PURPOSE
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Provide access and increase use of mental health and substance abuse prevention and treatment services to prevent HIV and hepatitis transmission among high-risk populations, including minority populations.
Approximately 40,000 Americans annually become infected with HIV. Of these, about one-third of those persons are coinfected with viral hepatitis from similar modes of transmission. Only a small percentage of individuals at risk for transmission of these diseases resulting from a substance abuse and/or mental health disorders receive appropriate prevention and treatment services.
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PERFORMANCE MEASURES
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Long Term Measures
- Increase percentage of participants in CSAP’s HIV and Substance Abuse Prevention Program that report no/reduced substance abuse in past 30 days. Baseline: TBD (CSAP Data Coordinating Center, 2007)
- Increase percentage of participants served by CSAT’s Targeted Capacity Expansion for HIV and Substance Abuse Treatment Program who report abstinence from intake to six months post intake. Baseline: 60.1% (CSAT Services Accountability and Information System, FY 05)
- Increase the percentage of participants in CMHS’s Targeted Capacity Expansion for HIV-Related Mental Health Services Grant Program who report improved social connectedness and every day life functioning in the past 30 days. Baseline: TBD (CMHS Transformation Accountability System, 1/04-12/05)
Annual Measures
- Number of persons served through CSAP’s HIV and Substance Abuse Prevention Program, CSAT’s Targeted Capacity Expansion for HIV and Substance Abuse Treatment Program, and CMHS’s Targeted Capacity Expansion for HIV-related Mental Health Services Grant Program.
Baseline:
CSAP – 1388 (adults); 5000 (youth)(CSAP Data Coordinating Center/sample of Cohort 3 data, 2003-2005)
CSAT - 17,446 (CSAT Services Accountability and Improvement System (SAIS), FY 05)
CMHS – 1400 (CMHS Transformation Accountability System, 1/04-12/05)
- Increase by 2007, the number of SAMHSA grantees that can provide HIV testing, including rapid testing. Baseline: 52 (MayaTech, 2005)
- Increase the number of candidate programs addressing HIV and substance abuse prevention, substance abuse treatment or mental health treatment that apply for review by the National Registry of Effective Programs and Practices (NREPP). Baseline: TBD (NREPP Data, 2006)
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POLICY AND PROGRAM PARAMETERS – including drivers:
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The following are policy and program parameters that are addressed or reflected in the action plan:
- Strong consensus exists among national, State and local stakeholders to increase access to and build capacity for mental health and substance abuse prevention and treatment services for minority populations with or at risk for HIV/AIDS.
- The Minority AIDS Initiative (MAI) grant program is the main mechanism for reaching minority populations living in geographic areas disproportionately impacted with HIV/AIDS.
- The MAI grant program will be collaboratively managed across all three Centers with participation of external agencies and organizations.
- The new Rapid HIV Testing methodology provides an opportunity for SAMHSA to maximize its role in reducing the spread of HIV/AIDS and Hepatitis-----particularly for injection drug users (IDUs) and their sex partners who represent approximately one third of persons infected in the HIV and continue to be at risk for transmitting HIV (CDC. HIV Diagnoses Among Injection-Drug Users in States with HIV Surveillance—25 States, 1994-2000. MMWR: July 11, 2003 / Vol. 52 / 27:634-636).
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KEY ACTIVITIES – FY 06-07:
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- Ensure that HIV/AIDS and hepatitis are a significant focus in SAMHSA’s four redwood grant programs, as appropriate: Mental Health Systems Transformation SIG, Access to Recovery, Strategic Prevention Framework SIG, and COSIG. (Track State and community grant activities, technical assistance and outcomes.)
- Increase the number of SAMHSA grantees that provide HIV-testing.
- Collect and report NOMS related to the nexus between substance abuse, mental health issues/disorders, and HIV/AIDS and hepatitis services provided.
- Increase the number of candidate programs addressing people with HIV/AIDS and hepatitis that apply for review by the National Registry of Evidence-based Programs and Practices (NREPP).
- Complete a performance assessment (using NOMS/GPRA data) of the CSAP and CSAT HIV/AIDS services grant programs (completed projects), and initiate a similar assessment for the CMHS HIV/AIDS Related Mental Health Services grant program.
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