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As of January 31, 2023, there are 4842 open recommendations that still need to be addressed. 473 of these are priority recommendations, those that we believe warrant priority attention. Learn more about our priority designation on our Recommendations page.

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1 - 3 of 3 Recommendations, including 0 Priority Recommendations

Opioid Use Disorder: Opportunities to Improve Assessments of State Opioid Response Grant Program

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2 Open Recommendations
Agency Recommendation Status
Substance Abuse and Mental Health Services Administration The Assistant Secretary for Mental Health and Substance Use should ensure that SAMHSA's SOR grant program assessment reports, such as its annual SOR program profile and report to Congress, identify potential limitations in their findings, and describe how any such limitations may affect the conclusions that can and cannot be drawn about the effectiveness of the program. (Recommendation 1)
Open

SAMHSA concurred with this recommendation. In December 2022, SAMHSA reported that it is working to better leverage programmatic data to assess SOR grantee performance and ensure effectiveness of the program. SAMHSA said this involves a comprehensive approach that includes developing a method to communicate data limitations in SOR grant program assessment reports, profiles, and reports to Congress. Specifically, SAMHSA said it is developing a limitations section for inclusion in SOR grant program assessment reports, profiles, and reports to Congress. The limitations section will identify

Substance Abuse and Mental Health Services Administration The Assistant Secretary for Mental Health and Substance Use should further analyze existing SOR grant program information, such as by disaggregating data by client groups, to provide a more comprehensive, in-depth assessment of program performance and use such information to identify opportunities for program improvement. (Recommendation 2)
Open

SAMHSA concurred with this recommendation. In December 2022, SAMHSA reported that it was working to better leverage programmatic data to assess SOR grantee performance and ensure effectiveness of the program. SAMHSA said this involves modifying data collection tools to better assess performance on key programmatic objectives as well as conducting additional analyses of program data. Specifically, SAMHSA said it modified the two Government Performance and Results Act (GPRA) data collection tools that SOR grantees must use to report performance measures. SAMHSA said this would better enable

Substance Use Disorder: Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant Program

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1 Open Recommendations
Agency Recommendation Status
Substance Abuse and Mental Health Services Administration The Assistant Secretary for Mental Health and Substance Use should identify and implement changes to the SABG program's data collection efforts to improve two elements of reliability—consistency and relevance—of data collected on the number of individuals who receive SUD treatment and recovery support services with funding from the SABG program. (Recommendation 1)
Open

SAMHSA concurred with this recommendation and has provided regular updates. In June 2021, SAMHSA described plans to assess the quality of SABG performance data, including the quality of the data reported by grant recipients, agency use of the data, and the data collection process. SAMHSA also described plans to develop a decision support tool that will enable the combination of analysis with prediction capabilities leading to more efficient programmatic decision making. In September 2021, SAMHSA reports the agency began its SABG Data Quality Assessment Project and is working with its

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For questions about a specific recommendation, contact the person or office listed with the recommendation. For general information about recommendations, contact GAO's Audit Policy and Quality Assurance office at (202) 512-6100 or apqa@gao.gov.