Please check the box next to the following questions if the answer is 'yes'.
Please enter the applicable Event Date if there is an Event associated with this TTA.
When entering an Event Date, the Time is also required.
If the TTA is targeted to a particular audience or location, please complete the questions below.
Milestones are an element, activity, work product, or key task associated with completing the TTA (e.g. kick-off meeting, collect data from stake holders, deliver initial data analysis).
Please complete the fields below, if applicable, to create a milestone for this TTA.
1. 9/1: Call with IMPACTS Project Coordinator (OHA), IMPACTS Analyst (CJC), IMPACTS Analyst (CJC), and Grant Coordinator (CJC) to discuss grantee contracts and technical assistance next steps (Organizations – 2: Participants – 4).
2. 9/3: Call with IMPACTS Project Coordinator (OHA), IMPACTS Analyst (CJC), IMPACTS Analyst (CJC), and Local Publics Safety Coordinating Council Coordinator (Douglas County), and Senior Director (Umpqua Health) to discuss target population data collection challenges and technical assistance needs (Organizations – 4: Participants – 5).
3. 9/8: Call with IMPACTS Project Coordinator (OHA), IMPACTS Analyst (CJC), IMPACTS Analyst (CJC), and Grant Coordinator (CJC) to discuss grantee contracts and technical assistance next steps (Organizations – 2: Participants – 4).
4. 9/10: Call with Kate Grover (IMPACTS Program Coordinator, OHA), KC Lewis (IMPACTS Analyst, CJC), and Scott Hillier (Data and Analysis Manager, Oregon State Hospital) to discuss grantee state hospital data collection (Organizations – 3, Participants – 3).
5. 9/14: Call with Kate Grover (IMPACTS Project Coordinator, OHA) and Bridget Budbill, (IMPACTS Analyst, CJC) to discuss subaward (Organizations – 2: Participants – 2).
6. 9/14: Call with Bridget Budbill (IMPACTS Analyst, CJC) to discuss subaward (Organizations – 1: Participants – 1).
7. 9/17: Call with KC Lewis (IMPACTS Analyst, CJC), Kate Grover (IMPACTS Project Coordinator, OHA), and Monica Yellow Owl (Behavioral Health Manager, Klamath Tribal Health and Family) to discuss grantee target population data and technical assistance needs (Organizations – 3: Participants – 3).
8. 9/17: Call with KC Lewis (IMPACTS Analyst, CJC), Kate Grover (IMPACTS Project Coordinator, OHA), Bridget Budbill (IMPACTS Analyst, CJC), and Olivia McClelland (Clinical Supervisor, Lane County Community Health) to discuss grantee target population data and technical assistance needs (Organizations – 3: Participants – 3).
9. 9/18: Call with Kate Grover (IMPACTS Project Coordinator, OHA), Bridget Budbill (IMPACTS Analyst, CJC), and Samantha Shepherd (Executive Director, CCO Oregon) to discuss upcoming presentation at behavioral health work group meeting (Organizations – 3: Participants – 3).
10. 9/18: Call with KC Lewis (IMPACTS Analyst, CJC), Kate Grover (IMPACTS Project Coordinator, OHA), Bridget Budbill (IMPACTS Analyst, CJC), and Holly Harris (Program Manager, Deschutes County) to discuss grantee target population data and technical assistance needs (Organizations – 3: Participants – 3).
11. 9/21: Call with IMPACTS Analyst (CJC), IMPACTS Project Coordinator (OHA), IMPACTS Analyst (CJC), Planning and Grants Manager (Confederated Tribes of Grande Ronde), and Health Services Director (Confederated Tribes of Grande Ronde) to discuss grantee target population data and technical assistance needs (Organizations – 3: Participants – 3).
12. 9/21: IMPACTS Analyst (CJC), IMPACTS Project Coordinator (OHA), IMPACTS Analyst (CJC), and Grant Program Consultant (Lincoln County) to discuss grantee target population data and technical assistance needs (Organizations – 3: Participants – 3).
13. 9/23: Call with IMPACTS Analyst (CJC), IMPACTS Project Coordinator (OHA), IMPACTS Analyst (CJC), and Director (Confederated Tribes of Warm Springs) to discuss grantee target population data and technical assistance needs (Organizations – 3: Participants – 3).
14. 9/23: Call with Senior Policy Analyst (OHA) to discuss subaward (Organizations – 1: Participants – 1).
15. 9/24: Presentation to the CCO Oregon Behavioral Health Working Group on the IMPACTS program and implementation progress (Organizations – 16: Participants – 15).
16. 9/28: Call with IMPACTS Analyst (CJC) to discuss upcoming QI subcommittee meeting (Organizations – 1: Participants – 1).
17. 9/29: Call with IMPACTS Project Coordinator (OHA), IMPACTS Analyst (CJC), IMPACTS Analyst (CJC), and Grant Coordinator (CJC) to complete final GRC meeting prep (Organizations – 2: Participants – 4).
18. 9/29: IMPACTS Grant Review Committee meeting to review contracting process, approve permanent program rules, and discuss technical assistance survey results and options (Organizations – 24: Participants – 27).
Please respond to the Performance Metrics below. The Performance Metrics questions are based on the TTA Type indicated in the General Information section of the TTA.
Please submit a signed letter of support from your agency’s executive or other senior staff member. The letter can be emailed to or uploaded with this request. The letter should be submitted on official letterhead and include the following information:
- General information regarding the request for TTA services, i.e., the who, what, where, when, and why.
- The organizational and/or community needs specific to the request for TTA services.
- The benefits or anticipated outcomes from the receipt of TTA services.
By submitting this application to BJA NTTAC, I understand that upon approval of this application for TTA, the requestor agrees to keep BJA NTTAC informed of any circumstances that may impact the delivery of the TTA, including changes in the date of the event, event cancellation, or difficulties communicating with the assigned TTA provider.
Please call [site:phone] if you need further assistance completing this application.