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HomeMy WebLinkAboutAgenda - 03-05-2003 - 9cORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: March 5, 2003 Action Agenda Item No._ SUBJECT: Youth Tobacco Prevention Project Grant Acceptance DEPARTMENT: Health PUBLIC HEARING: (Y /N) No ATTACHMENT(S): Health and Wellness Trust Fund Grant Application for Community /School Prevention Programs Letter of Award from Beverly Perdue Reyised Budget Grant Agreement INFORMATION CONTACT: Rosemary Summers, ext 2411 TELEPHONE NUMBERS: Hillsborough 732 -8181 Chapel Hill 968 -4501 Durham 688 -7331 Mebane 336- 227 -2031 PURPOSE: To consider accepting the funds from the Health and Wellness Trust Fund in the amount of $232,848 for the Youth Tobacco Prevention Project and to establish a new grant funded Senior Public Health Educator position to serve as the Project Manager. BACKGROUND: One of the priorities identified as a result of the Orange County Healthy Carolinians priority setting process in 1996 was to reduce the rate of tobacco use by Orange County residents. Research has shown that the earlier one starts using tobacco products, the more difficult it is for them to stop. Each year, 24,090 children (66 per day) in North Carolina start smoking. The use of tobacco products costs the State $4.75 billion in medical costs and lost productivity annually. The following statistics show that this is an important problem for Orange County as well. • 12% of Orange County Schools' 8th graders that were surveyed reported they had smoked in the last 30 days; Chapel Hill Carrboro City Schools (CHCCS) reported 3 %. 24% of 9th graders surveyed reported smoking in the last 30 days in Orange County Schools (OCS); Chapel Hill Carrboro City Schools reported 20% of 10th graders smoking. • 17% of Orange County Schools' 9th graders report that they had tried to quit within the past year; 10% of 10th graders in Chapel Hill Carrboro had attempted to quit. • 27 middle and high school students were suspended for violating the school board policy on tobacco use in Orange County Schools. Tobacco use is one of the primary preventable causes of cancer and cardiovascular disease (heart disease). About 200 people die from cancer each year in Orange County and another 400 people are diagnosed with cancer each year in this County alone. 160 people die from heart disease each year and more than 860 people are hospitalized each year for heart- related conditions. Statistics over the last eight years show that the County has made little progress in improving these numbers. Neither the health department nor either schools system has any active on -going youth tobacco prevention efforts. Chapel Hill Carrboro City Schools uses the Life Skills Curriculum to prevent substance abuse with some very limited applications to tobacco prevention. Orange County Schools uses the DARE program for substance abuse prevention, which is even more limited to tobacco prevention. If this money were not available, there would be no resources available to address this problem. The availability of the grant funds enabled the school systems and the health department to focus on a health problem that has lifelong consequences to the entire community. This grant opportunity became available in late 2002 through the North Carolina Health and Wellness Trust. It seeks to prevent youth from beginning tobacco use and assists those that are users to stop. The grant application is a collaborative effort between the Orange County Schools, the Chapel Hill Carrboro City Schools, the Orange County Department of Social Services, and the Orange County Health Department. The Healthy Carolinians Coordinator and representatives from each of the collaborating agencies wrote the grant application and submitted it in November, 2002. The Health Department received notification in late January that the grant was selected for funding. This grant is one of 26 that were awarded across the state, from a pool of $6,707,377. The overall focus of the project is on reducing tobacco and marijuana use among middle and high school students and on developing the skills necessary to prevent the use of these substances. In each of the three years, the project will train at least 40 youth peer educators - 20 from each school system - to provide prevention education to other youth. Each of the school systems will focus on different grade levels for implementation. In addition, teen parents, Phoenix Academy, and Night Panthers will have programs focused on their particular needs. A unique focus will be on grandparents of teen parents, often who are providing care for the young children in their homes. Tobacco cessation programs will also be offered for those youth already using tobacco products. The general objectives and activities of the project can be found on page 9 of the attached grant application (page 11 of this abstract). More specific outcomes of the grant will include: • Each grant year, at least 40 Peer educators (20 from each school system) will be trained to ask, advise, and assist students with tobacco use prevention and cessation resources. • Each grant year, Peer Educators will report having referred at least 1,000 students to services addressing tobacco use, marijuana avoidance and cessation resources. • Each grant year, Peer Educators, in coordination with the Youth Tobacco Prevention Project Manager, will conduct at least 35 sessions for OCS students reaching 500 third graders and 25 sessions for CHCCS students reaching 700 ninth graders. • By March 2006, Orange County Youth Risk Behavior Survey data will reflect a 3% decrease in the number of OCS. and CHCCS students who reported smoking in the last 30 days with OCS 9th graders and CHCCS 10th graders as benchmarks. Currently, 24% of OCS 9th graders and 20% of CHCCS 10th graders report having smoked in the last 30 days. • Each year, the Youth Tobacco Prevention Project Manager will facilitate education, counseling, and support for 100% of OCS and CHCCS students and faculty requesting smoking cessation assistance. • Each grant year, the Youth Tobacco Prevention Project Manager will follow up and offer education, counseling, and support for 75% of all student suspensions due to tobacco violations. • The Youth Tobacco Prevention Project Manager will insure the availability of regularly offered cessation services -- providing at least 7 community -based smoking cessation series to County teens and their families, reaching at least 60 individuals. Unique features of this project include the training and use of peer educators within the school system and a focus on involving teens that are parents already with their support network. Using peers to conduct education at younger levels is also a unique aspect of this project. Peer educators have been shown to be successful in other school -based and community projects (such as our Latino Child Health Promoters project). The Tobacco Control Branch of the Division of Public Health will be assisting all of the grant projects in developing specific evaluation plans to measure accomplishments. The project proposes the creation of a new grant- funded full time Senior Public Health Educator position to implement the project activities, including the grant evaluation and reporting requirements. The Senior Public Health Educator will be the Project Manager and work with both school systems to develop and implement the activities as outlined in the grant. Evidence -based curriculum will be used for activities in both school systems. The project's funding duration is three calendar years, beginning upon acceptance of the grant, with each year's funding being renewable upon successful completion of project activities. If the outcomes of the project are successfully met, the granting agency expects that the project Will continue to be funded by Orange County. It is proposed that the Board of Commissioners will review the grant outcomes each year. At the end of the three -year grant period, the Commissioners will receive a complete project outcome report and will consider sustaining the effort through the County general fund if the outcomes merit such support. The effective date of the grant is upon signature of the grant agreement and will run for one year with renewal each year upon review of project accomplishments. FINANCIAL IMPACT: The total amount of the grant over the three -year period is $232,848. The year one allocation is $81,351. The year one allocation will cover the salary and benefits of the Senior Public Health Educator /Project Manager and includes operational expenses for the project. In addition, the grant includes funds for a computer, furniture, and other one -time start- up costs. In -kind contributions by the County include office space, supervisory time, some office supplies and photocopying. Year two is $75,506 and year three is $75,991. Salary & Benefits Start -up Costs Operating Costs Offsetting Revenue Net County Costs Yr. 1: $45,382 $5,000 $30,969 $81,351 $0 Yr. 2: $47,272 $28,234 $75,506 $0 Yr. 3: $49,257 $26,734 $75,991 $0 Yr. 4: $51,720 1 1$26,000 $0 1$77,720 4 The financial impact in the first three years is limited to the provision of the in -kind contributions of the County. After the grant period, staff will report to the Board of Commissioners on project outcomes and successful interventions and seek the Board's decision as to whether or not the program should be sustained through County support. RECOMMENDATION(S): The Manager recommends that the Board: • Approve receipt of the grant and approve the establishment of the Grant Project Ordinance for a period of three years, • Authorize a new grant- funded Senior Public Health Educator position for project implementation with continuation of the position after the three -year grant- funded period being contingent on Board of Commissioners decision, and • Authorize the Board Chair to sign the grant agreement with the North Carolina Health and Wellness Trust Commission. l' HEALTH AND WELLNESS TRUST FUND GRANT APPLICATION FOR COAIlqUNITY /SCHOOL PREVENTION PROGRAMS INITIATIVE I. The Applicant Organization A. Name and address of the organization applying for grant. Name: Orange County Health Department Street Address/P.O. Box: PO Box 8181 300 West Tryon Street City; Hillsborougb County: Orange State: NC Zip Code: 27278 8181 Phone: 919 245 -2409 Fax: 919 644 -3007 Email: rsummers(a co.orange.nc. Web- site: w ww.co.oraage.nc.us/health/indez EIN: 566000327 B. Officer, employee or contact person responsible for your grant request. Name: Maria K Hitt Title: Healthy Carolinians Coordinator Address: 2501 Homestead Road Phone: 919 968 -2022 Fax: 919 968 -2013 Email: mhittAco.orange.naus Tracking number 151 Page 1 40 A. Partnering Entitles (Include LEAs or public charter schools): 5 Name or District: Orange County Schools Contact: Donna L Williams Title: Health Ed Coordinator Address: 200 East King St. Hillsborough NC 27278 Phone: 919 732 -6271 Fax: 919 732 -8120 Email: williamdAhe.orange.kl2.nc.us Name or District: Chapel Hill - Carrboro City Schools f nntant Susan W Spalt Title- Health Coordinator e AArecc• 750 S. Merritt Mill Road Chapel Hill NC 27516 Phone: 919 967 -8211 Ems: sspalt(a,chccs.kl2.nc -us Fax: 919 918 -7096 Name or District: Orange County Dept of Social Services Contact: Valerie C Russell Title: Coordinator. APP Address: PO Box 8181 Hillsborough NC 27278 Phone: 919 245 -2862 Fax: 919 644 -3317 Email: vrassellpco.orange.ne us Page 2 6 I. Executive Summary A. Overview of the lead applicant organization. The lead applicant for this project is the Orange County Health Department The OCHD has been serving the Orange County community by providing clinical services, health promotion and education, dental health, envirorvnental health and animal control for more than 25 years. Through our broad array of services we provide public health to residents in two medical clinics, two dental clinics and in the field. OCHD has a staff of 95 and operates from 4 separate locations throughout the county. The programs of the OCHD serve nearly 22,000 clients and residents per year. The health promotion and education division in particular is involved in bringing prevention programs to the community through schools, community groups, health fairs and other settings. B. Amount of request: $85,851.00 C. Concise description of the need for the program and how the target population will benefit from the services. The OCS system is just beginning to work towards a 100% tobacco -free policy. By becoming 100% tobacco -free the students in the OCS system will no longer be exposed to adults who smoke either on campus or at school events. In a 2001 YRBS of the two school systems, between-3-12% of middle school students had smoked in the last 30 days and 20-25% of high school students had smoked in the last 30 days. This project would work to decrease the numbers of students beginning to smoke in High School. Between 10-17% of the students who smoked had tried to quit in the past 12 months. The proposed program would provide assistance in tobacco cessation for these students and also for teachers who would like to quit smoking. The rates of smoking in the two districts differs with fewer in CHCCS than In OCS. D. List objectives and measurable outcomes for the program for which funding is requested. The following objectives will be achieved by December 20DS 1. Increase the proportion of middle school students that have never used tobacco or marijuana. 2. Increase the proportion of high school students that have never used tobacco or marijuana. 3. Decrease the number of middle school students who use tobacco and marluana. 4. Decrease the number of high school students who use tobacco and marijuana. 5. Decrease the number or teen mothers who smoke and whose children are exposed to ETS. 6. Advocate for Orange County schools to became 100% tobacco -free for all students, staff, and visitors of all school property at al times and at school events by Dec 2003. Page 4 7 E. How does your program demonstrate innovation at the community, county, or regional level? Include information on the integration of the program with existing services, partnering organizations, and community support in planning and implementation. The collaboration between two school systems and the local health department to combine efforts to implement this program is challenging due to different policies and programs within the two separate school systems. The health department as the lead agency allows for these differences to be accommodated and for the program to operate from neutral ground. We also hope to combine tobacco prevention with drug prevention. Our YRBS data shows we have as many students smoking marijuana as tobacco In our county so we are planning strategies that will not only address tobacco use prevention, but smoking of all substances in order to protect the lungs of young people. Our component that will address teen mothers partners with the Adolescent Parenting Program and is unique. Because most of our teen mothers do not currently smoke,.we are developing a program to target the smoking grandparents with a second -hand smoke campaign that wit train the teen moms how to advocate for the health of their babies. II. Program Description A. Background of applying organizations. 1. Mission Statement of lead applicant. The Mission of the Orange County Health Department is to enhance the quality of life, promote health, and preserve the environment for all people in the Orange County community. 2. Describe current programs and accomplishments of lead applicant. The OCHD offers a variety of public health services to all residents of Orange County. Services Include surveillance activities such as verifying birth and death registrations, maintaining a communicable disease surveillance system, a systematic community assessment process; environmental health service's such as food, lodging, and institutional inspections, and enforcement of wastewater and well construction and sNing standards; animal control services such as rabies investigation and protection, animal protection, and nuisance abatement clinical services such as dental services for children and adults, women's health, adolescent health, and immunization services; community -based services such as family home visiting, injury prevention education, health and nutrition education, and school health. Annually, the department provides more than 10,000 clinic encounters, about 600 children have regular home visits, and more than 4,000 adults and children receive dental clinical services. Health education staff reach out to more than 2,000 residents each year, and environmental health protects the entire population through its inspection program with more than 250 restaurants. Animal control staff respond to over 5,000 calls from the public on various matters. Page 5 3. Describe lead applicant's experience with tobacco use prevention policy and programmatic activities. Include information on the capacity of your organization to administer the proposed program. Orange County has been involved in tobacco policy since 1988 when the county commissioners approved a policy limiting smoking in county buildings. The OCHD advocated for and the Board of Health passed the Smoking Control Rules in 1993 restricting ETS in public places, work sites and restaurants. in 1997 the Board of Health created a smoke -free committee, made up of OCHD and community representatives who worked to develop a county anti- smoking plan. This plan included encouraging restaurants to go 100% smoke -free and the group developed, published, and distributed a smoks4ree dining guide that included more than 75 restaurants. In November 2000 the Healthy Carolinians Preventive Services committee organized activities for the Great American Smoke Out and is again doing so for November 2002. The OCHD has also offered smoking cessation groups by request for many years and has a public health educator who is a trained American Lung Association cessation gawp facilitator. OCHD is a govemment organization with the capacity to oversee a project such as this one with ease. The Health Promotion and Education Division has strong leadership under Donna King, MPH and it is within this division that the coordinator of this tobacco prevention program will be placed. 4. Provide brief overviews of all partners (co- applicants) and their proposed roles and responsibilities. OCS has 6,448 students In grades pre-K through 12, including seven -elementary, two middle and two high schools. The CHCCS has 10,350 students in grades pre-k through 12. There are 8 elementary, 4 middle and 2 high schools. A new elementary school is scheduled to open in 2003. Both school systems are committed to collaborating with the OCHD, Healthy Carolinians of Orange County, and the Orange County APP to prevent tobacco use in teens and eliminate youthful exposure to ETS. Both school systems are willing to provide all partners with access to YRBS and other data, classrooms, student and staff training, and curriculum. The School Health Coordinators from each school system will ad as the liaison for the tobacco prevention coordinator from the health department They wilt help to facilitate entry into the schools and connect the coordinator with the appropriate teachers, classes and students to implement the project The Health Department will employ the tobacco prevention coordinator, provide administrative and supervisory support to the coordinator, and provide office space and fiscal management to the project overall The APP is in the Orange County DSS and has 3 FT staff, with a social worker in each school system. They serve 25-30 young mothers annually. 5. Provide information about the various assets of the partnerships that apply to the proposed program. Both CHCCS and OCS'are committed to preventing tobacco use in teens and to eliminating youthful exposure to ETS,as wail as providing students with the best prevention education possible. Both systems administered the Youth Risk Behavior Survey in 2D01 with United Way funding and will continue to survey students on an annual basis. CHCCS did the YRBS in 8th and 10th grade health classes, and OCS in Sth and 9th grade health classes. CHCCS have been 100% tobacco -free since 1990 and can provide guidance to the OCS as they undertake this inYdative. The OCHD has a history of conducting community education programs and can bring leadership and expertise to the project In addition, the network that exists within the focal Healthy Carolinians partnership will help to expand the reach and depth of the project. Page 6 9 B. Need for establishing a new program or need for enhancement of an existing program. 1. Describe the community's need for the program or program expansion. Currently there is no consistent cessation program for youth other than the alternative to suspension program. There are no community -based prevention programs and the youth run, school -based programs such as TATU and NOT have failed due to a lack of dedicated staff time. With as many as 10-17% of high school students-who smoke wanting to quit there is a definite need for a program geared towards teenage smokers. In addition, we can see from the YRBS data that there is a significant jump in smoking between the 8th and 10th grades in the CHCCS and the 7th and 9th grades in the OC Schools. For this reason we would like to target programs to reach youth before they start to smoke in high school. YRBS data also shows an equal number of students smoking marijuana and we would like to address this problem simultaneously. Preliminary steps have been taken to implement a 100% tobacco free district at the request of the Orange County Board of Education. We ward troth school districts in Orange County to become 100% tobacco -free to improve the enviroment in which our children are learning. 2. Provide current demographic information about teen tobacco use in your area. OCS: 12% of 8th grade health students in 2001 reported they had smoked in the last 30 days; by 9th grade, 24% reported smoking in the last 30 days. Furthermore, at least 17% of 9th grade health students surveyed had tried to quit smoking cigarettes within the past year. Also, during the 2000 -2001 school year, 27 middle and high school students were suspended for violating the school board tobacco use policy. CHCCS: 3% of 8th grade health students in 2001 reported having smoked in the past 30 days; by 10th grade 20% of students report having smoked in the past 30 days. 10% of the 10th graders have tried to quit smoking. Staff estimates that there are pockets of students who are at greater risk for tobacco use, especially at Phoenix Academy the alternative school in Chapel Hill. 3. Provide information on current youth tobacco use prevention activities and infrastructure in the community. OCS implemented a tobacco -free policy for students in 1987 and has formed a committee or educators, students, parents, and smokers to explore making OCS a 100% tobacco-fres school district. Middle school students are taught about tobacco use and Its consequences from the Healthful Living Education Standard Course of Study and Project Alert. Other initiatives have included the Alternative to Suspension program for students that violate OCS Tobacco Use Policy; Teens Against Tobacco Use, a peer helping program between high school and elementary students; and Great American Smokeout The CHCCS implemented a Student Assistance Program in the secondary schools in 1984; the CHCCS have been smoke -free since 1990 and have been implementing Life Skills Training in the middle schools since 1997. Students from UNC- Chapel HIP run a program called Tutoring Against Tobacco where college volunteers provide tutoring to 6th grade students in CHCCS and also lessons in tobacco media literacy. There are no community -based youth tobacco prevention programs in place to Orange County. Page 7 10 4. Describe the geographic area and the population the program will benefit. Explain how these people will benefit from the program. Orange County Schools serves a lower- income population from the rural, northern areas of the county, with 2696 of Its students qualifying for free or reduced school lunch. Chapel HII - Carrboro consists of both well - educated, affluent families and low - income working class families. In addition there is a significant retirement community. This project will benefit the high -risk, less successful students and the students entering high Each year this program will benefit at least 40 Teens Against Tobacco Use peer educators and 500 third graders- OCS,700 ninth grader.- CHCCS, 20-25 teen parents and smoking grandparents, 60 students interested in smoking cessation and any staff interested in smoking cessation especially as OCS becomes 10096 tobacco -free. 5. Explain how the program will build or enhance health care capacity in the community served. Health care capacity will be increased by training peer health educators. These students will become more knowledgable abaci tobacco use and Its risks. They will in turn provide information to the community and may become involved in additional health related areas. Poor run programs develop leadership and advocacy skills in youth that may help them become better advocates for community health. Ma6rtaining the position of the smoking prevention coordinator will also increase the health care capacity of the community by providing leadership and direction to youth driven, community- based, health prevention programs. Page 8 11 C. Program goals, objectives, strategies for achievement, and evaluation measures. 1. Include a description of the proposed program plan that covers the years for which funding is requested. The program plan must include specific goals, objectives anf intervention strategies for year one. Anticipated goals and objectives for years 2 and 3 can be briefly summarized. State how these goals meet the Commission's funding priorities. The CHCCS program will implement programs and strategies for high -risk students, 8th and 9th graders and high school students. The OCS program will implement programs and strategies for high -dsk students, 3rd graders and high school students. Specific goals include: 1. To help students develop the skills necessary to prevent tobacco and manjuana use 2. To reduce tobacco and marivana use among middle and high school students 3. To reduce the number of tobacco use related suspensions 4. To reduce exposure to tobacco use and ETS in the homes of teen mothers, in the school environment, and In the community 5. To assure that both school systems will be 100% tobacco -tree Objective 1: Increase the proportion of middle and high school students who have never used manjuana or tobacco products. Strategies: 1.1 Train high school students using the Teens Against Tobacco Use peer -based education program about the dangers of tobacco and marijuana use and how advertising targets youth. Have these students provide presentations about making healthy lifestyle choices, including being tobacco and drug free, to younger students, third graders OCS, 8th graders CHCCS. 1.2 Develop and implement a brief unit on the negative effects of tobacco on personal fitness to be implemented in 9th grade physical education classes in CHCCS using the CDC Sports Initiatives materials. 1.3 Assess tobacco use in students who attend Phoenix Academy the CHCCS alternative school and who frequent the "Street Scene" teen center in Chapel Hill and develop prevention strategies specifically for these populations. Objective 2. Decrease the number of middle and high school students who use tobacco and marijuana. Strategies: 2.1 Assess tobacco and marijuana use in 8th and 9th graders OCS and 8th and 10th graders CHCCS using the Youth Risk Behavior Survey. 2.2 Implement the American Lung Association's Alternative To Suspension Program for student tobacco policy violators. 2.3 Promote and provide access to effective cessation and treatment options to students who attend OCS and CHCCS high schools, Phoenix Academy and the Street Scene Teen Center. 2.4 Train peer cessation helpers to ad as quit buddies to students who want to quit. 2.5 Train students who have participated in above sessions to ad as cessation counselors in year two and three. Objective 3: Decrease the exposure to ETS in the homes of pregnant and parenting students Strategies 3.1 Provide education to OCS and CHCCS pregnant and parenting teens about the health hazards of second hand smoke at the Orange County Adolescent Parenting Program's monthly peer education meetings. 32 Provide education to OCS and CHCCS pregnant and parenting teens on how to communicate with family members about secondhand smoke, including effective ways to help them stop smoking using the U.S. Environmental Protection Agency's Smoke -Free Home Pledge kits. Objective 4: Help OCS become a 100% Tobacco Free school district Strategies: 4.1 Form a broad -based committee to develop effective steps for implementing a 100% tobacco free school district. 4.2 Provide smoking cessation and support programs to faculty in the OCS. In years two and three we will continue with the prevention and cessation programs and begin to work further in the community through after-school programs, summer camps and other avenues to reach additional youth with the peer educators and their prevention and cessation messages. Media literacy training will occur in subsequent years. Page 9 12 2. What are the expected outcomes from the program, including expected first year accomplishments and a description of the long- term impact of the program. In the 1st year we will train at least 40 peer educators in the county, 20 from each school system, to provide prevention education in the lower grades. OCS will offer prevention education to all 3rd graders. CHCCS will provide prevention education to at least 400 8th graders and 400 gth graders.' In addition, tobacco use assessments will be done at the Street Scene, the Phoenix Academy, and with the teen mothers involved in the Adolescent Parenting Program. We will reach at least 20 teen mothers and their families with education about the dangers of ETS. Both school systems will begin to offer the enhanced cessation programs, and the Alternative to Suspension program and should reach a minimum of 60 students in the first year. We also anticipate that the OCS will complete their efforts to convert to a 100% tobacco free system by the end of 2003. In the 2nd year of the program, the community components will be started providing prevention education at the Phoenix Academy alternative school, Street Scene teen center and other community locations. 3. How will you measure the quality and quantity of youth- focused prevention_and cessation activities be measured? What school, community, policies, media and program services will you need to monitor during the length of the program? Give examples. Describe how the evaluation will be used to make the program more effective and efficient, and how the evaluation results will be disseminated. The main tool of measurement will be the YRBS which will continue to be conducted bi- annually in both school systems to provide data on the numbers of teens who are using tobacco products and other drugs. This data will be shared with the schools and the community via the media. We will track the numbers of students trained through the various components of the program, and the numbers of students reached with prevention education. We will offer a pre and post test of knowledge for the peer educators before and after training and an evaluation of the training will be conducted asking the students for feedback on what worked well and what needs improvement Any community -based programs that are offered will be documented and the number of participants will be tracked. Whenever possible, those receiving a program will be given an opportunity to provide feedback. Whether the Orange County schools become 100% tobacco free will be reflected in the new policy that will be written and adopted by that school system. Any publicity or assistance from the media will be documented. WA 4. All existing program applying for enhancement grants must describe program outcomes for all the years that the teen smoking intervention program has been in existence. Page 10 D. Program Management. 13 1. Describe the roles and responsibilities of program staff in the proposed project. Include titles, qualifications and experiences as well as the percentage of time each will devote to the program and the portions of their salaries that will be paid from the grant award. We are proposing to create a new position within the health promotion and education division of the Orange County Health Department This position will be fully funded by the grant. The position will be for a full -time senior public health educator. The title of the position will be Orange County Youth Tobacco Prevention Project Coordinator. It will be the responsibility of this individual to: 1. Plan, implement and evaluate all components of the youth tobacco prevention project 2. Work closely with the school health coordinators from both school systems to provide an effective program in schools within the two districts. 3. Recruit, train and provide leadership and facilitation to the peer educators. 4. Work with the Adolescent Parenting Program staff to plan and implement the teen mothers component of the project S. Work with OCS to help provide support and facilitation to the tobacco -free schools policy adoption. Approximately 20 hours a month will be donated in -kind by the school health coordinators to assist in coordination and Implementation of the program. An additional 20 hams per month will be donated by supervisory staff of the Health Promotion and Education Division and fiscal management staff of the OCHD. 2. Describe collaborations with community organizations and their roles in supporting the program including the extent of the collaboration with the local education agency (if it not the lead applicant or a partner). Outline how the proposed program will complement or build upon existing programs and services that address teen tobacco use. This project will have an OCHD Health Educator working closely with both school systems in Orange County. OCHD and the two school systems are integral collaborators in this project In addition, the coordinator will be working in partnership with the staff from the Adolescent Parenting Program,who will help to plan and impiemerd the teen mother component of the project by providing meeting times and places to conduct the project and access to the teen mothers. The Street Scene Teen Center and the Phoenix Academy alternative school in Chapel Hill will provide access to teens at their locations and help to conduct the needs assesment and offer time and space for prevention and cessation programs to be held. After- school programs and Volunteers for Youth will provide opportunities for education to be conducted with their participants by the peer educators in years 2 and 3. We will work with the UNC Carolina Cancer Focus students to help support and facilitate their Tutoring Against Tobacco project The Ward funds will help support their work and they in turn will help to train the peer educators in media literacy as relates to tobacco advertising. They will continue to offer education to 6th graders through the CHCCS after - school programs. Page 11 14 3: Briefly demonstrate your organization's willingness and ability to participate in a program tracking system, and specifically dedicate staff time in the proposal. The Project Coordinator will dedicate a portion of their time to the project tracking system and all the partners will provide whatever information is necessary to track the progress of the project Both the schools and the Health Department are fully computer networked and have access to e-mail and the web for any type of on-line tracking that may be required 4. Identify how the organization will sustain its efforts after the grant period. Discuss strategies for long -term funding and viability. We arc asking the County Commissioners to consider continuation funding for this position after the grant funding period has ended. Page 12 Ill. Budget and Fiscal Information. A. Attach the following documents to your application. 15 1. in the attached Excel spreadsheet, provide the projected annual budget of the proposed project, including any indirect costs, if requested. To download, Click here. In the space provided below provide a narrative budget justification that describes how the categorical costs are derived. Applicants should also list any in -kind resources that will contribute to the project. Direct Expenses: $45,382 in Salary reflects the year one salary and fringe benefits of one, full-time Senior Public Health Educator who will serve as the coordinator of the project with an annual 5% increase for mertt and COLA included for years two and three. $8,800 in in -ldnd Salary is calculated based on an average of 20 hours per month at $20/hour for 10 months for school system personnel such as the school health coordinators and other school staff who will be involved In the implementation of the project Also for 20 tours per month for health department staff who whti provide supervision and fiscal management for 12 months each year. $4,000 in Other Direct Expenses will pay 40 peer educators per year $100 each to undergo training in tobacco prevention education. $8,000 year one and $16,000 in years two and three for Salary In-IQnd for the peer educators who will provide voluntary service in this project They are required by the school system to perform community service hours, they will be paid for training time but the time they spend conducting programs and doing community outreach will be voNmtary. The sum is based on a calculation of $ 10/hour for 4 hours per month for 5 months in the first year and 10 months in the 2nd and 3rd years for 40 teens each year. Other Than Personnel Support OTPS $4,000 for supplies and materials each year includes paper for printing, educational materials, brochures and other office supplies as needed. The Health Dept and school systems will also provide approximately $1,000 per year in in -kind supply costs, including photocopying and miscellaneous office supplies. $1250 for Communication Costs will Include $370 for postage, 1,000 mailings at .37 each. Telephone start-up costs in year one will be $235 and monthly fees for phone, voicemail and cell phone each year will be $51 1month or $612 annually. A emit phone will be required for the coordinator who will be traveling around the county a great deal. The Health Department will cover FAX and computer networking costs in4dnd. $900 in Occupancy Costs will be covered W kind by the contribution of an office space provided by the Orange County Health Department valued at $12.50 per square foot A 64 square foot office would run $800 per month. $1,000 is requested for media and promotions to cover advertising for positions and projects, to utilize creative methods to recruit teens to the program and publicize their efforts. The News of Orange has agreed to match advertising dollars one -to -one. $5,000 Capital Outlay - A computer and printer would need to be purchased for the project coordinator at a cost of $3,000 and office furniture wig also need to be secured for no more than $2,000 total. $6,000 for Other OTPS lrxludes the purchase of incentive items such as pencils, stickers and other items with a tobacco prevention message for the pear educators to distribute 'during outreach and T- shirts for the peer educators themselves.lt is estimated the bulk of these items wig be purchased In year one, with a decreasing number purchased in subsequent years. This amount also includes $ 1.00D for special Incentive items for the teen mothers in the APP program such as gift certificates that they will receive for completing sessions and projects related to smoking prevention and cessation. $12,252 in Travel Expenses includes $4,500 for three people to attend the state required training, $3,600 for two people to attend the TUPTI and $2,400 for two people to attend another national or regional tobacco control conference. The remaining $1,752 will be for local travel reimbursement at 36.5 cents per mile for an average of 400 miles per month as It is an approximate 25 mile round trip between the two school systems and health departments. $7,000 in Meeting Expenses will include the cost of an annual summer weekend retreat for training and team building of the peer educators. Also refreshments and other costs associated with the on -going training of the peer educators which will occur at least 4 times a year, two trairrings per peer team in each school system per year. Page 13 NA 2. Attach the latest budget of the lead applicant organization. Include the results of the most recent audit of the organization, if available. Please see file- naming requirements in the instructions. 2. A complete list of sub - recipients (includes partners, collaborators and other contractors) under the grant and a specification of how the applicant's methodology for accounting for funds disbursed to sub - recipients. 4. A description of the bank accounts and internal accounting ledgers or books that will be set up and used. 16 As part of county government, the Health Dept only requests and approves purchase orders and check requisition transactions. All check payments, bards accounts & the general ledger are updated and maintained by the county Finance Dept The county Budget Dept wilt set up separate ledger accounts for all Ward funds in accordance with governmental accounting rules. At fiscal year and, outside auditors check the records maintained in the Finance Department for all of Orange County government . 5. Enter a list and history of lead applicant's past programs. funded by grants or awards in the last five years as well as the names of all granting entities involved in those grants or awards. Smart Start funded projects Include: Preschool Dental Screening over 5 years, Child Service Coordination over 5 years, Families in Focus and Home Vl90V 4 years, Child Health Awareness 3 years, Welcome to the World 1 year, not renewed. The above grant projects are all ongoing, with the exception of Welcome to the World. They each fund one staff person and various operating expenses. Healthy Caro inians/Community Based Public Health Initiative project is jointly funded by Orange County and UNC School of Public Health, UNC Hospital and other private donations. This project funds one fuli4me staff person and some operating expenses. Small grant awards for less than $5,000 each awarded in the past 5 years Include: Pink Carolina funds for women"'s health project; Charlotte -based Poison Control Center funds for printing a PhotoNovela for Spanish - speaking clients; and translation of the 130 -page flWomerilms Health Passporhl into Spanish. cn 6. For existing programs applying for enhancement grants, enter a list and history of lead applicant's past programs funded by grants or awards as well as the names of all granting entities involved in those grants or awards. Page 14 11. Agreement and Certification — Please'print and mail this page to Commission when application has been submitted Authorized officials of the organization MUST sign the following statements. Certification: This grant application has been approved by the lead applicant organization's governing body. Certification: This organization has no conflicts of interest as defined by the policy below. To avoid any real conflict of interest or perceived conflict of interest between the Health and Wellness Trust Commission grant recipients and tobacco manufacturing and related entities, grant recipients must not currently accept any grants or anything of value from any tobacco manufacturer, distributor, or other tobacco-related entities. The only exception is when these grant funds or items of value are totally for NON - tobacco related purposes and do note present any danger of promotion of or use of tobacco products or otherwise conflict with policies and program known to prevent and reduce teen tobacco use. Agreement. All sub - recipients (includes partners, collaborators and other contractors) under the .grant will be identified on an ongoing basis. Agreement. All accounts, books and ledgers can be audited by the Commission or the State auditor. CERTIFICATION: The information provided in this material is correct and complete. Applicant Organization: Orange County Health Signed by -94 ���151,L,Pr14st.L.Li! Signed-by: .. .: Page Is 17 Health and WellnessTrust Fund Commission Grant Application Budget Applicant Agency: Contact Person for Budget: Maria Hitt Contact Phone: 919 -968 -2022 Ext 291 Fax: 919- 968 -2013 e -mail: mhitt@co.orange.nc.us Federal Tax I.D. or 501(c)(3): 56- 6000327 Arect Expenses: ialaryMages /Benefits ;ontracted Staff Other (Please clarify bek Subtotal: Other Than Personnel Support (OTPS) Supplies /Material Communication Costs (telephone, postage, freh Occupancy Costs (rent, utilities, repairs, mainten Media (Advertising and Promotions) Capital Outlay (furniture, equipment, data process 1. Year 1 starting on or about 111/2003 and ending 12/3112003 2. Year 1 starting on or about 1/1/2004 and ending 12131/2004 3. Year 3 starting on or about 1/112005 and ending 12/31/2005 1/1/2003— $4,000.00 $ $49,382.00 $1 .001 $51,272.00 $24,800.00 1 $53,257.00 $2 Total .00 $141,911.00 $26,400.00 $0.00 $0.00 .00 $12,000.00 $40,000.00 .001 $153,911.00 $66,400.00 4,000.00 1,000.00 4,000.00 1,000.00 .4,000.00 1,000.00 12,000.00 3,000.00 1,217.00 500.00 982.00 500.00 982.00 500.00 3,181.00 1,500.00 9,600.00 9,600.00 9,600.00 0.00 28,800.00 1,000.00 500.00 500.00 500.00 2,000.00. 500.00 non no . 5.000.00 0.00 CD Z)ther Please clarify below 6,000.00 4,000.00 4,000.00 14,000.00 0.00 Subtotal 1 17,217.00 11,600.00 .9,482.00. 11,100.00 9,482.00 11,100.00 36,181.00 33,800.00 Travel Expenses Travel (mileage, transportation, meals, hotels ) $12,252.00 $12,252.00 $12,252.00 $36,756.00 $0.00 Meeting Expenses $7,000.00 $7,000.00 $7,000.00 $21,000.00 $0.00 Other Please clarify below $0.00 $0.00 Subtotal $19,252.00 $0.00 $19,252.00 $0.00 $19,252.00 $0.00 $57,756.00 $0.00 Total Direct Expenses $85,851.00 $28,400.00 $80,006.00 $35,900.00 $81,991.00 $35,900.00 $247,848.00 $100,200.00 Indirect Costs (only if requested) $0.00 $0.00 Total Request $85,851.00 $28,400.00 $80,006.00 $35,900.00 $81,991.00 $35,900.00 $247,848.00 $100,200.00 Program Grantees are required to include, Training and Development expenses in the Annual Budget Section of the proposal. Grantees are required to attend all regional and Statewide Tobacco Prevention and Control Coalition meetings including. New Grantee Kickoff event, Local Coalition Coordinator meetings, Youth Summits, State TPC Training Event. A minimum of $1,500 per Individual (up to there) attending these events should be included for travel and lodging to support these expenses. In addition, grantees may want to budget an additional $1, 800 per Individual for travel, lodging and per diem (up to two) to attend the annual Tobacco Use and Prevention Training Institute (TUPTI) and another $1,200 per individual (up to two) to attend a self - selected tobacco control national or regional conference/workshop. .o 20 CHAPEL HILL- CARRBORO CITY SCHOOLS Lincoln Center, Merritt Will Road Chapel Hill; North Carolina 27516 Telephone: 919- 967 -8211, FAX: 919- 9334560 Neil Pedersen, Superintendent October 27, 2002 Health and Wellness Trust Fund Commission 116 West Jones Street, Suite 1156 Raleigh, NC, 27603 Dear Commission Members: Nellie Collins -Hart, Assistant Superintendent for Curriculum and Instruction Susan Spalt, Health Coordinator x 279 , I am writing to support the joint application to the Health and Wellness Trust fund by the Orange County Health Department, the Orange County Schools and the Chapel Hill - Carrboro City Schools. Our district is committed to supporting pro, agrams aimed at reducing the use of tobacco in teens. The reasons are obvious. Many of our nation's most serious health problems are related to youthful tobacco use. These problems result in many years of lost productivity and in too many premature deaths. While our tobacco use rates are low, I am concerned about the increase in use between eighth and tenth grade. I am also concerned about the use of marijuana by students in our school district. I therefore support - intervening in the ninth grade health classes and working with-our high risk students. This grant supports both the goals of our district and the efforts being made to "leave no child behind." I am confident that the City Schools Health Coordinator, Susan Spalt, will work with you to make this program a success. Thank you for your work in this area. Sincerely, Neil G. Pedersen Superintendent Orange County Board of Education Dr. Michael F. William Interim Superintendent Board Members: Dana Thompson, Chair Delores Simpson, Vice Chair Robert Bateman Keith Cook Susan Halkiotis David Kolbinsky Brenda Stephens 200 East King Street Hillsborough, NC 27278 Telephone: 919-732-8126 FAX: 919 -732 -8120 r Orange County schools "Providing educational opportunities for su =sfid f duet. 21 November 1, 2002 Rosemary L. Summers, MPH, DrPH Health Director Orange County Health Department 300 West Tryon Street Hillsborough, NC 27278 Dear Dr. Summers: As Interim Superintendent of Orange County Schools, I fully support our collaboration with the Orange County Health Department and the Chapel Hill Carrboro City Schools in implementing a multifaceted project to prevent tobacco initiation and promote smoking cessation among Orange County youth. Securing funds from the Health and Wellness Trust Community and School Prevention Programs grant would allow us to create new initiatives and enhance existing ones and provide needed prevention and intervention services to our students. As Orange County Schools begins to work towards a 100% tobacco -free policy, the support of this grant will give us the opportunity to provide smoking cessation and support programs to employees in our district. Again, we look forward to being a part of a countywide effort to prevent tobacco initiation and promote smoking cessation among youth. Sincerely, Dr. Michael F. Williams Interim Superintendent /pmc 22 Adolescent Parenting Program Orange County Department of Social Services P.O. Box 8181, 300 W. Tryon Street Hillsborough, North Carolina 27278 2501 Homestead Road Chapel Hill, NC 27514 REC�C) hone p� 9�g_q.5Q1 y67 wo n s oroou Mee 732 -93bI; 732- $ Chapel Hill Office 968 -2000 To: The Health and Wellness Trust Fund Commission From: Valerie C. Russell, Coordinator, Adolescent Parenting Program Date: October 29, 2002 Re: Letter of Support for Community School Tobacco Prevention Program I am writing in support of Orange County's application for the Community School Tobacco Prevention Program grant. As a member of the Healthy Carolinians Committee of Orange County, and a co -chair of the Voices for Healthy Adolescent Choices sub- committee, I have the opportunity to meet regularly with colleagues who see the great need to provide additional smoking prevention and cessation resources to our youth. In my professional role, as the Coordinator for Adolescent Parenting with the Department of Social Services, I work with teen parents who often live-in environments in which second -hand smoke is a factor. While not many of our teen moms currently are smokers, many do find themselves living.with family members who are habitual smokers. The babies of these teens are therefore continually exposed to the harmful effects of second hand smoke, and we find respiratory illnesses and colds to be a factor these young people contend with more often. Our program would like to work with Healthy Carolinians, and both school systems in our area to support the broad efforts of this proposed tobacco prevention program. We would also look forward to providing particular services to the teen parents in our program.. These services would include materials, education, and skill- building around dealing with adult smokers in their households. We foresee empowering the teen parents to not only avoid smoking themselves, but to educate their family members about the importance of clean air in the home for infants and toddlers. Thank you for your interest in this proposal. I fully support the efforts of Healthy Carolinians, the Chapel Hill- Carrboro City Schools and the Orange County Schools in trying to improve smoking prevention and cessation efforts among young people in our community. 23 The News of Orange County 109 East King Street, Hillsborough, NC 27278 Phone (919) 732 -2171 Date: October 31, 2002 To: The Health and Wellness Trust Fund Committee From: The News of Orange County Sally McKenzie, General Manager Re: Partner on Tobacco Prevention Program To Whom It May Concern: .The News of Orange County will promote The Youth Tobacco Prevention Program in Orange County through media sponsorship. This will include editorial coverage, as well as, matching dollar for dollar in advertising. We are excited to have the opportunity to work with the Orange County Health Department for this very important program. If you have any questions, please feel free to contact me at (919) 732 -2171. Thank Vlou, ally- enzie Ad vertising/General Manager The News of Orange County .01/21/2003 11:06 9199682013 ORANGE COUNTY HEALTH PAGE 02 �4 Governor Mith2ef F. Feeley State of North Carolina ueve fy ^°r Health & Wellness rust Fund Commission Ba�er'r E. f�erciue, Chad Hon. MaryAnn E. Blade, December 19, 2002 County Commissi0r� Durham County, Ourhem Carole W. Bruce, smilh Moored Ms. Maria Hitt, Healthy Carolinians Coordinator Donela E. Ermley. PhD. Orange County Health Department Associate Professor and Chair, Dept. of Com"writy Health. PO Box 8181 East Carolina Gree�b 300 West Tryon Street Dan Cdciftovi. MO. Hillsborough, NC 27278 Physician, Witrrington HeWM Associates, virriVon Dear Ms. Hitt: Jeffrey L. Houpt, MD, Dean, scrod of Med dine, Yoe Charx:etlor for Meoical Affairs. CEO, Thank you for your Community /School grant application. The Commission UNC Health Care System. chafes 4i was gratified to receive so many meritorious proposals. Olson Huff, MD, Aatevift I am pleased to report that the Commission voted to award funding to Orange Anita L. Jackson. MD. MPµ, FAGS President, County Health Department in the amount of $232,848. This grant is intended Greeter CardiandEar, oNet. A to underwrite Community /School teen tobacco use prevention and cessation Lumberton programs for three years, contingent upon receipt of satisfactory progress Elizabeth N. Locke. PhD, OrtS from you, and the continued availability of Commission funds. President, rep The Duke EndQWment, charlotte . Ann Ranldln Maxwell, Shortly, you will receive a grant contract incozporating your grant application Charlotte by reference, as well as any modifications that were made by the Commission Leigh HOafr ,D e - as part of its grant award, which have already been discussed with you. The " eri° °^ o Kin$ton n Commission will provide all grant recipients with technical support and training Eawtn W. Morvoe. MD, through the Tobacco Prevention and Control Branch DHHS. You will be Emeritu$ Executive Dean, contacted shortly o arrange an initial meeting or conference call to discuss your Brody School of Medicine. y Greenville implementation plans. We will also bring together all grant recipients for a Robert S� � conference in early spring 2003, to conduct technical and media training. Home and Community Health, ntorM Caroline SaMLIA Hoepnat. Tobacco Related uaatth The Commission looks forward to working with you on this worthwhile wra�saem endeavor. I anticipate that our partnership will succeed in making real Ralph Srgdarmen, MD, contributions to North Carolina's youth, Thank you for your commitment to Chancellor for Health Affair$, Duke University. this important initiative. Durnam Rebeoce H, Wartman, 00. optometrfet, Sincerely, Domrs Vision Center, Asheville Paul M. Wiles, Presideru and CEO. Novarit Heatlih, `"n"°`-Selem Beverly E. Perdue Chofta Wltlson, MD, Clinical Prdastxx end Asst. Dean, Ptyaklans Affairs, 9c►gol of Medltine. East Carolina Uriversfly. Grearrviile Robert E. Z,WMA, Jim Davis, Exiaw ive Director Partner, Post Office Box 24876, Raleigh, NC 27611 • 116 West Jones Stred, Raleigh, NC 27603 Zaytam 8 Miller I-deigh Phone (919) 733.4011 • Fax (919) 7331240 REVISED /APPROVED BUDGET Health and WellnessTrust Fund Commission Grant Application Budget Applicant Agency: Contact Person for Budget: Contact Phone: Fax: e -mail: Federal Tax 1. D. or 501(c)(3): 1. Year 1 starting on or about 1/1/2003 and ending 12/31/2003 2. Year 1 starting on or about 1/112004 and ending 12/31/2004 3. Year 3 starting on or about 1/1/2005 and ending 12/31/2005 1/l/2003--12/31/2003 1 /1 /2004 - -12/31 /2004 1/1/2005--12131/2005 Project Total :jt RJ, ri fX .f "" .t ,11f. . ,j X.: J}., ... "Y, }:�,r':.. i„t =, i. ...� } i ..i _,... v7.,•r .,s+ S .y� >4 k` >Y+ „f..'3, r%, ,•3 ". .�r. ' "r11 '••l, fx�: ,:�YE �- b�' ?;r #,!,•• +k. .'� ..f'i" f .rX, •,!; ,P'....'� r:. {.. �,., .•fr �x, ,� . IN EN x f�..5 .t, .£` /.+. •2},"Q, a .??Y j 7.•^: +. cfr,� � �': • .XJb ��?/ X•^}1 .+ 1. -X ,vj .1 +' .f' i• .2^kQ . .,2'.� ;tf. n � �i, y vt '�' 1. i.. Y;i. #e f. ', �t,, .'yN,. 1 .,°i ra`,<. ..1�•ft i� .. ?.t ..i. „�:: }`.;`,n x �.,,o . � ^ •. xf � ,:vft i F- N'^:'Yfr;:J'c+,7� ^.3. .�i. %�:, f, rv.2`j•...f -. `P? Y•� '#: .x f. �` ^lv, Tv�' • J��.fi... .:tl T" !X t�a.f. ?.: , i?'. % t i 2 ? x f � t 9,'. �i x ; l 3 �t -Tr.: :v � '^; +sI . ,- �:. • ,d .r; ,... . , .x . � o 3�x.. ,t �.' �' ,rt• .Yt� . � , ; ^ a . . . . v. r : ":fm.f , ,-.}. �I. . , !. v � 1i Q . rl u�t., . •.a . 9 t . >.2. t 3�,:�� , 'i � �'',i�Jh'�f;':i. , „ °��F� .,f �i x }'�•?<� .Y; } '. f ,' X .f. . ::�?. '`,i f ff^. .J .. f. 3", '•">JS.x I J , : ,''3 i ue '.i ' .. 5 . i 3 f ,Y . .E .a' , .' 1 Direct Expenses:... Sala /Wa es/Benefits $45,382.00 $8,800.00 $47,272.00 $8,800.00 $49,257.00 $8,800.00 $141,911.00 $26,400.00 Contracted Staff $0.00 $0.00 Other Please clarify below $4,000.00 $8,000.00 $4,000.00 $16,000.00 $4,000.00 $16,000.00 $12,000.00 $40,000.00 Subtotal: $49,382.00 $16,800.00 $51,272.00 $24,800.00 $53,257.00 $24,800.00 $153,911.00 $66,400.00 . .,L = Y'II.,.r ! >v ” i -F �s,, ?.'f,'. ,. i f-;c z ,x f. r,,, 1' ,? `.%. , +.., q i'.:Yf Y� ,�� '+( _, lv .,x' �'•,: �,v>, ,F.Y ..i �.1, r., "r.; a. # t• i .n, a, . Y : �� ot:• : J: 1'.•:i'..+1':1' fi f. .f;dry x : a - WIN t "f <.Q. t.. ?,G, '..yr:�z'f`�.'a?yrir.,r.z�u 3�! ?:, ;.: ^.•rx`���' „f:Y`..5t`.;gr�3�d „... '� &,.::Y }.3 .:c.%Yt,:rf%r,.,, r3..`..,.'Fd::..t.��f. , r.r;..�5');.,....,.1:.2:�'...+1 y?D.•.tn3:Y:,inY:ld:' ?. .`f'..)....±nFU`L,>,..:. •`.X,.1 x +.. .r:... ., w. f. ..'Y' ^. ,.91.. ,. , , , Other Than Personnel Support OTPS Supplies/Material $4,000.00 $1,000.00 $4,000.00 $1,000.00 $4,000.00 $1,000.00 $12,000.00 $3,000.00 Communication Costs (telephone, postage, freight) $1,217.00 $500.00 $982.00 $500.00 $982.00 $500.00 $3,181.00 $1,500.00 Occupancy Costs (rent, utilities repairs, maintenance ) $9,600.00 $9,600.00 $9,600.00 $0.00 $28,800.00 Capital Outlay (fumiture, e ui ment, data processing) $5,000.00 $5,000.00 $0.00 Other Please clan below $6,000.00 $4,000.00 $4,000.00 $14,000.00 $0.00 N Ln Program Grantees are required to include Training and Development expenses in the Annual Budget Section of the proposal. Grantees are required to attend all regional and Statewide Tobacco Prevention and Control Coalition meetings including: New Grantee Kickoff event, Local Coalition Coordinator meetings, Youth Summits, State TPC Training Event. A minimum of $1,500 per individual (up to there) attending these events should be included for travel and lodging to support these expenses. In addition, grantees may want to budget an additional $1, 800 per individual for travel, lodging and per them (up to two) to attend the annual Tobacco Use and Prevention Training Institute (TUPTI) and another $1,200 per individual (up to two) to attend a self - selected tobacco control national or regional conferencelworksho . N o+ $16,217.00 $11,100-00 $8,982.00 $11,100-00 $8,982.00 $11,100-00 $34,181-00 $33,300.00, Subtotal .t,r, f � } 1 'J;. "y• ?, } ^Lt''risJ : >>a �; x, } Y.�•. �:Y.•,; E, tpf � ,:Y�ff � k f -a �Jp .f ',�.:f3.' }Y Yi.z ?, ch% ,F I+. §�., t ..f „ . t „yJ. f �i ' .f 2, xi�t'y� GG J � Ns i Y�.. f � r,xM '� � '}Lr� t J %' .i: 5 #. t `5 }J int t•,3'fr f f. xt S t F �i�kt•,.,.t .,,�'f• w .' .j3 J tt rY 'i � k its�Hd.�.,r.,.�.x.,.f,�i'.�.,.rl Media Central Media Fund $0.00 $0.00 (earmarked) e Local Event Promotion $1,000.00 $500.00 $500.00 $500.00 $2, 000.00 $0.00 Subtotal $1,000.00 $500.00 $500.00 $0.00 $500.00 $0.00 $2,000.00 $0 00 fr ^;• - w ,r .t„ } �, ,irr } F „F' �.a�1+„ }. -`��y'� k} � r'di t':S r. � t f? «.,F'n tr..d � s3 � t t Z $' ..L A3sr f" dor�f. f'r; •.. <.ii nJ, x rr t t ,dtr + r 3 f a� d.. fi 1.. � ' >fr.. L ?Zx }+.. :#y. x t: x. !'t� }.2tt.y }? .i,`yrr G �.. c? }}• ..z 3 - .,,rr•�.- .rtr> .:3.5' F.N +i .xi.2'.`•;YrSi {.,,?�: fit ,. S:.IlF .�.liJ ?f �xlp:. ?' � +. ,.y t. r t . a+? s,r: ,.,zi >: , ir" ,+ ,X•.�'.�, ,., � >t ?:: ,, ..,t r. . ia.�...$': .., u:1 r. Travel Expenses Travel (mileage, transportation, meals, hotels $7,752.00 $7,752.00 $6,252.00 $21,756.00 $0.00 Meetings $7,000.00 $7,000.00 $7,000.00 $21,000.00 $0.00 $0.00 $0.00 Other Please clarify below Subtotal $14,752.00 $0.00 $14,752.00 $0.00 $13,252.00 $0.00 $42,756.00 $0.00 f AF.F , ! ' � ! " x: a . t. * ! % r. x.i3 ?'$811 m0 . . i. t.. f A f. a 1 y. f x r r r? F �t' Jx, f !''1}�. } r>S' Sf HfA ,.f.,.�. .` a .�,3 . ir5 '1. ^.d i . S F ,k �f 3i :.3 H R }.G rtr . ?Y'f . tf ?i. . nx. ., f Yw#-ix-::1i f'u . ,. Y Ys•x+i.?f 'r. , 4?s, , „it '. ,,r. ! : 3x. s 3 , }t .. fx,.t o &. l r >, " E iY .Y . ,-r..,.,4..i1 ., ,, n ?,, ..' . $232,848.00 $99,700.00 Total Direct Expenses 0 $28,400.00 $75,506.00 $35,900.00 $75,991.00 $35,900.00 Indirect Costs (only if $0.00 $0.00 Ire quested) r Total Request $81,351.00 $28,400.00 $75,506.00 $35,900.00 $75,991.00 $35,900.00 $232,848.00 $99,700.00 Program Grantees are required to include Training and Development expenses in the Annual Budget Section of the proposal. Grantees are required to attend all regional and Statewide Tobacco Prevention and Control Coalition meetings including: New Grantee Kickoff event, Local Coalition Coordinator meetings, Youth Summits, State TPC Training Event. A minimum of $1,500 per individual (up to there) attending these events should be included for travel and lodging to support these expenses. In addition, grantees may want to budget an additional $1, 800 per individual for travel, lodging and per them (up to two) to attend the annual Tobacco Use and Prevention Training Institute (TUPTI) and another $1,200 per individual (up to two) to attend a self - selected tobacco control national or regional conferencelworksho . N o+ 27 Teen Tobacco Use Grant Number: GRANT AGREEMENT BETWEEN THE N.C. HEALTH AND WELLNESS TRUST FUND COMMISSION AND COUNTY OF ORANGE This Grant Agreement (also, "Agreement ") is entered into this 17th day of February 2003 ( "Effective Date ") by and between the North Carolina Health and Wellness Trust Fund Commission ( "the Commission "), an agency of the State of North Carolina organized pursuant to Article 6C of Chapter 147 of the N.C. General Statutes and, the Orange County Health Department a unit of the County of Orange with its principal place of business at 300 West Tryon Street, Hillsborough, North Carolina. (also, "the Grantee ") (also, together "the Parties" and each in the singular "the Party ") In consideration of mutual promises and such other valuable consideration as is set out in this Agreement, the Parties do mutually agree to the following: Section I. Term. This Agreement shall commence on the Effective Date and shall terminate twelve months later ( "Termination Date ") unless sooner terminated pursuant to this Agreement. The Commission may renew this agreement for two subsequent one -year terms if the Grantee receives satisfactory program evaluations and if the Commission has sufficient funds to renew the Agreement. Section II. Scope of the Grant. A. The purpose of the Grant that is the subject of this Agreement is to provide a community based prevention and cessation program for teenage North Carolina residents (the "Project ") of Orange County. In performing this Project, the Grantee shall develop, perform and complete the work set out in the Grantee's application for the Project which is reproduced at Exhibit A and which is expressly incorporated by reference into and made a part of this Agreement. B. The Grantee shall further comply with all reporting requirements of this Agreement and shall participate in a state -level outcomes study by complying with all reasonable requests of Commission's selected outcomes evaluator(s). 28 C. The Grantee shall receive software and training on the use of a Project Tracking System ( "PTS ") from the Tobacco Prevention and Control Branch, North Carolina Department of Health and Human Services ("TPCB "). The Grantee shall use this software and training to make monthly progress reports about the Project to TPCB pursuant to Section VH.A below. D. Representatives of the Grantee shall attend all teen tobacco use prevention and cessation training sessions and regional meetings as scheduled by TPCB and/or the Commission. These meetings shall include, but may not be limited to, a three-day kick -off conference in the spring of 2003 and at least one regional workshop. E. The Grantee agrees that it shall use its media line item budget, to the extent that it has one, strictly for local event promotion. If any part of the Grantee's requested media budget was transferred to the Commission's Teen Tobacco Use Prevention and Cessation Central Media Fund, it can submit specific proposals to the Commission for approval and payment from the funds earmarked for the Grantee in that Central Media Fund. Section III. Changes in the Project A. The Commission must authorize in writing any changes with respect to the Project. B. The Grantee shall immediately notify the Commission of any change in conditions or applicable law or any other event that may significantly affect its ability to perform the Project in accordance with the provisions of Section H above, including but not limited to loss of other funding. In the event of any such significant change, the Commission reserves the right to terminate this Agreement. Section IV. Funding. A. The Commission grants to the Grantee an amount not to exceed $81,35I for the first year of the Project to be disbursed as described in Section V below. 29 B. The Grantee represents and warrants that all sums as may be awarded under this grant shall be utilized exclusively for the purpose of the Project. The Grantee further represents and warrants that the sums awarded under this Agreement shall not be used to substitute or supplant funds the Grantee is currently using to support similar services that the Grantee provides its clientele. C. The Grantee agrees that funds awarded under this Agreement shall not be used for capital expenditures or equipment expenses over $3,000, nor shall it use these funds to support or engage in any effort to participate in political activities or lobbying, including but not limited to support of or opposition to candidates, ballot initiatives, referenda and other similar activities. D. In the event the Grantee breaches any of the material terms or conditions of this Agreement, the Grantee agrees to repay to the Commission the full amount of sums awarded under this Agreement and any interest that has accrued on that sum. Section V. Method and Use of Payments. A. The annual amount of this grant must be spent pursuant to the Project budget contained in Exhibit B, which is here incorporated by reference. B. As soon after the Effective Date as possible, the Commission agrees to make an initial payment of $20,338 to the Grantee which is twenty -five percent (25 1/o) of the total amount of the first year of the grant. For this payment and all subsequent payments under this Agreement, the Grantee shall place any sums not immediately spent in a segregated, interest bearing account that is fully insured for the maximum amount of money that will be placed in the account. Any interest accrued on these sums along with any unspent funds remaining in the account shall belong to the Commission at the conclusion of the Project. C. Because of hardship demonstrated by the Grantee, the Commission agrees to waive a 25% hold back of grant monies that is normally payable only when the Project is substantially completed. D. Beginning in the calendar month subsequent to calendar month in which the Effective Date falls, the Commission shall disburse to the Grantee eleven equal monthly payments each of which shall be one - eleventh of $ 61,013 (the remaining grant funds after the initial payment). Twenty (20) days after the end of any month, the Grantee shall submit a monthly financial report to the Commission in accordance with Section VII B below. The Grantee must provide this monthly financial report in a timely, accurate fashion in order to receive subsequent monthly payments under this Agreement. E. Any significant variation between any budgeted line item expenditure for this Project as those are presented in Exhibit B and the actual line item expenditure must have the prior written approval of the Commission or the Commission staff. Section VI. Independent Status of the Parties. A. The Parties are independent entities and neither this Agreement nor any provision of it shall be deemed to create a partnership or joint venture between the Commission and the Grantee. B. The Grantee shall not represent itself as an agent of the Commission nor is the Agreement intended to be construed so as to make the Grantee an agent of the Commission. The Grantee shall not have the ability to bind the Commission to any agreement for payment of goods or services, nor shall it represent to any person or entity that it has such ability. C. All expenses incurred by the Grantee are its sole responsibility and the Commission shall not be liable for the payment of any obligations incurred in the performance of the Project. Section VIL Reports. A. Ten (10) days after the end of each calendar month during the term of the Grant, the Grantee shall enter monthly activity data into the computer -based Project Tracking System (" PTS') of TPCB, which data shall summarize the Grantee's activities of the prior month on the Project. 4 30 B. Twenty (20) days after the end of each calendar month during the term of the Grant, the Grantee shall also deliver to the Commission a monthly financial report that shall detail its expenditures in an Excel spreadsheet provided by the Commission. The Commission must have a timely and accurate monthly financial report in order to disburse grant payment for subsequent months. C. The Grantee shall furnish the Commission with two written Progress Reports six months and twelve months after the beginning of the Project. All Progress Reports shall be furnished in a format provided by the Commission. D. Failure to submit a required report by the scheduled submission date may result in the withholding of any subsequent grant payment until the Commission or TPCB is in receipt of the delinquent report. E. The Grantee agrees to provide to the Commission's outcomes evaluator any and all reports or information that the outcomes evaluator may request. The Grantee further agrees to permit the Commission's outcomes evaluator to make periodic site visits and agrees to participate in telephone interviews with the Commission's outcomes evaluator if the outcomes evaluator so requests. F. The Commission reserves the right to request information from the Grantee, which will assist the Commission with evaluation of the short-and long -range impact of its programs. The Grantee recognizes that such requests may occur after termination of this Agreement and agrees, to the extent possible, to provide such information to the Commission. Section VIII. Project Records. A. The Grantee agrees to maintain full, accurate and verifiable financial records, supporting documentation, and all other pertinent data for this Project in such a manner so as to identify and document clearly the expenditure of the Commission funds provided under the Agreement separate from accounts for other awards, monetary contribution or other revenues sources for this Project. 5 31 32 B. The Grantee shall retain all financial records, supporting document and all other pertinent records related to the Project for a period of three (3) years from the Termination Date. In the event such records are audited, all Project records shall be retained beyond such three -year period until any and all audit findings have been resolved. C. The Grantee agrees to allow the State Auditor or the State Auditor's designee to enter its premises and examine its records in accordance with N.C. Gen. Stat. 147 -64.7. D. The Grantee further agrees to make available to the Commission or its designated representative all of its records which relate to the Project and agrees to allow the Commission or its representative to audit, examine and copy any and all data, documents, proceedings, records and notes of activities relating in any way to the Project. Access to these records shall be allowed upon request at any time during normal business hours and as often as the Commission or its representative may deem necessary. E. In the event the Grantee dissolves or otherwise goes out of existence before the Termination Date or before three years from the Termination Date has elapsed, records produced under this contract will be turned over to the Commission. Section IX. Subcontracting. A. The Grantee shall timely notify the Commission of all subcontractors or partners it will use to accomplish the goals of the teen tobacco use prevention Project. B. All subcontractors or partners shall be subject to all terms and conditions of this Agreement. The Grantee shall be responsible for the performance of any subcontractor or partner and shall continue to be responsible for the services provided under this Agreement regardless of who may be. providing them. C. The Commission reserves the right to suspend payments under this Agreement if services are not being provided consistent with this Agreement. 6 33 Section X. Publicity and Publications A. At the request of the Commission, any published or distributed reports, data, or other information shall contain an acknowledgment of the support of the Commission as well as a disclaimer statement to the following effect: Any opinion, finding conclusion or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view and. policies of the North Carolina Health and Wellness Trust Fund Commission. Upon publication of materials resulting from the work of the Project the Grantee shall furnish a minimum of two copies of reports to the Commission. B. At the request of the Commission, the Grantee shall place signage at the Project site or sites identifying the Project as receiving Commission Funds or shall place the Commission logo on any printed materials. Signage shall be in mutually agreeable wording and format. C. Subject to the requirements of Section X.A above, the Grantee may publish or arrange for the publication of information resulting from work carried out under this Agreement; however, the information shall not be marketed for profit by the Grantee. D. If work done pursuant to this Agreement results in any intellectual property right accruing to the Grantee, the Grantee hereby grants to the Commission an assignable royalty -free, non - exclusive irrevocable license to publish, translate, reproduce, deliver, perform or use the material covered by the intellectual property right. Section XI. Termination & Availability of Funds A. Either Party shall have the ability to terminate this Agreement without cause on thirty (30) days' written notice. B. If after notice and reasonable opportunity to cure the defect, the Grantee fails for any reason to fulfill in proper manner its obligations under this Agreement, or violates any of the material terms or conditions of this Agreement, the Commission shall have the right to terminate this Agreement by giving fourteen (14) days written notice to the Grantee of such termination. In such event, the Commission shall have no responsibility to make 34 additional payments under this Agreement after the Termination Date. No fiu-ther expenditures shall be made under this Agreement except for such work as shall have already been performed prior to the Termination Date and the Grantee shall repay all unspent grant funds upon the demand of the Commission together with any interest accrued on those unspent funds. C. The Commission's obligation to pay any amounts under this Agreement is contingent upon the availability of funds to it to fund the Project. In the event that funds for this Project become unavailable, the Commission may terminate this Agreement immediately upon facsimile notice to the Grantee. In the event of notice of the unavailability of funds, all obligations of the Commission to make payments under this Agreement shall cease as of the notice of unavailability of funds except for such work as shall have already been performed prior to such notice. Section XII. Liabilities and Loss A. The Commission assumes no liability with respect to accidents, bodily injury, illness breach of contract or any other damages claims or losses arising out of any activities undertaken by the Grantee under this Agreement, with respect to persons or property of the Grantee or third parties. B. The Grantee agrees to obtain insurance to protect it and others as it may deem desirable, or, if it elects not to obtain such insurance, it certifies that it has adequate resources available to it for this purpose. C. The Grantee agrees to indemnify, defend and save harmless the Commission and its officers, agents and employees against any liability, including costs and expenses and attorneys fees for the Grantee's violation of any proprietary right or right of privacy arising out of the publication, translation, reproduction, delivery, performance, use or disposition of any information published resulting from the work of the Project or based on any libelous or other unlawful mater contained in such information. D. The Grantee also further agrees to indemnify, defend and save harmless the Commission and its officers, agents and employees from any other person, firm or corporation 35 furnishing or supplying work, services, material or supplies in connect with the Project and the performance of this Agreement and from any and all claims and losses accruing or resulting to any person, firm or corporation who may be injured or damaged by the Grantee or its agents in the performance of the Project. Section XIH. Entire Agreement A. This Agreement contains the entire understanding between the Parties. B. The agreement may be amended only in writing duly executed by authorized persons for the Commission and the Grantee. Section XIV. Grantee Representation and Warranties The Grantee hereby represents and warrants that: A. The Grantee is duly organized and validly existing under the laws of the State of North Carolina. B. The Grantee will not use any of the funds granted under this Agreement to supplant or substitute funds it is currently using to provide existing services. to its clients or patrons. C. This Agreement constitutes a binding obligation of Grantee, enforceable against it in accordance with its terms. The execution and delivery of this Agreement have been duly authorized by all necessary action on the part of Grantee and does not violate any applicable organizational documents of the Grantee or any agreement or undertaking to which it is a party or by which it is bound. D. There is no action, suit, proceeding, or investigation at law or in equity or before any court, public board or body pending or to the Grantee's knowledge, threatened against or affecting it, that could or might adversely affect the Project or any of the transactions contemplated by the Agreement or the validity or enforceability of this Agreement or the Grantee's ability to discharge it obligation under this Agreement. E. If any consent or approval is necessary from any governmental authority as a condition to the execution and delivery of this Agreement by the Grantee or the performance of any of its obligations under the Agreement, all such requisite government consent or approvals have been obtained. Section XV. Suecia! Provisions and Conditions A. Nondiscrimination. The Grantee agrees not to discriminate by reason of age, race, religion, color, sex, national origin or handicap in the performance of this Agreement. B. Conflict of Interest. The Grantee certifies that to the best of its knowledge neither Grantee nor any employee or officer of the Grantee has any pecuniary interest in the business of the Commission or of the Project, and that neither the Grantee nor any person associated with the Grantee has any interest that would conflict in any manner with the performance of the Agreement. C. Compliance with Laws. The Grantee shall at all times observe and comply with all laws, ordinances, rules and regulation of the state, federal and local governments which many affect the performance of the Agreement. D. Non- Assianability. The Parties shall not assign any interest in the Agreement, provided, however, that claims for money due to the Grantee from the Commission under this Agreement may be assigned after notice and approval of the Commission. E. Personnel. The Grantee represents that it has or will secure at its own expense all personnel required to carry out and perform the scope of services required under this Agreement. Such personnel shall be fully qualified and shall be authorized under state and local law to work on the Project. Such employees shall not be employees of the Commission. F. Restriction on use of the funds. The Grantee will expend funds consistent with the terms and conditions of this Agreement. 10 36 37 G. Non Waiver. No failure or waiver or successive failures or waivers on the part of either Party, its successors or permitted assigns, in the enforcement of any condition, covenants, or provisions of this Agreement shall be deemed to be a waiver of enforcement for the breach of any other provision in this Agreement or of any subsequent breach of the same or other provision. Section XVI. Notice. All notices required by this Agreement with the exception of Notice provided pursuant to Section XI.0 shall be in writing and shall be deemed given when personally delivered or when deposited in the United States mails, certified, return receipt requested, first class, postage prepaid and addressed as follows: If to the Commission: Mr. Jim Davis Executive Director N.C. Health and Wellness Trust Fund Commission 116 W. Jones Street Raleigh, N.C. 27611 Tel: (919) 733 -4009 Fax: (919) 733 -1240 If to the Grantee: Rosemary L. Summers Orange County Health Director Orange County Health Department PO Box 8 18 1, 300 West Tryon St. Hillsborough, NC 27278 Tel: 919 -245 -2411 Fax: 919 - 644 -3007 A. Each Party may designate another Notice recipient by written communication to the other Party. 11 Section XVIL Construction. This Agreement shall be construed and governed by the laws of the State of North Carolina. The Parties do hereby execute this Agreement in duplicate originals: N.C. Health and Wellness Trust Fund Commission Hon. Beverly Perdue, Chair Date 12 Orange County Health Department Rosemary L. Summers, Health Director Date County of Orange Margaret Brown, Chair Orange County Commissioners Date This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act. Ken Chavious, Finance Director Date 38