As a grantee, you are required to submit reports according to the schedule specified in your grant. Find your program's reporting forms and guidance documents below.
|Agency of Administration|
|Human Subjects||Institutional review Board|
|Tobacco||Tobacco - Resources, Trainings, Webinars, Policies, Toolkits|
|Wording for Event Attendee Evaluations|
|Data Collection Tool|
|Grantee Quarterly Reporting and Evaluation Summary Form|
What are NOMs?
The National Outcome Measures are the federal Substance Abuse and Mental Health Services Administration's approach to performance measures. States are required to report on National Outcome Measures for both prevention and treatment programs as part of their block grant requirements. National Outcome Measures are broken down into sub-categories called “domains”. For Prevention National Outcome Measures, each state is only being asked to collect data in 3 of the 8 domains. The other five domains are being pre-populated by existing data sources.
What are the National Outcome Measures Domains?
- Domain 1: Reduced Morbidity – Abstinence from Drug or Alcohol Use
- Domain 2: Employment/Education
- Domain 3: Crime and Criminal justice
- Domain 4: Social Connectedness
- Domain 5: Access/Capacity*
- Domain 6: Retention
- Domain 7: Cost Effectiveness*
- Domain 8: Use of Evidence-based Practices and Strategies*
* Vermont is collecting data from prevention grantees to report on the three domains in bold.
What domains are the Division of Substance Use Programs (DSU) Prevention Grantees required to provide?
DSU grantees will need to provide detailed data for the "Access/Capacity" domain and budget data for the "Cost Effectiveness" domain. DSU will submit the information for the "Evidence-based Practice" domain based on grantee information from the original applications for funding.
How will grantees provide this information?
DSU grantees will collect the data throughout their grant period and submit it as part of their regular reporting activities for the grant. Special forms have been designed for grantees to use to report this data to DSU. Additional forms have been provided by DSU to assist grantees in collecting the data.
What data is collected for the Access/Capacity domain?
This domain captures information about the number of people served by race, ethnicity, age and gender:
- Individual-based programs and population-based programs: total number served by age, gender, race and ethnicity.
- Institute of Medicine category delineated for each grant-funded program. These are: universal-indirect, universal-direct, indicated and selected.
|NOMs Data Collection Form|
|RPP Quarterly Report FY22|
|RPP Quarterly Report FY21|
|RPP Budget Form FY22|
|RPP Budget Narrative FY22|
|RPP Workplan Template FY22|
|RPP Workplan Guidance FY22|
|RPP Advising & Training of Peer Leadership/Youth Empowerment Groups in Schools FY21|
|RPP Community Education & Outreach: Youth Cannabis Use Prevention FY21|
|RPP Drug Impairment Training for Education Professionals (DITEP)/Youth Mental Health First Aid Training FY21|
|RPP eCheck-Up: Alcohol FY21|
|RPP eCheck-Up: Cannabis FY21|
|RPP Enhance Local Law Enforcement Efforts FY21|
|RPP Evidence-Based School Curriculum FY21|
|RPP Fraudulent ID Enforcement Checks FY21|
|RPP Gay Straight Alliances (GSA) in Schools FY21|
|RPP Guiding Good Choices FY21|
|RPP Local Policy Enhancements to Prevent Cannabis FY21|
|RPP Local Policy Enhancements to Prevent Underage Drinking FY21|
|RPP Mentoring FY21|
|RPP Nurturing Parenting Program FY21|
|RPP Regional Capacity Building FY21|
|RPP Retailer Recognition for Passing Compliance Checks FY21|
|RPP School Screening and Referral FY21|
|RPP Sticker Shock FY21|
|RPP Strengthening Families Program for Youth FY21|
|RPP Support Responsible Beverage Service Trainings Provided by DLL FY21|
Regional Prevention Partnership County Profiles available on the Data & Reports page.
|2020 Media Guidance|
|2020 Grantee Media Guidance|
|FY20 RPP Strategy Proposal Process|
|RPP Strategy Proposal Process FY21 - UPDATE COMING SOON|
|RPP Strategy Proposal Form (Due no later than 12/31/2019)|
|RPP Strategy Proposal Questions & Resources List|
|RPP Submission Scoring Rubric|
|RPP Example Completed Submission|
|Reporting Forms - Fiscal Year 2023|
|Budget Form - FY23|
|Implementation Plan- FY23|
|Budget Narrative - FY23|
|Document Upload Forms - FY23|
|Quarterly Reporting Form FY23|
|Reporting Forms - Fiscal Year 2022|
|Quarterly Reporting Form FY22|
|Up for Learning Reporting Form|
|CRAFFT and GAIN SS Training Webinar|
|Critical Incident Form|
|Block Grant Quarterly Reporting Form - FY12|
|Block Grant Quarterly Reporting Form - FY22|
|Monthly Wait Times and Service Requests Summary Form - FY23|
|Monthly Wait Times and Service Requests Summary Form - FY22|
|Rapid Treatment Tracking Tool for Hospital EDs|
|Rapid Treatment Tracking Tool for Providers|
|Rapid Treatment Tracking - Monthly Submission Form|
|Standards for Recovery Services|
|GPRA Data Collection Training|
|GPRA FAQ Guidance Document|