Common use of Local Performance Assessment Clause in Contracts

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), assess their progress, and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: What was the effect of intervention on key outcome goals? What program/contextual/cultural/linguistic factors were associated with outcomes? What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? How durable were the effects? Process Questions: How closely did implementation match the plan? What types of changes were made to the originally proposed plan? What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? What led to the changes in the original plan? What effect did the changes have on the planned intervention and performance assessment? Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 and 2.5 above (see Appendix B).

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), assess their progress, and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least semi-annually. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions:  What was the effect of intervention training and technical assistance on key outcome goalsparticipants?  What program/contextual/cultural/linguistic factors were associated with outcomes?  What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? identity  How durable were the effects? Process Questions:  How closely did implementation match the planplan for delivery of training and technical assistance?  What types of changes were made to the originally proposed plan?  What led to the changes in the original plan?  What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? What led to the changes in the original plan?  What effect did the changes have on the planned intervention training and technical assistance and performance assessment?  Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 I-2.3 and 2.5 above 2.4 above. Be sure to include these costs in your proposed budget (see Appendix B).B).‌

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), ) and assess their progress, progress and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annuallyannually as a separate document. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: • What was the effect of the intervention on key outcome goals? • What program/contextual/cultural/linguistic factors were associated with outcomes? • What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? • How durable were the effects? • Was the intervention effective in maintaining the project outcomes at six-month follow-up? • How has the array of publicly supported treatment and recovery services and supports for the population of focus expanded over the program period? • What treatment/recovery services for the population of focus were reimbursed by Medicaid/CHIP at the outset and conclusion of the project? Was there an increase? • What treatment/recovery services for the population of focus were reimbursed by other federal/state/territorial/tribal funds (please specify) at the beginning and ending of the project? Was there an increase? • To what degree has there been an increase in the number of clinicians trained/ certified in EBPs? • How has the grantee/provider partnership identified barriers/solutions to widen the use of effective EBPs for the population of focus? As appropriate, describe how the data, including outcome data, will be analyzed by racial/ethnic group or other demographic factors to ensure that appropriate populations are being served and that disparities in services and outcomes are minimized. Process Questions: • How closely did implementation match the plan? • What types of changes were made to the originally proposed plan? • What types of changes were made to address behavioral health disparitiesdisparities in access, service use, and outcomes across subpopulations, including the use of the National CLAS Standards? • What led to the changes in the original plan? • What effect did the changes have on the planned intervention and performance assessment? • Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? • What strategies were used to maintain fidelity to the EBP or intervention across providers over time? • How many individuals were reached through the program? • Have EBPs been adopted and disseminated state -wide? • In what ways is the state moving toward a more coordinated effort to serve the population of focus and their families/primary caregivers? What are the drivers? • Is capacity being increased? What has been the impact on health disparities in the population served? The performance assessment report should be a component of or an attachment to the Bi-Annual Infrastructure Progress Development Measures submitted in October of each grant year. No more than 20 15 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 I-2.2 and 2.5 above (see Appendix B)2.3 above.

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), assess their progress, and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You Grantees will be required to report on your the progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least semi-annually. The assigned SAMHSA GPO and Grants Management Specialist will review the performance assessment report and provide feedback on the extent to which progress is consistent with stated goals of the application and requirements of this FOA. At a minimum, your the performance assessment should include the required performance measures identified above. You above and may also consider outcome and process questions, such as the following: Outcome Questions:  How many individuals were reached through the program and how many were enrolled in Medicaid and other benefit programs as a result of participation in this program?  What effect did linkage to HUD’s Coordinated Entry system have on housing goals?  What program/contextual factors were associated with increased access to and enrollment in Medicaid and other benefit programs?  What was the effect of intervention the permanent housing, recovery support, or treatment on key outcome goals?  Was the permanent housing and recovery support effective in maintaining the project outcomes at client follow-up interviews?  What program/contextual/cultural/linguistic program and contextual factors were associated with positive clinical and housing outcomes? What individual factors were associated with outcomesAs appropriate, describe how the data, including race/ethnicity/sexual identity (sexual orientation/gender identity)? How durable were the effects? outcome data, will be analyzed by demographic factors to ensure that appropriate populations are being served in a culturally and contextually appropriate manner and that disparities in services and outcomes are minimized. Process Questions:  What activities and actions taken by the State Interagency Council or the Steering Committee helped improve the clinical and housing outcomes for individuals served?  How closely did implementation match the plan? What types of changes were made to strategies and interventions used by the originally proposed plan? What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? What led to the changes State Interagency Council or Steering Committee assist in the original planoverall quality improvement of the system of care for individuals served? What effect did the changes have on the planned intervention and performance assessment?  Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20  Are the targets and indicators linked and used to inform quality improvement activities?  What efforts have been taken to overcome administrative and clinical barriers in enrolling individuals in Medicaid and other benefit programs and how are these efforts informing the implementation and/or enhancing the long term sustainability of integrated community systems that provide permanent housing and supportive services? Cross-Site Evaluation SAMHSA intends to implement a cross-site evaluation for the duration of the CABHI program. This comprehensive national evaluation will be designed to determine the impact of CABHI grants on clients, services, and systems. Participation in this independent, multi-site evaluation is a requirement for all grantees. The cross-site evaluation will be conducted through a SAMHSA contract. The contractor will manage cross-site data collection and analysis, and development of cross-site evaluation products. Data collected will include client, services, and systems process and outcome data. The evaluation will be designed to comply with OMB expectations regarding independence, scope, and quality of evaluation activities. It is possible the evaluation design may necessitate changes in the required data elements, instruments, and/or timing of data collection or reporting. Grantee participation in the cross-site evaluation will entail activities such as, but not limited to, participating in technical assistance and training webinars or phone calls, sharing of existing information, and participating in systems assessments (this might include key grantee staff, key partners, individuals who receive services, and other appropriate individuals). The contractor will provide technical assistance, training, and support to grantee sites. Performance data will be reported to the public, OMB, and Congress as part of XXXXXX’s budget request. In your application, you must clearly document your agreement and ability to collect and report the required data for GPRA, conduct a local performance assessment, and participate in the national evaluation in Section E: Data Collection and Performance Measurement of your application. State grants: Up to 10 percent of the total grant award amount may be used for data collection, performance measurement, and performance assessment, and evaluation (e.g., activities required in Sections I-2.4 I-2.2 and 2.5 above 2.3 above). Each sub-awardee may use up to 10 percent of its funds for data collection, performance measurement, performance assessment and evaluation (see Appendix BSections I-2.2 and 2.3).

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), ) and assess their progress, progress and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend intended to achieve and whether adjustments need to be made to your projectmade. Performance assessments also should be used to determine whether your project is having/will have if the intended impact on behavioral health disparitiesdisparities is being met. You will be required to report Reporting on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annuallyannually with progress report. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: What was the effect of intervention on key outcome goals? What program/contextual/cultural/linguistic factors were associated with outcomes? What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? How durable were the effects? Process Questions: How closely did implementation match the plan? What types of changes were made to the originally proposed plan? What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? What led to the changes in the original plan? What effect did the changes have on the planned intervention and performance assessment? Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 and 2.5 above (see Appendix B)above.

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), ) to assess their progress, progress and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, objectives and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: • What was the effect of the intervention on key outcome goals? • What program/contextual/cultural/linguistic factors were associated with outcomes? • What individual factors were associated with outcomes, including race/ethnicity/ethnicity/ sexual identity (sexual orientation/gender identity)? • How durable were the effects? • How many individuals were reached through the program and how many were enrolled in Medicaid and other mainstream programs as a result of participation in the program? • What program and contextual factors were associated with increased access to and enrollment in Medicaid and mainstream programs? • What was the effect of the permanent housing, recovery support, or treatment on key outcome goals? • What program and contextual factors were associated with positive clinical and housing outcomes? • Was the intervention effective in maintaining the project outcomes at 6-month follow-up? As appropriate, describe how the data, including outcome data, will be analyzed by racial/ethnic group or other demographic factors to assure that appropriate populations are being served and that disparities in services and outcomes are minimized. Process Questions: • How closely did grant project implementation match the plangrant proposal? o What types of changes were made to the originally proposed planproject? What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? o What led to the changes in the original plan? o What effect did the changes have on the planned intervention and performance assessment? • What types of changes were made to address disparities in access, service use, and outcomes across subpopulations, including the use of the National CLAS Standards? • Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? • What activities and actions taken by the State Interagency Council on Homelessness helped improve the clinical and housing outcomes of sub- awardees? • Are the targets and indicators linked and used to inform quality improvement activities for the state? • What efforts have been taken to overcome administrative and clinical barriers in enrolling individuals in Medicaid and mainstream programs? How are these efforts informing the implementation and/or enhancement of the long-term sustainability of integrated community systems that provide permanent housing and supportive services throughout the state? The performance assessment should be completed annually and submitted to SAMHSA as a supplement to the continuation application. No more than 20 percent of the total grant award up to 25 percent expended for state infrastructure may be used by the grantee for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 I-2.2 and 2.5 above 2.3 above. Each sub-awardee may use up to 10 percent of its funds for data collection and performance measurement, and performance assessment (see Appendix BSections I-2.2 and 2.3).

Local Performance Assessment. Grantees Each year grantees must periodically review the performance data they report to SAMHSA (as required above), assess their progress, and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have having the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annuallyyearly. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions:  What was the effect of the intervention on key outcome goals?  What program/contextual/cultural/linguistic factors were associated with outcomes?  What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)?  How durable were the effects? As appropriate, describe how the data, including outcome data, will be analyzed by racial/ethnic group or other demographic factors to ensure that appropriate populations are being served and that disparities in services and outcomes are minimized. Process Questions:  How closely did implementation match the plan?  What types of changes were made to the originally proposed plan?  What types of changes were made to address behavioral health disparitiesdisparities in access, service use, and outcomes across subpopulations, including the use of the National CLAS Culturally and Linguistically Appropriate Services (CLAS) Standards?  What led to the changes in the original plan?  What effect did the changes have on the planned intervention and performance assessment?  Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)?  How many individuals were reached through the program? Performance Assessments should be completed each year of the grant to assess the effectiveness of the activities provided. No more than 20 15 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 I-2.2 and 2.5 above (see Appendix B)2.3 above.

Local Performance Assessment. Grantees You must periodically review the performance data they you report to SAMHSA (as required above), ) and assess their progress, your progress and use this information to improve management of their your grant projectsproject. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions:  What was the effect of intervention training and technical assistance on key outcome goalsparticipants?  What program/contextual/cultural/linguistic factors were associated with outcomes?  What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)?  How durable were the effects? Process Questions:  How closely did implementation match the planplan for delivery of training and technical assistance?  What types of changes were made to the originally proposed plan?  What led to the changes in the original plan?  What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? What led to the changes in the original plan?  What effect did the changes have on the planned intervention training and technical assistance and performance assessment?  Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 and 2.5 above (see Appendix B)above.

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), ) and assess their progress, progress and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used also to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: • What was the effect of the intervention on key outcome goals? • What program/contextual/cultural/linguistic factors were associated with outcomes? • What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? • How durable were the effects? Process Questions: • How closely did implementation match the plan? • What types of changes were made to the originally proposed plan? • What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? • What led to the changes in the original plan? • What effect did the changes have on the planned intervention and performance assessment? • Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 and 2.5 above above. Be sure to include these costs in your proposed budget (see Appendix BII).

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), assess their progress, and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: • What was the effect of intervention on key outcome goals? • What program/contextual/cultural/linguistic factors were associated with outcomes? • What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? • How durable were the effects? Process Questions: • How closely did implementation match the plan? • What types of changes were made to the originally proposed plan? • What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? • What led to the changes in the original plan? • What effect did the changes have on the planned intervention and performance assessment? • Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 and 2.5 above (see Appendix B).

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), ) and assess their progress, progress and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, objectives and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used also to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually. The performance assessment report should be included in your annual and final reports. If performance problems are identified, the GPO may direct the grantee to conduct more frequent assessments or ask for additional items/clarifying information. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: • What was the effect of improving access to crisis intervention on key outcome goalsservices and promoting a consistent and evidence-based approach to hotline services throughout the network? • What program/contextual/cultural/linguistic factors were associated with outcomes? What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? • How durable were the effects? Process Questions: • How closely did implementation match the plan? • What types of changes were made to the originally proposed plan? • What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? • What led to the changes in the original plan? • What effect did the changes have on the planned intervention and performance assessment? • Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 I-2.2 and 2.5 above (see Appendix B)2.3 above.

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA XXXXXX (as required outlined above), assess their progress, and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually. You will also be required to participate in monthly conference calls with a project officer to discuss current progress as well as for review and feedback about performance assessments. At a minimum, your performance assessment should include the required performance measures identified above. In addition, grantees must submit answers to the following questions in their quarterly reports to the SAMHSA GPO: • Within the grant catchment area, how did the activities of the grant impact suicide deaths and non-fatal suicide attempts, including suicide deaths and attempts within key sectors such as health and behavioral health? • How has the competence/confidence of health and behavioral health clinical staff changed over the course of the grant? In particular, how have the grant activities impacted clinical skills in the areas of: • assessment of suicide risk and protective factors; • formulation of a risk summary to inform the choice of intervention; • use of best practice interventions to ensure safety including lethal means safety, treatment of suicide risk, and follow-up to ensure continuity of care? • How have the grant activities impacted the grantee’s success in achieving the objectives of the NSSP they are trying to implement, including Goals 8 and 9? You may also consider outcome and process questions, such as the following: Outcome Questions: • What was the effect of the intervention on key outcome goals? • What program/contextual/cultural/linguistic factors were associated with outcomes? • What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? • How durable were the effects? • Was the intervention effective in maintaining the project outcomes at six-month follow-up? As appropriate, describe how the data, including outcome data, will be analyzed by racial/ethnic group or other demographic factors to ensure that appropriate populations are being served and that disparities in services and outcomes are minimized. Process Questions: • How closely did implementation match the plan? • What types of changes were made to the originally proposed plan? • What types of changes were made to address behavioral health disparitiesdisparities in access, service use, and outcomes across subpopulations, including the use of the National CLAS Standards? • What led to the changes in the original plan? • What effect did the changes have on the planned intervention and performance assessment? • Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? • What strategies were used to maintain fidelity to the evidence-based practice or intervention across providers over time? • How many individuals were reached through the program? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 I-2.2 and 2.5 above (see Appendix B)2.3 above.

Local Performance Assessment. Grantees You must periodically review the performance data they you report to SAMHSA XXXXXX (as required above), assess their your progress, and use this information to improve management of their your grant projectsproject. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: • What was the effect of intervention training and technical assistance on key outcome goalsparticipants? • What program/contextual/cultural/linguistic factors were associated with outcomes? • What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? • How durable were the effects? Process Questions: • How closely did implementation match the planplan for delivery of training and technical assistance? • What types of changes were made to the originally proposed plan? • What led to the changes in the original plan? • What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? What led to the changes in the original plan? • What effect did the changes have on the planned intervention training and technical assistance and performance assessment? • Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? This performance assessment should be completed at least annually, along with other financial and progress reports due. No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 and 2.5 above (see Appendix B)above.

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), assess their progress, and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annuallybiannually. Progress reports will be submitted online to your project officer for feedback/approval. In addition, grantees will be required to submit an evaluation plan to their project officer. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: What was the effect of the intervention on key outcome outcomes and program goals? What program/contextual/cultural/linguistic factors were associated with outcomes? What individual factors were associated with outcomes, including race/ethnicity/sexual identity (ethnicity/ sexual orientation/gender identity)? How durable sustainable were the effects? Process Questions: How closely did implementation match the plan? What types of changes were made to the originally proposed plan? What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? What led to the changes in the original plan? What effect did the changes have on the planned intervention and performance assessment? Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 I-2.3 and 2.5 above 2.4 above. Be sure to include these costs in your proposed budget (see Appendix B).

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), ) and assess their progress, progress and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, objectives and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least bi-annually. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: • What was the effect of intervention training and technical assistance on key outcome goalsparticipants? • What program/contextual/cultural/linguistic factors were associated with outcomes? • What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)? • How durable were the effects? Process Questions: • How closely did implementation match the planplan for delivery of training and technical assistance? • What types of changes were made to the originally proposed plan? • What led to the changes in the original plan? • What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? What led to the changes in the original plan? • What effect did the changes have on the planned intervention training and technical assistance and performance assessment? • Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? The grantee will be expected to report bi-annually on their progress and performance on achieving the goals and objectives of the grant project. No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 and 2.5 above (see Appendix B)above.

Local Performance Assessment. ‌ Grantees must periodically review the performance data they report to SAMHSA (as required above), assess their progress, and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annuallybiannually. Progress reports will be submitted online to your project officer for feedback/approval. In addition, grantees will be required to submit an evaluation plan to their project officer. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions: What was the effect of the intervention on key outcome outcomes and program goals? What program/contextual/cultural/linguistic factors were associated with outcomes? What individual factors were associated with outcomes, including race/ethnicity/sexual identity (ethnicity/ sexual orientation/gender identity)? How durable sustainable were the effects? Process Questions: How closely did implementation match the plan? What types of changes were made to the originally proposed plan? What types of changes were made to address behavioral health disparities, including the use of National CLAS Standards? What led to the changes in the original plan? What effect did the changes have on the planned intervention and performance assessment? Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)? No more than 20 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 I-2.3 and 2.5 above 2.4 above. Be sure to include these costs in your proposed budget (see Appendix B).

Local Performance Assessment. Grantees must periodically review the performance data they report to SAMHSA (as required above), assess their progress, and use this information to improve management of their grant projects. The assessment should be designed to help you determine whether you are achieving the goals, objectives, and outcomes you intend to achieve and whether adjustments need to be made to your project. Performance assessments also should be used to determine whether your project is having/will have the intended impact on behavioral health disparities. You will be required to report on your progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually. At a minimum, your performance assessment should include the required performance measures identified above. You may also consider outcome and process questions, such as the following: Outcome Questions:  What was the effect of the intervention on key outcome goals?  What program/contextual/cultural/linguistic factors were associated with outcomes?  What individual factors were associated with outcomes, including race/ethnicity/sexual identity (sexual orientation/gender identity)?  How durable were the effects?  Was the intervention effective in maintaining the project outcomes at six-month follow-up?  How has the array of publicly supported treatment and recovery services and supports for the population of focus expanded over the program period?  What treatment/recovery services for the population of focus were reimbursed by Medicaid/CHIP at the outset and conclusion of the project? Was there an increase?  What treatment/recovery services for the population of focus were reimbursed by other federal/state/territorial/tribal funds (please specify) at the beginning and ending of the project? Was there an increase?  To what degree has there been an increase in the number of clinicians trained/ certified in EBPs?  How has the grantee/provider partnership identified barriers/solutions to widen the use of effective EBPs for the population of focus? As appropriate, describe how the data, including outcome data, will be analyzed by racial/ethnic group or other demographic factors to ensure that appropriate populations are being served and that disparities in services and outcomes are minimized. Process Questions:  How closely did implementation match the plan?  What types of changes were made to the originally proposed plan?  What types of changes were made to address behavioral health disparitiesdisparities in access, service use, and outcomes across subpopulations, including the use of the National CLAS Standards?  What led to the changes in the original plan?  What effect did the changes have on the planned intervention and performance assessment?  Who provided (program staff) what services (modality, type, intensity, duration), to whom (individual characteristics), in what context (system, community), and at what cost (facilities, personnel, dollars)?  What strategies were used to maintain fidelity to the evidence-based practice or intervention across providers over time?  How many individuals were reached through the program?  Have EBPs been adopted and disseminated statewide?  In what ways is the state moving toward a more coordinated effort to serve the population of focus and their families/primary caregivers? What are the drivers?  Is capacity being increased? What has been the impact on health disparities in the population served? The performance assessment report should be a component of or an attachment to the Bi-Annual Infrastructure Progress Development Measures submitted in October of each grant year. No more than 20 15 percent of the total grant award may be used for data collection, performance measurement, and performance assessment, e.g., activities required in Sections I-2.4 I-2.2 and 2.5 above (see Appendix B)2.3 above.