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Substance Use Disorder Prevention
Provider Toolkit

The Prevention Provider Toolkit has been created to assist
CMHPSM-funded Preventionists with information that will be helpful in achieving program outcomes, meeting CMHPSM and other statutory requirements, and completing CMHPSM-required reports.

Please note that the information in this Toolkit may not be comprehensive, as the CMHPSM reserves the right to edit materials and requirements as necessary.

Prevention Provider Toolkit

CMHPSM SUD Prevention Program Monitoring Procedures & Reporting Forms

Revised EBI Implementation & Evaluation Planning

Form (Appendix E)

Prevention Program Monitoring Procedures

EBI Fidelity Assessment Form

Twelve Community Sectors Checklist

Direct Staff Credentials Worksheet

Monitoring Procedures

Recipient Rights

SUD Recipient Rights Info

Model Recipient Rights Policies & Procedures

SUD Administrative Rules

Components of a SUD Program Level Rights Office

Sample Prevention Brochure with RR Statement

Recipient Rights Brochure and Posters

SUD Program Level Formal Complaint Log

Program Informal Complaint Report

Informal Complaint Report Example

SUD Program Level Informal Complaint Log Example

Recipient Rights

Michigan Prevention Data System (MPDS)

MPDS Pre-Recorded Provider Training

Michigan Prevention Data System User Manual for Provider Agencies

MPDS General Activity Log

Sample MPDS Compliance Letter

Resolving Negative Total New Attendees Guidance Document

MPDS Group "Close Out" Protocol

MPDS

Media Campaigns

CMHPSM Media Campaign Policy

Media Campaign Request Form

Media Campaigns

Provider Program Brief Information

Program Brief Checklist

Program Briefs

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