Harm Reduction Manual: Template - SSP Budget Guidance
SSP BUDGET GUIDANCE and WORKSHEET[PROJECT NAME]COSTSThe estimated cost of establishing and maintaining an SSP will vary depending on a number of variables, including but not limited to: Number of clients servedSSP LocationRural, urban, or suburbanSite model, e.g.:MobileFree-standingOutreachStaffingPaid full-time and part-time, volunteer, peerNumber of injection equipment per personInfluenced by type of drug commonly used by local PWUD populationProgram and staff costs associated with services offered, e.g.:Syringe exchangeOverdose prevention/naloxoneHepatitis A and B vaccinationsInfectious disease screening (HIV, viral hepatitis, STDs)Behavioral interventions for infectious disease preventionWound careSubstance Use CounselingDrop-in services (food, laundry, pet care, personal hygiene)COMPREHENSIVE SSPsA comprehensive SSP integrates an array of health promotion and disease prevention services along with syringe exchange. The cost of a comprehensive program depends on the number of participants it serves, the location, types of services provided, staffing, and hours of service. FUNDINGFunding an SSP most often requires braiding together different funding sources. Braided funding involves securing several sources of funding to pay for all of the services offered by a project. Braided funding requires with careful accounting to track how each funding source’s money is spent.The federal appropriation act of 2016 allowed for the use of federal funds to establish orexpand existing SSP services. However, federal funds cannot be expended for materials used for the preparation and injection of drugs.SSP START-UP EXPENSESCommunity Needs and Readiness AssessmentsStakeholder identification and engagementAdvisory Board recruitment and conveningProgram planning and developmentStaff recruitment and hiringOne-time expenses, e.g.:First & last month rentMobile van purchaseEquipment – computer, copier/scanner, modem/routerFurnitureTYPICAL SSP PROGRAM EXPENSESPersonnel CostsStaff salaries Staff fringeVolunteer recruitmentStaff and volunteer trainingProgram CostsSterile syringes and needles and other injecting equipment such as cotton filters, sterile water, and cookersSharps containersCondoms/Safer sex kitsNaloxone/Overdose prevention kitsProgram Marketing & PromotionMeeting/Convening expensesMedical suppliesEducational materialsPrintingFoodIncentivesSupport for all staff (paid, volunteer, peer)Operating CostsInsuranceUtilitiesTelephone & InternetRentEquipment rentalServicesJanitorial SecurityMedical and testingMedical waste disposalThe OHA Harm Reduction Resource Library offers numerous budget samples. Search key word ‘budget’. We also recommend a 2019 PLoS One article, Estimated cost of comprehensive syringe service program in the United States, to help you plan your budget. The authors include downloadable appendices with detailed budget information. (Web links on next page)S1 Appendix.?One-time cost methods and sources.(DOCX) HYPERLINK "" S2 Appendix.?Personnel cost methods and sources.(DOCX) HYPERLINK "" S3 Appendix.?Operational cost methods and sources.(DOCX) HYPERLINK "" S4 Appendix.?Prevention/medical services cost methods and sources.(DOCX) HYPERLINK "" S5 Appendix.?Onsite medical/testing services cost methods and sources.(DOCX) HYPERLINK "" S6 Appendix.?Mobile van cost methods and sources.(DOCX)CITATION: Teshale EH, Asher A, Aslam MV, Augustine R, Duncan E, Rose-Wood A, et al. (2019) Estimated cost of comprehensive syringe service program in the United States. PLoS ONE 14 (4): e0216205. . pone.0216205 ................
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