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Overview

The SUPRT (Unified Performance Reporting Tools) instrument replaces GPRA effective October 2025 for SAMHSA discretionary grants (SOR, CCBHC-E, and similar). It is split into two parts:
  • SUPRT-A — Administrative items completed by the clinician using information already on the client’s record (demographics, employment, housing, criminal-justice involvement). Most fields auto-populate from the chart.
  • SUPRT-C — Client self-report items that the clinician presents to the client during the session (perceived care quality, social connectedness, and similar domains).
SUPRT is collected at four standard timepoints: intake, 6-month follow-up, annual follow-up, and discharge.

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Step 1: Open a New Outcome Episode

  1. Open the client’s chart and click the Outcomes tab.
  2. Click Start SUPRT (or New Outcome Episode) to begin an intake assessment.
  3. In the dialog that opens, confirm the grant type (SOR, CCBHC-E, etc.) if a selector is shown. The system reads the active grant profile from your org’s PF-96 settings.
Only one open episode per client per grant is allowed. If an episode is already open for this grant, the system will show an Active Episode notice instead of opening a second one.

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Step 2: Review SUPRT-A (Administrative Items)

The SUPRT-A section appears first. Fields that can be derived from the chart record are pre-populated and shown as read-only. Review each value and correct any that are out of date:
  • Education level, employment status, housing type
  • Criminal-justice involvement flags
  • Other administrative items required for your grant’s item set
If a field is blank, the source data was not found on the chart — enter it directly in the dialog. The value will be saved to the assessment record (not back-written to the source field).

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Step 3: Complete SUPRT-C (Client Self-Report Items)

After reviewing SUPRT-A, the dialog advances to the SUPRT-C section. These items must be presented to the client:
  • Read each item aloud or display it to the client.
  • Enter the client’s response in the corresponding field.
  • SUPRT-C items are distinct from SUPRT-A; no items are duplicated between the two sections.

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Step 4: Save and Submit

Click Save (or Submit / Record) to finalize the assessment. The system:
  1. Persists the episode (cl_outcome_episodes) and the assessment + responses (cl_outcome_assessments, cl_outcome_responses).
  2. Labels any SUD-derived response rows with a DS4P confidentiality code at insert.
  3. Updates the Follow-Up Rate Card on the Outcomes tab to reflect the current grant follow-up percentage.
A confirmation message confirms the assessment was recorded.

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Reassessment: 6-Month and Annual Follow-Ups

When a client’s 6-month or annual reassessment window opens, the CL-35 Care Gaps worklist surfaces an outcome_reassessment_due alert for that client. Open the client’s chart and repeat Steps 1–4; the dialog pre-selects the appropriate timepoint (6-month or annual) based on the episode start date and the cadence configured in your org’s PF-96 grant profile. At discharge, use Discharge / Close Episode on the Outcomes tab to record discharge-timepoint items and close the episode.

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Important Notes

  • Part 2 consent required before any SPARS disclosure. SUD-derived outcome data cannot be disclosed to SAMHSA SPARS (GR-28) without a valid 42 CFR Part 2 per-entity consent on file in CL-11. The system blocks the SPARS package for any row where consent is missing.
  • SUD-derived items are DS4P-labeled. Items flagged as SUD-derived carry a DS4P privacy-segmentation label. These items are excluded from AI prompts and are never logged in plain text.
  • Item sets are grant-driven. The items shown in the dialog come from the PF-96 grant profile configured for your organization. If the item set looks wrong, contact your administrator to verify the grant profile settings (see the Admin Guide).