Reporting Forms & Guidance Documents

Reporting Forms & Guidance Documents

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.

All Providers 

Resources relevant for all Division of Substance Use Programs (DSU) grantees including the invoice template and submission tool, training and event participation data collection tools and a logic model template.

Grant Invoice Template and Submission Tool
Template and Submission Tool
Grant Invoice Template - updated 7/7/22
Grant Invoice Submission Tool  - updated 1/03/22

Logic Model Template

Prevention

Resources for Division of Substance Use Programs (DSU) prevention grantees including National Outcome Measures (NOMs), guidance documents and reporting forms.

National Outcome Measures (NOMs)

The National Outcome Measures (NOMs) are the federal Substance Abuse and Mental Health Services Administration's (SAMHSA) approach to performance measures. States are required to report on National Outcome Measures for both prevention and treatment programs as part of block grant requirements.

National Outcome Measures are broken down into sub-categories called “domains”. Vermont is collecting data from prevention grantees to report on the three domains in bold below. DSU grantees are required to collect the data throughout their grant period and submit it as part of their regular reporting activities for the grant. 

  • 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
Guidance Document
NOMs Data Collection Form
Reporting Form
NOMs SurveyGizmo
Law Enforcement Drug Disposal Project
OD2A Community Action Grants
Centers of Excellence Grants
Regional Prevention Partnerships
Reporting Forms
RPP Budget Form FY23
RPP Quarterly Report FY23
RPP Workplan Template FY23
RPP Budget Narrative FY23
Guidance Documents
RPP Strategic Plan FY21
RPP Guidance FY21
RPP Resources FY21
RPP Timeline FY21
RPP Logic Model Template FY21
RPP Logic Model Example FY21
RPP Virtual Event Resource Guide FY21
RPP Substance Misuse Prevention for Young Adults FY21
Appendix A1: Underage Drinking Logic Model
Appendix A2: Binge Drinking Logic Model
Appendix A3: Prescription Drug Logic Model
Appendix A4: Marijuana and Other Illicit Drug Logic Model
Appendices B1-B4: Interventions and Intervening Variables Grid
Planning Tools
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.

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
Vaping Prevention Grant
Guidance Documents
Implementation Workplan
Reporting Forms
Quarterly Report Form

Intervention

Resources for Division of Substance Use Programs (DSU) intervention grantees including guidance documents and reporting forms.

Public Inebriate Program

Treatment

Resources for Division of Substance Use Programs (DSU) treatment grantees and preferred providers including guidance documents and reporting forms. 

Opioid Treatment Programs / "Hubs"

Information for opioid treatment programs, sometimes known as “hubs.”  

Guidance Documents
Drug Toxicology Screening Protocol
Transfer Protocol

 

Recovery

Resources for Division of Substance Use Programs (DSU) recovery grantees including guidance documents and reporting forms. 

Recovery Housing Programs
Reporting Forms
Recovery Housing FY23