Directory - Community Resources for Youth Substance Abuse Prevention

1. Program focus:
   

   	alcohol
   	drugs
   	tobacco
   	violence
   	crime
   	pregnancy
   X	other: grief, death, divorce, family loss

2. Program description:
   small group of referred students meet w/ facilitator to discuss grief and family loss for 12 weeks during school year - one hour per week

3. If this is a treatment program, its main focus is:
   

   	intensive outpatient
   	short-term residential
   	long-term residential

4. Target participant age for this program:

   	Prenatal	X	10 year old
   	Newborn/Infant	X	11 year old
   	1 year old	X	12 year old
   	2 year old	X	13 year old
   	3 year old	X	14 year old
   	4 year old		15 year old
   X	5 year old		16 year old
   X	6 year old		17 year old
   X	7 year old		18 year old
   X	8 year old		over 18 years old
   X	9 year old

5. Days this program's services are available:

   	Sunday
   X	Monday
   X	Tuesday
   X	Wednesday
   X	Thursday
   X	Friday
   	Saturday

6. Times this program's services are available:

   	6 - 8 a.m.
   X	8 a.m. - 3 p.m.
   	3 - 5 p.m.
   X	5 - 9 p.m.
   	9 - midnight
   	midnight - 6 a.m.

7. Referrals to use the services of this program required?
   

   	yes
   X	no

8. Transportation to this program provided?
   

   	yes
   X	no

9. 
   

   Services for:	Yes	No
   Services for individuals with physical disabilities	X
   Services for individuals with mental disabilities	X
   Services for individuals with learning disabilities	X

10. Do you accept volunteers in this program?
    

    X	yes
    	no