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HomeMy WebLinkAboutMINUTES - 03231993 - 1.5 (2) TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director p Contra By: Elizabeth A. Spooner, Contracts Administrato Costa DATE: March 11, 1993 County SUBJECT: Approve submission of Funding Application #29-478 to YI- " the U.S. Department of Health and Human Services, Center for Substance Abuse Prevention SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve submission of Funding Application #29-478 to the U.S. Department of Health and Human Services, Center for Substance Abuse Prevention, in the amount of $50, 000, for the period from September 30, 1993 through August 31, 1994, for "Tobacco 2000: In Drug and Alcohol Prevention and Treatment" conference. II. FINANCIAL IMPACT: Approval of this application by the U.S.Department of Health and Human Services will result in $50, 000 of one-time-only funding for the "Tobacco 2000: In Drug and Alcohol Prevention and Treatment" conference. No County match is required. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: The "Tobacco 2000: In Drug and Alcohol Prevention and Treatment" conference is an effort to increase awareness and change behavior toward tobacco use within the alcohol/drug abuse recovery community. Participants will be alcohol/drug prevention and treatment professionals from the five Northern California counties of Contra Costa, Alameda, San Francisco, Solano and Marin. The two-day conference, to be held in June, 1994, will be centered around the issues of tobacco addiction control, smoking cessation intervention, and secondhand smoke exposure for participants in substance abuse prevention and recovery programs. 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. Two 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: i lac RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN ATI N OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON 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 OF SUPERVISORS ON THE DATE SHOWN. Contact: Chuck Deutschman G g 3 CC: Health Services (Contracts) ATTESTED Auditor-Controller (Claims) Phil Batchelor, Clerk of the Board of U.S. Department of Health and $UpeivWr3vdCmmtyAdminlSl aU Human Services Meet/�-ee BY ZA22X , DEPUTY Ic 01415Aspi FOSQ0.0348-0043 ,�pP!'i s:Fi'+DN FOR 2.DATE SUBMITTED Applicant Identifier FEDERAL.ASSISTANCE January 20 , 1993 1. TYRE of SUSMISMW. 3.DATE RECEIVED BY STATE State Application Identifier Application Prsaoplicatfan Construction ❑ Construcuon a.DATE RECEIVED BY FEDERAL AGENCY Federal Identifier (f Non-constriction ❑ S. APPLICANT INFORMATION Legal Name. Mark F i nu c a n e Organ+rational unto Contra Costa County, CA. Health Services Department Address(give city, county,irate, and zip code): Name and telephone number of the person to be contacted on matters involving Martinez this application (Wvo area code) Contra Costa County Chuck Deutschman, M.S. California 94553 597 Center Avenue, Suite 200 Martinez CA 94553 5 10)313-63 50 e. EMPLOYER IDENTIFICATION NUMBER IEINI: 7. TYPE OF APPLICANT,(enter appropriate lade/in DOX) mi 9 4 —• 6 0 0 0 5 0 9 A. State H.Independent Schon Dist. B. County I. State Controlled Insntution of Higher Learning L TYPE OF APPLICATION: C. Municipal J. Private UniverattV 0. Township K Indian Tribe New ❑ Continuation ❑ Revision E Interstate L Individual F. Intermunicipal M. Profit Organization If Revision.enter appropriate letter(s)in box(es): C3 Cl G.Special District N.Other(Specity): A. Increase Award S. Decrease Award G Increase Duration O.Decrease Duration Other(specify). i NAME OF FEDERAL AGENCY: Office of Substance Abuse Prevention I0. I SSI LOG OF FEDERAL,DOMESTIC 9 3 . I 7 !} 11. DESCRIPTIVE MILE OF APPLICANTS PROJECT: OSAP Substance use Preventio TTTLE Conference Demonstration Grant _Tobacco 2000 : Incorporating Tobacco Cessation into Drug and Alcohol ,z AR>:nsAFF>:crEDBYPt�oJecr(unea.cot,.tries.:tafa..+�e.): prevention and Treatment Contra Costa County, 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF- Start FStart Date Ending Date a.Applicant : b. Project 9/1/93 8/31/94 7th, 8th 7th,8th, 1S.ESTIMATED FUNDING: 1e.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a Federal 3 ,00 a. YES. THIS PREAPPUCAT10WAPPUCATION WAS MADE AVAILABLE TO THE 50,000 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW Oft & Applicant S •00 DATE C_State 2 .00 b NO. rl PROGRAM IS NOT COVERED BY E.C. 12372 d. Local S .00 f7 OR PROGRAM HAS NOT BEEN SELECTED BY STATtt FOR REVIEW W other i .00 f. Program Income S AD 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEM p. TOTAL S .00 Q Yes If-Yes.'attach an explanation. No 50,000 ,L TO THE BEST OF MY KNOWLEDGE AND BELIEF.ALL DATA IN THIS APPLICATIONlPREAPPLICATION ARE TRUE AND CORRECT.THE DOCUMENT HAS BEEN DULY AUTHORIZED By THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WRH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a.Typed Name of Autr+onzed Reore tative b. Title c Telephone number Mark Finucance ITTAalrh Servirps nirpctor151()_370-5001 d. Signat a of Aute zed Reore rltative a. Date Signed January 19 , 19 93 rev pus taiuons`+ot sac e Stancarc -arm 12a ••c•I 4.6d) 1 P•eSC:'__2O 3V Ckle tLirr...:ar 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 number. If for a new project,leave blank, 15. Amount requested or to be contributed during 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 attached 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 sheet to provide a summary description of this project. 5F 42.1 IAGV 4.88) Rack R Q b G j n ' U O N � 3 � 3 ' O. O � n Q • i rQ+ Q O � �d."� O O .I► S O A 1.h � A N 4 r_ C 0 0 t Q A O o M W s $ u °G �► Q 7 d A 0i ti r W � d A A O E {,i.. '✓ is �O � r O ,p a m o c A �o do d a0 CNI tit L o. .p i4 C i r� G }• � A d G< W ,p A O Ctn Q et N Gv a 4 �J ds N� f � t n t < w r u v ''i7 s Q o �► ^ d W r or► ur ,. s � 2 ob a o C4d o G w � O M N► Z � ' A � Q Q psi+ to co ¢ O M wj u1.3 1. en 4orp m G © g V r s G ti r p �. !4 < C3 'a► C. s � i � C•. � sJ E s O 7 a o m E } j41C 4p d cc at Q o Irl O p � E •� � 4 � �� ai. r as d1 �• � to u. r r: .. 7 t d u+ Z d r; cfl i � o r e► m OMB Approval No.0348-0040 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 awarding 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 2. Will give the awarding agency, the Comptroller nondiscrimination on the basis of alcohol abuse or General of the United States, and if appropriate, alcoholism;(g) §§ 523 and 527 of the Public Health the State, through any authorized representative, Service Act of 1912(42 U.S.C. 290 dd-3 and 290 ee- access to and the right to examine all records, 3), as amended, relating to confidentiality of books, papers, or documents related to the award; alcohol and drug abuse patient records; (h) Title and will establish a proper accounting system in VIII of the Civil Rights Act of 1968 (42 U.S.C. § accordance with generally accepted accounting 3601 et seq.), as amended, relating to non- standards or agency directives. discrimination in the sale, rental or financing of 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 (j) 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 ail interests in real OPM7s 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 subagreements. U.S.C.§§ 6101-6107), which prohibits discrim- ination on the basis of age; Standard Form 424B (4.88) prescicea by CMB Circuiar A-102 J 10. Will comply, if applicable, with flood insurance 13. Will assist the awarding agency In assuring 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 flood hazards in floodplains in accordance with EO treatment of warm blooded animals held for 11988; (e)assurance of project consistency with research,teaching,or other activities supported by the approved State management program this award of assistance. 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 ofdrinking water under the Safe Drinking Water 17. Will cause to be performed the required financial Act of 1974, as amended, (P.L. 93-523); and (h) and compliance audits in accordance with the protection of endangered species under the Single Audit Act oi'1984. Endangered Species Act of 1973,as amended,(P.L. 18. Will comply with all applicable requirements of all 93=205). other Federal law;, 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. SIGNATURE OF AUTHORIZED CER F ING OFFIaAL TITLE HEALTH SERVICES DIRECTOR APPLICANT ORGANIZATION DATE SIJBMITTED HEALTH SERVICES. DEPARTMENT . CONTRA COSTA COUNTY, CA JANUARY 19 , 1993 SF 12s6 14-881 Back i ABSTRACT Tobacco 2000: Incorporating Tobacco Cessation into Drug and Alcohol Prevention and Treatment Smoking, tobacco use, and exposure to second-hand or side-stream smoke claim over 500,000 lives in the United States each year, and take a devastating toll on the health of perinatal and postnatal infants. Within the State of California,the cost of smoking was estimated to be 67.6 billion in 1989 alone. Members of substance abuse treatment populations engage in a dramatically higher incidence of smoking behaviors than the general public. Whereas 27%of the general U.S. population and 20%of Californians currently smoke, research suggests that as much as 90% of the recovery community smokes. This threat is compounded by the fact that nicotine addiction has been shown to be an important factor in the development of other drug dependencies, and that tobacco use is more likely to grow into a general pattern of dependent use than use of almost any other dependence-producing drug. Nonetheless, alcohol prevention and treatment providers have historically been ambivalent or even hostile to efforts to incorporate tobacco cessation into their programs. Bobo(1992)notes that barriers to the incorporation of tobacco cessation intervention in drug prevention and treatment include: 1) concerns that urging clients to quit smoking could have an adverse effect on sobriety; 2) an underestimation of the strength and severity of nicotine addiction;3) a lack of information on how to best treat smoking in recovering drug user populations; and 4)financial issues related to marketing and insurance. Yet, studies have shown that fears of jeopardizing drug prevention and treatment by quitting smoking are groundless, and that, in fact, those who do quit smoking are probably more likely to maintain long-term abstinence than those who do not. The Contra Costa County Office of Substance Abuse Prevention proposes to confront the above barriers by presenting a two-day conference for between 200 and 250 drug and alcohol professionals in the San Francisco Bay Area in June of 1994, to be called Tobacco 2000: Incorporating Tobacco Cessation into Drug and Alcohol Prevention and Treatment. Conference participants will be drawn from the five Northern California counties of Contra Costa, Alameda, San Francisco, Solano, and Marin, roughly encompassing the greater San Francisco Bay region. The conference will be centered around the issues of tobacco addiction control, smoking cessation intervention, and secondhand smoke exposure for participants in substance abuse prevention and recovery programs. Participants will be exposed to a broad range of up-to-the minute strategies for directly addressing smoking issues within their own prevention and treatment settings,and to issues and strategies related to specific sub-groups such as multi-cultural populations, youth, pregnant women, persons with HIV, and the elderly. The legal and policy aspects of tobacco prevention and treatment will be discussed,as will supportive and funding resources. A Drug,Alcohol, and Tobacco Network(DATANet) will be formed as a direct result of the conference to promote the incorporation of smoking cessation intervention into drug and alcohol prevention and treatment, and to develop resources to support tobacco intervention among these communities. 4 I TABLE OF CONTENTS 1. Form SF 424 - Application Cover Page 1 2. Form 424A - Budget Information - Non-Construction 2 3. Form 424B - Assurances - Non-Construction 3 4. Abstract 4 5. Table of Contents 5 6. Program Narrative 6 A. Specific Aims 6 B. Background and Significance 7 C. Approach/Method 10 D. Project Staffing, Management, and Organization 15 E. Resources 18 F. Other Support 19 7. Required Attachments 20 Checklist 21 Assurance of Civil Rights Compliance 22 Assurance of Rehabilitation Compliance 23 Assurance of Title IX Compliance 24 Assurance of Age Discimination Act Compliance 26 Certification Regarding Lobbying 27 Letter to Single State Authority 28 8. Conference Staff Qualifications 31 9. Organizational Background Materials 35 10. Letters of Support and Agreement 40 5 CENTER FOR SUBSTANCE ABUSE PREVENTION (CSAP) FORM PHS-5161-1 CONFERENCE GRANTS PROGRAM NARRATIVE A. Specific Aims: The Contra Costa County Office of Substance Abuse Prevention proposes to sponsor, organize and present a two-day conference for drug and alcohol prevention and treatment professionals in the San Francisco Bay Area in June of 1994, to be called Tobacco 2000: Incorporating Tobacco Cessation into Drug and Alcohol Prevention and Treatment. The conference will be centered around the issues of tobacco addiction control, smoking cessation intervention, and secondhand smoke exposure for participants in substance abuse recovery programs. The central goals of the proposed conference are: Goal #1: To provide a forum for the dissemination and sharing of smoking cessation information and knowledge among members of the substance abuse prevention, treatment, and recovery community. Goal #2: To promote awareness of the need for tobacco cessation intervention and secondhand smoke prevention among substance abuse recovery populations, particularly as a strategy for strengthening efforts to help individuals achieve and maintain sobriety. Goal #3: To relate this knowledge and information to basic health promotion concepts and practices which further the goals of both the Contra Costa County and CSAP missions of combating alcohol and other drug use. Goal #4: To promote resource utilization, consensus building, and inter-organizational networking and coordination around the issue of smoking prevention as a crucial concern for the "substance abuse prevention and recovery community. Specific objectives of the proposed conference under this general framework of goals include the following: Objective #1: To develop and support, through a two-day conference in June of 1994 to be attended by between 200 and 150 drug treatment and tobacco professionals, the ideas that tobacco use is an addiction which requires the use of addiction-based intervention models, and that tobacco cessation intervention is compatible with prevention and treatment for alcohol and other drug addictions. (CSAP Program Goal: Prevention of Alcohol and Other Drug Abuse) Objective #2: To highlight and address the seriousness of both direct smoking and of secondhand smoke, emphasizing the importance of prevention education and intervention in both issues. (CSAP Program Goals: Prevention of Alcohol and Other Drug Abuse/Knowledge Dissemination) Objective #3: To update all participants on state-of-the art information and models for tobacco intervention and prevention. (CSAP Program Goal: Knowledge Dissemination) Objective #4: To highlight the sensitive issues related to addressing tobacco prevention within a variety of prevention and treatment settings including outpatient, inpatient, detoxification, long- term residential, and intensive day treatment, and for a broad range of treatment populations, including multi-cultural populations, pregnant women, youth, persons with 6 HIV, and the elderly. (CSAP Program Goal: Interfacing Knowledge Dissemination with Health Promotion Concepts and Practices) Objective #5: To make participants aware of local and state ordinances regarding the use of tobacco for both drug treatment staff and residents. (CSAP Program Goals: Knowledge Dissemination/Promotion of Resource Utilization) Objective #6: To form and activate, as a direct result of the conference, a Drug, Alcohol, and Tobacco Network (DATANet) to promote the importance of smoking cessation intervention within drug and alcohol prevention and treatment communities, and to promote resource utilization and consensus building by linking drug and alcohol prevention and treatment providers within the framework of smoking control. (CSAP Program Goals: Promotion of Resource Utilization/Consensus Building in Furtherance of CSAP's Mission) B. Background and Significance: Tobacco use has been called the single greatest cause of preventable death in the United States.' According to government statistics, tobacco kills over 500,000 Americans each year, more than ail deaths from drugs, alcohol, homicide, auto accidents, AIDS, and suicide combined, including an estimated 54,000 persons who die from second-hand or side-stream smoke every year.Z Within the State of California alone, about 5 million people smoke cigarettes, including 220,000 adolescents and 4.7 million adults.' The total annual cost to the State of California for treating and dealing with the effects of smoking amounted to $7.6 billion in 1989, including expenditures for hospital care of current and former smokers, which were estimated to be $1.6 billion, or 69% of the total direct medical costs in the state.4 The physical addiction to nicotine has been compared to that of heroin, and some preliminary research studies have indicated that tobacco withdrawal can be as bad or worse than heroin detoxification.5 Research by the U.S. Department of Health Services (1987) has demonstrated that the role of nicotine in tobacco use is similar to the roles of cocaine, morphine, and ethanol in the use of coca, opium-derived products, and alcohol." Nicotine is also more highly addictive than other substances; the U.S. Department of Health and Human Services has found that whereas only 10-15% of alcohol users among youth can be considered alcoholic, closer to 90% of tobacco users appear to be dependent.' The ' Pollin,W.F. (1977)In M.E.Jarvik,J.W.Cullen,E.R.Gritz,T.M Vogt,and L.J.West(Eds.),Research on smoking behavior. Dept. of Health, Education, and Welfare Publication No. ADM-78-581.Washington, DC: U.S. Government Printing Office. z Kessler,K.C. (1993) Smoke free:A guidebook for the recovery community. Substance Abuse Programs Division,Contra Costa County Health Services Department. ' Rice, D.P. and Max, W. (1991) The cost of smoking in California, 1989. Sacramento, CA: California State Department of Health Services. 4 ]bid. s Kessler, K.C. (1993), Op. cit. a U.S.Department of Health and Human services.Drug abuse and drug abuse research:Triennial report to Congress from the Secretary, Department of Health and Human Services. U.S. Department of Health and Human Services,National Institute on Drug Abuse, DHHS Publication No. (AOM) 87-1486.Washington, DC: U.S. Government Printing Office. 'U.S.Department of Health and Human Services(1988). Thehea/th consequences of smoking:Nicotine addiction. A report of the Surgeon General. U.S. Department of Health and Human Services, Office on Smoking and Health, DHHS Publication No. (CDC) 88-8406. Washington, DC: U.S.Government Printing Office. 7 � I Diagnostic and Statistical Manual for Mental Disorders III-Revised (DSM III-R) even classifies nicotine addiction as a mental disorder, comprised of two separate diagnoses: an organic mental disorder for withdrawal symptoms from nicotine, and psychoactive substance use disorder for nicotine dependence. The detrimental effects of tobacco on perinatal development are also well documented. Smokers are 80% more likely to have spontaneous abortions as compared to nonsmokers, and are 100% more likely to have a low-birthweight infant (less than 2,500 g).8 One study found that both stillbirths and neonatal deaths were estimated to be 28% higher in smokers than in non-smokers.' Even more ominously, a recent 4-year study of infant mortality found that women who smoked a pack a day or more of cigarettes had a 56% higher rate of infant death among firstborn children than nonsmokers.1* A study by Naeye (1978) concluded that women who smoked were more likely to have a child who died of Sudden Infant Death Syndrome (SIDS) than nonsmokers, with the likelihood greatly increasing when mothers smoked six or more cigarettes per day." Our review of the literature has shown that substance abuse prevention and treatment groups engage in a dramatically higher incidence of smoking behaviors as compared to the general public. Whereas 27% of the general U.S. population and 20% of Californians currently smoke, research suggests that as much as 90% of the recovery community smoke.12 One recent study, for example, found that 92.3% of the staff interviewed in an alcohol treatment facility estimated the percentage of patients who smoke to be between 75 and 100.13 A Canadian study by Walton (1972) found that 27.2% of alcoholic smokers in Ontario were likely to be among those smoking 40 or more cigarettes per day,while only 1.9% of the general smoking population fit into that category.1' The correlation of tobacco use to other addictions is compounded by the fact that nicotine addiction has been shown to be an important factor in the development of other drug dependencies.16 The vast majority of those who have used illicit drugs such as alcohol and marihuana (sic) have previously smoked cigarettes; conversely, people who have never smoked rarely use illicit drugs or alcohol.1B One study demonstrated that among those individuals who have used both marihuana and cigarettes 10 or 9 Schneiderman,J.F. 0 990) Nonmedical drug and chemical use in pregnancy.In Koren, Gideon.Matemal fetal toxicology: A clinician's guide. New York: Marcel Dekker, Inc.pp. 143-159. ' Russ, D., Kass. E.H. 0 97 2) Matemal smoking: A reassessment of the association with perinatal mortality. American Journal of Epidemiology. 96:183-186. 10 Office of Substance Abuse Prevention 0990►.Alcohol, tobacco,and other drugs may harm the unbom. Rockville, MD: Office of Substance Abuse Prevention. 11 Abel, E.L. (1983) Marihuana, tobacco,alcohol, and reproduction. Boca Raton, FL:CRC Press. 12 Kessler, K.H. (1993). Op. cit. 13 Bobo, J.K., Gilchrist, L.D., Schilling II, R.F.Noach, B. and Schinke, S.P. (1987) Cigarette smoking cessation attempts by recovering alcoholics.Addictive Behaviors. 12:209-15. 74 Walton, R.G. (1972) Smoking and alcoholism: A brief report.American Journal of Psychiatry. Vol, 128:139-140. 1s Henningfield, J.E., Clayton, R., and Pollin, W. (1990). Involvement of tobacco in alcoholism and illicit drug use.British Joumal of Addiction. 85:279-292. to U.S. Department of Health and Human Services(1988). Op.cit. 8 more times, 72% of females and 67% of males reported using cigarettes first." Although studies have not yet proven that the Orogression from tobacco use to other substance use correlates in a directly causal fashion, studies have shown that tobacco use is more likely to grow into a general pattern of dependent use than use of almost any other dependence-producing drug.'' Despite these facts, however,nicotine dependence in substance-involved adults is virtually ignored in the literature, while drug and alcohol prevention and treatment providers have been ambivalent or even hostile to efforts to incorporate tobacco cessation into their programs." Bobo (1992) notes that historical barriers to the incorporation of tobacco cessation intervention in drug prevention and treatment facilities have included: 1) concerns that urging clients to quit smoking could have an adverse effect on sobriety; 2) an underestimation of the strength and severity of nicotine addiction; 3) a lack of information on how to best treat smoking in recovering drug user populations; and 4) financial issues related to marketing, insurance reimbursement, and other issues.20 Yet, in the case of the first barrier, studies have shown that fears of jeopardizing drug prevention and treatment by quitting smoking are groundless. A study by Bobo and Gilchrist (1983), for example, demonstrated that over 94% of alcoholics who had quit smoking disagreed with the statement that trying to quit cigarettes had caused them to drink alcohol, while over 86% reported that they did not feel when they first quit smoking that they wanted to drink again.21 Moreover, a study by Miller, Hedrick, and Taylor (1983) found that among clients of an alcohol consumption intervention program, 100% of those who had started out as smokers but had quit smoking six months after the program were controlling their drinking, while none of the individuals who began smoking following the program showed acceptable control of their drinking.22 Bobo (1992) observes, in fact, that far from supporting the notion that quitting smoking risks compromising sobriety, the data suggests that those who do quit smoking are more likely to maintain long-term abstinence.23 The proposed two-day conference will seek to directly address and work to overcome the four principal barriers noted above, through both information dissemination and direct training approaches. The Contra Costa County Substance Abuse Programs Division is convinced that tobacco cessation intervention can both enhance and improve the success rate of alcohol and drug abuse prevention and treatment, and will make participants'aware of the many effective tobacco intervention techniques which are available to be incorporated into existing programs quickly and efficiently. The organization to be formed as a result of the conference will address the real needs for additional resources to finance and support such interventions, although the first and most important part of our battle must be increasing awareness and commitment to addressing tobacco addiction among drug and alcohol users. Smoking is not something we must or should 'accept' as a normal condition or precondition for drug or alcohol 17 Yamaguchi, K. and Kande(, D.B. (1984) Patterns of drug use from adolescence to young adulthood: 11. Sequences of progression.American Journal of Public Health. 74:668-672. is Department of Health and Human Services(1988). Op. cit. 1' Bobo, J.K. (1992) Nicotine dependence and alcoholism epidemiology and treatment. Journal of Psychoactive Drugs. 24(2):123-129. 20 Ibid. 21 Bobo,J.K.and Gilchrist,L.D. (1983)Urging the alcoholic client to quit smoking cigarettes.Addictive Behaviors. 13:225- 230. 22 Miller, W.R., Hedrick, K.E., and Taylor, C.A. (1983) Addictive behaviors and life problems before and after behavioral treatment of problem drinkers.Addictive Behaviors. 8:403-412. 23 Bobo,J.K. (1992) Op. cit. 9 sobriety. Rather, we must take seriously the tremendous loss of life and productivity which smoking annually inflicts upon men and women in recovery, and act to make the prevention of death from nicotine as high a priority as the prevention of any other substance of abuse. C. Aaoroac JMethod: The proposed Tobacco 2000: Incorporating Tobacco Cessation into Drug and Alcohol Prevention and Treatment conference will represent a unique and unprecedented opportunity for drug and alcohol prevention and treatment professionals from throughout the San Francisco Bay Area to focus on the problem of tobacco addiction among drug and alcohol treatment populations. Conference presenters and facilitators, all among the nation's most dynamic and well-versed professionals on issues combining alcohol and drug prevention and treatment with tobacco education and intervention, will provide an important framework for reinforcing participants' awareness of the significance of the tobacco issue, and particularly of the relationship of smoking and secondhand smoke to disease and to failed recovery. Participants will be exposed to a broad range of up-to-the minute strategies for directly addressing smoking issues within their own prevention and treatment settings, as well as to issues and strategies related to specific sub-groups such as multi-cultural populations, youth, pregnant women, persons with HIV, and the elderly. The legal and policy aspects of tobacco prevention and treatment will be discussed, as will supportive and funding resources available on this issue to the prevention and treatment community. The conference will also directly result in the organization and mobilization of a new Drug,Alcohol, and Tobacco Network IDATANet) to be composed of a wide range of Bay Area drug and alcohol prevention and treatment professionals and other interested public and private specialists. The mission of the organization, to be tentatively confirmed during the conference, will be to promote the issue of smoking control within the drug and alcohol prevention and treatment community, and to identify and obtain additional resources to support smoking:cessation in conjunction with other alcohol and drug prevention and treatment interventions. The format of the proposed conference will be highly dynamic, integrating plenary sessions, question-and-answer panel periods,small interactive group sessions,and opportunities for one-on-one and inter-organizational information-sharing and networking. Conference poster sessions, to be held in a large separate room, will include presentations on issues and strategies by a broad range of California-based tobacco and drug prevention and treatment agencies and projects, and will encourage networking and promote information-sharing and cross-fertilization following the conference. The conference will be structured along a continuum of information-sharing and dissemination which highlights the following major themes in the following order: 1. The magnitude and significance of the smoking problem as it relates to prevention, treatment, and recovery populations; 2. The need for an approach to the problem which recognizes smoking as an addiction comparable to drug and alcohol use; 3. The fact that smoking cessation intervention has been proven to reinforce, complement, and strengthen drug and alcohol prevention and treatment, rather than diminish or complicate it; 4. The fact that a wide range of effective and practical smoking intervention strategies is available which can be applied easily and cost-effectively within the alcohol and drug prevention and treatment setting; 10 5. The broad but manageable range of smoking-related legal and policy issues impacting drug prevention and treatment programs both as workplaces and as smoking cessation training settings; and 6. The importance of forming an organizational response to collectively share new information and pool resources to promote and expand the focus on tobacco cessation as an integral component of drug and alcohol prevention, treatment, and recovery throughout the San Francisco Bay Area and the State of California. At the conclusion of the conference, participants will complete a detailed evaluation survey assessing the qualitative contribution the conference has made to their understanding of tobacco issues in relation to drug and alcohol prevention and treatment, and to their ability and willingness to access and implement tobacco cessation resources and strategies. Respondents will indicate whether or not they will be participating in the DATANet organization as a result of their participation in the conference, and what positive outcomes they hope that organization can provide. Respondents will also evaluate the effectiveness of the conference structure overall and of conference presenters and facilitators, partially as a means to evaluate whether a follow-up conference in two to three years will be helpful in strengthening and reinforcing knowledge and awareness gained around the conference topics. Agenda The proposed conference agenda is contained on the following pages. 11 V V C C Z V mm c Wm > C O C O m mo v caiU aE } Q C C Cr 2 7 m C 7 Y Cr' y CD F— C E O m a E ~ > o m cC Uaow m Q >O %- 3:F- L a Z Q+ m .0 ~ c C ,� W c O U CL Q c.i o a c H 0 Y '� z V W LL �7 = CO �n > W `p Q = mmC 3 � C ° d C m C E m C =cc M Q 4. eo O Q J — E ccC O m +0.. � m � V i0 C- U dl -1 0 ++ m y Q1 ". O •+cc 0 .0 MO m m 3 m O. O O c m oQcnY Ucncncn a J ` V Q > - � N C i � Q m Q W cc YV V a`+ �► O m aaaa m C Z O m C i m C C ` p O O m Q y U a U F- O w CL C7 C7 C7 C7 cn � Q � 0 0 Z W � °z Lu C4 ao ZZct O � � n � Q U o Z o a W O ~ c � U U 4. o m > O o m >. E W ` c 0 m Cm Qw 1-- C L1� CL m +O. s= O Y O is O ` O Z c Y o °a -C c o c c O O m — O a m Q H y cn N cc 4 e0 O C 7 7 EV C ` — O O y U C m V .0. cY0 m C m m m o m m z m O a in a J a m` m o ° 0 N E O ° V U LO m V m O Lo O c� Q C O V- C7 V—C 'S m Qi W Qf N C9 IT Q Oto to = O O La O C7 � O O O ° O O '- M O O N c� cn In 00 Qi 6 Q] V- r N C7 U O CL LU U C C m aN. Cl Y O -0 LL N t Z uVi j U C m H j 0 Q cl: .0 Q q Q y U O U. c � `° UC7mc ° i U C M O �.. G _ m c0 O :+ Z ° C O R O U C LL N m Q ° Q 'L Q m C U N pa 'y 4. L0 .0 cs O OI Q H O m Q O Z .� Y U m 0 'm Y O m CU7 C cN0 C7 0 = `0 N p z LL U o (a 3 � m cnUt= OF ° U ° «• m � U J U ~ y •N C Q � njC� dLA Q � m m F- a a s c. 0. m -0m a = c 00000 E a � cc U _ � ao � � � c� c� � c� � W a � Z c 6 «. Z O c Z 0 O a m E OC7 uj U Q c F' Q LU N v m v > C tnU m � m a m � co W LU }° m O U LU C Cl C cl 1— O O LL c4 «, c U U ca m c aci Q U O U N cc O C an _ a c W ., 00 o c c m c � _ > � Z a m �.. O c9 o m += O m O O LL GC c C O �+ y a m U � c N •N •N O _ m c m m N N (n LL C CL CL CL •.. to O O m U) 0 O O m ca Y a) O Y -x a U c aci m m c c a0 m m c Z U 4 m J Q m m m U G) p C O � N E O ° V U O LQ LA VO cn et •- O Q cm O O O O N C7 Lo O O Lo O Q .— e— �— '— ^ C? cn er CN cl It Lo ' c O O O C7 V' V-- O O O O ° O O O O N f7 � (� Cn U a0 Q) N m d Speakers/Facilitators Conference speakers and facilitators noted on the agenda, while yet to be confirmed, have been selected on both the basis of their expertise in the target issue, and their ability to communicate their knowledge effectively. Panel moderators are experienced facilitators in group question and answer techniques. The following summarize the credentials and basis of selection for the proposed conference speakers and panel leaders identified thus far: Darryl Inaba, Pharm.D.: Dr. Inaba is currently the Executive Director of the San Francisco Haight-Ashbury Free Clinic, and is a nationally known specialist and writer on issues of substance abuse and additions. A dynamic and motivating speaker, Dr. Inaba conducts a presentation on the history of drugs and addictions from the 10th century to the present, and will modify it to highlight the history of tobacco for this conference. Jack Reed, C.A.C., Tarzana Treatment Center: Mr. Reed is Project Director at Tarzana Treatment Center, the largest nonprofit drug treatment agency in Southern California. He has a Certificate in Chemical Abuse Counseling (C.A.C.), and specializes in substance abuse prevention and treatment, tobacco addiction, and the needs of the I.D.U. population. He will present both on Alcohol and Drug Treatment Policy and the HIV-related aspects of tobacco use. H. Wesley Clark, M.D., J.D., M.P.H.: Dr. Clark is a widely published specialist on legal and medical substance abuse prevention and treatment issues. He is a Professor at the University of California, San Francisco; is on the staff of San Francisco General Hospital; and is Chief of the Inpatient Substance Abuse Unit at the Veterans Administration Medical Center, San Francisco, Fort Miley. He is one of the nation's leading experts on substance abuse policy and its relation to medical treatment. Andrew Mecca: Currently the Director of the State of California Alcohol and Drug Program, Mr. Mecca is a leading advocate for the concept of addressing the prevention of tobacco use within substance prevention settings. He has taken a lead in the State of California in pro-actively integrating these two issues within the context of the California Proposition 99 anti-smoking initiative. Wendell Brunner, M.D.: Dr. Brunner is Director of Public Health Services for Contra Costa County, and oversees the Tobacco Prevention Project and Tobacco Prevention Units for that department. Dr. Brunner is committed to awareness of the tobacco issue as it relates to public health as a general issue. Chuck Deutschman. M.F.C.C. is Director of the Substance Abuse Program for Contra Costa County, and has helped spearhead efforts to incoporate tobacco control into drug prevention and treatment. Breakout session leaders will also be well-qualified to participate in the conference and to lead small group discussions. Many of the breakout sessions will be co-facilitated, or, as in the case of the multi-cultural session, presented by a panel of specialists facilitated by a moderator. Breakout session leaders already identified include: Suzette Johnson, M.P.H./Options For Recovery (Panel Moderator, Smoking Prevention in Pregnant Women); Galen Ellis/Contra Costa County Tobacco Prevention Project (Panel Moderator, Smoking and Tobacco Ordinances); and Robin Cox/Project Director, Solano County Tobacco Prevention Project and Mariel Brown, MPH/Alameda County Tobacco Prevention Project (Panel Members, Smoking and Tobacco Ordinances). Participant Recruitment The target region for the proposed conference is a five-county area which includes the Northern California counties of Contra Costa, Alameda, San Francisco, Solano, and Marin. According to the 1990 Census, the combined population of this area, which roughly encompasses the greater San Francisco Bay region, is 5,151,417. Three of these five counties -San Francisco,Alameda, and Solano -are among the top 13 most racially diverse counties in the United States, with San Francisco County ranking 2nd, and Alameda County ranking 5th. The target audience for the proposed Tobacco 2000 conference comprises all drug and alcohol providers; all smoking cessation/tobacco control providers; 12-step program leadership; professional staff; Drug and Alcohol agency board members; members of the recovery community at-large; administrators of state and county Alcohol and Drug Programs and representatives of special DOA programs; representatives of voluntary agencies such as the American Cancer, American Heart, and American Lung 14 Associations; representatives of the Office of Education and its affiliated drug prevention programs; County agency staff directly in contact with substance abuse populations, such as Social Services, WIC, and Child Protective Services; and the religious and spiritual community from the proposed five-county target area. Tobacco Control Directors for each of these five counties, appointed through State of California Proposition 99 funding, will also be invited and encouraged to attend the conference. CSAP is expected to be represented by Vic Coleman, Project Director; Kathy Padro, Project Coordinator; and by local CSAP program staff as well. Every effort will be made to ensure that participants reflect the full range of cultural and ethnic diversity within their target counties, as well as the racial and ethnic composition of local prevention and treatment populations. Because most professional and staff representatives of Bay Area drug prevention and treatment programs already significantly embody the ethnic and cultural makeup of their communities, attaining this goal is not expected to be difficult, but the issue will receive continual attention. Conference invitations and handouts will be produced multi-lingually as necessary to ensure the full participation of participants for whom English is not a primary language, while conference poster sessions and presentations will feature and distribute materials geared to a broad range of ethnic and cultural communities, as well as to a diverse number of intra-cultural age and economic groups. Participant recruitment strategies will be established beginning in 1993 by a Conference Planning Committee, composed of key members of the regional drug and alcohol prevention and treatment community, the tobacco prevention community, and by members of drug prevention and treatment populations; membership on the Committee will reflect the multi-ethnic character of the target region as well. A master list of potential participants will be assembled, and each prospective participant will receive a detailed conference announcement and invitation, along with a registration response device. Virtually all invitees who do not respond within roughly three to four weeks will be personally contacted by phone to encourage their participation; this phone contact will be followed by face-to-face meetings where such contact is deemed necessary to secure attendance. Key agencies sending multiple participants to the conference, such as County Drug and Alcohol Programs, will have their own on-site conference recruiters and organizers, who will be identified from within existing program staffs. Every effort will be made to facilitate the attendance of low-income participants, participants lacking transportation, and others who need assistance to attend the conference. A Participant Scholarship Fund identified in the budget will assist 25 participants will full conference subsidization, while conference organizers will help arrange carpools, link attendeeds from the same areas, etc. This effort will paralell the organizers' efforts to respond to the multi-cultural and linguistic needs of participants in order to ensure inclusion and the broadest possible participation. Local newsletters and regional and statewide bulletins and association publications will also be used to announce the conference and to generate publicity and enthusiasm. The Northern California Edition of The Workshop Calendar, for example, reaches a total of over 17,000 mental.health and drug and alcohol prevention and treatment professionals from throughout the five-county target area; notices are expected to be run in this journal for a minimum of three months prior to the conference. A conference information and registration line will be established to respond to calls and receive messages from potential attendees. Interested conference attendees from outside the designated five-county area will be selected on the basis of both slot availability and the ability of the attendee to help affect policy and strategy within the five-county region. D. Protect Staffing, Management, and Organization: 1. Staffing Pattern The Conference Director will be Katherine H. Kessler, MS, MFCC, a Contra Costa County native and resident. As a California State Licensed Marriage, Family and Child Psychotherapist, she received her B.A. in Psychology from U.C. Berkeley, and her M.S. degree in Counseling Psychology from California 15 State University, Hayward. Ms. Kessler is the Tobacco Specialist for the Contra Costa County Substance Abuse Program. Ms. Kessler has specialized in the treatment of substance abuse and addictions for five years, and recently completed an 18-month pilot program funded by the California Proposition 99 Tobacco Tax Initiative, called the Smoke Free Recovery Project. This effort served the women's recovery and treatment service communities, and resulted in the development of a model for tobacco intervention for women in recovery; a service award from the American Cancer Society's National office; and publication of a comprehensive tobacco prevention and intervention guidebook entitled Smoke Free: A Guidebook for the Recovery Community, made available to the majority of substance abuse treatment agencies serving Contra Costa County women. As Project Director for this effort, Ms. Kessler directed and implemented all aspects of program development, purchasing and budget management, volunteer staff hiring and directing, committee development and recruitment, and fund procurement. Her efforts brought her into continual contact with the local and regional drug treatment community, within which she excelled in both communication and relationship-building. She is highly qualified to plan and coordinate the proposed conference project. In addition, as a smoker in recovery herself, Ms. Kessler has a sincere interest in addressing this area of major concern within the recovery community. The Conference Director will receive administrative and clerical support from the staff of the Contra Costa County Substance Abuse Program Division. This support will vary in duration and scope throughout the planning and organizing process, but is expected to require a half-time equivalent position during the 12-month period leading up to the conference. Both this staff time, and other supportive costs, will be donated as an in-kind contribution to the project by Contra Costa County, and are detailed in the budget section. 2. Proiect Task Plan The Conference Director will have primary oversight responsibility for implementing all of the following conference-related activities: Key Tasks and Conference Timeline Months 1-10: Identify and solicit cooperating agreements from organizations willing to co-sponsor the event in conjunction with the Contra Costa County Substance Abuse Prevention Office. Months 1-12: Identify and organize Conference Planning Committee, with the goals of developing the conference schedule, agenda, budget, speakers/presenters, format, and marketing plan. Planning Committee meets throughout the conference year. Months 3-5: Identify and secure conference location and begin finalizing catering arrangements. Contact speakers/presenters and negotiate agreements to participate. Develop and produce conference announcement. Mail and distribute announcement to all drug and alcohol programs and all tobacco control projects throughout the 5-county region, and select DOA agencies throughout California; begin listing conference in relevant regional newsletters, bulletins, etc. Months 6-9: Organize conference component parts: registration packets, nametags, audio series, etc. Secure participants for conference Poster Session. Continue developing and enhancing conference elements and broadening regional participation. Month 10: Conduct conference and compile evaluations. Month 11: Develop and disseminate conference results and audio recordings. Month 12: Complete Final Progress Report and Financial Accounting. Post-Conf: Follow-up conference activities on ongoing basis through the proposed DATANet organization. 16 Preliminary research to identify scheduling conflicts with the projected conference date has yielded no evidence of significant competing events in June of 1994. However, before the precise two-day conference period is identified, additional research will be conducted to assure that no concurrent events will reduce conference participation. 3. Organizational Capability The Contra Costa County Substance Abuse Prevention Office is well qualified to carry out the goals and objectives of the proposed conference project. The Contra Costa County Drug Abuse Prevention Office has long occupied a leadership position within the State of California because of its work to incorporate tobacco prevention efforts into drug prevention and treatment, and is the only county in the western United States which employs a Tobacco Prevention Specialist working directly within the Substance Abuse Prevention Office to specifically address smoking issues as they relate to men and women in alcohol and drug recovery. The anti-smoking guidebook developed by the County for women in recovery (Smoke-Free: A Guidebook for the Recovery Community) is the first of its kind in the nation, and will soon be distributed to drug prevention and treatment representatives throughout the conference target area. California's Proposition 99 anti-smoking initiative provides a unique framework which makes the placement of the proposed conference within the State of California equally significant. The effort to fund an anti-tobacco intervention and information campaign through a tax on cigarettes presents a distinctive set of potential resources through which to fund anti-tobacco programs within drug prevention and treatment programs, an effort which the proposed DATANet organization will help facilitate. The DATANet coalition can work to secure set-aside funding for special populations under Proposition 99, a process which can in turn lead to the development of additional effective models for tobacco/drug prevention/treatment integration. (The coalition will also explore funding through private resources such as the Robert Wood Johnson Foundation Tobacco Policy Research and Evaluation Program.) The Contra Costa County Health Services Department sponsors frequent conferences, informational gatherings, seminars, and community meetings on both a countywide and regional level, both to Coordinate health care services on the local and regional level, and to fulfill its role as an information provider and network builder on behalf of local prevention and health issues. Through such activities, the Department has gained extensive staff expertise in planning, coordinating, and handling the logistics of such gatherings, and will provide continual backup to the Substance Abuse Prevention Office in this, the most ambitious conference initiative in its history. 17 E. Resources/Budget: Proposed Project Period: September 1, 1993 to August 31, 1994 1. Personnel Expenses Salary Range % Time on Project Totals Conference Director $ 1,800-1,950/mo. 50% $ 23,000.00 2. Fringe benefits at 7.65% 1,759.00 Subtotal, Personnel Expenses $ 24,759.00 3. Equipment - See Conference Site Expenses, Section #6 below 4. Supplies Invitation Printing - 1,000 invitations @ $.70/ea. = S 700.00 Invitation Mailing - 800 invitations @ $.45/ea. = 360.00 Duplication Costs - $20/mo. x 12 mos. = 240.00 Registration Packet Production - badges, brochures, folders, etc. - 275 packets @ $1.80/ea. = 495.00 On-Site Directional Signs - 700.00 Audio Tape Series Production (all events) - 2,114.00 Subtotal, Supplies $ 4,609.00 5. Travel Plane Fare for Out-of-Town Participants - 2 Round-Trips @ $175 = $ 350.00 Local Staff Mileage - 150 mi./mo. @ $.24/mi. x 12 mos. = 432.00 Subtotal, Travel Expenses $ 782.00 6. All Other Expenses Conference Site, Two Days - including one large meeting room, 5 breakout rooms, Poster Session room, registration/breakfast area, flipcharts, audio/visual equipment, microphones, and all related expenditures - $5,000/day x 2 days = $ 10,000.00 Continental Breakfast and Lunch - 250 participants x 2 days = 15,000.00 Speaker Honoraria Fund - 14 Speakers/Facilitators @ avg. $200 - 2,800.00 Participant Scholarship Fund - 25 scholarships @ $50/ea. = 1,250.00 Conference Reservation Phone Line Costs - $125/mo. x 12 mos. = 1,800.00 Subtotal, All Other Expenses $ 30,850.00 Total Conference Budget S 61,000.00 18 E. Resources/Budget (Continued): Conference Income: 1. Registration 220 Participants @ $50/ea. _ $ 11,000.00 Amount Requested from CSAP: Total Conference Cost - $ 61,000.00 Conference Income - - 11.000.00 Total Requested from CSAP: $ 50,000.00 In-Kind Contributions by Sponsoring Agency The Contra Costa County Office of Substance Abuse Prevention will contribute the following resources to the proposed Tobacco 2000 conference project: Clerical Support - $22,000/yr x 1 yr. x 50% FTE _ $ 11,000.00 Benefits @ approx. 20% of Salary - 2,200.00 Office Space Rental - $2/sq. ft./mo. x 125 sq, ft. x 12 mos. x 50% = 1,500.00 Printing - $40/mo. x 12 mos. = 480.00 Office Supplies - $35/mo. x 12 mos. = 420.00 Non-Invitation Postage/Delivery - $35/mo. x 12 mos. = 420.00 Non-Registration Phone Costs - $85/mo. x 12 mos. = 1,020.00 Total In-Kind Contribution, Contra Costa County $ 17,040.00 F. Other Support: In addition to the in-kind contributions noted above, the Conference Director will solicit additional resources through local private sector hospitals that provide drug and alcohol services; to all four FDA- approved pharmaceutical companies that market nicotine replacement therapy; and will approach non- profit agencies for staff contributions of time to volunteer at the conference in exchange for reduced or waived registration fees. Private sector hospital contributions will help offset costs of additional or higher- than-expected speaker fees; pharmaceutical company contributions will be used to offset costs of set-up and organization of the Poster Session, and may help support initial start-up costs for the DATANet organization; while non-profit staff contributions will allow the sponsoring agency to generate an all- volutneer staff for the two-day conference. 19 7. REQUIRED ATTACHMENTS 20 Form Approved through 9/30/91 OMB No.0937-0189 Burden Est.-5 min. to 15 min. CHECKLIST NOTE TO APPLICANT: Complete and forward this sheet with your application. Type of Application X] NEW ❑ Noncompeting ❑ Competing ❑ Supplemental Continuation Extension CHECKLIST LN Proper Signatures and Dates (Item 18 on face page and reverse side of appropriate assurances page). i lX Human Subjects Certification (when applicable). GX Staff and Position Data (biographical sketch(es) with job description when required). I Intergovernmental review under E.O. 12372 if required by the State. ON Civil Rights Assurance on File with HHS (45 CFR 80). Cf Assurance Concerning the Handicapped on File with HHS (45 CFR 84). M Assurance Concerning Sex Discrimination on File with HHS (45 CFR 86). M Debarment Certification (45 CFR Part 76). M Drug-Free Workplace Certification (45 CFR Part 76). A private,nonprofit organization must include evidence of its nonprofit status with the application.Any of the following is acceptable evidence: ❑ (a) A reference to the organization's listing in the Internal Revenue Service's most recent cumulative list of organi- zations. ❑ (b) A copy of a currently valid Internal Revenue Service Tax exemption certificate. ❑ (c) A statement from a State taxing body or the State Attorney General certifying that the organization is a nonprofit organization operating within the State and that no part of its net earnings may lawfully inure to the benefit or any private shareholder or individual. ❑ (d) A certified copy of the organization's certificate of incorporation or similar document if it clearly establishes the nonprofit status of the organization. ❑ (e) .Any of the above proof for a State or national parent organization, and a statement signed by the parent organi- zation that the applicant organization is a local nonprofit affiliate. If an applicant has evidence of nonprofit status on file with an agency of PHS, it will not be necessary to file similar papers again, but the place and date must be indicated. Previously filed with: on (date) Name, title, address and telephone number of official in business office to be notified if an w rd is made. Mark Finucane , Health Services Director 20 Allen St . , Martinez , CA. 94553 ( 510) 370--5001 Name, title, address and telephone number of official responsible for carrying out the proposed project. Chuck Deutschman, MFCC Substance Abuse Programs Director 595 Center Avenue, Suite 200, Martinez , CA 94553 ( 510) 313-6350 If this is an application for continued support, include: (1) the report of inventions conceived or reduced to practice required by the terms and conditions of the grant; or (2) a list of inventions already reported; or (3) a negative certification. PMs-51e1.11Page 181 Rev.3/89 21 ASSURANCE OF COMPLIANCE WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES REGULATION UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 Contra Costa C t y Health Service D e p t(hereinafter called the "Applicant") . Name of AppHcmt (rypa of per) HEREBY AGREES THAT it will comply with Title VI of the avil Rights Act of 1964(P.L. 88-352) and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 80) issued pursuant to that title, to the end that, in accordance with Title VI of that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin,be excluded from participation In,be denied the benefits of.or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Depart- ment; and HEREBY GIVES ASSURANCE THAT it will immediately take any measures necessary to effectuate this agreement. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department,this Assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal fumancial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided, this Assurance shall obligate the AppIlcant for the period during which it retains ownership or possession of the property. In all other cases, this Assurance shall obligate the Applicant for the period during which the Federal financial assistance is extended to it by the Department. THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all Federal grants, loans,contracts, property, discounts or other Federal financial assistance extended after the date hereof to the Applicant by the Department, including installment payments after such date on account of applications for Federal financial assistance which were approved before such date.The Applicant recognizes and agrees that such Federal finan- cial assistance will be exteaded in reliance on the representations and agreements made in this Assurance, and that the United States shall have the right to seek judicial enforcement of this Assurance. This Ass-srance Is binding on the Applicant, its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this Assurance on behalf of the Applicant. CONTRA COSTA COUNTY Date 1/19/93 HEALTH SERVICES D Ap03nt(type or print) ;3y MARK F t S DIRECTOR Signature and Title of Authorized Cfflctal 20 ALLEN ST. , MARTINEZ Ca 94553 Appikant's maiiins address DOTE: If this form is not returned with the application for financial assistance. return it to DHHS. Office for Cl,�il Rights, 330 Independence Ave., S.W., Washington, D.C. 20201 22 DEPARTMENT OF HEALTH AND HI:`IAN SERVICES ASSURANCE OF COMPLIANCE WITH SECTION 504 OF THE REHABILITATION ACT OF 19;3, AS ANIENDED The undersigned(hereinafter called the "recipient")HEREBY AGREES THAT it aiIl comply with Section 504 of the Rehabilitation Act of 1973, as amended(29 US.C. 794), all require= ments imposed by the applicable HHS regulation(45 C.F.R.Part 84),and all guidelines and interpretations issued pursuant thereto. Pursuant to §84.5(:x) of the regulation (45 C.F.R. 84.5(a)], the recipient gives this Assurance in consideration of and for the purpose of obtaining any and all Federal grants, loans, con- tracts (except procurement contracts a.-id contracts of insurance or guaranty), property, dis- counts, or other Federal financial assistance extended by the Department of Health and Human Services after the date of this Assurance, including payments or other assistance made after such date on applications for Federal frnantial"assistants that were approved before such date. The recipient recognizes and agrees that such Federal financial assistance will be extended in reliance on the representations and agreements made in this Assurance and that the United States %%ill have the right to enforce this Assurance through lawful means. This Assurance is binding on the re^'pient, its successors, transferees, and assignee, and the person or persons whose signatures appear below are authorized to sign this Assurance on behalf of the recipient. This Assurance obligates the recipient for the period during which Federal financial assistance is extended to it by the Department of Health and Human Services or, where the assistance is in he form of real or personal property, for the period provided for in §84.5(b) of the regulation [45 C.F.R. 84.5(b)]. The recipient: (Chc-.k (a) or (b)] a. ( ) employs fewer than fifteen persons; b. ( XX ) employs fifteen or more persons and, pursuant to §84.7(a) of the regulation [45 C.F.R. 34.7(a)], has designated the following person(s) to coordinate its efforts to comply with the HHS regulations: CHUCK DEUTSCHMAN, MFCC Name of Desi;nee(s) (Type or Print) MARK FINUCANE, HEALTH SVC . DIRECTOR 20 ALLEN ST. " Dame of Recipient (Type or Print) Street Address or P.O. Box 94-6000509 MARTINEZ (IRS) Employer Identification Number City CALIFORNIA 94553 IStat Zip I certify that the above information i ompl e d orrect to the best of my knowledge. January 19 , 1993 Health Services Director Date Signature and 4itle of Authorized Official If there has been a change in name or oxnership within the last year, please PRINT the former name belo%v: NOTE: If this form is not returned %vith the application for financial assistance, return it to DHHS. Office for Ci%il Rights,330 Independence .k venue. S.W., Washington, D.C. 20201- 23 ASSURANCE OF COMPLiAMCE '41TH TITLE !X OF THE EDUCATION A4ENOME`+TS OF 1972 AMU' THE RE'ZIULATION ISSUED BY THE OEPARTHENT OF HEALTH, EDUCATION, AND 'WELFARE IN IMPLEMENTATION THEREOF (PLEASE READ EXPLANATION OF HEW FORM 639 A (3/77)* BEFORE COMPLETING THIS DOCUMENT) Pursuant to 45 C.F.R. 86.4: CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT Name or Applicant or recipient 595 Center Avenue, #200 aadress Martinez , CA 94553 city, state, zip code .94-6000509 identifying carie-FICE, GE, or S) (hereinafter the "Applicant") gives this assurance in consideration of and for purpose of obtaining Federal education grants , loans, contracts (except contracts of insurance or guaranty) , property, discounts , or other Federal financial assistance to education programs or activities from the Oepartment of Health, Education, and Welfare (hereinafter the "Department"), including payments or other assistance hereafter received pursuant to applications approved prior to the date of this assurance. ARTICLEE I - TYPE OF INSTITUTION SUBMITTING ASSURANCE. A. The Applicant is (check the following boxes where applicable) : 1 . A state education agency. 2. A local education agency. 3. A publicly controlled educational institution or organization. 4. A privately controlled educational institution or organization. ( 5. X A person. organization, groua or other entity not primarily engaged in education. If this box is checked, insert primary purpose or activity of Applicant in the space provided below: *MEW Form 639 /7 This form supersedes HEN Form 639 (7/76). HEW Form 639 (7/76) submitted prior to this revision are valid and recipients need not submit a new assurance. NOTE: If this form is not returned with the application for financial assistance. return it to OHHS, Office for Civil Rights, 330 Independence Avenue. S.W. , Washington. O.C. 20201 . 24 3. Make no .transfer or other conveyance of title to any real or personal Property which was purchased or improved with the aid of Federal financial assistance covered by this assurance, and which is to continue to be used for an education program or activity and where the Federal share of the fair market value of such property has not been refunded or otherwise properly accounted for to the Federal government. without securing from the transferee an assurance of compliance with Title IX and Part 86 satisfactory to the Director and submitting such assurance to the'Department. 4. Submit a revised assurance within 30 days after any information contained. in this assurance becomes inaccurate. S. If the Applicant is a state education agency, submit reports in a manner prescribed by the Director under 45 C.F.R. 80.6(b) as to the compliance with Title IX and Part 86 of local education agencies or other education programs or activities within its jurisdiction. ARTICLE IV-DESIGNATION OF RESPONSIBLE EMPLOYEE AND ADOPTION OF GRIEVANCE PROCEDURES. (Check the appropriate box.) A. 1. ( ) Pursuant to 45 C.F.R. 86.8, the Applicant has adopted grievance procedures and designated the following employee to coordinate Its efforts to comply with Part 86 and has. notified all of its students and employees of these grievance procedures and the following name, address and telephone number of the designated employee:- 2. name of employee) 3. office address 4. (telephone numoer) B. 1. ( ) The Applicant is not presently receiving Federal financial assistance subject to Part 86 and, consequently, has not designated a responsible employee or adopted grievance procedures pursuant to 45 C.F.R. 86.3 but will do so immediately upon award of such assistance and will immediately notify the Director, its students and employees of the name . office address , and telephone number of the employes so designated. 25 ASSURANCE OF COMPLIANCE WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES REGLZATION UNDER THE AGE DISCRIMINATION ACT OF 1973 MARK FINUCANE (hereinafter caked the "Recipient") N=*or Redr*=(*Vo at X=Q (HEREBY AGREES THAT) it will comply with the Age Discrimination Act of 1975 (41 U.S.C. 6101 et seq.), and all requirements imposed by or pursuant to the Regulation of the Departmeat of Health and Human Savices(45 C.F.R.Part 91)issued pursuant to that Act, to the end that, in accordance with the Age Discrimination Act and the Regulation, no per- son in the United States shall, on the basis of age, be denied the benellu of, be excluded from participation in. or be subjected to discrimination ander, any program or activity for which the Recipient receives Federal financial wistance.from the Department;and(HEREBY GIVES ASSURANCE THAT)it will immediately take any measures necessary to effectuate this agreemont. If any real property or struerure thereon is provided or improved with the aid of Federal financial assistance extended to the Recipient by the Department,this Assurance shall obligate the Recipient, or in the case of any transfer of such property, any transferee, for the period during which the real property or stzuatue is used for a purpose for which the Federal financial assistance Is extended or for another purpose involving the provision of similar services or benefits.If any personal property is so provided, this Assurance shall obligate the Recipient for the period during which it retains ownership or possession of the property. In all other cases, this Assurance shall obligate the Recipient for the period during which the Federal financial assistance is extended to it by the Department. (THIS ASSURA.*10E)is given in consideration of and for the purpose of obtaining any and all Federal grants, loans, contracts, property,discounts or other Foderal financial assistance extended after the date hereof to the Recipient by the Department, including installment payments after such date on accatint of applications for Federal f nucial assistance which were approved before such date.The Recipient recognizes and erg m that such Federal finan- cial assistance will be extended in reliance on the representations and agreements made in this Assurance and t.t+ at the United States will have the right to enforce thisAssuranc:through lawful means. This Assurance is binding on the Recipient, its suc:easors, transferees, and assignees, and the person or persona whose signatures appear below are authorized to sign this Assurance on behalf of the Recipient. Date January 19 , 1993 MARK FINUCANE� Mi t C"d or XMQ By HEALTH SERVICES DI-IECTOF. S1=Atut$sad Tkla of Mtha;tea Oifldai 20 ALLEN STREET MARTINEZ , CALIFORNIA 94553 R=Pieat's maiiin= addicts NOTE: If this form is not returned with the application for flaxacial assistaace, return it to DENS, Office for Clvil Rights, 334 Independence Ave.. S.W., Wasbingtoa. D.C. 201-()1 HHS Fo^ 600�.a�;. 19.RA) 26 U.S. Department of Health and Human Services Certification Regarding Lobbying The undersigned certifies,to the best of his or her knowledge and belieL that: (1)No Federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned,to any person for influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with the awarding of arty Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement,and the extension,continuationrenewal,amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with this Federal contract,grant,loan,or cooperative agreement.the undersigned shall complete and submit Standard Form-LLL,T_"Disclosure Form to Report Lobbying,"in accordance with its instructions. (3)The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers(including subcontracts,subgrants,and contracts under grants,loans and cooperative agreements)and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of-fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352,title 31,U.S.Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than S100,000 for each such failure. Award No. Organaauonal Eauty CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT Name and Tide of Official Signing for Organizational Entity Teiephone No.of Signing Official MARK FINUCANE, HE TH SERVICES DIRECTOR (510 ) 370-5001 Signatureof bove Offici Date Signed January 19 , 1993 27 LETTER TO SINGLE STATE AUTHORITY 28 y Ea L Health Services Department .,; --- _ • : ALCOHOL AND DRUG ABUSE ADMINISTRATION •- t —�\;'`. 597 Center Ave.,Suite 310 •;�� a 1;'i Martinez.CA 94553-4639 �'; -:. .��; -•+�; (510)313-6381 January 6, 1993 Andrew M. Mecca Director Governor's Policy Council on Drug and Alcohol Abuse 1700 K Street, 5th Floor Executive Office Sacramento, CA 95814-4037 Re: Substance Abuse Prevention Conference Grant: 93-174 Dear Mr. Mecca: I am please to inform you that Contra Costa County Substance Abuse Division is applying for the one-time Office for Substance Abuse Prevention Conference Grant. This particular grant specifically highlights the inclusion of tobacco as a prevention issue to be addressed within the context of this conference. The comments in your address to "CommunityWorks" last year regarding including tobacco education, intervention, and prevention within the drug and alcohol treatment community have not gone unnoticed, and have inspired our staff to aggressively pursue these monies. In particular, we intend to put together the first tobacco, drug, and alcohol conference in the State of California. We intend on eliciting the knowledge and experience acquired by the Tobacco Control Section, as our Project Director on this application is a former Proposition 99 grant Director. Our goals and objectives are to have a one and one-half day conference, targeting the recovery community, service-oriented groups, State and local governments, professional associations, voluntary organizations, and other related community groups who are interested in, and can benefit from, all aspects of the tobacco addiction problem. We have already received a tremendous amount of interest and commitment from numerous organizations in and out of the County. We intend to target the Bay Area Counties, but would not exclude any request for participation from other parts of the State or Country. 29 a .1.371-8 (10/911 Contra Costa County We hope to have your support for this application and participation in the ensuing conference, pending confirmation of our application's success. If you have any questions about our application, please contact me at (510) 313-6350. 6 Sincerely, Chuck Deutschman, MFCC . 30 8. CONFERENCE STAFF QUALIFICATIONS 31 KATHERINE H. KESSLER, M.S. LICENSED MARRIAGE.FAMILY,AND CHILD COUNSELOR #MFC ZS$0 23 Altarinda Road.Sure 212 Olinda.Ca ifom a 94563 Paha IS 10)210-7504 SUMMARY OF QUALIFICATIONS •Outpatient psychiatry treatment facility experience. 'Strong background working with multicultural client populations. ' Interviewing,assessment,&intervention experience. •Experience working with women and women of color. 'Multidisciplinary training and team member for treatment planning:Psychiatrist,Social Worker, Psychologist,Clinical Nurse Specialist. EMPLOYMENT IIISTORY 1991 to present: Contra Costa Countv Health Services Department. Martinez Alcohol Progam Administration. Project Director,responsible for all facets of developing,implementing,and evaluating smoking education program,hiring staff,budget and fiscal management and accountability,weekly&quarterly reports to both County and State officials,active membership on County boards,project presentations, grant writing and alternative funding responsibilities. Private Practice,Orinda,California. Individual,Family,and Couples psychotherapy, specializing in the treatment of women's issues, substance and sexual abuse recovery,ethnic issues, ACA recovery,family dysfunction;insurance reimburse- ment;business marketing and management;tax planning; recordkeepping. 1990 to 1991: Turning Point Counseling Center,Walnut Creek. Child,Adolescent,Adult Sexual Abuse Treatment. Staff Therapist; Individual,family,couples, and group psychotherapy,intake&assessments. Three months: Veterans Outreach Center,Concord. Vietnam era Veteran Treatment Center,PTSD. Volunteer Intern; Intakes&assessments, referrals,brief therapy. 1989 to 1990: V.A.Outpatient Clinic,Berkeley. Substance Abuse Treatment Outpatient Clinic. Addiction Therapist; Case manager,facilitated groups,individual,couples,family therapy, assessments&referrals,program planning. Specialized caseload: Dual Diagnosis 32 ' •`Kessler,page 2 • r V.A.Mental Hygiene Clinic,OutQatie_nt.Oakland. Mental Health Outpatient Clinic. 3/90 to 7/90 consults,referrals,intakes,& evaluations for dual diagnosis patients. 1988 to 1989: V.A.Medical Center,Palo Alto,CA. Substance Abuse Long Term Residential. Psychiatric Nursing Assistant;counselor, individual&group therapy,program planning, evaluation of patient progress. 1987 to 1988: V.A.Medical Center,Palo Alto,CA. Family Therapy Outpatient Clinic. Psychology Aid; Intake coordinator. EDUCATION M.S.,Counseling Psychology, 1990;C.S.U.,Hayward. Accredited MFCC program. B.A.,Psychology,1985;University of California,Berkeley. SPECIALIZED TRAINING&SKILLS -In-service and conference presentations -Guest lecture experience:DVC -Psychiatric Nursing Assistant training -Strategic Family Therapy Training:one-way mirror experience -Sexual Abuse Treatment&Program Planning Certification:72 hours -Extensive knowledge of computers -Grantwriting experience PROFESSIONAL AFFILIATIONS -Women's Advisory Committee,Contra Costa County, 1992. -Y.W.C.A.Board Member,Contra Costa County,1992. -Tobacco Prevention Coalition,Contra Costa County, Steering Committee Member, 1991. -California Association of Marriage&Family Therapists, 1990 -National Organization for Women, 1988 -U.C.Berkeley Alumni Association,1985 References available on request 33 Oak •,Y.- 'rte,,, ., �i. NO vimi V :es �+ 40 RIO ou olp _ p � „ .. 5�P"� OF ;- . -= V : 1. 0 o %A LL 00 ^� ::.'.F. -s~'- .. -.' :• � c � of +,�} j�' V� � _' , Ql 34 9. ORGANIZATIONAL BACKGROUND MATERIALS 35 N 2 r ZIV Jo i Q36 V Z 3 li O Z _ 5 5a r� a LJ < u « o< i = l _ W o s 96 cc u Q H W IA .w -;4Y LUJ + Y c { Cl) a uj z ct - u 4 uj Fig. 3_1 _ .. a n 37 • fig. 3-12 ,- r^. c to fz to to it r CL CL ::::.: ♦��:.... r/ th : L:.:::: O °0 o Q a a 42 Sc O V a � CL 2 CUUU V � � mmCl CV (af3 q m am O m o C cc mwH=E= > m ©mama O VVCOcnUF>- Q rn CD CL ca to J �„ m v . ,� Z' c� — b. a wm = a a' amb. Q y p U p j m ► m p > m U. m p > a ... tn:>'> G7 CL. c 43 43 cc G m m Q. .>Y.. ... _ U cis CL to �_ c a ` Q m U as < . r: �. O c c ?► O c - O c = af . a L12 O 6i O C O C1 0 � ! in N-T 7t0 NLo Q ^ N IT 0 f*7 N p N Ir N N N N N CO b. CL C tz cc U3 tz CL u. 0 -0 a V m o c a :V ❑ O Q u� Z :1t3� ZO0U3 Q � UUU-1zz n �nE- �-- Il ' E 38 to F . 3-2 ^ o � NI— � k � � n0000cS m �` =hcaC D U U ej co ? ? m � CU � peC7 � U_ o � EC12 CL = �� Q Z � ODo LLUUci' t.WJ � ° � J ° mGmG0L cn a. O _ _Z >. c m c Q y G c0 O p U C fy� }— }•. (a C7 OUZ O UUDOti� UH= �- � H J mm 4 M1 cn Ev %3h c cla ym cz CD Z r cS +.•:: m O cS m m Vc!r .ti cn c c o I( --CL ca Z ` -- Q � '���. m Z m � �CD D O C7 c 0 U3 g;' >Q m m m m U Oz ; ::;::::::: : : ;:.:::::::: rT, o ° y IT to Q Eto LO to LO Q c �, , A��•:fl.:._ ca o co mCD Cc - X U03N a� cin eQ N to ° � U m D I Z: 2 G 47 a W O ° Cm m:v:: m CDU© mm o —. cAF= U V I I 6- 6- I I o cn cn r `b' .........y'4:: C (� C t`C QCD CJ m C C m m 0 L'. p U cc c m v m mEn IT, O :.�.. .. »ryD U C C m E Gy] O a. o mC. H - _ U., C O C V O W 0LJ cCII O o m nu m `oUOZeZan3. u7 to U H 39 70. '��� OF $Upp oRT AND AGREEMENT 40 THU I3 : 17 P. 02 80ARO OFFICERS SCOTT TAYLOR Pam N I k,I Pr661dent/CEO BOBBIVOGEL Vice President ALBERT M.3ENELLA Specializing in Chemical Dependency Services Secretary I Treasurer a TARZANA TREATMENT CSNTEA,INC. 18646 Oxnarq Street Januar 14, 1092 Tarzana, California 91358 t (818) 998.1051 FAX (818) 345-3778 Katherine Kessler a LONG BEACH FACILITY Contra Costa County 2101 Magnalla Avenue Health Services Administration Long Beacn, California 90808 597 Center Avenue, Suite 310 (310) 218-1868 Martinez, CA 94553 FAX (310) $81-G946 . Q ANTELOPE VALLEY FACILITY Dear Kathy: 44147 No.10th SIMI Wssl Lancoaler, C811tarnt8 83534 - (803) rze-2630 Tarzana Treatment Center, Inc. is a private non-profit Fax(305) 726-2835 chemical dependency treatment center. We have been serving OETOXIFICATION SERVICES residents of Las Angeles County for over 19 .years. The tobacco AND ECUCWEINERATIONSERVICES education staff has a essivel and effectively developed a MAURICE WENE � Y Y Administrator program targeting the tobacco issues impacting =nen, women RESIDENTIAL SERVICES with children, pregnant wcmen, African Americans, Latinos, ANO OUTPATIENT SERVICES indigent populations and = impacted individuals. kLBERT M. SENELLA 4dministrator Through our ongoing collaboration with treatment providers and 3ERVICES: cC==ity based organizations we have been able to engage in clatoxificatien important activities resulting in the reduction of tobacco use Residential among the above nrnticned populations. Women's Residential InclHIv dingServices Children We are well aware of the groundbreaking work u continue to HIV Services g g you outpatient services do and we would consider it a honor and a priveledge to Adult and Adolescent actively participate in your OSAP conference, titled Drug Dtverslort "Tobacco 2000." the agree with you that this a pressing and Prevention g Y g After Care Housing =cial issue within the substance abusing community, and Partial Hospitalization a conference is a positive step towards adressing these SaCor LIving these concerns. We are willing to support your efforts in any way you may feel appropriate, (sneaking; presenting; moderating etc. ) Please feel free to contact us for any furt::er support. lVe are excited to hear any progress you make with this venture. Respect ully, Jack Re CSAAC Hrt!/. S Risk Reduction Specialist Toba co `� roject Coordinator .�J TARZANA TREATMENT CENTER, INC., ESTABLISHED 1972 A California Non-Protit Corporatlon (Formerly Free Men Inc.) Accredited By The Joint Commission on Accreditation of Healthcare Organizations. •• A Los Angeles Ccunly and Slate of Ctldorni■Contract Aconcy. Parttaly Funned by the Orin Prnn— Plin mi TS,r—.., -i .. .. . JACK REED, CSAAC 123 1/2 1. Barger Ave. Hollywood, CA 90048 (213) 655-7407 HISTORX November 1992 to Present Tanana Treatment Center. E7/AIDS Risk Redaction Specialist. Specific responsibilities include: development of all forms to be utilized for client assessment, referral, and reporting for a federally funded CDC risk reduction project within Tarzana Treatment Center's women's residential drag treatment facility; one to one client risk assessments; facilitation of regular group sessions, facilitation of couples and fatily sessions as needed; maintaining accurate client charts; attending regular client case conferences; development and Implementation of a peer training program; client interagency referrals; maintaining treatment logs for reporting purposes; and developing and maintaining a comprehensive resource directory specific to meeting the treatment needs of the TTC Long Beach client. August 1991 to January 1993 Tar:ata Treatment Center. Mucation and Prevention Project Coordinator. Specific responsibilities include: Supervision and training of all staff; scheduling, coordinating, savaging and facilitating of workshops, seminars, meetings and other events for target group participation; desisting in the development of training program and providing trainings as needed; Developing, maintaining and updating of policies and procedures with the approval of the Program Director and TTC Administration; Initiating and developing contact with resource, community, and drug treatment agencies throughout the Los bngeles Region; Facilitating staff meetings; Preparing reports as required; Grant writing: and !!maintaining an evaluation system for all project activities. December 1990 to Present AIDS Project Ips kxjdes. Group Facilitator for 'Speaking of Sex' program. program outline includes education of approxiaately 30 zdti-cvltural men and women per group in safer sex communication skills geared towards negotiating "win/vin" situations. Focus on, but not limited to, adolescent and chemically dependant ccuunities. May 1991 to September 1991 G.L.A.S.S. Counselor/Child Care Worker for adolescent group home. Specific responsibilities included: Facilitation of groups; one on one and group counseling; Charting as required; Client evaluations; Monitoring of client sleep patterns; Maintaining discipline; and Attandirg all staff neetivgs. Primary placement referral: Department of Children's Services. September 1985 to Present Actively invol7ed in volunteer 12-step work with alcoholics and drag addicts as well as vaintaining personal recovery. Couitted to assisting recovering men and Kronen in outlining a program of action to bring about freedom from their addiction through education, text book study, and personal experience. March 1986 to Present Volunteer hospital and institution work, including speaking on panels and at meetings in such facilities as Chino Youth Prison, Ceder Sinai Chemical Dependency Unit, Comity C4neral Locked Ward, L.A. County Gay !Men's Lock-up, and bedside counseling at the Liver hard at Rancho Los Axigos Bspital. Currently providing personal guidance to clients at Spencer Recovery louse, Tan less Recovery House, Clare Foundation, Ya : na Treatment Center in Los Angeles and Pride institute in Hinneapolis. EDUCATION 1 Aatiocb University-U-Liberal arts-1993 ♦ Pacific Oaks College•CSAAC•Alcohol and Drug Studies-1990 4 Pasadena City College. A-Marketing Managevent•1980 BOARDS AND COMMEES ♦ AIDS Regional Board arl/Advocates Task Force / Tarzana Treataent Canter AIDS Advisory Board ♦ L.A. Link, Regional Governing Body 'Doting Hem (representing cheaical dependency) 6 Hispanic/Latino Tobacco Control Network Materials lnalysis ldvisory Comittee 4 Hispanic/Latino Tobacco Control Network Public affairs Sab-Conittee 4 L.A. Retro South Tobacco Control Network Advisory Conittes ♦ San Fernando Valley Coalition Tobacco Advisorl Board (Chair) + AIDS Comunity Educators of Los Angles (IC81d) (disbanded) National Black Leadership Initiative on Cancer (NBLIC) PROFESSIONAL REFEREN Maury Weiner, Administrator Tarzana Treatment Center (818) 9%-1051 4 ludray Smith, Director of P:eventitie Seaith Services Watts Heath Foundation Inc. (310) 639-3068 t Teri Boward, Director of Eealtb PromotionJDisease Prevention Northeast Galley Health Corporation (818) 837-4094 1 Danny Jenkins, CSAC, Director of Cross Trai.niLg Prototypes/W.A.R.H. (Woeens AIDS Risk Network) (310) 338-8484 0 Dylan Gayiey, Director of Addiction Recovery Services The Gay and Lesbian Commiti Services Canter 1213) 464-7400 1 Me Klaphola, Director of Wmation AIDS Project Los Angeles (213) 962-1600 t Hark Katz, M.D. Raiser Permanente (213) 857-2064 ADDITIONAL REFERENCES AVAILMI UPON RMUM Joint Commission on Acveortaaar d NoOhcirt:OrpnraUra January 12, 1993 Ms. Katherine Kessler Contra Cosca County Health Services Department Substance Abuse Division 597 Center Ave. , #310 Martinez, CA 94563 Dear Ms. Kessler: I am pleased to inform you that the Joint Commission on Accreditation of Healthcare Organizations does offer the services of a speakers bureau. The Bureau is designed to inform, educate, and motivate various audiences. by way of participating in organizations' meetings, forums, or conferences. The Speakers Bureau will help you arrange a stimulating program: Our speakers can present topics on a wide varisy of issues. Accreditation-relaced issues, standards-related issues, and quality issues, are just a few of the areas covered by the speakers. I look forward to hearing from you in the future and hope that JCAHO can participate in your meeting. Sincerely, n—L Marls Dieden Speakers Bureau Coordinator Public Relations One pcfwl'�wt Butderi'd &mnnh 010maw" AiMe mt fknial AySOCIS1 n 01khMak Thrum R.titrant Amemn Copeoe of Fn u"n Amenun nosofW ASfocabOn '081ifi-5600 Aineccat Cuktw of SIXOouns Amerman Med"AsypGatwn DEPARTMENT OF VETERANS AFFAIRS ,FTF* System Of Clinics 5500 East Second Street Benicia, CA 94510 January 12, 1993 In Reply Refer To: Mrs. K. Kessler Health Services Department Substance Abuse Division 597 Center Avenue, #310 Martinez, Ca. 94563 Dear Kathy, I was very excited to hear about the OSAP 2000 Conference. I would be pleased to participate as a panel member in the Conference. I can talk about the V.A. 's participation in the no-smoking policy and what effect it has had on both staff and patients. Please feel free to call me at 510-486-3902 if you have any questions. Sincerely yours, Carl o . Smith. MSW Clinical Coordinator Berkeley V.A. Outpatient Clinic "Americyr i.� ##1 !n oiir li►r►un.�" G4RLTON E SMITH 58 Simons Court Oakley, California 94561 (4?5) 625-3634 (H) (415) 486-3902 (W) HIGBIJG= OF QUALIFIC47YONS ' Strong practical and theoretical foundation in a number of therapeutic and intervention models. Integrated, flexible, and appropriate approach. Committed to bringing about real, practical results in people's lives. ' Over 25 years leadership responsibility in human relations and personal growth. Thorough familiarity with Berkeley community resources. EDUCATION M.S.W., Social Welfare - University of California at Berkeley (1986) B.S., Psychology - University of Maryland (1983) Associate in Arts - University of Maryland (1976) Guest Lecturer - U.C: Berkeley's School of Social Welfare Advanced Training - Conference on Alcohol & Other Drugs - University of Utah Master 'Thesis research project focused on outreach to veterans which consisted of interviewing 66 participants to compile survey data, identify their needs both medically and psychologically. PROFESSIONAL EXPERIENCE 9/86 - VA OUTPATIENT CLINIC (Substance Abuse) - Berkeley, CA Present Social Worker Responsible for psychosocial assessment, psychosocial treatment planning, individual therapy (both family and group), substance abuse counseling and drug intervention services. Also serve as Acting Clinic Manager and community consultant to foster cross-cultural participation in the minority community. Maintained records of therapeutic activities and prepared client progress reports. 1/85 - CONCORD VET CENTER - Concord, CA i/86 Psychiatric Social Work Intern Provided brief psychotherapy and crisis intervention to individuals, couples and families. Responsible for assessment, diagnosis and formulation/implementation of treatment pian. Provided outreach to minority veterans and their families, as well as provide group therapy. 'aRLTON E. SMITH age Two &FESSIONAL EXPERIENCE:- (Contd.) /84 - WESTLAKE JR. HIGH SCHOOL - Oakland, CA 185 School Social Work Intern Provided brief therapy and crisis intervention to students and their families. Facilitate ;roues for student and staff for overall improvement in scholastic, social well-being. MILITARY EXPERIENCE )56-1983 Enlisted in the U.S. Marine Corps (1956-1960) and the U.S. Air Force (1961- 1983), with extensive management and supervisory responsibilities for 10-1,000 military personnel and their families. As a Senior Master Sergeant, initiated several new sponsorship programs for NCO and Officer personnel; managed all squadron activities and provided counseling to ensure high morale and welfare of all assigned personnel. Recommended disciplinary actions, oversaw administration of living quarters, coordinated donations and temporary quarters for newcomers, and supervised expenditure of funds. Also coordinated social/.charitable activities, executive council meetings, fundraising activities, and publicity. Implemented the Married Airmen Sharing Happiness (MASH) Program for the entire Air Force and served as MASH Coordinator with responsibilities to coordinate all Base-wide programs nor married airmen and their families. PROFESSIONAL AFFILIATIONS Bay Area Black Social Workers (1985-1990) National Association of Social Workers REFERENCES Excellent References Provided Upon Request I Y. ♦ r �fG r � Z Z v .I . r 3 � 0io 0 w IzVol s 4�' V 01-1.1-1950 04:229Pr1 FROM G MER1N USF TO '3510313&-449 P.01 INIE7K r'.N HiSPAW LONG UnNernv ei Scn franc sco TOBACCO CCNTRCL 2iMSAP Skw Sm F,mwin:,,(-A Q41 i 7-'C-30 idl^1 660-08Q!1 For(41 Sr 406.2517 January 14, 199-3 Ms. Katherine Kessler Contra Costa Co.Smoke Fn~ Recovery Project 397 Center Ave. #310 _ - Mardncz,CA 94553 - -' Dear Katherine: As per our telephone conversation,I will be happy to pr=nt on the activities of Network on Hisp=clLa=Tobacco Control during the"Tobacco 2000"Confcre=to be held on June 1994. I think it is important to acknowledgc the need to develop new strategics,intciventions, and educational materials to serve Califorrda's ethnic diverse population. Sane of the objectives and goals of the Nark are: - To further communication and exchange of e';perenccs among agencies and individuals involved in tobacco control among Califomias Hispanics. • To identify intervention strategies that are effective and appropriate for L'ttinos. • To disseminate information and matarials useful to program planners,staff,and rescarch=dealing wiilt tobacco cxtmtrol among Hispanic's in California. - Iwcm awareness of and ability to counter the stratcgics used by the tobacco industry in ta-g-cting the Latino community (alternative sponsorship). • Pmik-ipate in the political process to maintain the integrity of Prop.99,and promote tobacco-free environments. ■ Identify need for and avaiilabdity of cultmally appropriate tobacco education matarials • To identify tobacco control program gaps and promote strategies to meet identified nocds. Also thank you for inviting me to be a member of the Planning Committee for the Tobacco 2000. I'll be glad.o share cry experiences with you in planning tine Statewide Conferences for the Latino community. Good luck with your applicadon of the O-SAP Grant. Looking forward on working with you in the future. Sincerely, H J ier A I11lueca. 1.NiBA Network Coordinator TOT=L P.01 JAN 15 '93 09 13 FRODUCTIGN `�='NT P•3%3 84 14 14nr • -+ , m to to CA _ w a rn m UP S O g at s K A � 1.7 �Shc .Jvw yf � A �1„ °l ll1do �vl� (T1 {A Gi1G7i11 tLf q ` fo $ 2, �q � `� S06 "yy � 1 qX11Ag11M JTT ��. s M.mi b v vc � a » MS I aim E3 t. Nib 'ti � Iv b ro al ro m zr er o C IBM � FS40 S z !? d!b! b! tNR ER d!d! d! t!► b4 b! Hl !A al! al! t1! a �� • O cn pv ♦ R m H t `� ,� � y°. � � rs er' at en err � •- UR cy n' err ((JJ}} en �r► ttf p ' C ° tr e CL aq O m 02 th 11 25 st Y� F r Lr 12A " cr *t m tY + IL It CD Cal ffi�- i Hug - 0 IL in 0 aft tall i � • a BILA Contra Costa County •: Health Services Department •; �, Office for Service Integration z, 597 Center Avenue, Suite 365 o Martinez, CA 94553 c,•.; _ _ ..�;� (510) 313-6254 (510) 313-6708 FAX January 15, 1993 Katherine Kessler Contra Costa county Health Services Administration 597 Center Avenue, Ste 310 Martinez, CA 94553 Dear Ms. Kessler: We would be delighted to participate in your OSAP Conference, titled "Tobacco 2000." This is a pressing and crucial issue within the drug and alcohol community, and a conference would be helpful to address these concerns. We will support your conference by speaking, presenting and/or setting up an information booth. Please contact us for any further support or help you may need. Enclosed you will find a resume for your application. Sincerely, zzette /C�' hnson, A, MSW Project Coordinator Options for Recove SCJ:jap /u/usr/m/ofr/kessler.let cc: Mary Foran, MPH Office for Service Integration Director Options for Recovery Director V 1 I SUZZETTE C. JOHNSON 1631 Ward Street Berkeley, CA 94703 (510) 486-0419 (H) (510) 313-6258 (W) SUMMARY - 20 years in social services, health/mental health, substance abuse, community and law enforcement; administration, leadership development, policy analysis and delivery of direct services. Excellent communication, analytical, clinical, and computer skills. PROFESSIONAL ACCOMPLISHMENTS Contra Costa County Health Services Dept., Office for Service Integration January 1992 - Present Perinatal Substance Abuse Systems Coordinator, Options for Recovery Program Coordinator • Completed start-up - planning, administration and implementation of multi-agency, multi-service program for substance abusing pregnant and postpartum women and their children • Facilitated policy formulation and operational decision making for $1.5 million per year Options for Recovery • Facilitated further development of the activities of the Alcohol, Drug Abuse and Perinatal Task Force (ADAPT) of Contra Costa County National Recovery Institutes Group - Program Director August 1990 - December 1991 • Developed and implemented monitoring and tracking observation system for mentally ill chemical abuser and high risk clients. • Expanded and revised educational curriculum and clinical program for chemically addicted population. NYC Department of Mental Health, Mental Retardation and Alcoholism Services June 1989 - August 1990 - ConsultarWCoordinator • Implemented $14 million Intensive Case Management (ICM)Program. Designed evaluation and central application review system. • Organized ICM Project Advisory Committee, an interagency policy making body represented by several governmental and voluntary organizations. • Created mentally ill criminal justice offender proposal, database information bank, data collection instruments and manual. Negotiated program service and training contracts. NYC.Department of Corrections, Program Services, Health Services Management Unit July 1987 - June 1989 -Assistant Director • Operated suicide prevention program which served more than 17,000 inmates. Created strategies and supervised staff to minimize suicides in jails through program development, facility modification and capital improvement initiatives. • Developed and expanded mental health and health clinics and dialysis unit in several jail facilities; opened new 66-bed Rikers Island AIDS facility. • Created health database to resolve problems associated with development, planning, monitoring and delivery of services. Initiated a tracking system which reduced number of New York State offenders in NYC jails on "medical hold." OTHER PROFESSIONAL EXPERIENCES Woodhull Medical and Mental Health Center November 1985 - July 1987 - Primary Therapist/Psychiatric Social Worker • Planned, assessed, diagnosed and developed individualized treatment plans with interdisciplinary team. • Participated in staff development and administrative patient care planning meetings. NYC Department of Probation - Probation Officer August 1981 - November 1985 • Monitored and supervised probationers; provided supportive and crisis counseling to individuals and families. • Conducted investiations, collected data and developed court reports and community resources for clients. EDUCATION Baruch College - City University of New York - Master of Public Administration - June 1991 (with honors) Fordham University - Lincoln Center - Master of Social Work - May 1985 University of California - Berkeley - Bachelor of Psychology - 1973 CERTIFICATION - New York State Certified Social Worker PROFESSIONAL AFFILIATIONS National Association of Social Workers American Society for Public Administration REFERENCES - Available on request. �� /u/usr/mlofrlresume.sq �1 AMERICANSCANCER SOCIETY C A L I F O R N I A CONTRA COSTA COUNTY UNIT PPESIMT Rcbert Bleohmcn PRESIDW E laJanuary 15, 1993 Carleton Meyer.Esq VICE PRESCE,9S Linda Adams.RX Daniel Akre Dcrryt D.Ctt.Esq Katherine Kessler, MFCC DSonald�ine.M.D Tobacco Specialist Harnett Pistochini Health Services Department TPEJchnol.D.D.s Alcohol and Drug Abuse Administration DECUM DIRECTOR 597 Center Avenue, Suite 310 PaUa Mahan Martinez, CA 94553-4639 Dear Kathy, On behalf of the Contra Costa County Unit of the American Cancer Society, I am happy to endorse the Contra Costa County Substance Abuse Division's bid for funds to provide a Bay Area conference on tobacco prevention for the recovery community. A primary goal of the American Cancer Society is to reach high-risk, underserved populations with educational outreach programs. We need programs such as this to assist in our efforts to reach minority populations who often aren't reached by conventional advertising and workshops. In support of the Contra Costa County Substance Abuse Division application, Contra Costa County Unit staff and volunteers will serve on the planning committee, provide materials and technical assistance, speakers and display booths. We encourage your selection of this highly beneficial program. Sincerely, Caroly JY Farrar Community & Professional Services Director /vd 474 N. WIGET LANE, P.O. BOX 4295, WALNUT CREEK, CA 94598 • (510) 934-7640 P.O. BOX 984, El CERRITO, CA 94530 • (510) 525-6801 I Aff- JAN r0 B A C C O 1A PREVENTION & EDUCATION PROGRA M January 13 , 1993 Katherine Kessler Contra Costa County Health Services Administration 597 Center Avenue, Suite 310 Martinez, CA 94553 Dear Katherine: I would be delighted to participate in your OSAP Conference, titled "Tobacco 2000". This is a presssing and crucial issue within the drug and alcohol community, and a conference would be helpful to address these concerns. I would support your conference by speaking as a panelist or by serving as a moderator. Please contact me for any further support you may need. Sincerely, Robin Cox, MI ' H Supervising Health Education Specialist RC/cm 717 Missouri St., Suite B • Fairfield. CA 94533 • (707) 421-6680 • FAX (707) 421-6682 Solano County Health Services Department FROM:ALAMEDA CO.MANAGr^^IENT SS TO: 4152226513 JAN 15, 1993 4:00PM 1*4427 P.01 ALAfV1EDA COUNTY rru.�acvrnv rrc�,rw ►�us�:�� ���c7,tiy� ca. co. HEALTH CARE SERVICES ►` Dep,• phony. AGENCY "= ;' 3'' � ''� ; 6 S• 7ti 5/U Fax 0 DAVIO J_ KEARS, Director ri� / t' AGENCY HEADQUARTERS 499 Fifth Street Oakland, California 94607 (510) 268--7940 January 15, 1993 Ms. Katherine Kessler Contra Costa County Health Services Administration 597 Center Avenue, Suite 310 Martinez, CA 94553 Dear Ms. Kessler: The Department of Alcohol and Drug Programs and the Public Health Department's Tobacco Control Program welcomes the opportunity to participate in the "Tobacco 2000" conference proposed by Contra , Costa County' s Health Services Department. The passage of smokefree worksite ordinances in a number of ... cities in the San Francisco Bay Area is leading to a new level of dialogue about smoking policies in substance abuse treatment environments. We will work jointly to develop a presentation which addresses the issues that are being raised in the client and provider community regarding the efficacy of tobacco control interventions in alcohol and drug treatment programs. We look forward to working with you. Sincerely, mac.d•r�-t1,_, _ Dolores Alvarado, M.S.W. , M.P.H. Senior Program Specialist Department of Alcohol and Drug Programs Marisel E. Brown, M.P.H. Program Administrator Tobacco Control Program Public Health Department mb7/92:ysprsnt