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The Programs
Addressing unmet and emerging needs in fiscal year 2004
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The SAMHSA
matrix identifies these 11 priority program areas to ensure that the Agency’s
work addresses the elements that people with mental and substance use disorders
need to live a full, rewarding life in the community. |
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Substance Abuse Treatment Capacity
Through its Block Grant and Targeted
Capacity Expansion programs, SAMHSA is providing more than $1.6 billion to
support States’ efforts to build and expand their capacity for substance abuse
treatment, to improve treatment systems and to respond to new and emerging
substance abuse trends. SAMHSA will oversee the President’s Access to Recovery
program—a new $100 million State-run voucher program that will allow thousands
of Americans with substance use disorders the opportunity to choose treatment
and recovery support services from a range of qualified community provider
organizations, including those that are faith based.
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Mental Health System Transformation
Responding to the 2003 call of the
President’s New Freedom Commission on Mental Health to transform the existing
mental health care system, SAMHSA is leading the ongoing process of developing
an action agenda, reshaping the roles of the States and other partners, and
identifying the changes necessary to create a more recovery-focused mental
health services delivery system. In fiscal year 2004, SAMHSA is investing more than $517 million in transformation
efforts through its discretionary grant programs. SAMHSA’s mental health Programs of Regional and National Significance
promote service capacity expansion and foster service effectiveness through the
adoption, adaptation and evaluation of proven evidence- based approaches at the
State and community levels. A new $42.8 million State Incentive Grants for Transformation program to implement
the Commission’s findings has been proposed as part of SAMHSA’s fiscal year
2005 Programs of Regional and National Significance funding request.
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Strategic Prevention Framework
As part of its effort to reengineer its
approach to substance abuse prevention and to place greater emphasis on mental
health promotion, SAMHSA has created a strategic prevention framework that is
built on science-based theory, evidence-based practices and the knowledge that
effective prevention programs must engage individuals, families and entire
communities. Supported by more than $521 million in SAMHSA funding in 2004, the
new Strategic Prevention Framework sets into place a step-by-step process that
empowers communities to identify and implement the most effective prevention
efforts for their specific needs. It also includes feedback to ensure
accountability and effectiveness of the program effort. SAMHSA’s Substance
Abuse Prevention State Incentive Grant program is the foundation of the
Strategic Prevention Framework, providing funds to States and territories to
promote partnership development. SAMHSA is providing $47.8 million in new
capacity expansion grants to assist States in carrying out services,
infrastructure and best practice efforts, which include an emphasis on the
prevention of underage drinking.
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Co-Occurring Disorders
SAMHSA fosters collaboration across the
substance abuse and mental health fields and provides grant funding to promote
the development of a seamless system of care in which any door is the right
door for people with co-occurring mental and substance use disorders to receive
coordinated treatment and services. SAMHSA’s $15 million Co-Occurring State
Incentive Grants program supports States’ efforts to develop and enhance their
service system infrastructure and to increase their capacity to serve people
with co-occurring disorders.
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Seclusion & Restraint
SAMHSA has allocated $2.5 million to support
implementation of a National Action Plan to reduce and ultimately eliminate
seclusion and restraint from treatment and rehabilitation settings. The plan
focuses on identifying evidence-based practices, developing training models,
providing technical assistance for staff and enforcing rights protection to
safeguard consumers.
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Children & Families
In 2004, SAMHSA is investing more than $272
million in programs for children and families with mental health and substance
use issues. SAMHSA supports States’ efforts to develop community-based systems
of care and to promote public information initiatives that address critical
concerns—from family strengthening and school violence prevention to help for
children of addicted parents.
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Disaster Readiness & Response
When disasters strike, State and local
substance abuse and mental health agencies are thrust onto the front line for
response and recovery efforts. Addressing this critical need, SAMHSA is
providing $6.3 million to bolster States’ efforts to plan for and provide
outreach, crisis counseling and referral services in response to all hazards,
including bioterrorism.
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Homelessness
SAMHSA funds a wide range of grant programs
and activities to assist communities in providing integrated treatment and
support for individuals with mental and substance use disorders who are
homeless or at risk of becoming homeless. In 2004, SAMHSA is supporting this
initiative with more than $95.7 million, which will expand the Projects for
Assistance in Transition from Homelessness (PATH) program, provide mental
health services and substance abuse treatment for homeless families and support
a unique cross-Agency initiative to end chronic homelessness.
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Older Adults
In response to the mounting needs of the
growing older adult population, SAMHSA is currently providing nearly $5 million
in grants to assist States in providing services and supports that are known to
work, in addressing age-related disparities and in studying the effectiveness
of treatment for mental and substance use disorders in primary care settings.
SAMHSA is also reaching out to the aging service community and to older adults
themselves.
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HIV/AIDS & Hepatitis
In 2004, SAMHSA is investing more than $111
million in an effort to develop local capacity to provide mental health
services and substance abuse treatment and prevention services for individuals
living with and affected by HIV/AIDS.
These funds will assist States in providing outreach and training, addressing
the special needs of racial and ethnic minorities and studying the costs
associated with delivering integrated care.
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Criminal & Juvenile Justice
To help States break the pattern of
incarceration without treatment and reduce the high rate of recidivism, SAMHSA
is providing $32.5 million in grants for diversion and reentry programs for
adolescents, teens and adults with mental and substance use disorders. These
grant programs focus on treatment, as well as housing,
vocational and employment services and long-term supports.
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