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Table 6.1. Substance Abuse and Mental Health Services Administration national outcome measures
Outcome Treatment Prevention
Mental Health Substance Abuse Substance Abuse Prevention
Abstinence from
Drug Use/Alcohol abuse
Not applicable Change in percentage of clients abstinent at discharge compared to
the number/proportion at admission2
30-day substance use (non-use/ reduction in use)2 Availability of alcohol and tobacco. Availability of other drugs1 Percentage of program participants and percentage of population who perceive drug use as harmful2 Attitude toward use among program participants and among population at large
Decreased Mental Illness Symptomatology1 Decreased symptomatology1 Not applicable Not applicable
Increased/Retained
Employment or Return to/Stay in School
Profile of adult clients by employment status, increased
school attendance (children)1
Change in percentage of clients employed at discharge compared
to the percentage at admission
Increase in school attendance1; Decrease in ATOD-related suspensions/expulsions1; Decrease in drug-related workplace injuries1
Decreased Criminal Justice
Involvement
Profile of client involvement in criminal and juvenile justice systems1 Change in percentage of clients
with criminal justice involvement
at discharge compared to the percentage at admission
Reduction in drug-related crime1
Increased Stability in Family
and Living Conditions
Profile of clients’ change in living situation (including homeless status) Percentage of clients in stable living situations at discharge compared to the number/proportion at admission (i.e., housing)1 Increase in parent participation in prevention activities1
Increased Access to Services
(Service Capacity)
Number of persons served by age, gender, race and ethnicity2 Unduplicated count of persons served1,2 Penetration rate—Numbers served compared to those in need1 Number of persons served by age, gender, race and ethnicity
Increased Retention in Treatment—Substance Abuse Not applicable Length of stay1 Unduplicated count of persons served1,2 Not applicable
Reduced Utilization of Psychiatric Inpatient Beds—Mental Health Decreased rate of readmission to state psychiatric hospitals within 30 days and 180 days1,2 Not applicable Not applicable
Increased Social Supports/Social Connectedness3 TO BE DETERMINED (Initial indicators
and measures have not yet been identified)
TO BE DETERMINED (Initial indicators and measures have not yet been identified) TO BE DETERMINED (Initial indicators and measures have notyet been identified)
Client Perception of Care2 Clients reporting positively about outcomes2    
Cost Effectiveness2 Number of persons receiving evidence-based services1,2 Number of evidence-based practices provided by State2 Percentage of States providing substance
abuse treatment services within approved cost per person bands by the type of treatment1,2
Increase services provided within cost bands1,2
Use of Evidence-Based Practices2     Increase services provided within cost bands1,2
1 Developmental
2 Required by OMB PART Review
3 For ATR, “Social Support of Recovery” is measured by client participation in voluntary recovery or self-help groups, as well as interaction

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