Response

Attachment C
SAMHSA received one response from the Intellectual and Developmental Disabilities (IDD) and
Behavioral Health Services Section of the Texas Health and Human Services. The comment was
submitted on June 19 (See Attachment B).
Comment #1: Table B2 for RSS – In Texas, this would only include adults engaged in Longterm Peer Recovery Coaching services. Texas will be able to report the total unduplicated
numbers of individuals served and the number of other recovery support services (ex.
transportation, housing assistance, childcare, GED, employment, etc.) provided. Documenting
demographic information for individuals not enrolling in peer recovery coach services would be
extremely time consuming and tedious for recovery coaches to enter into client information
center. Recommendation to eliminate tracking all demographic information for non-enrolling
participants receiving drop-in recovery support services and only require unduplicated
counts. For participants receiving long-term peer recovery coaching demographic information
can be provided.
Response #1: Table B2 is designed to capture the information required in the Funding
Opportunity Announcement (TI-17-014), Section 2.2, Data Collection and Performance
Measurement, i.e., “Number of Persons Who Receive OUD Recovery Services.” There is no
expectation that the Opioid STR recipients or their respective sub-recipient providers collect and
report demographic information regarding non-enrolling participants.
Comment #2: Recovery/Aftercare Services Table: In Texas, RSS services can occur before,
during, and/or after treatment services. The number of clients who completed RSS – there is no
required end date as it is available as long as the individual wants to engage in RSS
services. Provide definitions for “Recovery” and “Aftercare” as they may be used
interchangeably, and in fact, are not one in the same. Recovery (support services) in this context
is an actual funded activity, or set of activities, within a programmatic theme, that has empirical
foundations. Aftercare is broad and general term that has does not have any standardized clinical,
programmatic, or research based outcomes associated with it.
Response #2: SAMHSA concurs with the commenter regarding the fact that the provision of
recovery support services can occur before, during and after opioid use disorder (OUD)
treatment services and that the terms “recovery” and “aftercare” are used interchangeably but
are, in fact, different. The Recovery/Aftercare Service Table has been relabeled to read Recovery
Support Services/Continuing Care. A sample of possible recovery support services (although not
all inclusive) is attached.
Comment #3: Tables D2 and D3: Add “Other, Please Specify” option for each table and
provide definitions for each concept
Response #3: SAMHSA concurs with the commenter’s recommendation regarding an
amendment to Tables D2 and D3. Table D2 and D3 have been amended to allow for the
description of additional classifications of persons who received training including, but not

limited to, the healthcare professions describe in section 2.2 of the Funding Opportunity
Announcement (TI-17-014).
The terms in Table D3, e.g., relapse prevention, recovery coaching and continuing care, are
illustrative of the varied interventions that comprise recovery support services SAMSHA
recognizes the existence of multiple definitions for the interventions that comprise such services.
SAMHSA encourages the states and jurisdictions to utilize the definitions for recovery support
services that are consistent with the states’ and jurisdictions’ policies and procedures or
administrative rules/regulations.