Form CSAT Aggregate Too CSAT Aggregate Too CSAT Aggregate Tool

ATTACHMENT 7

Common Data Platform (CDP)
Government Performance and Results Act (GPRA)
CSAT Adult Treatment Court Collaborative
(ATCC) Aggregate Reporting Tool

Public reporting burden for this collection of information is estimated to be approximately 15
per response if all items are responded to. Send comments regarding this burden estimate or
any other aspect of this collection of information to SAMHSA Reports Clearance Officer,
Room 2-1057, 1 Choke Cherry Road, Rockville, MD 20857. An agency may not conduct or
sponsor, and a person is not required to respond to a collection of information unless it
displays a currently valid OMB control number. The control number for this project is 0930XXXX.
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Instructions
Please complete the following form to report on clients/patients/consumers entering services
during the designated reporting quarter.

Section A. Grantee Information
A1. Enter your Grant ID:

|____|____|____|____|____|____|____|____|____|____|

A2. Enter Today’s Date.

|____|____| / |____|____| / |____|____|____|____|
Month

Day

Year

A3. Enter last day of reporting quarter for which you are reporting.
|____|____| / |____|____| / |____|____|____|____|
Month

Day

Year

Section PD. Policy Changes
PD1. ____The number of policy changes (not related to financing) completed as a result of the
grant.

Section F. Financing Policy Changes
F2. _____The number of financing policy changes completed as a result of the grant.
F3. _____The amount of pooled, blended, or braided funding used for mental health-related
practices/activities that are consistent with the goals of the grant.
F4. _____The amount of pooled, blended, or braided funding used for substance abuse
treatment/recovery services that are consistent with the goals of the grant.
Section PC. Resources
PC2. ____The number of organizations collaborating/coordinating/sharing resources as a result
of the grant.
Section A. System Links

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A3. _____The number of communities that establish management information/information
technology system links across multiple agencies in order to share service population and
service delivery data as a result of the grant.

Section T. Special Needs
T4. _____The number of programs/organizations/communities that implemented adaptations of
EBPs to incorporate the special needs of unique populations or settings as a result of the grant.

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