ASSEMBLY OF REGIONAL ORGANIZATIONS
OF CHILD AND ADOLESCENT PSYCHIATRY
2007 AACAP/Assembly Advocacy and Collaboration Grants
Guidelines and Application
The American Academy of Child and Adolescent Psychiatry is offering twelve grants in the
amount of $4,000 to regional organizations of the AACAP Assembly. These grants are intended
to fund advocacy activities designed to improve care for the mental health needs of children,
adolescents, and families within a specific community, city or state. A requirement of the grant
is that it involves collaborative activities between AACAP regional organizations and allied
organizations within their communities. Examples of such organizations include but are not
limited to a local chapter of the National Alliance for the Mental Illness, a chapter of the Mental
Health America, or the Federation for Families. Activities that involve collaboration with allied
professional organizations such as the American Academy of Pediatrics or the American
Academy of Family Physicians will also be considered. Please note that these grants are not
intended to fund formal CME activities or dinner meetings. Preference in funding will be
given towards programs that create innovative solutions that advance the mission of the AACAP
in collaboration with other established organizations. While it is possible to use these funds to
address policy or legislative issues they cannot be used for lobbying or support of a political
candidate.
Complete applications will be reviewed and judged on how they best fulfill the guidelines for the
grant. Once selected, grantees will receive $3,000. The remaining $1,000 will be distributed
when the mandatory follow-up form is received. The application deadline is May 31, 2007.
The application procedure for a grant is as follows:
1. Complete the application for the proposed event.
2. Attach to the application a timeline for completion and a preliminary budget (meals not
included).
3. Attach a letter of support from an officer of each of the collaborating organizations.
4. By December 1, 2007, you must submit the Follow-Up Form for your event in order to
receive the remainder of the grant. Failure to provide this will prohibit your regional
organization’s participation in future Assembly grants.
Please submit all required information to:
Earl Magee
AACAP/Assembly Advocacy Grants
3615 Wisconsin Avenue, NW
Washington, DC 20016
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2007 AACAP/Assembly Advocacy and Collaboration Grants
Application
SUBMISSION DEADLINE: May 31, 2007
(Please print clearly or type. All information is required.)
1. REGIONAL ORGANIZATION NAME: ______________________________________
2. Name of Contact Person and contact information: _______________________________
_______________________________________________________________________
4. Describe the proposed advocacy activities designed to improve care for the mental
health needs of children, adolescents, and families within a specific community, city or
state. (add additional pages, if needed)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
5. Collaborating Organization: _________________________________________________
6. Proposed venue, format and intended audience: _________________________________
___________________________________________________________________________
___________________________________________________________________________
6. Tentative date(s) for program: _________________________________
8. Proposed evaluation plan: ____________________________________________________
___________________________________________________________________________
___________________________________________________________________________
ATTACH the following to your application:


The proposed program (topics, speakers)
A preliminary budget (Funding may be used to pay for speakers, meeting facilities, CME
costs, food\refreshments, and other costs associated with the program, but may not be used
to purchase equipment)
An evaluation form is required following program completion. This is due no later than
December 1, 2007 to the Assembly Administrator.
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2007 AACAP/Assembly Advocacy and Collaboration Grants
Follow-Up Form
SUBMISSION DEADLINE: December 1, 2007
(Please print clearly or type)
1. REGIONAL ORGANIZATION NAME: ____________________________________
2. Contact person and contact information: ____________________________________
________________________________________________________________________
3. Total number in attendance: _________
4. Total number of child and adolescent psychiatrists attending: _______
5. Total number of pediatricians attending: _______
6. Total number of residents and medical students attending: _______
7. Briefly describe the results of the program: ____________ _________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
8. Please rank the following on a 5 point scale with 5 being excellent and 1 being poor:
a. Overall quality of the program: ______
b. Overall quality of the pediatric collaboration (i.e., success): ______
c. Overall value of the AACAP grant program: _____
9. Please give a brief report on the advocacy efforts focused on in your program and the
value of this for your regional organization: ___________________________________
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