RequiredoutcomeA1
Narrative response
A prompt for a description, a selection or a short answer.
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
- annual
- Target
- No target rule stated
Source document, 3RequiredoutcomeA2
Narrative response
A prompt for a description, a selection or a short answer.
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. ...…
- Instrument
- SUPRT-C
- Reporting
- annual
- Target
- No target rule stated
Source document, 3RequiredoutcomeA3
Tier 2: Add one free instrument
Asks for a reported change in knowledge, attitude, behavior or condition.
- Instrument
- SUPRT-C
- Reporting
- annual
- Target
- No target rule stated
Source document, 4RequiredoutcomeA4
Narrative response
A prompt for a description, a selection or a short answer.
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 cou…
- Instrument
- SUPRT-C
- Reporting
- annual
- Target
- No target rule stated
Source document, 4RequiredotherA1
Narrative response
A prompt for a description, a selection or a short answer.
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. ____ | B…
- Instrument
- SUPRT-C
- Reporting
- baseline
- Target
- No target rule stated
Source document, 3RequiredotherA2
Narrative response
A prompt for a description, a selection or a short answer.
Answer categories: Female | Male
- Instrument
- SUPRT-C
- Reporting
- baseline
- Target
- No target rule stated
Source document, 4RequiredotherA3
Implementation question, answered from program records
A yes/no question about your own program. You answer it from program records, so there is no data to collect.
Answer categories: Yes | No | Prefer not to answer
- Instrument
- SUPRT-C
- Reporting
- baseline
- Target
- No target rule stated
Source document, 4RequiredotherA3a
Tier not determined
No rule matched this measure, so no tier is guessed.
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
- baseline
- Target
- No target rule stated
Source document, 4RequiredotherA4
Implementation question, answered from program records
A yes/no question about your own program. You answer it from program records, so there is no data to collect.
Answer categories: Yes, currently serving | Yes, served in the past | No | Prefer not to answer
- Instrument
- SUPRT-C
- Reporting
- baseline
- Target
- No target rule stated
Source document, 4RequiredotherA5
Tier not determined
No rule matched this measure, so no tier is guessed.
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 dif…
- Instrument
- SUPRT-C
- Reporting
- baseline
- Target
- No target rule stated
Source document, 5RequiredotherB1
Tier not determined
No rule matched this measure, so no tier is guessed.
Answer categories: Very hard | Somewhat hard | Not hard at all | Prefer not to answer
- Instrument
- SUPRT-C
- Reporting
- baseline
- Target
- No target rule stated
Source document, 6RequiredotherB2
Narrative response
A prompt for a description, a selection or a short answer.
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
- baseline
- Target
- No target rule stated
Source document, 6RequiredotherB3
Narrative response
A prompt for a description, a selection or a short answer.
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…
- Instrument
- SUPRT-C
- Reporting
- baseline
- Target
- No target rule stated
Source document, 6RequiredotherB4
Implementation question, answered from program records
A yes/no question about your own program. You answer it from program records, so there is no data to collect.
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
- baseline
- Target
- No target rule stated
Source document, 6RequiredotherB5
Narrative response
A prompt for a description, a selection or a short answer.
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
- baseline
- Target
- No target rule stated
Source document, 7Show all 69 measures for this program