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Outcomes

OhioMHAS uses and reports the National Outcome Measures (NOMs), which are required by the Substance Abuse and Mental Health Services Administration (SAMHSA) for Block Grant and discretionary grants funding. The NOMs are defined by ten broad domains to which specific measures apply, depending on whether the service outcomes are for mental health and substance abuse treatment or prevention and wellness promotion.

Aggregated NOMs for Treatment

 Five NOMs related to treatment are collected by OhioMHAS and reported in aggregate form:

  • Access and Retention (Substance Abuse)
  • Client Perception of Care (Mental Health)
  • Symptom Reduction (Mental Health)
  • Social Functioning (Mental Health)
  • Cost Effectiveness (Substance Abuse and Mental Health)

The substance abuse access and retention NOM is calculated with service event data. Performance management reporting on retention and disposition at discharge at the provider and board level is available through the Ohio Behavioral Health (OHBH) system. Mental health client perception of care, symptom reduction and social functioning are collected through annual randomized surveys called the MHSIP and YSS-F, with results (Annual Adult and Youth Consumer Surveys) made publicly available. The cost effectiveness NOM for substance abuse treatment is based on average cost by level of care, and the corresponding mental health NOM is based on number of persons receiving evidence-based practices and number of such practices provided.

Client-level NOMs for Treatment

The Department collects three client-level NOMs from treatment providers that apply to both mental health and substance abuse services:

  • Employment/Education
  • Stable Housing
  • Criminal Justice Involvement

The Department collects three other client-level NOMs that are unique to either substance abuse or mental health services:

  • Abstinence (Substance Abuse)
  • Social Connectedness (Substance Abuse)
  • Use of Evidence-Based Practices (Mental Health)

The client-level NOMs and other demographic information are reported each year to SAMHSA. 

Prevention Outcomes and POPS

Ohio’s outcomes for prevention programs are based on the National Outcome Measures (NOMs) framework. Prevention NOMs are reported through the POPS system, which collects demographic and programmatic information on all federal- and state-funded prevention programs. POPS provides reports and a continuous quality improvement feature where program administrators select NOMs to address. The outcome measures for Ohio’s prevention programs are aligned with the domains of abstinence, social connectedness, employment/education and criminal justice. Prevention program providers are asked to select and report on at least one measure from the following domains and associated areas:

Abstinence         

  • 30-day Substance Use (nonuse/reduction in use)
  • Age of First Substance Use
  • Perception of Disapproval/Attitude
  •  Perceived Risk/Harm of Use

Social Connectedness

  • Family Communication Around Drug Use

Employment/ Education              

  • Perception of Workplace Policy
  • Substance Abuse-Related Suspensions and Expulsions
  • School Attendance and Enrollment

Crime and criminal justice           

  • Alcohol-Related Car Crashes and Injuries
  • Alcohol and Drug-Related Crime

Measurements within domain areas are based on the provider’s selection of a specific outcome objective. Program staffs responsible for measuring outcomes are asked to provide a rationale for selection of a particular objective.    

  • Participants will maintain abstinence or reduce substance abuse.
  • Participants will delay the age of first substance use.
  • Participants will perceive substance use as risky and/or harmful.
  • Participants will perceive substance non-use as the norm.
  • Participants will improve their ability to develop healthy interpersonal skills through promoting social/emotional development.
  • Participants will increase school bonding and commitment to learn.
  • Participants will demonstrate an understanding of the impact of substance use on the workplace (ie: accidents, worker compensation costs, theft, health care costs, other losses, etc.).
  • Participants will experience an increase in positive family management.
  • Participants will influence community laws and norms promoting healthy lifestyles.