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The Government Performance and Results Act of 1993

The Government Performance and Results Act of 1993. A Federal Response to the Need for Performance Measure and Monitoring CENTER FOR SUBSTANCE ABUSE TREATMENT SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION Deepa Avula , CSAT.

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The Government Performance and Results Act of 1993

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  1. The Government Performance and Results Act of 1993 A Federal Response to the Need for Performance Measure and Monitoring CENTER FOR SUBSTANCE ABUSE TREATMENT SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION DeepaAvula, CSAT

  2. What is the Government Performance and Results Act (GPRA) of 1993 (Public Law 103- 62) Enacted to improve stewardship in the Federal government, linking resources and management decisions to program performance

  3. GPRA Requires All Federal Departments and Agencies to: • Develop strategic plans that specify what they will accomplish over a 3- to 5-year period • Annually set performance targets related to their strategic plan, and to annually report the degree to which the targets set in the previous year were met • Regularly conduct evaluations of their programs and use those results to “explain” their success and failures based on the performance monitoring data

  4. What does this mean for YOU?Center Outcomes/Indicators • Requires all SAMHSA projects providing services to individuals to collect a uniform set of data elements at intake to services, discharge from services and 6 months post intake • Grantees must obtain 80% follow-up rate • Data should be entered online within 7 business days of completion of interview forms

  5. Client Outcomes That Will Be Tracked for GPRA: National Outcome Measures (NOMs) • For adults—Changes in the percentage of adults receiving services: a) Employment/Education: are currently employed or engaged in productive activities b) Stability in Housing: have permanent place to live in the community • Crime and Criminal Justice: have reduced their involvement with the criminal justice system

  6. Client Outcomes That Will Be Tracked for GPRA: National Outcome Measures (NOMs) (Cont.) d) Abstinence: have not used illegal drugs or misused prescription drugs during the past month e) Social Connectedness: are socially connected

  7. CSAT’s Reporting Tool • Contains a list of very broad items and questions • Information is generally collected during the treatment admission process • Is already part of many of the usual measurement protocols

  8. Why Is This Activity Important? • Examines the effectiveness of the program to expand capacity • Demonstrates the effectiveness of the program to improve client outcomes • Informs Congress of treatment effectiveness and of outreach effectiveness

  9. Who Wants to Know About the Program and the NOMs? • Congress • CSAT, SAMHSA, DHHS • State, local, and tribal governments • Provider organizations

  10. What Do They Want to Know? • Who received the funds? • What did they do with the funds? • Were the funds put to good use? • Was there expansion of services or to target populations? • What are the client outcomes? • Did the clients stop using drugs?

  11. What’s in It For Me? • Better project management–evaluation is a management tool • Make informed decisions through the use of data • Document my project for reporting purposes and sustainability • Provide my organization with information for future funding

  12. Reports • Intake Coverage Report • Follow Up Rate Reports • Outcome Change Report • Frequency Report

  13. GPRA Targets It is very important that you set your targets Accurately-you will be measured against this number. SAIS staff are not authorized to make target changes.

  14. Program Monitoring • Poor GPRA Performance Report • Automated E-mail notifications

  15. Project Resources Required – It’s Team Work • Staff - Team effort: • Project Director • Evaluator • Data/research staff • Clinical staff • Administrative staff

  16. CSAT Resources: Training • Tool Administration, Follow-Up, Data entry • New Grantee • Regional Refresher • Evaluator Training

  17. Technical Assistance (TA) • TA audience: all grantees individually or in a group setting • Provided either onsite or offsite • All reporting requirement needs

  18. TCE/Health IT Demographics

  19. TCE/Health IT Demographics (Cont.) • In addition, 9.7% of clients reporting being Hispanic/Latino

  20. TCE/Health IT Demographics (Cont.)

  21. TCE/Health IT: Top 5 Substances Used

  22. TCE/Health IT: Outcomes • Clients reporting no substance use increased 29.0% • Clients reporting no arrests increased 4.7% • Clients reporting being employed increased 32.7% • Clients reporting being housed increased 17.2%

  23. TCE/Health IT: Risk Behavior Outcomes • Clients reporting injection drug use decreased 66.7% • Clients reporting having unprotected sex decreased 7.1% • Clients reporting having unprotected sexual contact with an HIV + individual did not change • Clients reporting having unprotected sexual contact with an injection drug user did not change • Clients reporting having unprotected sexual contact with individuals high on some substance decreased 63.6%

  24. TCE/Health IT Mental Health Outcomes

  25. DATA Submission via the WEB www.samhsa-gpra.samhsa.gov

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