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93.184 Disabilities Prevention
CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service Act, Section 301(a) and Section 317, as amended, 42 U.S.C. 241(a); 42 U.S.C. 247(b).
To 1) Provide a national focus for the prevention of secondary conditions in persons within selected disability domains including mobility, personal care, communication, and learning; 2) build State capacity to coordinate program activities and assess the magnitude of disability in States; 3) employ epidemiological methods to set priorities and direct health promotion interventions for persons with disabilities; 4) conduct research projects to understand secondary conditions and measure the impact of the environment on the lives of persons with disabilities, and conduct studies on the effectiveness of interventions in targeted groups of persons with disabilities; 5) fund and support a national limb loss information center and a limb loss epidemiology research facility; 6) fund and support a national information center on physical activity for persons with disabilities; and 7) fund and support a national paralysis and quality of life/health promotion information and resource center.
TYPES OF ASSISTANCE:
USES AND USE RESTRICTIONS:
CDC issued competitive awards in fiscal year 2002 for 16 State disability and health cooperative agreements and will issue continuation awards to 12 research project grants and three information/resource centers to address the prevention of secondary conditions and health promotion for persons with disabilities. State capacity cooperative agreements: These awards are providing financial assistance to: 1) Establish and/or sustain State offices of disability and health to promote the visibility of preventing secondary conditions as a State public health priority, and serve as a technical assistance resource and statewide focus for the prevention of secondary conditions; 2) support an advisory function to coordinate and provide policy and program direction guidance in the State; 3) develop and/or implement a State strategic plan or policy instrument for health promotion for persons with disabilities; 4) establish and implement university partnerships to support and complement State project activities; 5) maintain and refine prescribed public health surveillance or survey activities for disability domains of mobility, personal care, communications, and learning in order to implement prevention efforts and program evaluation activities; 6) provide technical assistance to communities; and 7) promote education and health promotion programs for persons with disabilities, conduct training of health professionals, and facilitate access to services for persons with disabilities. Research project grants: Financial assistance under this program is being used to: 1) Implement and evaluate programs to identify and quantify preventable secondary conditions within disability domains which include physical, medical, cognitive, emotional, and/or psychosocial conditions and their prevention; 2) determine the risk and protective factors in specified populations of persons who have a disability; 3) measure the effectiveness and costs of preventive interventions; and 4) develop measurements of the environment that can facilitate or hinder access to participation for persons with a disability. National Limb Loss Information Center Cooperative Agreements: Financial assistance has been awarded to operate a national clearinghouse to provide educational material and self-help guidance to persons with limb loss and their families, and develop a peer visitation training initiative for the conduct of education and training sessions in hospitals, rehabilitation facilities, and support groups. The National Center on Physical Activity and Disability provides multiple sources of information and references on a vast array of inquiries on exercise, fitness and health promotion activities. In these cases, project funds may not be used to supplant State, local, or institutional funds available for these activities, or for construction costs, or to purchase facilities or space. Grantees may enter into contracts as necessary to help achieve the objectives of their respective programs. In late FY 2001, CDC provided funds to establish and operate a national resource center for persons with paralysis which will receive continuation funding in FY 2002.
Applicant Eligibility: Based on available funding for fiscal year 2002, CDC issued a competitive program announcement for new State projects resulting in 16 awards. All other projects listed in this notice will be eligible for non-competing continuation awards in fiscal year 2002. These include the 12 noted research grants and the three national information centers on limb loss, physical activity, and paralysis. Eligibility for this program in the future when new competitive announcements are announced in future fiscal years will continue to include State health departments or other official organizational authority (agency or instrumentality) of States, including the District of Columbia, the Commonwealth of Puerto Rico, and any territory or possession of the United States. Research Grants: Eligible applicants for competing applications was in fiscal year 2000 through the issuance of a competitive program announcement which include public and private nonprofit entities, including universities, university-affiliated systems including not-for-profit medical centers, research institutions and rehabilitation hospitals, disability service groups such as advocacy and voluntary organizations and independent living centers, and federally recognized Indian Tribal Governments. For the limb loss information and the limb loss epidemiology projects, the physical activity, and the paralysis resource center projects; new applications will not be solicited for these programs as they are still within their respective project periods. No new competitive applications are expected to be solicited from States, research institutions and information centers during the balance of FY 2002.
Pre-application Coordination: As new competitive funding becomes available for this program, preapplication coordination will not be required. However applicants will be encouraged to submit a non-binding letter of intent 30 days before the deadline date. State capacity projects are subject to E.O. 12372, "Intergovernmental Review of Federal Programs." Applicants should consult the office or officials designated as the single point of contact in their State for more information on the process the State requires in applying for financial assistance, if the State has selected the program for review. Research grant projects applicants in future years will not be subject to E.O. 12372.
Formula and Matching Requirements: These programs have no statutory matching requirements, however applicants are encouraged to assume and document part of project costs.
POST ASSISTANCE REQUIREMENTS:
Reports: Semi-annual progress reports are required. Financial status reports are required no later than 90 days after the end of each specified budget period. Final financial status reports and a final program report is required 90 days after the end of the project. Continuation applications for subsequent budget year financial assistance within these project periods will be submitted by these projects. Non-competing continuation applications will include a progress/performance narrative which outline program accomplishments and operations for that earlier budget period, an upcoming budget year work plan with a detailed narrative and budget justifying the new financial request.
Account Identification: 75-0943-0-1-550.
In fiscal year 2001, CDC supported 14 State projects, 12 research grants, and 3 national information centers as noted below. For fiscal year 2002, CDC is now funding 16 States under new 3 to 5 year project periods. These 16 States and the 12 continuing research projects funded in fiscal year 2002 emphasize the prevention of secondary conditions and health promotion for persons with disabilities and assessing environmental barriers and facilitators to access community programs and services for people with disabilities. The national limb loss information center, the national center on physical activity and disability, and the national paralysis resource center are providing information and referral regarding these issues. The State projects are expanding program visibility and prominence by building their emphasis on disability and health. This is being accomplished through strategic plans addressing Healthy People 2010 objectives, advisory council and advocacy input, policy development, university and voluntary organization partnerships, data access and analysis, client preventive services and access to care, surveys for determining physical limitations among the population, professional and public education, and the inclusion of program evaluation measures. For fiscal year 2002, the Research grantees will fully implement their respective protocols and studies. In fiscal year 2002, the currently funded National Limb Loss Information Center, National Center on Physical Activity and Disability, and National Paralysis Resource Center will continue expansion of their outreach and response capacity to directly support and refer identified needs of persons, providers, and organizations inquiring about these issues of concern. It is expected that all Research grants and the noted information/resource centers will be subject to re-competition in fiscal year 2003 based on the availability of funds. The number of such awards will be dependent on that appropriation process.
REGULATIONS, GUIDELINES, AND LITERATURE:
Regional or Local Office: Not applicable.
EXAMPLES OF FUNDED PROJECTS:
The majority of awards for State capacity projects in the past have been made to State health departments and universities with State collaboration to develop a statewide focus for the prevention of secondary disabilities and health promotion for persons with disabilities within a structured State office, to establish an advisory body to guide the development of planning and make recommendations to fill gaps in prevention, to establish and build partnerships with universities and advocacy/ voluntary organizations for public health surveillance and health promotion delivery programs for persons with disabilities. and to conduct surveillance and implement community projects in the targeted disability domains. Research grantees have accessed data and service programs to identify persons with disabilities, conducted surveillance, and implemented studies and interventions designed to prevent selected or a range of secondary conditions related to cost effectiveness, measurement of participation in the environment of persons with disabilities, women, minorities, and adolescents and older citizens with disabilities. Current Research grantees include universities and rehabilitation hospitals. The National Limb Loss Information Center has worked to build, expand, and utilize a national network for providing information, referral, and peer counseling programs for persons with limb loss. The Limb Loss Research and Epidemiology project includes both a disability service organization and a leading research university. The National Center on Physical Activity and Disability is based at a major research university with key collaborating partners in rehabilitation, education, web site development and linkages, library capacity, and physical accessibility. The new National Resource Center on Paralysis is also developing a comprehensive program to address a wide range of service and referral systems.
CRITERIA FOR SELECTING PROPOSALS:
Given the recent competition for State awards in February 2002, it is expected that another competitive announcement will not be issued for State projects for at least 3 years unless additional funds become available in fiscal year 2003. New Research and Information Center projects will not be re-announced and awarded until fiscal year 2003. In these cases, applications are reviewed based on evaluation criteria explicit in the respective Program Announcements. Applications must address demonstrated program need, the magnitude of the problem, the management work plan, collaborative associations, and the approach toward setting and meeting overall project objectives and time frames. These future competitive applications would also be evaluated on the capacity of the applicant to demonstrate effective collaborations with other agencies and data sources critical to preventing secondary conditions, identifying and addressing health promotion needs for persons with disabilities, denoting the capability of the project to address minority and low-income populations in the prevention of secondary conditions, promoting accessibility to all program services for persons with disabilities, and offering sound proposals toward development of surveys and surveillance for useful data bases within outlined targeted disability activities.