Subg
Mental Health Services Block Grant (MHBG) and the Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUPTRS BG)
FY2026-2027_SUBG_Report
Block Grant Application
OMB: 0930-0168
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Block Grant Reporting Section
CFDA 93.959
Substance Use Prevention, Treatment, and Recovery Services
Block Grant
(SUPTRS BG)
U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
Table of Contents
Introduction
Annual Update
SUPTRS BG Report Table 1. Priority Areas and Annual Performance Indicators – Progress Report
State Agency Expenditure Reports
SUPTRS BG Report Table 2. State Agency Expenditure Report
SUPTRS BG Report Table 3a. Syringe Services Program (SSP) Expenditures by Program
SUPTRS BG Report Table 3b. Syringe Services Programs (SSP) Number of Individuals Served
SUPTRS BG Report Table 3c. Harm Reduction Activities & Expenditures
SUPTRS BG Report Table 4. SUPTRS BG Expenditure Compliance Report
SUPTRS BG Report Table 5a. Primary Prevention Expenditures by Strategy and Institute of Medicine (IOM) Categories
SUPTRS BG Report Table 5b. Primary Prevention Expenditures by Institute of Medicine (IOM) Categories
SUPTRS BG Report Table 5c. Primary Prevention Priorities
SUPTRS BG Report Table 6. Other Capacity Building/Systems Development Activities Expenditure
SUPTRS BG Report Table 7. SUPTRS BG Statewide Entity Inventory
SUPTRS BG Report Table 8a. Maintenance of Effort (MOE) for State Expenditures for Substance Use Disorder Prevention, Treatment, and Recovery
SUPTRS BG Report Table 8b. Base and Maintenance of Effort (MOE) for Expenditures for Services to Pregnant Women and Women with Dependent Children
Population and Services Reports
SUPTRS BG Report Table 9. Prevention Strategy Report
SUPTRS BG Report Table 10a. Treatment Utilization Matrix of Persons (Unduplicated Count) Admitted to Treatment for Alcohol or Other Substance Use Disorder in the Proceeding 12-months by Level of Care
SUPTRS BG Report Table 10b. Number of Persons Served (Unduplicated Count) Who Received Recovery Support Services for Substance Use Disorder
SUPTRS BG Report Table 11a. Number of Persons (Unduplicated Count) Admitted to Treatment for Alcohol and Other Substance Use Disorders in the Proceeding 12-month Period by Age, Race/Ethnicity, and Gender Identity – SUPTRS BG Expenditures
SUPTRS BG Report Table 11b. Number of Persons (Unduplicated Count) Admitted to Treatment for Alcohol and Other Substance Use Disorders in the Proceeding 12-months by Age, Race/Ethnicity, and Gender Identity – COVID-19 Supplemental Expenditures
SUPTRS BG Report Table 11c. Number of Persons (Unduplicated Count) Admitted to Treatment for Alcohol and Other Substance Use Disorders in the Proceeding 12-month Period by Sexual Orientation and Race/Ethnicity – SUPTRS BG Expenditures
1SUPTRS BG Report Table 12. Early Intervention Services for Human Immunodeficiency Virus (EIS/HIV) in Designated States
SUPTRS BG Report Table 13. Charitable Choice
E. Performance Data and Outcomes
Treatment Performance Measures
SUPTRS BG Report Table 14. Employment/Education Status
SUPTRS BG Report Table 15. Stability of Housing
SUPTRS BG Report Table 16. Criminal Justice Involvement
SUPTRS BG Report Table 17. Change in Abstinence–Alcohol Use
SUPTRS BG Report Table 18. Change in Abstinence – Other Drug Use
SUPTRS BG Report Table 19. Change in Social Support of Recovery
SUPTRS BG Report Table 20. Retention
Prevention Performance Measures
SUPTRS BG Report Table 21. Reduced Morbidity– Drug Use/Alcohol Use; Measure: 30 Day Use
SUPTRS BG Report Table 22. Reduced Morbidity – Drug Use/Alcohol Use; Measure: Perception of Risk/Harm of Use
SUPTRS BG Report Table 23. Reduced Morbidity– Drug Use/Alcohol Use; Measure: Age of First Use
SUPTRS BG Report Table 25. Employment/Education; Measure: Perception of Workplace Policy
SUPTRS BG Report Table 26. Employment/Education; Measure: Average Daily School Attendance Rate
SUPTRS BG Report Table 27. Crime and Criminal Justice; Measure: Alcohol-Related Traffic Fatalities
SUPTRS BG Report Table 28. Crime and Criminal Justice; Measure: Alcohol and Drug Related Arrests
SUPTRS BG Report Table 29: Social Connectedness; Measure: Family Communications around Drug and Alcohol Use
SUPTRS BG Report Table 31-35. Reporting Period – Start and End Dates for Information Reported on Tables 31, 32, 33, 34, and 35
SUPTRS BG Report Table 31. Individual-Based Programs and Strategies; Measure: Number of Persons Served by Age, Gender, Race, and Ethnicity
SUPTRS BG Report Table 32. Population-Based Programs and Strategies; Measure: Number of Persons Served by Age, Gender, Race, and Ethnicity
SUPTRS BG Report Table 33. Number of Persons Served by Type of Intervention
SUPTRS BG Report Table 34. Number of Evidence-Based Programs by Types of Intervention.
SUPTRS BG Report Table 35. Number of Evidence-based Programs and Strategies, and Total SUPTRS BG Funds Spent on Evidence Based Programs/ Strategies.
Section A. Introduction
Section 1942(a) of Title XIX, Part B, Subpart III of the Public Health Service Act (42 U.S.C. § 300x-52(a)) requires the Secretary of the U.S. Department of Health and Human Services, acting through the Assistant Secretary for Substance Use and Mental Health who is the leader of the Substance Abuse and Mental Health Services Administration (SAMHSA), to determine the extent to which states1 have implemented the State Plan for the preceding fiscal year. The purpose of the Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUPTRS BG) Annual Report is to provide information to assist the Secretary in making this determination.
States are required to prepare and submit an annual report that includes expenditure summaries for (1) the state fiscal year (SFY) immediately preceding the federal fiscal year (FFY) for which the state is applying for funds; and (2) the obligation and expenditure period of the SUPTRS BG Notice of Award (NoA) subject to the Center for Substance Abuse Treatment (CSAT) compliance review. The reporting periods (SFY or FFY) are noted for each table in the document. The SUPTRS BG Annual Report will address the purposes for which the SUPTRS BG funds were expended, identify the sub-recipients which received SUPTRS BG funds, and the authorized activities and services grantees purchased with such funds. Particular attention should be given to the progress made toward accomplishing the goals and performance indicators identified in the states and jurisdictions’ plans.
All states are required to prepare and submit their respective SUPTRS BG Annual Reports utilizing SAMHSA’s Web Block Grant Application System (WebBGAS). Annual reports must be received by SAMHSA not later than December 1st for a state or jurisdiction to receive its SUPTRS BG NoA. If a due date falls on a weekend or federal holiday, the receipt date for a report will be the next business day. The following schedule provides specific due dates for the SUPTRS BG and MHBG/SUPTRS BG Applications, SUPTRS BG Annual Reports, MHBG Implementation Reports, and the Annual Synar Reports:
Due Dates for SUPTRS BG Only |
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FFY for which the state is applying for funds |
SUPTRS BG Report Due* |
Synar Report Due |
2026 |
12/1/2025
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12/31/2025
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2027 |
12/1/2026
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12/31/2026 |
* Grantees must report expenditures and obligations for the compliance year. The compliance year is two years preceding the year in which the SUPTRS BG Annual Report is due. For FFY 2026 the compliance year is 2023 and for FFY 2027 the compliance year is 2024. For more information regarding this requirement see guidance for Tables 4 and 6.
States are required to prepare and submit an annual report comprised of the following sections:
Section B: Annual Update (Table 1)- In this section, states are required to provide a brief review of the extent to which their respective plans were implemented and met priorities and goals identified in the SUPTRS BG plan as identified in Table 1. The report should also include a brief review of areas that the state identified in the SUPTRS BG plan as needing improvement and changes that the state or jurisdiction proposes to make to achieve the goals established.
Section C: State Agency Expenditure Reports (Tables 2 through 8) - In this section, states must provide information regarding expenditures for authorized activities and services for primary prevention of substance use, treatment of substance use disorder (SUD)2, and providing recovery support services for individuals with SUD. The state must provide a description of SUPTRS BG expenditures and any authorized supplemental expenditures.
Section D: Populations and Services Reports (Tables 9 through 13)- In this section, states must provide specific information regarding the number of individuals served with SUPTRS BG and any supplemental funds when applicable and authorized. In addition, states should not provide specific information regarding the services these individuals received.
Section E: Performance Indicators and Accomplishments (Tables 14 through 35) - In this section of the report, states are required to complete selected Performance Indicator tables. Performance indicators should be reported using the table format provided in this document. The purpose of the performance indicator tables is to show progress made over time as measured by SAMHSA’s National Outcome Measures (NOMS) for primary prevention of substance use, as well as treatment and recovery support services for SUD. These reporting requirements are fulfilled using various data sources.
B. Annual Update
The information that states enter in SUPTRS BG Table 1 in the planning section of the state’s Behavioral Health Assessment and Plan will automatically populate cells 1 - 6 in the progress report table below. States are required to indicate in Cell 7, titled “Report of Progress toward Goal Attainment”, whether each first-year performance target/outcome measurement identified in 6b below 2022/2023 was “Achieved” or “Not Achieved”. If a target was not achieved, a detailed explanation why it was not achieved must be provided, along with remedial steps proposed to meet the target in the coming year.
SUPTRS BG Report Table 1. Priority Areas and Annual Performance Indicators – Progress Report
SUPTRS BG Report Table 1. Priority Areas and Annual Performance Indicators – Progress Report |
1. Priority Area: |
2. Priority Type (SUP, SUT, SUR, MHS): |
3. Population(s) (SMI, SED, ESMI, BHCS, PWWDC, PP, PWID, EIS/HIV, TB, PRSUD, OTHER): |
4. Goal of the Priority Area: |
5. Strategies to Attain the Goal: |
6. Annual Performance Indicators to Measure Goal Success: |
Indicator #1: |
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Priority Areas and Annual Performance Indicators (continued) |
7. Report of Progress toward Goal Attainment:
First-year target: ____ Achieved _____ Not Achieved (If not achieved, explain why.) |
Reason why target was not achieved, and changes proposed to meet target:
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SMI – adults with serious mental illness;
SED – children with serious emotional disturbance;
ESMI – individuals with early serious mental illness including psychosis;
BHCS – individuals receiving behavioral health crisis services;
PWWDC – pregnant women and/or women with dependent children who are receiving SUD treatment services;
PP – individuals in need of substance use primary prevention;
PWID – individuals who inject drugs (formerly knowns as intravenous drug users (IVDU);
EIS – early intervention services/HIV – individuals with or at risk for HIV/AIDS who are receiving SUD treatment services;
TB – individuals with or at risk of tuberculosis who are receiving SUD treatment services;
PRSUD – persons in or seeking recovery from SUD;
Other other – specif
C. State Agency Expenditure Reports
States are required to provide information regarding SUPTRS BG, state funds, and other BG supplemental funds as relevant expended for authorized activities for primary prevention of substance use, the treatment of SUD, and providing recovery support services for individuals with SUD and for related public health services for example TB and, if applicable, early intervention services regarding the human immunodeficiency virus (EIS/HIV). Please complete the tables described below:
SUPTRS BG Report Table 2. State Agency Expenditure Report.
This table provides a report of SUPTRS BG and state expenditures by the principal agency of a state, i.e., single state agency (SSA), during the SFY immediately preceding the FFY for which the state is applying for funds. Expenditures to be reported are for authorized activities to prevent and treat SUDs pursuant to section 1921 of Title XIX, Part B, Subpart II of the Public Health Service (PHS) Act (42 U.S.C. § 300x-21); TB services; EIS/HIV, if applicable; pursuant to section 1924(b) of Title XIX, Part B, Subpart II of the PHS Act (42 U.S.C. § 300x-24(b)); and administration pursuant to section 1931(a)(2) of Title XIX, Part B, Subpart II of the PHS Act (42 U.S.C. § 300x-31(a)(2)). Activities should also include expenditures related to recovery support services as mandated by the Consolidated Appropriations Act, 2023. In column A, the applicable FFYs’ SUPTRS BG funds expended during the SFY should be included. In column I, applicable FFYs ARP supplement funds expended during the SFY should be included. NOTE: Include applicable FFYs expenditures from additional supplemental funds per SAMHSA guidance. Grantees may be requested to report supplemental funding expenditures in WebBGAS in accordance with requirements included in their current NoA Terms and Conditions.
SUPTRS BG Report Table 3a. Syringe Services Program (SSP) Expenditures by Program
This table provides a report of SUPTRS BG and supplemental expenditures per SAMHSA guidance for elements of syringe services programs (SSP) carried out by SUPTRS BG sub-recipients as described in the guidance disseminated by the Office of HIV/AIDS and Infectious Disease Policy, the Centers for Disease Control and Prevention, National Center on HIV, Viral Hepatitis, STD and TB Prevention, Division of HIV Prevention, and SAMHSA. The authorization to expend federal funds for elements of a syringe services program is subject to an authorization in the annual appropriations’ bill(s). NOTE: This table provides a report of expenditures from any additional supplement funding in accordance with requirements when applicable and included in grantees’ current NoA Terms and Conditions.
SUPTRS BG Report Table 3b. Syringe Services Program (SSP) Number of Individuals Served
This table is intended to capture the unduplicated count of persons that received onsite services from an SSP or were referred to services by an SSP including HIV, Hepatitis C, and sexually transmitted disease (STI) testing, treatment for substance use disorders, and treatment for physical health conditions. NOTE: This table provides a report of expenditures from any additional supplement funding in accordance with requirements when applicable and included in grantees’ current NoA Terms and Conditions.
SUPTRS BG Report Table 3c. Harm Reduction Activities & Expenditures
This table is intended to capture the extent to which SUPTRS BG funds (other than primary prevention set aside funds) are used to support grantee’s harm reduction activities, specifically opioid overdose reversal medication purchase and distribution as well as the purchase and distribution of drug checking technologies, including test strips. Grants include explicit prohibitions of federal funds to be used to purchase drug paraphernalia for administering any illegal drug. NOTE: This table provides a report of expenditures from the any supplement funding in accordance with requirements when applicable and included in grantees’ current NoA Terms and Conditions.
SUPTRS BG Report Table 4. SUPTRS BG Expenditure Compliance Report.
This table provides a report of expenditures for authorized activities for the primary prevention of substance use, treatment of SUD, and provision of recovery support services to individuals with SUD associated with a SUPTRS BG NoA for the applicable fiscal year award. It covers the two-year obligation and expenditure period.
SUPTRS BG Report Table 5a. SUPTRS BG Primary Prevention Expenditures by Strategy and Institute of Medicine (IOM) Categories
This table provides a report of actual primary prevention expenditures associated with a SUPTRS BG NoA for the applicable fiscal year of award. The state or jurisdiction must complete SUPTRS BG Report Table 5a. There are six primary prevention strategies typically funded by single state agencies administering the SUPTRS BG. Expenditures within each of the six strategies or by Institute of Medicine Model (IOM) classification should be directly associated with the cost of completing the activities or tasks. For example, information dissemination may include the cost of developing pamphlets, the time of participating staff and/or the cost of public service announcements, etc. If a state plans to use strategies not covered by these six categories or the state is unable to calculate expenditures by strategy, please report them under “Other” in Table 5a.
The state or jurisdiction must complete SUPTRS BG Report Table 5a Other Strategy if it chooses to report SUD primary prevention activities utilizing the IOM Model of Universal, Selective, and Indicated. Indicate how much funding supported each of the IOM classifications of Universal Direct, Universal Indirect, Selective, or Indicated without specifying the prevention strategy. Include all funding sources (e.g., Centers for Disease Control and Prevention Block Grant, foundations). For detailed instructions, refer to those in the WebBGAS.
Section 1926 (Synar) - Tobacco: Costs associated with the Synar Program. Pursuant to the January 19, 1996 federal regulation “Tobacco Regulation for Substance Use Prevention and Treatment Block Grants, Final Rule” (45 CFR § 96.130) a state may not use the SUPTRS BG to fund the enforcement of its statute, except that it may expend funds from its primary prevention set aside of its Block Grant allotment under 45 CFR § 96.124(b)(1) for carrying out the administrative aspects of the requirements, such as the development of the sample design and the conducting of the inspections. States should include any non-SUPTRS BG funds* that were allotted for Synar activities in the appropriate columns under 7 below. Public Law 116-94, signed on December 20, 2019, supersedes this legislation and increased the Federal minimum age for tobacco sales from 18 to 21. SAMHSA revised its guidance to clarify that the prevention set aside may be used to fund revisions to states’ Synar program to comply with PL 116-94. These funds should be reported in the appropriate columns under 7 below.
SUPTRS BG Report Table 5b. SUPTRS BG Primary Expenditures by Institute of Medicine (IOM) Categories.
This table provides a report of actual primary prevention expenditures and Institute of Medicine categories. It covers the two-year obligation and expenditure period.
SUPTRS BG Report Table 5c. SUPTRS BG Primary Prevention Priorities.
This required table provides a report of actual state primary prevention priorities and special population categories on which the state expended primary prevention funds from the SUPTRS BG NoA for the applicable fiscal year. It covers the two-year obligation and expenditure period.
SUPTRS BG Report Table 6. Expenditures for Other Capacity Building/Systems Development Activities.
This table provides a report of expenditures from the SUPTRS BG NoA for systems development and other capacity building service activities that were supported by the SUPTRS BG NoA for the applicable fiscal year.
SUPTRS BG Report Table 7. SUPTRS BG Statewide Entity Inventory.
This table provides a report of the SUPTRS BG sub-recipients including community and faith-based organizations which provided direct services for primary prevention of substance use, prevention (other than primary) and treatment of SUD, and recovery support services. Table 7 excludes Expenditures for Other Capacity Building/Systems Development Activities (formerly known as Resource Development Expenditures) reported on Table 6.
SUPTRS BG Report Table 8a. Maintenance of Effort (MOE) for State Expenditures for Substance Use Disorder Prevention, Treatment, and Recovery Support Services.
This table provides a report of aggregate state expenditures by the SSA for authorized activities for primary prevention of substance use, treatment of SUD, and provision of recovery support services for individuals with SUD during the state fiscal year immediately preceding the federal fiscal year for which the state is applying for funds.
SUPTRS BG Report Table 8b. Base and Maintenance of Effort (MOE) for Expenditures for Services to Pregnant Women and Women with Dependent Children.
This table provides a report of SUPTRS BG and/or state funds pursuant to 42 U.S.C. § 300x-22(b) and 45 CFR § 96.124(c)(3) expended to establish new programs or expand the capacity of existing programs designed to serve pregnant women and women with dependent children and the services required pursuant to 45 CFR § 96.124(e) to address the treatment and recovery needs of such women during the state fiscal year immediately preceding the federal fiscal year for which the state is applying for funds.
SUPTRS BG Report Table 2. State Agency Expenditure Report
This table provides a report of SUPTRS BG and state expenditures by the SSA during the SFY immediately preceding the FFY for which the state is applying for funds for authorized activities for primary prevention of substance use, treatment of SUD, and recovery support services for individuals with SUD. For detailed instructions, refer to those in the WebBGAS. Please note that this expenditure period is different from the reporting period on SUPTRS BG Table 4. The 2027 Report will not include COVID-19 Supplemental Funding, which expires on 3/14/25.
2026 Reporting Period: The most recently completed 12-month State Fiscal Year (SFY), for most states this is 7/1/2024 to 6/30/2025
2027 Reporting Period: The most recently completed 12-month State Fiscal Year (SFY), for most states this is 7/1/2025 to 6/30/2026
Comments on Data (Race) |
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Comments on Data (Gender) |
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Comments on Data (Overall) |
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(Continued on next page)
SUPTRS BG Report Table 11a. (cont.) |
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Report Period
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From: |
To: |
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Black or African American |
Native Hawaiian or Other Pacific Islander |
White |
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Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
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0-5 yearsa |
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6-12 years |
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13-17 years |
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18-20 years |
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21-24 years |
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25-44 years |
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45-64 years |
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65-74 years |
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75+ |
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Not Available |
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Total |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
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Pregnant Women |
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a Age category 0-5 years is not applicable.
(Continued on next page)
SUPTRS BG Report Table 11a. (cont.) |
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Report Period: |
From: |
To: |
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Not Hispanic or Latino |
Hispanic or Latino |
Hispanic or Latino Origin Not Available |
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Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit |
Other |
Not Available |
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0-5 yearsa |
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6-12 years |
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13-17 years |
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18-20 years |
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21-24 years |
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25-44 years |
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45-64 years |
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65-74 years |
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75+ |
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Not Available |
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Total |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
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Pregnant Women |
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a Age category 0-5 years is not applicable.
SUPTRS BG Report Table 11b. Number of Persons (Unduplicated Count) Admitted to Treatment for Alcohol and Other Drug Use Disorders by Ages, Race/Ethnicity, and Gender Identity – COVID19 Supplemental Funding
This table provides an aggregate profile of the unduplicated number of admissions and persons for services funded using COVID-19 Relief Supplemental Funding. States that were granted a second No Cost Extension (NCE) on March 14, 2024 will have until March 14, 2025 to expend their COVID-19 supplemental funds. Those expending supplemental funds under the second NCE are required to report individuals served between July 1, 2024 through March 14, 2025 in COVID-19 designated column for the SUPTRS BG 2026 Report. For detailed instructions, see those in BGAS.
2026 Reporting Period: The most recently completed 12-month State Fiscal Year (SFY), for most states this is 7/1/2024 to 6/30/2025.
2027 Reporting Period: The most recently completed 12-month State Fiscal Year (SFY), for most states this is 7/1/2025 to 6/30/2026.
SUPTRS BG Report Table 11b. Number of Persons (Unduplicated Count) Admitted to Treatment for Alcohol and Other Substance Use Disorders by Age, Race/Ethnicity, and Gender Identity – COVID-19 Supplemental Funding |
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Report Perioda |
From: |
To: |
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Total |
American Indian or Alaska Native |
Asian |
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Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
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0-5 yearsb |
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6-12 years |
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13-17 years |
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
18-20 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
21-24 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
25-44 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
45-64 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
65-74 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
75+ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
Not Available |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
Total |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
||
Pregnant Women |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
aPer the instructions, the reporting period for the preceding 12-month period of the most recently completed SFY. Please enter the number of individuals served with SUPTRS BG COVID-19 funds for the same one-year period. Note: States that were granted a second No Cost Extension (NCE) on March 14, 2024 will have until March 14, 2025 to expend their COVID-19 supplemental funds. Those expending supplemental funds under the second NCE are required to report individuals served between July 1, 2024 through March 14, 2025 in COVID-19 designated column for the SUPTRS BG 2026 Report.
bAge category 0-5 years is not applicable.
Comments on Data (Race) |
|
Comments on Data (Gender) |
|
Comments on Data (Overall) |
|
(Continued on next page)
SUPTRS BG Report Table 11b. (cont.) |
|||||||||||||||||||||||
Report Perioda
|
From: |
To: |
|||||||||||||||||||||
|
Black or African American |
Native Hawaiian or Other Pacific Islander |
White |
||||||||||||||||||||
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
|||
0-5 yearsb |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
6-12 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
13-17 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
18-20 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
21-24 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
25-44 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
45-64 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
65-74 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
75+ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
Not Available |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
Total |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
||
Pregnant Women |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
aPer the instructions, the reporting period for the preceding 12-month period of the most recently completed SFY. Please enter the number of individuals served with SUPTRS BG COVID-19 funds for the same one-year period. Note: States that were granted a second No Cost Extension (NCE) on March 14, 2024 will have until March 14, 2025 to expend their COVID-19 supplemental funds. Those expending supplemental funds under the second NCE are required to report individuals served between July 1, 2024 through March 14, 2025 in COVID-19 designated column for the SUPTRS BG 2026 Report.
bAge category 0-5 years is not applicable.
(Continued on next page)
SUPTRS BG Report Table 11b. (cont.) |
|||||||||||||||||||||||
Report Perioda |
From: |
To: |
|||||||||||||||||||||
|
Some Other Race |
More than One Race Reported |
Race Not Available |
||||||||||||||||||||
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit (if Client is AI/AN) |
Other |
Not Available |
|||
0-5 yearsb |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
6-12 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
13-17 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
18-20 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
21-24 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
25-44 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
45-64 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
65-74 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
75+ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
Not Available |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
Total |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
||
Pregnant Women |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
aPer the instructions, the reporting period for the preceding 12-month period of the most recently completed SFY. Please enter the number of individuals served with SUPTRS BG COVID-19 funds for the same one-year period. Note: States that were granted a second No Cost Extension (NCE) on March 14, 2024 will have until March 14, 2025 to expend their COVID-19 supplemental funds. Those expending supplemental funds under the second NCE are required to report individuals served between July 1, 2024 through March 14, 2025 in COVID-19 designated column for the SUPTRS BG 2026 Report.
bAge category 0-5 years is not applicable.
(Continued on next page)
SUPTRS BG Report Table 11b. (cont.) |
|||||||||||||||||||||||||
Report Perioda: |
From: |
To: |
|||||||||||||||||||||||
|
Not Hispanic or Latino |
Hispanic or Latino |
Hispanic or Latino Origin Not Available |
||||||||||||||||||||||
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit |
Other |
Not Available |
Female |
Male |
Transgender (Male to Female) |
Transgender |
Two-Spirit |
Other |
Not Available |
|||||
0-5 yearsb |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
6-12 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
13-17 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
18-20 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
21-24 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
25-44 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
45-64 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
65-74 years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
75+ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Not Available |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Total |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
||||
Pregnant Women |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
aPer the instructions, the reporting period for the preceding 12-month period of the most recently completed SFY. Please enter the number of individuals served with SUPTRS BG COVID-19 funds for the same one-year period. Note: States that were granted a second No Cost Extension (NCE) on March 14, 2024 will have until March 14, 2025 to expend their COVID-19 supplemental funds. Those expending supplemental funds under the second NCE are required to report individuals served between July 1, 2024 through March 14, 2025 in COVID-19 designated column for the SUPTRS BG 2026 Report.
bAge category 0-5 years is not applicable.
SUPTRS BG Report Table 11c. – Number of Persons (Unduplicated Count) Admitted to Treatment for Alcohol and Other Substance Use Disorders in the Proceeding 12-months by Sexual Orientation and Race/Ethnicity
Table 11c is based on the required SSA reporting of data on SUD client treatment admissions and subsequent admissions to an episode of care during the 12-month period that occur during the most recently completed SFY. In Table 11c, each client admitted to treatment during the immediately prior completed SFY is to be reported. Grantees are requested to include data on Table 11c for those SUD client treatment admissions that were funded, in full or in part, with SUPTRS BG funds and/or with SUPTRS BG state MOE funding. If Table 11c includes additional data reporting on SUD client treatment admissions which are funded with other sources of funding, please briefly explain in the footnote below. For detailed instructions, see those in BGAS.
2026 Reporting Period: The most recently completed 12-month State Fiscal Year (SFY), for most states this is 7/1/2024 to 6/30/2025.
2027 Reporting Period: The most recently completed 12-month State Fiscal Year (SFY), for most states this is 7/1/2025 to 6/30/2026.
SUPTRS BG Report Table 11c. Number of Persons (Unduplicated Count) Admitted to Treatment for Alcohol and Other Substance Use Disorders by Sexual Orientation and Race/Ethnicity |
||||||||||
Reporting Period: |
From: |
To: |
||||||||
|
Total |
American Indian or Alaska Native |
Asian |
Black or African American |
Native Hawaiian or Other Pacific Islander |
White |
Some Other Race |
More than One Race |
Not Available |
|
Straight or Heterosexual |
|
|
|
|
|
|
|
|
|
|
Lesbian or Gay |
|
|
|
|
|
|
|
|
|
|
Bisexual |
|
|
|
|
|
|
|
|
|
|
Two-Spirit (if AI/AN) |
|
|
|
|
|
|
|
|
|
|
Other |
|
|
|
|
|
|
|
|
|
|
Not Available |
|
|
|
|
|
|
|
|
|
|
Total |
|
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
SUPTRS BG Report Table 11c. (cont) |
||||
Reporting Period: |
From: |
To: |
||
|
Total |
Not Hispanic or Latino |
Hispanic or Latino |
Not Available |
Straight or Heterosexual |
|
|
|
|
Lesbian or Gay |
|
|
|
|
Bisexual |
|
|
|
|
Two-Spirit (if Client is AI/AN) |
|
|
|
|
Other |
|
|
|
|
Not Available |
|
|
|
|
Total |
|
0 |
0 |
0 |
Comments on Data (Sexual Orientation) |
|
Comments on Data (Race) |
|
Comments on Data (Overall) |
|
SUPTRS BG Report Table 12. Early Intervention Services Regarding the Human Immunodeficiency Virus (EIS/HIV) in Designated States
This table requires designated states, as defined in section 1924(b) of Title XIX, Part B, Subpart II of the PHS Act (42 U.S.C. § 300x-24(b)), to provide information on Early Intervention Services for HIV including pre-test counseling, testing, post-test counseling, and the provision of therapeutic measures to diagnose the extent of deficiency in the immune system, to prevent and treat the deterioration of immune system, and to prevent and treat conditions arising from HIV/AIDS funded with SUPTRS BG funds. For detailed instructions, see those in BGAS.
2026 Reporting Period: The most recently completed 12-month State Fiscal Year (SFY), for most states this is 7/1/2024 to 6/30/2025.
2027 Reporting Period: The most recently completed 12-month State Fiscal Year (SFY), for most states this is 7/1/2025 to 6/30/2026.
SUPTRS BG Report Table 12. Early Intervention Services Regarding the Human Immunodeficiency Virus (EIS/HIV) in Designated States |
||
Report Period |
From: |
To: |
|
A. Statewide |
B. Rural |
1. Number of EIS/HIV projects among SUPTRS BG sub-recipients in the state: |
|
|
2. Total number of individuals tested through SUPTRS BG sub-recipient EIS/HIV projects: |
|
|
3. Total number of HIV tests conducted with SUPTRS BG EIS/HIV funds: |
|
|
4. Total number of tests that were positive for HIV: |
|
|
5. Total number of individuals who prior to the 12-month reporting period were unaware of their HIV infection: |
|
|
6. Total number of HIV infected individuals who were diagnosed and referred into treatment and care during the 12-month reporting period |
|
|
7. Total number of persons at risk for HIV/AIDS referred for PrEP services? |
|
|
Identify barriers, including state laws and regulations, that exist in carrying out HIV testing services:
|
||
SUPTRS BG Report Table 13. Charitable Choice (Required)
Under Charitable Choice Provisions; Final Rule (42 CFR Part 54), states, local governments, and religious organizations, such as SAMHSA grant recipients, must: (1) ensure that religious organizations that are providers provide to all potential and actual program beneficiaries (services recipients) notice of their right to alternative services; (2) ensure that religious organizations that are providers refer program beneficiaries to alternative services; and (3) fund and/or provide alternative services. The term “alternative services” means services determined by the state to be accessible and comparable and provided within a reasonable period of time from another substance use disorder provider (“alternative provider”) to which the program beneficiary (services recipient) has no religious objection. The purpose of this table is to document how the state is complying with these provisions.
Notice to Program Beneficiaries – Check all that apply:
Used model notice provided in final regulations.
Used notice developed by state (please attach a copy to the Report).
State has disseminated notice to religious organizations that are providers.
State requires these religious organizations to give notice to all potential beneficiaries.
Referrals to Alternative Services – Check all that apply:
State has developed specific referral system for this requirement.
State has incorporated this requirement into existing referral system(s).
SAMHSA’s Behavioral Health Treatment Locator is used to help identify providers.
Other networks and information systems are used to help identify providers.
State maintains record of referrals made by religious organizations that are providers.
Enter the total number of referrals to other substance use disorder providers (“alternative providers”) necessitated by religious objection, as defined above, made during the state fiscal year immediately preceding the federal fiscal year for which the state is applying for funds. Provide the total only. No information on specific referrals is required. If no alternative referrals were made, enter zero.
E. Performance Data and Outcomes
SAMHSA is interested in demonstrating program accountability and efficacy through the National Outcome Measures (NOMs). The NOMs are intended to document the performance of federally supported programs and systems of care.
Treatment Performance Measures
SUPTRS BG Report Table 14. Employment/Education Status.
This table describes the status of adult clients served by the public SUD treatment service systems in terms of employment and education status. The Employment/Education Status Form seeks information on clients who are employed or who are students (full-time or part-time within the prior 30 days) at admission and discharge.
SUPTRS BG Report Table 15. Stability of Housing.
This table requests information regarding the number of individuals in a stable living environment as collected by the most recent assessment in the reporting period. Specifically, information is collected on the individual’s last known living situation.
SUPTRS BG Report Table 16. Criminal Justice Involvement.
This table requests information regarding the clients’ involvement in the criminal justice system. Specifically, the table requests information to measure the change in number of arrests over time.
SUPTRS BG Report Table 17. Change in Abstinence - Alcohol Use.
This table seeks information regarding alcohol abstinence. Specifically, information is collected on the number of clients with no alcohol use (all clients regardless of primary problem) at admission and discharge.
SUPTRS BG Report Table 18. Change in Abstinence - Other Drug Use.
This table collects information regarding clients’ change in abstinence with drugs of use other than alcohol. This table seeks to collect information on clients with no other drug use (all clients regardless of primary problem) at admission and discharge.
SUPTRS BG Report Table 19. Change in Social Support of Recovery.
This table seeks to measure the change in clients’ social support of recovery. Specifically, this form collects information regarding the number of clients participating in self-help groups at admission and discharge.
SUPTRS BG Report Table 20. Retention.
This table collects information regarding retention. Specifically, this table collects information regarding the length of stay of clients completing treatment.
Prevention Performance Measures
SUPTRS BG Report Table 21. Reduced Morbidity – Drug Use/Alcohol Use; Measure: 30 Day Use.
This table seeks information regarding 30-day use of alcohol, tobacco, and other drugs.
SUPTRS BG Report Table 22. Reduced Morbidity – Drug Use/Alcohol Use; Measure: Perception of Risk/Harm of Use.
This table seeks information regarding the individuals’ perceived risk of harming themselves with alcohol, tobacco, and other drugs.
SUPTRS BG Report Table 23. Reduced Morbidity from Drug Use/Alcohol Use; Measure: Age of First Use.
This table seeks information regarding the age of first use of alcohol, cigarettes, and other drugs.
SUPTRS BG Report Table 24. Reduced Morbidity– Drug Use/Alcohol Use; Measure: Perception of Disapproval/Attitudes.
This table seeks information regarding public perception or attitude regarding use of alcohol, cigarettes, and other drugs.
SUPTRS BG Report Table 25. Employment/Education; Measure: Perception of Workplace Policy.
This table reports the percent of individuals who would be more likely to work for an employer conducting random drug and alcohol tests.
SUPTRS BG Report Table 26. Employment/Education; Measure: Average Daily School Attendance Rate.
This table collects information regarding the average daily school attendance.
SUPTRS BG Report Table 27. Crime and Criminal Justice; Measure: Alcohol-Related Traffic Fatalities.
This table collects information regarding the number of alcohol-related traffic fatalities divided by the total number of traffic fatalities and multiplied by 100.
SUPTRS BG Report Table 28. Crime and Criminal Justice; Measure: Alcohol and Drug Related Arrests.
This table collects information regarding alcohol- and drug-related arrests.
SUPTRS BG Report Table 29. Social Connectedness; Measure: Family Communications around Drug and Alcohol Use.
This table provides information regarding the percent of youth reporting having talked with a parent and the percent of parents reporting that they have talked to their child about alcohol and drug use.
SUPTRS BG Report Table 30. Retention; Measure: Percentage of Youth Seeing, Reading, Watching, or Listening to a Prevention Message.
This table collects information regarding the percent of youth reporting having been exposed to prevention messaging.
SUPTRS BG Report Tables 31-35. Reporting Period – Start and End Dates for Information Reported on Tables 31, 32, 33, 34, and 35.
This table provides information regarding the corresponding reporting period dates for Table 31 through Table 35. States also must describe their data collection system regarding prevention NOMS reporting.
SUPTRS BG Report Table 31. Individual-Based Programs and Strategies; Measure: Number of Persons Served by Age, Gender, Race, and Ethnicity.
This table provides information on the number of persons served by individual-based programs and strategies. This includes practices and strategies with identifiable goals designed to change behavioral outcomes among a definable population or within a definable geographic area.
SUPTRS BG Report Table 32. Population-Based Programs and Strategies; Measure: Number of Persons Served by Age, Gender, Race, and Ethnicity.
This table provides information regarding the number of persons by age, gender, race, and ethnicity that participated in population-based programs. Population-based programs and strategies include planned and deliberate goal-oriented practices, procedures, processes, or activities that have identifiable outcomes achieved with a sequence of steps subject to monitoring and modification.
SUPTRS BG Report Table 33. Number of Persons Served by Type of Intervention.
This table seeks to measure information on access and capacity of intervention programs. Specifically, this form collects information on the number of persons served by type of intervention. Interventions include activities, practices, procedures, processes, programs, services, and strategies.
SUPTRS BG Report Table 34. Number of Evidence-Based Programs by Types of Intervention.
This table collects information on the number of evidence-based programs and strategies by type of intervention.
SUPTRS BG Report Table 35. Number of Evidence-based Programs and Strategies, and Total SUPTRS BG Funds Spent on Evidence-Based Programs/ Strategies.
This table collects information on the number of Evidence-Based Programs and Strategies funded by the type of IOM intervention (e.g., Universal, Selective, and Indicated). In addition, the state must indicate the amount of SUPTRS BG funds spent on the Evidence-Based interventions.
SUPTRS BG Report Table 14. Treatment Performance Measure: Employment /Education Status (From Admission to Discharge)
Most recent year for which TEDS data are available: _____________
Employment/Education Status – Clients employed or student (full-time or part-time) (prior 30 days) at admission vs. discharge |
Admission Clients (T1) |
Discharge Clients (T2) |
Number of clients employed or student (full-time and part-time) [numerator] |
|
|
Total number of clients with non-missing values on employment/student status [denominator] |
|
|
Percent of clients employed or student (full-time and part-time) |
|
|
(SUPTRS BG Table 14) (continued) State Description of Employment/Education Status Data Collection
STATE CONFORMANCE TO INTERIM STANDARD |
State Description of Employment/Education Data Collection (SUPTRS BG Table 14): States should detail exactly how this information is collected. Where data and methods vary from interim standard, variance should be described.
|
DATA SOURCE |
What is the source of data for SUPTRS BG Table 14 (select all that apply): □ Client self-report □ Client self-report confirmed by another source→ □ collateral source □ Administrative data source □ Other Specify ___________________
|
EPISODE OF CARE |
How is the admission/discharge basis defined for SUPTRS BG Table 14 (Select one) □ Admission is on the first date of service, prior to which no service has been received for 30 days AND discharge is on the last date of service, subsequent to which no service has been received for 30 days □ Admission is on the first date of service in a Program/Service Delivery Unit and Discharge is on the last date of service in a Program/Service Delivery Unit □ Other Specify ___________________________________________ |
DISCHARGE DATA COLLECTION |
How was discharge data collected for SUPTRS BG Table 14 (select all that apply) □ Not applicable, data reported on form is collected at time period other than discharge→ Specify: □ In-treatment data ___ days post-admission, OR □ Follow-up data ___ (specify) months Post- □ admission □ discharge □ other ______ □ Discharge data are collected for the census of all (or almost all) clients who were admitted to treatment □ Discharge data are collected for a sample or all clients who were admitted to treatment □ Discharge records are directly collected (or in the case of early dropouts) are created for all (or almost all) clients who were admitted to treatment □ Discharge records are not collected for approximately ___ % of clients who were admitted for treatment |
RECORD LINKING |
Was the admission and discharge data linked for table 14 (select all that apply): □ Yes, all clients at admission were linked with discharge data using a Unique Client Identifier (UCID) Select type of UCID □ Master Client Index or Master Patient Index, centrally assigned □ Social Security Number (SSN) □ Unique client ID based on fixed client characteristics (such as date of birth, gender, partial SSN, etc.) □ Some other Statewide unique ID □ Provider-entity-specific unique ID □ No, State Management Information System does not utilize UCID that allows comparison of admission and discharge data on a client specific basis (data developed on a cohorts basis) or State relied on other data sources for post admission data □ No, admission and discharge records were matched using probabilistic record matching. |
IF DATA ARE UNAVAILABLE |
If data are not reported, why is State unable to report (select all that apply): □ Information is not collected at admission □ Information is not collected at discharge □ Information is not collected by the categories requested □ State collects information on the indicator area but utilizes a different measure. |
DATA PLANS IF DATA ARE NOT AVAILABLE |
State must provide time-framed plans for capturing employment\student status data on all clients if data are not currently available. Plans should also discuss barriers, resource needs and estimates of cost.
|
SUPTRS BG Report Table 15. Treatment Performance Measure: Stability of Housing (From Admission to Discharge)
Most recent year for which TEDS data are available: _____________
Clients living in a stable living situation (prior 30 days) at admission vs. discharge |
Admission Clients (T1) |
Discharge Clients (T2) |
Number of clients living in a stable situation [numerator] |
|
|
Total number of clients with non-missing values on living arrangements [denominator] |
|
|
Percent of clients in a stable living situation |
|
|
SUPTRS BG Report Table 15. State Description of Stability in Housing Data Collection
STATE CONFORMANCE TO INTERIM STANDARD |
State Description of Stability in Housing Data Collection (SUPTRS BG Table 15): States should detail exactly how this information is collected. Where data and methods vary from interim standard, variance should be described.
|
DATA SOURCE |
What is the source of data for SUPTRS BG Table 15 (select all that apply): □ Client self-report □ Client self-report confirmed by another source→ □ collateral source □ Administrative data source □ Other Specify ___________________ |
EPISODE OF CARE |
How is the admission/discharge basis defined for SUPTRS BG Table 15 (Select one) □ Admission is on the first date of service, prior to which no service has been received for 30 days AND discharge is on the last date of service, subsequent to which no service has been received for 30 days □ Admission is on the first date of service in a Program/Service Delivery Unit and Discharge is on the last date of service in a Program/Service Delivery Unit □ Other Specify ___________________________________________ _________________________________________________________
|
DISCHARGE DATA COLLECTION |
How was discharge data collected for SUPTRS BG Table 15 (select all that apply) □ Not applicable, data reported on form is collected at time period other than discharge→ Specify: □ In-treatment data ___ days post-admission, OR □ Follow-up data ___ (specify) months Post- □ admission □ discharge □ other ______ □ Discharge data are collected for the census of all (or almost all) clients who were admitted to treatment □ Discharge data are collected for a sample or all clients who were admitted to treatment □ Discharge records are directly collected (or in the case of early dropouts) are created for all (or almost all) clients who were admitted to treatment □ Discharge records are not collected for approximately ___ % of clients who were admitted for treatment |
RECORD LINKING |
Was the admission and discharge data linked for SUPTRS BG Table 15 (select all that apply): □ Yes, all clients at admission were linked with discharge data using a Unique Client Identifier (UCID) Select type of UCID □ Master Client Index or Master Patient Index, centrally assigned □ Social Security Number (SSN) □ Unique client ID based on fixed client characteristics (such as date of birth, gender, partial SSN, etc.) □ Some other Statewide unique ID □ Provider-entity-specific unique ID □ No, State Management Information System does not utilize UCID that allows comparison of admission and discharge data on a client specific basis (data developed on a cohorts basis) or State relied on other data sources for post admission data □ No, admission and discharge records were matched using probabilistic record matching. |
IF DATA ARE UNAVAILABLE |
If data are not reported, why is the state unable to report (select all that apply): □ Information is not collected at admission □ Information is not collected at discharge □ Information is not collected by the categories requested □ State collects information on the indicator area but utilizes a different measure. |
DATA PLANS IF DATA ARE NOT AVAILABLE |
State must provide time-framed plans for capturing criminal justice involvement status data on all clients if data are not currently available. Plans should also discuss barriers, resource needs and estimates of cost. |
SUPTRS BG Report Table 16. Treatment Performance Measure Criminal Justice Involvement (From Admission to Discharge)
Most recent year for which TEDS data are available: _____________
Clients without arrests (any charge) (prior 30 days) at admission vs. discharge |
Admission Clients (T1) |
Discharge Clients (T2) |
Number of Clients without arrests [numerator] |
|
|
Total number of clients with non-missing values on arrests [denominator] |
|
|
Percent of clients without arrests |
|
|
State Description of Criminal Involvement Data Collection (SUPTRS BG Report Table 16)
STATE CONFORMANCE TO INTERIM STANDARD |
State Description of Criminal Involvement Data Collection (SUPTRS BG Table 16): States should detail exactly how this information is collected. Where data and methods vary from interim standard, variance should be described.
|
DATA SOURCE |
What is the source of data for SUPTRS BG Table 16 (select all that apply): □ Client self-report □ Client self-report confirmed by another source→ □ collateral source □ Administrative data source □ Other Specify ___________________ |
EPISODE OF CARE |
How is the admission/discharge basis defined for SUPTRS BG Table 16 (Select one): □ Admission is on the first date of service, prior to which no service has been received for 30 days AND discharge is on the last date of service, subsequent to which no service has been received for 30 days □ Admission is on the first date of service in a Program/Service Delivery Unit and Discharge is on the last date of service in a Program/Service Delivery Unit □ Other Specify __________________________ |
DISCHARGE DATA COLLECTION |
How was discharge data collected for SUPTRS BG Table 16 (select all that apply) □ Not applicable, data reported on form is collected at time period other than discharge→ Specify: □ In-treatment data ___ days post-admission, OR □ Follow-up data ___ (specify) months Post- □ admission □ discharge □ other ______ □ Discharge data are collected for the census of all (or almost all) clients who were admitted to treatment □ Discharge data are collected for a sample or all clients who were admitted to treatment □ Discharge records are directly collected (or in the case of early dropouts) are created for all (or almost all) clients who were admitted to treatment □ Discharge records are not collected for approximately ___ % of clients who were admitted for treatment |
RECORD LINKING |
Was the admission and discharge data linked for SUPTRS BG Table 16 (select all that apply): □ Yes, all clients at admission were linked with discharge data using a Unique Client Identifier (UCID) Select type of UCID □ Master Client Index or Master Patient Index, centrally assigned □ Social Security Number (SSN) □ Unique client ID based on fixed client characteristics (such as date of birth, gender, partial SSN, etc.) □ Some other Statewide unique ID □ Provider-entity-specific unique ID □ No, State Management Information System does not utilize UCID that allows comparison of admission and discharge data on a client specific basis (data developed on a cohorts basis) or State relied on other data sources for post admission data □ No, admission and discharge records were matched using probabilistic record matching.
|
IF DATA ARE UNAVAILABLE |
If data are not reported, why is State unable to report (select all that apply): □ Information is not collected at admission □ Information is not collected at discharge □ Information is not collected by the categories requested □ State collects information on the indicator area but utilizes a different measure. |
DATA PLANS IF DATA ARE NOT AVAILABLE |
State must provide time-framed plans for capturing criminal justice involvement status data on all clients if data are not currently available. Plans should also discuss barriers, resource needs and estimates of cost. |
SUPTRS BG Report Table 17. Treatment Performance Measure: Change in Abstinence – Alcohol Use
(From Admission to Discharge)
Most recent year for which TEDS data are available: _____________
Alcohol Abstinence – Clients with no alcohol use (all clients regardless of primary problem) (use Alcohol Use in last 30 days field) at admission vs. discharge. |
Admission Clients (T1) |
Discharge Clients (T2) |
Number of clients abstinent from alcohol [numerator] |
|
|
Total number of clients with non-missing values on “used any alcohol” variable [denominator] |
|
|
Percent of clients abstinent from alcohol |
|
|
(1) If State does not have a "used any alcohol" variable, calculate instead using frequency of use variables for all primary, secondary, or tertiary problem codes in which the coded problem is Alcohol (e.g., TEDS Code 01)
State Description of Alcohol Use Data Collection (SUPTRS BG Report Table 17)
STATE CONFORMANCE TO INTERIM STANDARD |
State Description of Alcohol Use Data Collection (SUPTRS BG Table 17): State should detail exactly how this information is collected. Where data and methods vary from interim standard, variance should be described.
|
DATA SOURCE |
What is the source of data for SUPTRS BG Table 17 (select all that apply): □ Client self-report □ Client self-report confirmed by another source→ □ urinalysis, blood test or other biological assay □ collateral source □ Administrative data source □ Other Specify ___________________ |
EPISODE OF CARE |
How is the admission/discharge basis defined for SUPTRS BG Table 17 (Select one) □ Admission is on the first date of service, prior to which no service has been received for 30 days AND discharge is on the last date of service, subsequent to which no service has been received for 30 days □ Admission is on the first date of service in a Program/Service Delivery Unit and Discharge is on the last date of service in a Program/Service Delivery Unit □ Other Specify ___________________________________________ |
DISCHARGE DATA COLLECTION |
How was discharge data collected for SUPTRS BG Table 17 (select all that apply) □ Not applicable, data reported on form is collected at time period other than discharge→ Specify: □ In-treatment data ___ days post-admission, OR □ Follow-up data ___ (specify) months Post- □ admission □ discharge □ other ______ □ Discharge data are collected for the census of all (or almost all) clients who were admitted to treatment □ Discharge data are collected for a sample or all clients who were admitted to treatment □ Discharge records are directly collected (or in the case of early dropouts) are created for all (or almost all) clients who were admitted to treatment □ Discharge records are not collected for approximately ___ % of clients who were admitted for treatment |
RECORD LINKING |
Was the admission and discharge data linked for SUPTRS BG Table 17 (select all that apply): □ Yes, all clients at admission were linked with discharge data using a Unique Client Identifier (UCID) Select type of UCID □ Master Client Index or Master Patient Index, centrally assigned □ Social Security Number (SSN) □ Unique client ID based on fixed client characteristics (such as date of birth, gender, partial SSN, etc.) □ Some other Statewide unique ID □ Provider-entity-specific unique ID □ No, State Management Information System does not utilize UCID that allows comparison of admission and discharge data on a client specific basis (data developed on a cohorts basis) or State relied on other data sources for post admission data □ No, admission and discharge records were matched using probabilistic record matching.
|
IF DATA ARE UNAVAILABLE |
If data are not reported, why is State unable to report (select all that apply): □ Information is not collected at admission □ Information is not collected at discharge □ Information is not collected by the categories requested □ State collects information on the indicator area but utilizes a different measure. |
DATA PLANS IF DATA ARE NOT AVAILABLE |
State must provide time-framed plans for capturing abstinence - alcohol use status data on all clients if data are not currently available. Plans should also discuss barriers, resource needs and estimates of cost. |
SUPTRS BG Report Table 18. Performance Measure: Change in Abstinence – Other Drug Use (From Admission to Discharge)
Most recent year for which TEDS data are available: _____________
Drug Abstinence – Clients with no drug use (all clients regardless of primary problem) (use Any Drug Use in last 30 days field) at admission vs. discharge. |
Admission Clients (T1) |
Discharge Clients (T2) |
Number of Clients abstinent from illegal drugs [numerator] |
|
|
Total number of clients with non-missing values on “used any drug” variable [denominator] * |
|
|
Percent of clients abstinent from drugs |
|
|
(1) If State does not have a "used any drug" variable, calculate instead using frequency of use variables for all primary, secondary, or tertiary problem codes in which the coded problem is drugs (e.g., TEDS Codes 01-04) |
||
SUPTRS BG Report Table 18. State Description of Other Drug Use Data Collection
STATE CONFORMANCE TO INTERIM STANDARD |
State Description of Other Drug Use Data Collection (SUPTRS BG Table 18): States should detail exactly how this information is collected. Where data and methods vary from interim standard, variance should be described.
|
DATA SOURCE |
What is the source of data for SUPTRS BG Table 18 (select all that apply): □ Client self-report □ Client self-report confirmed by another source→ □ urinalysis, blood test or other biological assay □ collateral source □ Administrative data source □ Other Specify ___________________ |
EPISODE OF CARE |
How is the admission/discharge basis defined for SUPTRS BG Table 18 (Select one) □ Admission is on the first date of service, prior to which no service has been received for 30 days AND discharge is on the last date of service, subsequent to which no service has been received for 30 days □ Admission is on the first date of service in a Program/Service Delivery Unit and Discharge is on the last date of service in a Program/Service Delivery Unit □ Other Specify ___________________________________________ |
DISCHARGE DATA COLLECTION |
How was discharge data collected for SUPTRS BG Table 18 (select all that apply) □ Not applicable, data reported on form is collected at time period other than discharge→ Specify: □ In-treatment data ___ days post-admission, OR □ Follow-up data ___ (specify) months Post- □ admission □ discharge □ other ______ □ Discharge data are collected for the census of all (or almost all) clients who were admitted to treatment □ Discharge data are collected for a sample or all clients who were admitted to treatment □ Discharge records are directly collected (or in the case of early dropouts) are created for all (or almost all) clients who were admitted to treatment □ Discharge records are not collected for approximately ___ % of clients who were admitted for treatment |
RECORD LINKING |
Was the admission and discharge data linked for SUPTRS BG Table 18 (select all that apply): □ Yes, all clients at admission were linked with discharge data using a Unique Client Identifier (UCID) Select type of UCID □ Master Client Index or Master Patient Index, centrally assigned □ Social Security Number (SSN) □ Unique client ID based on fixed client characteristics (such as date of birth, gender, partial SSN, etc.) □ Some other Statewide unique ID □ Provider-entity-specific unique ID □ No, State Management Information System does not utilize UCID that allows comparison of admission and discharge data on a client specific basis (data developed on a cohorts basis) or State relied on other data sources for post admission data □ No, admission and discharge records were matched using probabilistic record matching.
|
IF DATA ARE UNAVAILABLE |
If data are not reported, why is State unable to report (select all that apply): □ Information is not collected at admission □ Information is not collected at discharge □ Information is not collected by the categories requested □ State collects information on the indicator area but utilizes a different measure. |
DATA PLANS IF DATA ARE NOT AVAILABLE |
State must provide time-framed plans for capturing abstinence – drug use status data on all clients if data are not currently available. Plans should also discuss barriers, resource needs and estimates of cost. |
SUPTRS BG Report Table 19. Performance Measure: Change in Social Support of Recovery (From Admission to Discharge)
Most recent year for which TEDS data are available: _____________
Social Support of Recovery – Clients participating in self-help groups (e.g., AA, NA, etc.) (prior 30 days) at admission vs. discharge |
Admission Clients (T1) |
Discharge Clients (T2) |
Number of clients participating in self-help (AA NA meetings attended, etc.) [numerator] |
|
|
Total number of Admission and Discharge clients with non-missing values on self-help activities [denominator] |
|
|
Percent of clients participating in self-help activities |
|
|
SUPTRS BG Report Table 19. State Description of Social Support of Recovery Data Collection
STATE CONFORMANCE TO INTERIM STANDARD |
State Description of Social Support of Recovery Data Collection (SUPTRS BG Table 19): States should detail exactly how this information is collected. Where data and methods vary from interim standard, variance should be described.
|
DATA SOURCE |
What is the source of data for SUPTRS BG Table 19 (select all that apply): □ Client self-report □ Client self-report confirmed by another source→ □ collateral source □ Administrative data source □ Other Specify ___________________ |
EPISODE OF CARE |
How is the admission/discharge basis defined for SUPTRS BG Table 19 (Select one) □ Admission is on the first date of service, prior to which no service has been received for 30 days AND discharge is on the last date of service, subsequent to which no service has been received for 30 days □ Admission is on the first date of service in a Program/Service Delivery Unit and Discharge is on the last date of service in a Program/Service Delivery Unit □ Other Specify ______________________
|
DISCHARGE DATA COLLECTION |
How was discharge data collected for SUPTRS BG Table 19 (select all that apply) □ Not applicable, data reported on form is collected at time period other than discharge→ Specify: □ In-treatment data ___ days post-admission, OR □ Follow-up data ___ (specify) months Post- □ admission □ discharge □ other ______ □ Discharge data are collected for the census of all (or almost all) clients who were admitted to treatment □ Discharge data are collected for a sample or all clients who were admitted to treatment □ Discharge records are directly collected (or in the case of early dropouts) are created for all (or almost all) clients who were admitted to treatment □ Discharge records are not collected for approximately ___ % of clients who were admitted for treatment |
RECORD LINKING |
Was the admission and discharge data linked for SUPTRS BG Table 19 (select all that apply): □ Yes, all clients at admission were linked with discharge data using a Unique Client Identifier (UCID) Select type of UCID □ Master Client Index or Master Patient Index, centrally assigned □ Social Security Number (SSN) □ Unique client ID based on fixed client characteristics (such as date of birth, gender, partial SSN, etc.) □ Some other Statewide unique ID □ Provider-entity-specific unique ID □ No, State Management Information System does not utilize UCID that allows comparison of admission and discharge data on a client specific basis (data developed on a cohorts basis) or State relied on other data sources for post admission data □ No, admission and discharge records were matched using probabilistic record matching. |
IF DATA ARE UNAVAILABLE |
If data are not reported, why is State unable to report (select all that apply): □ Information is not collected at admission □ Information is not collected at discharge □ Information is not collected by the categories requested □ State collects information on the indicator area but utilizes a different measure.
|
DATA PLANS IF DATA ARE NOT AVAILABLE |
State must provide time-framed plans for capturing self-help participation status data on all clients if data are not currently available. Plans should also discuss barriers, resource needs and estimates of cost. |
SUPTRS BG Report Table 20. Retention; Length of Stay (in Days) of Clients Completing Treatment
Most recent year for which TEDS data are available: _____________
Length of Stay |
|||
Level of Care |
Median |
Interquartile Range |
|
Withdrawal Management (24-hour care) |
|||
1. Hospital Inpatient |
|
|
|
2. Free-Standing Residential |
|
|
|
Rehabilitation/Residential |
|||
3. Hospital Inpatient |
|
|
|
4. Short-term (up to 30 days) |
|
|
|
5. Long-term (over 30 days) |
|
|
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Ambulatory (Outpatient) |
|||
6. Outpatient |
|
|
|
7. Intensive Outpatient |
|
|
|
8. Withdrawal management |
|
|
|
Medication for Opioid Use Disorder (MOUD) Treatment |
|||
9. Withdrawal Management with Opioid Agonist Medications |
|
|
|
10. Continuous MOUD and Other Services in Outpatient Settings |
|
|
|
Section V: Performance Indicators and Accomplishments
The National Outcome Measures (NOMs) are a set of domains and measures that the Substance Abuse and Mental Health Services Administration (SAMHSA) uses to track progress towards achieving its vision and to meet all of its federal reporting requirements, thus reducing burden and redundancy for grantees.
The NOMs Data Collection and Reporting tables are to be completed as part of the state's annual SUPTRS BG application. For Tables 21-25 and 27-30, the compliance year is calendar year (CY) 20252023 (note that pre-populated NOMs from the National Survey on Drug Use and Health (NSDUH) reflect pooled data from CYs 2024-20252023-2024. For substance use disorder prevention NOMs Table 26, the compliance year is School Year 20252024.
For purposes of this section, unless otherwise noted, the term "state" refers to states, territories, and the one Native American tribe that receive SUPTRS BG funding.
Tables 21 through 30 - Information
A. Pre-populated Data
In this block grant report, pre-populated data are automatically provided to fulfill the majority of the reporting requirements, where possible. CSAP and the states have agreed that the state-level reporting requirement for the NOMs listed in Tables 21-30 will be fulfilled through the use of extant data from sources including the NSDUH, the Fatality Analysis Reporting System (FARS) of the National Highway Traffic Safety Administration, the National Incident-Based Reporting System (NIBRS), and the National Center for Education Statistics (NCES) of the U.S. Department of Education. These pre-populated state-level NOMs will meet most of the state-level NOMs reporting requirements for the prevention portion of the SUPTRS BG funding.
Territories and Native American tribes for which there are no NSDUH, FARS, NIBRS, and/or NCES data will not be required to report on those measures, but will be encouraged to provide substitute data in Column D.
NOMs Domain - Reduced Morbidity: Drug Use/Alcohol Use
• Table 21: 30-Day Use
• Table 22: Perception of Risk/Harm of Use
• Table 23: Age of First Use
• Table 24: Perception of Disapproval/Attitudes
NOMs Domain - Employment/Education
• Table 25: Perception of Workplace Policy
• Table 26: Average Daily School Attendance Rate
NOMs Domain - Crime and Criminal Justice
• Table 27: Alcohol-Related Traffic Fatalities
• Table 28: Alcohol- and Drug-Related Arrests
NOMs Domain - Social Connectedness
• Table 29: Family Communications Around Drug and Alcohol Use
NOMs Domain - Retention
• Table 30: Youth Seeing, Reading, Watching, or Listening to a Prevention Message
B. Supplemental Data
States may also wish to provide additional data related to the NOMs. These data can be included in the block grant appendix. When describing the supplemental data, states should provide any relevant Web addresses (URLs) that provide links to specific state data sources.
C. Instructions for Completing Forms
Column A: Measure - The SAMHSA defined measure for the domain listed.
Column B: Question/Response
• Source Survey Item: For Tables 21-25, 29, and 30, the source is the NSDUH. For Tables 26-28 other "archival" sources are identified. The specific language used for each item is provided.
• Response Option: The range of responses that are provided for the survey item.
• Outcome Reported: The specific responses that are included in the calculation provided for the item.
• Age: The age range for which the responses are provided.
Column C: Pre-populated Data - Pre-populated data are provided; see letter A, Pre-populated data.
Column D: Approved Substitute Data – Grantees for which there are no NSDUH, FARS, NIBRS and/or NCES data will be able to voluntarily enter data for the items in this column. Substitute data are not allowed for grantees with pre-populated data.
SUPTRS BG Report Table 21. Substance Use Disorder Primary Prevention NOMs Domain: Reduced Morbidity – Drug Use/Alcohol Use
Measure: 30-Day Use
A. Measure |
B. Question/Response |
C. Pre-populated Data |
D. Supplemental Data, if any |
1. 30-day Alcohol Use |
Source Survey Item: NSDUH Questionnaire. “Think specifically about the past 30 days, that is, from [DATEFILL] through today. During the past 30 days, on how many days did you drink one or more drinks of an alcoholic beverage?” [Response option: Write in a number between 0 and 30.] Outcome Reported: Percent who reported having used alcohol during the past 30 days. |
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|
Ages 12–20 – CY 2023-2024 |
|
|
|
Ages 21+ - CY 2023-2024 |
|
|
|
2. 30-day Cigarette Use |
Source Survey Item: NSDUH Questionnaire: “During the past 30 days, that is, since [DATEFILL], on how many days did you smoke part or all of a cigarette?” [Response option: Write in a number between 0 and 30.] Outcome Reported: Percent who reported having smoked a cigarette during the past 30 days. |
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Ages 12–17 - CY 2023-2024 |
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Ages 18+ - CY 2023-2024 |
|
|
|
3. 30-day Use of Other Tobacco Products |
Source Survey Item: NSDUH Questionnaire: “During the past 30 days, that is, since [DATEFILL], on how many days did you use [other tobacco products]†?” [Response option: Write in a number between 0 and 30.] Outcome Reported: Percent who reported having used a tobacco product other than cigarettes during the past 30 days, calculated by combining responses to questions about individual tobacco products (cigars, smokeless tobacco, pipe tobacco). |
|
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Ages 12–17 - CY 2023-2024 |
|
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Ages 18+ - CY 2023-2024 |
|
|
|
4. 30-day Use of Marijuana |
Source Survey Item: NSDUH Questionnaire: “Think specifically about the past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on how many days did you use marijuana or hashish?” [Response option: Write in a number between 0 and 30.] Outcome Reported: Percent who reported having used marijuana or hashish during the past 30 days. |
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Ages 12–17 - CY 2023-2024 |
|
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Ages 18+ - CY 2023-2024 |
|
|
|
5. 30-day Use of Illicit Drugs Other Than Marijuana |
Source Survey Item: NSDUH Questionnaire: “Think specifically about the past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on how many days did you use [any other illegal drug]‡?” Outcome Reported: Percent who reported having used illegal drugs other than marijuana or hashish during the past 30 days, calculated by combining responses to questions about individual drugs (heroin, cocaine, hallucinogens, inhalants, methamphetamine, and misuse of prescription drugs). |
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Ages 12–17 - CY 2023-2024 |
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Ages 18+ - CY 2023-2024 |
|
|
† NSDUH asks separate questions for each tobacco product. The number provided combines responses to all questions about tobacco products other than cigarettes.
‡ NSDUH asks separate questions for each illegal drug. The number provided combines responses to all questions about illegal drugs other than marijuana or hashish.
SUPTRS BG Report Table 22. Substance Use Disorder Primary Prevention NOMs Domain: Reduced Morbidity – Drug Use/Alcohol Use
Measure: Perception of Risk/Harm of Use
A. Measure |
B. Question/Response |
C. Pre-populated Data |
D. Supplemental Data if any |
1. Perception of Risk from Alcohol |
Source Survey Item: NSDUH Questionnaire: “How much do people risk harming themselves physically and in other ways when they have five or more drinks of an alcoholic beverage once or twice a week?” [Response options: No risk, slight risk, moderate risk, great risk] Outcome Reported: Percent reporting moderate or great risk. |
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Ages 12–20 CY 2023-2024 |
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Ages 21+ - CY 2023-2024 |
|
|
|
2. Perception of Risk from Cigarettes |
Source Survey Item: NSDUH Questionnaire: “How much do people risk harming themselves physically and in other ways when they smoke one or more packs of cigarettes per day?” [Response options: No risk, slight risk, moderate risk, great risk] Outcome Reported: Percent reporting moderate or great risk. |
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Ages 12–17 - CY 2023-2024 |
|
|
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Ages 18+ - CY 2023-2024 |
|
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3. Perception of Risk from Marijuana |
Source Survey Item: NSDUH Questionnaire: “How much do people risk harming themselves physically and in other ways when they smoke marijuana once or twice a week?” [Response options: No risk, slight risk, moderate risk, great risk] Outcome Reported: Percent reporting moderate or great risk. |
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Ages 12–17 - CY 2023-2024 |
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Ages 18+ - CY 2023-2024 |
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SUPTRS BG Report Table 23. Substance Use Disorder Primary Prevention NOMs Domain: Reduced Morbidity –Drug Use/Alcohol Use
Measure: Age of First Use
A. Measure |
B. Question/Response |
C. Pre-populated Data |
D. Supplemental Data if any |
1. Age at First Use of Alcohol |
Source Survey Item: NSDUH Questionnaire: “Think about the first time you had a drink of an alcoholic beverage. How old were you the first time you had a drink of an alcoholic beverage? Please do not include any time when you only had a sip or two from a drink.” [Response option: Write in age at first use.] Outcome Reported: Average age at first use of alcohol. |
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Ages 12–20 - CY 2023-2024 |
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Ages 21+ - CY 2023-2024 |
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2. Age at First Use of Cigarettes |
Source Survey Item: NSDUH Questionnaire: “How old were you the first time you smoked part or all of a cigarette?” [Response option: Write in age at first use.] Outcome Reported: Average age at first use of cigarettes. |
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Ages 12–17 - CY 2023-2024 |
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Ages 18+ - CY 2023-2024 |
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3. Age at First Use of Tobacco Products Other Than Cigarettes |
Source Survey Item: NSDUH Questionnaire: “How old were you the first time you used [any other tobacco product]†?” [Response option: Write in age at first use.] Outcome Reported: Average age at first use of tobacco products other than cigarettes. |
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Ages 12–17 - CY 2023-2024 |
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Ages 18+ CY 2023-2024 |
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4. Age at First Use of Marijuana or Hashish |
Source Survey Item: NSDUH Questionnaire: “How old were you the first time you used marijuana or hashish?” [Response option: Write in age at first use.] Outcome Reported: Average age at first use of marijuana or hashish. |
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Ages 12–17 - CY 2023-2024 |
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Ages 18+ - CY 2023-2024 |
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5. Age at First Misuse of Prescription Pain Relievers Among Past Year Initiates |
Source Survey Item: NSDUH Questionnaire: “How old were you the first time you used [specific pain reliever]‡ in a way a doctor did not direct you to use it?” [Response option: Write in age at first use.] Outcome Reported: Average age at first misuse of prescription pain relievers among those who first misused prescription pain relievers in the last 12 months. |
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Ages 12–17 - CY 2023-2024 |
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Ages 18+ - CY 2023-2024 |
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† The question was asked about each tobacco product separately, and the youngest age at first use was taken as the measure.
‡ The question was asked about each drug in this category separately, and the youngest age at first use was taken as the measure.
SUPTRS BG Report Table 24. Substance Use Disorder Primary Prevention NOMs Domain: Reduced Morbidity – Drug Use/Alcohol Use
Measure: Perception of Disapproval/Attitudes
A. Measure |
B. Question/Response |
C. Pre-populated Data |
D. Supplemental Data if any |
1. Disapproval of Cigarettes |
Source Survey Item: NSDUH Questionnaire: “How do you feel about someone your age smoking one or more packs of cigarettes a day?” [Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove] Outcome Reported: Percent somewhat or strongly disapproving. |
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Ages 12–17 - CY 2023-2024 |
|
|
|
2. Perception of Peer Disapproval of Cigarettes |
Source Survey Item: NSDUH Questionnaire: “How do you think your close friends would feel about you smoking one or more packs of cigarettes a day?” [Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove] Outcome Reported: Percent reporting that their friends would somewhat or strongly disapprove. |
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|
Ages 12–17 - CY 2023-2024 |
|
|
|
3. Disapproval of Using Marijuana Experimentally |
Source Survey Item: NSDUH Questionnaire: “How do you feel about someone your age trying marijuana or hashish once or twice?” [Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove] Outcome Reported: Percent somewhat or strongly disapproving. |
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|
Ages 12–17 - CY 2023-2024 |
|
|
|
4. Disapproval of Using Marijuana Regularly |
Source Survey Item: NSDUH Questionnaire: “How do you feel about someone your age using marijuana once a month or more?” [Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove] Outcome Reported: Percent somewhat or strongly disapproving. |
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|
Ages 12–17 - CY 2023-2024 |
|
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|
5. Disapproval of Alcohol |
Source Survey Item: NSDUH Questionnaire: “How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day?” [Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove] Outcome Reported: Percent somewhat or strongly disapproving. |
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|
Ages 12–17 - CY 2023-2024 |
|
|
SUPTRS BG Report Table 25. Substance Use Disorder Prevention NOMs Domain: Reduced Morbidity – Drug Use/Alcohol Use
Measure: Perception of Workplace Policy
A. Measure |
B. Question/Response |
C. Pre-populated Data |
D. Supplemental Data, if any |
Perception of Workplace Policy |
Source Survey Item: NSDUH Questionnaire: “Would you be more or less likely to want to work for an employer that tests its employees for drug or alcohol use on a random basis? Would you say more likely, less likely, or would it make no difference to you?” [Response options: More likely, less likely, would make no difference] Outcome Reported: Percent reporting that they would be more likely to work for an employer conducting random drug and alcohol tests. |
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|
Ages 15–17 - CY 2023-2024 |
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Ages 18+ - CY 2023-2024 |
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|
SUPTRS BG Report Table 26. Substance Use Disorder Primary Prevention NOMs Domain: Reduced Morbidity – Drug Use/Alcohol Use
Measure: Average Daily School Attendance Rate
A. Measure |
B. Source |
C. Pre-populated Data |
D. Supplemental Data, if any |
Average Daily School Attendance Rate |
Source: National Center for Education Statistics, Common Core of Data: The National Public Education Finance Survey available for download at http://nces.ed.gov/ccd/stfis.asp Measure calculation: Average daily attendance (NCES defined) divided by total enrollment and multiplied by 100. |
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|
CY 2024 |
|
|
SUPTRS BG Report Table 27. Substance Use Disorder Primary Prevention NOMs Domain: Crime and Criminal Justice
Measure: Alcohol Related Traffic Fatalities
A. Measure |
B. Source |
C. Pre-populated Data |
D. Supplemental Data if any |
Alcohol-Related Traffic Fatalities |
Source: National Highway Traffic Safety Administration Fatality Analysis Reporting System Measure calculation: The number of alcohol-related traffic fatalities divided by the total number of traffic fatalities and multiplied by 100. |
|
|
CY 2024 |
|
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SUPTRS BG Report Table 28. Substance Use Disorder Primary Prevention NOMs Domain: Crime and Criminal Justice
Measure: Alcohol and Drug-Related Arrests
A. Measure |
B. Source |
C. Pre-populated Data |
D. Supplemental Data if any |
Alcohol- and Drug-Related Arrests |
Source: Federal Bureau of Investigation National Incident-Based Reporting System Measure calculation: The number of alcohol- and drug-related arrests divided by the total number of arrests and multiplied by 100. |
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CY 2024 |
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SUPTRS BG Report Table 29. Substance Use Disorder Primary Prevention NOMs Domain: Social Connectedness
Measure: Family Communications Around Drug and Alcohol Use
A. Measure |
B. Question/Response |
C. Pre-populated Data |
D. Supplemental Data if any |
1. Family Communications Around Drug and Alcohol Use (Youth) |
Source Survey Item: NSDUH Questionnaire: “Now think about the past 12 months, that is, from [DATEFILL] through today. During the past 12 months, have you talked with at least one of your parents about the dangers of tobacco, alcohol, or drug use? By parents, we mean either your biological parents, adoptive parents, stepparents, or adult guardians, whether or not they live with you.” [Response options: Yes, No] Outcome Reported: Percent reporting having talked with a parent. |
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Ages 12–17 - CY 2023-2024 |
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|
2. Family Communications Around Drug and Alcohol Use (Parents of children aged 12–17) |
Source Survey Item: NSDUH Questionnaire: “During the past 12 months, how many times have you talked with your child about the dangers or problems associated with the use of tobacco, alcohol, or other drugs?”† [Response options: 0 times, 1 to 2 times, a few times, many times] Outcome Reported: Percent of parents reporting that they have talked to their child. |
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Ages 18+ - CY 2023-2024 |
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† NSDUH does not ask this question of all sampled parents. It is a validation question posed to parents of 12- to 17-year-old survey respondents. Therefore, the responses are not representative of the population of parents in a State. The sample sizes are often too small for valid reporting.
SUPTRS BG Report Table 30. Substance Use Disorder Primary Prevention NOMs Domain: Retention
Measure: Percentage of Youth Seeing, or Listening to a Prevention Message
Measure |
Question/Response |
Pre-populated Data
|
Supplemental Data if any |
Exposure to Prevention Messages |
Source Survey Item: NSDUH Questionnaire: “During the past 12 months, do you recall [hearing, reading, or watching an advertisement about the prevention of substance use]†?” Outcome Reported: Percent reporting having been exposed to prevention message. |
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Ages 12–17 - CY 2023-2024 |
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† This is a summary of four separate NSDUH questions each asking about a specific type of prevention message delivered within a specific context
SUPTRS BG Report Tables 31-35 – Reporting Period
Start and End Dates for Information Reported on SUPTRS BG Tables 31, 32, 33, 34, and 35.
The following chart is for collecting information on the reporting periods for the data entered in Tables 31-35. Please note that the correct reporting period for Tables 31-34 is the Calendar Year (CY) which coincides with the reporting period for the pre-populated prevention NOMs in Tables 21-30. We understand that some states have reported on the state fiscal year (SFY) or federal fiscal year (FFY) for these tables in past SUPTRS BG Reports. If your state is unable to report on the calendar year, please indicate in this footnote why you are unable to report on the calendar year and the steps the state intends to take to make calendar year reporting possible in future years. Note that the correct reporting period for Table 35 is the SUPTRS BG compliance period that coincides with the reporting period for Tables 4, 5a, 5b, 6 and 7.
Rows 1 through 5 each correspond to a single form in the current year application among the following five tables: 31, 32, 33, 34 and 35.
Column A: Enter the reporting period start date.
Column B: Enter the reporting period end date.
The date format to be entered in columns A and B should be month/day/year, as follows.
• Month: enter 2 digits (e.g. January = 01; December = 12)
• Day: enter 2 digits (e.g. 1st of the month = 01; 15th of the month = 15)
• Year: enter all 4 digits (e.g. 2012, 2013)
Reporting Period Start and End Dates for Information Reported on
SUPTRS BG Tables 31, 32, 33, 34 and 35
Please indicate the reporting period for each of the following NOMS.
Tables |
A. Reporting Period Start Date |
B. Reporting Period End Date |
Individual-Based Programs and Strategies – Number of Persons Served by Age, Gender, Race, and Ethnicity |
mm/dd/yyyy |
mm/dd/yyyy |
Population-Based Programs and Strategies – Number of Persons Served by Age, Gender, Race, and Ethnicity |
mm/dd/yyyy |
mm/dd/yyyy |
Number of Persons Served by Type of Intervention |
mm/dd/yyyy |
mm/dd/yyyy |
Number of Evidence-Based Programs and Strategies by Type of Intervention |
mm/dd/yyyy |
mm/dd/yyyy |
Total Number of Evidence-Based Programs and Total SUPTRS BG Dollars Spent on Evidence-Based Programs/Strategies |
mm/dd/yyyy |
mm/dd/yyyy |
General Questions Regarding Prevention NOMS Reporting
Question 1: Describe the data collection system you used to collect the NOMs data (e.g., MDS, DbB, KIT Solutions, manual process).
|
Question 2: Describe how your State’s data collection and reporting processes record a participant’s race, specifically for participants who are more than one race.
Indicate whether the State added those participants to the number for each applicable racial category or whether the State added all those participants to the More Than One Race subcategory.
|
SUPTRS BG Report Table 31. Substance Use Disorder Primary Prevention Individual-Based and Population-Based Programs and Strategies – Number of Persons Served by Age, Gender, Race, and Ethnicity
|
Individual-Based Programs and Strategies-Number of Persons Served |
Population-Based Programs and Strategies— Number of Persons Reached |
0-5 |
|
|
6-12 |
|
|
13-17 |
|
|
18-20 |
|
|
21-24 |
|
|
25-44 |
|
|
45-64 |
|
|
65-74 |
|
|
75+ |
|
|
Age Not Known |
|
|
|
|
|
Male |
|
|
Female |
|
|
Transgender (Male to Female) |
|
|
Transgender (Female to Male) |
|
|
Two-Spirit (if client is AI/AN) |
|
|
Other |
|
|
Not Available |
|
|
|
|
|
Hispanic or Latino |
|
|
Not Hispanic or Latino |
|
|
Ethnicity Unknown |
|
|
|
|
|
White |
|
|
Black or African American |
|
|
Native Hawaiian/Other Pacific Islander |
|
|
Asian |
|
|
American Indian/Alaska Native |
|
|
More than one Race |
|
|
Some Other Race |
|
|
Race Not Known or Other |
|
|
SUPTRS BG Report Table 32. Substance Use Disorder Primary Prevention Number of Persons Served by Type of Intervention (Optional)
Intervention Type |
Number of Persons Served by Individual- or Population-Based Program or Strategy |
|
A. Individual-Based Programs and Strategies |
B. Population-Based Programs and Strategies |
|
1. Universal Direct |
|
|
2. Universal Indirect |
|
|
3. Selective |
|
|
4. Indicated |
|
|
5. Total |
|
|
SUPTRS BG Report Table 33. Substance Use Disorder Primary Prevention
Evidence-Based Programs and Strategies by Type of Intervention
Definition of Evidence-Based Programs and Strategies:
Evidence-Based Prevention Programs (EBPs) are designed to prevent substance use and related negative outcomes. Most strategies are designed to be delivered in specific settings, to specific age groups, and to specific populations.
EBPs are prevention strategies that were reported as effective for your substance and population of focus. EBPs may be identified by one of three ways:
Inclusion in a formal registry of evidence-based interventions such as federal, state or foundation registries
Being Reported (with positive effects) in a peer-reviewed journal
Documentation of effectiveness based on one or more of the following guidelines:
Guideline 1: The intervention is connected to a theory of change based upon a clear logic or conceptual model. The intervention should be informed by risk and protective factors research.
Guideline 2: The intervention is similar in content and structure to interventions that appear in registries and/or the peer-reviewed literature.
Guideline 3: The intervention is supported by documentation that it has been effectively implemented multiple times with results that show a consistent pattern of credible and positive effects.
Guideline 4: The intervention is reviewed and deemed appropriate by a panel of informed prevention experts that may include: well-qualified prevention researchers who are experienced in evaluating prevention interventions similar to those under review; local prevention practitioners; or key community leaders as appropriate, e.g., officials from law enforcement and education sectors or elders within indigenous cultures.
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|
SUPTRS BG Report Table 33. Substance Use Disorder Primary Prevention Number of Evidence-Based Programs and Strategies by Type of Intervention
|
Number of Programs and Strategies by Type of Intervention |
|||||
A. Universal Direct |
B. Universal Indirect |
C. Universal Total |
D. Selective |
E. Indicated |
F. Total |
|
1. Number of Evidence-Based Programs and Strategies Funded |
|
|
|
|
|
|
2. Total number of Programs and Strategies Funded |
|
|
|
|
|
|
3. Percent of Evidence-Based Programs and Strategies |
|
|
|
|
|
|
SUPTRS BG Report Table 34. Total Substance Use Disorder Primary Prevention Number of Evidence Based Programs/Strategies and Total SUPTRS BG Dollars Spent on Substance Use Disorder Primary Prevention Evidence-Based Programs/Strategies
Total Number of Evidence-Based Programs/Strategies for IOM Category below: |
Total Substance Use Block Grant Dollars Spent on evidence-based Programs/Strategies |
|
Universal Direct |
Total # |
$ |
Universal Indirect |
Total # |
$ |
Selective |
Total # |
$ |
Indicated |
Total # |
$ |
Unspecified |
Total# |
$ |
|
Total EBPs: |
Total Dollars Spent: $ |
1 The term “state” means each of the several states, the District of Columbia, each of the United States Territories, Freely Associated States (FAS), and the Red Lake Band of Chippewa Indians. The United States Territories include the Commonwealth of Puerto Rico, Virgin Islands, American Samoa, Commonwealth of the Northern Marianas Islands, and Guam. The FAS include the Federated States of Micronesia , the Republic of the Marshall Islands, and the Republic of Palau.
2 The term “substance use disorder” means substance-related and addictive disorders as described in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Arlington, VA, American Psychiatric Association, 2013.
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