records
Client records may not be transmitted by FAX machine due to
the possibility of these records being transmitted to the wrong
number; and thereby creating a threat to the client ' s
confidentiality.
Critical Issues
If a client is potentially harmful to him/herself, to others ,
or in danger of harm, any staff member or intern should immediately
inform his/her clinical supervisor or the Program :Director, in that
order.
Among the problems which one must immediately discuss with
your clinical supervisor are:
- Suicidal threats
- Homicidal threats
- Child abuse or elder abuse
13
Deutschman (Healthy TIES) , California
Life-threatening drug abuse 14pp�j Dix.9
In the cases of child abuse or elder abuse, the counselor
calls Children ' s Protective Services or Adult Protective Services
( local services ) to immediately report the abuse . The counselor
files•: a written report within 36 hours for a CPS referral and a
written report within 2 working days for an APS referral . Place
the copy of CPS report (Suspected Child Abuse form) chronologically
on the right hand side of the chart.
Referral Services
If during the course of treatment it is judged a client is in
need of other services not offered at New Connections , New
Connections ' staff will provide the client with a referral to
alternative services . Referrals are made when a client is assessed
as needing more intensive treatment than New Connections can
provide . More intensive treatment is indicated when a client
evidences psychotic symptoms , acute medical problems , severe
chronic psychological problems , or chronic substance abuse
indicating the need for residential treatment. When the counselor
assesses that a referral is in order, s/he discusses it with
his/her clinical supervisor. Upon the clinical supervisor' s
approval , a referral is made.
When making a referral , the counselor gives the client the
name , phone number, and location of the services . S/he also gives
any significant descriptive information. A client is always given
a minimum of three referrals . (Three referrals are necessary when
alternate services other than those provided by New Connections are
being suggested - not when additional resources are being suggested
to complement the services of New Connections ) .
Medical Services
Emergency medical services are available for clients through
an agreement with Contra Costa County Medical Services . These
services include use of Merrithew County Hospital Emergency
Services in Martinez and outpatient services in Richmond for 'the
14
Deutschman (Healthy TIES), California
NEW CONNECTIONS CmNPIDENTI�AL
ADOLESCENT DRUG ASSESSMENT
(Treatment Clients)
I General Questions
1 . When did you last use any drugs or alcohol?
Specify what was used
2 . How much of the drug or alcohol did you use the last time
you used?
3 . Have you used needles during past 12 months? Yes No
4 . Where do you usually use? (circle all that apply)
home work school with 'friends party
S . What time of the day or days of the week do you use?
(circle all that apply)
weekends before school ;during school hours
after school
6 . Do/did you use alone? Yes No How often?
7 . Give the reasons you began using drugs or alcohol .
8 . Explain how your drinking/drug use 'affects you.
9 . Have you tried to quit and started using again?
Yes No
10 . Longest period of total abstinence 'within past year.
Reason
11. Have you ever overdosed? If yes, on what?
12 . Have you ever been injured or had an accident while under
the influence? Yes No If yes, explain.
13 . Do you experience personality change while intoxicated or
high? Yes No
Ever become violent? Yes No
14 . Have you ever used because you were: feeling lonely,
depressed, angry? Yes No
15 . Have any of your friends expressed concern over - your
alcohol or drug use? Yes No- '
119 rev 6/91 Page 1 of 5
Deutschman (Healthy TIES), California
15 . Has anyone at school , work, or your p a c e n t s c o RR io!�t—gejd
your drug use? Yes No
16. Do you use more than you want to? Yes No
17. Do you experience urges or cravings to use drugs or
alcohol? Yes No
18 . Do you feel you have a problem? Yes No
II Specific Drugs
A. Alcohol (if used more than once per month)
1. When was the last time you had anything to drink?
2. How often do you drink? (circle appropriate response)
monthly weekly several times each week daily
3 . How much do you drink on weekdays?
weekends?
4 . what do you usually drink? (circle response)
wine beer hard liquor (straight/mixed with something)
5 . How many drinks does it . take to get you drunk?
6 . Is this more than it took 6-12 months ago?
7 . Have you ever had a blackout? How many?
S . Do you have difficulty stopping after 1-2 drinks?
9 . Have you experienced any of the following?
blackouts gulping
loss of control sneaking drinks
behavioral changes hiding bottles
binging guilt/remorse
relief drinking drinking alone
preoccupation with increase in tolerance
drugs/alcohol
10 . when you stop using alcohol , what problems do you
experience?
11. Do you " feel you have a problem with alcohol?
Yes No
Page 2 of 5
119 rev 8/89
Deutschman (Health.y TIES), California
B. Marijuana ��
j (if used more than once per month)
1. When was the last time you smoked pot?
2. How often do you get high? (circle response)
monthly weekly 2-3 times weekly 4-5 times weekly
daily several times daily
3 . How much do you usually smoke? weekdays
weekends
4 . Have you experienced any of the following? (check all
that apply)
decreased energy
poor short-term memory
coughing or shortness of breath
getting sick more often - stay,ing sick
increased need for sleep
paranoia
I don' t care attitude
5 . Do you buy pot?
6. How do you pay for it?
7 . Do you have your own stash?
8 . When you stop using pot, what problems do you
experience?
9 . Do you feel you have a problem with pot? Yes No
C. Cocaine/Crack/Amphetamines/Crank if used more than
once per month)
1. What was the month and year your first used
cocaine/crank?
2. Circle the stimulants you have used.
Cocaine Crack Crank
3 . Describe the amount and frequency ;of your recent
cocaine/crank use.
4. How much money have you spent on cocaine/crank in the
past month?
5 . How many times have you used cocaine/crank in the past
month?
Page 3 of 5
119 rev 8/89
Deutschman (Healthy TIES), California
6 . When did you last use cocaine/crank?
7. What was the longest consecutive period of time you did
not use cocaine/crank within the last 12 months?
8 . How do you use cocaine/crank? (circle all that apply)
smoke sniff oral intravenous
9 . Have you tried to stop using cocaine/crank?
Yes No
19 . When you stop using cocaine/crank, do you experience
any of the following?
Nervousness Increased alcohol use
Seizures Irritability
Hallucinations Severe cocaine cravings
Low energy Increased or decreased
Excessive appetite need for sleep
Depression Poor memory
Headaches Confused thoughts
Feeling "speedy" Panic
11 . Give the reasons you began using cocaine/crank.
12. Do you feel you are addicted or have a problem with
cocaine/crank? Yes No
D. Hallucinogens (LSD, Psilocybin mushrooms , PCP) (if used
more than once per month)
1. When was the last time you used LSD , Psilocybin
mushrooms, PCP or any other hallucinogens?
(circle and/or include the drugs you have used)
2. How often do you use these drugs?
monthly weekly several times weekly daily
3. Have you ever had a bad trip? Yes No
Explain.
4. Have you ever had flashbacks? Yes No
5 . Do you feel you have had any problems as a result of
taking these drugs? Yes No Please explain.
Page 4 of 5
119 rev 8/89
Deutschman (Healthy TIES), California
P P 07�
E. Other drugs ( including barbituates, minor tranquilizers ,
valium, librium, inhalants, opiates , etc. ) ( if used more than
once per month)
1 . Identify which drugs you have used.
2 . When was the last time you used these drugs?
3 . How often do you use them?
monthly weekly several times weekly daily
4 . Do you feel you have had any problems as a result of
taking these drugs? Yes No Please explain.
5 . When you stop using these drugs, what problems do you
experience?
Client : _
Counselor' s signature
Date:
119 rev 6/91
Deutschman (Healthy TIES), California
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Deutschman (Healthy TIES), California
NEW CONNECTIONS CONFIDENTIAL
j
MEDICAL FORM /`$
Pyes No
1. Do you have any current medical problem(s) , [ J [ ]
including allergies? If yes, please explain.
2 . Are you now under a doctor's care? If yes, [ J ( J
for what?
3 . Are you presently taking any over-the-counter
or prescription medications . If yes, please [ ] [ J
explain. _
4 . Date of last physical exam: _
5 . How do you view your current health status :
excellent good fair poor
6 . Do you have a family member who has
experienced problems with drugs and/or [ ] [ ]
alcohol? If yes, who
how long
what drugs ,
Did he/she receive treatment?
7 . Have you ever experienced periods of depres- ( ] [ ]
sion? If yes, please explain. _
8 . Have you ever had suicidal thoughts? If ;yes, [ ] [ ]
please explain. _
9 . Have you ever made a suicide attempt? If you [ J [ ]
have, by what means? _
Date of attempt: _
10 . Has anyone in your family attempted or com-
mitted suicide? If yes , who ,
when how
Disability impairment (required by State of CA) -
Circle all that apply.
None Visual Hearing Speech Mobility Mental Developmental
Other (does not include alcoholism or drug addiction)
Office use only:
Counselor recommends client have complete physica.l [ ] [ ]
Counselor: '
Date:
117 rev 6/91 Client # :
A. Background and Significance
The Health Services Department of Contra Costa County and the community-based service providers
that will be involved with the proposed program agree with the estimate in Healthv People 2000 that at least
one-quarter of adolescents in this country are at very high risk for alcohol or other drug problems, school
failure, early unwanted pregnancy and/or delinquency. Our experience supports the observation that drug use
rates have not declined among school dropEouts, lower income and inner-city youth to the extent that they have
among the general population of youth. While we recognize that all adolescent alcohol and other drug users
have unique service needs, we heartily echo the recommendation from Health People 2000 that "special
attention to the treatment needs of homeless, runaway and school dropout youth is needed."I This application
proposes a program that will target adolescents who are at very high risk of falling into those categories by
virtue of their enrollment in continuation high schools throughout our County.
We are particularly concerned about addressing substance abuse issues.with students who are still
involved with secondary education since Fagan and Pabon report that one in three male dropouts use serious
substances nearly three times more often than males who are still enrolled in school. Serious drug involvement
among female dropouts is twice as high as among females still in school with female dropouts more seriously
involved with more kinds of substances than either males or females still in school. Male dropouts have the
highest rates of use for all types of substances with at least monthly use of hard liquor reported by 52.30, of
marijuana by 40.9%, and of amphetamines and cocaine by 18.4''0 and 18.2%, respectively. Fagan and Pabon
also report that both male and female dropouts have more serious inolvcment in and high rates of delinquency
thathstudents «.ho stay in school. This is particularly true for males, 42.1% of whom the researchers classified
as multiple index offenders, compared with.only 16.1% of their peers who are still in school.'-
That continuation high school students stay in school and not become homeless is of urgent concern to
us. While a 1990 study in nearby San Francisco revealed lower recent use of hard liquor among homeless
youth than in the general population (39.7% compared to 65.3% for high school seniors), it also showed
significantly higher rates of tobacco, marijuana and LSD use (45.9% compared to 29.6%, 31.1% compared to
23.47%, and 10.21c compared to 2.5%). The sample of homeless adolescents studied revealed that 6.5% of them
had been in a drug treatment facility, 9.3% felt that drugs were a problem for them, 15.1% used drugs
intravenously (IV), and 12.4V1 had 1V drug using partners.3
The risks posed by these last two statistics are reiterated by Athev who reports that since the substance
abuse rate among homeless adolescents is estimated to range from 70% to 85%, it is clear that both IV and
non-IV drug use is a major risk factor for HIV infection. She reports that a Los Angeles study of runaways
found 34.5% had used IV drugs and that among "street kids" in Houston cocaine injection or cocaine in
combination with another drug accounted for 8270 of the 1.37 adolescent IV drug users in a sample. Of the
youth tested at a New York City homeless shelter over a two year period from 1987-89, 5% were found to be
seropositive for HIV. Among 20-year-olds who had been on the streets longer than younger adolescents, 8.6%
were seropositive.4
The 1989 report from the California Attorney General's office on student drug use indicated that 60%
of eleventh graders in continuation high schools could be classified as high risk users of alcohol or other drugs
1 U. S. Department of Health and Human Services Public Health Service, Health v People 2000:
National Health Promotion and Disease Prevention Objectives, Boston: Jones and Bartlett
Publishers, 1992.
Faban, J. and E. Pabon, Contributions of Delinquencv and Substance Use to School Dropout
among Inner-city Youths, Youth and Society, March 1990.
3 Sherman, D. The Neglected Health Care Needs of Street Youth, Public Health Reports, July-:august
1992.
4 :lthey, J. HIV Infection and Homeless Adolescents, Child Welfare, September-October, 1991.
1
as compared with only 2011 of students enrolled in regular high schools.'That California adolescents at high
risk of dropping out of school are also at high risk for alcohol or other drug problems is also revealed in
another survey supported by several state agencies.6 This research is of particular interest to us because one of
the two cities chosen for the study was Oakland in neighboring Alameda County. Many of the larger cities in
Contra Costa County share similar demographic indicators with Oakland. Of the 1,436 youths age 15 to 17
who were studied, more than half of them had dropped out of scool at some time in their lives. As an
unfortunately frequent correlate to substance abuse and dropping out — which our program also proposes to
address — one-third of the respondents had been involved with gangs at some point in their lives,31.8% within
the year prior to the survey. This research among dropouts and chronic absentees revealed:
• Alcohol and marijuana were the drugs of choice with high rates of use. Better than 50% of
respondents reported using these substances at least once in the six months prior to the study. Within the
previous 30 days, 65.3% had used alcohol (6.3% on a daily basis) and 56.7% marijuana (14% daily).
• Although the great majority of respondents had never used ice (crystal methamphetamine) or crack
(rock cocaine), 5%n were classified as heavy users of these substances. However, we believe the percentage of
Contra Costa County adolescents who fall into this category is much higher due to the high number of
methamphetamine labs that are known to appear and reappear along the major freeways lathe county.
• Multiple substance use is common with 51.8% reporting such practice in the six months prior to the
survey. One in eight youth reported doing so more than 10 times in that time period.
• Consuming five or more alcohol drinks in a row within the previous two weeks (a measure of heavy
drinking) was reported by 45.9% of these adolescents. About one in five drank five or more drinks in a row
three or more times in that time period.
• Over half of the respondents had tried alcohol by the age of 13 and another kind of drug by the age of
14, of particular concern given Health People 2000's warning about the gateway phenomenon of early onset of
use predicting serious later problems.
• Of activities related to their alcohol and drug use, 40.7% reported having ever sold or dealt drugs,
16.2'x; committed a crime to get drugs, 7.4% had sex to get drugs, and 6.9% used a needle to inject drugs.
Forty-three percent (43%) had been drunk or high at school, 14.4% arrested for alcohol or drug related
offenses, and 5.8% admitted to a hospital emergency room for alcohol or drug related reasons.
• Of salient concern to us, 23.9% cited alcohol or other drugs as a reason why they dropped out of
school and 22.4% as a reason for not returning to school.
• Even greater discrepencies between dropouts/chronic absentees and the in-school population were
reported than were found with homeless youth in San Francisco above. In the previous six months, 73.4% of
survey respondents reported drinking beer (compared with 65.7% of in-school youth), 63.7% used marijuana
(compared with 29.5%) 23.9% used methamphetamines (compared with 6.5%), 24.5% used cocaine
(compared with 6.5%) and 25.9% used LSD (compared with 7.9% of in-school youth). Daily use of beer was
reported by 8.9%n of the survey (compared with 1.3% of in-school youth) and of marijuana by 16.2%
(compared with 3%).
• With the exception of daily alcohol use which was seen as extremely harmful, dropouts and chronic
absentees perceived use of alcohol and marijuana as less harmful than did their in-school peers.
Skager, R. and S. Frith, Identifying High Risk Substance Users in Grades 9 and 11, Sacramento:
California State Office of the Attorney General, 1989.
6 Southwest Regional Laboratory, Survey of Alcohol and Other Drug Use Among Chronic Absentee
Students and Dropout in California, Los Alamitos, CA: California Department of Justice,
Department of .alcohol and Drug Programs, and Department of Education, 1992.
2
• One-third of respondents had been gang-involved at some time in this lives with slightly fewer
reporting gang involvement in the yer prior to the survey.
• 24.1% indicated that trouble with gangs was why they dropped out of school and 26.7% listed the
same reason for not returning to school.
As will be discussed below, the proposed program will take a public health approach and target not only
students but also one environment in which they spend much of their lives. That is, the continuation schools
themselves as institutions. Our experiences with these institutions are corraborated by the findings of this study
of dropouts and chronic absentees where previous negative school experiences seem to be associated with the
reasons most youth do not return to school. "Problems dealing with teachers and other staff" were identified
as reasons why dropouts did not return to school by 34.8% of respondents and "problems with other kids at
school" by 32.1ry;. Another report on dropout prevention programs that work revealed that substance abuse
awareness is one of 10 characteristics that ensure retention program success.?
California is the only state in the nation to require at least parttime compulsory school attendance by
students until they are 18 years old or graduate. To facilitate this requirement for certain students, the state has
provided a continuation option since 1919. There are currently 425 such schools in the state serving more than
1 15,000 students, nearly IWyr. of the state's high school population. These schools are designed to help
students acquire a high school diploma or California High School Proficiency Certificate, become productive
persons by convincing them of the importance of vocational preparation and by assisting them in acquiring
entry-level job skills; develop feelings of self-worth, self-confidence and personal satisfaction, develop a sense
of responsibility; develop a tolerance and understanding of a variety of viewpoints, engage in meaningful
recreational and leisure-time activities; understand and obey laws and participate in constructive civic activities;
and understand and practice sound money management and become intelligent consumers.s
Officials in neighboring Santa Clara County have created a special program designedl5imultaneouslr
address students' chemical dependency and enable them to continue their education. They report that in a
survey of students identified as potential dropouts due to absentism half of them defined themselves as being
out of control with drug and alcohol use.9 When the program was established, approximately two-thirds of
students sought out the on-campus social worker, and 117 were admitted for in-patient chemical dependency
treatment. By mid-year, 23 students were assessed to be chemically dependent but the only available in-patient
treatment was sadly not affordable for them. The following statement from the developers of that school speaks
to the need for the socializing componentX envisioned for our proposed program:
A common difficulty for students with a substance abuse problem is scheduling their time wisely. For
certain students, using drugs virtually eliminates a kind of gnawing indecision about what to do, it removes
the responsibility for making decisions. Drug use utterly consumes the students and constitutes his or her
complete reality. ... once stulents can manage to stay off drugs, they face another challenge that often takes
them by surprise. He or site is far more likely to be at the developmental stage he was at when he or she
started using drugs.
Collectively, the service providers involved with our program have more than 100 years experience
working with high risk adolescents. This includes outpatient counseling and intervention with those youth who
are at high risk as measured by poor academic performance or truancy and those who are already
experimenting with alcohol or other drugs. However, there has been virtually no reliable public funding
available for comprehensive adolescent treatment in Contra Costa County. As reported recently in a local
newspaper:
7 O'Connor, P. Dropout Prevention Programs That Work, OSSC Bulletin, December 1985.
8 California State Department of Education, Continuation Education Programs in California Public
Schools.
9 Carey, J. and ,k. Knight, Couniv Collaboration Creates a Unique Drug Treatment Program for
Adolescents, Thrust, January 1990.
3
Officials estimate that one-third of the countv's $600 million budget is absorbed by drug- and
alcohol-related problems. ... Bridget ruts have whittled awav Centra Costa's treatment progratn over the past
decade. even as the number of addicts needing help has risen.to
The response to that situation has been ad hoc treatment planning with a very few adolescents who are
extremely motivated to get into recovery. Three years of fun ing for this program is a long period of time
compared to the small amounts of transient funding we had 'deceived in the past for adolescent treatment. This
amount of time will allow us to institutionalize the components of our proposed program in order to maintain
the services after the grant period.
On top of the simple lack of services, a major barrier to service delivery to continuation students is their
inability to access resources. Many come from significantly dysfunctional families who are not evenaware that
health resources exist. Others are relatively recent immigrants whose cultures do not have traditions of using
helping institutions. For those students who must rely on their parents for transportation, even getting to service
providers is difficult. These are major reasons why most components of our program will be delivered on the
school sites.
In spite of the very positive goals and objectives of California continuation schools as described above,
many students - and indeed adults - have internalized notions that continuation school is a dead end. This
attitude in itself presents a major barrier to working with these students, one that we intend to address both with
the students themselves and through the institutional change component of our program.
B. Target Population and Needs Assessment
Contra Costa County is one of several counties that comprise what is often known as the San Francisco
Bay Area. While the County's 732.6 square miles of land and 73.3 square miles of water make it the ninth
smallest in land area among the 58 counties in California, it holds ninth highest place in total population size
with a 1992 count of 836,900. The County is experiencing a dramatic increase in ethnic diversity with the
Asian/Pa:ific Islander Papulation growing 156% in the past decade and the Latino population growing 62 '0.
The compares with a gno«th rate for County Causasians of II%. West County contains 70% of 410t Contra
Costa's African Americans and 4317 of' its Asian/Pacific Islanders. East County has experienced the largest
overall gro%-th in population in the last decade and is home to.33% of the County's Latinos. For the purposes
of our program, the County is divided into four regions with demographic breakdowns as follows:
County =J West_':7SouthDCentral East
Percent of 100= 25.0 12.0 45.0 18.0
Population:
Ethnicities:
Caucasian 69.7 45.1 86.0 85.3 65.1
African Amer. 9.1 24.7 1.3 1.3 7.5
Native Amer. .4 .6 .3 .35 .8
Asian/Pac. Is. 9.2 15.6 7.6 7.0 6.7
Latino 11.4 13.7 4.8 5.85 19.6
Other 2 2 .1 .1 .2
Contra Costa County is also experiencing a growing number of unemployed and working poor
residents. The County ranks second among five urban Bay Area counties for the number of homeless families.
More than 22,000 County children live below the poverty line. Growing numbers of teenage mothers, single
parents, infants and toddlers and the elderly comprise County families with a dramatic increase in the number
of families for whom English is a second language. This is especially the case in East and West County where
poverty, poor education and housing and limited access to health care place ever-increasing numbers of families
at risk for poor health status.
While problems related to low incomes and recent immigration are most visible in East and West
County, ethnic children in South and Central County often suffer unseen and in silence due to their relative
isolation in their new communities. For this reason, the program we propose will operate at school sites in each
10 Gaura, M. Big Bucks Fail to Aid County in Drug Fight, :'ontra Costa Times, May 11, 1993.
4
region of the County. High school districts by geographic region, 1992-93 enroilmcnt and dropout rates for the
Class of 1992 as reported by the Centra Costa Times on May 25, 1993, are:
West: Richmond with 31,267 students and 9.5% dropout rate and John Swett with 2,037 students and 12.9%
dropout rate.
South: San Ramon Valley with 16,066 students and 3% dropout rate.
Central: Acalanes Union with 3,945 students and 2.2'x; dropout rate, Martinez with 3,438 students and 3.2%
dropout rate, and Mt. Diablo with 33,100 students and 11.8% dropout rate.
East: Antioch with 12,951 students and 5.3% dropout rate, Liberty Union with 1,875 students and 5.2%
dropout rate, and Pittsburg with 8,174 students and 11.8% dropout rate.
Four continuation high schools and three county-operated days schools in close geographic proximity
to three of the continuation schools will be involved with our program. Demographics and static enrollment for
the continuation and day schools are:
San Ramon
:tilt. Diablo's Valley's Richmond's Pittsburg's
Olympic Del Amigo Gompers Marina
385 students 137 students 164 students 110 students
American Indian 0.8% 0.9% 0% 0%
Asian 17: 1.8% 4.3% 0'10
Pacific Islander 17: ().97; 0% 0%
Filipino 2. 1`1c 0.9% 0',"c, 2.4`70
Latino 18.417c 10.7% 10.1'1c 45.9%
African American 10.4f,7v 1.8% 84.2'7: 35.3%
Caucasian 66.2'7: 83% 1.4`7: 16.5'c
Contra Costa County Office of Education operates community day school sites in various locations for
students who have been expelled from regular school districts. Each of these classes has an enrollment of
approximately 25 students at any given time. Three of these classes are in close geographic proximity to Del
Amigo, Gompers and Marina high schools so personnel and the approximately 550 students who are served by
these three sites each year will also be involved with our program. Many of these students will return to the
local continuation schools when they are eligible for re-admittance by their home districts which will facilitate
continuation in our program as well.
Thirteen percent (13%) of Contra Costa County's population is aged 10 to 19 and is roughly evenly
divided between males and females. Data from annual plans compiled by the Alcohol Program and the Drug
Abuse Program of the Health Services Department's SubstanAkbuse Division, the county-wide Master Plan
for Reducing Alcohol and Other Drug Problems, a 1988-89 United Way needs assessment, and a survey
conducted by students at Del Amigo High School give cause for great concern about alcohol and other drug
use among our adolescents:
• 24`1e of problem drinkers in Contra Costa County are 14-17 years of age.
• 53% of school-age children in the County use alcohol weekly or more often, 27% use marijuana
weekly or more often, and 11% use other drugs weekly or more often.
• That young minors are obtaining alcohol and drinking is evident when 320 of 1989 liquor law arrests
of minors in Contra Costa County were of children under 17.
• The number and arrest rates for liquor law violations by 10-17-year-olds among all age categories
were second only to 18-24-year-olds.
5
• 10'�7(: of arrests for being drunk in public in 1989 were of minors, 287c of those were between 11 and
17 years of age.
• 7.8% of the 4,314 school crimes in 1989 were for substance abuse offenses.
•160 County youth 17 or under were arrested on felony narcotics charges in 1986, 104 for being drunk
in public and 78 for driving under the influence.
• A 1985 study of County high school students showed approximately 63% used marijuana, 75% hard
liquor, 87% wine and 86% beer in the month prior to the survey.
• In 1993, 18% of students at a continuation high school reported drinking every day. 93% have
smoked marijuana, and 94% would cut class to smoke pot. 44% get high before school, but only 3% believe
that the use of marijuana is wrong. 36% have experimented with the drug Ecstacy.
• 7.3% of patients hospitalized in 1988 with drug diagnoses were between 4 and 17 years old, 10.990
were 18 to 20 years ofd.
• An estimated 9,500 children are homeless in Contra Costa County.
Rapidly changing demographics in the County are reflected in students enrolled in virtually all districts.
A document issued in 1991 by Mt. Diablo Unified School District (which is actually one of the relatively
affluent districts in the County) entitled Our Changing Students says:
Our students' needs are increasing every year. By 1996, over 10% of our students will come
from families at or near the poverty level. almost 6% will have limited command of the English language, and
about 12% will receive special education services. These three indicators in combination suggest that by 1996
about one ora of every four MI. Diablo students could be "cit risk." As evidence, our student suspension rate
has increased by over 12c�:for each of the last five years. By 1996, we will make 7,000 suspensions in
contrast to the 3.000 in 1986. In addition, almost one student in three will be a member of an ethnic minority.
The largest continuation high school in Contra Costa County — Olympic High School in the Mt.
Diablo Unified School District — serves approximately 750 students each year. Its 1991-92 statistics describe
a student population that is 199c language minority, 207e received public assistance, 19% on free or reduced
lunch program, 9% dropped out of school, only 40% of those on-line chronologically to graduate did so, 10%
had probation officers, 38% of students identified as serious habitual offenders by Central Contra Costa
County law enforcement agencies were Olympic students, 25% of the female students were either already
mothers or pregnant and facing a decision to continue or terminate their pregnancies, and 80% were or had
been regular users of alcohol or other drugs excluding tobacco.
The tensions created by these rapid personal and social changes arc leading to increased violence
among adolescents throughout Contra Costa County. In schools, most problems fall into three categories:
threatening or injuring another person, possessing or selling drugs and alcohol, and possessing guns, knives,
explosives or other dangerous objects. Student suspensions due to causing, attempting or threatening physical
injury nearly doubled in Mt. Diablo school district from school year 1986-87 to 1991-92. Suspensions related
to weapons more than quadrupuled in that time period. Affluent school districts are not immune to this increase
in adolescent violence. From the 1990-91 school year to the 1991-92 year, San Ramon Valley Unified School
District reported nearly twice the number of student suspensions for inflicting physical injury and more than
double the number for possession of weapons or explosives. According to a major series of stories in the local
Contra Costa Times newspaper run during February 1993, adolescent violence extends well beyond these
indiscretions with juvenile homicide arrests in the County increasing 750% from 1982 to 1991.
The Contra Costa County_ Master Plan states "a particularly important area of concern is the extent to
which substance abuse amongst dropout students exacerbates their potential for being unemployed," and it
reports that 13.5% of those in the County age 25 and older have not completed high school. The plan advises,
"Special attention needs to be paid to youth at-risk, through special projects, early identification and resolution
of those in trouble, and development of methods to reach dropouts or students with truancy problems."
6
In response to concerns about adolescent alcoh6l and drug use, the County has allocated increased
funding for high risk youth services. New State funds were acquired recently for a case management program
for 20 high-risk youth and their families in the Richmond area of West County. The County's Substance
Abuse Division also advanced several recommendations for its 1992-93 operating year related to adolescent
services:
• Develop comprehensive non-residential services and an advocacy office for youth.
• Plan and develop comprehensive treatment seryices to include a residential recovery facility, shelter for
abused youth, respite care and homeless shelter.
• Provide alcohol and drug intervention teams within school settings to provide services to youth
identified as at high risk for drug abuse.
• Provide intervention teams for youths who have dropped out from school settings.
Specific 1992-93 operating objectives also addressed adolescents:
• Provide early intervention services to persons at risk for drug abuse and especially to high-risk youth
and their families.
• Assist high-risk youth who have participated in a school-based prevention program by utilizing
community-based support systems.
However, several barriers were also identified in the County's service plans for 1992-93 that continue
to hinder adequate responses to adolescents with alcohol or other drug related problems:
• Inability of school districts to identify substance abuse issues as a priority.
• School-based programs that conflict with district rules and policies thus making implementation
difficult.
• Required parent consent may limit youth participation in school-based programs.
• Inadequate linkages with the juvenile justice system.
• Lack of outreach designed to address cultural barriers.
We have learned a great deal about students in continuation high schools from the education, outreach,
prevention and intervention services delivered by participating providers in Contra Costa County over the past
two decades. We know that they often have family problems including neglect, physical abuse and substance
abuse; they experience learning and language barriers; they are seen as misfits and are too often neglected as
such; they are transient and lack focus and direction; they are lonely, depressed and socially isolated; they lack
basic health information and education, they are either overburdened with responsibility or have too much time
on their hands; and they find themselves in systems that do not mee4—their needs, not the least of which is
failing to identify and respond to their alcohol or other drug problems. On the other hand, continuation.
students are often creative, energetic and mature survivors. They may be parentified in their families and as
such actually manage their households. They are often emanicipated minors who have broken free of negative
home environments. Honoring these strengths and helping students draw on them to change what they can and
cope with what they can't is the goal of our program.
To do so most effectively will require a partnership with those institutions where students spend a good
deal of their lives: the continuation schools themselves. A County school district administrator is quoted in one
of the stories in the newspaper series: "We're lacking the community services and our own resources because
of the loss of counselors. The only way we have to deal with really violent behavior is through the explosion
process. It really doesn't fix anything in the way the child is going to behave in the future." Although this
program will in no way replace the school counselors lost to recent budget cuts, our intent is to work with those
continuation high schools that agree to our public health approach. That is, they will work with us at both the
7
individual student level and the institutional level. The loss of counselors at continuation schools has resulted in
teachers being forced to take on counseling duties. They are often ill-trained for this task, and personal burn-
out follows quickly. Continuation high school principals are expected to become social ,workers, but they are
often unaware of the referral resources that do exist in the community. Given the recent and rapid
diversification of students, school personnel often fear overstepping their bounds in culturally unknown
situations. They need training in both classroom management and working with families whose own history
and experience with educational systems may well have been negative. In addition to personnel issues, most
continuation schools lack social and recreational opportunities for their students, further contributing to the
internalized notion that such students are throw-aways and not worthy of the experiences enjoyed by their
peers in regular high schools.
(Sources used to compile local needs include: Contra Costa County Alcohol Program Plan for 1992-
1993, Contra Costa County Drug Abuse Program Plan for 1992-1993, Contra Costa County Master Plan
Report published September 1992, United Way Needs Assessment, Contra Costa Times, 1992 Report on
Status of Health in Contra Costa and Recommendations for Action from the_Public and Environmental Health
Advisory BoardJOur Changing Students published by Mt. Diablo Unified School District, program
information from Olympic High School, data from San Ramon Valley Unified School District, the Del Amigo
Times, ..........
C. Goals and Objectives
The goal of the proposed program is to increase the functionality, school productivity and chances of
graduation among Contra Costa County continuation high school students by addressing their alcohol and
other drug problems and factors that contribute to them such as family dysfunction, social isolation,
unstructured free time, negative peer influences, risky health practices, and school climate through activities that
improve students' self-images, focus on their positive characteristics, and enhance their strengths. To achieve
that goal, this program has the following objectives:
1. Recruit at least four school sites that will commit to working with us at both the individual student and
institutional levels.
The principal of one local continuation school tells us that continuation teachers tend to have goxxf
rapport with their students, but those relationships often result in unhealthy enabling of students in continuing
their substance abuse. She reports that many continuation teachers see themselves as the last defense for their
students against an uncaring society. They are, therefore, reluctant to impose limits on behaviors and to report
criminal activity including alcohol or drug involvement. Our Institutional Change component is designed to
address this negative situation as well as to equip school personnel to better handle the violence that is ever-
more prevalent on their campuses. According to the head of a local school district's teachers' union in the
Contra Costa Times series on adolescent violence, teachers would welcome training in conflict resolution and
handling violence since no such training is available in her district. A teacher is quoted: "Safety is going to be a
really big issue. We need to have our fears addressed as much as is humanly possibly so we can feel positive
in our work and teach in a safe environment. No learning goes on if you are constantly afraid." What is true
for teachers is no less true for students.
2. Coordinate curriculum implementation at each of the schools so that all students have the opportunity to
participate in alcohol and drug education programs each year.
The curricula used with these students will address their particular high-risk situations and behaviors
focusing on cross-cultural sensitivity, anger management and conflict resolution. The urgent need for this
training is unintentionally expressed by a Latino student in the newspaper series: "If we see our race fighting
and our race losing, we're going to jump in. It's pride. All of us Latinos have gone a long way to earn our
respect." A continuation studentX who tries to avoid the violence found it followed him anyway: "I had a girl
offer to sell me a gun a few weeks ago for$15. I have no use for a gun, really. For some reason I wasn't really
scared. It wasn't the same as having one pulled on you. Most adults don't know about the degree of drugs and
weapons you can get in high school." Frustration with this response among students is expressed by law
enforcement and criminal justice officials: "If anybody looks at somebody, that's cause to have a whole
vendetta against them. They have short, short fuses." "Hard looks, mugging, dogging, dissing. Apparently.
nobody tries to resolve anything short of violence."
8
3. Provide opportunities for all students at each of the schools to obtain information on family systems to help
them cope with and accept their family situations.
As one high school freshmen is quoted in a newspaper article on the dropout rate among schools in the
Qcounty, "They do a kx to keep us here, but the school can do only so much. It comes from your hou�if your
family doesn't care. You want to give up on life, be an average person."The consequences of negative home
situations are poignantly revealed in these excerpts from the newspaper series:
Thev're drawn into gangs when their need'aren't met at home, police say. Gangs offer
security, a sense of belonging, a family to teens who come from dysfunctional homes.
A lot of time. police and therapists say, youngsters' role model`at home aren't much better
1.than the "vets" {students' term for boys who are looked up tor$aving been in}ail] of jail and Juvenile Hall.
"I've dealt with their parents." says a Martinez detective. "A lot, you know exactly why they are the way they
are."
4. Facilitate students at each of the school sites in creating attractive socialization options for themselves and
their peers to both fill the unstructured leisure time of many of these students and to reduce the negative peer
influences.
W1�'o The principal of Olympic High School — a model continuation school that will be part of our program
— began placing students in community service agencies for eight-week stints recently is reported as saying,
"This will channel the energy that students might otherwise use for gang activity or other anti-social behavior
into efforts that improve society'."The urgent need to reduce negative peer influences is revealed by this
newspaper excerpt:
They learn from and look up to older felons and peers who have been in trouble. "People
know who are the murderers, other kids," a detective says. "They tyre looked up to. They say, This kid's got
the juice." One 17-year-old West Pittsburg boy who has been in many fights says he has never been arrested
and that he looks tip to hoes who have been. He calls them "vets,1&*s' in jail."
5. Schedule a visit by a mobile public health van at each of the school sites at least twice each month to conduct
voluntary HIV and TB screens, routine medical examinations, health education and immunizations when
necessary.
6. Identify each school year approximately 260 students with alcohol or other drug problems as measured by
self-reports, school referrals and probation officers and involve them in ongoing recovery support groups at
each of the four school sites.
7. Provide a parttime case manager 04 each school site to work with students from the counseling groups and
their families in addressing other problems that may impede successful treatment outcomes.
8. Approximately 75% of the students in counseling groups each year will also be involved with community-
based treatment that includes four months of out-patient work and eight months of intensive after-care.
D. Approach/Method
Six community-based alcohol and drug service providers will collaborate in delivering this program at
four continuation high schools and three near-by County day schools in the four regions of Contra Costa
County. At any given time, enrollment at all of these schools totals approximately 850 students. However, given
the often transient nature of continuation high school students, the program is expected to touch ### each
school year. Our seven-component program is designed to triage students for participation based on levels of
risk determined by school personnel and program staff. Since all continuation students are at high risk for not
graduating and for other problems including alcohol and drug related ones, three components will be available
to and benefit all students in out target schools. Three components will serve students at very high levels of risk
for becoming addicted, and the fourth component will work with those who require more intensive attention in
maintaining abstinence from alcohol or other drugs. A graphic representation of our program is presented on
the following page.
9
Contra Costa County Adolescent Treatment Model
A continuation high school student could be involved at anv level from simply
benefiting from an improved institutional climate to an intensive overlapping of
school-based recovery support groups with case management with community-based
treatment.
Institutional Change
To Benefit All Students
Education Available
To All Students
Socialization Available
To All Students
Health Screening
Targeting Some,
Available To All
School-Bas
Counseling roups Case
Managemen
Community-Based
Treatment
10
The seven components of our program are:
Institutional Change
Because we are operating from a public health model, the school environment — where students spend
a significant portion of their time —will be addressed. Each of the four continuation schools has agreed to this
approach which will also involve personnel from the County Office of Education-operated day schools that
serve students who have been expelled from regular school districts. Through this component, school
administrators and staff will learn the difference between empowering students to make healthy decisions and
enabling them in continuing to use alcohol and other drugs. (Jan Falk is drafting how CHD would handle this
component)
Education
Given the chronic absenteeism that often precedes placement in continuation school, it is quite probable
that many of the students failed to receive basic alcohol and drug education . Therefore, all students enrolled in
our participating schools will have the opportunity to receive such information through a curriculum that
address their particular high-risk issues such as cultural sensitivity, conflict resolution and anger management.
Since many continuation students lack fully-functional families, all students will also receive family systems
education to help them better understand, cope with and survive in their families.
A eery high percentage of continuation students are at these schools because of their involvement with
alcohol or other drugs. Research has indicated that traditional lecture forms of alcohol and drug education have
little or no impact upon the drug-usi,,n� behavior.of these individuals. To truly reach this population of yow!9
people, a curriculum which incorpors proven methods for decreasing substance abuse in high-risk teenage
populations will be presented. This 10-session curriculum uses small group discussions and creative
workbooks to maximize participant involvement. The program promotes a continuous challenge for students to
address their unhealthy behavior and provides a plan to systematically address their problems that relate to the
use of alcohol or other drugs. School credits will be awarded to students who complete the program. San
Ramon Valley Discovery Center will coordinate this component to implement the curriculum that is outlined
below4,z� �`� `i .. c i`���t ��`� �6`t�vst 1 ; ►1)
Session 1. Alcohol and Other Drug Use — enables students to learn about the effects of alcohol and drug use
on physical and emotional levels.
Session Z. Addiction Warning Signs and Community Resources — uses a questionnaiieto gauge the level of
existing problems and introduces students to community services — with a particular emphasis on the school-
based Counseling Groups and Case Management of our program — and how to access them.
Session 3. Environmental Influences — examines the influences students face daily from their peers,
advertising and other sources.
Session 4. Social and Coping Skills — teachers effective communication techniques, particularly in a multi-
cultural environment, as well as how to be assertive in saying no to friends and keeping them as friends and
how to identify and express feelings effectively. �����
Session 5. Family Systems — explains how families may contribute to problems '4*j Influence alcohol and
other drug use and explores practical solutions for students to deal more effectively with their family situations.
Session 6. Effective Problem Solving — focuses on real life problems students are experiencing and discusses
how to find realistic solutions or alternatives that do not involve abuse or violence.
Session 7. Leisure Time and Me — delves into how students can use the extraordinary amount of free time that
results from their generally shortened school days with encouragement to become involved with the
Socialization component of our program.
Session S. How to Set and Achieve Goals — allows students to formulate an actual goal and develop a plan for
achieving it.
11
Session 9. Hoyt to Je a Healthy Lifestyle — guides students in developing individualized plans to improve
their lifestyles with attention to their emotional, physical, spiritual and nutritional needs.
Session 10. Working a Program — summarizes the work of the curriculum and allows students, regardless of
their personal involvement with alcohol or other drugs, to understand the concept of working a program as an
integral part of recovery. Those who indicate a desire to begin working their own program of recovery will be
referred to our school-based case manager for assessment and referral.
Socialization
Many continuation high school students are transferred out of regular school settings due to
inappropriate behavior in relating to their peers. Much of this Behavior results from never developing age
appropriate social skills. To enhance both their chances for staying in school and graduating and for engaging
in effective interpersonal relationships in the adult world, students will be facilitated in designing and
implementing socialization and recreational activities that are attractive to themselves and their peers and that
provide opportunities for developing social skills. Many continuation high school students have already
developed a style of recreation that includes the use of alcohol or other drugs. For many of them, this is a
behavior that started in elementary or junior high school and is fairly well entrenched by the time they are in
high school. Recreation involving alcohol or other drugs, of course, puts them at risk of other negative
behaviors including unplanned and unwanted sexual activity,truancy, physical abuse, stealing, vandalism, and
gang and «anna-be-gang activity, but they often do not know how- to socialize without chemical lubricants.
Needless to say, the recreational activities of our program will focus on drug-free socializing for all students
regardless of their current personal involvement with alcohol or other drugs.
To facilitate positive social and recreation opportunities for continuation students, the Alcohol and Drug
Abuse Council of Contra Costa will coordinate the development of Friday Night Live (FNL) chapters on each
of our four campuses. FNL is a statewide program sponsored by the California Department of Alcohol and
Drug Pvkams. It has operated for seven years in our County and reaches thousands of teens every year.
Recognized in 1987 as the top health promotion program in California and in 1988 with the National Health
Promotion Award from the U.S. Department of Health and Human Services, FNL demonstrates to students
that they can have fun, fit in with the crowd, and be accepted without using alcohol or other drugs. With
support from school administrators and on-site coordination by faculty members, we will initiate FNL
membership drives on each campus encouraging participation by all students, help with the selection of slates
of officers for each chapter, conduct leadership training with chapter officers,convene regular membership
meetings, and facilitate students in creating recreation and service opportunities that meet their unique
situations. These could include dances since many continuation schools do not offer such extracurricular
activities, tailgate parties at local sporting events, field trips, and community service projects with local agencies.
In addition to local activities, FNL members have opportunities to participate in regional, county and state
events.
ret't- �pp.��cialr��
Through all activities both our FNL p4zrc�rtl�� and each on-site teacher will be on the
lookout for high risk behavior and high risk students. As situations are identified, students will be referred to
the on-site case manager for assessment and placement into other components of the program as appropriate
and for referral to other community agencies as indicated. Each local FNL chapter will also serve as a referral
ource for students involved in other program components who have not already involved themselves with this
Jsocialization component.
Counseling Groups
Because adolescent substance abuse is a complex problem, a multi-faceted approach must be used.
Through these first three components involving school personnel and all students, program staff will identify
those students who are at exceptionally high risk. By reaching youth where they are — on-site at their schools
— with the initial phases of a treatment program, we will then link those needing more extensive care into a
community-based treatment system. Youth will be referred to the substance abuse case manager on campus if
they are actively using alcohol or drugs or if other significant attributes are present that might indicate
substance use such as anti-social behavior, poor academic performance, truancy, friends who use or family
members who use. Through primary assessment which examines , case managers at each school
site will determine the level of use. and make recommendations for referral in and outside the program. If the
referral is to the on-site substance abuse counselor from our program, the counselor will meet with the student
12
individually until s;he can gain motivation from the stiident for stopping use and regaining a clean and sober
lifestyle.
Once this commitment has been obtained the student will be referred to an ongoing teen support
recovery group wtih other students who have stopped using or will have greatly reduced their use, thereby
showing a strong commitment to treatment. Each campus will have an on-going support group (two groups will
be created at Olympic High School due to its large student population) that will be led weekly by a substance
abuse counselor from New Connections, San Ramon Valley Discovery Center, the Drug and Alcohol
Prevention Program of East County Boys and Girls Club or the Center for Human Development trained in
addiction and adolescent development. The primary focus of the groups will be peer support and skill building.
Specifically, groups will address recovery and relapse prevention with techniques for reaching cognitive and
behavioral changes leading to long-term abstinence. Those youth needing more intensive treatment will be
referred to one of four community sites for a full menu of groups and counseling for the young person and
his/her family. It is expected that many students will be referred to the community sites for treatment at the
same time they are involved with school-site services. School-based counselors will participate in case
consultation and clinical supervision with community-based treatment providers as described below under the
Treatment component.
Case management
In addition to the primary assessment and referral conducted by the case manager at each school site,
other services needed by the student or his/her family to facilitate recovery and enhance the treatment outcome
will be identified and secured. Our program's case management team will establish locA, referral banks as well
as one that is county-wide to assist in linking students and families to services as needed. Case managers will
work with families in their homes to further ensure that there is follow through with referrals and the
recommendations of the counseling and treatment teams. Case managers will also work with students to
enhance the job development training that is provided at continuation high schools. The schools, themselves,
conduct resume writing and interviewing skills classes. However, they lack the resources to put students in
direct contact with potential employers in the community. Our case managers will assume that responsibility
with the students who are involved with the Counseling Groups and Treatment components of our program. As
indicated above, Contra Costa is an increasingly ethnically diverse county. Case managers who reflect the
ethnicity of the students they primarily serve will be hired. As members of the case management team, each
case manager will also be available to his/her teammates in working with ethnically diverse students from any
of the participating schools. A case management coordinator from the East County Boys and Girls Club's
Drug and Alcohol Prevention Program will oversee the case management team to ensure this collaboration and
sharing of expertise.
Health Screenings
Assessments of the health behaviors of students involved with the counseling groups will be conducted
by arranging for the County's mobile health care van to visit each school campus twice monthly. Public health
nurses will provide screenings for HIV, tuberculosis, and STDs along with risk-reduction information, routine
medical examinations and immunizations where indicated. Health education and risk reduction information will
also be reinforced through the Education and Counseling Groups components. General announcements of the
scheduled visits of the health van will be made on each campus so that their services can also be utilized by
students who are not in the counseling groups. San Ramon Valley Discovery Center will coordinate the
scheduling of the health van at each school.
Treatment
The treatment component of our program is based on the philosophy that:
• Addiction is a treatable disease. Recovery is possible.
• Recovery is a process. It involves a life-long commitment.
• It is important to nurture and encourage individual, family and community strengths in dealing with
substance abuse.
• Prevention, intervention and treatment are all necessary for effective reduction of substance abuse.
13
• Adolescent treatment and recovery require varying levels of treatment with flexibility to meet
individual, family and community needs.
Those students who are assessed to need more intensive treatment than the school counseling groups
will be referred to one of four sites in the County: New Connections in Concord, the Drug and Alcohol
Prevention Program of East County Boys and Girls Club in Pittsburg, San Ramon Valley Discovery Center in
Danville and Neighborhood House in Richmond. Given the varying levels of addiction and differing ethnic,
geographic and economic characteristics of the population of Contra Costa County, each treatment site will
have the flexibility to utilize its oven treatment planning in order to best meet individual needs. However, each
site will offer a consistent menu of treatment services so that an appropriate response will be available to each
student and to facilitate evaluation of our model. That menu will complement the support groups and individual
counseling offered at the four schools with a variety of relapse prevention, recovery and 12-step groups. A
simultaneously run family component will include family sessions, multifamily and parent support groups as
well as education and 12-step meeting attendance. The family is critical to teen recovery 't i can be included.
For those youth without a supportive family system, at least one adult caregiver or mentor will be identified to
accompany the teen throughout treatment. Weekly urine testing will be used as a monitoring tool. Youth will be
encouraged to stay in school, thus learning to cope with their actual life situations.without the use of chemical
substances.
A treatment coordinator from one of the six participating agencies in this program — New Connections
— will provide ongoing case and group consultation to the treatment providers from all four community sites
(and the four school sites) to ensure consistency. At any given time, each community site will have eight to ten
treatment slots available for adolescents referred from the school counseling groups. Overall the treatment
program will encompass 12 months of programming with four levels of treatment:
Level 1 will be conducted on school campuses and will last one to three months. As described above
under Counseling Groups, it will include an initial assessment to determine the extent of alcohol or drug use
and weekly individual counseling. Participants will transfer to weekly teen support recovery groups when
commitment to recoven- is made. Level 1 activity will be also include involvement with other program
components: Education, Socialization. Case Management and Health Screenings.
Level 2 will be conducted at the four community sites and will last one to four months, concurreii with
school-based counseling groups. It will include weekly relapse prevention groups for three months, weekly
education groups for teens and their families for six weeks, and multifamily groups for two months. This level
will also involve weekly urine testing, 12-step meeting attendance, weekly parent groups and Alanon attendance,
and family or individual sessions twice monthly.
Level 3 community-based aftercare will commence at appromdmately month five and last for three
months. It will include weekly recovery groups, individual or family sessions approximately once a month,
multifamily groups twice a month, weekly parent groups, and 12-step meetings.
Level 4 community-based aftercare will round out the 12-month program with weekly recovery groups,
family or individual sessions as needed, monthly multifamily groups, and 12-step meetings.
Service providers in this program will constitute a coordinating council that will meet monthly to ensure
collaboration and consistency within the program. The array of activities in each component will actually be
implemented on the school sites by providers based on their particular expertise, experience and relationship
with the participating schools as depicted in the matrix on the following page. As seen in the ethnic distribution
of students in the four continuation high schools involved with the program, we will be working.with a variety
of cultural backgrounds. The Center for Human Development has a long history of providing trainings in
cultural competence and will be responsible for ensuring that activities of this program meet the needs of
participating students and their families. This will include .... (Jan Falk will draft how attention will be paid to
this
issue.)
E. Evaluation
Plan including statement of willingness to participate in national evaluation effort.
14
Component Matrix for Contra Costa County Adolescent Treatment
Olympic Del Amigo Gompers Marina
High School Hiah School High School High School
Institutional
Change CHD CHD CHD CHD
Education SRV SRV SRV SRV
Socialization ADA ADA ADA ADA
Health SRV SRV SRV SRV
Screening
Counseling
Groups NC SRV ?? DAPP
Case NC SRV ?? DAPP
Management
Treatment NC SRV ?? DAPP
Participating Agencies
ADA=Alcohol and Drug Abuse Council CHD--Center for Human Development
DAPP=East County Boys and Girls Club DAPP NH=Neighborhood House
NC=New Connections SRV=San Ramon Valley Discovery Center
15
F. Project Management, Organizational Structure and Implementation Plan
The Substance ,Abuse Division of the Contra Costa County Health Services Department is the applicant
for this proposai and will provide overall coordination of its activities. The Substance Abuse Division operates
;! However, the actual implementation of this program will be achieved through a collaborative effort
among six community-based, non-profit service providers:
Alcohol and Drug Abuse Council of Contra Costa, Inc. was founded in 1975 to provide information,
education and referra6to alcoholics and their families, friends and employers. The Council coordinates Club
Live and Friday Night Live chapters in ##junior and senior high schools in the County. The agency also
conducts courses for adults and adolescents who have been convicted of driving under the influence.
Center for Human Development
East County Boys and Girls Club Drug and Alcohol Prevention Program
Neighborhood House
New Connections
San Ramon Valley Discovery Center was established in 1971 in response to community concern about
alcohol and other drug use among youth. Over the years, services have grown to include mental health and
alcohol and other drug information and education, referrals, workshops, counseling groups and prevention
projects in schools. The agency created a School Counseling and Intervention Program in 1991 to work with
at- risk youth and their families in middle and high schools. Youth targeted for the program are engaged in
such high-risk behaviors as alcohol or other drug abuse, fighting and truancy. Counselors work with youth
individually and in groups at their school sites and, in some instances, with their families in the evening at the
Discovery Center.
Although each of the agencies involved with our program has considerable experience providing
counseling and early intervention services to adolescents and their families, actual treatment for this age group
is provided on a ven- limited and ad hoc basis due to lack of funding for the services. Static capacity for
treating adolescents is estimated to be ## per year among all six agencies. All agencies are licensed by
to provide ???????
As project director, the chief of the Substance Abuse Division of the Contra Costa County Health
;'. Services Department will have overall responsibility for this program. He will delegate coordination of its
activities to a Programmatic networking and collaboration will be ensured through monthly
participation on a Coordinating Council by the health educator; all counselors, case managers and treatment
providers; and the recreational specialist. There will also be a Treatment Coordinator and a Case Management
Coordinator to ensure that services are provided consistently and that cross-cultural issues are addressed
through staff time-sharing when necessary. Each individual on the Coordinating Council will be responsible to
his or her employing agency which will then be responsible to the County of Contra Costa through contractual
agreements. All of the participating community-based agencies in this program currently provide services under
contract to the County.
For the purposes of this program (as well as for many other services provided in the County), Contra
Costa County is divided into four geographic regions. One continuation school from each region will
participate in the program along with three near-by community day programs. A consistent program will be
provided in each of the regions although the specific economic and ethnic make-up of each school will
influence the particulars at each school site. Gompers High School in the West County city of Richmond is
predominantly African-American with a growing population of Southeast Asians. Manna High School in the
East County city of Pittsburg is predominantly Latino. South County's Del Amigo High School in Danville
serves diverse students who are at risk due to their ethnic isolation in communities that are predominantly
Caucasian. Staff members will be hired who reflect these differences and who will tailor program specifics to
match the needs of their respective students.
16
In addition to the collaboration among these sit agencies and the Substance Abuse Division in
implementing this program, linkages with the County's Public Health Division will provide health screenings
for adolescent participants. Other linkages include ,
Implementation of this program will involve a management plan that begins with
G. Project Staffing -
Overall coordination of this program will be provided by from the Substance Abuse Division.
In the Treatment Component, coordination will be provided by Barbara Petterson, MS, MFCC, who will
also carry a caseload as a counselor with New Connections. This will be a fulltime position. Ms. Petterson is
currently assistant program director at New Connections where she provides clinical and administrative
supervision to masters and post-masters level interns and counsels individual adolescents, groups and their
families. Counselors and percentage of time devoted to this program from the other community-based
treatment sites include: Linda Mackinson from New Connections at .375 FTE who is currently program
director of youth services and has worked as a substance abuse counselor and social worker for 13 years,
The Counseling Groups component will utilize the services of counselors from the Treatment
component as follows: and other schools will be servedby
Case Management coordination will be provided bym the East County Boys and Girls Club
Drug and Alcohol Prevention Program�wo will also serve as .625 EC�se manager at Marina High School.
Serving Olympic High School at .625 miff be Linda Mackinson from New Connections. Case managers at Del
Amigo and Gompers High Schools will be
The alcohol and drug education curriculum will be presented at all schools through the Education
component by from San Ramon Valley Discovery Center as a fulltime staff position. will also
coordinate scheduling of the mobile health van for the Health Screening component as part of his/her duties.
from the Alcohol and Drug Abuse Council of Contra Costa will facilitate the development of
Friday Night Live chapters on all four campuses as fulltime coordinator of the Socialization'Component.
The Institutional Change component will be coordinated by from the Center for Human
Development at time. This component will also include . Ongoing cultural sensitivy training to
program staff will also be provided by at time.
The staffing pattern for each component is illustrated by the graphic on the following page. Job
descriptions for each key position and resumes of incumbent staff are included as Document 7, Appendix V.
17
L
Sta,fj'-cng for Contra Costa County Adolescent Treatment Program
Component Position Activities
Program Program Coordinator Coordinates overall program
Convenes coordinating council
Reports to County and CSAT
Institutional Change Trainer
Education Health Educator Delivers curriculum in each school
Socialization Recreation Specialist Organizes FNL chapter at each school
Facilitates FNL activities
Health Screening Health Educator Schedules visits by movile health van
Counseling Groups Counselors Facilitate weekly recovery groups
at school
7(`ovide- iK�,vtgv*A C4tJKS2�iblQ
Case Management Coordinator Designs intake and assessment \!
procedures
Establishes referral system
Coordinates case supervision & training
Provides case consultation as needed
Carries caseload
Case Managers Administer on-site and in-home case
management
Provide communication bridge between
school, family, counselor as needed
Treatment Coordinator Provides clinical supervision for
counselors and interns
Provides training as necessary
Carries caseload
Counselors Facilitate individual, groups and family
sessions
Interns Co-facilitate groups and family sessions
18
H. Budget, Budget Justifiation and Existing Resources
As a result of this program, adolescents and the educational institutions they attend will receive services
that are not currently available to them. Institutional change will be initiated within systems that have not yet
addressed such issues. An educational curriculum that goes beyond traditional alcohol and drug information to
address the particular high-risk activities and behaviors of continuation school students in newly multi-cultural
situations will be developed and implemented. Socialization opportunities for a group of adolescents that is
attracted to neither the activities nor participants of many teen-oriented events will be created. Peer support
groups for adolescents who have committed to abstinent recoveries will be developed in schools that currently
lack such programs. Case managers will be available to help them and their families access services in support
of their recovery. Mobile vans will provide health screenings for students who may rarely see health care
providers. Most significantly, a comprehensive, consistent and affordable program will fill the void that
currently exists in the area of addiction treatment for adolescents and their families in Contra Costa County.
Our program will provide this continuum of care for students of continuation high schools at a cost per patient
of $###.
$ ###### - Personnel covers an overall program coordinator at $, treatment coordinator at $, ##counselors at
$ each, case management coordinator at $, ##case managers at $ each, $ stipends for## interns, one health
educator at $, one recreation specialist at $, # FTE clerical support staff for $,
Fringe benefits for these staff.
$###### - Travel includes $ for reimbursement for local transportation and $ to attend the required technical
assistance meeting.
$#### - Supplies and operating expenses calculated at 150 of personnel costs.
$#### - Contractual for trainers at $###, diversity consultants at $###, etc.
$#### - Evaluation component including $ for
$##### - Indirect based on 1317c of contract for participating agencies and ## in county administration.
$10,000 - Program income generated through client fees on sliding scale basis.
$##### - In-kind contributions from participating agencies to cover
Other than the in-kind contributions made by participating agencies in this program, there are no other
Resources/Financial Support available or pending for this program. A statement to that effect is Document 8,
Appendix VI.
I. Confidentiality Requirements/Participant Protection
The confidentiality protocol currently in use by as approved by the is included as
Appendix VII, Document 9 and is representative of the procedures used by all of agencies participating in this
program.
19
Contra Costa County Adolescent Treatment Organizational Chart
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Health Services Department
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and incorporate provisions for services with respect to
these differences .
6 . Facility/Staff/Equipment : the physical characteristics �!
of the facility where treatment improvement will take
place, the specific staff (by position description) and
any equipment which may be required to implement the
project .
E . EVALUATION PLAN
Process Evaluation
Include a section which describes how the process evaluation will
be conducted. The data collected should reflect the categories
identified in Attachment C of the Proaram Announcement .
Outcome Evaluation
Include an outcome evaluation plan which reflects the categories
identified in Attachment C of the Proaram Announcement, and at a
minimum, addresses the following areas :
1 . Central evaluation questions to be addressed including
a discussion of how these questions relate to the goals
as identified in this Program Announcement; and
2 . Thorough methodologic discussion, including data to be
collec-�ied, data collection strategy, and analytic plan.
Evaluation Staff
Include a Vitae for the proposed evaluator and either proof
of current employment or a letter of commitment for
availability beginning concurrently with the planning .phase
of the award. (Applicants who are unable to identify a
local evaluator may so state within their applications and
seek assistance from CSAT staff in resolving this issue
after notification of award. )
Evaluation Budaet
Include a separate discussion of the budget for evaluation,
as proposed (see Section H - Budaet, Budaet Justification,
and Existina Resources) to ensure that appropriate resources
are available for evaluation activities .
Use of Existina Data
CSAT believes that data gathered for one purpose are often
equal?y appropriate for other types of use . Therefore, to the
extent practicable, the evaluation plan will maximize the use of
8
r r
data routinely collected for other e_ purposes and maintained either
j within the project or in associated databases which are readily
/ available to the grantee (see Attachment C of the Program
Announcement) .
National Evaluation Particination
Provider Applicants should submit a statement of willingness to
participate in CSAT' s national evaluation efforts .
F. PROJECT MANAGEI-ENT, ORGANIZATIONAL STRUCTURE, AND
IMPLEMENTATION PLAN
1 . Backaround of Provider Annlicant Oraanization
Describe the activities and structure of the provider
applicant organization. -
a. Present Treatment Programs - Provider applicants
with existing programs must describe their present
program characteristics, including: treatment
modality (ies) ; the array and frequency of services
available on site and those available through
linkages to other community services . Static
treatment canacity for the existing program, or
tie maximum number of _persons that can be treated
at any single point in time, given the program' s
physical characteristics, size, staff composition,
and financial and other resources, should also be
clearly identified. For residential programs,
e.g. 24-hour care units, the static capacity is
roughly equal to the number of beds available .
For ambulatory providers (less than 24-hour care) ,
static capacity equals the maximum active patient
caseload at any single point in time, e.g. , if an
outpatient program has set a policy that there
must be one counselor for every 20 patients and it
has five full-time counselors, then the program
has a static capacity of 100 . Data on utilization
for each treatment modality and the number or-
persons
fpersons in treatment by sociodemographic
characteristics must also be included.
b . If other than a substance abuse treatment program,
the provider applicant must describe the present
activities of the organization and staff
capabilities . Provide similar data on the
services offered and characteristics of the
patient/client population.
9
2 . Organizational Structure
Provide a narrative description and organizational
chart, clearly indicating the provider applicant' s
organizational structure, which shows how the proposed
project relates to the overall structure of the
organization and the various program components . The
lorganizational chart should be included in the
application as Document 6, Appendix IV. The following
items must be included:
a) Lines of Authority - clearly illustrated in the
organizational chart and showing the relationship
between the project, its components, the parent
agency, and the reporting relationship for the
Project Director. The responsibilities and
composition of Boards of Supervisors, Directors,
Trustees, and/or Advisors should be included,
where amnlicable .
b) Provide a description of organizational
relationships between the provider applicant and
other State/local level health and human services
and corrections agencies as these relate to
proposed services . If the provider applicant
agency is responsible to or receives program
and/or management direction from a State,
regional, or other office or agency, this
relationship should be clearly described.
C) Differentiation of each site and/or program in
terms of targeted activity (ies) , geographic
area (s) served, and other particulars including
identification of each facility location.
d) Evidence of coordination among all program
components and relevant agencies .
e) Delineation of linkages between components of the
pro-iect with other substance abuse, health, mental
health, education, and public service agencies in
the community . Examples of Federal programs for
coordination purposes are included as Attachment B
of the Program Announcement .
f) If a multi-site project applies or application is
made on behalf of more than one program within the
same organization (e.g. , distinct geographic
service areas) , the lines of authority and
responsibility must be clearly identified.
10
3 . Oraanizational Capability
Provide evidence that the organization is capable of
implementing the proposed project . Applicants should
provide evidence of experience in similar or relevant
activities, or expertise in service delivery and
evaluation, experience in developing and effectively
using inter-organizational agreements, and other
indications of capability implicit in this program
announcement . To the extent the provider applicant is
licensed and/or accredited to render addiction
treatment services, this should be clearly stated
(e .g. , licensing body, date of license, services
licensed) for both rural and non-rural applicants .
4 . Pro- ect Management Plan
The Management Plan must include: a description of the
---
individual tasks to be performed; a task sequencing
chart; a performance schedule for task completion;
description of sequential relationships (e.g. , after
staff is on board, training/orientation begins) ; and
approximate level of effort required per task (in
person hours or full-tire equivalents) Each task
should be related to the project goals and objectives,
as well as to :management and staffing.
G. PROjECT cTPT:7NG
in the narrative list each position included in the budget,
Indicating in which of the components the position is located.
identify whether -he position will be occupied by an existing
staff member or will fill a vacancy after the grant is awarded.
Job descriptions must be submitted, as Document 7, Appendix V
for each key position (e .g. , management, supervisors, medical
personnel, outreach workers, clinicians, child development
specialists, etc. ) and should include: job title,
responsibilities, supervisory relationships, education, and
qualifications . Only one job description is needed for identical
positions . For each position, indicate the percentage of time
each incumbent will devote to the project and indicate which
positions require new hiring. Illustrate graphically each
position and the activities which fall under its purview.
Provide documentation to assure that staff assigned to the
project will be available for the amount of time required.
For existing staff, highlight staff experience and/or training
pertinent to the proposed project . List each position, by job
title, for each staff position in each project component
proposed. Include as part of Document 7, Appendix V short
biographical sketches for each key position, e .g. , management,
supervisors, and c'_inical personnel in the agency with
11
responsibility for the project . As noted above, responsibilities
for all positions assigned to the project must be clearly defined
and i'-lustrated graphically.
The narrative must include a brief description of procedures for
staff recruitment, selection and training, and whether any
particular mix of background, skills, gender, and/or
race/ethnicity is proposed to address the needs of the critical
patient/client population targeted for services . Consideration
must be given to the use of multi-disciplinary staff and staff
composition which adequately reflects the gender, race, ethnic
and cultural characteristics of the population (s) being served.
H. BUDGET, BUDGET JUSTIFICATION, AND EXISTING RESOURCES
Using the budget summary form SF-424A, provide budget breakouts
and subtotals for the proposed project . A budget justification
must be included for each line item in the budget . It is very
important that the budget summary form SF-424A and the budget
narrative in Section H provide a clear picture of and
justification for the utilization of resources to conduct the
proposed project . A budget justification shall be included for
each line item in the budget .
increased/Enhanced Activities : indicate, at the beginning of the
narrative portion of this section, the increased/enhanced
activities that are expected to occur as the project is
implemented.
Costs per patient : Provide information on cost per patient and
the cost analysis procedure used.
Evaluation budaet : The budget must include a separate component
for costs associated with the proposed process and outcome
evaluation. CSAT will support the cost of project evaluation,
including staff, computer equipment, travel, and technical
assistance up to 15% of the funds requested by an applicant, or
the actual cost of program evaluation, which ever is less .
Following award, the lead evaluator will be required to attend a
three-day training meeting in the Washington, D .C. area for the
purposes of receiving global technical assistance in using data
from intake assessments,. CDS, NDATUS and the program-specific
Quarterly and Annual Reports, and to meet with other
representatives of other successful applicants to discuss
potential problems and solutions .
Meetina narticination : Funds should be requested for at least
one representative from each Provider Applicant agency to attend
one national technical assistance meeting per grant year,
location to be determined. Each technical assistance meeting
will average 3 days in duration.
12
Resources/other Financial Surport : Describe the facilities,
equipment, financial, and other resources presently available to
carry out the project . Include any plans for acquiring funding
after Federal seed money has expired. Other financial resources
available for the project and/or program must be described and
should be labeled "Resources/Other Financial Support" (Include as
Document 8, Appendix VI) . Other Support refers to all current
or pending support related to this aonlication. Provider
applicant organizations are reminded of the necessity to provide
full and reliable information regarding "other support, " i.e. ,
all Federal and non-Federal active or ,pending support . Provider
applicants should be cognizant that serious consequences could
result if failure to provide complete and accurate information is
construed as misleading to the PHS and could, therefore, lead to
delay in the processing of the application. In signing the face
page of the application, the authorized representative of the
applicant organization certifies that the application information
is accurate and complete .
For your organization and key organizations that are
collaborating with you in this proposed project, list all
currently active support and any applications/proposals pending
review or funding that relate to the project . If there are none,
state "none . " For all active and pending support listed, also
provide the following information :
1) source of support (including identifying number and
title) ;
2) dates of entire project period;
3) annual direct costs supported/requested;
4) brief description of the project; and
5) whether project overlaps, duplicates, or is being
supplemented by the present application; delineate and
justify the nature and extent of any programmatic
and/or budgetary overlaps .
This information must be provided in a specially labeled
Document 8, Appendix VI, entitled "Resources/Other Fimancial
Support . " This appendix will not count toward the page
limitations .
I . CONFIDENTIALITY REQUIREMENTS/PARTICIPANT PROTECTION
Applicants and awardees are expected to develop and implement
appropriate procedures to address confidentiality and other
ethical issues pertinent -to the protection of participants in
proposed projects, including agreement, where applicable, to
maintain the confidentiality of alcohol and drug abuse client
data in accordance with the Code of Federal Regulations, 42 CFR
Part 2, "Confidentiality of Alcohol and Drug Abuse Patient
Records . "
13
Invitation to Participate -in Adolescent Treatment Proposal
Six community-based alcohol and drug service providers are collaborating with the Contra
Costa County Health Services Department in applying for federal funding to develop a program
for treatment of addiction among adolescents. The program is designed to work with students in
four continuation high schools in the County — Gompers in Richmond, Marina in Pittsburg,
Olympic in Concord and Del Amigo in Danville — plus three community day programs
operated by the Office of Education at sites near these schools. The goal of the program is to
increase the functionality, school productivity and chances of graduation of these students by
addressing their alcohol or other drug use and related issues. The program includes seven
components in response to the complex and comprehensive needs of this high-risk group of
adolescents.
1. Institutional Change Component addresses the school environment in which students spend
a significant portion of their time and trains school personnel to empower, rather than enable,
students.
2. Education Component uses a 10-session alcohol and drug education curriculum that focuses
on the high-risk issues of these students including cross-cultural sensitivity, conflict resolution,
anger management and family systems.
3. Socialization Component provides students with support in creating attractive opportunities
to develop appropriate social skills and learning to manage their leisure time without the use of
alcohol or other drugs.
4. Counseling Groups Component operates on campuses and serves those students who are
identified through the previous components as already involved with alcohol or other drugs and
who make commitments to recovery.
5. Health Screening Component attends to the physical health of students in the counseling
groups through twice a month visits by the County's public health van to each school site.
6. Case Management Component works with students in the counseling groups and their
families to identify and respond to other problems that may need resolution to enhance the
effectiveness of our Counseling Groups and Treatment Components.
7. Treatment Component will provide a 12-month program at four community-based sites for
those students from the Counseling Groups and their families who are committed to the recovery
process and require more intensive involvement to achieve their goals.
Your participation in this program is invited and welcome. Please send your letter of
commitment indicating specifically how you will be involved, what services you can make
available to program staff or clients, or what resources you can offer to the program to:
Chuck Deutschman
Contra Costa Health Services Department, Substance Abuse Division
595 Center Avenue, Suite 200
Martinez, CA 94553
Receipt of your letter by June 7 would be very helpful.