Table of Contents

This article goes item by item through the CLI Part I. For each item, it provides a brief description of what is expected in the question. Where possible the description provides additional guidance beyond what is presented in the survey itself. The item descriptions also contain links to additional resources and term definitions. Where applicable, the item description is followed by links that take you to FAQ articles related to the item. Additionally, the ND SPF SIG Evaluation team has added notes (colored blue) explaining the expected answers or answers to avoid for some of the survey items. These recommended answers are current for the CLI reporting period encompassing October 2013 through September 2014.

Section 1: Record Identification and Reporting Period

Remember Sections 1-3 are filled out by the state, so you don’t need to worry about them.

Item 1. Primary Grantee Name:

(This field will be pre-filled when the respondent logs in.)

Item 2. SPF SIG Grant ID:

(This field will be pre-filled when the respondent logs in.)

Item 3. Name of Primary Grantee Contact Person:

(Answer at baseline and at each follow-up period. The database will automatically fill this field at follow-up, but if there are changes, please replace the auto fill with the updated information.)

Item 4. Contact Phone Number:

(Answer at baseline and at each follow-up period. The database will automatically fill this field at follow-up, but if there are changes, please replace the auto-fill with the updated information.)

Item 5. Contact E-mail Address:

(Answer at baseline and at each follow-up period. The database will automatically fill this field at follow-up, but if there are changes, please replace the auto-fill with the updated information.)

Item 6. At each reporting period, mark the timeframe for which you are reporting.

Beginning of grant–September 30, 2014
October 1, 2014–September 30, 2015
October 1, 2015–September 30, 2016
FAQ available for this item

Section 2: Sub-recipient Monitoring Process

The items in this section are designed to provide information about the processes and procedures used by the primary grantee to monitor its sub-recipient communities. Sub-recipients are the entities (usually community based organizations, schools, or coalitions) that receive funds from the grantee to carry out SPF SIG activities or prevention interventions.

Remember Sections 1-3 are filled out by the state, so you don’t need to worry about them.

Item 7.

(Answer at baseline and follow-up) Select all the choices that describe how you as primary SPF-SIG grantee monitor the SPF process at the sub-recipient (community) level. If you use methods other than those listed, please select “other” and describe briefly.

Item 8.

(Answer at baseline only) Choose the 1 response that best describes what you as the primary grantee required of sub-recipient communities in terms of targeting substance abuse problems.

Item 9.

(Answer at baseline only) Check all responses that indicate the substance abuse consumption patterns or consequences mandated for sub-recipient focus.

Item 10.

(Answer at baseline only) Answer either “yes” or “no” to indicate whether you are allowing sub-recipient communities to proceed with subsequent steps of the Strategic Prevention Framework without conducting a community needs and resources assessment.

Item 11.

(Answer at baseline and follow-up) Select either “yes” or “no” to indicate whether during this period you conducted an assessment of training and technical assistance needs of the prevention workforce in your sub-recipient communities. Please note that this assessment could be a formal process with interviews and surveys or an informal assessment of their training and technical assistance needs.

Item 12.

(Answer at baseline and follow-up) Select either “yes” or “no” to indicate whether skills development and/or continuing education opportunities were available to sub-recipient communities for their prevention workforce during this reporting period. We are interested both in opportunities funded by the SPF SIG and those funded by other funding sources. Examples of workforce training opportunities might include continuing education credits offered for a seminar or workshop, or mandatory training on a new process or procedure being used in your state/tribe/jurisdiction for substance abuse prevention efforts.

Item 13.

(Answer at baseline and follow-up) Write in the space provided the total number of sub-recipient communities funded by this primary grantee.

Section 3: Sub-recipient Community Contact Information


Remember Sections 1-3 are filled out by the state, so you don’t need to worry about them.

Items 14–20 should be answered for each of the sub-recipient communities funded by this state level grantee. The state level grantee will enter the name of each funded sub-recipient community. Once entered, a unique identification code will be automatically generated and assigned to each funded sub-recipient community. This identifier will remain unchanged throughout the life of the grant since it will be used to link together all the data received from that community. The names and unique identification codes of the sub-recipient communities provided below will be used to construct a selection menu for entering CLI data. A sub-recipient community for whom no information is provided by the primary grantee will not be able to access the online CLI data entry tool.

Item 14. Name of the sub-recipient community


(Answer at baseline. At follow-up all sub-recipient communities entered at baseline will appear in a drop-down list. You will also be able to enter new sub-recipient communities not yet funded at baseline.)

Item 15. Unique Identification Code of the sub-recipient community


(This will be automatically generated at baseline and locked in so that it cannot be changed at follow-up)

Item 16.

Indicate the month and year this sub-recipient community began receiving SPF SIG funds: MM/YYYY /__

(Answer at baseline. Response will be a baseline. Response will be automatically filled in at follow-up)

FAQ available for this item

Item 17.

Indicate the month and year SPF SIG funding for this sub-recipient community is scheduled to end for the overall project. MM/YYYY /__

(Answer at baseline. Response will be automatically filled in at follow-up)

Item 18.

Name of the contact person for this sub-recipient community: (Up to 75 Characters)

(Answer at baseline. Response will be automatically filled in at follow-up. Please fill in any needed changes at follow-up.)

Item 19.

Telephone number for this contact person:

(Answer at baseline. Response will be automatically filled in at follow-up. Please fill in any changes at follow-up)

Item 20.

Telephone number for this contact person:

(Answer at baseline. Response will be automatically filled in at follow-up. Please fill in any changes at follow-up)

Section 4: Sub-recipient Organization Information

This and subsequent sections are to be completed by each community grantee (aka: sub-recipient). They ask questions about the sub-recipient’s organization. The sub-recipient’s organization should be identified in terms of the entity that will be carrying out the activities of the SPF SIG (as opposed to an entity that may serve as the fiscal sponsor but is not responsible for SPF activities). This section collects information about other funding sources and information about policies that have been developed that address cultural competence.

People you may want to include in responding to this section:

  • Project Director
  • Project Coordinator
  • Person with responsibility or knowledge of financial issues

Note: At baseline and follow-up, the sub-recipient’s name and unique identifier will be prefilled by the system when the sub-recipient logs in.

Item 21.

(Answer at baseline and follow-up) Select the one response that best describes your community organization. If none of the responses describes your organization, select “other” and write in a response. If you select “We are a Community Coalition,” you will automatically skip to item 23.

  • Because all the community and tribal grantees in North Dakota are either public health departments, coalitions of health departments or tribal entities, you should select that you are a "Government Agency" as the answer choice for this item.

Item 22.

(Answer at baseline and follow-up) Select either “yes” or “no” to indicate whether you are partnering with a Community Coalition as part of the SPF SIG project. By partnering, we mean a formal relationship that is documented with a Memorandum of Understanding or similar agreement and/or to whom SPF SIG funding is provided. If you select “yes” please answer items 23-32.

Item 23.

(Answer at baseline. Response will be automatically filled in at follow-up) Write in a description of the lead agency for the community coalition, that is the agency responsible for making the primary decisions of the coalition and/or the agency controlling the money). (500 character limit.)


Items 24 through 32.

(Answer at baseline and follow-up) These statements describe the different structural and functional dimensions of a coalition. Please indicate whether you strongly agree, agree, neither agree nor disagree, disagree or strongly disagree with each statement as it pertains to your community coalition (or the coalition with which you are partnering for the SPF SIG project). If no, skip to item 37.

  • Ideally you should be able to answer all of these questions, however for the first round of CLI reporting marking the answer choice of, "We are partnering with the coalition and don’t have enough information to answer." is allowed if you feel you cannot answer a particular question. However later in the process, you should be able to answer all these questions.


Item 33.

(Answer at baseline. Response will be automatically filled in at follow-up) Write in the month and year the community coalition was established. (Provide MM/YYYY or select “don’t know.”)


Item 34.

(Answer at baseline and follow-up) Select all responses that indicate the role of the community coalition in changing community capacity, knowledge, norms and behaviors related to substance abuse prevention and program implementation. If there are other roles not listed, please select “other” and write in a brief description.


Item 35.

(Answer at baseline and follow-up) Write in the approximate number of different organizations involved in the community coalition.


Item 36.

(Answer at baseline and follow-up) Select all responses that indicate the types of organizations or individuals that participate in the community coalition.


Item 37.

(Answer at baseline and follow-up) Select all the funds your organization receives as a whole for substance abuse prevention, not just funds for the SPF SIG project. If you receive funds other than those listed, please select “other” and write in a description of the funds. Note that there are 2 “other” fields, one for Federal funds and one for non-Federal funds. Select one or both as applicable.

Section 4B: Cultural Competence Policies and Practices

These items collect information on how your sub-recipient organization (i.e., entity that will be carrying out the activities of the SPF SIG), addresses cultural competence. Cultural competence is the attainment of knowledge, skills, and attitudes to enable administrators and practitioners to provide for diverse populations. This includes an understanding of that group’s or members’ language, beliefs, norms, and values, as well as socioeconomic and political factors that may have a significant impact on their well-being, and incorporating those variables into programs.

Item 38.

(Answer at baseline and follow-up) Select the one response that indicates whether your organization has formal, written policies and practices in place to address cultural competence. For purposes of this item, we are only interested in whether you have formal, written policies. There are many reasons an organization may not have formal, written policies in place to address cultural competence and your honest answer is valuable to the cross-site evaluation.

  • In almost every case, the answer choice, "Not applicable—We are a coalition or other organization type that does not have formal policies." should NOT be chosen unless your organization has NO written policies or procedures on any subject. Otherwise please select one of the remaining response choices that best fit your coalition or organization.

If you select the second response, you will automatically skip to item 40. If you select the third or fourth responses, you will automatically skip to item 42.


Item 39.

(Answer at baseline and follow-up) Select all responses that indicate the specific areas in which your organization has formal, written policies and practices in place to address cultural competence. Once again, for purposes of this item we are only interested in areas in which you have formal, written policies. If there are other areas not listed for which your organization has formal, written policies to address cultural competence, please select “other” and write in a brief description.


Item 40.

(Answer at baseline and follow-up) Select the one response that best describes how compliance with cultural competence policies and/or practices is monitored within your organization.


Item 41.

(Answer at baseline and follow-up) Select “yes,” “no,” or “don’t know” to indicate whether contract agencies used by your organization are held to the same standards with regard to cultural competence that you require for your organization. If you do not use contract agencies, please select “not applicable.”


Section 5: Strategic Prevention Framework

Each component of the Strategic Prevention Framework is addressed in this section.

The five steps include:
  • Needs and resources assessments
  • Capacity building
  • Strategic plan development
  • Prevention intervention implementation
  • Monitoring and evaluation

You will have the opportunity to describe your activities for each of the steps you worked on during this reporting period.

Section 5A. Needs and Resources Assessments

This section collects information on organizational and community needs and resources assessments you conducted during this reporting period. You are asked whether or not the needs and resources of your organization and the community have been assessed. It also provides you with an opportunity to describe the needs and resources that have been identified. Finally, the section asks about the consumption patterns, consequences, and populations you plan to target, based on the needs assessments.

People you may want to include in responding to this section:
  • Project Director
  • Project Coordinator
  • SEOW Liaison
  • Data Coordinator

Item 42.

(Answer at baseline and follow-up) Answer “yes” or “no” to indicate whether you have worked on any aspect of the Needs and Resource Assessment component of the SPF SIG during this reporting period. If you select “no” you will automatically skip to item 59.

  • Since the reporting period for the first CLI data submission is from October 2013 through September 2014, you should answer, "Yes," to this question because you did conduct your community needs assessment during that time period.

Item 43.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you have worked on assessing organizational needs and resources during this reporting period. If you select “no” you will automatically skip to item 46.

Organizational needs assessments examine needs internally and include assessments of leadership, human resources, technical resources (e.g., telephones, computers, or appropriate software), infrastructure (e.g., facility, staff offices, and conference rooms), funding sources, etc.

  • Since the reporting period for the first CLI data submission is from October 2013 through September 2014, you should answer, "Yes," to this question because you did conduct your community needs assessment during that time period.

Item 44.

(Answer at baseline and follow-up) Select all responses that indicate the types of organizational needs and resources you assessed during this reporting period.

This item is asking about the areas you considered or examined during this reporting period to determine the specific needs and resources you should be aware of. If you assessed any additional needs or resources not on the list during this period, please select "other" and write in a description.

  • The Needs Assessment Workbook and Capacity Surveys that you completed during the reporting period had you assess the following topics. At minimum these answer choices should be chosen during this first round of reporting. Other answer choices may be chosen if they were also assessed during the reporting period:
    • Cultural Competence
    • Human Resources
    • Technical Resources
    • Infrastructure

Item 45.

(Answer at baseline and follow-up) If you have completed an organizational needs and resources assessment during this reporting period, select “yes.” (Item 43 asked whether you had worked on an organizational needs and resources assessment; item 45 asks whether this assessment reached completion during this period.) If the assessment was still being conducted at the end of the reporting period, select “no.” You will be able to answer “yes” and provide more detail in the next reporting period.

  • Since the reporting period for the first CLI data submission is from October 2013 through September 2014, you should answer, "Yes," to this question because you did conduct and complete your community needs assessment during that time period.

Item 46.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you have worked on assessing community needs and resources during this reporting period. If you select “no” you will automatically skip to item 49. A community needs and resources assessment examines needs external to the organization and includes community readiness, rates of substance use, prevention resources (e.g., call centers and trained counselors), partnerships, community prevention experience, and other monetary and non-monetary resources.

  • Since the reporting period for the first CLI data submission is from October 2013 through September 2014, you should answer, "Yes," to this question because you did conduct your community needs assessment during that time period.

Item 47.

(Answer at baseline and follow-up) Select all responses that indicate the types of community needs and resources that you assessed during this reporting period. If you assessed any additional needs or resources not on the list during this period, please select “other’ and write in a description.

  • The Needs Assessment Workbook and Capacity Surveys that you completed during the reporting period had you assess the following topics. At minimum these answer choices should be chosen during this first round of reporting. Other answer choices may be chosen if they were also assessed during the reporting period:
    • Substance use rates of the potential target population
    • Substance use consequences in the potential target population (e.g., alcohol-related mortality)
    • Factors that might cause, lead to, or promote substance use
    • Community readiness
    • Workforce training issues within the community (e.g., not enough slots in a community-college training program)
    • Prevention resources (e.g., call centers and trained counselors)
    • Cultural competence
    • Partnerships within the community

Item 48.

(Answer at baseline and follow-up) This item asks about the types of data that you used in conducting your community needs and resources assessment. For each type of data listed, select “yes, the data were used” if the data were used but were not provided by the jurisdiction’s Epidemiological Outcomes Workgroup. If the data were provided by the EOW or the EOW showed you how to access or use the data, select “yes, the data were used and provided by the EOW.” If the data were not used, select “no.”

  • For all the community grantees the table for item 48 should be marked according to this guide below. Rows that have an "X" indicate the expected response, Rows with no "X" are highlighted yellow and should be answered based on whether or not that type of data was used in the Local Data section of the Needs Assessment Workbooks.
  • For the tribal grantees, data that the evaluation team was aware and provided in the needs assessment workbook are marked with a "T." Otherwise, the tribal grantees should fill in this table based what data were available and were used in their needs assessment.


Yes, the data were used
Yes, the data were used and provided by the EOW
No, the data were not used
48a.
Student school survey data

X

48b.
School achievement data



48c.
Community Surveys
T
X

48d.
Public health statistics (e.g. mortality rates due to drug overdose)

X

48e.
Census data

X T

48f.
Interviews and/or focus groups
X T


48g.
Public meetings or forums



48h.
Law enforcement data (e.g. drug arrests or drug trafficking)

X

48i.
Department of justice data (e.g. outcomes of criminal cases)

X

48j.
Public safety data (e.g. number of automobile accidents caused by drinking and driving)

X

48k.
Social norms data



48l.
Other (Describe)






NOTE: for items 49 to 58, the selections you make at baseline will be automatically filled in at follow-up. You can either verify the responses by leaving them unchanged or modify the responses you gave previously.



Item 49.

(Answer at baseline. Response will be automatically filled in at follow-up) Select “yes” or “no” to indicate whether you have identified consumption patterns that you are going to target for substance abuse prevention. Examples of consumption patterns include underage use of alcohol, binge drinking, use of illegal drugs, etc. If you select “no” you will automatically skip to item 51.

  • You should answer "yes" to this question

Item 50a.

(Answer at baseline. Responses will be automatically filled in at follow-up) Select all the consumption patterns you are targeting. If there are others not on the list, please select “other” and write in the pattern you are targeting.

  • Grantees should mark one or more of the following consumption patterns as being what you are targeting based on the prioritization that you did in the Needs Assessment. The most likely answers are highlighted in yellow:
    • Underage use of alcohol
    • Any alcohol use
    • Heavy use of alcohol
    • Binge drinking
  • The remaining answer choices in this item are outside of the scope of the chosen state level targets of the North Dakota SPF SIG and therefore are NOT VALID answer choices

Item 50b.

(Answer at baseline. Responses will be automatically filled in at follow-up) If you indicated in item 50a that you are targeting the consumption pattern "Any use of illegal drugs," you will be asked to answer item 50b. Select all the specific illegal drugs you are targeting. If you are targeting an illegal drug not on the list, select “other” and write in the drug you are targeting.

Item 51.

(Answer at baseline. Responses will be automatically filled in at follow-up) Select “yes” or “no” to indicate whether you have identified any consequences of substance use that you are targeting. Examples of consequences include motor vehicle crashes, crime, substance dependence, and mortality. If you select “no” you will automatically skip to item 53.

  • You should answer "yes" to this question

Item 52.

(Answer at baseline. Responses will be automatically filled in at follow-up) Select all the consequences on the list that you are targeting. If you are targeting consequences not listed, select “other” and describe it in the blank provided.

  • You should mark both Motor Vehicle Crashes and Crime as consequences that you will be targeting because those are the only data that satisfy specific outcome reporting requirements for the SPF SIG.
  • Other alcohol related consequence measures (i.e. Dependance and Abuse; Alcohol Related morbidity or mortality) may be selected if they were chosen as priorities in the needs assessment, (which is not likely).
  • You should NOT mark any consequences that are tobacco or drug related because that is outside of the scope of the chosen state level targets.

Item 53.

(Answer at baseline. Responses will be automatically filled in at follow-up) Select “yes” or “no” to indicate whether you have identified specific populations (e.g., Hispanics, middle school students, young adults) that you will be targeting for SPF SIG funded substance abuse prevention. Substance abuse prevention includes all substances, such as alcohol tobacco, marijuana, methamphetamine, and cocaine. If you select “no” you will automatically skip to item 56.

  • You should answer "yes" to this item because you will want to specify at minimum whether you will be targeting underage drinking, and/or adult binge drinking.

Item 54.

(Answer at baseline. Responses will be automatically filled in at follow-up) This item asks you to indicate the specific groups of people to whom your prevention interventions will be aimed. Keep in mind that these categories are not mutually exclusive. Use your judgment to select all responses that describe your target population. For example, if you are delivering a prevention intervention to all middle schools in an area, then you would only select ”middle school students.” In this example, you would not have to select all the possible race/ethnicity categories that might be enrolled in the schools. If, however, you are delivering a prevention intervention specifically designed to target pregnant Latinas, then you would select Hispanic and pregnant women.

If your target population is not on the list, use one or more of the lines for the “other” category and describe it in the blanks provided.


  • If you are targeting underage drinking then you should mark the category, "Under 21." If this is selected then you should NOT mark "Elementary School Students", "Middle School Students", or "High School Students" because they are already being accounted for in the "Under 21" category

  • If you are targeting adult binge drinking then you should select the following categories:
    • Young adults aged 18-25
    • Adults between the ages of 26 and 55
    • Adults older than 55

Item 55.

(Answer at baseline. Responses will be automatically filled in at follow-up) In items 50, 52, and 54, you may have indicated you are targeting specific consumption patterns or consequences, and targeting specific populations. In item 55 you will find the list of consumption patterns and/or consequences you are targeting (this will be automatically filled in based on your responses in items 50 and 52). Please match the target populations (automatically filled in from item 54) with any related consumption patterns and consequences. For example, if you indicated that you are targeting any underage tobacco use and binge drinking, and you indicated that you are targeting high school students and college students, clarify if the tobacco use is targeted to high school students and/or college students, and whether the binge drinking is targeted to one or both groups.

Item 56.

(Answer at baseline. Response will be automatically filled in at follow-up) Select “yes” or “no” to indicate whether you have identified specific intervening variables (e.g. access, social norms, individual factors) that you will be targeting for the SPF SIG funded substance abuse prevention. Note that substance abuse prevention includes all substances, such as alcohol, tobacco, marijuana, methamphetamine, and cocaine.

If you select “no” you will automatically skip to item 59. Intervening variables are factors that have been identified through research as being strongly related to and influencing the occurrence and magnitude of substance use and related risk behaviors and their subsequent consequences. These variables are the focus of prevention strategies, changes in which are then expected to affect consumption and consequences.

  • You should answer "yes" to this item

Item 57.

(Answer at baseline. Responses will be automatically filled in at follow-up) Select all of the intervening variables you will be targeting. If you are targeting variables that do not fit into any of the categories listed, please select “other intervening variable” and write in a brief description of the variable.

Item 58.

(Answer at baseline. Responses will be automatically filled in at follow-up) In items 50 , 52, and 57, you may have indicated you are targeting specific consumption patterns or consequences, and targeting specific intervening variables. In item 58 you will find the list of consumption patterns and/or consequences you are targeting (this will be automatically filled in based on your responses in items 50 and 52). Please match the intervening variable (automatically filled in from item 57) with any consumption patterns and consequences that you believe the intervening variable influences. For example, if you identified “level of enforcement” as an intervening variable and you are targeting underage tobacco use and binge drinking, clarify if the level of enforcement intervening variable is linked to underage tobacco use or to binge drinking, or both.

Section 5B. Capacity Building.

In this section, we ask you about your activities related to capacity building. Capacity building refers to activities conducted to improve the ability of an organization or community to deliver substance abuse prevention services, such as improving organizational resources; improving awareness about substance abuse problems; building new relationships or strengthening existing relationships among coalitions, groups, and organizations involved in substance abuse prevention; and working to ensure prevention intervention activities and outcomes continue after SPF SIG funding ends.

People you may want to include in responding to this section:
  • Project Director
  • Project Coordinator
  • Human Resources
  • Staff responsible for renting space, purchasing equipment, etc.
  • Intervention delivery staff
  • Coalition representatives
  • Evaluator

Item 59.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you have worked on Capacity Building during the reporting period. If you select “no” you will automatically skip to Item 70.

  • You should answer "yes" to this item

Organizational Resources

This section collects information on the activities you conducted to improve organizational resources within your organization such as writing mission or vision statements, identifying goals and activities, hiring and training staff, identifying leaders, obtaining physical space for the prevention intervention, etc.

Item 60.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you have carried out activities to improve organizational resources during this reporting period.

If you select “no” you will automatically skip to item 62.

  • You will likely answer "yes" to this item because many of the tasks such as the Community Capacity Interviews, working with groups to fill in and complete the Needs Assessment and Strategic Planning represent ways of improving organizational resources.

Item 61.

(Answer at baseline and follow-up) Select all the activities on the list that you carried out to improve organizational resources during this reporting period. If you did something not on the list, select “other” and describe it.

  • At minimum you will mark, "Identified key organizational or coalition activities and goals" because of your work on the needs assessment and strategic planning.
  • Mark any other activities that you completed during the last year related to improving organizational resources.

Item 62.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you worked to raise community awareness of substance use or abuse problems during this reporting period. Awareness raising activities are activities where your primary purpose is to draw attention to a substance abuse problem (underage drinking, methamphetamine use, etc.) or to your prevention efforts. These activities are not intended to recruit participants or volunteers, although that may happen. If you select “no” you will automatically skip to item 66.

  • You will likely need to mark "yes" to this item.

Item 63.

(Answer at baseline and follow-up) Select the substance abuse problems or prevention efforts about which you are attempting to raise awareness in the community. As always, select “other’ to add something not on the list that applies to your efforts.

Item 64.

(Answer at baseline and follow-up) Select all the community members and/or groups (target audiences) to whom you are presenting awareness raising information. Use the “other” category to add a target audience not on the list.

Item 65.

(Answer at baseline and follow-up) Select all the activities that you are conducting to raise awareness of substance abuse problems or prevention efforts in your target audience. As usual, use the “other” category to add an activity not on the list.

Relationship Building

This section collects information on how you identified potential partners to join your SPF SIG partnership or participate in prevention intervention activities.

Item 66.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you have identified key stakeholders, partners, and partner organizations to participate in your SPF SIG activities. This includes participation in any of the SPF steps. If you select “no” you will automatically skip to item 68.


  • You should answer "yes" to this item because at minimum you identified them when deciding with whom to conduct the Community Capacity Surveys.

Item 67.

(Answer at baseline and follow-up) Select each type of organization you have partnered with during this reporting period. Use the “other” category to add a type of organization that does not fit into the other categories on the list.


Sustainability

This section asks about things you have done to ensure that prevention intervention activities and outcomes continue once SPF SIG funding ends. These efforts might focus on ensuring continued funding, structures, networks, partnerships, leadership, and resources.

Item 68.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you worked during this reporting period to ensure that the prevention intervention activities and outcomes continue when SPF SIG funding ends. If you select “no” you will automatically skip to item 70.

Item 69.

(Answer at baseline and follow-up) Select all of the efforts you have made to ensure that prevention intervention activities and outcomes will continue after the SPF SIG funding has ended. Use the “other” category to add something you did that is not on the list.

5C. Strategic Plan Development

This section collects information on the development of your strategic plan, including what is addressed in the plan and who has contributed to the plan at the local level.

People you may want to include in responding to this section:

  • Project Director
  • Project Coordinator
  • Coalition Members

Item 70.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you have worked on any aspect of the Strategic Plan Development component of the SPF SIG framework during this reporting period. If you select “no” you will automatically skip to item 77.

  • You should answer "yes" to this item

Item 71.

(Answer at baseline and follow-up) Select the appropriate box to indicate whether you completed a strategic plan during this period, completed a strategic plan during an earlier reporting period, or have not completed a plan. If you are still working on a Strategic Plan, you will have the opportunity to report this information in a later reporting period. If you select “no. . .” you will automatically skip to item 77.

  • If you turned in your strategic plan to the state by the end of September, tou should answer "yes" to this item

Item 72.

(Answer at baseline and follow-up) Select all applicable responses to indicate who worked on your strategic plan. Use the “other” category to add participant categories not included on the list.


  • Your answers to this question should generally match up to the types of groups and organizations that are represented in your coalition or working group that completed the needs assessment and/or strategic plan.

Item 73a.

(Answer at baseline and follow-up) Select all of the items addressed or included in the strategic plan. Use the “other” category to add an item included in your plan that does not appear in the list.

Item 73b.

(Answer at baseline and follow-up) If you select “logic model” as one of your responses in item 73a, you will be asked to answer item 73b. Select “yes” or “no” to indicate whether the strategic plan also includes a way to evaluate the relationships, activities, and outcomes illustrated in the logic model.

  • Your answer should be "No" to this item because the evaluation plan has not yet been completed. An evaluation plan will be developed following the approval of the strategic plan. At that point, you and the evaluation team will develop ways of evaluating your activities.

Item 74.

(Answer at baseline and follow-up) Select either “yes” or “no” to indicate whether your strategic plan been reviewed by the agency responsible for the SPF SIG initiative in your state/tribe/jurisdiction.

  • You should answer "no" to this item

Item 75.

(Answer at baseline and follow-up) Select either “yes” or “no” to indicate whether you received feedback on your strategic plan by the agency responsible for the SPF SIG initiative in your state/tribe/jurisdiction.

  • You should answer "no" to this item

Item 76.

(Answer at baseline and follow-up) Select either “yes” or “no” to indicate whether your strategic plan been approved by the agency responsible for the SPF SIG initiative in your state/tribe/jurisdiction. Check “not applicable” if your state/tribe/jurisdiction does not require or provide approval of the strategic plan.

  • You should answer "no" to this item

5D. Prevention Intervention Implementation

This section collects information about the prevention intervention(s) you selected for implementation in your community. A prevention intervention is an activity or set of activities to which a group is exposed in order to change the group's behavior. In substance abuse prevention, interventions are used to prevent or lower the rate of substance abuse or substance abuse-related problems.

People you may want to include in responding to this section:
  • Project Director
  • Project Coordinator
  • State Epidemiology Workgroup (SEOW) Liaison
  • Intervention Delivery Staff


Item 77.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you or your community partners delivered any prevention interventions during this reporting period. The interventions you delivered may consist of a single strategy (e.g. a single prevention education curriculum) or may combine several strategies (e.g. a prevention education curriculum paired with an environmental strategy).If you select “no” you will automatically skip to item 164.

IMPORTANT
  • You should answer "no" to this item. No SPF SIG funds should have been spent on implementation so far in the grant and thus “no” is an appropriate answer. If you mark “No,” then the system will skip items 78 through 163, and you will easily finish this CLI section.

Item 78.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you or your community partners delivered any environmental prevention interventions or multi-strategy interventions that included an environmental strategy during this reporting period. If you select “no” you will automatically skip to item 163.



Items 79 through 162
These items are an attempt to provide an exhaustive list of potential environmental interventions or strategies. The list is meant to provide a standard way of reporting on environmental strategy implementation and activities. You will not be penalized if you indicate “no” as a response option. There is space at the end of this section to report on environmental strategies that are not listed here. Throughout this section, “you” refers to your organization, or partners with your organization. For example, if you worked with the police department to conduct more sobriety checkpoints, you would report this activity on this form.



Item 79. (a - l)

(Answer at baseline and follow-up) On the matrix provided, indicate the type(s) of environmental strategies you worked to implement or implemented during this reporting period related to policy. For each environmental strategy you worked on indicate the progress made. Answer “N/A” if the strategy was already in place prior to the SPF SIG grant.

The question “Was it successful?” will pop up to the right of each strategy for which you mark “yes.” In Item 80 through 93, you are asked to report activities you conducted during this reporting period, in order to affect policy change.


Item 80.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you contacted your elected officials (e.g., to prohibit alcohol consumption and smoking in public places) during this reporting period. If you select “no” you will automatically skip to item 83.

Item 81.

(Answer at baseline and follow-up) Write in the number of elected officials you contacted during this reporting period.

Item 82.

(Answer at baseline and follow-up) Write in the number (as a whole number, not a decimal or fraction) of issues you contacted state officials about during this reporting period.

Item 83.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you provided information to elected officials about policies to be enacted (e.g., to prohibit new alcohol outlets in the community) during this reporting period. If you select “no” you will automatically skip to item 86.

Item 84.

(Answer at baseline and follow-up) Write in the number of elected officials you provided information to during this reporting period.

Item 85.

(Answer at baseline and follow-up) Write in the number (as a whole number, not a decimal or fraction) of policies you provided information on during this reporting period,

Item 86.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you organized a ballot initiative during this reporting period. If you select “no” you will automatically skip to item 88.

Item 87.

(Answer at baseline and follow-up) Write in the number (as a whole number, not a decimal or fraction) of ballot initiatives you organized during this reporting period.

Item 88.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you worked with school administrators and teachers to implement or revise a drug-free policy during this reporting period. If you select “no” you will automatically skip to item 90.

Item 89.

(Answer at baseline and follow-up) Write in the number (as a whole number, not a decimal or fraction) of schools you engaged in policy implementation or revisions during this reporting period.

Item 90.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you worked with businesses to establish a drug-free workplace or drug-free workplace policies during this reporting period. If you select “no” you will automatically skip to item 92.

Item 91.

(Answer at baseline and follow-up) Write in the number (as a whole number, not a decimal or fraction) of businesses you engaged in policy implementation during this reporting period.

Item 92.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you conducted other activities to affect policy change during this reporting period. If you select “no” you will automatically skip to item 94. If you select “yes” please briefly describe the activities.

Item 93.

(Answer at baseline and follow-up) Write in how often you conducted the other policy activities (described in item 92) during this reporting period. For example: once a week, twice a month, once per quarter, etc.



In items 94 through 107, you are asked to report the types of environmental strategies you worked to implement during this reporting period related to Definitions.



Item 94.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you arranged for or conducted compliance checks that targeted merchants who sell alcohol and tobacco to minors during this reporting period. If you select “no” you will automatically skip to item 96.

Item 95.

(Answer at baseline and follow-up) Write in the number (as a whole number, not a decimal or fraction) the number of compliance checks you arranged for or conducted during this reporting period.

Item 96.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you established sobriety checkpoints during this reporting period. If you select “no” you will automatically skip to item 99.

Item 97.

(Answer at baseline and follow-up) Write in the number (as a whole number, not a decimal or fraction) of sobriety checkpoints that were established during this reporting period.

Item 98.

(Answer at baseline and follow-up) Write in the frequency with which checkpoints were held during this reporting period. For example: once a week, twice a month, once per quarter, etc.

Item 99.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you set up surveillance of areas known for illegal drug sales during this reporting period. If you select “no” you will automatically skip to item 102.

Item 100.

(Answer at baseline and follow-up) Write in the number (as a whole number, not a decimal or fraction) of areas that were targeted for surveillance during this reporting period.

Item 101.

(Answer at baseline and follow-up) Write in the frequency with which surveillance activities were held during this reporting period. For example: once a week, twice a month, once per quarter, etc.

Item 102.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you worked to increase building inspections during this reporting period from the number of inspections conducted prior to this reporting period.

Item 103.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you worked to ensure that policies to force landlords to improve or demolish run-down buildings were enforced during this reporting period.

Item 104.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you made use of civil and criminal "nuisance abatement" statutes, which require landlords to evict tenants involved in narcotics-related activities or risk personal prosecution during this reporting period.

Item 105.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you worked to see that policies were enforced to reduce the problems/consequences associated with substance abuse during this reporting period.

Item 106.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you implemented or worked to implement other enforcement strategies during this reporting period. If you select “no” you will automatically skip to item 108. If you select “yes” please briefly describe these strategies.

Item 107.

(Answer at baseline and follow-up) Write in how often you conducted other enforcement activities during this reporting period. For example: once a week, twice a month, once per quarter, etc.



In items 108 through 126, you are asked to report the activities you conducted during this reporting period in order to affect the implementation of environmental strategies related to enforcement.



Item 108.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you educated law enforcement during this reporting period. If you select “no” you will automatically skip to item 111.

Item 109.

(Answer at baseline and follow-up) Write in the number of law enforcement education sessions you conducted during this reporting period.

Item 110.

(Answer at baseline and follow-up) Write in the number of law enforcement officers you educated during this reporting period.

Item 111.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you collaborated with law enforcement (e.g., worked with law enforcement to familiarize them with high-risk areas of the community for sting operations, sobriety check-points, etc.) during this reporting period. If you select “no” you will automatically skip to item 113.

Item 112.

(Answer at baseline and follow-up) Write in the number of law enforcement officers you engaged in collaboration during this reporting period.

Item 113.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you conducted citizen patrols in neighborhoods known for illegal drug sales during this reporting period. If you select “no” you will automatically skip to item 116.

Item 114.

(Answer at baseline and follow-up) Write in the number of citizen patrols conducted during this reporting period.

Item 115.

(Answer at baseline and follow-up) Write in the number of neighborhoods known for illegal drug sales that citizens patrolled during this reporting period.

Item 116.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you collaborated with municipal officials and private landlords to improve, rebuild, or raze abandoned buildings that are used to engage in drug use, adolescent alcohol use, and other illegal activities during this reporting period. If you select “no” you will automatically skip to item 119.

Item 117.

(Answer at baseline and follow-up) Write in the number of municipal officers that were engaged in collaboration to improve, rebuild, or raze abandoned buildings used to engage in illegal activities during this reporting period.

Item 118.

(Answer at baseline and follow-up) Write in the number of landlords that were engaged in collaboration to improve, rebuild, or raze abandoned buildings used to engage in illegal activities during this reporting period.

Item 119.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you conducted server-training programs for bartenders and wait staff to reduce service to minors and intoxicated customers during this reporting period. If you select “no” you will automatically skip to item 122.

Item 120.

(Answer at baseline and follow-up) Write in the number of server-training programs you offered during this reporting period.

Item 121.

(Answer at baseline and follow-up) Write in the number of bartenders/wait staff that were trained through your efforts during this work period.

Item 122.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you educated merchants about the laws and penalties for selling to underage customers during this reporting period. If you select “no” you will automatically skip to item 125.

Item 123.

(Answer at baseline and follow-up) Write in the number of merchant training programs you offered or arranged for during this reporting period.

Item 124.

(Answer at baseline and follow-up) Write in the number of merchants that were educated about the laws and penalties for selling to underage customers during this reporting period.

Item 125.

(Answer at baseline and follow-up) Select “yes” or “no” to indicate whether you conducted other activities to affect the implementation of enforcement activities during this reporting period. If you select “no” you will automatically skip to item 127. If “yes” please briefly describe these activities.

Item 126.

(Answer at baseline and follow-up) Write in how often you carried out the other enforcement activities described in item 119 during this reporting period. For example: once a week, twice a month, once per quarter, etc.



In items 127-141, you are asked to report the type(s) of environmental strategies you implemented during this reporting period related to communication.



Item 127.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you engaged in social marketing during this reporting period. If you select "no" you will automatically skip to item 138. Social Marketing is defined as using the principles of commercial marketing to develop, implement, and evaluate programs designed to influence the behavior of a target audience. Rather than dictating the way that information is to be conveyed, social marketing involves listening to the needs and desires of the target audience and building the program from there.

Item 128.

(Answer at baseline and follow-up) Write in a whole number to indicate how many social marketing campaigns you carried out during this reporting period.

Item 129.

(Answer at baseline and follow-up) Write in a whole number to indicate how many television ads were created during this reporting period as part of your social marketing campaign.

Item 130.

(Answer at baseline and follow-up) Write in a whole number to indicate how many television ads were aired during this reporting period as part of your social marketing campaign.


Item 131.

(Answer at baseline and follow-up) Write in a whole number to indicate how many radio ads were created during this reporting period as part of your social marketing campaign.

Item 132.

(Answer at baseline and follow-up) Write in a whole number to indicate how many radio ads were aired during this reporting period as part of your social marketing campaign.


Item 133.

(Answer at baseline and follow-up) Write in a whole number to indicate how many print ads were created during this reporting period as part of your social marketing campaign.

Item 134.

(Answer at baseline and follow-up) Write in a whole number to indicate how many print ads were published during this reporting period as part of your social marketing campaign.


Item 135.

(Answer at baseline and follow-up) Write in a whole number to indicate how many special events (e.g., drug-free concert, smoke-free sponsored softball tournament) were hosted during this reporting period as part of your social marketing campaign.

Item 136.

(Answer at baseline and follow-up) Write in a whole number to indicate how many other promotional activities (e.g., providing smoke-free pamphlets at a fair, distributing drug-free book covers at a school) were hosted during this reporting period as part of your social marketing campaign.

Item 137.

(Answer at baseline and follow-up) Write in a whole number to indicate how many other promotional items were distributed during this reporting period, as part of your social marketing campaigns. Promotional items include pamphlets, brochures, leaflets, posters, videos or DVDs, and newsletters. Here we are looking for the number of individual items distributed, rather than the number of types of items. For example, if you distributed 300 leaflets, 40 posters, and 10 videos, you would write "350."


Item 138.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you engaged in media literacy efforts during this reporting period. Media literacy programs foster the ability to analyze and evaluate messages in the media (e.g., working with children to teach them to evaluate the images and messages in a beer ad). If you select "no" you will automatically skip to item 140.

Item 139.

(Answer at baseline and follow-up) Write in a whole number to indicate how many media literacy-building sessions were held during this reporting period. A session is considered one class or gathering of participants. For example, if a prevention intervention provides a class on tobacco ads and a class on alcohol ads that would count as two sessions.

Item 140.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you conducted other communication strategies during this reporting period. If you select "no" you will automatically skip to item 142. If you select "yes," please briefly describe these strategies.

Item 141.

(Answer at baseline and follow-up) Write in how often you conducted other communication strategies during this reporting period. For example: once a week, twice a month, once per quarter, etc.



In items 142 through 161, you are asked to report the activities you conducted during this reporting period in order to affect the implementation of environmental strategies related to communication.



Item 142.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you presented at community meetings (e.g., PTA meetings, town hall meetings, school assemblies) during this reporting period. Community meetings do not include regularly scheduled coalition meetings or coalition meetings held for planning purposes. If you select "no" you will automatically skip to item 145.

Item 143.

(Answer at baseline and follow-up) Write in a whole number to indicate how many community meetings you presented at during this reporting period.

Item 144.

(Answer at baseline and follow-up) Write in a whole number to indicate the total number of participants at all community meetings at which you presented during the reporting period.

Item 145.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you sent letters to the editor of the local newspaper or community newsletters during this reporting period. If you select "no" you will automatically skip to item 148.

Item 146.

(Answer at baseline and follow-up) Write in a whole number to indicate the total number of letters that were sent during this reporting period.

Item 147.

(Answer at baseline and follow-up) Write in a whole number to indicate the total number of letters that were published during this reporting period.

Item 148.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you developed substance abuse prevention public service announcements (PSAs) during this reporting period. If you select "no" you will automatically skip to item 150.

Item 149.

(Answer at baseline and follow-up) Write in a whole number to indicate the total number of PSAs that were developed during this reporting period.

Item 150.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you broadcasted substance abuse prevention public service announcements (PSAs) during this reporting period. If you select "no" you will automatically skip to item 152.

Item 151.

(Answer at baseline and follow-up) Write in how often PSAs were broadcast during this reporting period. For example: 3 times per day for 8 weeks, twice a week for 2 months, etc.

Item 152.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you produced and/or distributed substance abuse prevention posters during this reporting period. If you select "no" you will automatically skip to item 155.

Item 153.

(Answer at baseline and follow-up) Write in a whole number to indicate how many posters were distributed during this reporting period.

Item 154.

(Answer at baseline and follow-up) Write in a whole number to indicate how many weeks the posters are/were scheduled to be displayed during this reporting period.

Item 155.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you launched a prevention-focused Web site(s) during this reporting period. If you select "no’ you will automatically skip to item 160.

Item 156.

(Answer at baseline and follow-up) Write in a whole number to indicate how many visits (hits) the Web site (s) had during this reporting session. If you have not tracked this number please check "do not know." Number of Visits= Number of times that a user logs into and uses a website. If I log into a website and browse 30 pages on the website, that’s 1 Visit. If I login again later in the day and browse the same 30 pages, that’s another visit, for a total of 2 Visits.

Item 157.

(Answer at baseline and follow-up) Write in a whole number to indicate how many new (not return) visits (hits) the Web site(s) had during this reporting session. If you have not tracked this number please check "do not know." Number of new (unique) visits = Number of unique individuals who log into and use a website. In the example in item 156, the number of new (unique) visits is 1 (since the same person logged in twice).

Item 158.

(Answer at baseline and follow-up) Write in a whole number to indicate the total number of unique page views that the Web site(s) had during this reporting period. Select "do not know "if you do not have this information. Number of unique page views = The number of times that each specific page on a website has been visited by a unique visitor. In the example in item 156, the total number of unique page views is 30 (1 Unique Page View for each of 30 pages).

Item 159.

(Answer at baseline and follow-up) To indicate the average amount of time spent on the Web site(s) during this reporting period, write your response in the hours:minutes:seconds format (e.g., 00:06:30 means that the average amount of time spent on the Web site was 6 minutes and 30 seconds). If you do not have this information, please select "do not know."

Item 160.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you implemented other communication strategies during this reporting period. If "yes" please briefly describe these strategies. If you select "no" you will automatically skip to item 162

Item 161.

(Answer at baseline and follow-up) Write in a description to indicate how often you implemented other communication strategies during this period. For example: 3 times per day for 8 weeks, twice a week for 2 months, etc.

Item 162.

(Answer at baseline and follow-up). In the space provided, write in a description of any other type(s) of environmental strategies you worked to implement or implemented during this reporting period that do not fall into the categories in items 79-161.

Item 163.

(Answer at baseline and follow-up)

Note: This item is crucial in setting up the CLI Part II. It represents the how you will report the number and reach of your chosen prevention strategies when you implement. The evaluation team has created an article providing detailed guidance on how to complete this item. You should use that guidance when filling out this item.

Name all the prevention intervention(s) and corresponding strategies you or your community partners delivered during this reporting period. A prevention intervention may be comprised of a single strategy or a set of multiple strategies. If you are implementing a prevention intervention that is single strategy or a prevention intervention that incorporates more than one strategy, you must list each strategy separately. If an intervention incorporates more than one strategy of the same type it also must be listed as a separate strategy.

For each strategy identified, a strategy type must be selected. Strategy choices include:

For example, CMCA—Responsible Beverage Server Training would be designated as an Environmental Strategy, CMCA —Social Marketing Campaign would be designated as an Environmental Strategy, and CMCA—College Collaboration Team would be designated as Community-based Process.

The database will automatically generate a strategy-specific subform (CLI Part II form) for each strategy listed. The respondent will need to complete a CLI Part II form for each strategy. The strategy type will determine the sub-set of items specific to the strategy that the respondent must complete. Information collected on each strategy will include date of implementation, numbers of groups and participants served, frequency of activities, and gender, age, race, and ethnicity of population served/affected.

At follow-up, the list of prevention interventions and strategies you have previously reported will continue to appear in the database; you may change the names you have given these strategies if needed, and add new prevention interventions and strategies. You will also be able to mark a strategy as “Inactive” if no implementation activities occurred for the strategy during a follow-up reporting period. If a strategy is marked “Inactive,” the database will not generate a CLI Part II form.


Section 5E. Monitoring and Evaluation

This section collects information on your development of an evaluation plan. You are also asked to indicate whether a final evaluation report was developed and if key findings from the evaluation were distributed to key stakeholders and/or key informants.

People you may want to include in responding to this section:
  • Project Director
  • Project Coordinator
  • Evaluator

Item 164.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you have developed an evaluation plan.

  • You should answer "no" to this item

Item 165.

(Answer at baseline and follow-up) Select "yes" "no" or "don’t know" to indicate whether the implementation of your prevention interventions was monitored by the state/tribe/jurisdiction level agency in charge of the SPF SIG funding during this reporting period.

  • You should answer "Not applicable--no prevention interventions were implemented during this reporting period" to this item. It is important that you DO NOT answer "No"

Item 166.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you have worked on any aspect of the Monitoring and Evaluation component of the Strategic Prevention Framework during this reporting period. If you select "no" you will automatically skip to item 172.

Item 167.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you worked on intervention level evaluation activities during this reporting period. If you select "no" you will automatically skip to item 172.

Item 168.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you or the state level grantee developed any evaluation reports during this reporting period? Evaluation reports could take the form of letters, emails, formal reports, presentations, or other formats.

Item 169.

(Answer at baseline and follow-up) Select "yes" or "no" to indicate whether you or the state level communicated any evaluation findings to key stakeholders and/or key informants during this reporting period. Stakeholders can be either within or outside of your coalition, organization, or agency. If you select "no" you will automatically skip to item 172.

Item 170.

(Answer at baseline and follow-up) Select all responses that describe how you communicated the evaluation findings to key stakeholders and informants. If you used another method that is not listed, select "other" and provide a brief description.

Item 171.

(Answer at baseline and follow-up) Select all responses that describe how stakeholders used the evaluation findings. If they used findings in a way that is not listed, select "other" and provide a brief description. If you don’t know how they were used, you may select "don’t know."

Section 6: Systems Factors

For purposes of this instrument, the prevention system is “the entire set of agencies, organizations, and persons that contribute to efforts to prevent substance abuse and related problems within the community.” Keep this in mind as you answer the items below about planning and data systems.

Items 172 through 175.

(Answer at baseline and follow-up) For each of these items, select “yes,” “no,” or “don’t know” to indicate your understanding of each of the relevant aspects of the prevention system in your community.

  • During this first data submission to the CLI, it is appropriate to mark "Don't know" for some of these items if applicable. However for future times the survey is given, "Don't know" is not an appropriate answer because you will be farther along in the SPF SIG process and implementation.

Section 7: Contextual Factors

Contextual factors are conditions that exist outside the scope of the prevention intervention activities, but nevertheless influence the SPF process and prevention intervention delivery. While you can incorporate knowledge of these factors into your planning and prevention interventions, they typically cannot be changed through intervention activities. Understanding the nature of contextual factors, however, is still helpful in evaluating the success of the prevention intervention.

People you may want to include in responding to this section:
  • Project Director
  • Project Coordinator
  • Intervention delivery staff
  • Evaluator
  • Coalition representative

Item 176.

(Answer at baseline and follow-up) Select all factors that may have had an impact on the outcomes of your prevention activities during this reporting period. If a factor not listed had an impact, check “other” and describe. This item refers to the demographic, environmental, or cultural factors that may have caused barriers and or had an impact on prevention activities in your community during this reporting period.

Section 8: Training or Technical Assistance


Item 177.

(Answer at baseline and follow-up) Select all the areas in which you received SPF SIG funded guidance, training, or technical assistance during this reporting period. If you received SPF SIG funded training or technical assistance not on the list, please check “other” and describe. Do not include training that you are going to receive in the future. You will be able to report on this in future reporting periods. We are specifically asking about guidance, training, or technical assistance that was paid for with SPF SIG funds. If you are not sure if the guidance, training, or technical assistance you received was paid for with SPF SIG funds, contact your local or state SPF SIG director.

  • Do NOT mark the answer choice, "Not applicable--no training or technical assistance recieved."
  • At minimum, mark the following answer choices:
    • Cultural competence
    • Needs and resource assessment
    • Building Relationships
    • Strategic plan development
    • Intervention selection
    • Evaluation activities


Section 9: Closing Question


Item 178.

(If applicable, answer at baseline and follow-up) If you have any additional comments about any aspects of the SPF SIG Initiative please provide them in the space available.