PURPOSE:  

Expand and enhance clinical substance abuse treatment services and recovery support services to build resilience and facilitate recovery for those with substance use problems. In 2004, the number of persons aged 12 or older needing treatment for an alcohol or illicit drug use problem was 23.48 million. Of these, 2.33 million received treatment at a specialty facility in the past year. Of the 21.15 million people who needed but did not receive treatment in 2004, an estimated 1.2 million reported that they felt they needed treatment for their alcohol or drug use problem, and of these, 441,000 (35.8 percent) reported they made an effort but were unable to get treatment, while 792,000 (64.2 percent) reported making no effort to get treatment.

PERFORMANCE MEASURES

Long Term Measures

• Increase the number of people with substance abuse problems who receive treatment. (Data Source: CSAT Programs of Regional and National Significance, Baseline: SAIS; 34,014; 2005)

• Improve treatment outcomes for people receiving services.

  • No past month substance use. (Baseline: SAIS; 65%; 2005)

Annual Measures

• Increase by 1% the number of people with substance abuse problems who receive treatment

• Increase percentage of individuals receiving services who report:

  - Increased employment or return to school. (Baseline: SAIS; 48.9%; 2005)

  - Increased stabilized family and living conditions. (Baseline: SAIS; 49.2%; 2005)

  - Increased retention in treatment. (Baseline: SAIS; 56.1 % completing treatment; 2005)

• Increase by 20% the number of physicians certified to use buprenorphine to treat opioid addiction (Baseline: CSAT’s Buprenorphine Waiver Database, 6766, 2005).

• Ensure that at least 90% of all Opioid Treatment Programs (OTPs) are accredited by a SAMHSA-approved accreditation body (Baseline: CSAT’s OTP Certification Database, 90%, 2005; Goal is to maintain a 90% certification rate).

POLICY AND PROGRAM PARAMETERS – including drivers:

The following are policy and program parameters that are addressed or reflected in the action plan:

• The President’s Drug Treatment Initiative has proven to be a bipartisan commitment to expand clinical treatment and recovery support services based on national priorities for substance abuse prevention and treatment established by the National Drug Control Strategy.

• Efforts to expand Substance Abuse Treatment Capacity must be consistent with other major SAMHSA initiatives, including Mental Health System Transformation (especially with regard to people with co-occurring disorders) and the Strategic Prevention Framework (which promotes State-based efforts to address the prevention aspects of substance abuse treatment and relapse prevention).

• Federal formula and discretionary grant funding leverages and influences State and local funding for substance abuse treatment, e.g., the authorizing statute for the Substance Abuse Prevention and Treatment Block Grant requires maintenance of effort in State spending.

KEY ACTIVITIES –
FY 06 - 07:

• Monitor the extent to which Access to Recovery addresses those population groups prioritized on the SAMHSA matrix that are appropriate and relevant to the programs within the matrix area.

• Provide regulatory monitoring and oversight of SAMHSA-certified Opioid Treatment Programs and physician training on the use of pharmacologic therapies.

• Increase the number of candidate programs addressing substance abuse treatment that apply for review in the National Registry of Evidence-based Programs and Practices (NREPP).

• Complete 3-year implementation plan for NOMs for SAPTBG and for SA treatment discretionary grant program.

• Publish formal policy on Maintenance of Effort.

• Increase the number of faith- and community-based providers participating in Access to Recovery . Sponsor pre-application technical assistance workshops for faith- and community-based organizations to inform them about SAMHSA’s grant programs and grant-related policies, such as Charitable Choice.