> ## Documentation Index
> Fetch the complete documentation index at: https://docs.encoreos.io/llms.txt
> Use this file to discover all available pages before exploring further.

# GPRA→SUPRT Client-Outcome Capture — User Guide

> Step-by-step guide for clinicians administering SUPRT-A and SUPRT-C outcome assessments for SAMHSA grant-funded clients.

## 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**.

***

## 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.

***

## 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 Review each value and correct any that are out of date: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).

***

## 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.

***

## 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.

***

## 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](cl-69-grant-profile-admin-guide.md)).