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From page 20... ... . The CARA grant programs described in this report, while focused primarily on opioids, may also occasionally include treatment and recovery services for co-occurring SUDs. Read the entire page →
From page 21... ... shall complete an evaluation of any program administered by the Secretary included in this Act (or an amendment made by this Act, excluding sections 703 through 707) , including any grant administered by the Administrator of the Substance Abuse and Mental Health Services Administration under section 103, that provides grants for the primary purpose of providing assistance in addressing problems pertaining to opi oid abuse based upon the outcomes and metrics identified under paragraph (2) Read the entire page →
From page 22... ... grant programs -- Building Communities of Recovery (BCOR) and the State Pilot Grant Program for Treatment for Pregnant and Postpartum Women (PPWPLT) Read the entire page →
From page 23... ... help state substance abuse agencies address the continuum of care, including services provided to women in nonresidential-based settings; and 3) promote a coordinated, effective and efficient state system managed by state substance abuse agencies by encour aging new approaches and models of service delivery. Read the entire page →
From page 24... ... First Responder Training (FR-CARA) As with the OD Treatment Access program, SAMHSA's CSAP began accepting applications for the FR-CARA program in FY2017. Read the entire page →
From page 25... ... .12 11 For the full list of FR-CARA grantees, see Box A-4 in Appendix A 12 Alltext in this section, "The Four Programs," including the two tables on the following pages, is reprinted from the second report in this series (NASEM, 2021) Read the entire page →
From page 26... ... performance including services provided to women assessment. in nonresidential-based settings; and Up to 3 promote a coordinated, effective and years A minimum of efficient state system managed by 75% of federal state substance abuse agencies by funds must encouraging new approaches and be directed models of service delivery." toward service provision; no Through this program, SAMHSA seeks more than 25% to "reduce the misuse of alcohol and may go toward other drugs, increase engagement in infrastructure or treatment services, increase retention in capacity building. Read the entire page →
From page 27... ... ; it should identify gaps in services furnished to pregnant and postpartum women along the continuum of care with a primary diagnosis of substance use disorder, including opioid use disorders. • Develop and implement a state strategic plan or enhance an existing plan to ensure sustained partnerships across public health and other systems that will result in short and long-term strategies to support family-based treatment services along the continuum of care for pregnant and postpartum women." Allowable Activities • "Adopt and/or enhance computer system, management information system (MIS) Read the entire page →
From page 28... ... . The information in the Awards and Projects column comes from the Individual Grant Awards pages for OD Treatment Access (SAMHSA, 2017f, 2018e) Read the entire page →
From page 29... ... • Train and provide resources for FRs and members of other key community sectors on carrying and administering such a drug or device. • Establish processes, protocols, and mechanisms for referral to appropriate treatment and recovery communities, which may include an outreach coordinator or team to connect individuals receiving opioid overdose reversal drugs to follow-up services. Read the entire page →
From page 30... ... In the first report, the committee reviewed the reporting metrics selected by SAMHSA for the four CARA grant programs, and recommended changes or additions (NASEM, 2020) Read the entire page →
From page 31... ... to recommend to Congress the appropriate distribution of resources for these and similar grant programs in the federal response to the opioid epidemic. INTERPRETATION OF THE STATEMENT OF TASK As presented in Chapter 1 of this report, the committee's charges for the third and final report, according to the Statement of Task, were twofold: 1. Read the entire page →
From page 32... ... Due to these limitations, the committee again reiterates that it cannot conduct a true effectiveness evaluation of the four CARA programs, relative to other similar programs. However, the materials provided by SAMHSA were sufficient for the committee to describe, to some extent, the general experience and processes of the four grant programs. Read the entire page →
From page 33... ... . While response to the first part of the charge to the committee focuses on the experiences of the grantees in the four CARA grant programs, the second charge of the report has a focus that is more forward-looking to future programming and evaluation efforts. Read the entire page →
From page 34... ... However, reporting on the experience of the grant programs and their grantees could provide lessons applicable to SAMHSA's future grant making and other program planning efforts related to OUD and SUD.16 15 "Relapsing" is often the term used in clinical settings. In this report, the committee uses the phrase "relapse or return to use" or "relapsing or recurring." This choice was informed by two factors: first, recognition that "relapse" can be perceived as stigmatizing, and second, recognition that use of "relapse" alone can imply an all-or-nothing view that any departure from abstinence constitutes a "failed" recovery (for a lengthier discussion, see Miller, 2015) Read the entire page →
From page 35... ... to evaluate grantee progress and the limitations of those data. ASSESSING EFFECTIVENESS: APPROACH Developing the Approach For this final report, the committee received additional types of data for the Center for Substance Abuse Prevention (CSAP) Read the entire page →
From page 36... ... For this report, the committee developed a logic model around which to organize the grantee information by the various actors involved in the activities of the CARA programs, displayed in Figure 2-1. The model was Read the entire page →
From page 37... ... These findings are laid out in Chapters 3–6. The Logic Model On the top level, each box represents a different type of actor involved in carrying out the CARA programs. Read the entire page →

From page 20...

... . The CARA grant programs described in this report, while focused primarily on opioids, may also occasionally include treatment and recovery services for co-occurring SUDs.