METHOD:Covering four cohorts, beginning in 2012 and the newest cohort starting in 2015, CSAP staff conducted a thematic analysis to identify any similarities or significant differences that could be found between the 68 grantees. In addition to the DIS statements grantees develop a Quality Improvement Plan the outlines their approach to implement environmental strategies and evidence based interventions to improve access, use and outcomes to preventions programs/services. CSAP staff provides guidance, technical assistance and monitors the progression of the QIP.
RESULTS:The identification of high need communities and disparate populations revealed common as well as unique trends across the 68 grantees; including many similarities between tribal grantees and certain states grouped regionally. CSAP developed a web based reporting system that collects grantee accomplishments and challenges in addressing high need communities and reaching the most vulnerable in those communities. The reporting system provides a comprehensive platform for data sharing and monitoring the access, use and outcome of prevention services.
DISCUSSION: Every DIS is tracked to determine how each grantee continues to serve their identified disparate population. The information is used to develop technical assistance strategies for integrating substance abuse prevention strategies to reduce behavioral health disparities in those high need communities. Outcomes from the DIS are used to understand program impact on the access, use and outcomes of grant activities on racial and ethnic minority populations. The DIS positions SAMHSA to effectively address behavioral health disparities and advance the agenda to promote behavioral health equity.