Brief: Substance use prevention

Prepared from Grant Precedent, 2026-10-23; data as of precedent 2026-10-21, measures 2026-10-22.

Measures funders require

Centers for Disease Control and Prevention (U.S. Department of Health and Human Services), Drug-Free Communities (DFC) Support Program

Past 30-day use

Requirement: required
Definition: The percentage of survey respondents who reported using alcohol, tobacco, marijuana, or misusing prescription drugs at least once within the past 30 days.
Instrument: CDC-RFA-CE-26-0061 NOFO, Required performance measures
Reporting frequency: every 2 years
Target rule: No target rule stated
Source: CDC Drug-Free Communities performance measures, PDF p. 30; reporting frequency PDF p. 67, https://files.simpler.grants.gov/opportunities/24efcb7e-76d8-4279-a21b-41e408a529b9/attachments/26d7139a-bcec-4dad-97b5-1415b1f78f47/cdc-rfa-ce-26-0061_v8.pdf

Perception of risk

Requirement: required
Definition: The percentage of survey respondents who perceived that their use of a given substance has moderate or great risk.
Instrument: CDC-RFA-CE-26-0061 NOFO, Required performance measures
Reporting frequency: every 2 years
Target rule: No target rule stated
Source: CDC Drug-Free Communities performance measures, PDF p. 30; reporting frequency PDF p. 67, https://files.simpler.grants.gov/opportunities/24efcb7e-76d8-4279-a21b-41e408a529b9/attachments/26d7139a-bcec-4dad-97b5-1415b1f78f47/cdc-rfa-ce-26-0061_v8.pdf

Perception of parental disapproval

Requirement: required
Definition: The percentage of survey respondents who perceived their parents would feel that regular use of alcohol (one or two drinks nearly every day), or engaging in any use of tobacco, marijuana, or misuse of prescription drugs is wrong or very wrong.
Instrument: CDC-RFA-CE-26-0061 NOFO, Required performance measures
Reporting frequency: every 2 years
Target rule: No target rule stated
Source: CDC Drug-Free Communities performance measures, PDF p. 30; reporting frequency PDF p. 67, https://files.simpler.grants.gov/opportunities/24efcb7e-76d8-4279-a21b-41e408a529b9/attachments/26d7139a-bcec-4dad-97b5-1415b1f78f47/cdc-rfa-ce-26-0061_v8.pdf

Perception of peer disapproval

Requirement: required
Definition: The percentage of survey respondents who perceived their friends would feel it would be wrong or very wrong for them to drink alcohol regularly (one or two drinks nearly every day), or engage in any use of tobacco, marijuana, or misuse of prescription drugs.
Instrument: CDC-RFA-CE-26-0061 NOFO, Required performance measures
Reporting frequency: every 2 years
Target rule: No target rule stated
Source: CDC Drug-Free Communities performance measures, PDF p. 30; reporting frequency PDF p. 67, https://files.simpler.grants.gov/opportunities/24efcb7e-76d8-4279-a21b-41e408a529b9/attachments/26d7139a-bcec-4dad-97b5-1415b1f78f47/cdc-rfa-ce-26-0061_v8.pdf

Annual progress report: community profile, sector and youth engagement, coalition capacity, risk and protective factors, and youth substance use prevention strategies

Requirement: defined by the applicant
Instrument: CDC-RFA-CE-26-0061 NOFO, Required performance measures
Reporting frequency: annual (August of each year)
Target rule: No target rule stated
Source: CDC Drug-Free Communities performance measures, PDF p. 30; reporting table PDF p. 67, https://files.simpler.grants.gov/opportunities/24efcb7e-76d8-4279-a21b-41e408a529b9/attachments/26d7139a-bcec-4dad-97b5-1415b1f78f47/cdc-rfa-ce-26-0061_v8.pdf

Short-term, intermediate and long-term outcome measures identified by the recipient from its program logic model

Requirement: defined by the applicant
Instrument: CDC-RFA-CE-26-0061 NOFO, Required performance measures
Target rule: Applicant proposes the target
Source: CDC Drug-Free Communities performance measures, PDF p. 31, https://files.simpler.grants.gov/opportunities/24efcb7e-76d8-4279-a21b-41e408a529b9/attachments/26d7139a-bcec-4dad-97b5-1415b1f78f47/cdc-rfa-ce-26-0061_v8.pdf

Office of Juvenile Justice and Delinquency Prevention (DOJ OJP), Community and Schools Youth Drug Prevention Program

15 of 25 measures shown.

During this reporting period, how many unique youth received interventions to increase their knowledge of drug prevention?

Code: Q1
Requirement: required
Definition: Reporting period refers to the specific timeframe covered by this report. Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of interventions they may have been involved in. Youth refer to children and adolescents under the age of 18. Interventions or programs refer to specific sets of activities that are carried out by the award recipient and supported by OJJDP award funds, in whole or in part.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

During this reporting period, how many unique youth received treatment, services, or support for exposure to violence or adverse experiences?

Code: Q2
Requirement: required
Definition: Reporting period refers to the specific timeframe covered by this report. Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of services they may have been involved in. Youth refer to children and adolescents under the age of 18. Exposure to violence refers to direct or indirect exposure to violence in the home, school, or community. Adverse experiences are stressful or traumatic events during childhood (0-17 years) that disrupt a child's safety, stability, and bonding, including abuse, neglect, violence, loss, and household dysfunction like substance abuse or mental health issues.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

During this reporting period, how many unique youth engaged in extracurricular activities, after- school programs, or mentoring programs?

Code: Q3
Requirement: required
Definition: Reporting period refers to the specific timeframe covered by this report. Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of activities or programs they may have been involved in. Youth refer to children and adolescents under the age of 18. Extracurricular activities are voluntary pursuits outside a student's regular academic schedule, encompassing sports, clubs (academic, arts, STEM), arts, community service, and employment. These activities are designed to foster personal growth, skill development (such as teamwork, leadership, or time management), and exploration of interests beyond core subjects, often complementing classroom learning. Mentoring provides structured relationships where individuals guide and support the personal growth of others. These services facilitate skill transfer, career development, and the building of confidence by fostering supportive, trusted relationships through which mentors share knowledge and insights to help mentees reach their full potential.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

During this reporting period, how many unique parents or caregivers received interventions to increase their knowledge of drug prevention?

Code: Q4
Requirement: required
Definition: Reporting period refers to the specific timeframe covered by this report. Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of interventions they may have been involved in. Parent is defined as a child’s or adolescent's biological parent, adoptive parent, foster parent or stepparent through marriage. Caregiver means an individual, including a relative, neighbor, or family friend, who regularly or frequently provides care, with or without compensation, for a child or adolescent for whom the individual is not the parent. This individual may also be designated as a temporary adult caregiver. Interventions or programs refer to specific sets of activities that are carried out by the award recipient and supported by OJJDP award funds, in whole or in part.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

During this reporting period, how many unique individuals engaged in community coalitions to reduce drug use?

Code: Q5
Requirement: required
Definition: Reporting period refers to the specific timeframe covered by this report. Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of coalitions they may have been involved in. Individuals in this context refer to community members and employees or volunteers at schools, community-based organizations, or health systems and can also include clinicians, policymakers, and law enforcement. Community coalitions are groups of individuals and organizations (such as residents, businesses, non-profits, or the government) working together with shared resources and expertise to achieve common goals. In this context the goal is reducing drug use.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

During this reporting period, how many unique law enforcement officers and personnel engaged in community coalitions to reduce drug use?

Code: Q6
Requirement: required
Definition: Reporting period refers to the specific timeframe covered by this report. Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of coalitions they may have been involved in. Law enforcement officers and personnel means police officers, employees, volunteers, and police departments. Community coalitions are groups of individuals and organizations (such as residents, businesses, non-profits, or the government) working together with shared resources and expertise to achieve common goals. In this context the goal is reducing drug use.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

During this reporting period, how many unique service providers were involved in screening youth to determine their needs or provide interventions to meet their needs?

Code: Q7
Requirement: required
Definition: Reporting period refers to the specific timeframe covered by this report. Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of screenings they may have been involved in. Service providers are people who work or volunteer in organizations that provide services in support of drug prevention. Screening is a formal process of using specific tools and procedures to assess the treatment or support services needs of individuals. Interventions or programs refer to specific sets of activities that are carried out by the award recipient and supported by OJJDP award funds, in whole or in part.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

Did you adjust the program plan as described in your application’s proposal narrative? If yes, what adjustments did you make, and why?

Code: Q8
Requirement: required
Definition: The program plan outlines how grant activities will be managed to achieve award goals and benefits for program participants and is a part of the proposal narrative.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

Did you experience any challenges during this reporting period that impacted service delivery to program participants? If yes, how did you address the challenges, and do the challenges remain unresolved?

Code: Q9
Requirement: required
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

Did you engage with OJJDP training and technical assistance providers during this reporting period? If yes, did the providers adequately address your issue?

Code: Q10
Requirement: required
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

Of the unique youth who received an intervention to increase drug prevention knowledge during this reporting period, how many perceived a high risk of harm associated with drug use?

Code: Q11
Requirement: required
Definition: Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of interventions they may have been involved in. Youth refer to children and adolescents under the age of 18. Interventions or programs refer to specific sets of activities that are carried out by the award recipient and supported by OJJDP award funds, in whole or in part. Reporting period refers to the specific timeframe covered by this report. Perceiving a high risk of harm is a common indicator for intervention effectiveness and is typically measured using self-report approaches.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

Of the unique youth who received any intervention during this reporting period, how many perceived a high risk of harm associated with drug use?

Code: Q12
Requirement: required
Definition: Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of interventions they may have been involved in. Youth refer to children and adolescents under the age of 18. Interventions or programs refer to specific sets of activities that are carried out by the award recipient and supported by OJJDP award funds, in whole or in part. Reporting period refers to the specific timeframe covered by this report. Perceiving a high risk of harm is a common indicator for intervention effectiveness and is typically measured using self-report approaches.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

Of the unique youth who received an intervention to increase drug prevention knowledge during this reporting period, how many expressed an intent to abstain from drugs?

Code: Q13
Requirement: required
Definition: Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of interventions they may have been involved in. Youth refer to children and adolescents under the age of 18. Interventions or programs refer to specific sets of activities that are carried out by the award recipient and supported by OJJDP award funds, in whole or in part. Reporting period refers to the specific timeframe covered by this report. Intent to abstain from drug use is a common indicator for intervention effectiveness and is typically measured using self- report approaches.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

Of the unique youth who received an intervention to increase drug prevention knowledge since the start of this award, how many self-reported substance use within the past 30 days?

Code: Q14
Requirement: required
Definition: Unique means unduplicated. Individuals should only be counted once during a reporting period, regardless of the number of interventions they may have been involved in. Youth refer to children and adolescents under the age of 18. Interventions or programs refer to specific sets of activities that are carried out by the award recipient and supported by OJJDP award funds, in whole or in part.
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

Did the program experience any challenges related to external factors beyond your control during the reporting period that impacted program outcomes? If yes, please describe the challenges.

Code: Q15
Requirement: required
Target rule: No target rule stated
Source: DOJ Office of Justice Programs, solicitation performance measures, https://ojjdp.ojp.gov/funding/performance-measures/pmqd/performance-measures-community-schools-youth-drug-prevention.pdf

Substance Abuse and Mental Health Services Administration (SAMHSA), SAMHSA Sober Truth on Prevention Underage Drinking Act Grants (STOP Act)

Estimated total number of individuals to be reached through indirect/population-based prevention efforts: ____ [If no strategy identified in I.B.5= “Direct/individual-based,” then skip I.C.2 and I.C.3] Estimated total number of individuals to be served. Enter the aggregate total number of individuals your grant program is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year.

Code: ATR-1
Requirement: required
Instrument: CORT
Reporting frequency: annual
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/gpra-cort-stop-act.pdf

Estimated total number of individuals to be served through direct/individual- based prevention efforts: Estimated total number of individuals to be served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year. If your grant program’s focal population does not include a specific demographic category, enter “0” for that category.

Code: ATR-2
Requirement: required
Instrument: CORT
Reporting frequency: annual
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-cort-stop-act.pdf

Estimated total number of individuals to be served through direct/individual- based prevention efforts by demographic category.

Code: ATR-3
Requirement: required
Definition: a. Sex (1) Female: (2) Male: b. Race/Ethnicity (1) American Indian or Alaska Native: (2) Asian: (3) Black or African American: (4) Hispanic or Latino: (5) Middle Eastern or North African: (6) Native Hawaiian or Pacific Islander: (7) White: c. Age (1) 12 years and under: (2) 13 to 17 years: (3) 18 to 20 years: (4) 21 to 24 years: (5) 25 to 44 years: (6) 45 to 64 years: (7) 65 to 74 years: (8) 75 years and older:
Instrument: CORT
Reporting frequency: annual
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-cort-stop-act.pdf

Unduplicated total number of individuals reached through indirect/population- based prevention efforts:

Code: QPR-1
Requirement: required
Definition: a. Actual count: ____ b. Estimated count: ____ Unduplicated number of new individuals reached. Enter the aggregate number of new individuals your grant program reached through one or more indirect/population-based prevention efforts during the reporting period. If no new individuals were reached during the reporting period, enter “0.” In addition, indicate the number of new individuals reported as an actual count and/or as an estimated count. If either type of count is not applicable, enter “0” for that type. Note: The combined number of actual and estimated counts should equal the unduplicated number of new individuals reached. Regardless of the number of indirect/population-based strategies implemented or the number of times an individual may have been exposed to one, new individuals reached should only be counted once for the reporting period.
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 9, https://www.samhsa.gov/sites/default/files/gpra-cort-stop-act.pdf

Unduplicated number of new individuals reached through indirect/population- based prevention efforts:

Code: QPR-2
Requirement: required
Definition: a. Actual count: ____ b. Estimated count: ____ [If no strategy identified in I.B.5 = “Direct/Individual-based,” then skip to Section D]. Unduplicated total number of individuals served. Enter the aggregate total number of individuals your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no individuals were served during the reporting period, enter “0.” Note: Regardless of the number of direct/individual-based prevention strategies implemented or the number of times an individual may have been exposed to one, individuals served should only be counted once for the reporting period.
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 9, https://www.samhsa.gov/sites/default/files/gpra-cort-stop-act.pdf

Unduplicated total number of individuals served through direct/individual- based prevention efforts: ____ Unduplicated total number of individuals served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participants in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the total unduplicated number of individuals served reported in the previous item.

Code: QPR-3
Requirement: required
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 9, https://www.samhsa.gov/sites/default/files/gpra-cort-stop-act.pdf

Unduplicated total number of individuals served through direct/individual- based prevention efforts by demographic category.

Code: QPR-4
Requirement: required
Definition: a. Sex (1) Female: (2) Male: b. Race/Ethnicity (1) American Indian or Alaska Native: (2) Asian: (3) Black or African American: (4) Hispanic or Latino: (5) Middle Eastern or North African: (6) Native Hawaiian or Pacific Islander: (7) White: (8) Unknown/not provided: c. Age (1) 12 years and under: (2) 13 to 17 years: (3) 18 to 20 years: (4) 21 to 24 years: (5) 25 to 44 years: (6) 45 to 64 years: (7) 65 to 74 years: (8) 75 years and older: (9) Unknown/not provided: Unduplicated number of new individuals served. Enter the aggregate unduplicated number of first-time participants your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no new individuals were served during the reporting period, enter “0.” Note: Regardless of the number of direct/individual-based prevention strategies implemented or the number of times an individual may have been exposed to one, new individuals served should only be counted once.
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 10, https://www.samhsa.gov/sites/default/files/gpra-cort-stop-act.pdf

Number of new individuals served through direct/individual-based prevention efforts: ____ Unduplicated number of new individuals served by demographic category. For each demographic category, enter the aggregate unduplicated number of first-time participants your grant program served through one or more direct/individual prevention efforts during the reporting period. If no new individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participant in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the number of new individuals served reported in the previous item.

Code: QPR-5
Requirement: required
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 11, https://www.samhsa.gov/sites/default/files/gpra-cort-stop-act.pdf

Number of new individuals served through direct/individual-based prevention efforts by demographic category.

Code: QPR-6
Requirement: required
Definition: a. Sex (1) Female: ____ (2) Male: ____ b. Race/Ethnicity (1) American Indian or Alaska Native: ____ (2) Asian: ____ (3) Black or African American: ____ (4) Hispanic or Latino: ____ (5) Middle Eastern or North African: ____ (6) Native Hawaiian or Pacific Islander: ____ (7) White: ____ (8) Unknown/not provided: ____ c. Age (1) 12 years and under: ____ (2) 13 to 17 years: ____ (3) 18 to 20 years: ____ (4) 21 to 24 years:____ (5) 25 to 44 years: ____ (6) 45 to 64 years: ____ (7) 65 to 74 years: ____ (8) 75 years and older:____ (9) Unknown/not provided: ____
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 11, https://www.samhsa.gov/sites/default/files/gpra-cort-stop-act.pdf

Substance Abuse and Mental Health Services Administration (SAMHSA), SAMHSA Strategic Prevention Framework for Prescription Drugs (SPF-Rx)

Estimated total number of individuals to be reached through indirect/population-based prevention efforts: [If no strategy identified in I.B.5= “Direct/Individual-based,” Then Skip I.C.2 and I.C.3] Estimated total number of individuals to be served. Enter the aggregate total number of individuals your grant program is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year.

Code: ATR-1
Requirement: required
Instrument: CORT
Reporting frequency: annual
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-cort-spf-rx.pdf

Estimated total number of individuals to be served through direct/individual- based prevention efforts: Estimated total number of individuals to be served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year. If your grant program’s focal population does not include a specific demographic category, enter “0” for that category.

Code: ATR-2
Requirement: required
Instrument: CORT
Reporting frequency: annual
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-cort-spf-rx.pdf

Estimated total number of individuals to be served through direct/individual- based prevention efforts by demographic category.

Code: ATR-3
Requirement: required
Definition: a. Sex (1) Female: (2) Male: b. Race/Ethnicity (1) American Indian or Alaska Native: (2) Asian: (3) Black or African American: (4) Hispanic or Latino: (5) Middle Eastern or North African: (6) Native Hawaiian or Pacific Islander: (7) White: SPF-Rx 3 c. Age (1) 12 years and under: (2) 13 to 17 years: (3) 18 to 20 years: (4) 21 to 24 years: (5) 25 to 44 years: (6) 45 to 64 years: (7) 65 to 74 years: (8) 75 years and older: SPF-Rx 4
Instrument: CORT
Reporting frequency: annual
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-cort-spf-rx.pdf

Unduplicated total number of individuals reached through indirect/population- based prevention efforts:

Code: QPR-1
Requirement: required
Definition: a. Actual count: ____ b. Estimated count: ____ Unduplicated number of new individuals reached. Enter the aggregate number of new individuals your grant program reached through one or more indirect/population-based prevention efforts during the reporting period. If no new individuals were reached during the reporting period, enter “0.” In addition, indicate the number of new individuals reported as an actual count and/or as an estimated count. If either type of count is not applicable, enter “0” for that type. Note: The combined number of actual and estimated counts should equal the unduplicated number of new individuals reached. Regardless of the number of indirect/population-based strategies implemented or the number of times an individual may have been exposed to one, new individuals reached should only be counted once for the reporting period.
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 10, https://www.samhsa.gov/sites/default/files/gpra-cort-spf-rx.pdf

Unduplicated number of new individuals reached through indirect/population- based prevention efforts:

Code: QPR-2
Requirement: required
Definition: a. Actual count: ____ b. Estimated count: ____ [If no strategy identified in I.B.5 = “Direct/individual-based,” then skip to Section D]. Unduplicated total number of individuals served. Enter the aggregate total number of individuals your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no individuals were served during the reporting period, enter “0.” Note: Regardless of the number of direct/individual-based prevention strategies implemented or the number of times an individual may have been exposed to one, individuals served should only be counted once for the reporting period.
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 10, https://www.samhsa.gov/sites/default/files/gpra-cort-spf-rx.pdf

Unduplicated total number of individuals served through direct/individual- based prevention efforts: Unduplicated total number of individuals served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participants in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the total unduplicated number of individuals served reported in the previous item. SPF-Rx 7

Code: QPR-3
Requirement: required
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 10, https://www.samhsa.gov/sites/default/files/gpra-cort-spf-rx.pdf

Unduplicated total number of individuals served through direct/individual- based prevention efforts by demographic category.

Code: QPR-4
Requirement: required
Definition: a. Sex (1) Female: (2) Male: b. Race/Ethnicity (1) American Indian or Alaska Native: (2) Asian: (3) Black or African American: (4) Hispanic or Latino: (5) Middle Eastern or North African: (6) Native Hawaiian or Pacific Islander: (7) White: (8) Unknown/not provided: c. Age (1) 12 years and under: (2) 13 to 17 years: (3) 18 to 20 years: (4) 21 to 24 years: (5) 25 to 44 years: (6) 45 to 64 years: (7) 65 to 74 years: (8) 75 years and older: (9) Unknown/not provided: SPF-Rx 8 Unduplicated number of new individuals served. Enter the aggregate unduplicated number of first-time participants your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no new individuals were served during the reporting period, enter “0.” Note: Regardless of the number of direct/individual-based prevention strategies implemented or the number of times an individual may have been exposed to one, new individuals served should only be counted once.
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 11, https://www.samhsa.gov/sites/default/files/gpra-cort-spf-rx.pdf

Number of new individuals served through direct/individual-based prevention efforts: ____ Unduplicated number of new individuals served by demographic category. For each demographic category, enter the aggregate unduplicated number of first-time participants your grant program served through one or more direct/individual prevention efforts during the reporting period. If no new individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participant in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the number of new individuals served reported in the previous item.

Code: QPR-5
Requirement: required
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 12, https://www.samhsa.gov/sites/default/files/gpra-cort-spf-rx.pdf

Number of new individuals served through direct/individual-based prevention efforts by demographic category.

Code: QPR-6
Requirement: required
Definition: a. Sex (1) Female: (2) Male: b. Race/Ethnicity (1) American Indian or Alaska Native: (2) Asian: (3) Black or African American: (4) Hispanic or Latino: (5) Middle Eastern or North African: (6) Native Hawaiian or Pacific Islander: (7) White: (8) Unknown/not provided: SPF-Rx 9 c. Age (1) 12 years and under: (2) 13 to 17 years: (3) 18 to 20 years: (4) 21 to 24 years: (5) 25 to 44 years: (6) 45 to 64 years: (7) 65 to 74 years: (8) 75 years and older: (9) Unknown/not provided:
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 12, https://www.samhsa.gov/sites/default/files/gpra-cort-spf-rx.pdf

Substance Abuse and Mental Health Services Administration (SAMHSA), SAMHSA Strategic Prevention Framework-Partnerships for Success (SPF-PFS)

Estimated total number of individuals to be reached through indirect/population-based prevention efforts: [If no strategy identified in I.B.5= “Direct/individual-based,” then skip I.C.2 and I.C.3] Estimated total number of individuals to be served. Enter the aggregate total number of individuals your grant program is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year.

Code: ATR-1
Requirement: required
Instrument: CORT
Reporting frequency: annual
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-cort-pfs.pdf

Estimated total number of individuals to be served through direct/individual- based prevention efforts: Estimated total number of individuals to be served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year. If your grant program’s focal population does not include a specific demographic category, enter “0” for that category.

Code: ATR-2
Requirement: required
Instrument: CORT
Reporting frequency: annual
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 7, https://www.samhsa.gov/sites/default/files/gpra-cort-pfs.pdf

Estimated total number of individuals to be served through direct/individual- based prevention efforts by demographic category.

Code: ATR-3
Requirement: required
Definition: a. Sex (1) Female: (2) Male: b. Race/Ethnicity (1) American Indian or Alaska Native: (2) Asian: (3) Black or African American: (4) Hispanic or Latino: (5) Middle Eastern or North African: (6) Native Hawaiian or Pacific Islander: (7) White: c. Age (1) 12 years and under: (2) 13 to 17 years: (3) 18 to 20 years: (4) 21 to 24 years: (5) 25 to 44 years: (6) 45 to 64 years: (7) 65 to 74 years: (8) 75 years and older:
Instrument: CORT
Reporting frequency: annual
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 7, https://www.samhsa.gov/sites/default/files/gpra-cort-pfs.pdf

Unduplicated total number of individuals reached through indirect/population- based prevention efforts:

Code: QPR-1
Requirement: required
Definition: a. Actual count: ____ b. Estimated count: ____ Unduplicated number of new individuals reached. Enter the aggregate number of new individuals your grant program reached through one or more indirect/population-based prevention efforts during the reporting period. If no new individuals were reached during the reporting period, enter “0.” In addition, indicate the number of new individuals reported as an actual count and/or as an estimated count. If either type of count is not applicable, enter “0” for that type. Note: The combined number of actual and estimated counts should equal the unduplicated number of new individuals reached. Regardless of the number of indirect/population-based strategies implemented or the number of times an individual may have been exposed to one, new individuals reached should only be counted once for the reporting period.
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 10, https://www.samhsa.gov/sites/default/files/gpra-cort-pfs.pdf

Unduplicated number of new individuals reached through indirect/population- based prevention efforts:

Code: QPR-2
Requirement: required
Definition: a. Actual count: ____ b. Estimated count: ____ [If no strategy identified in I.B.5 = “Direct/individual-based,” then skip to Section D]. Unduplicated total number of individuals served. Enter the aggregate total number of individuals your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no individuals were served during the reporting period, enter “0.” Note: Regardless of the number of direct/individual-based prevention strategies implemented or the number of times an individual may have been exposed to one, individuals served should only be counted once for the reporting period.
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 10, https://www.samhsa.gov/sites/default/files/gpra-cort-pfs.pdf

Unduplicated total number of individuals served through direct/individual- based prevention efforts: Unduplicated total number of individuals served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participants in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the total unduplicated number of individuals served reported in the previous item.

Code: QPR-3
Requirement: required
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 10, https://www.samhsa.gov/sites/default/files/gpra-cort-pfs.pdf

Unduplicated total number of individuals served through direct/individual- based prevention efforts by demographic category.

Code: QPR-4
Requirement: required
Definition: a. Sex (1) Female: (2) Male: b. Race/Ethnicity (1) American Indian or Alaska Native: (2) Asian: (3) Black or African American: (4) Hispanic or Latino: (5) Middle Eastern or North African: (6) Native Hawaiian or Pacific Islander: (7) White: (8) Unknown/not provided: c. Age (1) 12 years and under: (2) 13 to 17 years: (3) 18 to 20 years: (4) 21 to 24 years: (5) 25 to 44 years: (6) 45 to 64 years: (7) 65 to 74 years: (8) 75 years and older: (9) Unknown/not provided: Unduplicated number of new individuals served. Enter the aggregate unduplicated number of first-time participants your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no new individuals were served during the reporting period, enter “0.” Note: Regardless of the number of direct/individual-based prevention strategies implemented or the number of times an individual may have been exposed to one, new individuals served should only be counted once.
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 11, https://www.samhsa.gov/sites/default/files/gpra-cort-pfs.pdf

Number of new individuals served through direct/individual-based prevention efforts: ____ Unduplicated number of new individuals served by demographic category. For each demographic category, enter the aggregate unduplicated number of first-time participants your grant program served through one or more direct/individual prevention efforts during the reporting period. If no new individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participant in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the number of new individuals served reported in the previous item.

Code: QPR-5
Requirement: required
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 12, https://www.samhsa.gov/sites/default/files/gpra-cort-pfs.pdf

Number of new individuals served through direct/individual-based prevention efforts by demographic category.

Code: QPR-6
Requirement: required
Definition: a. Sex (1) Female: ____ (2) Male: ____ b. Race/Ethnicity (1) American Indian or Alaska Native: ____ (2) Asian: ____ (3) Black or African American: ____ (4) Hispanic or Latino: ____ (5) Middle Eastern or North African: ____ (6) Native Hawaiian or Pacific Islander: ____ (7) White: ____ (8) Unknown/not provided: ____ c. Age (1) 12 years and under: ____ (2) 13 to 17 years: ____ (3) 18 to 20 years: ____ (4) 21 to 24 years: ____ (5) 25 to 44 years: ____ (6) 45 to 64 years: ____ (7) 65 to 74 years: ____ (8) 75 years and older: ____ (9) Unknown/not provided: ____
Instrument: CORT
Reporting frequency: quarterly
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 12, https://www.samhsa.gov/sites/default/files/gpra-cort-pfs.pdf

Substance Abuse and Mental Health Services Administration (SAMHSA), SAMHSA discretionary grants: SUPRT-A Administrative Report

15 of 43 measures shown.

[AT BASELINE] What is the client’s month and year of birth (MM/YYYY)? | | | / | | | | |

Code: A1
Requirement: required
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 3, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

What is the date of the assessment (MM/DD/YYYY)? | | | / | | | / | | | | | MONTH DAY YEAR

Code: A2
Requirement: required
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 3, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

Which assessment type?

Code: A3
Requirement: required
Definition: Answer categories: Baseline | Reassessment (for clients in care at 3 or 6 months) | Annual (for clients in care for more than 12 months) | Record closeout
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 3, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

[AT BASELINE ASSESSMENT ONLY] When did the client first receive services under this grant (MM/YYYY)? | | | / | | | | |

Code: A4
Requirement: required
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 3, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

[AT REASSESSMENT OR ANNUAL OR CLOSEOUT] When did the client most recently receive services under this grant (MM/YYYY)? | | | / | | | | |

Code: A5
Requirement: required
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 3, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

[AT RECORD CLOSEOUT] Why are you closing out this client’s record?

Code: A6
Requirement: required
Definition: Answer categories: Completed the program | No contact | Withdrew from/Refused treatment | Referred out | Transferred to a different grant program | Incarceration | Moved | Death | Other
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 3, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

[IF QUESTION A6 IS DEATH] What is the cause of death?

Code: A6a
Requirement: required
Definition: Answer categories: Suicide | Overdose | Other behavioral health cause | Other cause | Not documented in record
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

What insurance does the client or guarantor have?

Code: B1
Requirement: required
Definition: Answer categories: SELECT ALL THAT APPLY | Medicare | Medicaid | Private Insurance or Employer Provided | TRICARE, CHAMPUS, CHAMPVA or other veteran or military health care | Indian Health Service Tribal Health Care | An assistance program [for example, a medication assistance program] | Any other type of health insurance or health coverage plan | None | Not documented in records or not documented in records using this standard
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

In the past 30 days, was the client admitted to a hospital?

Code: B2
Requirement: required
Definition: Answer categories: Yes – Behavioral health reasons, for example mental health or substance use disorder | Yes – other health reasons, for example injury or illness | No | Not documented in records or not documented in records using this standard
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

In the past 30 days, did the client visit an emergency department?

Code: B3
Requirement: required
Definition: Answer categories: Yes – Behavioral health reasons, for example mental health or substance use disorder | Yes – other health reasons, for example injury or illness | No | Not documented in records or not documented in records using this standard
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

In the past 30 days, did the client experience a behavioral health crisis or request crisis response, for example from 988 or 911?

Code: B4
Requirement: required
Definition: Answer categories: Yes | No | Not documented in records or not documented in records using this standard
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

[IF QUESTION B4 IS YES] What is the primary crisis issue?

Code: B4a
Requirement: required
Definition: Answer categories: Suicide risk | Other risk of harm to self or others (e.g. NSSI, homicidal thoughts) | Mental health | Substance use other than overdose | Overdose | Other | Not documented in records or not documented in records using this standard
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

In the past 30 days, did the client spend one or more nights at a residential behavioral health treatment facility, for example crisis stabilization or residential substance use disorder treatment facility, including for withdrawal management?

Code: B5
Requirement: required
Definition: Answer categories: Yes | No | Not documented in records or not documented in records using this standard
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

[CLIENTS 11 YEARS OR OLDER ONLY] In the past 90 days, was the client arrested, taken into custody, or detained?

Code: B6
Requirement: required
Definition: Answer categories: Yes | No | Not applicable | Not documented in records or not documented in records using this standard
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

[CLIENTS 11 YEARS OR OLDER ONLY] In the past 90 days, did the client spend one or more nights in jail or a correctional facility?

Code: B7
Requirement: required
Definition: Answer categories: Yes | No | Not applicable | Not documented in records or not documented in records using this standard
Instrument: SUPRT-A
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-suprt-a-tool.pdf

Substance Abuse and Mental Health Services Administration (SAMHSA), SAMHSA discretionary grants: SUPRT-C client/caregiver form

15 of 69 measures shown.

Please choose the option that best applies to you right now:

Code: A1
Requirement: required
Definition: Answer categories: I consider myself to be in recovery from substance use issues | I consider myself to be in recovery from mental health issues | I consider myself to be in recovery from substance use and mental health issues | I do not consider myself to be in recovery for substance use or mental health issues | I prefer not to answer
Instrument: SUPRT-C
Reporting frequency: annual
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 3, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-annual-tool.pdf

As of right now, please select whether you strongly agree, agree, somewhat agree, somewhat disagree, disagree, or strongly disagree with each statement in the table below. Strongly Somewhat Somewhat Strongly Prefer not Agree Agree Agree Disagree Disagree Disagree to answer a.

Code: A2
Requirement: required
Definition: Item text continues: I am physically fine most days. ...        b. My mental health is fine most Answer categories: days. ... | c. My substance use does not | cause problems in my life. ... | d. I have stable housing. ...        | e. I have a steady job or am | involved in things like school,        | training, or volunteering. ... | f. My life has purpose and | meaning. ... | g. I have enough money to meet | my needs. ... | h. I am proud of the community I | live in and feel a part of it. ... | i. I am supported by the people | around me. ... | j. The future appears bright to me.        | k. I am in control of my life. ...        | l. I bounce back quickly after hard | times. ...
Instrument: SUPRT-C
Reporting frequency: annual
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 3, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-annual-tool.pdf

On a scale of 0 to 100, if 0 represents no quality of life and 100 is perfect quality of life, how would you rate your quality of life? | | | |

Code: A3
Requirement: required
Instrument: SUPRT-C
Reporting frequency: annual
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-annual-tool.pdf

As a result of the services you received, which goals did you make progress on?

Code: A4
Requirement: required
Definition: Answer categories: CHECK ALL THAT APPLY | Improve the symptoms that led me to services (for example distress, anxiety) | Reduce my drug and/or alcohol use | Gain access to medical services I need | Enroll in or finish education (for example GED, degree, vocational training) | Get or maintain a job | Live in stable housing | Be a better parent or caregiver | Improve my friendships and relationships | Comply with court order or avoid contact with the police and/or justice system | Other goal - Please describe: ____ | Prefer not to answer | Thank you for completing this annual assessment form. | Public reporting burden for this collection of information is estimated to average 7 minutes per response. Send | comments regarding this burden estimate, or any other aspect of this collection of information, to the Substance | Abuse and Mental Health Services Administration (SAMHSA) Reports Clearance Officer, Room 15E57B, 5600 | Fishers Lane, Rockville, MD 20857. An agency may not conduct or sponsor, and a person is not required to | respond to, a collection of information unless it displays a currently valid Office of Management and Budget | (OMB) control number. The control number for this project is 0930-0400. | [OFFICE USE ONLY] RECORD MANAGEMENT – ADULT / CLIENT / ANNUAL | CLIENT ID | | | | | | | | | | | | | SITE ID | | | | | | | | | | | | GRANT ID | | | | | | | | | | 1. Was this assessment conducted with the client/caregiver? | Yes – Client | Yes – Caregiver/Proxy | No | 1a. [IF QUESTION 1 IS YES] When? | | | | / | | | / | | | | | MM / DD / YYYY | 1b. [IF QUESTION 1 IS NO] Why not? Choose the primary reason. | Client/Caregiver was unable to provide consent | Client was not reached for assessment | Client no longer in care
Instrument: SUPRT-C
Reporting frequency: annual
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-annual-tool.pdf

What is your race or ethnicity? Select all that apply and enter additional details in the spaces below. Note, you may report more than one group.

Code: A1
Requirement: required
Definition: Answer categories: White – Provide details below. | German | Irish | English | Italian | Polish | French | Enter, for example, Scottish, Norwegian, Dutch, etc. ____ | Hispanic or Latino – Provide details below. | Mexican or Mexican American | Puerto Rican | Cuban | Salvadoran | Dominican | Colombian | Enter, for example, Guatemalan, Spaniard, Ecuadorian, etc. ____ | Black or African American – Provide details below. | African American | Jamaican | Haitian | Nigerian | Ethiopian | Somali | Enter, for example, Ghanaian, South African, Barbadian, etc. ____ | Asian – Provide details below. | Chinese | Filipino | Asian Indian | Vietnamese | Korean | Japanese | Enter, for example, Pakistani, Cambodian, Hmong, etc. ____ | American Indian or Alaska Native – Provide details below. | Specify, for example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow | Inupiat Traditional Government, Tlingit, etc. ____ | Middle Eastern or North African – Provide details below. | Lebanese | Iranian | Egyptian | Syrian | Moroccan | Israeli | Enter, for example, Algerian, Iraqi, Kurdish, etc. ____ | Native Hawaiian or Pacific Islander – Provide details below. | Native Hawaiian | Samoan | Chamorro | Tongan | Fijian | Marshallese | Enter, for example, Palauan, Tahitian, Chuukese etc. ____
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 3, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

What is your sex?

Code: A2
Requirement: required
Definition: Answer categories: Female | Male
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

Do you speak a language other than English at home? (If no, please skip to question A4.)

Code: A3
Requirement: required
Definition: Answer categories: Yes | No | Prefer not to answer
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

For persons speaking a language other than English (answering yes to the question above): What is this language(s)?

Code: A3a
Requirement: required
Definition: Answer categories: CHECK ALL THAT APPLY | American Sign Language (ASL) | Arabic | Chinese | French | Portuguese | Spanish | Other Language – specify: ____ | Prefer not to answer
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

Have you ever served in the Armed Forces, the Reserves, the National Guard or other Uniformed Services?

Code: A4
Requirement: required
Definition: Answer categories: Yes, currently serving | Yes, served in the past | No | Prefer not to answer
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

Please respond to the following questions about your physical health. Prefer not Yes No to answer a. Are you deaf or do you have serious difficulty hearing? ...    b. Are you blind or do you have serious difficulty seeing, even when wearing

Code: A5
Requirement: required
Definition: Answer categories: glasses? ... | c. Because of a physical, mental, or emotional condition, do you have serious | difficulty concentrating, remembering, or making decisions? ... | d. Do you have serious difficulty walking or climbing stairs? ...    | e. Do you have difficulty dressing or bathing? ...    | f. Because of a physical, mental, or emotional condition, do you have | difficulty doing errands alone such as visiting a doctor’s office or shopping?
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

How hard is it for you to pay for the very basics like food, housing, medical care, and heating?

Code: B1
Requirement: required
Definition: Answer categories: Very hard | Somewhat hard | Not hard at all | Prefer not to answer
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

What is your living situation today?

Code: B2
Requirement: required
Definition: Answer categories: I have a steady place to live | I have a place to live today but I am worried about losing it in the future | I do not have a steady place to live (I am temporarily staying with others, in a hotel, in a shelter, living | outside on the street, on a beach, in a car, abandoned building, bus or train station, or in a park) | Prefer not to answer
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

Which of the following best describes your current living situation?

Code: B3
Requirement: required
Definition: Answer categories: House or apartment | Your partner’s place | A friend or relative’s and paying rent | A friend or relative’s and not paying rent | Permanent housing program | Transitional housing program | Domestic violence shelter | Emergency shelter | Voucher hotel or motel | Hotel or motel you pay for | Residential drug or alcohol program | Jail or prison | Car or other vehicle | Abandoned building | Anywhere outside | Somewhere else [where]: ____ | Prefer not to answer
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

Are you currently employed?

Code: B4
Requirement: required
Definition: Answer categories: Employed, full time or part time (includes temporary, seasonal, hours change each week) | Not employed, seeking employment | Not employed, not seeking employment (includes if you are in school and not seeking a job, retired, | not looking for work because of a disability, a homemaker, etc.) | Other – specify: ____ | Prefer not to answer
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

What is the highest level of education you have finished?

Code: B5
Requirement: required
Definition: Answer categories: Less than high school diploma | High school degree or GED | Some vocational, technical, college, or university credit(s) | Associate's degree or technical/vocational certificate | 4-year degree or higher | Prefer not to answer
Instrument: SUPRT-C
Reporting frequency: baseline
Target rule: No target rule stated
Source: SAMHSA SUPRT data collection tools, p. 7, https://www.samhsa.gov/sites/default/files/gpra-suprt-c-adult-baseline-tool.pdf

Substance Abuse and Mental Health Services Administration (SAMHSA), SAMHSA discretionary grants: SUPRT-P Project tool

15 of 284 measures shown.

Total Number of Individuals Served

Code: TS1
Requirement: required
Definition: For annual targets, enter the total number of individuals your grant plans to serve through one or more grant services during the federal fiscal year specified. For quarterly reporting, enter the total number of unduplicated new individuals served with one or more grant services during the quarter. Total of new individuals served
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Total Served by Sex

Code: TS2
Requirement: required
Definition: Enter the number of new individuals served by sex. Each individual may be reported only under one sex. a. Female b. Male
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Total Served by Age Group

Code: TS3
Requirement: required
Definition: Enter the number of new individuals served for each of the following age groups. Each individual may be reported only under one age group. a. 0-9 years b. 10-17 years c. 18-20 years d. 21-24 years e. 25-44 years f. 45-64 years g. 65+ years h. Age not available
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 4, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Total Served by Military Status

Code: TS4
Requirement: required
Definition: Enter the number of new individuals served by military status. Each individual may be reported only under one military status group. a. Veteran b. Active Duty c. Reserve Status d. Military status not available
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of mental health awareness and promotion messaging impressions

Code: AW1
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of substance use prevention messaging impressions

Code: AW2
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of 988 awareness messaging impressions Outreach (O) Outreach (O) indicators track one-on-one contact with individuals outside of the clinical

Code: AW3
Requirement: required
Definition: setting to encourage care seeking, improve access to care, linkages to care, and retention in care. Outreach Result For annual targets, enter the total number of connections your grant plans to contact through outreach during the federal fiscal year specified. For quarterly reporting, enter the total number of connections your grant contacted through outreach during the quarter.
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 5, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of connections made through program outreach

Code: O1
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of connections made through program outreach in geographically isolated areas

Code: O2
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of connections made through program outreach in under- resourced communities

Code: O3
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of new individuals vaccinated for hepatitis A (HAV)

Code: PA1
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of new individuals vaccinated for hepatitis B (HBV)

Code: PA2
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of opioid overdose reversal medication (OORM) kits purchased

Code: PA3
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of opioid overdose reversal medication (OORM) kits distributed

Code: PA4
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

Number of prevention devices distributed

Code: PA5
Requirement: required
Instrument: SUPRT-P
Reporting frequency: annual targets; quarterly results
Target rule: Applicant proposes the target
Source: SAMHSA SUPRT data collection tools, p. 6, https://www.samhsa.gov/sites/default/files/spars-suprt-p-tool.pdf

What you can collect, and how

Tier 1 is collected today from your own records. Tier 2 needs one free instrument. Tier 3 needs a partner under a data agreement. A measure that matches no rule has no tier.

Tier 1: Collect today from your own records

During this reporting period, how many unique youth received interventions to increase their knowledge of drug prevention?

Collect today from your own records. A count of services or people, held in the organization’s own records.

During this reporting period, how many unique youth received treatment, services, or support for exposure to violence or adverse experiences?

Collect today from your own records. A count of services or people, held in the organization’s own records.

During this reporting period, how many unique youth engaged in extracurricular activities, after- school programs, or mentoring programs?

Collect today from your own records. A count of services or people, held in the organization’s own records.

During this reporting period, how many unique parents or caregivers received interventions to increase their knowledge of drug prevention?

Collect today from your own records. A count of services or people, held in the organization’s own records.

During this reporting period, how many unique individuals engaged in community coalitions to reduce drug use?

Collect today from your own records. A count of services or people, held in the organization’s own records.

During this reporting period, how many unique law enforcement officers and personnel engaged in community coalitions to reduce drug use?

Collect today from your own records. A count of services or people, held in the organization’s own records.

During this reporting period, how many unique service providers were involved in screening youth to determine their needs or provide interventions to meet their needs?

Collect today from your own records. A count of services or people, held in the organization’s own records.

Of the unique youth who received an intervention to increase drug prevention knowledge during this reporting period, how many perceived a high risk of harm associated with drug use?

Collect today from your own records. A count of services or people, held in the organization’s own records.

Of the unique youth who received any intervention during this reporting period, how many perceived a high risk of harm associated with drug use?

Collect today from your own records. A count of services or people, held in the organization’s own records.

Of the unique youth who received an intervention to increase drug prevention knowledge during this reporting period, how many expressed an intent to abstain from drugs?

Collect today from your own records. A count of services or people, held in the organization’s own records.

Of the unique youth who received an intervention to increase drug prevention knowledge since the start of this award, how many self-reported substance use within the past 30 days?

Collect today from your own records. A count of services or people, held in the organization’s own records.

Estimated total number of individuals to be served through direct/individual- based prevention efforts by demographic category.

Collect today from your own records. An output the funder classes as a count of activity.

Unduplicated total number of individuals reached through indirect/population- based prevention efforts:

Collect today from your own records. A count of people served, held in the organization’s own records.

Unduplicated number of new individuals reached through indirect/population- based prevention efforts:

Collect today from your own records. A count of people served, held in the organization’s own records.

Unduplicated total number of individuals served through direct/individual- based prevention efforts: ____ Unduplicated total number of individuals served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participants in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the total unduplicated number of individuals served reported in the previous item.

Collect today from your own records. A count of people served, held in the organization’s own records.

Unduplicated total number of individuals served through direct/individual- based prevention efforts by demographic category.

Collect today from your own records. A count of people served, held in the organization’s own records.

Number of new individuals served through direct/individual-based prevention efforts: ____ Unduplicated number of new individuals served by demographic category. For each demographic category, enter the aggregate unduplicated number of first-time participants your grant program served through one or more direct/individual prevention efforts during the reporting period. If no new individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participant in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the number of new individuals served reported in the previous item.

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of new individuals served through direct/individual-based prevention efforts by demographic category.

Collect today from your own records. A count of services or people, held in the organization’s own records.

Estimated total number of individuals to be served through direct/individual- based prevention efforts by demographic category.

Collect today from your own records. An output the funder classes as a count of activity.

Unduplicated total number of individuals reached through indirect/population- based prevention efforts:

Collect today from your own records. A count of people served, held in the organization’s own records.

Unduplicated number of new individuals reached through indirect/population- based prevention efforts:

Collect today from your own records. A count of people served, held in the organization’s own records.

Unduplicated total number of individuals served through direct/individual- based prevention efforts: Unduplicated total number of individuals served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participants in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the total unduplicated number of individuals served reported in the previous item. SPF-Rx 7

Collect today from your own records. A count of people served, held in the organization’s own records.

Unduplicated total number of individuals served through direct/individual- based prevention efforts by demographic category.

Collect today from your own records. A count of people served, held in the organization’s own records.

Number of new individuals served through direct/individual-based prevention efforts: ____ Unduplicated number of new individuals served by demographic category. For each demographic category, enter the aggregate unduplicated number of first-time participants your grant program served through one or more direct/individual prevention efforts during the reporting period. If no new individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participant in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the number of new individuals served reported in the previous item.

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of new individuals served through direct/individual-based prevention efforts by demographic category.

Collect today from your own records. A count of services or people, held in the organization’s own records.

Estimated total number of individuals to be served through direct/individual- based prevention efforts by demographic category.

Collect today from your own records. An output the funder classes as a count of activity.

Unduplicated total number of individuals reached through indirect/population- based prevention efforts:

Collect today from your own records. A count of people served, held in the organization’s own records.

Unduplicated number of new individuals reached through indirect/population- based prevention efforts:

Collect today from your own records. A count of people served, held in the organization’s own records.

Unduplicated total number of individuals served through direct/individual- based prevention efforts: Unduplicated total number of individuals served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant program served through one or more direct/individual-based prevention efforts during the reporting period. If no individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participants in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the total unduplicated number of individuals served reported in the previous item.

Collect today from your own records. A count of people served, held in the organization’s own records.

Unduplicated total number of individuals served through direct/individual- based prevention efforts by demographic category.

Collect today from your own records. A count of people served, held in the organization’s own records.

Number of new individuals served through direct/individual-based prevention efforts: ____ Unduplicated number of new individuals served by demographic category. For each demographic category, enter the aggregate unduplicated number of first-time participants your grant program served through one or more direct/individual prevention efforts during the reporting period. If no new individuals served identified with a specific demographic category, enter “0” for that category. Note: Program participants can identify as more than one race/ethnicity. In these cases, count the program participant in all the applicable categories. Although there may be overlap across demographic categories, no demographic category should exceed the number of new individuals served reported in the previous item.

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of new individuals served through direct/individual-based prevention efforts by demographic category.

Collect today from your own records. A count of services or people, held in the organization’s own records.

Total Number of Individuals Served

Collect today from your own records. A count of services or people, held in the organization’s own records.

Total Served by Sex

Collect today from your own records. An output the funder classes as a count of activity.

Total Served by Age Group

Collect today from your own records. An output the funder classes as a count of activity.

Total Served by Military Status

Collect today from your own records. An output the funder classes as a count of activity.

Number of mental health awareness and promotion messaging impressions

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of substance use prevention messaging impressions

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of 988 awareness messaging impressions Outreach (O) Outreach (O) indicators track one-on-one contact with individuals outside of the clinical

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of connections made through program outreach

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of connections made through program outreach in geographically isolated areas

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of connections made through program outreach in under- resourced communities

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of new individuals vaccinated for hepatitis A (HAV)

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of new individuals vaccinated for hepatitis B (HBV)

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of opioid overdose reversal medication (OORM) kits purchased

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of opioid overdose reversal medication (OORM) kits distributed

Collect today from your own records. A count of services or people, held in the organization’s own records.

Number of prevention devices distributed

Collect today from your own records. A count of services or people, held in the organization’s own records.

Tier 2: Add one free instrument

On a scale of 0 to 100, if 0 represents no quality of life and 100 is perfect quality of life, how would you rate your quality of life? | | | |

Instrument: Rosenberg Self-Esteem Scale (Public domain; 10 items, about 2-3 minutes). License: “freely available; permission not required for use.” Form: https://www.phenxtoolkit.org/toolkit_content/PDF/PX180901.pdf Also cleared in this domain: PHQ-9, GAD-7, PCL-5 (Past Month).

Implementation question, answered from program records

Did you adjust the program plan as described in your application’s proposal narrative? If yes, what adjustments did you make, and why?

Did you experience any challenges during this reporting period that impacted service delivery to program participants? If yes, how did you address the challenges, and do the challenges remain unresolved?

Did you engage with OJJDP training and technical assistance providers during this reporting period? If yes, did the providers adequately address your issue?

Did the program experience any challenges related to external factors beyond your control during the reporting period that impacted program outcomes? If yes, please describe the challenges.

Do you speak a language other than English at home? (If no, please skip to question A4.)

Have you ever served in the Armed Forces, the Reserves, the National Guard or other Uniformed Services?

Are you currently employed?

Narrative response

What is the date of the assessment (MM/DD/YYYY)? | | | / | | | / | | | | | MONTH DAY YEAR

Which assessment type?

What insurance does the client or guarantor have?

Please choose the option that best applies to you right now:

As of right now, please select whether you strongly agree, agree, somewhat agree, somewhat disagree, disagree, or strongly disagree with each statement in the table below. Strongly Somewhat Somewhat Strongly Prefer not Agree Agree Agree Disagree Disagree Disagree to answer a.

As a result of the services you received, which goals did you make progress on?

What is your race or ethnicity? Select all that apply and enter additional details in the spaces below. Note, you may report more than one group.

What is your sex?

What is your living situation today?

Which of the following best describes your current living situation?

What is the highest level of education you have finished?

Planning figure, no collection needed

Estimated total number of individuals to be reached through indirect/population-based prevention efforts: ____ [If no strategy identified in I.B.5= “Direct/individual-based,” then skip I.C.2 and I.C.3] Estimated total number of individuals to be served. Enter the aggregate total number of individuals your grant program is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year.

Estimated total number of individuals to be served through direct/individual- based prevention efforts: Estimated total number of individuals to be served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year. If your grant program’s focal population does not include a specific demographic category, enter “0” for that category.

Estimated total number of individuals to be reached through indirect/population-based prevention efforts: [If no strategy identified in I.B.5= “Direct/Individual-based,” Then Skip I.C.2 and I.C.3] Estimated total number of individuals to be served. Enter the aggregate total number of individuals your grant program is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year.

Estimated total number of individuals to be served through direct/individual- based prevention efforts: Estimated total number of individuals to be served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year. If your grant program’s focal population does not include a specific demographic category, enter “0” for that category.

Estimated total number of individuals to be reached through indirect/population-based prevention efforts: [If no strategy identified in I.B.5= “Direct/individual-based,” then skip I.C.2 and I.C.3] Estimated total number of individuals to be served. Enter the aggregate total number of individuals your grant program is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year.

Estimated total number of individuals to be served through direct/individual- based prevention efforts: Estimated total number of individuals to be served by demographic category. For each demographic category, enter the aggregate total number of individuals your grant is planning to serve through one or more direct/individual-based prevention efforts during the federal fiscal year. If your grant program’s focal population does not include a specific demographic category, enter “0” for that category.

Tier not determined

Past 30-day use

Perception of risk

Perception of parental disapproval

Perception of peer disapproval

Annual progress report: community profile, sector and youth engagement, coalition capacity, risk and protective factors, and youth substance use prevention strategies

Short-term, intermediate and long-term outcome measures identified by the recipient from its program logic model

[AT BASELINE] What is the client’s month and year of birth (MM/YYYY)? | | | / | | | | |

[AT BASELINE ASSESSMENT ONLY] When did the client first receive services under this grant (MM/YYYY)? | | | / | | | | |

[AT REASSESSMENT OR ANNUAL OR CLOSEOUT] When did the client most recently receive services under this grant (MM/YYYY)? | | | / | | | | |

[AT RECORD CLOSEOUT] Why are you closing out this client’s record?

[IF QUESTION A6 IS DEATH] What is the cause of death?

In the past 30 days, was the client admitted to a hospital?

In the past 30 days, did the client visit an emergency department?

In the past 30 days, did the client experience a behavioral health crisis or request crisis response, for example from 988 or 911?

[IF QUESTION B4 IS YES] What is the primary crisis issue?

In the past 30 days, did the client spend one or more nights at a residential behavioral health treatment facility, for example crisis stabilization or residential substance use disorder treatment facility, including for withdrawal management?

[CLIENTS 11 YEARS OR OLDER ONLY] In the past 90 days, was the client arrested, taken into custody, or detained?

[CLIENTS 11 YEARS OR OLDER ONLY] In the past 90 days, did the client spend one or more nights in jail or a correctional facility?

For persons speaking a language other than English (answering yes to the question above): What is this language(s)?

Please respond to the following questions about your physical health. Prefer not Yes No to answer a. Are you deaf or do you have serious difficulty hearing? ...    b. Are you blind or do you have serious difficulty seeing, even when wearing

How hard is it for you to pay for the very basics like food, housing, medical care, and heating?

What grantees achieved

2 grantees of Middle School Initiatives – Substance Abuse Prevention reported 4 results against targets over 2 periods; the median result was 134% of target (middle half 125% to 143%), and 100% met or exceeded the target. Source: Children's Services Council of Broward County, annual performance reports, https://www.cscbroward.org/wp-content/uploads/2025/01/APR-FY-23-24-Book-002.pdf.

Hanley Center Foundation, Inc. - Leverage (FY2023-24): Percentage of participants successfully completing a prevention program; promised 80%, actual 100% (125% of target); unit: %. Source: https://www.cscbroward.org/wp-content/uploads/2025/01/APR-FY-23-24-Book-002.pdf
Hanley Center Foundation, Inc. (FY2021-22): Participants who successfully completed a prevention program; promised 80%, actual 100% (125% of target); unit: %. Source: https://www.cscbroward.org/wp-content/uploads/2023/02/Annual-Performance-Report-Fiscal-Year-2021-202212.pdf

1 grantee of Middle School Initiatives - Substance Abuse Prevention - Leverage reported 2 results against targets over 1 period; the median result was 127% of target (middle half 126% to 128%), and 100% met or exceeded the target. Source: Children's Services Council of Broward County, annual performance reports, https://www.cscbroward.org/wp-content/uploads/2025/01/APR-FY-23-24-Book-002.pdf.

Hanley Center Foundation, Inc. (FY2024-25): Percentage of participants successfully completing a prevention program; promised 80%, actual 100% (125% of target); unit: %. Source: https://www.cscbroward.org/wp-content/uploads/2026/01/APR-Book-FY-24-25.pdf

Program-level figures, not individual grantees: Substance Abuse Prevention reported 37 results against targets over 5 periods; the median result was 89% of target (middle half 82% to 100%), and 24% met or exceeded the target. Source: Illinois Comptroller Public Accountability Reports, https://par.illinoiscomptroller.gov/index.cfm?AgencyNo=601&FiscalYear=2022&ProgramAreaGroupID=3&ProgramID=1&UniqueProgramID=6011.

Department of Human Services (FY2008): Number of hours of Substance Abuse Prevention (SAP) activities.; promised 330,000, actual 286,319 (87% of target); unit: hours. Source: https://par.illinoiscomptroller.gov/index.cfm?AgencyNo=444&FiscalYear=2008&ProgramAreaGroupID=1&ProgramID=32&UniqueProgramID=44432

Program-level figures, not individual grantees: Safe and Drug Free Schools State Grants reported 14 results against targets over 3 periods; the median result was 100% of target (middle half 96% to 110%), and 57% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.

Safe and Drug Free Schools State Grants (2006): The number of days it takes States to respond satisfactorily to findings in the monitoring reports.; promised 77, actual 74 (96% of target). Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10000200.2006.html

Program-level figures, not individual grantees: Substance Abuse Prevention and Treatment Block Grant reported 9 results against targets over 8 periods; the median result was 98% of target (middle half 97% to 106%), and 44% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.

Substance Abuse Prevention and Treatment Block Grant (2000): Number of persons served (treatment); promised 1,525,688, actual 1,599,701 (105% of target); unit: count. Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10001066.2003.html

Program-level figures, not individual grantees: Drug-Free Communities Support Program reported 8 results against targets over 2 periods; the median result was 102% of target (middle half 100% to 108%), and 88% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.

Drug-Free Communities Support Program (2007): Percent of coalitions that report decreased risk factors in community.; promised 52%, actual 59% (113% of target); unit: %. Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10001154.2003.html

Program-level figures, not individual grantees: Youth Anti-Drug Media Campaign reported 3 results against targets over 3 periods; the median result was 100% of target (middle half 98% to 103%), and 67% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.

Youth Anti-Drug Media Campaign (2005): Percent of youth ages 12-18 who believe there is great risk of harm from regular marijuana use.; promised 62%, actual 66% (106% of target); unit: %. Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10000356.2003.html

Substance Abuse Prevention Projects of Regional and National Significance: the source lists 12 rows for this program but none carries both a target and a result, so no attainment is computed. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.

Target-setting language with precedent

Each item comes from one funder, one program or one department; none is a government-wide rule.

Showing clauses from HHS and Education.

CDC DP-23-0002 applicant FAQ (2023): Quote: “you may enter a '0' and then TBD for targets in the work plan” — https://archive.cdc.gov/www_cdc_gov/healthyschools/nofo/nofo.htm
EDGAR, 34 CFR 75.110(c) (2024): Paraphrase: An applicant that lacks a baseline explains how and when it will establish one. — https://www.govinfo.gov/content/pkg/FR-2024-08-29/html/2024-17239.htm
SAMHSA CMHS Infrastructure, Prevention and Promotion Overview Guide, v2.0, p. 9 (2022): Quote: “grantees can revise annual goals in consultation with their GPO during the first quarter of each fiscal year” — https://spars.samhsa.gov/sites/default/files/2023-01/OE%20SPARS%20CMHS%20IPP%20Overview%20Guide.pdf
Promise Neighborhoods guidance document, third edition (2025): Quote: “target setting will be an iterative process throughout implementation as more performance data is available” — https://promiseneighborhoods.ed.gov/pdf/Promise_Neighborhoods_Guidance_Document_508c.pdf
HRSA-26-057 ECCS SEED applicant FAQs, p. 6 (2026): Paraphrase: Baseline estimates are confirmed or updated within six months of award. — https://files.simpler.grants.gov/opportunities/45e009d7-46ed-482f-8aa7-02812f207f71/attachments/54ad1b19-2651-43c7-8ade-76203c7770d7/HRSA-26-057_ECCS_SEED_Applicant_FAQs.pdf
NIH PAR-25-383, Section VI (2025): Paraphrase: Future-year milestones may be renegotiated based on prior-year data. — https://grants.nih.gov/grants/guide/pa-files/PAR-25-383.html
Arizona Rural Health Transformation, approved program narrative, pp. 20-22 (2026): Paraphrase: A baseline assessment is done after award, and targets are set from it. — https://www.azahcccs.gov/AHCCCS/Downloads/Initiatives/RHTP/Arizona%27sApprovedProgramNarrative.pdf
HRSA Health Center Program (H80) patient targets, Primary Health Care Digest (2022): Quote: “confirm or request adjustment to their patient target by the deadline in their email” — https://content.govdelivery.com/accounts/USHHSHRSA/bulletins/3120df3

What reviewers penalize

These ten weaknesses recur in 17 published reviewer critiques, mostly U.S. Department of Education and NIH. The count is the number of critiques that name it, not a rate, and a reviewer comment is a judgment.

Attrition or missing-data handling left unresolved (named in 7 of 17 critiques). Reviewers wrote: “the applicant did not address how missing data will be handled” U.S. Department of Education, Education Innovation and Research (EIR) Mid-Phase, WestEd, S411B220027, 2022, Technical Review Form, pp. 25, 29. https://www.ed.gov/sites/ed/files/2022/12/S411B220027_WestEd_TRF.pdf#page=29
Comparisons vulnerable to selection, contamination, baseline differences or incompatible data (named in 7 of 17 critiques). Reviewers wrote: “may require additional interpretation” National Institutes of Health, NIAID, K01 AI131895 (Rebeiro, Vanderbilt), applicant-authorized summary statement; a research application, pp. 5-6. https://beta.nih.gov/sites/default/files/migrated_media/2026-09/k01-rebeiro-summary-statement.pdf#page=6
Feasibility assumptions or fallback arrangements unsupported (named in 6 of 17 critiques). Reviewers wrote: “no alternative analysis plan is provided” National Institutes of Health, NIDCD, R01 DC017174 (Heinemann and Cherney), applicant-authorized summary statement; a research application, pp. 3, 5-6. https://www.nidcd.nih.gov/sites/default/files/2022-03/sanitized-heinemann-cherney-summary-statement-redacted.pdf#page=5
Implementation fidelity, thresholds or mediators inadequately specified (named in 5 of 17 critiques). Reviewers wrote: “Mediators are not described.” U.S. Department of Education, EIR Early-Phase, Education Development Center, U411C190275, 2019, Technical Review Form, p. 4. https://www.ed.gov/sites/ed/files/2019/11/U411C190275-Education-Development-Center-Inc.-TRF-Tier-2.pdf#page=4
Measurement tools insufficiently identified, supported or protected against reporting bias (named in 4 of 17 critiques). Reviewers wrote: “no detail is provided” U.S. Department of Education, EIR Mid-Phase, Niswonger Foundation, U411B170038, 2017, Technical Review Form, pp. 4-5. https://www.ed.gov/sites/ed/files/2016/12/U411B170038_TRF.pdf#page=4
Targets or success criteria missing, inconsistent or disconnected from the project (named in 4 of 17 critiques). Reviewers wrote: “lacks a specific number” U.S. Department of Education, EIR Mid-Phase, ASSISTments Foundation, S411B220024, 2022, Technical Review Form, p. 14. https://www.ed.gov/sites/ed/files/2022/12/S411B220024_ASSISTments-Foundation-Inc_TRF.pdf#page=14
Analysis procedures insufficiently specified for the stated questions or model (named in 4 of 17 critiques). Reviewers wrote: “methods of data analysis are not adequately described” National Institutes of Health, NIAID, R01 AI098472 renewal (Gandhi, UCSF), applicant-authorized summary statement; a research application, pp. 4-5. https://beta.nih.gov/sites/default/files/migrated_media/2026-09/2-R01-AI098472-06_Ganhdi_Summary.pdf#page=4
Data protection, management or cross-site coordination incomplete (named in 3 of 17 critiques). Reviewers wrote: “The data management plan stops midsentence on page 125” National Institutes of Health, NIDCD, R01 DC017683 (Gifford and Camarata, Vanderbilt), applicant-authorized summary statement; a research application, pp. 9-10. https://www.nidcd.nih.gov/sites/default/files/2022-05/sanitized-giffordcamarataapplicationsummary-dc017683-01a1.pdf#page=10
Feedback collection lacks a specified route into program decisions (named in 2 of 17 critiques). Reviewers wrote: “The applicant does not discuss how often the team will review data or implement changes.” U.S. Department of Education, EIR Early-Phase, Orange County Superintendent of Schools, S411C200130, 2020, Technical Review Form, pp. 16, 19. https://www.ed.gov/sites/ed/files/2020/12/S411C200130-Orange-County-Superintendent-of-Schools-TRF.pdf#page=19
Evaluator independence insufficiently explained (named in 1 of 17 critiques). Reviewers wrote: “The level of independence is not made clear” U.S. Department of Education, EIR Early-Phase, Research Triangle Institute, S411C220065, 2022, Technical Review Form, pp. 24-25. https://www.ed.gov/sites/ed/files/2022/12/S411C220065_Research-Triangle-Institute-_TRF.pdf#page=24

Protocol skeleton

Draft text, edit before use

Measures: Past 30-day use; Perception of risk; Perception of parental disapproval; Perception of peer disapproval; Annual progress report: community profile, sector and youth engagement, coalition capacity, risk and protective factors, and youth substance use prevention strategies; Short-term, intermediate and long-term outcome measures identified by the recipient from its program logic model; During this reporting period, how many unique youth received interventions to increase their knowledge of drug prevention?; During this reporting period, how many unique youth received treatment, services, or support for exposure to violence or adverse experiences?; During this reporting period, how many unique youth engaged in extracurricular activities, after- school programs, or mentoring programs?; During this reporting period, how many unique parents or caregivers received interventions to increase their knowledge of drug prevention?; During this reporting period, how many unique individuals engaged in community coalitions to reduce drug use?; During this reporting period, how many unique law enforcement officers and personnel engaged in community coalitions to reduce drug use?; and 67 more listed above. Baseline: ____ months from award, using CDC-RFA-CE-26-0061 NOFO, Required performance measures; CORT; SUPRT-A; SUPRT-C; SUPRT-P. Targets: set from the observed baseline at month ____, or committed now as a change of ____ percentage points from baseline.

Missing-data plan (how dropout and missing observations will be handled): ____

Comparison group or baseline (what you compare against and how the groups started): ____

Fallback if recruitment, data access or the first analysis falls short: ____

Fidelity threshold (what counts as full implementation, and how it is measured): ____

Instrument named, with its validity evidence and its rights (license) status: ____

Numeric target for each measure (a number, not a direction): ____

Analysis for each outcome (method, comparison, adjustment): ____

Data protection and data management (who holds identifiable data, where, for how long): ____

Feedback schedule (who reviews the data, how often, and what changes as a result): ____

Evaluator role and independence (who evaluates and how they are separate from delivery): ____

The text is copied or summarized from public documents. It is not legal advice.