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93.234 Traumatic Brain Injury_State Demonstration Grant Program
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service Act, Section 1252, as amended, Public Law 104-166, 42 U.S.C. 300d-52.
To improve access to health and other services for individuals with TBI and their families.
TYPES OF ASSISTANCE:
USES AND USE RESTRICTIONS:
Project grants to States to improve access to health and other TBI-related services for people of all ages is established within HRSA. Any State seeking TBI grant funds is required to agree to establish or have an advisory board within the appropriate health department of the State or within another department as designated by the Chief Executive Officer of the State. The Board's composition as specified must include representatives of the involved State agencies; public and nonprofit private health related organizations; disability advisory or planning groups; members of an organization or foundation representing individuals with TBI; State and local injury control programs if they exist, and a substantial number of individuals with TBI and/or their family members. There are three categories of project grants: (1) State planning grants, (2) State implementation grants and (3) Post Demonstration grants. The State planning grants are intended to support the development of four core capacity components to provide State TBI infrastructure. State implementation grants are intended for States that have the four core capacity components in place. These grants support activities that represent the next logical step(s) in building a statewide system to assure access to comprehensive and coordinated TBI services. Implementation grants can address a wide range of activities and should reflect gaps or needed system change identified through the statewide TBI needs assessment. TBI Post Demonstration grants allow for new projects for activities previously begun in a State's Implementation grant.
Applicant Eligibility: Only State governments are eligible to apply for funding under the TBI grant program. The application for implementation funds may only come from the State agency designated as the lead for TBI services. While planning grant applications may emanate from an agency or office within the State responsible for planning and/or program coordination, Post Demonstration application may only come from State's that have completed a 3 year Implementation grant. The involvement of the State maternal and child health program in both grant categories is expected. Only one application from each State may enter the review process and be considered for an award under this program.
Pre-application Coordination: This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Formula and Matching Requirements: States must make available nonfederal cash or in-kind matching funds in an amount that is not less than $1 for each $2 of Federal funds provided under the grant.
POST ASSISTANCE REQUIREMENTS:
Reports: Annual program reports, financial status reports, program service reports, and special reports must be submitted as required.
Account Identification: 75-0350-0-1-550.
In fiscal year 2001, 45 total projects were funded. It is estimated that between 28 and 45 total projects will be supported in fiscal years 2002 and 2003. The goal of the TBI State grant program is to assure all States and Territories have TBI infrastructure.
REGULATIONS, GUIDELINES, AND LITERATURE:
Pertinent information may be obtained by contacting the Maternal and Child Health Bureau, Grants Management Branch, Room 18-12, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-1440.
Regional or Local Office: None. Administration for Community Living - Independent Living Administration.
EXAMPLES OF FUNDED PROJECTS:
New York State Traumatic Brain Injury (TBI) Program for Culturally Competent TBI Services in NY City, Arizona KIDS with TBI, Oregon TBI Link Improving Access to Services for Individuals with TBI and Alabama an Interactive Community Based Model for Children with TBI.
CRITERIA FOR SELECTING PROPOSALS:
Applications are reviewed by nonfederal consultants who make recommendations to the Secretary of the Department. The Secretary will approve projects which best promote the purposes of TBI demonstration grants. Review criteria: The following review criteria apply to the State planning grant: (1) The strength of the required statewide advisory board; (2) the adequacy of the State's proposed method for developing a statewide needs assessment; (3) the adequacy of the State's proposed method for linking its plan of action to the findings of the statewide needs assessment; (4) the extent to which the proposal reflects the involvement of necessary public/private organizations and agencies to assure a comprehensive approach; (5) the qualifications and experience established for the designated lead person for TBI within the State; (6) the reasonableness of the proposed budget, soundness of the arrangements for fiscal management, effectiveness of use of personnel and likelihood of project completion within the proposed grant period; and (7) the adequacy of proposed methodology to assure that full core capacity is developed during the grant period. The following review criteria apply to the State implementation grant: (1) the adequacy of the State's evidence that the four components for core capacity are in place; (2) the relevance of the goals and objectives to the identified needs described in the statewide needs assessment; (3) the soundness of the plan for evaluating progress in achieving project objectives and outcomes; (4) the adequacy of the plan for organizing and carrying out the project; (5) the extent to which the involvement and participation of TBI survivors, families, and organizations are considered in project implementation; (6) the extent to which the project involves a multi-disciplinary and multi-system approach to TBI development; and (7) the adequacy of the plan for sustaining the proposed project. An application for a Protection and Advocacy Grant will be evaluated by an objective review panel. Based on the quality of the responses, an application may receive up to 100 points on the following review criteria: (1) A plan to enable the P&A system to provide services for individuals with TBI and their families. The proposed services. The balance of individual TBI cases and systemic work. Recognition of the unique needs of the area. (2)A comprehensive approach to collaboration, partnership and outreach. Established relationships with the brain injury community. The evidence and breadth of collaboration demonstrated in the narrative and letters of support. Participation with the State TBI State grant project if one exists. (3) A demonstrated knowledge of the needs of individuals with TBI and their families. The State P&A have committed Financial and human resources towards improving the services for individuals for TBI and their families. The roles, responsibilities and skills of the project staff are sufficient to meet the goals and objectives of the project within the proposed time period. The project management plan is reasonable and will build State P&A capacity. (4) Project Evaluation: The methodology that will be used to achieve the goals and objectives of the project. The strength of the evaluation plan for the project.