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County of Los Angeles
Department of Public Health
Substance Abuse Prevention & Control
1000 S. Fremont Avenue
Building A9 East, 3rd Floor
Alhambra, CA 91803
Phone: (626) 299-4193
Fax: (626) 458-7637
Prevention Program Documents and Templates
Introduction: Prevention Program Manual
Strategic Prevention Framework: STEP 1 - Assessment
Prevention Manual: Step 1 - Assessment
Prevention Manual: Step 1 – Assessment Attachments and Templates
Attachment A: AODPS Assessment Work Plan & Reporting Form
Attachment B: Goals Objectives Indicator Grid
Attachment C: LA County Prevention Contractor Self Assessment Tool
Attachment D: Archival Data Review Form
Attachment E: Political Record Review Form
Attachment F: Media Coverage Review Form
Attachment G: Local Data Key Findings Summary Form
Attachment H: Environmental Scan Summary Forms
Part A: Environmental Scan Summary Form
Part B: Environmental Scan Summary Form
Attachment I: Survey Supplemental Forms
Part A: Survey Instructions & Required Documents
Part B: Agency Template Survey Recruitment & Incentives Plan
Part C: SPA-Wide Template Survey Recruitment & Incentives Plan
Part D: Survey Incentives Tracking Form
Attachment J: Youth (12-17) Survey Form
Attachment K: Young Adult (18-24) Survey Form
Attachment L: Adult (25+) Survey Form
Attachment M: Survey Summary Form
Attachment N: Key Informant Instructions and Required Documents
Attachment O: Focus Group Instructions and Required Documents
Attachment P: Key Informant Interview and Focus Group Supplemental Documents
Key Informant Interview and Focus Group Recruitment and Incentive Plan
Key Informant Interview and Focus Group Consent Forms
Key Informant Interview and Focus Group Summary Form
Attachment Q: Community Capacity, Resources, Assets, and Risks Analysis
Attachment R: Problem Analysis Working Logic Models
CPS Problem Analysis Working Logic Model
EPS Problem Analysis Working Logic Model
Problem Analysis Logic Model References 1-5
Attachment S: SWOT Analysis
Attachment T: Planning Logic Models
CPS Planning Logic Model
EPS Planning Logic Model
Attachment U: Contractor Work Plan
Work Plan Fiscal Year 2012-2013
Contractor Work Plan & Reporting Form
Strategic Prevention Framework: STEP 2 – Capacity (Information Coming Soon)
Strategic Prevention Framework: STEP 3 – Planning (Information Coming Soon)
Strategic Prevention Framework: STEP 4 – Implementation (Information Coming Soon)
Strategic Prevention Framework: STEP 5 – Evaluation (Information Coming Soon)
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