DHSS State of Alaska

Forms

General Grant Forms

For the most recent General Grant Forms, please contact your current grants administrator or the Grants and Contracts Support Team Office at (907) 465-5424.

• Grant Resouces

Treatment & Recovery

Click here for Treatment and Recovery Section contacts

• Critical Incident Report Form

FY12

• Quarterly Report Checklist & Transmittal Coversheet

• Intensive Outpatient Services for Pregnant Women Quarterly Report
• Bring The Kids Home Quarterly Service Report FY12 - 47k - Updated 8-31-11
• Bring The Kids Home Narrative Report FY12 - 44k - Updated 8-31-11
• Bring The Kids Home Logic Model Quarterly Report FY12 - Updated 8-31-11
• Treatment & Recovery Logic Model
• Treatment & Recovery Logic Model Resource Guide
• Treatment & Recovery Quarterly Report Form
• SOAR Quarterly Report Form
• Evidence Based Practices Consumer Operated Services Quarterly Report
• Evidence Based Practices Logic Model
• Opioid Treatment Provider Quarterly Report
• Community Action Plan Matrix
• Community Action Plan Instructions

FY11

• FY11 Bring The Kids Home Logic Model Quarterly Report
• FY11 Bring The Kids Home Narrative Report
• FY11 Bring The Kids Home Quarterly Service Report
• FY11 Treatment and Recovery Quartely report
• FY11 Logic Model Quarterly Report
• FY11 Logic Model Resource Guide
• FY11 Evidence Based Practices Consumer Operated Services Quarterly Report
• FY11 Evidence Based Practices Consumer Operated Services Logic Model
• FY11 Opioid Treatment Provider Quarterly Report
  

Prevention & Early Intervention

FY 12

• SPFSIG Quarterly Report Form
• FY 12 Comprehensive Behavioral Health Prevention & Early Intervention Services Grant Quarterly Report
• FY 12 Comprehensive Behavioral Health Prevention & Early Intervention Services Grant Bi-Annual Narrative Report
• FY12 RHSS Quarterly Report Form
• FY12 ASAP and Juvenile ASAP Quarterly Report Form
• FY12 DV & SA Initiative Grant Quarterly Activity Report
• FY12 DV & SA Initiative Grant Bi-Annual Narrative Outcome Report.
• Alaska Youth Suicide Prevention Project Quarterly Report

FY 11

• FY 11 Comprehensive Behavioral Health Prevention & Early Intervention Services Grant Quarterly Report - 418k - Updated 10-13-2010
• Comprehensive Prevention & Early Intervention Grant Program Grantee Review and Progress Assessment
• FY11 RHSS Quarterly Report Form -141K - Updated 10-13-2010
• Alaska Youth Suicide Prevention Report - 413k - upadted 10-13-2010

 

Sections

• Home
• Division Contacts

Programs

• AKAIMS
• Alaska Psychiatric Institute
• Policy & Planning
• Prevention & Early Intervention
• Program Integrity
• Treatment & Recovery

Resources

The Division of Behavioral Health strives to be an acronym-free zone! Check here for our acronyms

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