HomeMy WebLinkAbout32399Agreement No.10-367-3
1 AMENDMENT III TO AGREEMENT
2 THIS AMENDMENT, hereinafter referred to as Amendment III, is made and entered into this
3 16th day of June, 2015, by and between COUNTY OF FRESNO, a Political Subdivision of the State of
4 California, Fresno, California, hereinafter referred to as "COUNTY", and CALIFORNIA HEALTH
5 COLLABORATIVE whose remit to address is 1680 West Shaw Avenue, Fresno, CA 93711,
6 hereinafter referred to as "CONTRACTOR" (collectively the "parties").
7 WHEREAS, the parties entered into that certain Agreement No.I0-367, effective July 13, 2010,
8 as amended by Amendment I, effective August 9, 2011 and Amendment II, effective October 28,2014
9 collectively referred to as the "Agreement"; and
10 WHEREAS CONTRACTOR agreed to provide alcohol and other drug (AOD) prevention
11 services to reduce illicit use of prescription painkillers among targeted high use youth and young adults
12 in Fresno County; and
13 WHEREAS, the parties desire to amend the Agreement in order to provide sufficient time for
14 the Fiscal Year 2016-2020 Strategic Prevention Plan and subsequent bid process to be completed.
15 NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
16 hereinafter set forth, the sufficiency ofwhich is acknowledged, the parties agree to as follows:
17 I. That Section Two (2) of the Agreement, entitled TERM and found on Page Two (2),
18 beginning on Line Twenty-five (25) with the number "2" shall be deleted in its entirety and the ·
19 following inserted in its place:
20 "2. TERM
21 This Agreement shall become effective upon execution by all parties and shall
22 terminate on the 31st day of December 2015."
23 2. That Section Four (4) of the Agreement, entitled COMPENSATION and found on Page
24 Four (4) beginning on Line One (1) with the number "4", and ending on Line Thirteen (13) with the
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word "CONTRACTOR"',shall be deleted and the following inserted in its place:
4.COMPENSATION
A. For actual services provided as identified in the terms and conditions of
this Agreement and Exhibits A and A-l,COUNTY agrees to pay CONTRACTOR and
CONTRACTOR agrees to receive compensation as identified in Exhibit B-1,"Budget,"attached hereto
and by this reference incorporated herein, contingent upon confirmation of funding.
For the period upon execution by all parties through June 30,2011,in no
event shall actual services performed be in excess of Two Hundred Forty Thousand and No/100 Dollars
($240,000.00),as identified in Exhibit B-l.Forthe following twelve (12)month renewal period,(July
1,2011 - June 30,2012),in no event shall actual services performed by in excess of Three Hundred
Sixty Thousand and No/100 Dollars ($360,000.0). For each twelve (12) month renewal period
thereafter (July 1,2012-June 30, 2013; July 1,2013-June 30, 2014; and July 1.2014-June 30, 2015), in
no event shall actual services performed be in excess of Three Hundred Forty Thousand and No/100
Dollars ($340,000.00), as identified in Exhibit B-l.For the period of July 1,2015 through December
31,2015,in no event shall actual services performed be in excess of One Hundred Seventy Thousand
and No/100 Dollars ($170,000.00),as identified in Exhibit B-2 of this agreement, attached hereto and
incorporated by reference herein. It is understood that all expenses incidental to CONTRACTOR'S
performance of services under this Agreement shall be borne by CONTRACTOR.'"
The parties agree that this Amendment III is sufficient to amend the Agreement #10-367.
Amendment I #10-367-1,and Amendment II #10-367-2.and,that upon execution of this Amendment,the
Agreement,Amendment I,Amendment II, and Amendment III together shall be considered the Agreement.
The Agreement,as hereby amended,is ratified and continued.All provisions,terms,covenants,
conditions and promises contained in the Agreement and not amended herein shall remain in full force and
effect.
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1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment III to the Agreement of
2 the day and year first hereinabove written.
3
ATTEST:
4 CALIFORNIA HEAjJH COLLBORATIVE
By:~/i~. 5
Print Name: 'SJ~ h-w ~~ tk ~
Title: 4r' o~-1 \
6
7
8
Chairman, President or Vice President
10
9
1/A 7>--
Date: . I '11tf:: s--;L .:J i J
11
12
13
By:~J/a,J~
PrintName: IJlda ~ctJ'Iava
14 Title: /lcco u. vth~ Htdn a~er"
Secretary (of Corpora ~n), Assistant S ~etary,
Chief Financial Officer or Assistant Treasurer
15
16
17
18
19 Mailing Address:
1680 West Shaw Avenue
20 Fresno, CA 93711
Contact: Executive Director
21
22
23
24
-3-
Deborah A. Poochigian, Ch
Board of Supervisors
Date: crk I~ Q.D/5
r
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By: Su .S<l.W p;, sb 0/
Date: :1{--l.Lh-L 1&, d-D/5
PLEASE SEE ADDITIQNAL
SIGNATURE PAGE ATTACHED
APPROVED AS TO ACCOUNTING FORM:
VICKI CROW,C.P.A.,AUDITOR-CONTROLLER/
TREASURER-TAX COLLECTOR
By:^ijt LU (,^
APPROVED AS TO LEGAL FORM:
COUNTY COUNSEL
DANIEL C.CEDERBORG
REVIEWED AND RECOMMENDED FOR
APPROVAL:
By:
Dawan Utecht,Director
Department of Behavioral Health
Fund/Subclass:0001/10000
Organization:FY 10/11 FY 11/12 FY 12/13 FY 13/14 FY 14/15 FY 15/16
56302081 ($240,000) ($360,000) ($340,000) ($340,000) ($340,000) ($170,000)
Account/Program:7294/0
jc
Exhibit A
Pagel of 11
ALCOHOL AND OTHER DRUG SERVICES FOR YOUTH IN FRESNO COUNTY
SUMMARY OF SERVICES
ORGANIZATION:California Health Collaborative
SERVICES:Alcohol and Other Drug (AOD)Prevention Services
•Goal 1:Reduce substance use rates among 12-20 year
old youth for Fresno AOD categories significantly higher
than state statistics.
o Objective 3:Reduce illicit use of prescription
painkillers among targeted high use youth.
SUMMARY OF SERVICES
The two goals and related objectives for Fresno County's five-year Strategic Prevention Plan
for Alcohol and Other Drugs are:
Goal 1:Reduce substance use rates among 12-20 year old youth for Fresno AOD categories
significantly higher than state statistics.
Objectives:
• To reduce marijuana use among targeted high use youth;
• To reduce alcohol use among targeted youth ages 12-20; and
• To reduce illicit use of prescription painkillers among targeted high-use youth.
Goal 2:Reduce alcohol and other drug use by youth in non-traditional schools.1
Objective:
• By June 30, 2015 a downward trend will emerge in AOD use among targeted non-
traditional students.
This Scope of Work includes services to address Goal 1 and its associated objective, to
reduce illicit use of prescription painkillers among targeted high-use youth.
History/Background
Painkiller use has been rising steadily in the United States since the 1980's.Statistically,
teens are the most likely group to abuse prescription painkillers. Along with the rise in
painkiller use is an increase in addiction and related deaths.Seven of the 11 most commonly
abused drugs by high school students are prescription or over the counter drugs. Aboutone in
five teens get high by using painkillers. In 2008, of the 2.9 million persons 12 or older who
used illicit drugs for the first time, 23% used prescription pain relievers. Women and teen girls
are more likelyto abuse prescription drugs,partly because painkiller abuse is more socially
acceptable than street drug use.The problem is complex because the main source of these
drugs is an informal network rather than dealers,with more than 55 % of abusers getting their
painkillers from family or friends.Illegal drugs include prescription drugs such as painkillers
when they are used or sold outside of the regulated environment via licensed physicians and
pharmacies.2
Non-traditional students include those attending alternative, continuation,communityday, juvenilecourt and county community
schools.
2Sources:SAMSHSA,Office of National Drug Control Policy,National Institute on Drug Abuse,and Substance Abuse Policy
Research Program.
Exhibit A
Page 2 of 11
The California Healthy Kids Survey 2006/08 statistics indicate:
•12%of 9m grade students and 16%of 11lh grade students in Fresno County report
painkiller use in their lifetime.
•9th grade painkiller use is higher thanthe statewideaverage.
Target Population
Youth and young adults ages 12-20 in targeted high use areas for prescription painkiller
abuse,as identified in California Healthy Kids Survey data from 2006/2008.
CONTRACTOR RESPONSIBILITIES
For Goal 1,"Reduce substance use rates among 12-20 year old youth for Fresno AOD
categories significantly higher than state statistics",there is one objective related to this
Agreement;"To reduce illicit use of prescription painkillers among targeted high-use youth."
For Objective 3,CONTRACTOR will identify and implement effective and evidence-based
tools for parents,teachers,coaches,health professionals and other teen influencers in
schools and communities regarding decreasing use,educating regarding risks and reducing
the number of deaths associated with painkiller use.
Implementation Plan
1.Short-term Outcome:By 6/30/11,adults in the lives of local youth will have increased
awareness of risks and consequences associated with illicit painkiller use and increased
capacity to prevent painkiller use by teens through a countywide teen prescription drug abuse
education initiative entitled,"Lock It Up".The scope of work activities include the following:
Community-based Process
•Project staff will convene a workgroup made up of individuals participating in the
county's existing Community Partnership for Substance Abuse Prevention. The Workgroup
will meet a minimum of four times in-person or via teleconference for 1-2 hours at a time and
will serve inan advisory capacity in order to integrate the topic and the proposed activities
within services existing within and across all behavioral health and drug and alcohol
prevention sectors of the community.
•Staff will also conduct a minimum of one (2-4 hour)strategic planning process with
members of the advisory board in Year One to assess strengths and weaknesses of the
Lock It Up program,to identify gaps in Workgroup community representation (cultural /
ethnic /gender /sexual orientation, etc.) inorder to recruit for additional members,and to
create a strategic plan for the expansion of the program in order to reach the intermediate
goal of a 3% reduction in illicit painkiller use from 2006-08 statistics by June 30,2013.
•"Lock It Up"program staff will also participate in Fresno County Alcohol and Drug
Advisory Board monthly meetings,monthly Provider and/or quarterly Prevention provider
meetings,and all required meetings and trainings including but not limited to fiscal trainings
provided by the State Department of Alcohol and Drug programs.
• With guidance from the project's Workgroup, staff will conduct a minimum of two (1-2
hour)Town Hall meetings in Clovis and Sanger in English and Spanish to release
information about the Healthy Kids Survey findings,the risks of teen prescription drug
abuse,and the Lock It Up program goals and activities. As recommended,Town Hall
meetings will include a panel of experts from the medical and parenting community, school
representatives,and behavioral health and alcohol and drug partners.Additional translation
services will be available as audience needs dictate.Attendees will be asked to sign the
Lock It Up pledge to talk to teens in their livesabout the dangers of prescription drug abuse,
Exhibit A
Page 3 of 11
to maintain an inventory of their prescription drugs and toensure safe storage of all
prescription drugs.
• Staffwill also participate in a series of community-based outreachevents to promote
the Lock It Up program in each city to include 4 - 8 (30- 60 min)presentations to social
service, faith-based and cultural organizations including Clovis'Substance Abuse Youth
Coordinating Council and Sanger's Migrant Parent Program.
• Staff will participate in 4 - 6 community events such as health fairs, Farmer's Markets,
Hmong New Yearevents,Cinco de Mayo,etc.All outreach strategies will include the Lock It
Up pledge for parents to sign,and all program-specific materials will be in English,Spanish
and Hmong.
• Pre-tested educational materialsforoutreach activities will be purchased from national
clearinghouses such as the Anti-Drug Campaignafter inspectionand approval from
Workgroup members.Program-specific promotional items will be purchased to distribute at
all community-based activities in orderto raise awareness and bring attention tothe issue.
•In addition,the program will "raffle"off 1- 2 medicine lock boxesat every community-
based activity.Raffle tickets will be offered toaudience members who participate in
evaluation activities such as completing a post-test or survey.
• Staff will coordinate with the Education and Leadership Foundation to develop a "train-
the-trainer"program model that will be usedtoeducateand train members in their college
programs to serve as educators and mentors on reducing the illicit use of prescription
painkillers among younger youth.This will include strategiesto obtain Lock It Up pledges
from youth participants in the Education and Leadership Foundation programs,including the
family programs that reach the younger (12-14 year old)youth population.
Environmental Process
•Staff will:
o Conduct program presentations at 1 - 3 San Joaquin Pharmacists Association
meetings.
o Conduct personal visits to select pharmacies to ensure an equal countywide
distributionof 25% of pharmacies (N=291)that operate in Fresno County
participate in the program in Year One. Participating pharmacies will be asked to
sign a Memorandumof Understanding to participate inthe Lock It Up program by
a)including a notice or flyer with every painkiller prescription filled warning
customers about the risks and prevalence of painkiller use by teens,steps to
take to ensure the safe storage of prescription pain killers, referral information for
treatment, and the program website page, and b) posting program-provided
educational posters with the same information in highly visible locations within
the pharmacy.Pharmacies will be encouraged to display and sell special
medicine "lock boxes" at discount prices incoordination with the project.
• Staff will work with the Fresno Madera Medical Society to ensure theirpartnership in the
Lock It Up program through 1- 3 guest editorials and/or articles on the prevalence of
painkiller use byteens and tipsfor providing patienteducation on the topicthroughthe
medicalsociety's monthly publication,Vital Signs,sent to over 1,100 medical providers
throughout the area.
Information Dissemination
• Local television station,Valley Public Television,will lend technical assistance and
expertise to create 1- 3 (30- 60 second)public service announcements (PSA)in English,
Spanish and Hmongon the risks and prevalence of painkiller use by teens,steps to ensure
the safe storage of prescription painkillers,and referral information for treatment and the
program's website.
•Completed PSAs will be distributed to all 29 local television stations witha request to
air.
Exhibit A
Page 4 of 11
•The program will also secure paid placement of the ad(s)on a minimum of three cable
television stations during Red RibbonWeek incoordination with school and community
events and activities.
• The project will sponsor a companion radio PSA in English,Spanish and Hmong, which
will be distributed to all 45 licensed radio stations in the county with a request to air.
•The PSA(s)will be posted on the program web page located on the Collaborative's
website at http://www.heaithcollaborative.org and made available to all collaborating
partners including pharmacies,drug and alcohol agencies and voluntary organizations,and
schools to post on their websites and/or social networking sites.
•Teens participating in the Collaborative's regional teen prevention program will create
and monitor a program-sponsored Face Book page with teen-designed educational
messages regarding the risks of prescription painkiller use,information on community
treatment centers,and links to local,state and national sites for additional resources.The
social networking activity goal is to increase the number of site "friends"by a minimum of
25%after Year One or to change venues,as needs and teen attention dictates.
• In coordination with Royer Studios,teen and young adult participants in the program will
have the opportunity to develop animated PSAs on the dangers of prescription painkillers.
The PSAs will be posted on the Lock It Up program Face Book page and the Royer Studios
website (www.royerstudios.com).
Education Process
•Staff will conduct a minimum of five school-based outreach activities in partnership
with Fresno County Office of Education,Friday Night Live,Education and Leadership
Foundation,and Clovis and Sanger high and middle schools to include:
o 1-2(30-60 minute)meetings with faculty and staff to share Healthy Kids
survey results,the risks,signs and symptoms of teen prescription drug abuse
and Lock It Up program activities;
o 2 - 4 (60 - 90 minute)in-service trainings for school counselors and/or drug
and alcohol staff on dangers and signs of prescription drug abuse,community
resources,and Lock It Up program activities;and
o 2-4(1-2 hour)campus activities for students such as classroom
presentations,assemblies,training peer mentors,etc.
o 1-2 (60 - 90 minute)activities at California State University -Fresno to educate
members of Education and Leadership Foundation programs and other
students about the dangers of prescription painkillers.
2.Intermediate-term Outcome:By 6/30/13,there will be a 3%reduction in illicit painkiller use
from 2006-08 statistics for youth in targeted schools/areas through the continued efforts of the
countywide,"Lock It Up"teen prescription drug abuse education initiative.Proposed project
activities include:
Community-based Process
•The project's Workgroup will continue to meet a minimum of four times in-person or via
teleconference for 1- 2 hours at a time in order to continually assess the program and to
integrate the topic within existing services.
• A minimum of three new community members will be recruited from outside of the
existing Community Partnership for Substance Abuse Prevention in an effort to continually
expand the reach of the program in a culturally appropriate manner.
•The Workgroup will complete a two-year strategic plan to further reduce illicit painkiller
use by 5% by 6/30/15.
•"Lock It Up"program staff will continue to participate in Fresno County Alcohol and
Drug Advisory Board monthly meetings,monthly Provider and/or quarterly Prevention
provider meetings,and all required meetings and trainings including but not limited to fiscal
trainings provided by the State Department of Alcohol and Drug programs.
Exhibit A
Page 5 of 11
•Years Two -Three will focus on the communities of Kingsburg,Sierra,Selma and
Riverdale.Staff will continue to conduct Town Hall meetings with a minimum of two (1-2
hour)in each city to release information about the latest Healthy Kids Survey findings,
prescription drug abuse,and the Lock It Up program.
•Lock It Up pledges will continue to be distributed and collected at all community-based
activities and events.
•Staff will continue to participate in a series of community-based outreach events to
promote the Lock It Up program in each city to include 4 - 8 (30 - 60 min)presentations to
social service,faith-based,parenting and cultural organizations,and participation in 4 - 6
community events such as health fairs,Farmer's Markets,Hmong New Year events,Cinco
de Mayo,etc.as directed by the program's Workgroup.
•Staff will coordinate with Education and Leadership Foundation and their trained college
students to educate parents and youth participants in their program activities (such as the
College Mentoring Program,Migrant Family Day conference,parent retreats,and other
family events)about the dangers of the illicit use of prescription painkillers.
•Pre-tested educational materials for outreach activities will continue to be purchased
from national clearinghouses such as the Anti-Drug Campaign after inspection and approval
from Workgroup members.
•Workgroup members will advise on the creation of materials needed to fill gaps in
outreach as noted in the strategic planning process.
•Program-specific promotional items will continue to be distributed at all community-
based activities and the program will continue to "raffle" 1 - 2 medicine lock boxes at every
community-based activity for audience members who participate in evaluation activities.
Environmental Process
•The Lock It Up pharmacy /healthcare provider outreach component will be scrutinized
by the Workgroup during Year One,and activities adapted as needed.
•The number of pharmacies participating in the Lock It Up program will be increased by
25% from Year One to a minimum of 50%of the pharmacies (N=291)operating in Fresno
County in Years Two -Three.
•Staff will work with the Fresno Madera Medical Society to provide the Lock ItUp
educational materials to a minimum of 50 healthcare provider offices and clinics,ensuring
equitable distribution representing the entire county, for patients to view inthe waiting room.
Information Dissemination
•Program staff will continue to communicate with all local television stations to
encourage placement of the program PSA in English,Spanish and Hmong.
•The program will partner with Valley Public Television to produce a minimum of three (1
- 2 hr)educational shows for parents on the risks and prevalence of painkiller use by teens,
steps to ensure the safe storage of prescription painkillers,warning signs of teen
prescription pain killer abuse,referral information for treatment,and the Lock It Up project
goals and activities.
•The project's companion radio PSA in English,Spanish and Hmong,will continue to be
distributed to all 45 licensed radio stations in the county with a request to air; with particular
attention to local community radio stations serving priority population groups.
•Paid placement of the project's television and/or radio PSAs will continue to be
strategically placed during Red Ribbon Week to benefit from the community's heightened
awareness of drug and alcohol use and abuse.
•PSA(s)will continue to be posted on the program web page and made available to all
collaborating partners including pharmacies,drug and alcohol agencies,and schools with a
request to post on their websites and/or social networking sites and a linkto the program
web page.The electronic media activity goal is to increase the number of agencies and
organizations that place a link to the Lock It Up website on theirwebsite bya minimum of
25%after Year One.
Exhibit A
Page 6 of 11
• Teens participating in the Collaborative's regional teen prevention program will continue
to monitor and update the program's Face Book page (or other social networking medium as
teen use dictates)with teen-designed educational messages regarding the risksof
prescription painkiller use,information on community treatment centers, and links to local,
state and national sites for additional resources.
•Continued coordination with Royer Studios to develop animated PSAs and their
placement in the program's Face Book page and Royer Studios website.
Education Process
• Staff will continue targeted outreach toschools in partnership with Fresno County Office
of Education and Friday Night Live by conducting a minimum of four outreach activitiesat
Kingsburg,Sierra,Selma and Riverdale high and middle schools to include:
o 1 - 2 (30 - 60 minute)meetings with high school faculty and staff to share
Healthy Kids survey results, risks and dangers of teen prescription drug abuse
and Lock It Up program activities,
o 1 - 2 (60 - 90 minute) in-service trainings for school counselors and/or drug and
alcohol staff on the risks,signs and symptoms of prescription drug abuse,
community resources,and Lock It Up program activities,and
o 2-4(1-2 hour)campus activities for teens such as classroom presentations,
assemblies,training peer mentors,etc.
o 1-2 (60 - 90 minute) activities at California State University-Fresno to educate
members of Education and Leadership Foundation programs and other students
about the dangers of prescription painkillers.
3.Long-Term Outcome:By 6/30/15.there will be a 5%reduction in illicit painkiller use from
2006-08 statistics for youth in targeted schools/areas through the continued efforts of the
countywide,"Lock It Up"teen prescription drug abuse education initiative.Proposed project
activities include:
Community-based Process
•The Lock ItUp Workgroup will continue to meet a minimum of four times in-person or
via teleconference for 1- 2 hours at a time in order to continually assess the program.
• An additional three new community members will be recruited to continually expand the
reach of the program in a culturally appropriate manner.
•The Workgroup will complete a five-year assessment of the program to determine the
current illicit painkiller use rate,to determine whether a reduction by 5%was met,and to
recommend strategies for sustainability.
• A final report with descriptions of the Lock It Up program,lessons learned,and
recommendations for others will be produced and shared with the Fresno County Alcohol
and Drug Advisory Board, the Fresno County Board of Supervisors,the Fresno County
Board of Education,and through submission of abstracts to 1 - 3 drug prevention journals
such as the Journal of Drug Education and/or state or national conferences.
•"Lock It Up"program staff will continue to participate in Fresno County Alcohol and
Drug Advisory Board monthly meetings,monthly Provider and/or quarterly Prevention
provider meetings,and all required meetings and trainings.
•Direct community outreach will continue in Years 4-5 with special focus on the
communities of Kerman,Central Fresno,Firebaugh,and Coalinga (See note on site change
with updated Healthy Kids information).
•As the Workgroup dictates,staff will continue to conduct a minimum of two (1-2 hour)
Town Hall meetings in each town to release updated information about the latest Healthy
Kids Survey findings,prescription drug abuse,and the Lock ItUp program.
•Lock ItUp pledges will continue to be distributed and collected at all community-based
activities and events.
•Staff will also continue to participate in a series of community-based outreach events to
Exhibit A
Page 7 of 11
promote the Lock It Up program in each city to include 4 -8 (30- 60 min)presentations to
social service,faith-based,parenting and cultural organizations,and participation in 4 -6
community events such as health fairs,Farmer's Markets,Hmong New Yearevents,Cinco
de Mayo,etc.
• Staff will continue to coordinate with Education and Leadership Foundation and their
trained college studentstoeducate parents and youth participants in their program activities
(such as the College Mentoring Program,Migrant Family Day conference,parent retreats,
and other family events)aboutthedangers ofthe illicit use of prescription painkillers.
• Pre-tested educational materials for outreach activities will continue to be purchased
from national clearinghouses such as the Anti-Drug Campaign after inspection and approval
from Workgroup members.
•Workgroup members will advise on the creation of materials needed to fill gaps in
outreach as noted in the strategic planning process.
•Program-specific promotional items will continue to be distributed at all community-
based activities in addition to the raffled medicine lock boxes at every community-based
activity for those who participate in evaluation activities.
Environmental Process
• The Lock It Up pharmacy /healthcare provider outreach component will continually be
evaluated for possible improvements and activities adapted as needed.
• The number of pharmacies participating in the Lock It Up program will again be
increased toa minimum of 75%ofthe pharmacies (N=291)operating in Fresno County.
• Staff will continue to monitor the number of healthcare providers and clinics that provide
the Lock It Up educational materials in waiting rooms and will increase the number
participating from Years 2 - 3 by a minimum of 50% for a minimumof 100 healthcare
provider offices and clinics.
Information Dissemination
•Program staff will continue to communicate with all local television stations to
encourage placement ofthe program PSA in English,Spanish and Hmong with additional
paid placement on 1 - 3 stations during Red Ribbon Week.
• The project's companion radio PSA in English,Spanish and Hmong,will continueto be
distributed to all 45 licensed radio stations in the county with a request to air,with paid
placement in English and Spanish during Red Ribbon Week.
• Project PSA(s)will continue to be postedon the program'swebpage made available to
all collaborating partners with a request to poston their websites and/or social networking
sites. The electronic media activity goal is to increase the number of agencies and
organizations that place a link to the Lock It Up website on their website bya minimum of
25%after Year Three.
• Years Four-Five will also focuson sustainability ofthe program through the integration
ofthe Lock It Up program into other county or community-based programs.The program
website may then be moved to a partnering agency such as Friday Night Live.
• Teens participating in the Collaborative's regional teen prevention program will continue
to monitor and update the program's Face Book page (orother social networking medium as
teen use dictates)with teen-designed educational messages regarding the risks of
prescription painkiller use and community resources for help. Forsustainability purposes,
the coordination ofthe program's Face Book page mayalso be movedto a partnering
agency such as Friday Night Live.
•Continued coordination with Royer Studios to develop animated PSAs and their
placement in the program's Face Book page and Royer Studios website.
Education Process
• Staff will continue targeted outreach to schools in partnership with Fresno County
Office of Education and Friday Night Live by conducting a minimum of four outreach
Exhibit A
Page 8 of 11
activities at Kerman, Central Fresno, Firebaugh, and Coalinga high and middle schools to
include:
o 1 - 2 (30 - 60 minute)meetings with high school faculty and staff to share
updated Healthy Kids survey results,risks and dangers of teen prescription
drug abuse and Lock It Up program activities,
o 1 - 2 (60 - 90 minute) in-service trainings for school counselors and/or drug and
alcohol staff on dangers and signs of prescription drug abuse,community
resources,and Lock It Up program activities,and
o 2-4(1-2 hour)campus activities for teens such as classroom presentations,
assemblies,training peer mentors,etc.
o 1-2 (60 - 90 minute)activities at California State University -Fresno to educate
members of Education and Leadership Foundation programs and other
students about the dangers of prescription painkillers.
OUTCOMES
CONTRACTOR is expected to meet the outcomes outlined in the SPP and Logic Model.In
addition, CONTRACTOR is required to conduct pre-tests and post-tests that contain the same
wording as the benchmark data that was gathered by DBH-SASstaff during the SPP process.
Short-Term Outcomes:By 6/30/11,CONTRACTOR will a.)demonstrate a 1.5%reduction in
illicit painkiller use from 2006/2008 statistics for youth in targeted school/areas,and b.)
demonstrate that adults in the lives of local youth will have increased awareness of risk and
consequences associated with illicit painkiller use and increased capacity to prevent painkiller
use by teens.
Measurement:Increased awareness and capacity will be measured by three methods:1)focus
groups with adults who have teens in their lives, 2)event surveys conducted with adults at the
end of all community-based events to raise awareness,3)pharmacy customer surveys
conducted at participating pharmacies,and 4) lock-box sales at participating pharmacies.Each
of these methods will measure knowledge,experiences,skills,and recommended solutions
regarding illicit painkiller use by teens.
Intermediate Outcomes:By 6/30/13,CONTRACTOR will demonstrate a 3%reduction in
illicit painkiller use from 2006/2008 statistics for youth in targeted school/areas.
Long-Term Outcomes:By 6/30/2015,CONTRACTOR will demonstrate a 5%reduction in
illicit painkiller use from 2006/2008 statistics for youth in targeted school/areas.
Measurement:Improvement in community-level illicit painkiller use by teens will be assessed
utilizing the biennial California Healthy Kids Survey (CHKS)results and a program survey that
will contain the same wording as the California Healthy Kids survey which will be conducted with
all youth who participate in the program's school-based activities such as assemblies,
classroom presentations,etc.The baseline results from the 2006-08 CHKS informed the goals
of this RFP,therefore it will be important to examine improvements using the same
measurement method.The CHKS assesses students grades 9 thru 12 for their life-time use of
"prescription pain killer (Vicodin™,OxyContin™,Percodan™,Lortab™)"using a rating scale
ranging from 0 to 7 or more times.Fresno County schools implement the CHKS every two
years and data are publicly available on the CHKS website maintained by WestEd.Data
collected through the program's education-based surveys and the biennial CHKS data will be
used to determine reduction in painkiller use over time across targeted schools and areas.
Exhibit A
Page 9 of 11
Evaluation Plan
The Evaluation Plan will be developed in conjunction with an outside evaluator hired bythe
County of Fresno.This evaluator will provide program evaluation services to all of the selected
vendors providing AOD prevention services under the SPP.The County-contracted evaluator
will evaluate the required SPP outcomes,and work with the CONTRACTOR on additional
evaluation tools and measurements as well.
The CONTRACTOR is still responsible for collecting data that will be utilized to conduct the
program evaluation,including administering pre-and post-measurement tools based on the
CHKS survey.
Reporting of results:
All Lock It Up program staff will have an on-site personal computer with Internet access,which
will be included in the Collaborative network, with capability of data entry to the CalOMS Pv
system.The Collaborative maintains an IT Administrator onsite for technical assistance and
computer maintenance,and to ensure electronic security and compliance with HIPAA
guidelines.
Lock It Up staff will participate in all data collection,analysis and evaluation activities required
by Fresno County. Inaddition, project staff will track the number of program participants as
activities allow,and input data in the CalOMS system,as required by the State.
The LockIt Up Program Manager will write and submit all annual progress reports as well as
additional reports as requested by DBH-SAS staff. Inaddition, a case study is being considered
for submission to a drug education journal and/or state or national conference in Years Four-
Five,should results warrant.
Logic Model
Exhibit A
Page 10 of 11
Goal 1:Reduce substance use rates among 12-20 year old youth for Fresno AOD categories significantly higher than state statistics.
Prioritized Problem Statement:Supporting Data:
Data Sources:
Fresno County youth report
high rates of use of marijuana,
alcohol,binge drinking,and
illicit painkillers.
•10%of 7th grade students and 25% of 9th grade students in Fresno
County report that they have used marijuana in their lifetime, which is
higher than the statewide average.
•16%of 11th grade students report current marijuana use (last 30 days).
•African American students exhibit the highest marijuana current use
rates compared to other ethnic groups and significantly disproportionate
to the African American population in Fresno
a 39% of 7th grade students and 37% of 9th grade students perceive
harm from marijuana,less than the statewide average.
»50% of 9th grade students report easy access to marijuana,higher than
the statewide average,
o Juvenile misdemeanor arrests for marijuana have increased slightly in
recent years,
o Youth treatment rates for marijuana have increased significantly in
recent years.
•7th and 9th graders are slightly above statewide averages for current
alcohol use.
•Hispanic and White 9th and 11th graders exhibit higher current alcohol
use than Asian and African American students.
• 7th and 9th graders engage in binge drinkingat a rate slightly higher
than statewide averages.
•12%of 9th grade students and 16% of 11th grade students in Fresno
County report painkiller use in their lifetime.
• 9th grade painkiller use is higher than the statewide average.
California Healthy Kids Survey
2006/2008
CalOMS Treatment data 1997-
2008
California Department of Justice
1999-2006
Target Population:
Youth ages 12-20.
IOM Category:
Universal,Selective,Indicated
CSAP Strategy:
Environmental,Education,
Alternatives,Community-based
Process,and Information
Dissemination.
Exhibit A
Page 11 of 11
Objectives:i
1.Reduce marijuana use among targeted high use youth.
-6/30/11 -by 1.5%
-6/30/13-by 3%
-6/30/15-by 5%
• Primary Activity:Develop and implement age-appropriate and culturally affirmative effective and evidence-based messages and
activities to address risks of marijuana use to high use population,with a focus on African American youth.
Reduce alcohol use among targeted youth ages 12 -20.
-6/30/11-by 1.5%
-6/30/13-by 3%
-6/30/15-by 5%
•Primary Activity:Utilize effective and evidence-based social marketing principles targeted to middle and high school age students
and out-of-school youth to educate about the effects of alcohol use and binge drinking.
Reduce illicit use of prescription painkillers among targeted high use youth.
-6/30/11 -by 1.5%
-6/30/13-by 3%
-6/30/15-by 5%
•Primary Activity:Identify and implement effective and evidence-based tools for parents, teachers, coaches,health professionals
and other teen influencers in schools and communities regarding decreasing use,educating regarding risks and reducing the
number of deaths associated with painkiller use.
Short Term Outcomes:
1.By 6/30/11,80% of youth receiving
prevention services demonstrate
increased knowledge regarding
consequences of marijuana use.
2. By 6/30/11,80% of targeted youth
receiving prevention services
demonstrate increased knowledge
regarding consequences of alcohol use
and binge drinking.
3. By 6/30/11,adults in the lives of local
youth will have increased awareness of
risks and consequences associated with
illicit painkiller use and increased capacity
to prevent painkiller use by teens.
Intermediate Outcomes:
1.By 6/30/13,there is a 3%reduction in
marijuana use from 2006-08 statistics
for high use populations in targeted
schools/areas.
2. By 6/30/13,there is a 3%reduction of
reported binge drinking compared
with 2006-08 statistics for populations
in targeted schools/areas.
3. By 6/30/13,there will be a 3%
reduction in illicit painkiller use from
2006-08 statistics for youth in targeted
schools/areas.
Long Term Outcomes:
1.By 6/30/15,there is a 5%reduction in
marijuana use from 2006-08 statistics
for high use populations in targeted
schools/areas.
2. By 6/30/15,there is a 5%reduction in
reported binge drinking by targeted
youth receiving prevention services
compared to 2006-08 statistics.
3. By 6/30/15,there will be a 5%
reduction in illicit painkiller use from
2006-08 statistics for youth in targeted
schools/areas
Exhibit A-1
Page 1 of 13
ALCOHOL AM)OTHER PRIG SERVICES FOR VOLTIl IN KR..S.NO COUNTY
SUMMARY OF SERVICES
ORGANIZATION:California Health Collaborative
SEKVICES:Alcohol and Other Drug (AOD)Prevention Services
*Goal 1:Reduce .substance use rates anions I 2-20 year old
youth for I-res
slate statistics
youth for frcsno AOD categories signilieantly higher than
Objective 3:Reduce illicit use of prescription
painkillers anions targeted high use youth.
SUMMARY OF SERVICES
The two goals and related objectives for Fresno County's five-year Strategic Prevention Plan
for Alcohol and Other Drugs are:
Goal I:Reduce substance use rales among 12-20 war old youth lor Fresno AOD categories
significantly higher than state statistics.
Objectives:
• To reduce marijuana use among targeted high use youth;
• To reduce alcohol use among targeted youth ages 12-20:and
• To reduce illicit use of prescription painkillers among targeted high-use youth.
Goal 2:Reduce alcohol and other drug use by youth in non-traditional schools.1
Objective:
•Ry June 30,2015 a downward trend will emerge in AOD use among targeted non-
traditsonai students.
this Summary of Services includes services to address Goal 1 ami iis associated objective,to
reduce illicit use of prescription painkillers among targeted high-use votith.
History /Background
Painkiller use hits been rising steadily in the Limed Stales since the lc)H0's.Statistically,teens
are the most likely group to abuse prescription painkillers.Along with the rise in painkiller use
is an increase in addiction and related deaths.Seven of the 11 most commonly abused drugs bv
high school students are prescription or over the counter drugs. About one in five teens get
high by using painkillers.In 2008.of the 2.*)million persons 12 or older who used illicit drug;
for the first time.2}%used prescription pain relievers.Women and teen girls are more iikeh
to abuse prescription drugs,partly because painkiller abuse is more .socially acceptable than
street drug use,The problem is complex because the main source of these drugs is an inlbrmal
network rather than dealers,with more than 55 %of abusers gelling their painkillers from
,s
V
Non-tracitional students incude those ar.er._ng _llerr_1iv_coniiruation,:;<rr mu-iily day,juvenle .o.j't and county community
smools.
Exhibit A-1
Page 2 of 13
lamily or friends. Illegal drugs include prescription drugs such as painkillers when they are
used or sold outside of the regulated environment via licensed physicians and pharmacies/
I he California Healthy kids Survey 2000/DX statistics indicate:
• 12%of 9"grade students and \b%of 1llh grade students infrcsno County report
painkiller use in their lifetime.
• 9 grade painkiller use is higher than the statewide average.
Target Population
Youth and young adults ages 12-20 in targeted high use areas for prescription painkiller abuse,
as identified in California Healthy Kids Survey data from 2006/2008.
CONTRACTOR RESPONSIBILITIES
for Goal I."Reduce suhstance use rales among 12-20 year old youth for Fresno AOD
categories signilieantly higher than state statistics",there is one objective related to this
Agreement;"To reduce illicit use of prescription painkillers among targeted high-use youth,"
lor Objective 3.CONTRAC I OR will identify and implement effective and evidence-based
tools tor parents,teachers,coaches,health proiessionals and other teen influencers in schools
and communities regarding decreasing use.educating regarding risks and reducing,the number
of deaths associated with painkiller use.
Implementation Plan
i.Short-term Outcome:Bv 6 .-'3 0/1 I.adults in the lives of local youth will have increased
awareness ol risks and consequences associated with illicit painkiller use and increased
capacity lo prevent painkiller use bv teens through a countywide teen prescription drug abuse
education initiative entitled."Lock II Cy>".l'hc scope of work activities include the following;
('oinmuiulv-hased Process
•Project staff will convene a workgroup made up ol individuals participating in the
county's existing Community Partnership for Substance Abuse Prevention. The Workgroup
will meet a minimum of four times in-person or via teleconference for I -2 hours at a time
and will serve in an advisors capacity in order to integrate the topic and the proposed
activities within services existing within and across all behavioral health and drug and
alcohol prevention sectors of the community.
•Staff will also conduct a minimum of one (2-4 hour)strategic planning process with
members of the advisorv board in Year One to assess strengths and weaknesses of the Lock ll
(•p program,to identify gaps in Workgroup community representation (cultural ••'ethnic /
gender /sexual orientation,etc.) in order to recruit for additional members,and to createa
strategic plan forthe expansion of the program in order to reach the intermediate goal of a
3%reduction in illicit painkiller use from 2006-OK statistics by June 30,2013.
•"Lock li f 7?"program staff will also participate in Fresno County Alcohol and Drug
Advisory Board monthly meetings,monthly Provider and/or quarterly Prevention provider
meetings,and all required meetingsand trainings including butnot limned to fiscal trainings
provided by the State Deportment of Alcohol and Drug programs.
Soirees SAMSHSA.Officeof Naticra Dug Comrol Policy Na-.io _l Institute on DrugAbuse, ana Substance Abuse Policy
Research Proqran
Exhibit A-1
Page 3 of 13
• With guidance from the project's Workgroup,staff will conduct a minimum of two (I-2
hour)lown Hall meetings in Clovis and Sanger in hngli.sh and Spanish to release
information about the Healthy Kids Survey findings,the risks of teen prescription drug
abuse,and the Lock It Up program goals and activities.As recommended.Town Hall
meetings will include a panel of experts from the medical and parenting community,school
representatives,and behavioral health and alcohol and drug partners.Additional translation
services will be available as audience needs dictate.Attendees will be asked to sign the Lock
It Up pledge to talk to teens in their lives about the dangers of prescription drug abuse,to
maintain an inventory of their prescription drugs and to ensure safe storage of all prescription
drugs.
•Staff wall also participate in a series of community-based outreach events to promote the
Lock It Up program in each city to include 4 8 <30 60 min)presentations to social service,
faith-based and cultural organizations including Clovis"Substance Abuse Youth
Coordinating Council and Sanger's Migrant Parent Program.
•Staff will participate in 4 - 6 community events such as health fairs.Farmer's Markets.
Hmong New Year events.Cinco de Mayo. etc. All outreach strategies will include the Lock It
Up pledge for parents to sign,and all progiairi-spccific materials will be in English.Spanish
and Hmong.
•Pre-testetl educational materials for outreach activities will be purchased from national
clearinghouses such as the Anti-Drug Campaign after inspection and approval from
Workgroup members.Program-specific promotional items will be purchased to distribute at
all community-based activities in order to raise awareness and bring attention to the issue.
•In addition, the program will"raffle" off I -2 medicine lock boxes at every community-
basedactivity. Raffle ticketswill beoffered to audience members who participatein
evaluation activities such as completing a post-test or survey.
•Staff will coordinate with the Education and Leadership Foundation to develop a "train-
uhe-lruiner'"program model that will he used toeducateand train membersintheircollege
programstoserveas educatorsand mentors on reducingthe illicit useof prescription
painkillers among younger youth.This will include strategies to obtain Lock It Up pledges
from youth participants inthe Education and Leadership Foundation programs,including the
family programsthat reach the younger (12-14 yeai old) youth population.
L'lviioiimeniai Process
•Staff will:
c Conduct program presentationsat 1- 3 San Joaquin Pharmacists Association
meetings.
v Conduct personal visits to select pharmacies toensurean eqtial countywide
distribution of 25% of pharmacies (N_2l)I)that operate in Fresno County
participate in the program in Year One. Participating pharmacies will beaskedto
sign a Memorandum of Understanding to participate in the Lock It Up program by
a) including a notice or liver with every painkiller prescription idled warning
customers about the risks and prevalence ol painkiller use by teens,steps to lake
to ensure the sale storage of prescription pain killers,referral information for
treatment, and the program website page,and b) posting program-provided
educational posters withthesame information in highlyvisible locations within
the pharmacy.Pharmacies will be encouraged in display and sell special medicine
"lock boxc.T'at discount prices in coordination with the project
•Staff will work with the Fresno Madera Medical Society to ensure their partnership m
the Lock It Up program through 1 3 guest editorialsand/or articles on the prevalence of
Exhibit A-1
Page 4 of 13
painkiller use by teens and tips tor providing patient education on the topic through the
medical society's monthly publication.Vital Si^/is.sent to over El 00 medical providers
throughout Lite area.
Information Dissemination
•Focal television station. Valley Public Television.,will lend technical assistance and
expertise to create I 3 (30 60 second)public service announcements (PSA)in Lnglish.
Spanish and I Imong on the nsks and prevalence of painkiller use by teens,steps to ensure the
sate storage of prescription painkillers,and referral information for treatment and the
program's website.
•Completed PSAs will be distributed lo all 2°-local television stations with a request to
air.
•I he program will also secure paid placement of the adts}on a minimum ol three cable
television stations during Red Ribbon Week in coordination with school and community
events and activities.
• The project will sponsor a companion radio PSA in English,Spanish and Hmong,which
will be distributed to all 45 licensed radio stations in the county with a request to air.
•The PSA(s)will be posted on the program web page located on the Collaborative '.v
website at iutp:.Vyywy,Ecakhcollahitralivc.org.and made available to all collaborating
partners including pharmacies,drug and alcohol agencies and voluntary organizations,and
schools lo post on their websites and/or social networking, sites.
»Teens participating in the Collaborative ,v regional teen prevention program will create
and monitor a program-sponsored face Book page with teen-designed educational messages
regarding the risks of prescription painkiller use.information on community treatment
centers,and links lo local,state and national sites for additional resources.I'he social
networking activity goal is to increase the number of site "friends"by a minimum of 25%
after Year One or to change venues,as needs and teen attention dictates.
•In coordination with Royer Studios,teen and young adult participants in the program
will have the opportunity to develop animated PSAs on ihe dangers of prescription
painkillers. The PSAs will be posied on the Lock It Up program Face Book 'page and the
Royer Studios website (wyv\^ao\e£sjud^ojveoin).
Education Process
•Stall will conduct a minimum o\'\'\\-e school-based outreach activities in partnership
with Fresno County Office ol Fducalion. Friday Night Five. Education and Leadership
Foundation,and Clovis and Sanger high and middle schools to include:
:;I - 2 (30 -60 minute)meetings with faculty and staff to share Healthy Kids
survey results,the risks,signs and symptoms of teen prescription drug abuse
and Lock It Up program activities:
c,2 4 (60 90 minute)in-service trainings for school counselors and/or drug and
alcohol staff on dangers and signs of prescription drug abuse,community
resources,and Lock It Up program activities:and
o 2-4(1 -2 hour)campus activities for students such as classroom
presentations,assemblies,training peer mentors,etc.
*..1-2 (60 90 minute)activities at California State Lniversity -Fresno to educate
members o{Fducalion and Leadership Foundation programs and other students
about Ihe dangers of prescription painkillets.
Exhibit A-1
Page 5 of 13
2.Intermediate-term Outcome: Bv 67,30.'13,there will be a 3%reduction in illicit painkiller use
from 2006-08 statistics for youth in targeted schools-'ureas through the continued efforts of the
countywide,"Lock It Up"teen prescription drug abuse education initiative. Proposed protect
activities include:
('ommimify-hitseci Proce^x
• 1he project's Workgroup will continue to meet a minimum of four times in-person or
via teleconference lor 1- 2 hours at a time in order to continually assess the program and to
integrate the topic within existing services.
• A minimum of three new community members will be recruited from outside of (he
existing Community Partnership tor Substance Abuse Prevention in an effort to continually
expand the reach of the program in a culturally appropriate manner.
• The Workgroup will complete a two-year strategic plan lo further reduce illicit painkiller
use by 5%by 6/50/15.
•"Lock It Up"program staff wilt continue to participate in Fresno County Alcohol and
Drug Advisory Board monthly meetings,monthly Provider and/or quarterly Prevention
provider meetings,and all required meetings and trainings including but not limited to fiscal
trainings provided by the Stale Department of Alcohol and Drug programs.
« Years 1wo - Three will focus on the communities of Kingsburg,Sierra,Selma and
Riverdalc.Staff will continue to conduct Town Hall meetings with a minimum of two (1 ~ 2
hour) in each city 10 release information about the latest J lealthy Rids Survey findings,
prescription drug abuse, and the Lock It Up program.
•Lock If Up pledges wilt continue to be distributed and collected at all commutiity-bascd
activities and events.
• Stall"will continue to participate in a series of community-based outreach events to
promote the Lock.It Up program in eachcity lo include 4 X(30 60 min)presentations to
social service,faith-based,parenting and cultural organizations,and participationin 4-6
community events such as health fairs.Farmer's Markets.Hmong New Year events.Cinco
de Mayo.etc. as directed by the program's Workgroup.
•Slaii will coordinate with Education and Leadership Foundation and their trained
college students lo educate parents and youth participants intheir program activities (such as
ihe College Mentoring Program,Migrant Family Day conference, parent retreats,and other
family events) about the dangers of the illicit use of prescription painkillers.
«Prc-tested educational materials tor outreach activities will continue to be purchased
from national clearinghouses such as the .Anti-Drug Campaignafter inspectionand approval
In mi Workgroup members
• Workgroup members will advise on the creation of materials needed to lib gaps in
outreach as noted in the strategic planning process.
•Program-spec ilie promotional items will continue to be distributed at all community-
based activities and theprogram will continuelo "raffle"1 2 medicine lock boxesat every
community-based activity for audience members who participate in evaluation activities.
Additional Services Provided With Amendment 1 Funding
Eock It EpiEIL)staff will assist the Women's Initiative,an initiative ofthe United Way of
Fresno,asa primary partner m the "Eock ll Ep.Clean ll Out,Drop It Off"project.Ihis isan
effort to convene community organizations,pharmacists, school districts, local government
and law enforcement agencieslo prevent prescription drugabuse and minimize its impact on
the environment.LIE'staff will draft an outreach plan,submit articles for local publications
and developstrategiesto target teachers,coachesand elementary,middle and high school
students.
Exhibit A-1
Page 6 of 13
I II.will subcontract with the United Way o\Fresno for the creation of u presentation kit that
will include a DVD on prescription drug abuse,a prescription drug abuse prevention primer,a
list of services in Fresno County,a pledge card to be submitted to United Way and a LIU
Program brochure,
environmental Process
•\\\c Lock It Up pharmacy /healthcare provider outreach component will be scrutinized
by the Workgroup during Year One. and activ ilies adapted as needed.
•The number of pharmacies participating in the Lock It Up program will be increased by
25%from Year One lo a minimum of 50%ofihe pharmacies (\~_9l )operating in Fresno
County in Years Two -Three.
•Staff will work with the Fresno Madera Medical Society to provide the Lock It Up
educational materials to a minimum of 50 healthcare provider offices and clinics,ensuring
equitable distribution representing the entire eounly.for patients lo view in the waiting room.
Additional Services Provided With Amendment I Funding
I IE will develop and tiistribuiea toolkit for pharmacists to use at the prescriptiondrug pointof
sale with consumers regarding prescription drug use and abuse.The toolkit will be provided in
digital format (e.g.LHT>)for parentsand youthand will contain educational nialerials detailing
the scope of the problem,testimonials in video formal,lad sheets on prescription drugs
commonlv abused by leens,(ips toensure sale storage and proper disposal i>f prescriptiondrugs
and a lis!of resources available in Fresno County,
l/ijarnwtipn Di ssemittaiion
•Program staff will continue to communicate vvith all local television stations to
encourageplacementof Ihe program PSA in English.Spanishand I Imong.
•The program will partner with Valley Public l clevision to produce a minimum of three
(l - 2 hr) educational shows for parents on the risks and prevalence of painkiller use by-
teens,stepsto ensure thesafe storage of prescription painkillers,warning signs of teen
prescription pain killer abuse,referral inhumation for treatment,and the Lock It Up project
goals and activities.
•The project's companion radio PSAin English.Spanishand Hmong,will continue to be
distributed to all 45 licensed radio stations in the county with a request lo air;withparticular
attention to local community radio stations serving priority population groups.
• Paid placement ofthe project's television and/or radio PSAs will continue to be
strategically placed during Red Ribbon Week to benefit from the community's heightened
awareness of drug and alcohol use and abuse.
• PSA(s)will continue to be postedon the programweb pageand made available toall
collaborating partners including pharmacies,drug and alcohol agencies,and schools with a
request to post on then websites aiuPor social networking sites and a link to the program web
page.'The electronic mediaactivity goal isto increase the number of agenciesand
organizations that place a link to the Lock It Up website on their website by a minimum of
25%i after Year One.
• Teens participating in the Collaborative ",v regional teen prevention program will
continue to monitor and update the program's face Bookpage(orother social networking
medium as teen use dictates) with teen-designed educational messages regarding the risks at
prescription painkiller use.information on community treatment centers,and links to local,
state and national sites lor additional resources.
» Continued coordination with Royer Studios to develop animated PSAs and their
placement in the program's Face Book page and Royer Studios website.
Exhibit A-1
Page 7 of 13
Additional Services Provided With Amendment 1 Funding
LIE will make projectPublic Service Announcements availableto localhealth clinics,hospitals
and pharmaciestodisplay in their waiting rooms and/or through their television networks.LIU
will developa mediacampaign with NCM.MEDIA NETWORKS and VallevPBS targeting
moviegoers in theaters to raise awareness about prescription drug abuse.
Fditcalioii Process
•Staff will continue targeted outreach to schools in partnership with Fresno County
Office of Education and Friday Night Five by conducting a minimum of four outreach
activities at Kingsbury.Sierra.Selma and Riverdale high and middle schools to include:
c 1- 2 (30 -60 minute) meetings vvith high school faculty and staff to share
Healthy Kids survey results,risks and dangers of teen prescription drug abuse and
Lock It Up program activities.
-.•I - 2 (60 00 minute) in-service trainings for school counselors and/or drug and
alcohol staff on the risks, signs and symptoms of prescriptiondrug abuse,
community resources, and Lock It Up program activities, and
..2-4(1-2 hour)campus aetiv ities for teens such as classroom presentations.
assemblies,training peer mentors,etc
-1-2 (60 9()minute) activities at Calilornia Stale I niversity - Fresno to educate
members of Education and Leadership Foundation programs and other students
about the dangers of prescription painkillers.
Additional Services Provided Willi Amendment I Funding
Eock ll E'p staff will conduct additional presentations to parents and youth in English.Spanish,
and Hmong thai include a prescription drug overview,testimonials,refusal skills,consequences
of abuse,and available resources for teens.Based on requests and data identifying areas of high
use youth.Ihe presentations will be conducted at various Fresno County schools and in
coordination with youih serving projects/agencies,Risks and prevalence of prescription
painkiller use by teens,steps to ensure the safe storage of prescription drugs,information on
available treatment, resources, and information about relevant activities taking place in 1'resno
County vvill be shared.
In conjunction with Fducalion and Leadership Foundation (Subcontractor),the 1 It I staff will
modify the train-the-trainer curricula with adaptations lor youth-serving professionals m Fresno
County.
In partnership with Calilornia State University-Fresno (f SEF)"Heallh and Wellness Programs'".
I.HJ staff will develop a peer educator program for college students focused on the dangers ol
prescription painkillers,LIU vvill host an event on campus vvith the Alcohol Safety Council-
Student Subcommittee to raise awareness of the issue.Staff will participate on ihe CSL L
riescnption Drug Programming Committee and assist with prevention efforts.
Exhibit A-1
Page S of 13
E long-Term Outcome:Rv 6/30/15,there will be a 5%reduction in illicit painkiller use from
2006-OS statistics for youth in targeted schools.'areas through ihe continued efforts of the
countywide,"Lock It Up"teen prescription drug abuse education initiative.Proposed project
activities include:
('oimmtnity-hasvd Process
•"I he Lock It Lp Workgroup will continue to meet a minimum of four times in-person or
via teleconference for 1- 2 hours at a time in order to continually assess the program.
«An additional three new community members will be recruited to continually expand the
reach of the program in a culturally appropriate manner.
•Ihe Workgroup will complete a five-year assessment of the program to determine (lie
current illicit painkiller use rate, to determine whether a reduction by 5% was met.and to
recommend strategies tor sustainability.
• A llnal report with descriptions of Ihe Lock It Up program,lessons learned,and
recommendations for others vvill be produced and shared with the Fresno County Alcohol
and Drug Advisory Board,the Fresno County Board of Supervisors,the Fresno County
Board of Education,and through submission of abstracts to I -3 drug prevention journals
such as the Journal of Drug Education and or state or national conferences.
•"Lock It l-p"program staff will continue to participate in Fresno County Alcohol and
Drug Advisory Board monthly meetings,monthly Provider and/or quarterly Prevention
provider meetings,and all required meetings and trainings,
• Direct community outreach vvill continue in Years 4-5 with special locus on the
communities of Kerman. Central Fresno. Firebaugh. and Coalinga (See note on site change
with updated Healthy Kids information).
• As the Workgroup chelates,siaff will continue to conduct a minimum of two (I 2
hour)Town Hall meetings ineach town to release updated informationabout ihe latest
Healthy Kids Survey findings,prescription drug abuse,and the Lock It Up program.
•Lock It Up pledges vvill continue to be distributed and collected at all conimunity-based
activities and events.
•Stall'will also continue lo participate in a series of community-based outreach events to
promote the Lock It Up program in each city lo include 4 -S(30 60min)presentations to
social service,faith-based, parenling and cultural organizations, and participation in 4 - 6
community events such as health lairs. Farmer's Markets,IlmongNew Yearevents. Cinco
de Mayo.etc.
•Stall'will continue to coordinate with Fducalion and Leadership Foundation and their
trained college students lo educateparents and youth participantsin theirprogram activities
(such as ihe College Mentoring Program. Migrant Family Dayconference, parent retreats,
and other family events) about the dangers of the illicit use of prescription painkillers.
•Pre-tesled educational materials for outreach activities will continue to be purchased
from national clearinghouses such as the Anti-Drug Campaign alter inspection and approval
from Workgroup members.
•Workgroup members will advise onthe creation of materials needed to till gaps in
outreach as noted in the strategic planning,process.
•Program-specific promotional items willcontinueto be distributed atall community -
based activities in addition to the raffled medicine lock boxes at every community-based
activity for those who participate in evaluation activities.
Environmental Process
• The Lock It Up pharmacy /healthcare provider outreach component will continually be
evaluated for possible improvementsand activities adapted as needed.
Exhibit A-1
Page 9 of 13
•The number of pharmacies participating in the Lock It Up program vvill againbe
increased to a minimum of 75%of the pharmacies (N-297 )operating in Fresno County.
Staff will conlinue to monitor the numberof healthcare providersand clinics that providethe
Lock It Up educational materials in waiting rooms and will increase the number participating
from Years 2-3 by a minimum 01750%for a minimum of 100 healthcare provider offices and
climes.
Additional Services Provided With Amendment I Funding
Lit:will distribute pharmacy toolkits to additional sites and gather feedback from pharmacists
regarding consumer interest and reaction.
Information LUssemitiattori
•Program stall'will continue to communicate with all local Iclcvision stations to
encourage placement ol the program PSA in English.Spanish and Hmong vvith additional
paid placement on 1- 3 stationsduring Red Ribbon Week.
•"I he project's companion radio PSA in English.Spanish and 1imong.will continue to be
distributed to all 45 licensed radio stations in the county with a request to air. with paid
placement in English and Spanish during Red Ribbon Week.
•Project PSA(s)vvill continue to be posted on the program's web page made available to
all collaborating partners with a request to post on their websites aiuFor social networking
sites.'The electronic media activity goal is lo increase the number of agencies and
organizations that place a link lo the Lock If Up website on their website by a minimum ol"
25%after Year Three.
• Years Four - Five will also focus on suslainability of the program through ihe
integration of the Lock It Ip program into other county or corn.rnuriity-ba.sed programs.Ihe
program website may then be moved to a partnering agency such as Friday Night Five.
•Teens participating in the Collaborative s regional leen prevention program will
continue to monitor and update ihe program's Face Book page (or other social networking
medium as teen use dictates)with teen-designed educational messages regarding the risks oi
prescription painkiller use and community resources for help.For sustainabiliiy purposes,the
coordination of the program's face Book page may also be moved to a partnering agency
such as Friday Night Live.
•Continued coordination with Royer Studios lo develop animated PSAs and their
placement in the progiam's face Book page and Royer Studios website.
Additional Services Provided With Amendment I Funding
Ell will make proieet Public Service Announcements available to additional health chutes,
hospitals and pharmacies in Fresno County to utilize mtheir waiting rooms and/or through their
television networks.
Education Process
• Staff will conlinue targeted outreach to schools in partnership with Fresno County
Office of Education and Friday Night Five by conducting a minimum ol lour outreach
activities at Kerman.Central Fresno.Firebaugh.and Coalinga high and middle schools to
include:
,-,1 ..2 (30 60 minute)meetings vvith high school faculty and staffto share
updated Healthy Kids survey results,risks and dangers id'teen prescription drug
abuse and Lock If Up program activities.
Exhibit A 1
Page 10 of 13
••:<I - 2 (60 -(">0 minute)in-service trainings for school counselors and/or drug and
alcohol staff on dangers and signs of prescription ding abuse,community
resources,and Lock It Up program activities,and
,.'2 4(1 2 hour)campus activities for teens such as classroom presentations.
assemblies,training peer inenlors,etc.
r,1-2 (60 - 90 minute)activities at California Slate University -Fresno to educate
members of Education and Leadership Foundation programs and other students
about the dangers of prescription painkillers.
Additional Services Provided With Amendment I Funding
Additional presentations will be offered in expanded schools and communities to parents and
youth in Fnglish.Spanish,and Hmong thai include a prescription drug overview,testimonials,
refusal skills,consequences of abuse,and available resources for teens.
A modified train-the-irainer curricula will be presented to expanded groups of youih-serving
professionals in Fresno County vvith an identified need.
Staff will continue to collaborate with CSUF "Health and Wellness Programs"to provide
programs for college students focused on the clangers of prescription painkillers,including events
on campus coordinated by the Alcohol Safety Council-Student Subcommittee.
OUTCOMES
CONTRACTOR is expected to meet the outcomes outlined in the SPP and Logic Model. In
addition.CONTRACTOR is required lo conduct pre-lests and post-tests that contain the same
wording as the benchmark data that was gathered by DBH-SAS staff during the SPP process.
Short-Term Outcomes:By 6/30/11.COM'RAC TOR will a.) demonstrate a 1.5%reduction in
illicit painkiller use from 2006 _(H)X statistics for youth in iargelcd school/areas, and b.)
demonstrate that adults m Ihe lives ol local youth will have increased awareness of risk and
consequences associated with illicit painkiller use and increased capacity to prevent painkiller
use by teens.
Measurement:Increased awareness and eapaeily vvill be measured by three methods:I)focus
groups wilh adultswho have icons in their lives,2)event surveys conducted vvith adults at the
end ol all coinmuniiy-based events lo raise awareness. 3) pharmacycustomer surveys conducled
ai participating pharmacies,and4)lock-box salesat participating pharmacies.Each of these
methods vvill measure knowledge, experiences,skills,and recommended solutions regarding
illicit painkiller use by teens.
Intermediate Outcomes:By 6/50/L3.CONTRACTOR vvill demonstrate a 3% reduction in
illicitpainkiller use from 2006/2008 statisticsforyouth in targeted school/areas.
Long-Term Outcomes:By 6.'30'2015.CON'i RAC'l OR will demonstrate a 5%reduction in
illicit painkiller use from 2006/200K statistics for youth in targeted school-areas.
Measurement:Improvement in community-level illicit painkiller use by teens will be assessed
utilizing the biennial California Healthy Kids Survey (CHKS)results and a program survey that
will contain thesame wordingas the California HealthyKidssurveywhich will be conducted
with all youth who participatein the program's school-based activitiessuchas assemblies,
classroom presentations,etc.The baseline results from the 2006-08 CHKS informed the goals of
Exhibit A-1
Page 11 ot 13
this RTF.therefore it will be important to examine improvements using the same measurement
method. 1he CHKS assesses students grades 0 thru 12 for their life-lime use of "prescription
pain killer (Vicodin'W OxyConlin™.PcrcodanlM.Lortab1M)"using a rating scale ranging from
0 to 7 or more times. FresnoCounty schools implement the CHKS every two yearsand data are
publicly available on the CHKS website maintained by WcstLd.Data collected through the
program's education-based surveysand the biennial CI IKS data will be used to determine
reduction in painkiller use over time across targeted schools and areas.
Evaluation Plan
J he Lvaluation Plan will be developed in conjunction with an outside evaluator hired by Ihe
County of Fresno.This evaluator will provide program evaluation services toall of the selected
vendors providing AOD prevention services under the SPP,The County-contracted evaluator
vvill evaluate the required SPP outcomes,and work with the CONTRACTOR on additional
evaluation tools and measurements as well.
ihe CONTRACTOR is sull responsible for collecting data thai will be utilized to conduct the
program evaluation,including administering pre-and post-measurement tools based on the
CHKS survey,
Reporting ol results:
All lock It Up program staff vvill have an on-site personal computer with Internet access,which
will be included in the Collaborative network,with capability of data entry to the CalOMS Pv
svstem.The Collaborative maintains an 11 Administrator onsile for technical assistance and
computer maintenance,and to ensure electronic security and compliance vvith HIPAA
guidelines.
Lock It Up staff will participate in all data colleciion.analysis and evaluation activities required
bv Fresno County,in addition,project staff will track Ihe number of program participants as
activities allow,and input datain the CalOMS system,as required by the State.
The Lock It Up Program Manager vvill write and submit all annual progress reports as well as
additional reports as requested by DBH-SAS staff.In addition,a case study is being considered
for submission to a drug education journal and/or stale or national conference in Years Four -
five,should results warrant.
Logic Model
txr.iDii /\-
Page 12 of 1:
Goal 1:Reduce substance use rates among 12-20 year old youth for Fresno AOD categories significantly higher than state statistics.
Priontiied Problem Statement:
Fresno County youth report
high rates of use of marijuana.
alcohol,binge drinking, and
illicit painkillers.
TargetPopulation:
Youth ages 12-20
SupportingData:
10%of 7th grade students and 25% of 9th grade students in Fresno
County report that they haveused marijuana in their lifetime,which is
higher than the statewide average.
.16%of 11th grade students report currentmarijuanause (last30 days).
•African American students exhibit the highest marijuana current use
rates compared to otherethnicgroups and significantly disproportionate
to the African American population in Fresno
• 39% of7thgrade students and 37%of9th grade students perceive
harm from marijuana,less than the statewide average.
«50%of9thgrade students report easy access to marijuana higher than
the statewide average
. Juvenile misdemeanor arrests for marijuana have increased slightly in
recent years
•Youth treatment rates for marijuana have increased significantly in
recent years.
«7thand 9th graders are slightly above statewide averages for current
alcohol use
•Hispanic and White 9th and 11th graders exhibit higher current alcohol
use than Asian and African American students.
•7th and 9th graders engage in binge drinking at a rate slightly higher
than statewide averages.
.12%of9thgrade students and 16%of 11th grade students in Fresno
County report painkiller use in their lifetime
. 9th grade painkiller use is higherthan the statewide average.
Data Sources:
California Healthy Kids Survey
2006/2008
CalOMS Treatment data 1997-
2008
California Department of Justice
1999-2006
IOM Category:
Universal,Selective.Indicated
CSAP Strategy:
Environmental,Education.
Alternatives,Community-based
Process,and Information
Dissemination.
Objectives
fcxriiDlt r.-I
Page 1 3 of 13
Reduce marijuana use among targeted highuse youth.
-6/30/11 - by 1 5%,
-6/30/13-by 3%
-6/30/15-by 5%
♦Primary Activity:Develop and implement age-appropriate and culturally affirmative effective and evidence-based messages and
activities to address risks of marijuana use to high use population,with a focus on African American youth.
Reduce alcohol use among targeted youth ages 12 -20
-6/30/11 -by 1.5%
-6/30/13-by 3%
-6/30/15-by 5%
.Primary Activity Utilize effective and evidence-based social marketing principles targeted to middle and high school age students
and out-of-school youth to educate about the effects of alcohol use and binge drinking.
Reduce illicit use of prescription painkillers among targeted high use youth
-6/30/11 -by 1.5%
-6/30/13 - by 3%
-6/30/15 -by 5%.Primary Activity.Identify and implement effective and evidence-based tools for parents,teachers,coaches,health professionals
and other teen influences in schools and communities regarding decreasing use,educating regarding risks and reducing the
number of deaths associated with painkiller use
Short Term Outcomes:
1 By 6/30/11.80% of youth receiving
prevention services demonstrate
increased knowledge regarding
consequences of marijuana use.
2.By 6/30/11.80% oftargeted youth
receiving prevention services
demonstrate increased knowledge
regarding consequences of alcohol use
and binge drinking.
3.By 6/30/11,adultsinthe livesoflocal
youth will have increased awareness of
risks and consequences associated with
illicit painkiller use and increased capacity
_ to prevent painkiller use byteens
Intermediate Outcomes:
1 By 6/30/13 there is a 3% reduction in
marijuana use from 2006-08 statistics
for highuse populations in targeted
schools/areas.
2.By 6/30/13, there is a 3% reductionof
reported binge drinking compared
with 2006-08 statistics for populations
in targeted schools/areas.
3. By 6/30/13.there will be a 3%
reduction in illicit painkiller use from
2006-08 statistics for youth in targeted
schools/areas.
Long Term Outcomes:
1 By 6/30/15.there is a 5%reduction in
marijuana use from 2006-08 statistics
for high use populations in targeted
schools/areas
2. By 6/30/15,there is a 5%reduction in
reported binge drinking by targeted
youth receiving prevention services
compared to 2006-08 statistics.
3. By 6/30/15,there will be a 5%
reduction in illicit painkiller use from
2006-08 statistics for youth in targeted
schools/areas
VENDOR NAME:California Health Collaborative
PERSONNEL TITLE/DESCRIPTION
101 Program Manager
10?Outreach Speciafe!
103 Outreach Specialist
104 Outreach Specialist
TOTAL SALARIES
PAYROLL TAX &BENEFITS
FICA/OASDI
State Unemployment -SUI
State Disability -SOI
Medicaf/Health Benefits
Dental Benefits
Vision Benefits
Retirement Benefits
Other Benefits i.Please Specify)
Life Insurance
SUBTOTAl PAYROLL TAX S BENEFITS (notto exceed 20%;
151
152
153
ICvS
155
156
157
168
153
160
t61 Workers Compensation
TOTAL BENEFITS
TOTAL SALARIES?.BENLTITS
OPERATIONAL EXPENSES
?C1 Communications
2C2 Consultant Services
203 Dues &Subscriptions
2QA Employee Cleatanc«.''Licensing
205 EmployeeTravel &Per Diem
205 Employee Training
?07 Equipment
208 Eauipmeni Maintenance
209 Facilities Maintenance
210 Food
211 Office Supplies
212 Postage
213 Printing
216 Transportation'Mileage!
?t8 Miscellaneous (please provide detail)
219 Rent, Utilities and Janitoria'
Subtotal
COST PROPOSAL -SECTION III
FTE ;
1
0.5
n
2.5
Tav V,
7 6b%
•01%
4 62%
i.DD%
0.60%
4 82%
0 10%
*9.S'0s'c
1.10%
FY 2010-11
42,000.00
33,280.00
16,640.00
0.00
91,92000
7,031.88
924.18
4.430.54
919.20
551.52
4.430 54
01 92
1,011.12
19,390 90
111,310.90
7,500,00
4.500.00
0.00
000
3.200.00
2,250.00
4,550.00
3,00000
0.00
300 00
3,181 76
528.00
11.800.00
0.00'
10.125.00
50,934.76
FY 2011 12 FY 2012-13 FY 2013-14 FY 2014-15
FTE
1
1
1
1
4
Tax S1
7 65"'
?.-??/•<
365
GO
15
5 00^
0 35?
0 80%
28 14 V,,
46.200
34.278
34.278
33.280
DO 47,586 00
40 35,306.75
.40 35,306.75
00 34.278.40
49.013.58 50,483.99
36,365.95 37,456.93
36.365.95 37.456.93
35.306.75 36,365.95
148,036.80 152,477.90 157.052.24 161,763.81
11.324.82 11.664 56
1,758.40 1.758.40
12 014.50
1 758-40
12,374.93
1,758.40
17,520.00 18,045 60 18.586.97
3.055.39
763.85
7,852,61
565.39
19,144.58
3,147.05
736.76
8,088.19
582.35
2,880 00
720 00
5,737 84
53293
2,966 40
741 60
7,623.90
548 92
1.184.29 1,219.82
41,658.28 44,569.20
189,695.08 197,047.10
1,256.42 1,294 11
45,853.52 47,176.38
202,905.76 208.940.18
4,500.00
24,500 00
000
000
3.200.00
2.250.00
000
4 800,00
0 00
300 00
4.726.65
500.00
11,000.00
3,000 00
16.200.00
74,976.65
4,500-00 4,500.00 4,500.00
4 500 00 4,500.00 4.500.00
0 00 0 00 0.00
000 0.00 0.00
3 200 00 3,200.00 3 200.00
2.250 00 2,250.00 2.250.00
0.00 0.00 000
4.800 00 4,800.00 4,800.00
0.00 0.00 0.00
200 00 200.00 20000
2,574.04 1,169.84 1.168.31
500.00 500.00 500.00
10,000,00 10.000.00 10,000,00
3,000.00 2.000.00 2,000.00
16,666.00 17,186.58 17.702.18
52.210 04 50,306.42 50,82048
VENDOR NAME:California Health Collaborative
FINANCIAL SERVICES EXPENSES
Administrative Overhead (cannoi exceed 15%of proposed
3C1 maximum compensation!
3C2 I egal &AuditExpense
302 Cormnercal Liab-hty
304 Automoble Liability
305 Legal Notices-Advertising
306 Other Insurance (please specify)
307 Acco ur-ti ng/Rookkeepmg
306
Subtotal
DIRECT PREVENTION SERVICES
401 Program Expenses -Incentives
402 Program Expenses -Food
403 Program Expenses - Educational
404 ProgramExpenses -Othe;
405 Program Expenses Othe'i
406 Program Expenses -Olhc;-;
40S Translation
Subtotal
Salaries &Benef ts
Operational
Financial Services
Drect Prevention Services
TOTAL EXPENSES
Media Place-men:-
Promotional Hems;
Facftv Fees;
REQUESTFORONE TIME ADVANCEFORSTART UP
501 COSTS
BIDDERS MATCH
3120 Grants
.3130 Private Donations
3140 Olner (Specify)
NET PROGRAM BUDGET
COST PROPOSAL -SECTION I
FY 2010-11
10 434.78
521 74
313 04
0.00
0.00
000
20.034.78
31,304 34
4.400 00
4.050.00
7,000 00
19,000.00
12,000.00
0 00
0 00
46,450,00
111,310.90
50.934 76
31.304 34
46,450 00
240,000.00
0 00
0 00
0 00
0.00
240,000 00
E*mi:IB-
FY 2011-12 FY 2012-13 FY 2013-14 FY 2014-15
1478261 14,782.61 14.782.6115,652 1"
782 61 739.13 739.13 739.13
469.57 44348 443.48 443.48
0.00 000 0.00 0.00
0 00 0 00 0 00 0.00
0 00 0 00 0.00 ooo
30,052 17 2838261 28.382.61 28.382.81
46,956.51 44,347.82
5.340 00
44,347.82
4,240.00
44,347.82
5.340 00 4.240.00
5,400.00 4.800.00 3,20000 3.200.00
6 631,75 5.255.04 4,000.00 2.500.00
15,000.00 15.000 00 15,000.00 12 520.00
12.000.00 12.000.00 12,000 00 10.431.51
2.000 00 2.000 00 2,000.00 1 500 00
2.000 00 2.000 00 2,00000 1 500.00
48.371.75 46.395.04 42,440.00 35.891.51
189.695.06 197.047 10 202,905 76
208.940 18
74,976-65 52.210.04 50.306 42 50.820.48
46.956.51 44,347.82 44.347 82 44.347.82
48.371.75 46,39504 42,440 00 35.891.51
360.000.00 340,000.00 340,000.00 340.000,00
N/A N/A
0 0
0 0
0 0
N/A N/A
360,000 00 340,000.00 340.000 00 340,UOO.QO
COST PROPOSAL JUSTIFICATION- SECTION III
YEAR ONE
£xhitail B-t
VENDOR NAME:California Health Collaborative
PERSONNEL TITLE/DESCRIPTION
•>Q\Program Manager S 4?noo -S -16,200 annual at :0 FTE
Outreach Specaiist,$15.00.'ln -S 18 55,'hr at *0 h IE (40 hrs'./.'eeki
103;Outreac.h Specialist S 16 OCl'fi -t 18-55.hr at 1 0 F IF.(40 hrs>V,eek!
104 Outreach Specialist.S 16 CQ/hr -S 18 SS.'hr a: 10 FTE 140 Ins/week!
TOTAL SALARIES.
PAYROLL TAX &BENEFITS
161
thi
153
154
'i5&
156
157
15S
159
160
151
201
202
703
204
FICA'OASUI
State Unemployment -SUI
Sta;e Disability -SDI
MedicafHeailn Benefits
Dental BereOs
Vision Benefits
Retirement Benefits
Other Benefits iPlease specify)
Worker's Compensation
TOTAL BENEFITS
TOTAL SALARIES^BENEFITS
OPERATIONAL EXPENSES
Communications
Consultant Services
Dues S Subscriptions
Employee Clearance/Licensing
JUSTIFICATION
Program Manager at 10 FTE Responsible for overall program management including supervision of staff tracking and appiov.ng
budge'expenditures de5,gnma program materials ano outreach,working with Evaluation Consultant on evaluation design and
dah col lectin -ecruitrng ano'nonvening gll Advisaiy Board meetings inducing Strategic Planning Summits Wilms and
submitting progress andmner reports and participating in required and other trainings Bilingual in Spanish piek-ned Annual Z%
COL increase included in subsequent years Increase Prog-am Manager Salary to $46,200 pei ye
scope of work and additional staff management.
year due to the expansion ol
nunity and school-based cuireach and media advocacyOJimactiSpecialistat 10 F1 E.Responsible for conducting all coinmirecruitingandcocd-cauia pharmacy and healthcare provider component neh-rtrking with community organizations and partners.
supervising youin-leo social networking project participating in all -equ.rea_recommendedtrainings,^|SU^WI^fata ^llec1l0n
and other duties as required Bilingual inSpanish preferred Ami-uai 3%COL increase included >n subsequent years
Out.«ach Specialist a-10 HI-.Responsible for conducting al community and school-based outreach and media advocacy,
.-trj-tina and coordinating pharmacy and healtncare provider component networking with community crganizshons and partners,
cuoervsinq youifi-M social networking project,participating in all required recommended trainings assisting with data col.ection
^nd older duties as required BHmguahn Hmong preferred Annual 3%COL increase included ,n subsequent yearn
Outreach Special at 1n FTE,Responsible for conducting all community and schoo'-oased out-each and media advocacy
recruitino ano coordinating pharmacy and healthcare provider component,networking wMh communrty organizations and partners,
.opening youth-led social networking project,part.cpabng ,n all required recommended trainings,assist.no.w-tn data colled.*
and omer dui.es as required Bilingual preferred Annual 39',COL increase included msubsequent years
JUSTIFICATION
FICA'OASDI are calculated at •'66"+o'personnel sa^r.es
SUI calculated at 1 01%of personnel salaries
M^drai b-nefits are calculated at S3S5 *12 x40 F1F based on actual cost Pe-employee
Der-ra'.bone-fits ate calculated at S60 x 12 x 40 Fl E based on actual cost pei employee
Vision benefits are calculated at 515 x 12 x 4 0 FTE based or.actual cost per employee
Retirement benefits arc calculated at6 00 "f of personnel salaries for 2 staff in year '-
jt ife insurance is calculated al 1%of personnel salaries
(Worker's Compensation is calculated at 1 VA of personnel salaries
and all staff in years :
$41 658
$185 696
JUSTIFICATION
Telephone eel-phone and data.'r.essaging plan,and FAX expense is calculated at $375 per mo >:1.months per yea,
Consuiting'servicos from Education and Leadership Foundation tc conduct .rfermational presentations and.or disseminate
educational materials to students and parent participants in their programs,which include:Co'-lege Mentoring Progranr Pa onl toParentTraining.Migrant Family Day.and Home Tutoring Program.Recipients of their otner Scrv,«S)which include pwen
orientations parent retreats,advocacy training,and a leadership academy w*also receive presentations and.o educational
materials.Budgeted at $4500 per year for 5-8 evenis'presentations and trainings annually.uonsuHing services frorri the
Women's Initiate 3program of United Way of Fresno,to develop an educational kit that will include:A5-m.nute DVD on™^'r^^,\page prescription drug abuse prevention pnmer 1page resource hst ofmailable,se-v.ces in Fresno
County 1pledge card i.to be submitteo to United Way,pledging to take measures that wiM prevent prescription drug ebu**,,.me
homes and communities,and 1Women SInrliative and 1Lock ft Up Project Brochure Budgeteo up to a ma,of $20,000 for fiscal
year 2011-2012
There are no dues .'subsenptions anticipated
jThere are no Employee licenses anticipated ,„___—
COST PROPOSAL JUSTIFICATION
YEAR ONE
SECTION Exhibit B 1
VENDOR NAME:California Health Collaborative
205 Employee Travel &Per Diem
206 Pmployae Training
2D7!Equipmsnl
2081Equipment Msmter.ar.ee
20&lFacilities Maintenance
j
210;Food
21!;Office Supples
212 Postage
213 Printing
214 Recnj'trcieni
215 Translation
216
217
218
219
301
302
303
304
305
306
30?
306
Transportation iMileage)
Furniture S Equipment Maintenance
Miscellaneous ip'ease provide oetailj
Office Ren!
Subtotal
FINANCIAL SERVICES EXPENSES
Administrative Overhead (cannot exceed 15%ofproposed maximi
compensation;
Lega:&Audit Expense
Commercial Liability
Automobile Liability
Legal Notices/Advertising
Other Insurance (please specify!
Accounting/Bookkeeping
Travel and pe'diem is mc'uded for Program Manager and'or Outresch Specia'isrs to atte.nd one training provided by the State
Deptof Alcohol and Drue.Programs,as needed and up to two additional trainings per year on proscription drug abuse-,rocn
addiction,community worms change,etc Annual travel and per diem exj-ienses are Daseo on travel to/from Sac--amento.CA
which includes Travel;Mileage (S 300)and Hotel/per Diem l$400i at State rates Costs related lc other travel thai,support
program activities,estimated at 5150 per month X12 mo =$1800 for local travel and S/0G for other -ravel to additional AOD and
lyouth development training
Training expense is included for Program Manage and'or Outreach Specialists to attend one training provided by the State Dept
7f Alcohol .and Drug Programs as required in Year One ana up to two additional trainings per year or-prescription orua.abuse,
teen addiction,ccmmi.nity norms change etc Annual Training OJfpor.se budgeted at S2.250 peryea-
One-tim"equipment expense needed to commence with project includes:two portable combination TV .'DVD players for P
Han reeling*p-o*entations.trainings and other outreach act .vibes estimated el $.'150 each f$rODt.two PowerPoint p.-oj£
toi Town Hall meetings,presentations,trainings etc estimated at S 600 each <$1.000;:the purchase ofthree personal
computers,monitors and software for the Program Manage"and Outreach Specialists estimated at S 750 ea i$2.250;S 2
Equipment maintenance is the pruuiam's,share of computer networking ana IT assistance Expense .5 calculated at $
lOO/month/FTE x4.0 FTE x 12 months per year
,t-.eie are no facilities maintenance expenses
Lignt refreshments will be provided at quarterly Workgroup meetings and strategic planning meeting Refreshments a-e e
a!$bO -lOO.'meetmg x 4 - 5 meetings per year
Office supplies include items such as paper,pens,penc-fe clip hoards for aata collection,name tags etc Oiioe supplies a'e
esumatod at between $1,400 and $5,700 pei year
Postage is required for the mailing out of nohces to Advisory Board member ano collaborating partne's schools and pharmacies,
reports and general correspondence Postage is estimated at 100 Piec*s.'rnauth x S 44/piece x12 months per year
Pnntinq expense includes the design and production ot program posters ana ad.unct matenals for pharmacy component,and
program materials for community and schoo'-based activities estimated at S 11 800 in the h-st year St l OCO in second year S
10.000 in years 35 Printing also includes the routine in-office duplicating of reports,dala instruments,flyers,etc
Tnere gw no recruitment expenses anticipated
Translation expenses is included in Direct Prevention Services
Transportation expenses related lo transpontine program participants to program related activities/events and an end-of-year tr-p
This may include ihe purchase of bus tokens tor students and parents to particioate mprogram activities and a busman recta:
costs Estimated at $3000 pet year
All furniture such as desks,chairs,telephones,etc will be p-ovided m-kind by the California Health Collaborative
O'fico space 'or staff and meeting space for Workup meetings are cafculateo a;150 sq (1,'FTE *S2 25/sq ft.'montn x40 FTEs
x 12 months peryear Rent expense includes utilities and jonito'ial
$50 934 76
JUSTIFICATION
awn
:>ciors
950
st-.matec
Administrative overhead includes the oversight of the Executive Director and Chief Financial Officer at 5%ot total program
expense
Legal and annual audit is calculated at 25%of total program expense
Commoraal liability insurance iscalculated at 15%oftotalprogramexpense
Personal automobile liability is tho responsibility of and required by all Collaborative employees and not charged to proyisms
Tnere are no legal noticesor advertising expense anticipated
Accounting and bookkeeping expenses are conducted in-house and calculated at9 6%of total program expense
VENDOR NAME:California Health Collaborative
Subtotal
DIRECT PREVENTION SERVICES
COST PROPOSAL JUSTIFICATION - SECTION I
YEAR ONE
Exhibit B-1
S46 9S6 51
JUSTIFICATION
inr*ntive expense include 11 monthlydrawingofS 100'mpharmacycomponentevaluation,2)Stipends of 350 for 5-to parents who participate in focus groups to assist with material,
desiar.and prooram outreach in Year One and final evaluation ,n Year Five.3)the purchase or medicine loc,boxes to be ,ed as
,^:-ltfw,;,«mmunity-baseel events in exchange for participation in evaluation activihes -lock box expenses ate ca.culated at
«2D/box x1-2 boxes per event x20-32 events per year,and 4)additional incentive gifts for youth parent,speakers for
"ecoonition volunteers,program partners,and parent participants <n otner program -elated activ.l esJQh?refreshm0nts .M be provlded at Town Hall meetings,focus gioups.student and parent p..senui,ons.and other prcgram
act.v.ies to encourage attendance and particpahon Refreshments are budgeted app-nxmately between 13fv to ,5*o-the
St!?Tedcc2nai materials such as brochures DVDs posteis eic for Tov.'n Hall meetings community events staff ,r,se'v,e,'S ngs and classroom presentations Wi-I be purchased from national clearinghouses such as Drug Free Amenoainappropriatelanguages,reading levels,and target audience Pay for fees of goes,^^performance group,o,participants to
town hall meetings/events Educational materials ate estimated at 35.OD0 per year tor F>1-4 and $o.bOO for FY ,
Cost,essocated with the placement of the program's television PSA's)on ,-3stains durmg Red Ribbon Wee«Expanses are
estimated at $15 000 per yearfor FY 1-4 ana $12,520 for FY 5 Best placement price will be negotiated.
Warn-specific promotional items such as pens,pencil note pads,etc wi«be debuted at ™™^«™f™fofipreLtahonstogeneratecommunitywidemte-est and raise awareness o*ihe issue Hems are estimated SV.OOQ per ye.r for
Far^y tees a,e tees associated w*h purchasing booth space at community events and Town Hall meebngs Meaty fees are
estimated at S 150 250/event x4-3 events pei yeai.Best prices will be negotiated.
There are no separate parent faming exoenses
Publications are included inEducational Materialseludedtoreimbursetranslators/interpreters fo.Town Hail meetings and locus group,ano lo assess
ate estimated al S 2000 per year tor t~Y *-5
nonth x 1? months pei yeartoencourage customer pa.he paiicn in
401 Program Fxpenses - Incentives
402:Program E.xoerses - Food
403 proaram Expenses -Educational
404 Program Expenses -Media Placement
405 Hiogram Expenses-Ptumoticnal Items
406 Program Expenses -Facility Fees
407 Parent Iran).rig
406 Publications
409 Translation
410 I lansportation
411 Youth Activities
'Subtotal
!Salaries S Benefits
Operational
Financial Services
Direct Pi event ion Services
bQ1
3120
3130
3140
TOTAL EXPENSES .
REPLIES!FOR ONE TIME ADVANCE FOR START LIP COSTS
BIDDERS MATCH
Grants
Private Donations
Other (Specify)
NET PROGRAM BUDGET
1 ranslation services are inc
materials,as needed Translation services ;
There are no Transportation servces anticipated
Thereare no addit-onal Youth Activity expenses anticipated
No advance payment reguest is made_
No additional grants are anticipated al this point
No private donations anticipated at tnis point
JUSTIFICATION
4!U?t 75
139.696 08
74.976.65
45 956 51
43.371 75
360000 00
360 000 00
VENDOR NAME:California Health Collaborative
COST PROPOSAL -Lock It Up Project
July-December 2015
FY 2015-16 July-Dec 2015
PERSONNEL TITLE/DESCRIPTION
100 Director
101 Program Manager
102 Program Coordinator
103 Outreach Specialist
104 Outreach Specialist
TOTAL SALARIES
PAYROLL TAX &BENEFITS
151 FICA/OASDI
152 State Unemployment-SUI
153 State Disability -SDI
154
155 Medical/Health Benefits
156 Dental Benefits
157 Vision Benefits
158 Retirement Benefits
159 Other Benefits (Please Specify)
160 Life Insurance
SUBTOTAL PAYROLL TAX&BENEFITS (not to exceed 20%)
161 Worker's Compensation
TOTAL BENEFITS
TOTAL SALARIES&BENEFITS
OPERATIONAL EXPENSES
201 Communications
202 Contracted Services
203 Dues &Subscriptions
204 Employee Clearance/Licensing
205 Employee Travel &Per Diem
206 Employee Training
207 Equipment
208 Equipment Maintenance
209 Facilities Maintenance
210 Food
211 Office Supplies
212 Postage
213 Printing
216 Transportation (Mileage)
218 Miscellaneous (please provide detail)
219 Rent,Utilities and Janitorial
Subtotal
FTE %FTE %
0.15
1
1
1
1
4.15
11016.468
58,571.98
39,243.00
34,278.40
32,671.60
175,781.45
0.15
1
1
1
1
4.15
Tax %
7.65%
1.01%
13,447.28
1,767.35
4.82%
1.00%
8,472.67
1,757.81
0.60%
4.82%
1,054.69
8,472.67
0.10%
20.00%
175.78
1.10%1,933.60
37,081.83
212,863.28
20.00%
826
29,286
19,622
17,139
16,336
83,209
16,642
99,851
2,250
0
0
0
5,050
2,250
0
2,490
0
300
4,727
264
6,000
3,000
0
8,404
34,735
Exhibit B-2
COST PROPOSAL -Lock It Up Project
July-December 2015
VENDOR NAME:California Health Collaborative
FINANCIAL SERVICES EXPENSES
Administrative Overhead (cannot exceed 15%of proposed
301 maximum compensation)
302 Legal &Audit Expense
303 Commercial Liability
304 Automobile Liability
305 Legal Notices/Advertising
306 Other Insurance (please specify)
307 Accounting/Bookkeeping
308
Subtotal
DIRECT PREVENTION SERVICES
401 Program Expenses
402 Program Expenses
403 Program Expenses
404 Program Expenses
405 Program Expenses
406 Program Expenses
409 Translation
Subtotal
Incentives
-Food
•Educational
•Other (Media Placement)
•Other (Promotional Items)
•Other (Facility Fees)
Salaries &Benefits
Operational
Financial Services
Direct Prevention Services
TOTAL EXPENSES
501
REQUEST FORONE TIMEADVANCE FOR START UP
COSTS
BIDDERS MATCH
3120 Grants
3130 Private Donations
3140 Other (Specify)
NET PROGRAM BUDGET
FY 2015-16
0.00
0.00
0.00
0.00
0.00
July-Dec 2015
7,391
370
222
0
0
0
14,191
22,174
2,500
1,500
1,241
6,500
1,500
13,241
99,850
34,735
22,174
13,241
170,000
N/A
0
0
0
170,000
Exhibit B-2