|
PURPOSE
|
Improve outcomes for children with and/or at risk for mental,
substance use and or co-occurring disorders, and their families by increasing
access to a continuum of comprehensive, integrated, culturally and
linguistically competent services and supports-that include prevention, early
intervention, and treatment. Approximately 5% to 9% of children (aged 9-17)
have a serious emotional disturbance, many of whom have a co-occurring
substance abuse disorder. In addition, 8.8 % adolescents (aged 12 - 17) have
met the criteria for dependence and/or abuse of illicit drugs or alcohol.
Adolescents who had experienced a past year major depressive episode were more
than twice as likely to have used illicit drugs in the past month than their
peers who had not (21.2% vs. 9.6%).
|
|
PERFORMANCE MEASURES
|
Long-Term Measures
-
Improve outcomes, as defined by SAMHSA's National Outcome
Measures, for children with and/or at risk for mental and/or substance use
disorders, and their families (Data Source: NOMS, Baseline: TBD, 2007; NSDUH
abstinence data, Baseline: 88.8% (drug) 82.3% (alcohol), 2003)
-
Increase number of children who receive quality prevention and/or
treatment and support interventions from community-based providers (Data
Source: CSAT & CMHS PRNS Programs, Baseline: TBD, 2007)
Annual Measures
-
Increase number of States and communities that build
infrastructure for an integrated continuum of prevention and service
interventions for children and their families (Data Source: a) CMHI Grant
Program, Baseline: 96 communities, 2005; b) Adolescent SIG, Baseline: 7, 2005)
-
Improve psychosocial functioning (Data Source: CMHI Grant
Program, Baseline: 32%, 2005)
-
Increase abstinence from drug/alcohol use (Data Source: CSAT PRNS
Programs, Baseline: 51.2%, 2005)
-
Increase percentage of children living in stable family
environments (Data Source: a) CMHI Grant Program: 74%, 2005; b) CSAT PRNS,
59.1%, 2005)
-
Increase percentage of children who return to/stay in school
(Data Source: a) CMHI Grant Program, Baseline: 80.2%, 2005; b) CSAT PRNS,
Baseline: 66.2%, 2005)
|
|
POLICY AND PROGRAM PARAMETERS - including drivers:
|
The following are policy and program parameters that are addressed
or reflected in the action plan:
-
Strong consensus exists from national, State and local
stakeholders to reduce service system fragmentation for children and families.
-
President's New Freedom Commission on Mental Health recommends
transformation of mental health care in America and the Federal Action Agenda
defines first steps.
-
SAMHSA's Strategic Prevention Framework, which is aligned with
the White House Initiative, Helping America's Youth, and the HHS Initiative,
Steps to a Healthier US, provides a context for a public health approach to
prevention.
-
SAMHSA's Report to Congress on Prevention and Treatment of
Co-occurring Disorders addresses the window of opportunity to integrate
substance abuse and mental health services for children and adolescents.
-
President's commitment to Access to Recovery includes improving
access and outcomes for substance abuse treatment for parents and adolescents
-
HHS Office of Minority Health report provides national standards
for culturally and linguistically appropriate services (CLAS) in health care,
and also addresses the SAMHSA Matrix cross-cutting principle to assure cultural
competence.
|
|
KEY ACTIVITIES - FY 06-07:
|
-
Ensure that children and families are a significant focus in
SAMHSA's four redwood grant programs, as appropriate: Mental Health Systems
Transformation SIG, Access to Recovery, the Strategic Prevention Framework SIG,
and COSIG. (Track State and community grant activities, technical assistance,
and outcomes.)
-
Collect and report NOMS for children and families.
-
Expand portfolio of grants and technical assistance that
implements infrastructure and best treatment practices along a continuum of
care for adolescent substance abuse and co-occurring disorders.
-
Establish a national initiative to promote healthy development
and resiliency of young children, reaching their parents/caregivers earlier to
prevent or reduce mental and/or substance use disorders.
-
Convene the Federal/National Partnership for Transforming Child
and Family Mental Health and Substance Abuse Prevention and Treatment to
implement and coordinate actions around critical issues: service integration;
school-based mental health; family-driven and youth-guided care and policies;
eliminating the need to relinquish custody for care; reducing disparities in
care, and workforce development.
-
Develop a conceptual framework that addresses the elimination of
cultural, racial and ethnic disparities and promotes cultural competency in the
SAMHSA children and families agency-wide portfolio.
-
Increase the number of candidate programs submitted for review in
the National Registry of Evidence-based Programs and Practices (NREPP)
addressing prevention, early intervention, and mental health and substance
abuse treatment for children, adolescents, and families.
-
Complete an inventory of SAMHSA's technical assistance and public
resources for issues related to children and families and make available at the SAMHSA website.
|
As Matrix Lead, I agree to the incorporation of the concepts, strategies, and
goals outlined in this Action Plan into my performance contract.
