2014-115
Mental Health and Addictions Grant
Program: Enhancing Community
Supports
Part 1- Application Guidelines
Part 2 – Application Form
March, 2014
Page 1 of 13
PART 1 – APPLICATION GUIDELINES
A few general comments: the application form should be strictly followed. Adhere to any designated limitations on the
length for sections indicated. If you feel any addition information is required attach as an appendix. If you have any
questions about how to complete this template or the application process in general you can contact via email Tony
Prime primets@gov.ns.ca or Francine Vezina Francine.Vezina@gov.ns.ca
Mental Health and Addictions Community Linkage Grants Program
These Guidelines contain information on the 2014-15 application process for the Mental Health and
Addictions Community Grants Program funded through the Government of Nova Scotia’s Mental Health and
Addictions Strategy “Together We Can”.
Each proposal for funding should include the following:



A completed application form (see attached)
Two (2) letters of support
Any additional supporting documents/resources
INTRODUCTION
The Mental Health and Addictions Community Grants is a component of the provincial mental health and
addictions strategy “Together We Can” released May, 2012. The aim of the Grants Program is to improve the
overall lives of individuals living with mental health disorders and substance use and gambling problems and
their families.
FUNDING GUIDELINES
Grant Applications
Applicants must be led by not-for-profit organizations in Nova Scotia but may be a partnership with the formal
system (DHAs/IWK). None of the funding can be used for the personal benefit of salaried staff of the
organization (increase salary of salaried staff).
Note:
2014-2015 grants will be for one year only and those projects that are in collaboration with other
organizations will be given the highest priority. Two grants for $100,000 each will be awarded for
collaborative initiatives.
Ineligible Expenses


Contributions to annual fundraising drives
Pre-existing core operating expenses (e.g. heat, light, core organizational staff)
{Operational expenses related to the initiative are eligible}
Page 2 of 13


Capital expenditures (e.g. housing,construction/building renovations etc.)
Projects/initiatives that duplicate existing activities in your community/region.
PROPOSAL DEVELOPMENT GUIDELINES
Prepare your funding proposal using the following guidelines to complete the attached Application Form.
2014-15 Priority Areas:
Only two one year grants for $100,000 each will be awarded for collaborative initiatives this year.
Community Linkage Grants are given to reduce barriers between NGOs, community health boards, formal
mental health and addictions systems, and government departments, thereby creating and enhancing
collaboration and coordination to provide continuous linked informal and formal supports for people living
with mental illness/mental health challenges/addictions throughout their lifespan.
Within the Enhancing Community Supports Grant Program, the goal of community linkage grants are to
encourage, facilitate, and support collaboration to:

increase sharing of skills, knowledge and resources between groups, NGOs, and health care
professionals to identify and refer first voices to the most appropriate provider at the most opportune
time throughout their recovery and across the lifespan, and when the person has indicated a willingness
to engage the service or support;

increase the number of organizations that identify gaps and partnership opportunities and work
together to offer seamless services in mental illness/mental health challenges/addictions for individuals
across the lifespan;

increase the number of organizations that identify gaps and partnership opportunities and work
together to offer education and training for people experiencing mental illness/mental health
challenges/addictions.
Partnerships: List all groups and organizations which will be contributing to the planning,
implementation and evaluation of the project and what their roles will be.
Project Title:
□1Year Amount: _________________________
Organization(s) Strengths
Briefly explain why the organization(s) is/are in a position to carry out the project (e.g. highlight
previous successes/experiences working with community projects or initiatives).
Page 3 of 13
Project Summary: Provide a brief summary of the project explaining what the project is about and
what you hope to accomplish.
Rationale:
 Explain why this project is needed in your community (e.g. need identified through needs
assessment, community meeting or forum, etc.)
 Explain why you have chosen this project to address the need (e.g. the identified need and
identified target audience(s)should be based on available population data, based on best or
promising practice (please include references of support literature, builds on existing
strengths within the community/district, etc.)
Community Capacity Building: Describe how the project will help build capacity within your
community/communities. This involves the active involvement of individuals in improving their mental
health and well-being and may also improve the mental health of the community and reduce harmful
substance use and gambling related harms.
Goals & Objectives: Explain the project goal(s) that is what you want to achieve as a result of your
project. These are general statements of what your project is trying to do. These goals should follow
the S.M.A.R.T. approach and be specific, measurable, achievable, realistic, and time-bound.Objectives
flow from your goals. These are statements that inform how the goals will be achieved…it is important
to note that you may use more than one objective to reach your goal. Clear project objectives are
essential to guide the project work and evaluation
Plan of Action: List the activities (outputs) which you and your partner(s) will undertake to meet each
objective; identify who is responsible for each activity and the timelines.
Intended outcomes: Describe what outcomes you expect to occur as a result of your project. These
can be identified in terms of participant’s awareness/knowledge, skills, attitudes or behaviours. A
combination of outcomes from these general areas should be used. It may be helpful to identify these
outcomes in terms of short term to long term and overall outcome of the project.
Evaluation Plan: Describe how you will evaluate the impact the project has had on the participants
and/or the community. Include any plans to share evaluation results and lessons learned with other
communities/regions .
Communication Plan: Describe your plans to share
 Project reports and progress with your partners , target groups, community/district and
Department of Health & Wellness
 Completed project
 Evaluation results and lessons learned
Page 4 of 13
Project Management: Describe who will be responsible for the direction and day-to-day management
of the project. Include job descriptions and qualifications, outlining roles and responsibilities of the
positions.
Budget: Eligible expenses should be listed in terms of item, cost, partner contributions, in-kind
contribution and requested amount. Applicant must adhere to forecasted budget as outlined in the
proposal. Programs must submit a semi-annual report and financial statement and end of project
report with evalution outcome and financial staement.
Other Funding Sources: List any other grants that you have applied for and/or have received to
support any part of the project. Include name(s) of funding agency/organization(s), amount of funding
and if applicable, identify the part(s) of the project that will be supported.
Signatures: Signatures of all partners are required on the application form from each organizations’
executive.
Additional Documents:
a. Aletter of agreement is required from each organization that will be partnering with you in the
development/implementation of the program.
b. Terms of Reference, memberships and current programs for your organization if applicable,
should be included as an appendix to your proposal.
REPORT REQUIREMENTS
Applicants approved for funding will be required to submit a semi-annual (6 month) report and a year
end reports.
this shall outline:
a) Which shall outline utilization statistics,& interim outcome measures for the initiative if
available
b) Financial expenditures
c) update of progress toward meetings goals and objectives and what deliverables have been
completed and/or implemented
All evaluation reports to be submitted at agreed upon intervals
APPLICATION DEADLINE
Submissions for the 2014-15 Mental Health and Addictions Community Grants must be received at
the DHW by midnight July 4, 2014. Must be submitted electronically.
Applications to be sent to:
Tony Prime
Page 5 of 13
Department of Health and Wellness
Mental Health, Children’s Services& Addictions
Box 488, 14th Floor Barrington Tower
1894 Barrington St., Halifax, NS B3J 2R8
Contact:
By email only
Tony Prime or Francine Vezina E-mail: Anthony.prime@gov.ns.ca
Francine.vezina@gov.ns.ca
Applications will be reviewed and initial funds issued by late August to mid-September2014
LETTERS OF CONFIRMATION
All applicants will receive notification from The Department of Health and Wellness about the status
of their proposal. Successful applicants will be required to sign a Memorandum of Understanding or a
contract.
Page 6 of 13
PART 2 - Mental Health and Addictions Community Grants Program
Application Form
Department of Health & Wellness
Date Received:
Date Reviewed:
PLEASE FOLLOW THE GUIDELINES WHILE COMPLETING THIS FORM
1. Organization(s){provide info for each partner organization} Identify lead organization.
Name of organization(s):____________________________________________________
Name of Main Contact Person:_____________________________________________
Mailing Address: _________________________________________________________
Phone number:__________________
Fax Number:_________________________
E-mail address:___________________________________________________________
Project Title:
□1year□
Amount:
2. 2014-15 Priority Areas:
Only two one year grants for $100,000 each will be awarded for collaborative initiatives this year.
Within the Enhancing Community Supports Grant Program, the goal of community linkage grants are to
encourage, facilitate, and support collaboration to:

increase sharing of skills, knowledge and resources between groups, NGOs, and health care
professionals to identify and refer first voices to the most appropriate provider at the most opportune
time throughout their recovery and across the lifespan, and when the person has indicated a willingness
to engage the service or support;
Page 7 of 13

increase the number of organizations that identify gaps and partnership opportunities and work
together to offer seamless services in mental illness/mental health challenges/addictions for individuals
across the lifespan;

increase the number of organizations that identify gaps and partnership opportunities and work
together to offer education and training for people experiencing mental illness/mental health
challenges/addictions.
Organization(s) Description: Briefly describe why your organization is in a position to carry out the
program (e.g. highlight previous success/experiences working with community projects or initiatives)
Should not exceed a typed ½ pg. 8 ½ / X 11 in Calibri 12 font single spaced
3. Project Summary ( Not more than 1 typed pg. 8 ½ X 11 in Calibri 12 font single spaced)
Page 8 of 13
4. Rationale (Should not exceed ½ typed pg. 8 ½ / X 11 in Calibri 12 font single spaced)
5. Community Capacity Building (Should not exceed ½ typed pg. 8 ½ / X 11 Calibri 12 font single spaced )
6. Goals and Objectives ( Not more than 1 typed pg.8 ½ X 11 Calibri 12 font single spaced ) specific,
measurable, achievable, realistic, and time-bound
Page 9 of 13
7. Plan of Action (Should not exceed 1 pg. 8 ½ / X 11)
Action
Responsibility
Timeline
8. Intended Outcomes (Should not exceed ½ typed pg. 8 ½ / X 11 Calibri 12 font single spaced)
Page 10 of 13
13.Evaluation Plan (Should not exceed 1 typed pg. 8 ½ / X 11 Calibri 12 font single spaced)
9. Communication Plan
10. Project Management and Personnel (Day to day management of your project){ Should not exceed ½
typed pg 8 ½ / X 11 Calibri 12 font single spaced )
Page 11 of 13
11. Budget Summary (use the following table as a guide, add rows as required for additional items)
Item
Cost
Minus In-Kind
Contributions
TotalRequested
Amount
Travel
Communications
Salaries
Honoraria” First Voice”
Materials
Evaluation
Other
Total
$
$
$
12. Other Funding Sources
13. Identify all partners for the project and identify lead organization:
Partnerships with other organizations: Identify organization(s) and their role(s).
Organization: __________________________ Contact Person: ________________________
Role:
Organization: __________________________ Contact Person: ________________________
Role:
Page 12 of 13
Organization: __________________________ Contact Person: ________________________
Role:
Signatures: Lead organizationIndividual Submitting Proposal
1) ____________________________ Date:_______________
Position ___________________________
Individual for each partner organization involved in Project
2) ____________________________ Date:________________
Position ___________________________
Page 13 of 13