Review of Four CARA Programs and Preparing for Future Evaluations (2023) / Chapter Skim
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Pages 122-133
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From page 122... ...
Perhaps most obviously, many in-person services -- trainings for CSAP grantees and BCOR, and treatment and recovery services provision for BCOR and PPW-PLT -- were halted due to stay-at-home orders. BCOR grantees noted that social distancing was especially troubling for recovery programs, which are heavily focused on interpersonal connection.
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From page 123... ...
The criminalization of SUDs was also frequently cited as a barrier to grantee activities and achievement of program goals. CSAT grantees cited risk of arrest, incarceration, or punitive action by the child welfare system as obstacles to recruiting and maintaining clients in their programs.
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From page 125... ...
The NAS study will result in the public availability of program level data and recommendations to Congress concerning the appropriate allocation of resources to such programs to ensure cost-effectiveness in the federal government's re sponse to the opioid addiction epidemic. SOURCE: See https://www.govinfo.gov/content/pkg/CPRT-115HPRT29457/pdf/ CPRT-115HPRT29457.pdf (accessed March 1, 2023)
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From page 126... ...
Nevertheless, the committee offers the following observations and recommendations so that future mandated evaluations may provide useful information to guide policy making. RECOMMENDATIONS To obtain information useful for policy making through an effective evaluation requires substantial coordination, support, and data sharing 1 Where text does not specifically name National Academies or the CARA grant program, and refers instead generally to "the evaluator," "the implementing agency," etc., it should not be interpreted as commentary on the experience of this committee in evaluating these specific programs.
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From page 127... ...
FIGURE 8-1 Visual depiction of the committee's recommendations to Congress. 2 Throughout this chapter and report, "program" is used to refer to an overarching federal grant program (e.g., one of the four CARA programs)
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From page 128... ...
struggled with a misalignment between the type of evaluation it was requested to perform and the characteristics and goals of the CARA programs. Congress was particularly interested in assessing the 3 In response to the passage of the Government Performance and Results Act Modernization Act of 2010, the Government Accountability Office (GAO)
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From page 129... ...
Though the State Pilot Grant Program for Treatment for Pregnant and Postpartum Women (PPW-PLT) was the only one of the four with the official designation of being a pilot program, the other three were new programs to SAMHSA (the implementing agency, in this case)
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From page 130... ...
. It also allows time for the implementing agency and evaluator to set any necessary data sharing agreements, and to communicate those with grantees as applicable.
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From page 131... ...
Capacity includes staffing, funding, and adequate time to oversee an evaluation. These internal resources enable the implementing agency to carry out its roles of coordinating with the evaluator and of supporting grantees in their work and in their data collection.
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From page 132... ...
The committee did not assess SAMHSA's funding and staffing levels during the time period of the CARA programs to understand whether it was adequately resourced to support the evaluation. As already highlighted in previous sections, the delay in appropriations limited the time that SAMHSA had available to coordinate with the evaluator to support the evaluation before grantees began implementation.
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From page 133... ...
For example, applying for and receiving OMB approval for new instruments or larger samples may take a year or more, and is thus infeasible with quick deadlines for funding and startup of grant programs. Data Collection Systems in the CARA Evaluation For example, in the CARA experience, SAMHSA's off-the-shelf reporting tools such as the Government Performance and Results Act (GPRA)
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