# Presentation: 038901

## National Outcome Measures (NOMs)

**National Outcome Measures (NOMs)**
**Overview**
**SPF-SIG Training**

## Background

- The development of the NOMs is based on:
- The OMB Program Assessment Rating Tool (PART) Review for accountability
- Previous efforts to develop a core set of measurement indicators (e.g., core measures, Performance Partnership Grants [PPGs])
- Current GPRA data collection efforts
- Collaboration with States and others to develop accountability tools

## NOMs Overview

- The SAMHSA NOMs are:
- A set of domains and measures
- Used to accomplish SAMHSA’s vision
- Used to meet all of SAMHSA’s Federal reporting requirements
- Designed to reduce burden and redundancy for grantees
- Required for all CSAP-funded grant programs

## NOMs Overview

- Prevention NOMs are required for:
- SAPT Prevention Block Grants
- CSAP Discretionary Programs
- Current
- Strategic Prevention Framework State Incentive Grants (SPF-SIG)
- HIV/AIDS Grants
- Methamphetamine Grants
- Future Grants

## NOMs Definitions

- Definition:
- 	**NOMs represent specific outcomes and measures that should result from a successful substance abuse prevention system.**
- NOMs are described in terms of:
- Domains
- Outcomes
- Measures

## NOMs – Abstinence 

| DOMAIN
Reduced Morbidity | Item Description | Source |
| --- | --- | --- |
| Measure |  |  |
| 30-Day Use | During the past 30 days, that is, since [DATEFILL], on how many days* did you smoke part or all of a cigarette?   ___ ___ | NSDUH |
| Cigarette |  |  |
| Other tobacco product | During the past 30 days, that is, since [DATEFILL], on how many days did you use other tobacco products?   ___ ___ |  |
| Alcohol | Think specifically about the past 30 days, that is, from [DATEFILL] through today. During the past 30 days, on how many days did you drink one or more drinks of an alcoholic beverage?   ___ ___ |  |
| Marijuana or hashish | Think specifically about the past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on how many days did you use marijuana or hashish?   ___ ___ |  |
| Other illegal drugs | Think specifically about the past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on how many days did you use any other illegal drug?   ___ ___ |  |

**NOMs – Abstinence **

## NOMs – Abstinence 

| DOMAIN
Reduced Morbidity | Item Description | Source |
| --- | --- | --- |
| Measure |  |  |
| Age of First Use
 | How old were you the first time you smoked part or all of a cigarette?   ___ ___
 | NSDUH
 |
| Cigarette
 |  |  |
| Other tobacco product | How old were you the first time you used any other tobacco product?   ___ ___
 |  |
| Alcohol
 | Think about the first time you had a drink of an alcoholic beverage. How old were you the first time you had a drink of an alcoholic beverage? Please do not include any time when you had only a sip or two from a drink.   ___ ___
 |  |
| Marijuana or hashish
 | How old were you the first time you used marijuana or hashish?   ___ ___
 |  |
| Other illegal drugs
 | How old were you the first time you used any other illegal drug?   ___ ___
 |  |

**NOMs – Abstinence **

## NOMs – Abstinence 

| DOMAIN: Reduced Morbidity | Item Description | Source |
| --- | --- | --- |
| Measure |  |  |
| Perception of Disapproval Attitude (YOUTH ONLY) | How do you feel about someone your age smoking one or more packs of cigarettes a day?
1 Neither approve nor disapprove
2 Somewhat disapprove
3 Strongly disapprove
DK/REF | NSDUH |
| Cigarettes (use one or more packs a day)  |  |  |
| Cigarettes (close friends feel about use) | How do you think your close friends would feel about you smoking one or more packs of cigarettes a day?
1 Neither approve nor disapprove
2 Somewhat disapprove
3 Strongly disapprove
DK/REF |  |
| Marijuana
(use once or twice) | How do you feel about someone your age trying marijuana or hashish once or twice?
1 Neither approve nor disapprove
2 Somewhat disapprove
3 Strongly disapprove
DK/REF |  |
| Marijuana
(use once a month or more) | How do you feel about someone your age using marijuana or hashish once a month or more?
1 Neither approve nor disapprove
2 Somewhat disapprove
3 Strongly disapprove
DK/REF |  |
|  |  |  |

**NOMs – Abstinence **

## NOMs – Abstinence 

| DOMAIN: A Reduced Morbidity | Item Description | Source |
| --- | --- | --- |
| Measure |  |  |
| Alcoholic beverage
(use one or two drinks a day) | How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day?
1 Neither approve nor disapprove
2 Somewhat disapprove
3 Strongly disapprove
DK/REF | NSDUH
 |
| Perceived Risk/Harm of Use | How much do people risk harming themselves physically and in other ways when they smoke one or more packs of cigarettes per day?
1 No risk
2 Slight risk
3 Moderate risk
4 Great risk
DK/REF | NSDUH |
| Cigarettes (one or more packs day) |  |  |
| Marijuana (use once or twice a week) | How much do people risk harming themselves physically and in other ways when they smoke marijuana once or twice a week?
1 No risk
2 Slight risk
3 Moderate risk
4 Great risk
DK/REF |  |
| Alcoholic beverage (once or twice a week) | How much do people risk harming themselves physically and in other ways when they have five or more drinks of an alcoholic beverage once or twice a week?
1 No risk
2 Slight risk
3 Moderate risk
4 Great risk
DK/REF |  |

## NOMs – Employment/Education

| DOMAIN
Employment and Education | Item Description | Source |
| --- | --- | --- |
| Measure |  |  |
| Perception of Workplace Policy 
(GREATER THAN 16YRS OLD) | Would you be more or less likely to want to work for an employer that tests its employees for drug or alcohol use on a random basis? Would you say more likely, less likely, or would it make no difference to you?
1 More likely
2 Less likely
3 Would make no difference
DK/REF | NSDUH |
| ATOD-Related Suspensions and expulsions (YOUTH ONLY) | To be defined by US Department of Education

Under development | DOED |
| School Attendance/
Enrollment (YOUTH ONLY)
 | Defined by US Department of Education |  |

## NOMs – Crime and Criminal Justice

| DOMAIN
Crime and Criminal
Justice | Item Description | Source |
| --- | --- | --- |
| Measure |  |  |
| Alcohol-Related Car Crashes and Injuries | During the past 12 months, have you driven a vehicle while you were under the influence of alcohol only?
1 Yes
2 No
DK/REF | NSDUH |
| Alcohol-Related Car Crashes | Defined by NHTSA-FARS | NHTSA |
| Alcohol- and Drug-Related 1)Crime and 2)arrests | Defined by UCR-FBI reports | UCR |

## NOMs – Social Support/Connectedness

| DOMAIN
Social Support/ Social Connectedness | Item Description | Source |
| --- | --- | --- |
| Family Communications Around Drug Use 

(Youth only) | Now think about the past 12 months, that is, from [DATEFILL] through today. During the past 12 months, have you talked with at least one of your parents about the dangers of tobacco, alcohol, or drug use? By parents, we mean your biological parents, adoptive parents, stepparents, or adult guardians – whether or not they live with you.
1 Yes
2 No
DK/REF | NSDUH |
| Family Communications Around Drug Use

(Adult only) | During the past 12 months, how many times have you talked with
your child about the dangers or problems associated with the use of
tobacco, alcohol, or other drugs?
1 0 times
2 1 to 2 times
3 A few times
4 Many times
DK/REF | NSDUH |

## NOMs – Retention

| Domain
Retention | Item Description  | Source |
| --- | --- | --- |
| Measure |  |  |
|  Percentage of youth seeing (read, watch, listen to) a prevention message (YOUTH ONLY) | During the past 12 months, do you recall hearing, reading, or watching an advertisement about the prevention of substance use?
     1 Yes
     2 No
     DK/REF
 | NSDUH |

## NOMs – Access/Service Capacity

| DOMAIN
Access/Service Capacity | Item Description | Source |
| --- | --- | --- |
| Measure |  |  |
| Number of Persons Served by:
- Age
- Gender
- Race
- Ethnicity | Baseline data collected from individuals in direct service programs.  Group-level baseline data collected from community, State, and/or indirect programs.
Data reported from analysis of data received thru Minimum Data Set (MDS), or any other compatible data sets with Access/Service Capacity Information. | State |
| Domain
Retention | Item Description  | Source |
| Measure |  |  |
|  Number and percent  of Evidence Based Programs and Strategies | Collected from provider records and aggregated by State coordinators as appropriate | State |

## NOMs – Cost Effectiveness/ EBP

| Domain
  Cost Effectiveness | Item Description | Source |
| --- | --- | --- |
| Measure |  |  |
| Services Provided Within the
Cost
  Bands | Cost Bands by IOM categories

 | CSAP
Prevention
Template |
|           Domain
    Use of Evidence
    Based Practices | Item Description | Source |
| Measure |  |  |
| Total Number of Evidence Based Programs and Strategies | Number of Evidence-Based Programs and Strategies employed | State
 |

## NOMs Activities

**Data Collection by:**

**SAPT Block Grant Recipients**
**SPF-SIG Grantees**
**HIV/AIDS, Meth,  Grantees**
**Others**

**BGAS**
**SPF-SIG Cross Site Evaluation**
**DCCC /**
**CSAMS**
**CSAP Project Officers**
**Other Data Systems and Methods**

**Data Sent to SAMHSA/CSAP via:**

**SAMHSA/CSAP**
**DCCC**
**Other Approved Constituents**

**Data Managed and Analyzed by:**

**Congress**
**OMB**
**DHHS**
**SAMHSA**
**CSAP**
**SSAs/NPNs    and their Constituents**
**Grantees**
**CSAP Contractors**
**NGOs**
**Public**

**Data Users:**

## Data Collection

| CSAP Grant Program | State-level | Community-Level | Program-
Level | Data Reporting
Application |
| --- | --- | --- | --- | --- |
| SAPT Prevention Block Grant |  |  |  | BGAS |
| SPF-SIG Grantees Cohort 1 & 2 |  |  |  | Cross-Site
Evaluation
System |
| SPF-SIG Grantees Cohort 3 |  |  |  |  DCCC – CSAMS |
| HIV/AIDS Cohort 6 |  |  |  | DCCC – CSAMS |
| Methamphetamine Cohort 3 |  |  |  | DCCC – CSAMS |
| Future Grant Programs | TBD | TBD | TBD
 | DCCC –   
       CSAMS |

## Data Mgt & Analysis

- The DCCC is responsible for ensuring that:
- All data received are cataloged
- Data are cleaned and processed
- Reports are developed and shared
- Data are accessible to the grantee and their project officers
- Public has access to aggregate data (planned for the future)

## Using the Data

**SAMHSA/CSAP** can use the NOMs data to:
- Report on the status of grant activities, processes, and participant outcomes
- Address accountability and performance monitoring
- Identify needs and monitor effectiveness to inform Federal resource allocation
- Set annual performance targets related to the SPF-SIG Plan

## Using the Data

**States** can use the NOMs data to:
- Foster the use of data for decision making
- Promote continuous program and policy improvement
- Know if goals are being met
- Identify gaps and issues in services
- Demonstrate that prevention is cost-effective
- Report results to stakeholders

## Using the Data

**Grantees/Subrecipients** can use NOMs to:
- Inform decisions
- Address accountability and performance
- Document progress in achieving outcomes
- Demonstrate effective use of resources
- Foster continuous program and policy improvement
- Report data in standard periodic and special reports

## Roles and Responsibilities

- CSAP
- Implement SPF-SIG Cohort 3 NOMs data collection
- Provide detailed training on NOMs forms and CSAMS data entry application
- States, Territories and Tribes
- Develop internal state systems to train, monitor and support subrecipients
- Subrecipients
- Identify specific Community- and Program-level NOMs to collect and report
- Start data collection
- Training and TA Providers
- Support grantee implementation of NOMs

## Contact Information

**For more information on CSAP Program and Policy Issues related to Federal data requirements,  contact:**
- Beverlie Fallik, Ph.D.
- Sr. Public Health Analyst
- CSAP/SAMHSA
- Rm 4-1015
- 1 Choke Cherry Rd.
- Rockville, MD 20857
- (phone) 240-276-2438
- (fax) 240-276-2410
- _beverlie.fallik@samhsa.hhs.gov_
**For more technical information about the DCCC and CSAMS, contact:**
- DCCC Call CenterPhone - 240-223-3002
- Toll-Free - 877-654-6740Email:  _csapdccc-csamshelp@samhsa.gov_