The Government Performance and Results Act of 1993 A Federal Response to the Need for

2. 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

3. 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

4. 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

5. 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

6. 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

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

8. ATCC Aggregate Reporting Tool Section A. Grantee Information A1. Enter your GrantID: A2. Enter Today’s Date. A3. Enter last day of reporting quarter for which you are reporting. Section PD. Policy Changes PD1. The number of policy changes completed as a result of the grant. Section F. Financing Policy Changes F2. The number of financing policy changes completed as a result of the grant. F3. The amount of pooled, blended, or braided funding used for mental health-related practices/activities that are consistent with the goals of the grant. Section PC. Resources PC2. The number of organizations collaborating/coordinating/sharing resources as a result of the grant. Section A. System Links A3. The number of communities that establish management information/information technology system links across multiple agencies in order to share service population and service delivery data as a result of the grant. Section T. Special Needs T4. The number of programs/organizations/communities that implemented adaptations of EBPs to incorporate the special needs of unique populations or settings as a result of the grant.

9. 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

10. 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

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

12. 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?

13. 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

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

15. 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.

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

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

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

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

20. ATCC Demographics This is a bar chart of the gender break down of the ATCC Participants to date. 69% are male and 31% are female.

21. ATCC Demographics This is a pie chart of the race for ATCC participants to date. 82% are White,14% are Black or African American, 1% are American Indian, and 3% are Other.

22. ATCC Demographics This is a bar chart of the ages of the ATCC participants to date. 16% are 18-24 years old, 46% are 25-34 years old, 27% are 35-44 years old, 9% are 45-54 years old, 1% are 55-64 years old, and 1% are 65 years old or older.

23. ATCC Top 5 Substances Used

24. ATCC Mental Health Measures

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