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FY 2007 Budget in BriefSubstance Abuse and Mental Health Services AdministrationOn this page:
The Substance Abuse and Mental Health Services Administration builds resilience and facilitates recovery for people with or at risk for substance abuse and mental illness. The FY 2007 budget requests $3.3 billion for the Substance Abuse and Mental Health Services Administration (SAMHSA), a net decrease of $67 million from FY 2006. The request will focus on achieving mental health systems transformation, expand resources available for suicide prevention, build on recent success in reducing youth drug use, and provide targeted resources to prevent and treat methamphetamine dependence and abuse. Substance AbuseAn estimated 23 million Americans struggle with a serious substance abuse problem for which treatment is needed. Substance abuse leads to lost productivity, the transmission of HIV/AIDS and other communicable diseases, domestic violence, child abuse, criminal involvement, and premature and preventable deaths. The FY 2007 request includes $2.3 billion, a decrease of $36 million, to provide effective substance abuse treatment and prevention activities. Opening New Pathways to Recovery: The FY 2007 budget provides $375 million, a reduction of $24 million, for Substance Abuse Treatment Programs of Regional and National Significance. Within this level, $98 million is for the Access to Recovery voucher program. Beginning in FY 2007, States will be offered incentives through Access to Recovery to voluntarily distribute a portion of their Substance Abuse Block Grant funds through drug treatment vouchers. Access to Recovery allows individuals seeking clinical treatment and recovery support services to exercise choice among qualified community provider organizations, including those that are faith-based. Distribution of funds through a voucher system promotes innovative drug and alcohol treatment and recovery programs, provides a wider array of treatment and recovery support options, and introduces greater accountability and flexibility into the system. Methamphetamine abuse causes great harm to children, families, and communities, but it is a treatable problem. Within Access to Recovery, $25 million will be targeted to areas with high methamphetamine prevalence to fund vouchers to cover clinical treatment and/or recovery support services. Promoting Effective Prevention: Illicit drug use among teens has declined nearly 19 percent since 2001. This budget provides $181 million, a reduction of $12 million, for Substance Abuse Prevention Programs of Regional and National Significance. Of this total, $96 million will be available to implement the Strategic Prevention Framework, a program that enables States to better use prevention resources, implement effective prevention programs, and coordinate prevention among different agencies and funding streams. The FY 2007 budget maintains funding for assistance to localities in developing infrastructure or conducting interventions to prevent methamphetamine and inhalant abuse. Methamphetamine Use, Abuse, and Dependence
Source: Office of Applied Studies, SAMHSA, National Survey on Drug Use and Health (NSDUH) and Treatment Episode Data Set (TEDS) Substance Abuse Block Grant: A total of $1.8 billion is requested for the Substance Abuse Prevention and Treatment Block Grant, the same level as FY 2006. These funds, which form the cornerstone of States' and Territories' substance-related programs, supported nearly 1.9 million client admissions during the most recent year for which data are available. Mental HealthApproximately 54 million Americans have a mental illness. The budget includes $849 million for mental health services, a net decrease of $35 million from FY 2006. Through a reform of the Community Mental Health Block Grant, the request prioritizes mental health transformation activities, consistent with the recommendations of the President's Commission on Mental Health Transforming the Mental Health System: The final report of the President's Commission on Mental Health called for a fundamental overhaul of how mental health care is delivered in America. The FY 2007 budget proposes to reform the Community Mental Health Block Grant as part of transforming the mental health system so that: 1) Americans understand that mental health is essential to overall health; 2) mental health care is consumer and family driven; 3) disparities in mental health services are eliminated; 4) early mental health screening, assessment, and referral to services are common practice; 5) excellent mental health care is delivered and research is accelerated; and 6) technology is used to access mental health care and information. States will direct funds above their minimum allotment for mental health system transformation activities. Of the $428 million provided through the Community Mental Health Block Grant, States will direct at least $153 million for mental health system transformation. In addition, $20 million is included to continue existing State Incentive Grants for Transformation. Suicide Prevention: For every two victims of homicide in the United States there are three Americans who take their own lives, but suicide is a potentially preventable public health problem. Studies of youth who have committed suicide have found that 90 percent had a diagnosable mental and/or substance abuse disorder at the time of their death. The FY 2007 request maintains funding for activities authorized by the Garrett Lee Smith Memorial Act, supporting state-wide youth suicide intervention and prevention strategies in schools, institutions of higher education, juvenile justice systems, substance abuse and mental health programs, foster care systems, and other youth support organizations. The request also initiates a new $3 million suicide prevention program focused on the American Indian and Alaska Native youth population. Working in collaboration with the Indian Health Service, this program will provide mental health assistance to children, youth, and their families living on Tribal reservations and in Alaska Native villages.
Children's Mental Health: Fifty percent of children with severe emotional disturbances drop out of high school. The budget maintains funding for Children's Mental Health Services to improve the availability, affordability, and appropriateness of services for the estimated 4.5 million to 6.3 million children with serious emotional disturbances. Of children receiving services under this program last year, two-thirds did not require interaction with law enforcement, and 80 percent attended school regularly. A total of $104 million is requested for Children's Mental Health Services in FY 2007. Homelessness: Approximately one-fifth of homeless individuals also have serious mental illnesses. The budget includes $54 million to maintain support for an array of individualized services to this vulnerable population through Projects for Assistance in Transition from Homelessness (PATH). Protection and Advocacy: This request includes $34 million to maintain funding for Protection and Advocacy for Individuals with Mental Illness and supports grants to 57 States and Territories. State protection and advocacy systems address more than 20,000 complaints of abuse, neglect, and civil rights violations annually. Program ManagementThe request includes $97 million to maintain staff and related program management, and to support activities necessary to effectively administer a wide array of Federal programs. This includes an increase of $5 million in PHS Evaluation Funds for the Drug Abuse Warning Network (DAWN) to support the collection of information on the emergence of new illicit substances, health hazards associated with drug abuse, and the impact of drug abuse on the Nation's health care system. The percentage of children served through Children's Mental Health Services who have no interaction with law enforcement has improved from 47 percent in FY 2002 to 68 percent in FY 2005. The target for FY 2007 is for 70 percent of children served to have no interaction with law enforcement. |
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Last revised: February 20, 2006
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