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:
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 ( MHSIP-YSSF Report_2011, MHSHIP-YSSF Report_2012, 2012 Consumer Survey Supplemental Report) made publically 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:
The Department collects three other client-level NOMs that are unique to either substance abuse or mental health services:
The client-level NOMs and other demographic information are reported each year to SAMHSA in files called the Treatment Episode Dataset (TEDS) for substance abuse treatment and the Treatment Episode Outcomes (TEO) for mental health.
OhioMHAS uses a web-based application called the Ohio Behavioral Health (OHBH) system to collect client-level information about treatment outcomes for recipients of mental health and substance abuse services. The OHBH is one of several applications hosted on the web-based portal developed by the former Ohio Department of Alcohol and Drug Addiction Services. As one of several applications on the web portal, the OHBH is specifically designed to collect client-level treatment NOMs through the creation of admission, update and discharge records. The OHBH has several features, including a support area with documentation, batch upload facility, online data entry forms and reports. A training environment is available to give providers and boards an opportunity to experience the OHBH application.
Alcohol and drug addiction providers are required by law to report outcomes to the state in order to fulfill data reporting requirements to be submitted to the Substance Abuse and Mental Health Services Administration. More information about this requirement can be found in a June 17, 2015 memo from Director Tracy Plouck.
The Department’s web portal also is used to collect prevention NOMs reported through a system called Proving Ohio’s Prevention Success (POPS).
To access either the OHBH or POPS, registration is necessary.
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:
Crime and criminal justice
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.