Progress of Four Programs from the Comprehensive Addiction and Recovery Act (2021) / Chapter Skim
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4 Conclusions
4 Conclusions
Pages 71-78
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From page 71... ...
programs, SAMHSA provided information on clients as reported via the Government Performance and Results Act (GPRA) reporting tool, as well as redacted progress reports submitted by grantees.
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From page 72... ...
low follow-up rates or (b) characteristics of patients with follow-up data Data aggregated across Difficult to interpret effects of SAMHSA grantees (without pre– grant funding on client outcomes; redactions post data or comparison prevent interpretation of the context for groups)
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From page 73... ...
Variation in the Difficult to compare across grantees; some reporting periods grantee activities may not be included covered by individual grantee reports Variation in clarity, Difficult to compare across grantees quality, completeness of information provided Summary Report from the OD Treatment Access, Not all grantees Results only speak to progress of reporting CSAP Division of State FR-CARA submitted (4/6 for OD grantees Programs Management Treatment Access, Reporting Tool (DSP- 21/48 for FR-CARA)
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From page 74... ...
GPRA data and from the progress reports that grantees in both BCOR and PPW-PLT programs were operational in a number of activities, including providing services to clients as well as conducting important community outreach, providing community education, and, to some extent, building systems and infrastructure. For example, the GPRA data indicate that, although they were below planned goals, intake interviews have been conducted for 839 clients in the PPW-PLT program and 2,022 in the BCOR program.
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From page 75... ...
There was little available information about whether grantees had engaged in the three allowable activities to collaborate with health care providers and pharmacies, and to provide public education on Good Samaritan laws, though some pieces of the reports suggested that small steps had been taken. The information received from SAMHSA about the FR-CARA program indicates that with regard to the primary goal of allowing first responders to administer a drug or device for emergency treatment of known or suspected opioid overdose, grantees distributed 14,509 nasal spray kits and 1,925 other kits.
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From page 76... ...
The committee uses these identified limitations, described in the previous sections of this chapter and throughout the report, to lay out a set of information needs that would allow it to design and perform a more rigorous evaluation of program effectiveness. First, in order to consider the impact of the CARA programs, the evaluation design would need to capture person-level sociodemographic, clinical health care and social services utilization, and outcome information on clients served by the programs, as well as data permitting comparisons to control clients, either by way of pre– post data, or by identifying appropriate comparison groups, or both.
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From page 77... ...
and in the current report, the committee looks forward to working with SAMHSA and grantees to receive more comprehensive and accurate information on programs and system and community context over time. Furthermore, the committee suggests that in the future, as SAMHSA is developing funding announcements, that it create reporting tools that are specific to the activities in the announcement, rather than using a standardized progress report across multiple SAMHSA programs (e.g., GPRA and Division of State Programs Management Reporting Tool)
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From page 78... ...
The answer to how Congress could legislate and oversee such programs requires a different strategy. An analysis of how, in the future, Congress can specify required evaluation methods and processes to assess program effectiveness and cost-benefit analysis, and how SAMHSA can improve program evaluation capacity and efforts in similar programs, would result in more robust evaluation assessment and information for decision makers responsible for guarding the public's health and related expenditure decisions.
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