Universal Population: Selective Indicated Name of NREPP Evidence-Based No. of Times Program Population: Population: Total Was Provided to No. of Times No. of Times Substance Abuse Prevention Program Implemented Universal Populations Program Was Program Was and Provided to Provided to WITH IDENTIFICATION OF FACILITATING STAFF MEMBER(S) AND COUNTY AND HOST AGENCY No. of Consumers Selective Indicated Served Populations and Populations and LOCATION WHERE PROGRAM HAS BEEN PROVIDED* No. of Consumers No. of Consumers Served Served # of # of # of # of # of # of # of Unduplicated# Times Consumers Times Consumers Times Consumers Times of Consumers Program Served Program Served Program Served Programs Served Provided Provided Provided Provided Section IV: Priority Admission Preference for Pregnant Women and Women with Dependent Children (PWWDC) PWWDC Expenditures People Served State Base YTD YTD A. List Name of ME Staff, Position Title, and Phone No. Who is Responsible for SAPTBG PWWDC Services Compliance, Monitoring, and Quality Management: Section V: Injecting Drug Use (IDU) Programs and Services Please list providers that reached 90% capacity. A. List Name of ME Staff, Position Title, and Phone No. Who is Responsible for SAPTBG IDU Services Compliance, Monitoring, and Quality Management
Name of NREPP Evidence-Based Substance Abuse Prevention Program Implemented WITH IDENTIFICATION OF FACILITATING STAFF MEMBER(S) AND COUNTY AND HOST AGENCY LOCATION WHERE PROGRAM HAS BEEN PROVIDED* Universal Population: No. of Times Program Was Provided to Universal Populations and No. of Consumers Served Selective Population: No. of Times Program Was Provided to Selective Populations and No. of Consumers Served Indicated Population: No. of Times Program Was Provided to Indicated Populations and No. of Consumers Served Total # of Times Program Provided # of Consumers Served # of Times Program Provided # of Consumers Served # of Times Program Provided # of Consumers Served # of Times Programs Provided Unduplicated# of Consumers Served Section IV: Priority Admission Preference for Pregnant Women and Women with Dependent Children (PWWDC) PWWDC State Base Expenditures YTD People Served YTD A. List Name of ME Staff, Position Title, and Phone No. Who is Responsible for SAPTBG PWWDC Services Compliance, Monitoring, and Quality Management: Section V: Injecting Drug Use (IDU) Programs and Services Please list providers that reached 90% capacity. A. List Name of ME Staff, Position Title, and Phone No. Who is Responsible for SAPTBG IDU Services Compliance, Monitoring, and Quality Management
Exhibit%20A%20-%20Appendix%201%20-%20BG%20Report,%20April%2011%202014.docx