Division of State Programs–Management Reporting Tool
(DSP-MRT)
DSP-MRT Supplement for STOP Act Grants
Public Burden Statement: 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 Office of Management and Budget (OMB) control number. The OMB control number for this project is XXXX-XXXX. Public reporting burden for this collection of information is estimated to average 3 hours per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Substance Abuse and Mental Health Services Administration (SAMHSA) Reports Clearance Officer, 5600 Fishers Lane, Room 15E57A, Rockville, MD 20857.
Note: This document is intended as a supplement to the Division of State Programs– Management Reporting Tool (DSP-MRT) for the Sober Truth on Preventing Underage Drinking Act (STOP Act) grant programs. Please refer to the DSP-MRT document for progress report details.
Use this section to report Evidence-Based Practices, Policies, and Programs (EBPPPs) and the numbers served and reached through your prevention interventions. EBPPPs are interventions that come from a federal registry, were reported as being effective for your target substance in a published scientific journal article, were based on a documented theory of change, or were deemed effective by a panel of experts. A panel of experts may include qualified prevention researchers, local prevention practitioners, and key community leaders (e.g., law enforcement and education representatives, elders within indigenous cultures).
Data Item |
Response Options |
What are the Evidence-based Practices, Policies, or Programs (EBPPs) you intend to implement through this grant? |
Free text |
Who is the intended audience? |
Free Text |
What is the non-duplicated number of individuals you intend to serve each year of your grant? |
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Did you or your subrecipients actively deliver any Prevention Interventions that are evidence-based programs, policies, or practices (EBPPP) during the last fiscal year? |
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If no, explain why? |
Free text |
Data Item |
Response Options |
Status of Intervention |
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Prevention Intervention Name |
Drop-down menu with prevention intervention names |
Was this EBPPP intervention actively implemented in this community prior to receiving funding for this grant? |
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Target of the Intervention [Note: You should only report on EBPPPs that target substances appropriate for the grant program you are reporting on.] |
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Other (Please specify) |
Free text |
Data Item |
Response Options |
Number Served1 |
Open-ended numerical response |
Number Reached2 |
Open-ended numerical response |
REMINDER: After completing the required information, select “Add EBPPP” to add the entry to your list, then select “Save.” After you add the EBPPP, it will appear on the EBPPP main screen. If you need to edit your entry, click on the “edit” button.
1 Number Served: Refers to individual-based prevention strategies or services directly delivered to individuals, either on a one- on-one basis or in a group format. Typically, the service provider and the participant are at the same location during the service encounter. Because providers have direct interaction with these individuals, they are able to keep accurate counts and in many cases, to collect data about the characteristics and outcomes of these participants through attendance lists and pre-post surveys. Examples include training sessions and educational classes.
2 Number Reached: Refers to population-based prevention strategies aimed at impacting an entire population. Because there is no direct interaction with the populations affected by the services, counts of people reached are typically estimates obtained from sources such as the census (the population of the targeted community) or media outlets (estimated readership or audience size).
Grantees will use this section to enter community outcome data. Once you add records, you will be able to view previously added records.
Community outcomes data include survey and administrative data:
Survey data are data collected from individuals, usually a sample of the population, by asking questions either in person, on paper, by phone, or online. Examples of survey data include the National Survey of Drug Use and Health (NSDUH), Youth Risk Behavior Survey (YRBS), and Behavioral Risk Factor Surveillance System (BRFSS).
Administrative data refers to information collected primarily for administrative— not research—purposes. Government departments and other organizations often collect this type of data for the purposes of registration, transaction, and record keeping, and often the data include program outcome indicators. Examples of administrative data include educational records, client information from financial institutions, and hospital records of patient visits and health outcomes.
Note: STOP Act 2019 and later grantees will need to obtain approval before entering and submitting Community Outcomes data. Use the Data Request workplan to submit a request for review and approval.
When you navigate to the Community-Level Outcome Data page, you will see an Export Data button. You can export your data by clicking on the Export Data button.
Survey data are data collected from individuals by asking questions either in person, on paper, by phone, or online. Examples of survey data include NSDUH, YRBS, and BRFSS.
To enter Survey Data, select “Add Data Source,” enter the name of the survey, and select “Save.” The data source will then show up in the list of Survey Data sources. To add the remaining information on the outcome measure, select “Add Outcome Measure.”
Data Item |
Response Options |
Data Source Name |
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Specified Substance |
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Other (If “Other” is selected for Specified Substance) |
Free text |
Outcome Measure |
Alcohol Outcome Measure Response Options
Prescription Drug Outcome Measure Response Options
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Data Item |
Response Options |
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Other Substance Outcome Measure Response Options
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Other Outcome Measure |
Free text |
Survey Item |
Free text |
Response Option(s) |
Free text |
Reported Outcome Description |
Free text |
To add a baseline record, select “Add Baseline Response Data.”
Click on “Add Follow-up Data” to add follow-up data for a previously entered baseline record.
To edit existing records, click “Edit” next to the Survey Item name.
Data Item |
Response Options |
Data Collection Date |
Date Field |
Population Parameters |
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Age Range Minimum (If “Enter age range” is selected for Population Parameters) |
Numerical |
Age Range Maximum (If “Enter age range” is selected for Population Parameters) |
Numerical |
Grades (If “Enter grade[s]” is selected for Population Parameters) (Check all that apply) |
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Data Item |
Response Options |
Other Sample Descriptors |
Free Text |
Description of Sampling Design |
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Multiple-Year Pooled Estimate |
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Multiple Year Estimate Description: (If “Yes” is selected) |
Free Text |
Value Type |
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Other (Please specify) |
Free Text |
Calculated Value |
Numerical |
Standard Error |
Numerical |
Standard Deviation |
Numerical |
Survey Item Valid N |
Numerical |
Comments |
Free Text |
Administrative data is data collected for the purposes of registration, transaction, and record keeping, but often also includes indicators of program outcomes. Examples of administrative data include educational records, client information from financial institutions, and hospital records of patient visits and health outcomes.
To enter Administrative Data, select “Add Data Source,” enter the name of the new data source, and select “Save.” The data source will then show up in the list of Administrative Data sources. To add the remaining information on the outcome measure, select “Add Outcome Measure.”
Data Item |
Response Options |
Data Source Name |
Free Text |
Specified Substance |
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Other Substance (If “Other” is selected) |
Free text |
Data Item |
Response Options |
Outcome Measure |
Alcohol Outcome Measure Response Options
Prescription Drug Outcome Measure Response Options
Other Substance Outcome Measure Response Options
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Other Outcome Measure |
Free text |
Reported Outcome/Measure Calculation Description |
Free text |
To add a baseline record, select “Add Baseline Response Data.”
Click on “Add Follow-up Data” to add follow-up data for a previously entered baseline record.
To edit existing records, click “Edit.”
Data Item |
Response Options |
Data Source Time Frame Begin Date |
Date Field |
Data Item |
Response Options |
Data Source Time Frame End Date |
Date Field |
Population Parameters |
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Age Range Minimum (If “Enter age range” is selected for Population Parameters) |
Numerical |
Age Range Maximum (If “Enter age range” is selected for Population Parameters) |
Numerical |
Grades (If “Enter grade[s]” is selected for Population Parameters) |
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(Check all that apply) |
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Other Sample Descriptors |
Free Text |
Number of Events |
Numerical |
Denominator Definition |
Free Text |
Denominator Value |
Numerical |
Value Type |
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Other Value Type* (If “Other” is selected) |
Free Text |
Calculated Value |
Numerical |
Comments |
Free Text |
STOP Act grantees should use this section to get approval for all four of the required outcome measures. Note: SAMHSA requires grantees to submit a data request for measures that they are using to meet outcome measure requirements (see SAMHSA's Performance Accountability and Reporting System (SPARS) Question by Question (QxQ) guide for details on the requirement). You do not need to submit a data request for any other/additional measures you plan to submit.
Decide whether SAMHSA is likely to approve your proposed outcome measure. If you believe they will, gather the required documentation and follow the steps below to submit a data request.
STOP Act does not have a list of pre-approved measures.
To submit a Data Request through SPARS, go to your SPARS Dashboard and select the plus sign (+) next to Data Request in the Work Plans section, then select “View” to open the section.
When you navigate to the Data Request page, you will see an Export Data button. You can export your data by clicking on the Export Data button.
To submit a Data Request for Survey Data, select the arrow next to Survey Data and then select “Add Data Source.” To submit a request for Administrative Data, select the arrow next to Administrative Data and then select “Add Data Source.”
Data Item |
Response Options |
Label of the Outcome Measure(s) indicator for which a STOP Act grantee is requesting approval |
Survey Data Response Options
Administrative Data Response Options
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Data source name |
Free text |
Exact wording of the item and response options |
Free text |
Exact wording of the outcome that will be reported to SAMHSA/CSAP |
Free text |
Formulas for calculating or deriving the prevalence estimate (reported outcomes) |
Free text |
Agency/organization responsible for data collection |
Free text |
Were there validity and reliability tests of the survey items constituting the substitute measure? |
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Description of the reliability/validity study(ies): (If Yes is chosen) |
Free text |
Are there any published validity/reliability studies for this instrument? |
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Bibliographic Information (If Yes is chosen) |
Free text |
Data Source Request Supporting Document |
Upload feature |
Select “Save” to add your data source. Your outcome measure will then appear in the list of data sources.
Select “Add Response Data Collection Detail” to complete additional items for the Data Request.
Data Item |
Response Options |
Do the data approximate the community (e.g., county, city, town, school) where interventions are delivered? |
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If no, indicate how they differ (If “No” is selected) |
Free Text |
Most recent month and year for which data are available? |
Date Field |
Is there a data point collected at least 6 months prior to the implementation of grant-funded interventions in the community? (i.e., a baseline prevalence estimate) |
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Is the data collection repeated every year? |
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Frequency of data collection (If “No” is selected) |
Free Text |
Are trend data available? |
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Start year of trend data (If “Yes” is selected) |
Date Field |
Data Item |
Response Options |
Date of Data Collection |
Date Field |
Sample Size |
Numerical |
Sampling Ratio |
Free Text |
What type of sampling strategy was used to select respondents? |
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If “Random sample” or “Stratified random sample” is selected: |
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Stratified Sampling–Identify each stratum |
Free Text |
Cluster Sampling–Identify the clustering unit |
Free Text |
Multistage design–Identify the unit sampled at each stage |
Free Text |
Potential sources of bias in the sample design |
Free Text |
Data Item |
Response Options |
Method of Administration |
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Other Method (Specify) (If “Other” is selected) |
Free text |
Was this a computer-assisted interview? |
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What was the survey response rate? |
Free text |
Once your Data Request data entry is complete, return to your Dashboard in SPARS, select the gear icon under “Actions” next to Data Request, and select “Submit to Project Officer.” Enter your information in the submission form that appears and select “Submit.”
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | DSP-MRT Supplement for STOP Act Grants |
Subject | DSP-MRT community outcomes tool for STOP Act grantees |
Author | Substance Abuse and Mental Health Services Administration (SAMHS |
File Modified | 0000-00-00 |
File Created | 2021-11-01 |