EFFECTIVENESS, PRACTICE, AND IMPLEMENTATION IN CMHS CHILDREN’s SERVICE SITES
Release Date: September 21, 2000
PA NUMBER: PA-00-135 (see replacement PA-04-019)
National Institute of Mental Health
(http://www.nimh.nih.gov/)
National Institute of Drug Abuse
(http://www.nida.nih.gov/)
THIS PA USES MODULAR GRANT AND JUST-IN-TIME CONCEPTS. THIS PA INCLUDES
DETAILED MODIFICATIONS TO STANDARD APPLICATION INSTRUCTIONS THAT MUST BE USED
WHEN PREPARING AN APPLICATION IN RESPONSE TO THIS PA.
PURPOSE
The purpose of this program announcement (PA) is to encourage research grant
applications on services delivered to children, adolescents and their families
through the Center for Mental Health Services (CMHS) Comprehensive Community
Mental Health Services for Children and Their Families Program initiative
(hereafter referred to as the Children’s Services Program). Conducting the
proposed research at one of the Children’s Services Program sites (either
existing sites or graduated sites) is a prerequisite for funding under this
PA. This PA encourages studies of the effectiveness of treatments or services
delivered at these sites, the nature and impact of routine clinical practice,
and factors related to successful implementation of treatments or services.
This announcement supercedes PA-94-094 and addresses recommendations set forth
in the NIMH report, Bridging Science and Service: A Report by the National
Advisory Mental Health Council’s Clinical Treatment and Services Research
Workgroup, and in the NIMH Child and Adolescent Services Research Strategic
Planning Report. Applicants may obtain a copy of these reports at
http://www.nimh.nih.gov/research/bridge.htm and
http://www.nimh.nih.gov/childhp/prgindex.htm.
This Program Announcement expires three years from the Release Date shown
directly above, unless reissued.
HEALTHY PEOPLE 2010
The Public Health Service (PHS) is committed to achieving the health promotion
and disease prevention objectives of Healthy People 2010, a PHS-led national
activity for setting priority areas. This Program Announcement (PA),
Effectiveness, Practice and Implementation in CMHS Children’s Service Sites,
is related to the priority areas of Mental Health and Mental Disorders.
Potential applicants may obtain a copy of "Healthy People 2010" at
http://www.health.gov/healthypeople/
ELIGIBILITY REQUIREMENTS
Conducting the proposed research at one of the Children’s Services Program
sites (either existing sites or graduated sites) is a prerequisite for
funding under this PA. Applications may be submitted by domestic and foreign,
for-profit and non-profit organizations, public and private, such as
universities, colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government. Racial/ethnic
minority individuals, women, and persons with disabilities are encouraged to
apply as principal investigators. Foreign institutions are not eligible for
small grant awards.
MECHANISM OF SUPPORT
This PA will use the National Institutes of Health (NIH) research project
grant (R01), small grant (R03), and the Collaborative R01s for Clinical
Studies of Mental Disorders mechanisms. Responsibility for the planning,
direction, and execution of the proposed project will be solely that of the
applicant team. The total project period for an R01 application submitted in
response to this PA may not exceed five years. An application for an R03
award is limited to $50,000 direct cost per year, is limited to two years and
is not renewable.
For all competing R03 applications and R01 applications requesting up to
$250,000 direct costs per year, specific application instructions have been
modified to reflect MODULAR GRANT and JUST-IN-TIME streamlining efforts
being undertaken at NIH. More detailed information about modular grant
applications, including a sample budget narrative justification pages and a
sample biographical sketch, is available via the Internet at:
http://grants.nih.gov/grants/funding/modular/modular.htm. Applications that
request more than $250,000 in any year must use the standard PHS 398 (rev.
4/98) application instructions.
Because each of these mechanisms has special eligibility requirements,
application formats, and review criteria, applicants are strongly encouraged
to consult with program staff (listed under INQUIRIES) and to obtain
appropriate additional information about those grant mechanisms. Special
instructions and information for the R03 are found at
http://grants.nih.gov/grants/guide/pa-files/PAR-99-140.html. Special
information for the collaborative R01 is found at
http://grants.nih.gov/grants/guide/pa-files/
FUNDS AVAILABLE
Research grant funds may not be used to operate treatment, rehabilitation or
service programs. However, supplemental funding from CMHS for service
development, training and other operational expenses may be available to
accomplish accepted research goals based on the availability of funds.
Prospective applicant teams are strongly encouraged to contact NIMH or NIDA
staff (listed under INQUIRIES) and their CMHS project officer with questions
about the best mechanisms to use for specific projects.
RESEARCH OBJECTIVES
Background
The purpose of this PA is to encourage research applications that will assess
the effectiveness of treatments or services, the nature and impact of routine
clinical practice, and factors related to successful implementation of
treatments or services. Effectiveness is defined broadly to include the
impact of specific psychosocial, behavioral, pharmacologic or service models
(including preventive interventions) on clinical, functional, environmental,
service, or systems outcomes for children, adolescents and their families.
Effectiveness may also include the processes of treatment or service delivery
(e.g., mechanisms of action) that improve outcomes, and the quality of
services. Clinical practice is defined to include those features of routine
care that clinicians typically employ (e.g., intake, assessment, engagement
strategies, case management, supervision) when providing care. Types of
activities typically practiced by clinicians, types of decision-making
strategies employed, and the impact of routine care are included in practice
studies. Implementation is defined to include dissemination practices (e.g.,
training, adherence, fidelity), barriers to implementation (e.g.,
accessibility of program, cultural barriers) and cost-effectiveness. Of
particular interest are studies that will examine aspects of care that improve
child and family outcomes, whether they be specific treatments, routine
clinical practices, or implementation models. Innovative approaches to
treatment and service delivery, such as family-tailored treatment delivery or
culturally-tailored strategies expected to improve outcomes, are especially
encouraged. The overarching goal of this PA is to contribute to the
development of more effective mental health service delivery systems for
children and their families.
The Comprehensive Community Mental Health Services Program for Children with
Serious Emotional Disturbances was created as part of the Alcohol, Drug, and
Mental Health Administration Reorganization Act -- Public Law 102-321, Section
119). This program is administered by the CMHS of the Substance Abuse and
Mental Health Services Administration (SAMHSA). Under this authority, grants
are provided to States, political subdivisions of States, Indian tribes, or
tribal organizations to provide a broad array of comprehensive community-based
services for children with serious emotional, behavioral, or mental disorders
in order to enable communities to develop local systems of care consisting of
mental health, child welfare, education, juvenile justice, and other
appropriate agencies. Funds for the CMHS program are authorized to be spent
on services that are underdeveloped or nonexistent in most communities:
respite care, day treatment, therapeutic foster care, intensive home-based
services, school or clinic-based services, emergency services, and diagnostic
and evaluation services. Children can be served in small therapeutic group
homes that have a bed capacity of less than 10 beds. Additionally, each child
must have an individualized service plan, developed with the participation of
family and, where appropriate, the child. The plan must designate a case
manager to assist the child and family by coordinating services among several
systems.
To date, 65 sites have been awarded five-year grants by the CMHS since the
first Request for Applications was announced in the Spring 1993. Over 40,000
children and adolescents with serious emotional, behavioral or mental
disorders have received or are receiving services in the systems of care that
have been established for them. This PA is open to both existing sites and to
graduated sites that are no longer receiving support from CMHS, but are
continuing to provide services to the population of children and adolescents
served under the current CMHS programs.
In the child and adolescent services research field, concerns have been raised
about the disseminability of already-established services, as well as the
development of strategies for deploying empirically-based pharmacological,
psychosocial, or combined treatments whose efficacy but not effectiveness has
been established. Such issues as child and family outcomes associated with
treatment or service programs, the potent elements within either treatments or
services that contribute to outcomes, and the processes that link care
delivery to outcomes are not well understood.
The range of services provided through the Children’s Services Program
provides a unique research opportunity to study many of these issues. The
CMHS Children’s Services Program, because of the diversity of services offered
to communities, provides an opportunity to examine both the disseminability of
already-established services (e.g., multi-systemic family therapies,
therapeutic foster care, intensive case management) and the effectiveness of
specific treatments whose efficacy has been established, but whose
effectiveness has not. While pharmacological, psychosocial, or combined
therapies are available within many community service programs, most such
therapies have not been studied within mental health clinics, schools,
juvenile facilities, foster homes, primary care offices, or other naturalistic
settings, where features of the settings themselves may affect child or family
outcomes. Often treatments tested in one population or within one setting
cannot be easily deployed into other settings without attention to the
processes of adaptation, and the organizational or structural factors that
enhance, modify, or interfere with implementation. Studies of the factors
affecting deployability of pharmacological, psychosocial and combined
therapies for specific mental disorders of children and adolescents, such a
anxiety, depressive, conduct, attention-deficit hyperactivity, or substance
abuse disorders, and the outcomes associated with treatment delivery, are
strongly encouraged.
Another unique aspect of the Children’s Services Program is the significant
numbers of children and families from American Indian, Hispanic, and African
American backgrounds. Some of these communities have developed and use
services and treatments that are specific to the culture. While these
cultural service and treatment practices may be relatively common in these
communities and are perceived as effective, investigators have the opportunity
to gather empirical evidence to determine the effectiveness of these
practices.
Resources in the CMHS Children’s Services Program
The primary resource in the sites of the Children’s Services Program is the
availability of a relatively comprehensive array of community-based services
and treatments. Funding for residential care and hospitalizations, however,
is not permitted. Directors of the site service systems may be willing to use
some of their grant funds to help train clinicians and other personnel in the
application of new interventions, as long as these interventions are
consistent with the mission of the site service systems.
Many sites are experimenting with responses to managed care, privatization,
welfare reform, and other organizational and political reforms that can make
the research on effectiveness, practice, and implementation current,
meaningful, and policy relevant.
Research Issues
Listed below are examples of research topic areas that are of interest under
this PA:
o Research on the effectiveness of family-driven or culturally-based
treatment or services, contrasted with provider-driven or usual care delivery
o Research on the factors that predict treatment fidelity and clinical
outcomes within different service approaches
o Studies of the impact of different levels of service intensity or
integration for children and adolescents, relative to their diagnosis or level
of functioning, on long-term outcomes
o Studies examining the quality of care and appropriate matching of services
to level of impairment
o Studies of the meaning of quality to children and families from diverse
ethnic backgrounds
o Research on the effectiveness of interventions designed to prevent adverse
mental health outcomes in family members and caregivers
o Development of improved methods for measuring and analyzing service
integration and, within comprehensive systems, for measuring service intensity
and service outcomes
o Studies of the effectiveness of pharmacological, psychosocial or combined
treatments in these sites
o Research on strategies for deploying treatments into service communities
o Research on the potent elements of effective services
o Studies examining the processes within treatments or services (e.g.,
therapeutic engagement, family choice or involvement in care delivery,
provider attitudes) that improve outcomes
o Research on the effects of cost containment strategies
o Research on organizational variables, such as culture or climate, that
enhance disseminability of already validated services or influence outcomes or
quality of care
o Research on the effectiveness of interventions designed to prevent
substance abuse and other adverse mental health outcomes in family members and
caregivers
o Research on the impact of prevention services on delivery of other
services, outcomes, or quality of care
o Studies of behavioral strategies that enhance treatment adherence
o Studies of routine practices (e.g., supervision, assessment, referral,
triaging, etc) by clinical practitioners (e.g., case managers, pediatricians,
social workers, clinicians) which impact clinical outcomes or the quality of
care
o Research on the effect of family-centered services on treatment adherence
o Studies of the effectiveness of services for co-occurring conditions, such
as emotional, behavioral, or mental disorders, drug or alcohol abuse, AIDS, or
homelessness
Research Plan
Proposed studies should be based on a strong conceptual framework, drawing on
existing empirical literature and relevant theory, for both the selection of
the research components and the specific research hypotheses. In addition, it
is suggested that the following considerations be addressed in the preparation
of an application:
Evidence of strong collaborative research teams involving CMHS evaluation
staff is required.
The selection of each component of the study should reflect existing research
findings and have a strong conceptual foundation, but may also include new
theory-driven or research-based components.
Feasibility issues should be clearly addressed in detail. Plans for
implementation of the research should include procedures for obtaining and
maintaining the necessary community relations, training and supervising
project staff, insuring implementation fidelity, securing ongoing access to
the participants, recruiting a representative sample of the target population,
recruiting appropriate staff for the research intervention, and monitoring
subject participation over time.
Applicants should document the commitment, support, cooperation, and nature of
the proposed collaboration of community agencies or other entities or settings
outside the applicant organization whose support is essential for the conduct
of the research.
Special attention should be directed toward understanding unique variations in
treatments and services across cultural, ethnic, or racial groups and the
appropriateness of services for families from various backgrounds so that
services and opportunities are appropriate and acceptable to these individuals
(where feasible and appropriate to the study question).
INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN SUBJECTS
It is the policy of the NIH that women and members of minority groups and
their sub-populations must be included in all NIH-supported biomedical and
behavioral research projects involving human subjects, unless a clear and
compelling rationale and justification are provided indicating that inclusion
is inappropriate with respect to the health of the subjects or the purpose of
the research. This policy results from the NIH Revitalization Act of 1993
(Section 492B of Public Law 103-43).
All investigators proposing research involving human subjects should read the
UPDATED "NIH Guidelines for Inclusion of Women and Minorities as Subjects in
Clinical Research," published in the NIH Guide for Grants and Contracts on
August 2, 2000
(http://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-048.html),
a complete copy of the updated Guidelines are available at
http://grants.nih.gov/grants/funding/women_min/guidelines_update.htm: The
revisions relate to NIH defined Phase III clinical trials and require: a) all
applications or proposals and/or protocols to provide a description of plans
to conduct analyses, as appropriate, to address differences by sex/gender
and/or racial/ethnic groups, including subgroups if applicable, and b) all
investigators to report accrual, and to conduct and report analyses, as
appropriate, by sex/gender and/or racial/ethnic group differences.
INCLUSION OF CHILDREN AS PARTICIPANTS IN RESEARCH INVOLVING HUMAN SUBJECTS
It is the policy of NIH that children (i.e., individuals under the age of 21)
must be included in all human subjects research, conducted or supported by the
NIH, unless there are scientific and ethical reasons not to include them.
This policy applies to all initial (Type 1) applications submitted for receipt
dates after October 1, 1998.
All investigators proposing research involving human subjects should read the
NIH policy and Guidelines on the Inclusion of Children as Participants in
Research Involving Human Subjects that was published in the NIH Guide for
Grants and Contracts, March 6, 1`998, and is available at the following URL
address: http://grants.nih.gov/grants/guide/notice-files/not98-024.html.
Investigators also may obtain copies of these policies from the program staff
listed under INQUIRIES. Program staff may also provide additional relevant
information concerning the policy.
URLs IN NIH GRANT APPLICATIONS OR APPENDICES
All applications and proposals for NIH funding must be self-contained within
specified page limitations. Unless otherwise specified in an NIH
solicitation, internet addresses (URLs) should not be used to provide
information necessary to the review because reviewers are under no obligation
to view the Internet sites. Reviewers are cautioned that their anonymity may
be compromised when they directly access an Internet site.
APPLICATION PROCEDURES
Applicants are strongly encouraged to contact the program contacts listed
under INQUIRIES with any questions regarding their proposed project and the
goals of this PA.
Applications are to be submitted on the grant application form PHS 398 (rev.
4/98) and will be accepted at the standard application deadlines as indicated
in the application kit. Application kits are available at most institutional
offices of sponsored research and from the Division of Extramural Outreach and
Information Resources, National Institutes of Health, 6701 Rockledge Drive,
MSC 7910, Bethesda, MD 20892-7910, telephone (301) 710-0267, Email:
GrantsInfo@nih.gov. Applications are also available at the following address:
http://grants.nih.gov/grants/forms.htm.
SPECIFIC APPLICATION INSTRUCTIONS FOR MODULAR GRANTS
The modular grant concept establishes specific modules in which direct costs
may be requested as well as a maximum level for requested budgets. Only
limited budgetary information is required under this approach. The just-in-
time concept allows applicants to submit certain information only when there
is a possibility for an award. It is anticipated that these changes will
reduce the administrative burden for the applicants, reviewers, and Institute
staff. The research grant application form PHS 398 (rev. 4/98) is to be used
in applying for these grants, with the modifications noted below.
BUDGET INSTRUCTIONS
Modular Grant applications will request direct costs in $25,000 modules, up to
a total direct cost request of $250,000 per year. (Applications that request
more than $250,000 direct costs in any year must follow the traditional PHS
398 application instructions.) The total direct costs must be requested in
accordance with the program guidelines and the modifications made to the
standard PHS 398 application instructions described below:
PHS 398
o FACE PAGE: Items 7a and 7b should be completed, indicating Direct Costs (in
$25,000 increments up to a maximum of $250,000) and Total Costs (Modular Total
Direct plus Facilities and Administrative (F&A) costs) for the initial budget
period. Items 8a and 8b should be completed indicating the Direct and Total
Costs for the entire proposed period of support.
o DETAILED BUDGET FOR THE INITIAL BUDGET PERIOD Do not complete Form Page 4
of the PHS 398. It is not required and will not be accepted with the
application.
o BUDGET FOR THE ENTIRE PROPOSED PERIOD OF SUPPORT Do not complete the
categorical budget table on Form Page 5 of the PHS 398. It is not required
and will not be accepted with the application.
o NARRATIVE BUDGET JUSTIFICATION Prepare a Modular Grant Budget Narrative
page. (See http://grants.nih.gov/grants/funding/modular/modular.htm for
sample pages.) At the top of the page, enter the total direct costs requested
for each year. This is not a Form page.
o Under Personnel, list all project personnel, including their names, percent
of effort, and roles on the project. No individual salary information should
be provided. However, the applicant should use the NIH appropriation language
salary cap and the NIH policy for graduate student compensation in developing
the budget request.
o For Consortium/Contractual costs, provide an estimate of total costs (direct
plus facilities and administrative) for each year, each rounded to the nearest
$1,000. List the individuals/organizations with whom consortium or
contractual arrangements have been made, the percent effort of key personnel,
and the role on the project. Indicate whether the collaborating institution
is foreign or domestic. The total cost for a consortium/contractual
arrangement is included in the overall requested modular direct cost amount.
Include the Letter of Intent to establish a consortium.
o Provide an additional narrative budget justification for any variation in
the number of modules requested.
o BIOGRAPHICAL SKETCH The Biographical Sketch provides information used by
reviewers in the assessment of each individual’s qualifications for a specific
role in the proposed project, as well as to evaluate the overall
qualifications of the research team. A biographical sketch is required for
all key personnel, following the instructions below. No more than three pages
may be used for each person. A sample biographical sketch may be viewed at:
http://grants.nih.gov/grants/funding/modular/modular.htm
- Complete the educational block at the top of the form page,
- List position(s) and any honors,
- Provide information, including overall goals and responsibilities, on
research projects ongoing or completed during the last three years,
- List selected peer-reviewed publications, with full citations.
o CHECKLIST This page should be completed and submitted with the
application. If the F&A rate agreement has been established, indicate the
type of agreement and the date. All appropriate exclusions must be applied in
the calculation of the F&A costs for the initial budget period and all future
budget years.
o The applicant should provide the name and phone number of the individual to
contact concerning fiscal and administrative issues if additional information
is necessary following the initial review.
Applications not conforming to these guidelines will be considered
unresponsive to the PA and will be returned without further review.
Applicants planning to submit an investigator-initiated new (Type 1),
competing continuation (Type 2), competing supplement, or any amended/revised
version of the preceding grant application types requesting $500,000 or more
in direct costs for any year are advised that he or she must contact the
Institute program staff before submitting the application, i.e., as plans for
the study are being developed. Furthermore, the applicant must obtain
agreement from the Institute staff that the Institute will accept the
application for consideration for award. Finally, the applicant must
identify, in a cover letter sent with the application, the staff member and
Institute who agreed to accept assignment of the application.
This policy requires an applicant to obtain agreement for acceptance of both
any such application and any such subsequent amendment. Refer to the NIH
Guide for Grants and Contracts, March 20, 1998 at
http://grants.nih.gov/grants/guide/notice-files/not98-030.html
Any application subject to this policy that does not contain the required
information in a cover letter sent with the application will be returned to
the applicant without review.
The title and number of the program announcement must be typed on line 2 of
the face page of the application form and the YES box must be marked.
Submit a signed, typewritten original of the application, including the
Checklist, and five signed photocopies in one package to:
CENTER FOR SCIENTIFIC REVIEW
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD 20892-7710
BETHESDA, MD 20817 (for courier-overnight mail service)
REVIEW CONSIDERATIONS
Applications will be assigned on the basis of established PHS referral
guidelines. Applications will be evaluated for scientific and technical merit
by an appropriate scientific review group in accordance with the standard NIH
peer review procedures. As part of the initial merit review, all applications
will receive a written critique and undergo a process in which only those
applications deemed to have the highest scientific merit, generally the top
half of applications under review, will be discussed, assigned a priority
score, and receive a second level review by the appropriate national advisory
council or board.
Review Criteria
The goals of the NIH-supported research are to enhance health, improve the
control of disease, and advance understanding of biological systems. In the
written comments reviewers will be asked to discuss the following aspects of
the application in order to judge the likelihood that the proposed research
will have a substantial impact on the pursuit of these goals. Each of these
criteria will be addressed and considered in assigning the overall score,
weighting them as appropriate for each application. Note that the application
does not need to be strong in all categories to be judged likely to have major
scientific impact and thus deserve a high priority score. For example, an
investigator may propose to carry out important work that by its nature is not
innovative but is essential to move a field forward.
Criteria to be considered in evaluating applications for scientific-technical
merit are:
(1) Significance: Does this study address an important problem? If the aims
of the application are achieved, how will scientific knowledge be advanced?
What will be the effect of these studies on the concepts or methods that drive
this field?
(2) Approach: Are the conceptual framework, design, methods, and analyses
adequately developed, well-integrated, and appropriate to the aims of the
project? Does the applicant acknowledge potential problem areas and consider
alternative tactics?
(3) Innovation: Does the project employ novel concepts, approaches or
methods? Are the aims original and innovative? Does the project challenge
existing paradigms or develop new methodologies or technologies?
(4) Investigators: Is the investigator appropriately trained and well-suited
to carry out this work? Is the work proposed appropriate to the experience
level of the principal investigator and other researchers (if any)?
(5) Environment: Does the scientific environment in which the work will be
done contribute to the probability of success? Do the proposed experiments
take advantage of unique features of the scientific environment or employ
useful collaborative arrangements? Is there evidence of institutional
support?
(6) Quality and strength of the proposed partnership: Is there evidence that
the partnership among the investigator team, the Children’s Service Program
site administrators, project staff, and families is strong and likely to be
sustained throughout the project?
(7) Adequacy of the proposed means for protecting against or minimizing
adverse effects to human subjects
(8) Adequacy of plans for recruitment and retention of research participants
(9) Adequacy of plans to ensure that informed consent procedures are to be
strictly followed. The research participants must by fully informed regarding
the purpose and potential uses of the research, and the possible positive or
negative effects. Participants must be informed of their freedom to refrain
from answering any or all questions, and every effort must be made to be sure
that the participants understand all aspects of the assessment activities, and
that efforts to ensure confidentiality are fully addressed.
The initial review group will also examine the provisions for the protection
of human and animal subjects, the safety of the research environment, the
appropriateness of proposed project budget and duration, the adequacy of plans
to include both genders, minorities and their subgroups, and children as
appropriate for the scientific goals of the research.
AWARD CRITERIA
Applications will compete for available funds with all other recommended
applications assigned to the Institute. The following will be considered in
making funding decisions: Quality of the proposed project as determined by
peer review, availability of funds, and program priority.
INQUIRIES
NIMH staff are available for consultation concerning application development
in advance of or during the process of preparing an application. Potential
applicants are advised to contact NIMH as early as possible for information
and assistance in initiating the application process and developing an
application. CMHS staff of SAMHSA are available for consultation on the
Children’s Service Program sites.
Direct inquiries regarding NIMH research issues to:
Heather Ringeisen, Ph.D.
National Institute of Mental Health
6001 Executive Blvd., Rm 6200
Bethesda, MD 20892
Telephone: (301) 443-9263
E-Mail: HRINGEIS@NIH.GOV
Kimberly Hoagwood, Ph.D.
Division of Services and Intervention Research
National Institute of Mental Health
6001 Executive Blvd., Rm 7131
Bethesda, MD 20892
Telephone: (301) 443-3364
E-Mail: KHOAGWOO@NIH.GOV
Direct inquiries regarding the CMHS Children’s Services Program to:
Rolando L. Santiago, Ph.D.
Child, Adolescent, and Family Branch
Center for Mental Health Services
5600 Fishers Lane, Rm. 11C-16
Rockville, MD 20857
Telephone: (301) 443-1333
E-mail: RSANTIAG@SAMHSA.GOV
Diane Sondheimer, M.S., M.P.H.
Child, Adolescent, and Family Branch
Center for Mental Health Services
5600 Fishers Lane, Rm 11C-16
Rockville, MD 20857
Telephone: (301) 443-1333
E-mail: DSONDHEI@SAMHSA.GOV
Direct inquiries regarding NIDA research issues to:
Elizabeth Rahdert, Ph.D.
Division of Treatment Research and Development
National Institute on Drug Abuse
6001 Executive Blvd., Rm 4230
Bethesda, MD 20892
Telephone: (301) 443-0107
E-Mail: erahdert@nida.gov
Direct inquiries regarding fiscal matters for NIMH to:
Diana S. Trunnell
Grants Management Branch
National Institute of Mental Health
6001 Executive Blvd., Room 6115
Bethesda, MD 20892-9605
Telephone: (301) 443-2805
Fax: 301-443-6885
Email: Diana_Trunnell@nih.gov
Direct inquiries regarding fiscal matters for NIDA to:
Gary Fleming, J.D., M.A.
Grants Management Branch
National Institute on Drug Abuse
6001 Executive Blvd., Room 3131, MSC 9541
Bethesda, MD 20892-9541
Telephone: (301) 443- 6710
Fax: (301) 594-6847
E-Mail: gf6s@nih.gov
AUTHORITY AND REGULATIONS
This program is described in the Catalog of Federal Domestic Assistance No.
93.242 (NIMH) and 93.277 (NIDA). Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as amended by
Public Law 99-158, 42 USC 241 and 285) and administered under PHS grants
policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74. This program
is not subject to the intergovernmental review requirements of Executive Order
12372 or Health Systems Agency review.
The PHS strongly encourages all grant and contract recipients to provide a
smoke-free workplace and promote the nonuse of all tobacco products. In
addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking
in certain facilities (or in some cases, any portion of a facility) in which
regular or routine education, library, day care, health care or early
childhood development services are provided to children. This is consistent
with the PHS mission to protect and advance the physical and mental health of
the American people.
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