Teenage Pregnancy Prevention: Research and Demonstration Programs and Personal Responsibility Education Program (PREP)

1. Teenage Pregnancy Prevention: Research and Demonstration Programs and Personal Responsibility Education Program (PREP) U.S. Department of Health and Human Services Office of Adolescent Health & Administration on Children, Youth and Families April 23, 2010 1:00-3:00pm ET 1

2. Agenda for Today’s Call • Welcome and Introductions • Overview of the Funding Announcement • Program Expectations • Application Contents • Application Submission Instructions • Review and Selection Criteria 2

3. Asking Questions During the Webinar

4. Printing the Webinar Slides 4

5. Purpose of Today’s Call Review the Teenage Pregnancy Prevention: Research and Demonstration Programs and Personal Responsibility Education Program (PREP) Funding Opportunity Announcement, including the purpose, eligibility requirements, and how to apply for funds Will not be answering questions specific to individual applications 5

6. Introductions Office of Adolescent Health Evelyn Kappeler, Acting Director Alice Bettencourt, Acting Deputy Director Allison Roper, Public Health Analyst Amy Margolis, Public Health Analyst Jennifer Gannon, Management Analyst Miryam Gerdine, Public Health Analyst Administration on Children, Youth and Families Debbie Powell, Acting Associate Commissioner Stan Chappell, Director, Division of Research and Evaluation Seth Chamberlain, Social Science Research Analyst Office of Grants Management Karen Campbell, Director 6

7. Overview of theOffice of Adolescent Health & Administration on Children, Youth and Families

8. Office of Adolescent Health (OAH) Consolidated Appropriations Act, 2010 directed that a new OAH be established Responsible for implementing and administering new grant program to support evidence-based teen pregnancy prevention approaches Coordinates adolescent health programs and initiatives across the U.S. Department of Health and Human Services 8

9. Administration on Children, Youth, and Families (ACYF) • Administers the major Federal programs that support: • Social services that promote positive growth and development of children and youth and their families • Protective services and shelter for children and youth in at-risk situations • Foster Care, Child Abuse/Neglect Prevention, and Adoption Assistance programs • Manages the Personal Responsibility Education Program 9

10. Role of Grants Management • Official signatory for obligating federal grant funds • Official signatory for all grant business • Monitor all business/financial transactions on grants for compliance to Federal Regulations (including interpretation of Federal Regulations) • Maintain official grant files

11. U.S. Department of Health and Human Services

12. Office of Public Health and Science Office of Public Health and Science Deputy Assistant Secretary for Health (Science and Medicine) Anand Parekh, MD, MPH Deputy Assistant Secretary for Health (Healthcare Quality) Don Wright, MD, MPH ASSISTANT SECRETARY FOR HEALTH Howard Koh, MD, MPH Principal Deputy Assistant Secretary for Health Wanda Jones, DrPH Senior Advisor to the ASH Rosemarie Henson, MPH, MSW Regional Health Administrators Regions I-X Office of Communications Dori Salcido Office of the Surgeon General Surgeon General Regina Benjamin, MD, MBA VADM, USPHS National Vaccine Program Office Deputy Assistant Secretary Bruce Gellin, MD, MPH Office on Women’s Health Director Frances Ashe-Goins, RN, MPH (Acting) Office of Minority Health Deputy Assistant Secretary Garth Graham, MD, MPH LCDR, USPHS Office of HIV/AIDS Policy Director Christopher Bates, MPA Office for Human Research Protections Director Jerry Menikoff, MD, JD Office of Research Integrity Director Don Wright, MD, MPH (Acting) Office of Population Affairs Director Susan Moskosky (Acting) Office of Adolescent Health Director Evelyn Kappeler (Acting) Office of Disease Prevention and Health Promotion Deputy Assistant Secretary Penelope Slade-Sawyer, PT, MSW RADM, USPHS President’s Council on Physical Fitness & Sports Executive Director Shellie Y. Pfohl, MS Office of Commissioned Corps Force Management Director Denise Canton, JD, RN RADM, USPHS

13. Administration on Children and Families

14. Teenage Pregnancy Prevention Initiative • Consolidated Appropriations Act, 2010 (Public Law 111-117)- $110 million • $75 million - replicate program models proven effective through rigorous evaluation (Tier 1) • $25 million - research and demonstration grants to develop, replicate, refine, and test additional models and innovative strategies (Tier 2) • $10 million - training and technical assistance, evaluation, outreach, and additional program support activities 14

15. Personal Responsibility Education Program (PREP) • Patient Protection and Affordable Care Act (Public Law 111-148) - $10 million • Implement innovative youth pregnancy prevention strategies, and • Target services to high-risk, vulnerable, and culturally under-represented youth populations, including: • Youth in foster care, homeless youth, youth with HIV/AIDS, pregnant and parenting women who are under 21 years of age and their partners, and youth residing in areas with high birth rates for youth

16. Tier 2 Review & Award Process OAH & ACYF Jointly Announce Availability of Funds Review Applications Select Successful Grantees OAH Awards and Monitors TPP Funds ($15 - $25 million) ACYF Awards and Monitors PREP Funds ($10 million)

17. Introduction to TPP: Research and Demonstration Programs and PREP Funding Announcement

18. Purpose of Funding Announcement • To support research and demonstration programs that will develop, replicate, and test additional models and innovative strategies for preventing teenage pregnancy and target services to identified populations 18

19. Target Populations • Youth ages 10-19 at program entry • PREP projects should and TPP projects may target high-risk, vulnerable and culturally under-represented youth populations • Pregnant women and mothers under age 21 and their partners (PREP only) • All Applicants: • Are encouraged to serve specific priority populations as long as there is a sound rationale with supporting data • Should clearly define target populations by age groups and priority populations, when appropriate, within geographic areas with high teen birth rates 19

20. “Funds made available … shall be for making competitive contracts and grants to public and private entities”(Consolidated Appropriations Bill, 2010) Nonprofit organizations For-profit organizations Small, minority, and women-owned businesses Universities and colleges Research institutions Hospitals Community-based organizations Faith-based organizations Federally recognized or state-recognized tribal governments State and local governments State and local school districts Political subdivisions of States Who’s eligible to apply? 20

21. Funding Ranges • Range A - $400,000 to $600,000 per yr • Range B - $600,000 to $1,000,000 per yr * Applicants may only apply for one funding range under this announcement. * Applicants may choose to opt out of consideration for funding from a specific funding stream (TPP or PREP) 21

22. Cost-Sharing or Matching • Neither cost-sharing nor matching are required • Funded programs should build on, but not duplicate, current Federal, state, local, or community programs and coordinate with existing programs and resources in the community • While not required, applicants are welcome to supplement this effort with additional or non-federal resources • Any written commitment of institutional support from the applicant and its collaborators may demonstrate a greater potential of success and sustainability of the project 22

23. Award Information • Number of awards: Up to 45 • Type of Award: Cooperative Agreements • Funding Range: $400,000 - $1,000,000 • Project Period: Up to 5 years • Start Date: September 2010 • Applicants may only submit one application for consideration 23

24. Any Questions? 24

25. Asking Questions & Printing the Slides 25

26. Program Expectations

27. Overview of Program Expectations • Implement a program intervention likely to demonstrate a change in sexual behaviors • Explain potential to provide evidence of results and how the intervention could be replicated • Address the target population • Ensure age-appropriateness, and scientific and medical accuracy • Engage in phased-in implementation period • Collect and report performance measurement data • Adhere to evaluation expectations 27

28. Program Interventions • Focus on interventions most likely to demonstrate change in sexual behaviors • Interest in applications that propose to address gaps in the field of teenage pregnancy prevention • Programs with some evidence of effectiveness • Significant adaptations to an evidence-based program identified as eligible for Tier 1 TPP funding (Appendix A) • Innovative programs for 18-19 year olds • Program approaches for priority populations • Programs to reduce repeat-pregnancies and target pregnant and parenting women ages 21 and under • Other innovative program models, including use of new social media 28

29. Significant Adaptations to Tier 1 Program Models • Significant adaptations are changes to the program or curriculum activities that alter one or more core components of the program, including but not limited to: • Changing sequence of activities • Adding activities • Addressing additional risk and protective factors • Replacing videos • Modifying instructional activities • Using other models/tools that cover same ground • Such changes are sought in applications under this funding announcement 29

30. Document the Potential to Demonstrate Evidence Identify the evidence or research base Document the intervention using a logic model and identify the core components Document significant adaptations (if modifying an existing model in Appendix A) Document the program/curriculum in a manual, including staff training Document changes made for quality improvement based on piloting Document any adjustments made during implementation Include plan for disseminating intervention findings 30

31. Medical Accuracy & Age-Appropriateness • Funded programs will need to ensure that information provided is age appropriate, and scientifically and medically accurate • Materials will be reviewed by OAH or ACYF prior to implementation to ensure medical accuracy • Full curricula should NOT be submitted with the application. The review and approval process will occur during the planning phase of the first grant year 31

32. Phased-In Implementation Period • Funded recipients will engage in a planning, piloting, and readiness period for the first 6 to 12 months of funding • During this period, grantees will: • Continue to assess needs and resources • Finalize goals, objectives, and logic model • Assess program fit • Build organizational capacity • Finalize implementation plans • Pilot test program • The length of the phased-in implementation may vary by grantee depending on implementation readiness • OAH or ACYF approval is required before full-scale implementation 32

33. Evaluation Strategies • Monitoring and reporting on program implementation and outcomes through performance measures • Rigorous independent grantee-level evaluation design unique to grantee project • Federal evaluation of a subset of all grantees 33

34. Performance Measures • Developed by OAH and ACYF during first year of program • All grantees will be expected to collect and report on common set of performance measures to assess program implementation and outcomes • Training and technical assistance will be provided • Anticipated categories for measures: • Output measures • Fidelity/adaptation • Implementation and capacity building • Outcome measures • Community data 34

35. Grantee-level Evaluation • Rigorous independent grantee-level evaluation design unique to proposed program intervention • Use either random assignment or quasi-experimental design • HHS will review and assess proposed evaluation designs • HHS approval required before implementing evaluation plan • HHS will provide training & TA on evaluation – general & project specific. • See Appendix C in the FOA for detailed guidance • Budget 20-25% to support evaluation activities 35

36. Federal-level Evaluation of TPP • Funded grantees will be required to participate in Federal evaluation, if selected, and agree to follow all evaluation protocols established by HHS or its designee • Selected grantees will no longer be expected to have a grantee-level evaluation and will be required to redirect their evaluation budget to support activities related to the Federal level evaluation • Decisions regarding participation in Federal evaluation expected by end of planning year • Anticipate selecting approximately 12 grantees across TPP (Tiers 1&2) and PREP 36

37. Access to Health Care and Other Services As appropriate and allowable, applicants may provide teenage pregnancy prevention related health care services and/or make use of referral arrangements with other providers 37

38. Items Requiring OAH or ACYF Approval • Approval required for: • Medical accuracy of curricula and program materials • Evaluation plans • Full-scale implementation • Full curricula should NOT be submitted with the application. Program materials will be submitted for review and approval during the phased-in implementation period of the first grant year.

39. Any Questions? 39

40. Asking Questions During the Webinar

41. Application Contents

42. Contents of Application Submission • Abstract (one-page) • Project Narrative (no more than 50 pages) • Organizational Capability Statement • Project Management • Need Statement • Intervention to be Tested and Project Approach • Target Population • Program Goal(s), Objectives, and Activities • Work plan and Timetable • Collaborations and Description of MOUs • Performance Measurement • Evaluation • Appendices • Budget Narrative/Justification No more than 100 pgs 42

43. Project Abstract (1 page) • Clear, concise description of the project that can be understood without reference to other parts of the application. Should include: • Project title • Applicant contact information • Type of organization applying • Overarching goal(s) • Description of intervention to be implemented • Geographic area to be served • Target population 43

44. Project Narrative Formatting • Double-spaced • 8 ½ x 11 inch (letter-size) pages • 1-inch or larger margins on top, bottom, and both sides • At least 12 point font • All pages, charts, figures, and tables should be numbered • Maximum length for Project Narrative = 50 pages 44

45. Project Narrative:Organizational Capability • Current capability to organize and operate effectively and efficiently • Decision-making authority and structure • Past experience in implementing teen pregnancy prevention programs • Past experience and accomplishments in creating partnerships with organizations/agencies to implement programs or systems to address teen pregnancy prevention • How various sites and outside resources will be managed logistically and programmatically 45

46. Project Narrative:Project Management • Plans to govern and manage the execution of the overall program • Governance structure, roles/responsibilities, operating procedures, composition of committees, workgroups, terms and associated leaders, and communications plans • How plans and decisions are developed and documented and issues/risks managed • Specify mechanisms to ensure accountability across community participants and incremental progress in achieving milestones 46

47. Project Narrative:Need Statement • Geographic area to be served • Benefit for the target population • Incidence of teen births in the area • Documentation of sexually transmitted disease rates, socio-economic conditions including income levels, existing services and unmet needs in the service area • Unique challenges and barriers facing proposed population 47

48. Project Narrative: Intervention to be Tested and Project Approach • Program intervention and appropriateness for population to be served • Rationale for choosing proposed intervention & how approach is based upon previous experience and community needs • Implementation plans and site (s) • Rationale for proposed adaptations to existing evidence-based program model in Tier 1, if applicable • Plans to provide directly, and/or by referral, teenage pregnancy prevention related health or social services • Coordination with existing services in the area • Staff training and program management • Request, if desired, to opt out of one of the funding streams – TPP or PREP 48

49. Project Narrative:Target Population Describe target population using statistical data and other community factors Provide realistic estimates of overall number of program participants and number participating in proposed project site(s) Describe expected number of participants during first and second year of implementation; break out by age, race, and ethnicity Describe age appropriateness of proposed intervention 49

50. Project Narrative: Program Goal(s), Objectives, and Activities Specific program goal(s) and up to 6 outcome objectives SMART objectives S – Specific M – Measurable A – Achievable R – Realistic T – Time-framed Logic Model (5-year) – visual representation of relationships between proposed resources, planned activities, and desired outputs and outcomes 50