As a grantee, you are required to submit reports according to the schedule specified in your grant. Find your program's reporting forms and guidance documents below.
Template and Submission Tool |
---|
Grant Invoice Template - updated 5/3/24 |
Grant Invoice Submission Tool - updated 1/03/22 |
Harm Reduction
Guidance Documents |
---|
Drug Checking Guidelines |
Reporting Forms |
---|
Monthly Report Submission |
Quarterly Report Submission |
Reporting Forms |
---|
Budget and Budget Narrative Template |
Workplan Template |
Guidance Documents |
---|
CDC OD2A Strategy List |
CDC OD2A Performance Measures |
CDC From SMART to SMARTIE Objectives |
Reporting Portal (Alchemer) |
---|
Reporting Form FY25 (coming soon...) |
OD2A Grant Reporting FY24 |
Guidance Documents |
---|
Overdose Prevention Centers Guidelines |
Prevention
The National Outcome Measures (NOMs) are the federal Substance Abuse and Mental Health Services Administration's (SAMHSA) approach to performance measures. States are required to report on National Outcome Measures for both prevention and treatment programs as part of block grant requirements.
National Outcome Measures are broken down into sub-categories called “domains”. Vermont is collecting data from prevention grantees to report on the three domains in bold below. DSU grantees are required to collect the data throughout their grant period and submit it as part of their regular reporting activities for the grant.
- Domain 1: Reduced Morbidity – Abstinence from Drug or Alcohol Use
- Domain 2: Employment/Education
- Domain 3: Crime and Criminal justice
- Domain 4: Social Connectedness
- Domain 5: Access/Capacity
- Domain 6: Retention
- Domain 7: Cost Effectiveness
- Domain 8: Use of Evidence-based Practices and Strategies
Guidance Document |
---|
NOMs Data Collection Form |
Reporting Form |
---|
NOMs Reporting Form |
Reporting Forms |
---|
Budget Form |
Budget Narrative |
Expense Form |
Monthly Metric Report |
Guidance Documents |
---|
Workplan Template |
Budget Template |
Reporting Forms |
---|
VPLO Budget, Budget Narrative and Workplan |
VPLO Quarterly Report |
Guidance Documents |
---|
Workplan Template |
Budget Template |
Reporting Forms |
---|
Quarterly Report Form |
Budget, Budget Narrative, and Workplan |
Reporting Forms |
---|
Budget Form |
Quarterly Report |
Workplan Template |
Budget Narrative |
Guidance Documents |
---|
Evaluation Plan Template |
"Developing evaluation plans" training (video) |
"Developing evaluation plans" training presentation (PDF) |
Regional Prevention Partnership County Profiles available on the Data & Reports page.
Intervention
Treatment
Guidance Documents |
---|
Medicaid Rate Sheet |
Substance Abuse Treatment Information System Manual – For Legacy Systems |
Substance Abuse Treatment Information System Manual – For EHR Extracts (2019) |
Contingency management |
---|
Note: The recordings of parts 1 and 2 include audio only. Open the PDF to view the presentation slides. |
"Contingency Management Approaches" Training: Part 1 (video) |
"Contingency Management Approaches" Training: Part 2 (video) |
"Contingency Management Approaches" Training (PDF) |
Recovery
Reporting Forms |
---|
Recovery Housing FY25 |
Recovery Residence Reporting FY25 |
Guidance Documents |
---|
Recovery Residence Reporting Instructions FY25 |
Vermont Department of Health
280 State Drive
Waterbury, VT 05671-8340
802-651-1550
ahs.vdhdsu@vermont.gov