# Presentation: 949080

**SAMHSA’s ****National Registry of Evidence-based Programs and Practices (NREPP)**

- “NREPP becomes a leading national
- resource for contemporary and reliable
- information on the scientific basis and
- practicality of interventions to prevent and/or treat mental and substance use disorders.”

**NREPP represents:**
- A major agency activity within SAMHSA’s Science to Service initiative
- A decision support tool and valuable resource for state and community-based organizations seeking to identify and select interventions to meet their needs
***Not a list of approved or accredited programs and practices***

## History of NREPP

- In 1996, SAMHSA created the National Registry of Effective Prevention Programs within it’s Center for Substance Abuse Prevention (CSAP)
- Between 1997 and 2003, reviewed over 1,100 substance abuse prevention interventions
- Over 150 recognized as either *model*, *effective*, or *promising *programs – info on these are available through www.modelprograms.samhsa.gov
- In 2003, began NREPP expansion to include substance abuse treatment and mental health promotion and treatment interventions, and explore ways to increase utility for multiple audiences.

## The New NREPP Review System

## Soliciting Feedback on NREPP

- Scientific panels convened in 2003
- Recommended evidence should be rated at the level of *outcomes* targeted by an intervention
- Pilot studies explored the validity and feasibility of an outcome-specific, 16-criteria, evidence rating system
- SAMHSA solicited formal public comments in an August 2005 *Federal Register *notice

## Selected Recommendations From the Federal Register Notice

- Make the assessment of *behavioral outcomes *a priority
- Provide more emphasis on the important dimension of readiness for dissemination
- Avoid a system that limits flexibility and innovation; develop a system that is fair to interventions with limited funding

## Selected Recommendations From the Federal Register Notice

- Recognize multiple “streams of evidence” (e.g., researcher, practitioner, and consumer) and stakeholder information needs
- Establish policies that seek to prevent the misuse of information contained on NREPP
- Provide a summary rating system that reflects the continuous nature of evidence quality

## NREPP Review Process

## Overview of Review Process

**Overview of Review Process**

- Applicant submits intervention materials during annual open submission process
- Program Review Manager determines if minimum requirements are met and assigns priority points
- Interventions meeting minimum requirements in priority areas sent to SAMHSA Centers for review approval
- SAMHSA approved interventions assigned to Review Coordinator who works with the applicant to complete review materials

## Overview of Review Process Continued

**Overview of Review Process**** ****Continued**

- Intervention materials and summary packets prepared by Review Coordinators sent to two doctoral-level scientific reviewers to rate Strength of Evidence dimension
- Intervention materials sent to two program implementation and/or consumer/family reviewers to rate Readiness for Dissemination dimension
- Scores and descriptive information – including strengths and weaknesses of intervention - sent to applicants for review and consent to post on NREPP Web site
- Intervention descriptive summaries and review results uploaded to NREPP Web site

## NREPP Application Process

## Three Minimum Requirements for NREPP Submission

-  1. Demonstrate one or more positive outcomes in mental health and/or     substance abuse behavior among individuals, communities, or     populations.2. Demonstrate intervention results have been published in a peer-     reviewed publication or documented in a comprehensive evaluation      report.3. Demonstrate materials such as manuals, process guides, and training     guides that are available to the public to implement the intervention.

## NREPP Priority Point System

**NREPP Priority Point System**

-  **1 priority point -- Research design****   **
**	**Experimental (e.g., randomized control study) or quasi-experimental (e.g., pre/post with comparison group, or interrupted time series) research design
**1 priority point -- Priority topic area****   **
**   **Primary outcome(s) of the submitted intervention is (are) in one or more of SAMHSA’s Center-specific priority areas.

##  Center for Substance Abuse Prevention (CSAP) Priority Areas	

- Priority areas focus on comprehensive community strategies, actions, and interventions that:1. Prevent and/or reduce substance abuse and its related     problems (e.g., underage drinking, inhalant use, cannabis    use and abuse, drug-related suicide, alcohol and drug     abuse among young adults, misuse of alcohol and     prescription drugs among elderly, HIV/substance abuse     problems)

## CSAP Priority Areas Continued

- 2. Change policies and practices at community level to    reduce risk factors and/or increase protective factors   among multiple domains (e.g., workplace, schools,    neighborhoods)3. Address emerging substance abuse problems (e.g.,    methamphetamine, over-the-counter drugs, fentanyl,   other synthetic drugs)

## Center for Substance Abuse Treatment (CSAT) Priority Areas

- Priority areas focus on interventions to treat adolescents and adults with alcohol and/or drug disorders that are delivered as part of one or more of the following types of services:1. Screening, brief intervention, and referral2. Outreach and engagement3. Treatment and rehabilitation4. Recovery support5. Continuing care, self-care, and/or after-care

## Center for Mental Health Services(CMHS) Priority Areas

- 1. Foster consumer- and family-provided mental health    services.2. Divert adults with serious mental illness and/or children     and adolescents with serious emotional disturbances from    criminal and juvenile justice systems.3. Develop alternatives to the use of seclusion and restraint     for adults with serious mental illness and/or children and     adolescents with serious emotional disturbances.4. Prevent suicide in specific age groups (e.g., adolescents,    young adults, elders).

##  Submission Guidance

- SAMHSA has established an initial 4-month period beginning October 1, 2006 for receiving applications for interventions to be considered for inclusion in NREPP.  A similar submission period will occur each year Interventions received after February 1, 2007, will not be considered for review.When priority points are equal, earlier submissions will receive priority for review.

## Contact for Submission Guidance

- Individuals and/or organizations interested in submitting an intervention for potential inclusion in NREPP should contact the NREPP contractor MANILA Consulting Group: Telephone: 571.633.9797, extension 406E-mail: _[nrepp@samhsa.hhs.gov](mailto:nrepp@samhsa.hhs.gov)__ _

## Following Up

- More information on NREPP is available through SAMHSA’s Web site by clicking on “National Registry of Evidence-based Programs and Practices” on the SAMHSA home page at _[www.samhsa.gov](http://www.samhsa.gov/)_.For questions on NREPP or other SAMHSA activities to promote the use of evidence-based services, contact:	Kevin D. Hennessy, Ph.D.	Science to Service Coordinator, SAMHSA	Phone: 240-276-2234	E-mail: _[kevin.hennessy@samhsa.hhs.gov](mailto:kevin.hennessy@samhsa.hhs.gov)_