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[null,"This document was exported from Numbers.  Each table was converted to an Excel worksheet. All other objects on each Numbers sheet were placed on separate worksheets. Please be aware that formula calculations may differ in Excel."]
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[null,"Table of Contents"]
[null,null,"Table 1","Table of Contents"]
[null,"Demographics"]
[null,null,"Table 1","Demographics"]
[null,"Open-Ended Questions"]
[null,null,"Table 1","Open-Ended Questions"]
[null,"Capacity"]
[null,null,"Table 1","Capacity"]
[null,"Community based process"]
[null,null,"Table 1","Community based process"]
[null,"Health Disparities"]
[null,null,"Table 1","Health Disparities"]

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[null,"Instructions: Use this worksheet to complete Reporting requirements. The Table of Contents provides links to each sheet in the tool. Additionally, a link to Table of Contents is located at the bottom of all tabs except for Demographics for easy navigation throughout the tool."]
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[null,"Table of Contents"]
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[null,"Demographics","Submitted each Quarter"]
[null,"Open-Ended Questions","Submitted each Quarter"]
[null,"Capacity","Submitted each Quarter"]
[null,"Community based process","Submitted each Quarter"]
[null,"Health Disparities","Submitted each Quarter"]

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[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]
[{"$nulls":13},0,{"$nulls":10},0,null,null,null,0,{"$nulls":8},0]

{"sheet":"Open-Ended Questions","index":3,"n_rows":11,"n_cols":5,"rows_kept":11,"cut":false,"hidden":false,"merged":[]}
[" County Name & Name of Person Completing Report:","Quarter 1 (Oct-Dec)","Quarter 2 (Jan-Mar)","Quarter 3 (Apr-Jun)","Quarter 4 (Jul-Sep)"]
["Alcohol/E-cig/Marijuana Data:  Please describe how your access to and use of community-level data/reports has affected your local prevention efforts.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             "]
["Capacity Building: Summarize capacity building activities you have conducted as part of your PFS activities (e.g., enhancing infrastructure related to needs and resource assessment, strategic planning, implementation, policy change or development, data collection, evaluation). "]
["Challenges and Barriers: Please comment on any problems or issues that have affected, or may affect, your progress with the PFS project."]
["Successes and Lessons Learned:  Please describe successes or lessons learned you have experienced with your PFS project so far. "]
["Sustainability: Describe how you have worked to ensure that alcohol/marijuana/e-cig prevention intervention activities and outcomes continue after PFS funding has ended."]
["Technical Assistance: Please identify any technical assistance needs you currently have or anticipate having in the near future. "]
["Other Comments or Notable Activities: Include any additional information, if any, you'd like to share about your PFS project."]
[]
[]
["Table of Contents"]

{"sheet":"Capacity","index":4,"n_rows":29,"n_cols":5,"rows_kept":29,"cut":false,"hidden":false,"merged":[[0,0,0,4],[1,0,1,4],[15,0,24,0]]}
["CAPACITY  REPORTING QUESTIONS"]
["Answer the below questions per quarter: You will choose from a dropdown list for answers."]
["CAPACITY: How much would you agree or disagree that your organization had/has enough capacity in each of the following areas to effectively implement their PFS interventions?","Quarter 1 (Oct-Dec)","Quarter 2 (Jan-Mar)","Quarter 3 (Apr-Jun)","Quarter 4 (Jul-Sep)"]
["Enough staff"]
["Staff with the right skills"]
["Enough fiscal/financial resources"]
["Experience with the target populations"]
["Experience with relevant prevention interventions"]
["Experience collaborating with other organizations on relevant prevention interventions"]
["Capability to sustain the prevention efforts over time"]
["Capability to use data in prevention planning"]
["Capability to use data in prevention evaluation"]
[]
["CAPACITY: Have you conducted activities that produced gains in your organizational resources related to PFS during the past quarter? These could include such activities as identifying organizational goals, improving staff and resources, and coordinating data collection. "]
[]
["CAPACITY: Indicate the activity or activities that produced gains in your organizational resources related to PFS during the past quarter? (Use Rows 16-25 to choose one activity per row until all needed have been added)"]
{"$rows_empty":12}
["Table of Contents"]

{"sheet":"Community based process","index":5,"n_rows":20,"n_cols":5,"rows_kept":20,"cut":false,"hidden":false,"merged":[[0,0,0,4]]}
["COMMUNITY-BASED PROCESSES"]
["In the columns to the Right indicate the WHOLE NUMBER answer for each of the below questions: ","Quarter 1 (Oct-Dec)","Quarter 2 (Jan-Mar)","Quarter 3 (Apr-Jun)","Quarter 4 (Jul-Sep)"]
["Indicate the number of stakeholder/partner meetings you held during the past Quarter (Enter \"0\" if none)"]
["Indicate the number of stakeholders/partners you trained during the past quarter, if any. (If none, enter \"0\")"]
["Indicate the number of community members, other than stakeholders/partners, you trained during the past quarter, if any. (If none, enter \"0\")"]
["Indicate the number of community organizations to whom you provided training or technical assistance during the past quarter, if any. (if none, enter \"0\")"]
[]
[]
[]
["For this next question, enter \"yes\" or \"no\" in the columns per quarter"]
["Did you help with reorganizing local agencies to promote efficiency in delivering substance abuse prevention during the past quarter?"]
["IF yes, Describe how to helped reorganize local agencies in Row 12 for the corresponding quarter."]
{"$rows_empty":7}
["Table of Contents"]

{"sheet":"Health Disparities","index":6,"n_rows":38,"n_cols":17,"rows_kept":38,"cut":false,"hidden":false,"merged":[[8,0,8,16],[9,1,9,4],[9,5,9,8],[9,9,9,12],[9,13,9,16],[24,0,24,3]]}
["Name  of Person Completing Report: ","Quarter 1 (Oct-Dec)","Quarter 2 (Jan-Mar)","Quarter 3 (Apr-Jun)","Quarter 4 (Jul-Sep)"]
["Health Disparities/Targeted Sub-Populations: Summarize your PFS efforts to address behavioral health disparities/sub-populations within your communities. How are you addressing disparities?  How are you engaging/outreaching to sub-populations?  How are you incorporating and/or implementing the CLAS standards through your prevention efforts?"]
["Within your Disparities Impact Statement (DIS), Describe any data gaps you identified related to the disparate or subpopulation(s). Please be specific. If no data gaps currently exist, please enter “n/a” for not applicable. "]
["For any data gaps described above, please explain how you are addressing the gaps. If you had none, please enter “n/a” for not"]
["Within your DIS, what are your data collection processes related to behavioral health disparities data?"]
["Does your organization have formal, written policies in place to address cultural competence? "]
[]
[]
["Subpopulation Data"]
["Definiton of Subpopulation","Quarter 1 ",null,null,null,"Quarter 2",null,null,null,"Quarter 3",null,null,null,"Quarter 4"]
["From the subpopulations below, please select the disparate population(s) on which you are focusing your efforts. Use as many rows as you need to add characteristics that describe your subpopulation.","For each selected disparate population, indicate how many individuals your agency plans to indirectly reach with its efforts.","For each selected disparate population, indicate how many individuals your agency plans to directly reach with its efforts.","Indicate # of individuals your agency directly served.","Indicate # of individuals your agency indirectly served.","For each selected disparate population, indicate how many individuals your agency plans to indirectly reach with its efforts.","For each selected disparate population, indicate how many individuals your agency plans to directly reach with its efforts.","Indicate # of individuals your agency directly served.","Indicate # of individuals your agency indirectly served.","For each selected disparate population, indicate how many individuals your agency plans to indirectly reach with its efforts.","For each selected disparate population, indicate how many individuals your agency plans to directly reach with its efforts.","Indicate # of individuals your agency directly served.","Indicate # of individuals your agency indirectly served.","For each selected disparate population, indicate how many individuals your agency plans to indirectly reach with its efforts.","For each selected disparate population, indicate how many individuals your agency plans to directly reach with its efforts.","Indicate # of individuals your agency directly served.","Indicate # of individuals your agency indirectly served."]
[]
[]
[]
[]
[]
[]
["From the options below, please select any additional subpopulation(s) on which you are focusing your efforts. Use as many rows as you need to add characteristics that describe your subpopulation.","For each selected subpopulation below indicate how many individuals you expect to indirectly reach with your efforts.","For each subpopulation below indicate how many individuals you expect to directly serve.","Indicate # of individuals your agency directly served.","Indicate # of individuals your agency indirectly served.","For each selected subpopulation below indicate how many individuals you expect to indirectly reach with your efforts.","For each subpopulation below indicate how many individuals you expect to directly serve.","Indicate # of individuals your agency directly served.","Indicate # of individuals your agency indirectly served.","For each selected subpopulation below indicate how many individuals you expect to indirectly reach with your efforts.","For each subpopulation below indicate how many individuals you expect to directly serve.","Indicate # of individuals your agency directly served.","Indicate # of individuals your agency indirectly served.","For each selected subpopulation below indicate how many individuals you expect to indirectly reach with your efforts.","For each subpopulation below indicate how many individuals you expect to directly serve.","Indicate # of individuals your agency directly served.","Indicate # of individuals your agency indirectly served."]
{"$rows_empty":7}
["Quarter 1 (Oct-Dec)","Quarter 2 (Jan-Mar)","Quarter 3 (Apr-Jun)","Quarter 4 (Jul-Sep)"]
["From the list, please select the strategies you developed and implemented to ensure that your high-need communities understand and are using the National CLAS Standards.","From the list, please select the strategies you developed and implemented to ensure that your high-need communities understand and are using the National CLAS Standards.","From the list, please select the strategies you developed and implemented to ensure that your high-need communities understand and are using the National CLAS Standards.","From the list, please select the strategies you developed and implemented to ensure that your high-need communities understand and are using the National CLAS Standards."]
{"$rows_empty":10}
["Table of Contents"]

{"sheet":"ADMIN ONLY Data lists","index":7,"n_rows":43,"n_cols":17,"rows_kept":43,"cut":false,"hidden":false,"merged":[]}
["DATA Lists",{"$nulls":6},"CSAP Strategy",null,null,null,"Sub-populations",null,"Sub-population"]
["Race • African American/Black",{"$nulls":6},"Prevention Education",null,null,null,"Race",null,"General population",null,null,"SUSTAINABILITY"]
["Race • American Indian or Alaska Native ",{"$nulls":6},"Environmental Strategies",null,null,null,"Ethnicity",{"$nulls":4},"Not applicable; no work was done to ensure that prevention outcomes continue after SPF-PFS funding has ended.intervention activities and"]
["Race • Asian ",{"$nulls":6},"Information Dissemination",null,null,null,"Sex",{"$nulls":4},"Leveraged, redirected, or realigned other funding sources or in-kind the success of the PFS efforts to secure other funds) resources (e.g., used"]
["Race • Native Hawaiian or Other Pacific Islander ",{"$nulls":6},"Alternative Activities",null,null,null,"LGBTQ",{"$nulls":4},"Worked to ensure that prevention intervention activities are incorporated into the missions/goals and activities of other organizations (e.g. school districts, law enforcement agency)"]
["Race • White ",{"$nulls":6},"Community Based Process",null,null,null,"Age",{"$nulls":4},"Worked to ensure that prevention staff positions are folded into other organizations (e.g., school districts, community agencies)"]
["Race • Two or more races ",{"$nulls":10},"Residence",{"$nulls":4},"Worked to gain formal adoption of prevention intervention activities into other organizations' practices (e.ge school district curriculum, organizational policy change)"]
["Ethnicity • Hispanic or Latino ",{"$nulls":10},"Socioeconomic Status",{"$nulls":4},"Worked to implement local level laws, policies, or regulations to guarantee the continuation of prevention intervention activities or outcomes"]
["Ethnicity • Not Hispanic or Latino ",{"$nulls":6},"IOM Category",null,null,"Yes","Service members, veterans and their families",{"$nulls":4},"Worked on developing a partnership structure that will continue to function beyond the end of the PFS grant period"]
["Sex • Male ",{"$nulls":6},"Universal Direct",null,null,"No",{"$nulls":5},"Other (Describe in Row 36.)"]
["Sex • Female",{"$nulls":6},"Universal Indirect"]
["LGBTQ • Lesbian, Gay, Bisexual, Transgender, Questioning, or Two-Spirit",{"$nulls":6},"Selective",{"$nulls":4},"Intervention Type"]
["None of the Above",{"$nulls":6},"Indicated",{"$nulls":4},"Community-based process"]
[{"$nulls":12},"Environmental Training of Influencers"]
["OTHER Sub-population Groups",null,null,null,"Strongly Disagree",{"$nulls":7},"Policy"]
["Age • 12-14 years old",null,null,null,"Disagree",null,null,"Intervention Name",{"$nulls":4},"Law Enforcement"]
["Age • 15-17 years old",null,null,null,"Agree",null,null,"Needs Assessment",{"$nulls":4},"Prevention Education"]
["Age •18-20 years old",null,null,null,"Strongly Agree",null,null,"Speaking Engagements/Health Fairs/Presentations"]
["Age • 21-24 years old",{"$nulls":6},"Environmental Planning"]
["Residence • Urban",{"$nulls":6},"Coalition/Taskforce Meetings",{"$nulls":4},"CAPACITY "]
["Residence • City",{"$nulls":6},"Training of Environmental Influences",{"$nulls":4},"Wrote, reviewed, or rewrote organizational or coalition mission or vision statement"]
["Residence • Town",{"$nulls":6},"Law Enforcement",{"$nulls":4},"Identified key organizational or coalition activities and goals"]
["Residence • Suburb ",{"$nulls":6},"Prevention Education",{"$nulls":4},"Increased staffing"]
["Residence • Rural",{"$nulls":6},"Communication Campaigns",{"$nulls":4},"Trained staff"]
["Socioeconomic status • High ",{"$nulls":6},"Compliance Checks",{"$nulls":4},"Identified coalition leaders"]
["Socioeconomic status • Middle",{"$nulls":6},"Secure Storage",{"$nulls":4},"Improved cultural competence"]
["Socioeconomic status • Low",{"$nulls":6},"RAST and BARS Training",{"$nulls":4},"Secured additional funding"]
["Other • Service members, veterans, veterans, and their families ",{"$nulls":6},"Establish or review school policies",{"$nulls":4},"Secured physical space"]
["Other • Persons with disabilities ",{"$nulls":6},"Establish or review ATOD policies",{"$nulls":4},"Coordinated or improved technical resources"]
["Other • Persons with mental illness",{"$nulls":6},"Alcohol purchase survey",{"$nulls":4},"Coordinated or developed data collection or management information systems (MIS) or both"]
["Other • Other (specify)",{"$nulls":6},"Festival/Event Restrictions",{"$nulls":4},"both"]
[{"$nulls":7},"Product Pricing Strategies"]
[{"$nulls":7},"Outlet Density"]
[{"$nulls":7},"Safe Homes/Safe Stores"]
[{"$nulls":7},"Modify Advertising Practice"]
[{"$nulls":7},"Youth Environmental Management"]
["CLAS LIST",{"$nulls":6},"Hours and Days of Sale"]
["Increased participation of disparate and subpopulations on advisory boards and workgroups ",{"$nulls":6},"Party Patrol"]
["• Developed strategic partnerships and collaborations with the goal of preventing behavioral health disparities among disparate and subpopulations ",{"$nulls":6},"Paraphernalia ordinance"]
["• Increased capacity and readiness of highneed communities to prevent behavioral\nhealth disparities among identified\ndisparate and subpopulations"]
["• Implemented diverse cultural health beliefs and practices • Used preferred languages "]
["• Addressed health literacy and other communication needs of all disparate and subpopulations "]
["• Other (Specify)"]