Our team periodically shares some basic information about the GPRA for new staff or as a refresher for current staff. If your CSB/agency has new staff members, this will provide a brief overview of what the GPRA is and when to administer it. New staff can also request support with a GPRA orientation from a member of the TA team.
What is the GPRA?
Virginia received a federal State Opioid Response (SOR) grant, designed to improve access and availability of opioid use disorder (OUD) and/or stimulant use disorder treatment services and increase the number of people who receive treatment for these disorders. The Government Performance and Results Act (GPRA) is a required evaluation tool for this funding and is administered by Community Services Board (CSB) and agency staff across Virginia. Client-level data are collected including demographics, ICD10 diagnostic categories, substance use and misuse, mental health and physical health functioning, and other key variables. A CSB/agency staff member must ask the client the survey questions in an interview format; clients cannot fill out the survey themselves. OMNI Institute provides training and technical assistance (TA) to CSBs/agencies to support them in administering the GPRA.
Who Should Complete a GPRA?
In order for SOR-funding to cover someone's services (i.e., pay for their services because they don't have insurance or can't afford to pay) they need to either have a stimulant use disorder or an opioid use disorder (OUD). If there are clients receiving services from a SOR-funded staff (salary paid by SOR) then the clients are eligible for the GPRA regardless of whether or not they have a stimulant use disorder or OUD because the staff person's time is paid by the grant. In those cases, the patient's bill for services still cannot be covered by SOR-funding because they don't have the appropriate diagnoses.
Services may include:
Medication for opioid use disorder (MOUD)
Therapy
Intensive Outpatient Services
Peer Support
Drop-In Center
Peer Groups
Child Care
Transportation
Vouchers
When are GPRAs Administered?
All clients should be administered the GPRA survey at three timepoints: at intake to services, six months after intake, and discharge from services. The weekly tracking sheet in your Dropbox folder can help you manage these timepoints:
The intake GPRA is the first GPRA survey, completed when the client first receives SOR-funded services.
The follow-up GPRA is completed approximately 6 months after the intake GPRA, even if the client has already been discharged from services and completed a discharge GPRA. The follow-up window is open between 5 to 8 months after the intake GPRA. Note: Because SOR III launched October 1st, the first follow-up windows will open in March 2023.
The discharge GPRA is conducted when the client is discharged from treatment/recovery services. This can occur before or after a follow-up GPRA, or even at the same time as the follow-up.
Additional Resources