The Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT) Request for Application (RFA) No. TI-10-011, "Adult Treatment Drug Courts (ATDC)", has encouraged the use of several evidenced based practices including Global Appraisal of Individual Needs (GAIN) for the assessment for adolescents, young adults and adults. SAMHSA/CSAT has asked Chestnut to provide a fixed price package of services that is designed to match those that have been regularly provided to past grantees and be the same across applicants.

Use the links below for information on each services package, the cost, materials to support the proposal, and the best person to contact if you have more questions.

Short Description of Package: The Global Appraisal of Individual Needs (GAIN; Dennis, Titus, White, et al., 2003) is a standardized biopsychosocial assessment that integrates clinical and research measures into one comprehensive structured interview with eight main sections: background, substance use, physical health, risk behaviors, mental health, environment risk, legal involvement and vocational correlates.

The standard service package includes:

1. In person training, quality assurance/coaching, certification and on-going monitoring of 2 people as GAIN Local Trainers in the first year (and up to 4 over the course of the grant);
2. In person training, quality assurance/coaching, certification and on-going monitoring of 1 person to get GAIN Clinician Interpretation Certification in the first 18-24 months (and up to 2 over the course of the grant);
3. Phone or online training of the person acting as the local GAIN Data Manager;
4. Review, feedback and technical assistance to the above staff as they train, coach, certify and monitor other local staff using the GAIN;
5. Travel expenses for grantee staff to come to the above training;
6. GAIN ABS web account with software to support conducting the assessment, generating and editing the biopsychosocial narrative report summarizing diagnosis, placement and initial training, other interpretative reports, the required GPRA reports, and ability to export the data for analysis (or local IT system depending on what it is and/or someone doing the work to link them out side of this subcontract);
7. Data cleaning, analysis, and reporting, including providing the grantee with clean analytic files to use for local evaluation on a quarterly basis;
8. Project coordination, monitoring, coaching and technical assistance to implement and use the data to support both individual level clinical decision making and program level evaluation and program development;
9. The GAIN license fee ($100 for 5 years of unlimited use across the agency);
10. Access to pooled data from other grantees to support your monitoring, evaluation and program planning, and adding your data to the pooled dataset

Cost of Package: Chestnut will provide this service package to CSAT grantees at a fixed price of $78,867 over 3 years, billed at a rate of $26,289 per year.

Supporting Materials: You can download all of the materials in one zip file or select below to look at individual pieces.

• GAIN Guidelines for ATDC 2010. This document should aid in your grant writing, including text for describing the GAIN, service package subcontract, and how they relate to program evaluation.
• GAIN Services and Support. This document provides more detailed information on the services and support you will receive with service package and is targeted at a more general audience. It includes copies of the
• GAIN Logic Model and GAIN Role Descriptions.
• Instruments. Copies of the GAIN-Initial (GI), -Treatment Satisfaction (TxSI), and Monitoring 90 day (GM90) instruments to be used by CSAT grantees. They subsume the GPRA measures that are also required to be used for CSAT grants.
• Overview of GAIN ABS. This provides a description of the system, features and requirements for the web based software application for conducting GAIN interviews and generating interpretative reports.
• Subcontract. If and when you win a grant, this is a copy of the subcontract you will be asked to sign.

Contact Information: If you have any additional questions about the using the GAIN for the ATDC grant or in general, please contact GAIN Assistant Projects Manager Kate Moritz at (309) 451-7831 or GAIN Projects Manager Sarah Knecht at (309) 451-7803 or gaininfo@chestnut.org.

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