1.01Introduction and Program Description
The Department of Health (DOH or Department), Division of Behavioral Health (DBH), is requesting proposals from eligible applicants to provide Comprehensive Behavioral Health Prevention and Early Intervention (CBHPEI) services for the State of Alaska in FY2024 through FY2026. Program Services are authorized under 7 AAC 78 Grant Programs. Additional governing statutes are 7AAC 78 - Grant Programs. AS 47.37.030 Uniform Alcoholism and Intoxication Treatment Act and AS 47.30.470-500 Alcoholism and Drug Abuse. State of Alaska statutes and regulations are accessible at the Department of Law Document Library or through the contact person identified on the cover page of this Request for Proposals (RFP).
DBH supports a range of behavioral health services spanning from acute level psychiatric care and substance use disorder treatment to early intervention and prevention services. In this Request for Proposals (RFP) the DBH Prevention and Early Intervention section is seeking applicants to lead community coalitions across Alaska to implement upstream approaches to promote wellness across the lifespan. Applicants shall coordinate collaborative partnerships with local regional and statewide stakeholders sharing the common interest in reducing the negative impacts of substance misuse, suicide, and mental health challenges. Applicants should demonstrate the intent and ability to coordinate partnerships across all levels of the service continuum and levels of care including with individuals, agencies, initiatives, and stakeholders working with similar efforts such as public health, education, and public safety with common interests to promote systematic and environmental change to reduce the burden associated with behavioral health challenges as highlighted in Healthy Alaska 2030.
To achieve this, applicants to this RFP must demonstrate that prevention efforts will be coalition lead with stakeholders representing the diversity of the community or service area, and that strategies and programs are chosen through a data driven process. Applicants will be required to engage in the evidence-based Strategic Prevention Framework (SPF) process throughout the grant period (see Attachment 1- FY24-Prevention_Resource_Guide, pg. 20). Applicants will assess and monitor behavioral health conditions by reviewing and when necessary, gathering population data and information for the proposed service area in order to provide an overview of the community or service area and characteristics (both positive and negative) that could be influencing behavioral health conditions. Special attention must be paid to the environment, or context, in which problems develop. These contexts should include but are not limited to:
- Availability of alcohol and/or drugs and access to relevant behavioral health treatment services,
- Access to health care and provider Screening Brief Intervention and Referral to Treatment (SBIRT), and efficiency of existing community social service systems,
- Social and economic conditions including access to affordable housing and employment,
- Community and regional prevention capacity or initiatives including other related health or wellness efforts such as tobacco and opioid task groups or access to after-school programs or subsistence activities,
- Community or organization policies, and/or
- Cultural norms and conditions surrounding substance misuse, mental health and suicide such as historical trauma and colonialism.
All applicants shall be engaged in a comprehensive approach to wellness within the community(s) served. Wellness coalitions should reach out to, and partner with all relevant prevention and wellness task groups, coalitions, and initiatives that align with the core intent of this RFP. Applicants are also expected to collaborate with relevant statewide initiatives that align with the overall goals and objectives of improving the health and wellness of Alaskans.
As part of this collaborative approach, all applicants are expected to participate as support partners in statewide coalitions and collaboratives as opportunities occur. In addition to the existing Alaska Wellness Coalition (AWC), the Share Risk and Protective Factors Workgroup (SRPFW) and the Alaska Alcohol Misuse Alliance (Alliance), applicants will also be expected to participate and support the work of the Alaska Suicide Prevention Coalition.
Suicide is a complex public health issue that impacts all Alaskans, regardless of age, culture, race, region, or socio-economic background. According to 2021 CDC data, suicide rates have been rising in Alaska where we have rates at more than twice the national average. Factors that contribute to this vary significantly due to our diverse geography, culture, and social and economic factors. Infrastructure to lead suicide prevention efforts at the regional and community level will support strategies that are developed based on these regional and community level needs. This includes promoting health and wellness opportunities at the statewide level, reducing risk factors, promoting protective factors, and addressing health and economic inequities.
All applicants will be expected to support a Regional Suicide Prevention Coalition (RSPC). Applicants may also elect to be the lead regional coalition. These applicants will coordinate with new or existing suicide community task groups, coalitions, or committees within the region. Through this RFP, DBH will seek up to seven (7) Regional Suicide Prevention Coordinators to support region specific suicide prevention. Lead applicants will have the opportunity to apply for funding to support this regional suicide prevention infrastructure and will act as regional chairs on a statewide coalition, the Alaska Suicide Prevention Coalition (ASPC). Only one agency in each region will be selected as lead agency for the ASPC. The seven regions are identified as Northern, Interior (includes Fairbanks), Southeast (includes Juneau), Mat-Su, Anchorage, Southwest, and Western (see 1.02 and 1.06 below). Both Anchorage and the Statewide Youth coalitions are not eligible for this additional funding.
Please review the three application groups (A, B and C) listed below carefully. Responding to the incorrect group may result in not being funded. It is the applicant's responsibility to submit a proposal to the correct group as described below.
Group A- Build Capacity: For applicants that are proposing to serve a community that does not currently have a comprehensive wellness coalition in place and have never completed the Strategic Prevention Framework (SPF) or comparable process to assess the community needs to address another initiative such as tobacco, opioids, or violence prevention. Indicate in the proposal which of the following describes your application:
- A community new to the SPF process with no current or previous prevention capacity. The community may have had active prevention and wellness initiatives in the past, but the participants and knowledge of these efforts is no longer available to the community; or
- A small community new to the SPF process seeking to apply with support from a regional or statewide agency with SPF experience. The supporting agency may have prevention and wellness capacity that will be shared to support a community that does not have this current knowledge capacity.
Group B- Program Implementation: For applicants that can demonstrate they have completed the five steps of the SPF process, have significant experience implementing a SPF recommended strategic plan, a designated intended population, and intend to expand or enhance current efforts during FY2024. Applicants shall either represent a geographic community, sub-region, or region or may elect to represent the statewide community of Alaskan youth (youth are defined as under 18 years of age, only one applicant will be selected for this statewide coalition grant). All Group B applicants will be required to indicate if they are applying to either lead or just support the development of a Regional Suicide Prevention Coalition (see 1.06).
Group C- Statewide Alcohol Prevention Alliance: For applicants seeking to manage and support the statewide Alcohol Misuse Alliance. This funding shall support an agency or entities seeking to maintain the member directed wellness initiative established during the FY2020-2023 fiscal years. The intent of this initiative was to initiate a statewide coalition much like the Alaska Tobacco Control Alliance which formed to address the morbidity and mortality associated with use and exposure to nicotine related toxins. The primary goal of this initiative shall continue to be to reduce the morbidity and mortality associated with alcohol misuse in Alaska. The primary strategy to accomplish this goal should be to update and operationalize a statewide Strategic Planning Framework plan to reduce underage drinking and adult heavy and binge drinking. Directive guidance should build from the guiding frameworks established during the past four funding cycles of the Alliance from FY2020 through FY2023. The primary influences for all CBHPEI funding work includes the Strategic Planning Framework (SPF). Other influences for the Alliance have included the Collective Impact Framework, the Cynefin Framework, Upstream Prevention Framework, Systems Change Framework, and Emergent Strategies Framework. Applicants should follow the Alliance publication “Emergent Strategies: Laying a Strong Foundation for Change” (see Attachment 3- Emergent-Strategies-FINAL). Following the SPF process, the application of a collective change model and transformative justice should drive a collaborative and inclusive approach to change that invites all relevant partners impacted by the negative effects of alcohol misuse and intentionally involves stakeholder groups with the highest disparity in alcohol related morbidity and mortality.
Alaska has one of the highest per capita alcohol related mortality rates (21.2 per 100,000 compared to 9.1 nationally), and high per capita cost associated with excessive alcohol consumption (over $1.8 billion annually) with particular disparities in rural Alaska and the Alaska Native population. During FY20-FY23 significant progress has been made to establish a working Alliance of partners and individual members. Included has been the establishment of an organizational structure, an evaluation plan, a membership orientation process, and an established communication plan. Each component is member lead and directed through six established workgroups and at least seven identified regional chairs. During the initial four years of the grant, the Alliance has also obtained significant support through contractual partners as well including Sultana Group, University of Alaska Anchorage, Circle Forward, and Walsh-Sheppard. For FY24, the successful grantee will continue to work with Alliance member partners and continue to engage with the current active stakeholders and workgroups to maintain the member directed organizational structure of the Alliance and continue to seek new members to maintain and enhance the statewide Alcohol Misuse Prevention Alliance to address underage drinking and adult binge and heavy drinking; continue to support the revision of the 2011 State of Alaska needs assessment "Moving Prevention Upstream" strategic plan (see Attachment 2- Moving Prevention Upstream); and maintain and enhance a strategic plan to apply the SPF process to review, update, and carry forward this prevention and wellness efforts. This FY2024 strategic plan should review and continue to incorporate the recommendations from "Moving Prevention Upstream", include the support and enhancement of existing partner initiated upstream alcohol misuse best-practice and promising practice strategies and should include at least the following core components:
- Community-based interventions, working with community and regional wellness coalitions;
- Statewide interventions;
- Mass-reach health communication such as media campaigns;
- Surveillance and evaluation; and/or
- Infrastructure, administration, and management.
1.02Program Goals and Anticipated Outcomes
Group A, B, & C
The proposed project must demonstrate a thorough understanding and support of the grant program goals and outcomes as described below. Projects must meet or exceed anticipated minimum outcomes described in this RFP.
The overall goals of the DBH Prevention and Early Intervention program are to support a statewide effort to promote protective factors that increase physical and behavioral health wellness and reduce risk factors that contribute to substance use, suicide, and poor mental health. To achieve these goals, DBH will empower coalition-lead efforts across Alaska that promote improved population-level behavioral health as measured by Healthy Alaskans 2030 objectives 13,14,17,18,22,23,24 and 25 and the Statewide Suicide Prevention Plan.
Applicants will be expected to be familiar with the other relevant Behavioral Health objectives such as those found in the Statewide Suicide Prevention Plan and others as they relate to shared risk and protective factor theory and may include these as well as long-term outcomes that impact individual and community wellness (see Attachment 1-FY24-Prevention_Resource_Guide, pg. 6).
All applicants are required to incorporate the following six priority components:
1. Successful application of the full SPF: The success of behavioral health prevention strategies depends largely on a coalition's fidelity to the five steps of the SPF, which are Assessment, Capacity Building, Planning, Implementation, and Evaluation (see Attachment 1- FY24-Prevention_Resource_Guide, pg. 20). Coalition led grantees will engage the five SPF steps to address behavioral health outcomes in substance misuse prevention, suicide prevention, and comprehensive wellness. All applicants will continually engage all five SPF steps throughout the grant period and will monitor progress using a Fidelity Checklist (see Attachment 9- Strategic Planning Framework Fidelity Checklist Guides).
2. Comprehensive Wellness Coalition Lead: It is the intent of this RFP to support behavioral health prevention efforts led by comprehensive wellness coalitions that utilize a shared risk and protective factor approach to prevention efforts (see Attachment 5- Shared Factors for Adolescents More Matters). Due to the complexity of behavioral health issues, a shared risk and protective factor approach allows partnerships with existing prevention and wellness efforts to have greater reach across multiple areas of concern. Partnerships creates opportunities to leverage resources, improves sustainability through creative collaboration, and reduces the potential for multiple redundant and independently operating coalitions. Applicants will be able to document these active partnerships with potential stakeholders at each step of the SPF process and include relevant work across initiatives that contributes to shared wellness objectives. Grantees shall also commit to participation in regional efforts and maintain active involvement with the statewide efforts such as the Alaska Wellness Coalition (AWC), Alcohol Misuse Prevention Alliance (Alliance), and the Shared Risk and Protective Factor Workgroup (SRPFW).
3. Cultural Responsiveness: In order for behavioral health prevention efforts to be successful, cultural responsiveness must be central to all efforts. Effective cultural responsiveness addresses the culture and needs of the community where prevention efforts are taking place, which can include but are not limited to, the diversity of coalition members, education and activities centered on the community's traditional and cultural values, and communication that includes the community's traditional languages and the people of the community. Cultural responsiveness should be highlighted within each step of the SPF, and each grantee will be expected to identify and implement culturally responsive strategies which must be clearly identified in the strategic plan.
4. Inclusion of Healthy Alaskans 2030, Shared Risk, and Protective Factor objectives: The desired outcome of this grant program is to improve the overall health of Alaskans as measured by Healthy Alaskans 2030 indicators. All applicants should link the work of the coalition to the relevant objectives from Healthy Alaskans 2030 as long-term outcomes. DBH recognizes that behavioral health problems are best addressed through a shared risk and protective factor approach, with the knowledge that many problems can be caused by the same factor and one intervention may address multiple problems. DBH also recognizes the underlying influences of Adverse Child Experiences (ACEs; ACEs Website) to behavioral health problems. Applicants engaging alternative strategies such as historical trauma, adverse effects of colonialism, and bullying and other forms of violence, should include the relevant behavioral health indicators in their strategic plan and proposals.
5. Sustainability: A focus on sustainability will support grantees in maintaining prevention efforts post grant period. All applicants must incorporate sustainability into each step of the SPF and each grantee will be required to develop and maintain a sustainability plan throughout the funding cycle including but not limited to partnerships with similar local, regional, and statewide wellness initiatives, inclusion of systemic changes such as environmental and policy initiatives and establishing wellness as a foundational component in the community service system. To enhance resources and reduce redundant capacity, all applicants are expected to coordinate with related task groups, coalitions, and workgroups engaging similar prevention and wellness related. (see Attachment 12- CBHPEI Sustainability and Outcome Guide 2023).
6. Participate in Statewide and Regional Suicide Prevention: These efforts support regional capacity and expertise to the Statewide Alaska Suicide Prevention Coalition, and Suicide Prevention Council. The intent of the coalition is to promote early intervention, prevention and postvention supports to reduce suicide attempts and deaths through collaborative efforts that reduce suicide risk and build resiliency to stress and trauma through investments in upstream prevention and wellness promotion. These regional coalitions both apply resources and knowledge provided by the Statewide coalition and Council but also serve to inform these bodies on regional and local wellness efforts that contribute to suicide prevention. (see 1.06 below).
1.03Program Services/Activities
Applicant proposals must describe the ways in which the project aligns with the program goals, to promote protective factors that increase comprehensive wellness and reduce risk factors that contribute to substance misuse, suicide, and/or poor mental health. The submitted project proposal must also identify agency and partner resources available to the project, describe related activities, and include a project timeline identifying the initiation and completion of key milestones.
Successful applicants will be expected to:
- Participate in the statewide Alaska Wellness Coalition, Alliance, and SRPFW Regional and State Suicide Prevention Coalitions, quarterly Suicide Prevention Council Meetings, and Suicide Prevention Community of Practice.
- Participate in all DBH sponsored training including but not limited to monthly TA calls, quarterly webinars, and an annual grantee training conference.
All applicants must indicate the willingness to complete the following core activities in the proposal:
- Conduct baseline and at least biennial (once every two years) community readiness assessments;
- Conduct baseline and at least biennial "Coalition Capacity" surveys;
- Conduct a comprehensive behavioral health assessment for the community or service area with annual updates;
- Provide annual updates to the strategic plan, logic model, and timeline;
- Provide quarterly updates to MIS Dashboard and evaluation plan;
- Provide annual updates to the Outcomes and Sustainability Plan;
- Provide evidence of active comprehensive wellness coalition, including a coalition member list and quarterly coalition activity reports; and
- Provide inclusion and progress toward at least one long-term policy initiative included in the wellness priorities of the community.
Group A (Build Capacity)
During the response period to this RFP, applicants must engage in a three-phase process as summarized below to prepare for submitting their proposal to this RFP:
- Preparatory Phase: During the preparatory phase, applicants will reach out to community members and other existing coalitions who are invested in improving the behavioral health conditions of the community. During this time, applicants should initiate a pre-assessment process by building their coalition and gathering data related to the needs, resources and readiness of their community, to explore the overall behavioral health needs in their community.
- Engagement Phase: Coalitions must meet at least once during the engagement phase. Meetings should be used to examine the collected data, discuss what was learned through the data collection process to assess the overall behavioral health needs in their community, and to assess the current community readiness to support a new or continued prevention coalition-based initiative. The coalition will use the data to choose priority areas and strategies to conduct a full community readiness and community needs assessment to be completed in FY24.
- Writing Phase: During this phase, applicants will complete and compile findings from the preliminary community assessment. This is the applicant's opportunity to demonstrate the activity of the coalition and report on the steps that have been accomplished or are expected to be accomplished in the future, if grant funding is awarded. Applicants should propose a strategic plan for completing the first three steps of the SPF process (see Attachment 1- FY24-Prevention_Resource_Guide pg. 20).
Group A applicants should not propose implementing a program strategy or community-based service with this grant prior to award, and completion of SPF steps 1-3 and a formal approval from a DBH prevention program manager.
Group B (Program Implementation)
Group B applicants must have well established experience and success in leading behavioral health prevention and wellness initiative. All applicants in this group must include the following in their proposal:
- A clear summary of the most recent comprehensive community needs assessment including key recommendations, outcomes from those recommendations, and an analysis of next steps including any efforts or proposed efforts to update the assessment from the past two to three years (completed no later than July 2024).
- A sustainability summary (see Attachment 12- CBHPEI Sustainability and Outcome Guide 2023).
- A description of how the SPF steps 1-5 were applied toward identifying at least one best practice strategy, or, a clear explanation and justification for an alternative to using a best practice strategy and why it was the best choice for the proposed implementation, service area, and intended population.
- A detailed description of how the SPF steps will be used during the future progress of the proposed initiative.
- A detailed narrative summary describing how the goals and long-term objectives identified during the SPF process were addressed, and how these are linked to the Healthy Alaskans 2030 indicators.
- A completed and detailed MIS Dashboard (see Attachments 6 and 7- CBHPEI MIS Template & Dashboard Development Instructions).
- A detailed narrative summarizing the successes and challenges in meeting the intended outcomes as previously intended through the SPF process including a completed SPF Fidelity Checklist (see Attachment 9- Strategic Planning Framework Fidelity Checklist Guides).
- A detailed plan outlining the proposed process to implement any significant revisions from your previous strategic plan.
- An outline of enhancements that will be made to continue success in the chosen outcome area(s).
- A detailed timeline that includes intended events, coalition meetings and community training events.
- A detailed logic model that identifies both grant and other grants and partner shared resources available towards community wellness initiatives. The logic model should also highlight the shared activities that support multiple objectives in the community (shared protective factors) and clearly state the anticipated goals, outputs, and outcomes compliant with program intent described above (see Attachment 8- CBHPEI Program Evaluation Instructions and Template Guide).
- A completed coalition member roster highlighting core or active coalition members and the number of completed "Coalition Capacity" surveys completed by active members (see Attachment 4- Coalition Capacity Survey).
- A description of your role as either a lead agency in establishing a regional suicide prevention coalition or as a supporting agency that will participate in the coalition (see 2.02).
All applicants seeking additional funding to lead a Regional Suicide Coalition should include current or proposed coordination with other regional partners who will support your work as the lead regional representative. These applicants should describe how these details will be accomplished including if and how a position will be filled including, a position description, proposed FTE for this position, and a plan outlining the community resources and expected time commitment for establishing the position and the regional coalition. The Regional Suicide Prevention Coordinator can be filled though an existing position, a sub-contract to an organization who may be engaged and/or qualified to lead the Regional Suicide Prevention Coalition, or an alternative proposal that meets the program requirements (see 2.02 and National Action Alliance for Suicide Prevention-Transforming Communities).
Group C (Statewide Alcohol Prevention Alliance)
For this RFP, Group C applicants will describe how the following three phase strategic planning process will be completed by June 2024.
1. Strategic Planning Five-Year Plan: During this planning phase, applicants will reach out to active Alliance stakeholders including members, contractors, regional chairs and partner agency participants who are currently or were previously involved in the Alliance efforts to reduce alcohol misuse prevention including underage drinking, adult binge drinking, and adult heavy drinking (see Attachment 11- Alliance member list; 3- Emergent-Strategies-FINAL). During this process, the applicant will review existing strategic plans working toward achieving the goal of reducing morbidity and mortality associated with alcohol misuse in Alaska using the five-step SPF process.
2. Engage Core alliance Workgroups and Partner Initiatives: The applicant should hold coordinated planning meetings with Alliance workgroups to review existing strategies and initiatives that are currently in place along with the existing National best practices and promising practices and the statewide data on alcohol use (Health Impacts of Alcohol Misuse in Alaska; Consumption and Consequence). Review should include organizational structure options for statewide advocacy and action groups, best practice policy and program resource recommendations, and media and communication resources and directives including those related to reducing Underage Drinking. Note that each of the active workgroups with-in the Alliance may prioritize one or more of the areas listed. Other areas of inquiry with Alliance members and workgroups should also be included as they are identified by members of the Alliance. The applicant will use the data and information from these planning meetings to choose priority areas for the 5-10 year strategic plan that the Alliance will engage during the grant period.
3. Preparation of a five-year strategic plan, logic model, and evaluation plan: During this phase, the applicant will review and summarize the activities, meetings, data processing and recommendations that Alliance members and stakeholders provided during the Strategic planning and engaging phases. This is the applicant's opportunity to report the activities that have been accomplished or are expected to be accomplished in the future. The outcome of this phase should be a final 5-10 year plan of action to engage the Alliance and facilitate the process during the future grant cycle. This strategic plan must detail the five steps of the SPF process (see Attachment 1- FY24-Prevention_Resource_Guide, pg. 20).
Applicants should include a detailed plan to continue assembling stakeholders of the statewide alcohol prevention alliance, construct a comprehensive strategic plan and logic model, and determine a timeline to implement proposed strategies and initiatives (Step 4 of the SPF). In support of project planning narratives, the applicant will complete a logic model. The logic model will identify resources available to the proposed project; summarize project activities; and clearly state anticipated goals, outputs, and outcomes compliant with program intent.
1.04Program Evaluation Requirements and Reporting
Results Based Budgeting Framework
Results based budgeting provides a framework in which allocated resources support, and are justified by, a set of outputs and expected results. Within this framework, actual performance and achieved outcomes are measured by objective performance measures.
Projects are required to align with program objectives expressing Department priorities and core services. Projects will use performance measures to evaluate progress toward meaningful outcomes, and to initiate data collection and reporting consistent with Department priorities.
The Department Priorities, Core Services, Objectives, and Performance Measures of Effectiveness and Efficiency for this program are:
Department Priorities
- 1 Health & Wellness Across the Life Span
Department Core Services
- 1.1 Protect and Promote the Health of Alaskans
Department Objectives
- 1.1.1 Improve the Health Status of Alaskans
- 1.1.3 Decrease substance abuse and dependency
Performance Measures for Groups A, B, and C are:
- Enhance community capacity to connect individuals to needed behavioral health interventions or services in a timely manner.
- Performance Measure: Percent of intended agencies actively engaged in a comprehensive wellness coalition, have Memorandum of Agreements (MOA's) to partner, share resources, or contribute significantly to the coalition's strategic plan.
- Increase community readiness to prevent behavioral health conditions including substance misuse, suicide and/or poor mental health. Grant supported community coalitions will measure their readiness using a standardized Tri-Ethnic Center assessment tool that scores readiness on a scale of 0-9 (Community Readiness Handbook) with the score of 0 being lowest readiness (no awareness of the issue) and the score of 9 being the highest readiness (high level of community ownership). This measure will assist coalitions in using local data to guide their prevention efforts and will result in higher success when implementing prevention strategies.
- Performance Measure: Community readiness score of the identified behavioral health condition.
- Increase community ability to understand and address behavioral health conditions that have been identified through a data-driven decision making (SPF) process.
- Performance Measure: Number of coalition lead SPF steps implemented to fidelity.
The applicant’s proposed evaluation plan will incorporate the performance measures of effectiveness and efficiency identified above and must be consistent with Healthy Alaskans 2030. Applicants can propose additional performance measures for evaluating the project’s progress in achieving results supportive of the program goals and outcomes.
Grant Reporting
Required reporting will include:
- Cumulative Fiscal Reports recording overall grant and match expenditures by budget line; and
- Program Reports in the format prescribed by the program.
- Additional documentation may be required quarterly.
1.05Target Population and Service Area
Applicants must clearly describe the population intended by the project, including the area or communities that will be served. Geographic areas are defined solely by the 2022 Population Estimates by Borough and Census Area listed at the Department of Labor Workforce Development website. Proposals will be evaluated for compatibility with the program’s intended population identified in this solicitation.
At minimum, all applications should include:
- A description of the geographic area to be served, as defined earlier,
- A description of the population size and demographic characteristics of the population(s) to be served,
- A description of the political authorities in the region (municipalities, tribal authorities, etc.) as well as which area(s) are unincorporated,
- A description of the historical, political, economic and socio-cultural influences of the community as they relate to behavioral health and wellness promotion,
- A description of the burden of behavioral health challenges within the population, community, region or proposed service area. This should include substance misuse, suicide, poor mental health and the identification of and prevalence rates of shared risk and protective factors. Include information on behavioral health related disease and disability,
- A description of the community infrastructure including health-care centers, large employers, community or health organizations and health or wellness coalitions, and
- A summary of all current prevention or wellness coalition(s), task groups, etc., and other current members.
Regional data resources may include sources such as BRFSS, Youth Risk Behavior Survey (YRBS), and Community Profiles prepared by Division of Community and Regional Affairs.
Intended Populations per Group:
Group A: Individuals (of all ages), families, and/or communities adversely affected by substance misuse, suicide, and/or poor mental health. Upon award, grantees of this group will complete step 1 of the SPF process (Assessment). Through this process the intended population will be more narrowly defined.
Group B: Applicants must describe the intended population focused on previously, during completion of the SPF process or similar community-based and data driven process or designate as statewide community of youth (under 18 years of age).
Group C: Those at risk of the harmful effects of alcohol misuse leading to underage drinking, adult binge drinking, and adult heavy drinking.
Service Areas and Communities: Proposals are being solicited from service areas statewide.
1.06Program Funding
Funds available for this program are anticipated to total Estimated annual funding is $3,890,581.99 for this program. Funding sources include $630,760.54 for Alchl/Drug; $1,748,941.25 from Fed Rcpts, and $1,510,880.20 GF/MH. Estimated 3-year funding for this program is $11,671,745.97.
FY24 Group A Funding:
FY24 Group B Funding:
- Applicants with full SPF capacity having populations under 20,000, defined solely by the 2022 Population Estimates by Borough and Census Area, may request up to $150,000.
- Applicants with full SPF capacity having populations between 20,000 and 49,999, defined solely by the 2022 Population Estimates by Borough and Census Area, may request up to $250,000.
- Applicants with full SPF capacity having populations of 50,000 or more, defined solely by the 2022 Population Estimates by Borough and Census Area, may request up to $350,000.
- Applicants serving the Municipality of Anchorage may request up to $600,000. Only one applicant can be funded as the lead fiscal agent for this population group. The applicant will be required to serve as the fiscal agent for the Regional Suicide Prevention Coalition for the Anchorage region.
- Applicants serving the statewide community of youth may apply for up to $350,000. Only one applicant can be funded as the lead fiscal agent for this population. This agency will also be required to participate in regional suicide prevention coalitions and represent youth (under 18 years of age) voice in the Alaska Suicide Prevention Coalition.
- Group B applicants must indicate if they will be a lead or support agency in establishing a new Regional Suicide Prevention Coalition. One agency in each region can be selected for this funding as Lead agency, and fiscal agent for the RSPC. All applicants must participate as either a lead or supporting member to the Regional Suicide Prevention Coalition in their region and may request funding to support related strategies only if they apply to be the Lead. The seven regions are identified as Northern, Interior (included Fairbanks), Southeast (includes Juneau), Mat-Su, Anchorage, Southwest, and Western. Lead agencies are eligible for up to $50,000 above the population cap. Up to one Lead agency can be selected per region, however Anchorage is not eligible for the additional funding. Additionally, the Statewide community of Youth is also not eligible for the additional funding. Communities that do not elect to lead the suicide prevention work in their service region will use the standard CBHPEI grant funding listed in the population group caps above to continue to support existing and/or new strategies identified by the Regional Suicide Prevention Coalition.
FY24 Group C Funding:
- Applicants to sustain the statewide Alcohol Misuse Alliance can request funding up to $500,000. Only one applicant will be awarded in Group C. The successful grantee will act as fiscal agent for the statewide Alliance. Interested parties are encouraged to combine resources and submit one cohesive proposal.
For all Applicant groups: Due to the complexity of behavioral health issues, it is unrealistic that any one agency can be effective making population-level change on its own. The entity receiving the grant award is considered the "fiscal agent" for the work of the coalition and is administratively and financially responsible for the performance of the coalition. The fiscal agent is expected to share grant funds with coalition partners. This shared funding expectation is a two-way process. Partner agencies are also expected to bring resources (money, people, materials, etc.) to the coalition efforts. Shared funding among coalition members will be established through subcontracts and/or Memorandums of Agreement (MOA). Copies of established agreements must be submitted with this application. Join coalitions that include active task groups, coalitions, or workgroups on tobacco prevention, opioid misuse prevention, suicide prevention, reentry and others should be included where these groups operate in the shared community.
Funding in subsequent years is based on criteria identified in section 3.05 of this RFP.
Match Requirement: The budget must include matching funds equal to 10.00% of the proposed Department funds. Calculate required match with the following formula:
Total Requested Grant Award x Required Match Percentage = Required Match
Federal grant funds may not be used to match federal funds awarded through this grant program, and State grant funds may not be used to match State funds awarded through this grant program.
Eligible sources of matching funds include:
- Local Cash: local sources, including local tax receipts, municipal revenue sharing, cash donations
- Local In-Kind: donated items of value for which the applicant incurs no cost, including volunteer labor and donations of supplies, equipment, space
- Other Sources: government and non-government grant awards, third party receipts, direct receipts such as gaming or sales of goods
- Grant Income: earnings anticipated as a result of this project proposal receiving award, and Medicaid reimbursements if award of this grant is required for the applicant to bill Medicaid for awarded services
- Medicaid: includes Medicaid which is not Grant Income, as well as other third-party receipts)
Proposed Budget: The applicant must submit a budget proposal for the first fiscal year of the project. The proposed budget detail and narrative (including required match) will support the program's results-based service delivery and staffing requirements stated in this RFP.
All applicants must dedicate grant funding and other resources to support and coordinate a comprehensive wellness coalition and maintain an active role in the statewide wellness promotion effort, and the Alaska Suicide Prevention Coalition. All applicants must include travel to Anchorage for a mandatory 3-day all-grantee meeting held annually. This meeting provides an opportunity for discussion, learning, and networking. Attendees should include project staff and key coalition members. Grant funds can be utilized to pay for up to four attendees.
While DBH's goal is to fully fund as many proposals as possible, the state reserves the right to recommend reduced funding if the proposed budget requests do not appear realistic or there are not enough dollars to fund all quality applications at the requested level of funding. If budget requests are reduced by DBH, potential grantees will have the choice to accept the reduced funding or decline the grant award. If accepted, there will be an opportunity to revise the year 1 budget.
All coalitions will be required to work with either a coalition evaluator or a contracted evaluator/s Coalitions will be required to submit data and reports from on a regular basis and should include a description of the evaluator resources that will support the coalition.
Funding Priorities:
Group A: Priority will be given to communities that demonstrate strong community collaboration through submitted documents. Only communities without current or recent coalitions will be considered. Secondary priority for these applicants will be based on geographic considerations to promote geographic distribution across the State. Priority will also be given to applicants proposing to serve groups of communities in a sub-region such as linking smaller communities in a multiple community collaboration. Additional priority will be given to the number of other coalitions within the geographic region, and the feasibility for long-term coalition sustainability.
Group B: Only applications from coalitions with evidence of current capacity will be considered for Group B funding. Priority will be based on PEC and staff review of applications based on the intent and requirements defined in the RFP. Some consideration will be made based on promoting a geographic distribution of coalitions across the State. Up to one applicant from any given community or population will be funded. Up to one applicant for a community of youth grant will be funded.
Group C: Up to one applicant will be funded.
Regional Suicide Prevention lead funding is limited to a maximum of seven applicants representing the identified regional public health areas. Priority will be given to applicants that demonstrate the ability to meet the conditions and requirements outlined in the RFP. Group B applicants will be given priority over Group A applicants. All applicants that are not awarded as a lead applicant will be required to be a supporting applicant with the Regional Suicide Coalition if the region is assigned a lead agency and the Statewide Suicide Prevention Coalition.