Table 2.

Sample implementation action plan developed during the GSS portion of GAT

Goal:		By April 2017, the site will double its current referral rate to 80% for youth under community supervision who are in need of substance use treatment services.
Goal Measure:		The proportion of youth who are referred to treatment.
Goal Numerator:		The number of youth who are referred to treatment.
Goal Denominator:		The number of youth who are identified as in need of treatment.
#	Goal Step	Measure	Numerator	Denominator	Responsible	Due Date
1	Research and purchase an evidence-based screening tool	Complete when screen has been purchased	n/a	n/a	Amy (JJ), Jared (BH)	May 2016
2	Train all JJ staff on how to implement and score the evidence-based screen	Complete when all staff have been trained	# of staff trained	Total # of staff who make referrals	Ted (JJ), Jared (BH)	June 2016
3	Establish and document a formalized intake protocol	Complete when protocol has been drafted	n/a	n/a	Amy (JJ)	Sept 2016
4	Train JJ staff on changes to MIS that incorporate the screen results	Complete when all staff have been trained	# of staff trained	Total # of staff using the MIS	Ted (JJ)	Sept 2016
5	Create a handout of BH options to provide to families during the referral process	Complete when handout has been created	n/a	n/a	Jessica (JJ), Sandra (BH)	Jan 2017
6	Create a standardized notification form to share with BH when making a referral	Complete when form has been created	n/a	n/a
7	Reconnect with all regional BH partners via in-person meetings	Proportion of BH partners with whom JJ has reconnected	# of local BH partners with whom JJ has reconnected	Total # of local BH partners with whomJJ will work	Cindy (JJ)	Feb 2017
8	Formalize and document communication between JJ and BH partners	Complete when procedures have been documented	n/a	n/a	Amy (JJ)	April 2017