**Director's Report to the**

**Center for Substance Abuse Treatment's**

**National Advisory Council**

**\[June through August 2006\]**

**H. Westley Clark, M.D., J.D., M.P.H.**

**Director**

**TABLE OF CONTENTS**

# 

[Director's Highlights 3](#directors-highlights)

[Highlights of CSAT Activities by SAMHSA Matrix Area
3](#highlights-of-csat-activities-by-samhsa-matrix-area)

[Substance Abuse Treatment Capacity
3](#substance-abuse-treatment-capacity)

[Co-Occurring Disorders 3](#co-occurring-disorders)

[Criminal Justice 3](#__RefHeading___Toc146441445)

[Children and Families 3](#children-and-families)

[HIV/AIDS and Hepatitis 3](#hivaids-and-hepatitis)

[Disaster Readiness and Response 3](#__RefHeading___Toc146441448)

[Appendix A 3](#__RefHeading___Toc146441449)

[CSAT's 2006 Grant Awards 3](#__RefHeading___Toc146441450)

[Appendix B 3](#appendix-b)

[2006 Grants Program Descriptions & Awardees
3](#grants-program-descriptions-awardees)

[Appendix C 3](#appendix-c)

[Preview Of CSAT's Anticipated FY 2007 Funding Opportunities
3](#__RefHeading___Toc146441454)

#  

# Director's Highlights

Number range CHAPTER***Status of FY 2006 Budget.*** Execution of the FY
2006 budget is rapidly drawing to a successful close. During the fourth
quarter, two important systems changes began implementation at SAMHSA,
both of which will be effective for the new fiscal year: 1) processing
of grants through the NIH IMPACT II system; and 2) conversion of SAMHSA
to the HHS Unified Financial Management System (UFMS) for all cost
accounting functions. Because of these changes, end-of-year activities
were on an accelerated schedule to award all continuation and new
treatment services grants by mid-September, and training of designated
staff on the UFMS was scheduled and completed by the end of August.

***Status of FY 2007 Budget.*** The final SAMHSA FY 2007 budget
appropriation is uncertain at this time, primarily due to the
Congressional summer recess, and the fact that little additional work on
the appropriation is expected prior to the fall elections. We expect to
begin FY 2007 with a Continuing Resolution, and we anticipate that
Congress will not complete passage of the Labor, HHS, and Education
appropriations until December at the earliest. It is possible that an
appropriation will not be completed until after the new 110^th^ Congress
convenes in January 2007.

Displayed in the chart below are recommendations of the House and Senate
appropriations committees, as published in their respective reports, H.
Rept. 109-515 and S. Rept. 109-287. Both the House and Senate committees
rejected the President's request for \$70 million in funding to continue
the Access to Recovery (ATR) program, which uses vouchers to provide
treatment and recovery support services; however, both panels did
support the request for a \$25 million methamphetamine treatment
initiative. While the Administration's methamphetamine proposal called
for the use of vouchers, the congressional versions would leave the
choice of financing mechanisms to the grantees. Vouchers would not be
required.

**FY 2007 Budget Request**

(dollars in millions)

+------------------+---------+----------+---------+---------+---------+
| **Budget Line**  | **FY    | **FY     | **FY    | **FY    | **FY    |
|                  | 2005**  | 2006**   | 2007**  | 2007**  | 2007**  |
|                  |         |          |         |         |         |
|                  | **A     | *        | *       | **      | **S     |
|                  | ctual** | *Enacted | *Presid | House** | enate** |
|                  |         | \***     | ent's** |         |         |
|                  |         |          |         | **Comm  | **Comm  |
|                  |         |          | **Re    | ittee** | ittee** |
|                  |         |          | quest** |         |         |
|                  |         |          |         | *       | *       |
|                  |         |          |         | *Mark** | *Mark** |
+------------------+---------+----------+---------+---------+---------+
| **Programs of    | \$422.4 | \$398.7  | \$375.4 | \$326.7 | \$342.7 |
| Regional and     |         |          |         |         |         |
| National         |         |          |         |         |         |
| Significance**   |         |          |         |         |         |
+------------------+---------+----------+---------+---------+---------+
| **SAPT Block     | \$      | \        | \$      | \$      | \$      |
| Grant**          | 1,775.6 | $1,757.4 | 1,758.6 | 1,834.0 | 1,788.6 |
+------------------+---------+----------+---------+---------+---------+
| **Total CSAT**   | **\$2,  | **\$2    | **\$2,  | **\$2,  | **\$2,  |
|                  | 198.0** | ,156.1** | 134.0** | 160.7** | 131.3** |
+------------------+---------+----------+---------+---------+---------+

***\* FY 2006 reflects the Secretary's recent program transfer to
CMS.***

***Status of FY 2008 Budget.*** The HHS Budget Submission was
accomplished in June, followed by defense of the FY 2008 budget before
the Secretary's Budget Council in mid-July. The final Department
"passback" for preparation of the FY 2008 OMB Budget Submission was
received in early August. Staff in CSAT's Office of Program Analysis and
Coordination (OPAC) participated in the development of the OMB phase of
the SAMHSA budget, which was submitted to OMB on September 11.

***Prescription Drug Abuse - Open Dialogue II.*** On July 17, the
Director met with representatives from the pharmaceutical industry in an
open dialogue meeting. This was the second in a series of meetings
designed to bring together officials from SAMHSA and CSAT with
representatives from pharmaceutical companies that manufacture or
distribute controlled substances, along with experts in risk management
and others, in a forum that facilitates open exchange of information.
This dialogue provided a unique opportunity for a discussion of
innovative approaches to preventing and remedying prescription drug
diversion and abuse. Attendees included CEOs and Vice Presidents from
companies such as TheraQuest Biosciences, Inc., McNeil Consumer &
Specialty Pharmaceuticals, Abbott Laboratories, Johnson & Johnson and
the National Pharmaceutical Council.

***Substance Abuse, Mental Health and Pathological Gambling.*** On
August 17 , Dr. Clark represented SAMHSA in Kansas City, MO, to
participate in the 2006 Midwest Conference on Problem Gambling and
Substance Abuse. In general, the associations between pathological
gambling and other psychiatric disorders are quite strong. With some
exceptions, all mood disorders have a strong relationship to
pathological gambling. Dr. Clark emphasized the importance to address
the needs of special populations such as older adults, college students,
grade, middle, and high school students. He also discussed ways in which
the States, through the National Council of Legislators from Gaming
States and Non-Profit Organizations, could seek ways to address problem
gambling. CSAT has supported a NASADAD Study for Treatment of
Pathological/Problem Gambling and the Role of States and Other Agencies.

***National Alcohol & Drug Addiction Recovery Month Kickoff and Release
of the 2005 National Survey on Drug Survey on Drug Use and Health.*** On
September 7, Dr. Clark joined John Walters, Director, White House Office
of National Drug Control Policy (ONDCP), Assistant Surgeon General Eric
Broderick, D.D.S, M.P.H., Acting Deputy Administrator of SAMHSA, a
person in recovery from methamphetamine abuse and another recovering
from prescription drug abuse to celebrate the beginning of Recovery
Month 2006 and the release of the NSDUH 2006. The event ushered in a
month long observance lauding the gains made by those in recovery from
alcohol and drug abuse, as well as treatment providers.

***Drug Addiction Treatment Act of 2000.*** On August 3, Dr. Clark
attended a symposium at the Russell Senate Office Building to present
the results of the SAMHSA/CSAT evaluation of the Buprenorphine Waiver
Program. The study consisted of 3 surveys---SAMHSA surveyed over 1,000
addiction specialists who were most likely to adopt a new innovation in
their field; over 1,800 physicians with waivers; and 433 patients who
had been inducted on buprenorphine at 132 sites. The study supports
findings that buprenorphine has proven to be safe and effective in
real-life practice settings beyond traditional opioid treatment
programs. Additionally, the study did not report any negative public
health consequences of concern. SAMHSA will continue to work with
professional associations to train physicians and to update materials.

#   {#section-2 .unnumbered}

# Highlights of CSAT Activities by SAMHSA Matrix Area

# 

## Substance Abuse Treatment Capacity

***SAMHSA's Action Plan Long Term Goals: Increase the number of
treatment programs using effective treatment practices. Increase the
percentage of people with substance abuse problems who receive
treatment. Improve treatment outcomes for people receiving services.***

***Access to Recovery.*** The 15 ATR grantees have received their third
year awards from SAMHSA to continue their efforts to provide clinical
and recovery support services to eligible clients who seek treatment. In
August, all ATR grantees entered into the third and last year of their
ATR projects. The ATR program has exceeded its target of 62,500 clients
served for the reporting period ending June 30, 2006. Over 92,500
clients have been served by ATR, representing 48% more clients than were
originally targeted. Recovery support services have played a large role
in the program. Over 63% of the clients for whom status and discharge
data are available have received recovery support services.
Approximately 48% of dollars redeemed were for recovery support
services. Faith- and community-based organizations play a major role in
providing either clinical treatment or recovery support services or both
for the program. About 24% of the dollars have been redeemed directly by
faith- and community-based organizations to provide these services to
clients.  Additionally, approximately 62% of the dollars redeemed by
faith- and community-based organizations were devoted to recovery
support services.

***ATR Summer Grantee Conference.*** The conference was held July 26-28
in San Francisco, CA. Nearly 200 attendants participated in the meeting,
including ATR grantees, faith-based community organization (FBO)
liaisons/coordinators, SAMHSA/CSAT staff, Department of Labor grantees,
and representatives from other Federal agencies. Topics addressed
included: successful ATR strategies for achieving outcomes; overview of
the prisoner re-entry program; ATR administrative management strategies;
program enhancements to support outcomes; and enhancing FBO involvement
and outcomes. 

***Addiction Technology Transfer Centers (ATTC*).** A Federal Register
notice requesting stakeholder input on the ATTC program was published on
July 26. The notice asked for comments on the roles, functions, and
responsibilities of the 14 ATTC regional centers and national office.
Comments were due to CSAT by September 11. Analysis of the comments will
help inform a new ATTC RFA, which is expected to be published in
December 2006 or January 2007.

***American Indian/Alaska Native Activities.*** On August 8-10,
SAMHSA/CSAT sponsored an American Indian/Alaska Native grant writing
workshop in Santa Fe, New Mexico. The goal of the workshop was to help
tribes and tribal organizations better understand SAMHSA/CSAT funding
announcements, called Requests for Applications (RFAs), and to provide
assistance in how to develop effective pre-planning strategies, how to
establish networks and partners, and how to navigate www.grant.gov.

***The College on Problems of Drug Dependence (CPDD) Satellite
Session.*** In June, CSAT conducted a satellite session on Relapse
Prevention in Scottsdale, Arizona, prior to the annual CPDD meeting.
CSAT provided funding for 30 substance abuse professionals and six
students (Primm-Singleton fellows) nationally to attend the satellite
session and the CPDD conference.

***E-Therapy.*** On August 21, 2006, SAMHSA/ CSAT convened a meeting of
expert practitioners and SAMHSA staff to develop a white paper on
e-therapy. This document will serve as guidance to practitioners,
substance abuse counselors and other clinicians in rural and urban areas
who treat substance abusers.

***Financing.*** In the July addition of the Journal of Substance Abuse
Treatment, an article from the Spending Estimates Project was published
entitled, *Characterizing Substance Abuse Providers Who Treat
Adolescents* by Tami L. Mark, Xue Song, Rita Vandivort, Sarah Duffy,
Jutta Butler, Rosanna Coffey, Vernon F. Schabert.  The article used
NSSATS data in a preliminary analysis of program aspects of substance
abuse treatment facilities serving more adolescents, indicating that
although facilities accepted many with co-occurring conditions,  there
was often little specialized programming to address conditions such as
of mental illnesses, HIV or pregnancies.  SAMHSA's Office of
Communications has disseminated a press release, and the article has
received wide attention.

***National Registry of Evidence-Based Practices and Programs
(NREPP).*** SAMHSA announced the FY 2007 NREPP review priorities and
application submission procedures for mental health and substance abuse
prevention and treatment programs and practices in the June 30 Federal
Register. 

***Recovery Communities Services Program (RCSP).*** The RCSP grantee
meeting was held July 10-12 in Arlington, VA. Program managers and peer
leaders from the 28 grant projects attended the meeting, which was
divided into a management track and a peer leadership track. 

***Screening, Brief Intervention, Referral, and Treatment (SBIRT).*** In
collaboration with the American College of Surgeons Committee on Trauma,
CSAT developed a SBIRT Tool Kit that will ultimately be disseminated to
trauma surgeons.

The Center for Medicare and Medicaid Services (CMS) approved CSAT's
request for Healthcare Common Procedure Coding System (HCPCS) codes for
screening and brief intervention. The benefit of an HCPCS code is that
it allows tracking of SBIRT nationally for quality improvement and
education. Additionally the code allows the provider to bill Medicare
and Medicaid for the SBIRT services provided. This is great news for
sustainability of SBIRT. Also, a consideration by the American Medical
Association (AMA) to add two Common Procedure Terminology (CPT) codes
for SBIRT is in process. CPT codes are used to bill commercial insurance
companies. However, there is a good possibility that AMA will recommend
using existing codes.

***Partners for Recovery (PFR) Initiative.*** PFR is a collaboration of
communities and organizations mobilized to help individuals and families
achieve and maintain recovery, and lead fulfilling lives. In a concerted
effort to promote and support the mission, goals, and objectives of
SAMHSA, PFR is continuing activities in the following areas:

-   ***SAMHSA's PFR Web site.*** The PFR Web site continues to serve as
    a valuable resource for stakeholders in the prevention and treatment
    of substance use and mental health disorders, including State and
    Federal government officials, providers, advocates, recovering
    persons, their families, students and other allies. Resources have
    been continually added to the website, including articles on State
    activities related to PFR's five focus areas: recovery,
    cross-systems collaboration, stigma reduction, workforce development
    and leadership development. In June 2006, an article on Ohio's
    Alcohol and Other Drug Addiction Workforce Development was added to
    the PFR website. The website highlights current PFR activities and
    events, such as the "Know Your Rights" training sessions and
    briefings for State legislators on the outcomes of addiction
    treatment and approaches to monitoring performance. The PFR Web site
    is also now featured on the redesigned SAMHSA internet home page. In
    June and July of 2006, there were more than 80,000 hits on the PFR
    website. PFR Web site hits increased 70% from June to July.

-   ***PFR Steering Committee Meeting.*** PFR held a Steering Committee
    meeting to coincide with the National Conference for Leaders of
    Addiction Services on July 23, 2006. The agenda primarily focused on
    two major topics: (1) addictions and mental health concerns of
    returning veterans; and (2) adopting a recovery paradigm within the
    addictions treatment and mental health fields. Steering Committee
    members, as recognized leaders in the field, contributed greatly to
    the conference through a variety of presentations and interaction
    with the Leadership Institute (LI) graduates.

-   ***National Conference for Leaders of Addiction Services.*** On July
    23-25, PFR hosted the National Conference for Leaders of Addition
    Services (NCLAS) in Washington, DC. NCLAS commemorated the first
    year of graduates of Leadership Institutes (LI) conducted by the 13
    ATTCs across the Nation. The theme of the NCLAS was *"Leadership in
    Action."* Conference participants included 158 LI graduates, members
    of the PFR Steering Committee, and many other invited guests. NCLAS
    provided participants with opportunities for networking and
    professional development. Conference speakers and contributors were
    drawn from current national, State, and business leaders in the
    addictions and mental health fields. Key speakers included Dr.
    Clark, Beverly Watts-Davis, Senior Advisor on Substance Abuse Policy
    for SAMHSA, and Charles G. Curie, SAMHSA Administrator. NCLAS
    highlights included workshops, a roundtable discussion, and a
    presentation on the \"Art of Possibility\" by renowned motivational
    speaker and Boston Philharmonic conductor Benjamin Zander.
    Participant feedback overwhelmingly indicated that the NCLAS was a
    valuable experience and a great success.

-   ***"Know Your Rights" Regional Training Sessions.*** PFR sponsored
    the second and third in a series of eight regional "Know Your
    Rights" training sessions in Atlanta on June 15 and in Baltimore on
    July 28. Regional "Know Your Rights" sessions are facilitated by the
    Legal Action Center, New York, NY. Key stakeholders from each
    participating State, including the Single State Authority for
    substance abuse services, an attorney and a representative of an
    addictions treatment provider organization or an established
    recovery organization, are invited to each regional session. In
    addition, individuals from the recovery community and other allies
    in the host State are invited. The purpose of the series is to train
    and encourage key stakeholders to sponsor and facilitate "Know Your
    Rights" sessions across their States, thus making information on the
    rights and responsibilities of persons in recovery widely available.
    Immediately following each "Know Your Rights" session, key
    stakeholders take part in a post-session debriefing during which the
    session is reviewed, trainer manuals are distributed, and the
    availability of technical assistance to support development of "Know
    Your Rights" sessions and related resources is explained.

-   ***National Association of State Alcohol and Drug Abuse Directors
    (NASADAD) Annual Meeting.*** CSAT's PFR coordinator, Donna Cotter,
    attended the NASADAD Annual Meeting in Albuquerque, New Mexico from
    June 1-3 to present on two topics: (1) recovery-oriented systems of
    care; and (2) the PFR/ATTC Leadership Institutes. She discussed with
    the Single State Authorities (SSAs) CSAT's intent to hold regional
    meetings to plan and implement recovery-oriented systems of care.
    The SSAs were interested in the process and offered valuable
    suggestions. PFR also hosted a panel presentation on the PFR/ATTC
    Leadership Institutes. The panel included Ms. Cotter, Mike Shafer,
    Co-Director of the Pacific Southwest ATTC, Dr. Peter Cohen, a
    program mentor, and Antoinette Zunich, a program graduate.

-   ***National Summit on Recovery Report & Post-Summit Activities.***
    Following the National Summit on Recovery, DSI, with PFR assistance,
    produced a draft conference report for review, through the SAMHSA
    clearance process. Additionally, in accordance with recommendations
    from Summit participants, an inventory of programs, initiatives,
    publications, products and websites from a recovery-oriented
    perspective was completed. The inventory will serve as a tool to
    facilitate dialogue on how to make CSAT programs and resources more
    recovery-oriented. CSAT management is meeting to discuss planning
    and implementing recovery-oriented systems of care at the Federal
    and State levels.

-   ***Evaluation of the ATTC Network.*** CSAT is planning to conduct an
    evaluation of the ATTC Network and has contracted with Abt
    Associates Inc. and RMC Research Corporation to develop an
    evaluation design. A final report for the first phase of the
    evaluation design project, which involved interviews with key
    stakeholders of the ATTC Network, a review of documents, and
    development of a program logic model, was submitted to CSAT in
    June 2006. The second phase of the evaluation design will begin in
    September 2006 and extend through January 2008. This phase of the
    project will include refinement of the logic model, in collaboration
    with ATTC directors and evaluators, assisting the ATTCs to develop
    Center-specific logic models, instrument development and pilot
    testing, preparation of an OMB clearance package, and submission of
    a detailed evaluation plan.

-   ***PFR/ATTC Leadership Institutes.*** The 2006 series of PFR/ATTC
    Leadership Institutes is more than 75% complete. Between June and
    August 2006, the Gulf Coast ATTC, Central East ATTC, Mountain West
    ATTC, Mid-Atlantic ATTC and Great Lakes ATTC all began this
    six-month leadership development program.

-   ***Florida Alcohol and Drug Abuse Association (FADAA) Annual
    Conference***. PFR supported the FADAA conference, which was held
    August 16-18, in Orlando, Florida. PFR presented on the National
    Summit on Recovery at a plenary morning session on August 17.
    Approximately 1,200 individuals attended the conference.

***State Alcohol and Other Drug Systems Technical Review Project*.**
CSAT conducted systems reviews in the states of Arkansas, Hawaii, New
York, New Jersey, and Rhode Island. The systems reviews are required by
statute in order for CSAT to determine States' compliance with the
authorizing legislation and implementing regulations governing the
Substance Abuse Prevention and Treatment Block Grant.

***Effective Approaches in Methamphetamine Treatment*.** The second of
two multi-State summits on best practices in methamphetamine treatment
was held May 23-25 in Orlando, Florida, with 400 participants from the
eastern half of the United States. The first summit occurred April 5-7
in Los Angeles, CA, with approximately 400 participants.

***Motivational Enhancement Therapy and Cognitive Behavioral Therapy.***
DSCA, in collaboration with DSI delivered seven Motivational Enhancement
Therapy/Cognitive Behavioral Therapy 5 Sessions to approximately 250
clinicians and clinical supervisors being trained on this evidence-based
practice. The sessions were held in Washington, DC; Philadelphia, PA;
Albuquerque, NM; Chicago, IL; San Francisco, CA; Westminster, CO; and
Silver Spring, MD

***21^st^ Annual National Rural Institute on Alcohol and Drug Abuse.***
The Institute was held on June 4-8 in Menominee, WI. CSAT provided
scholarships to 63 participants to support the understanding of rural
and frontier issues as unique challenges to the delivery of service.
Issues which were highlighted include; drug court development, workforce
retention, case management and collaboration, and services for special
populations.

***Indian Health Service (IHS)/SAMHSA National Behavioral Health
Conference.*** The conference was held June 5-8 in San Diego, CA. CSAT
provided scholarships to 24 participants to highlight the importance of
collaboration between the tribal entities and state authorities.
Specific topics addressed include methamphetamine treatment, HIV/Aids
and infectious disease and suicide prevention.

***14^th^ Annual New England School on Best Practices in Addiction
Treatment.*** On August 21, CSAT provided support for SSA and State
Methadone Authority (SMA) staff from Connecticut, Maine, Massachusetts,
New Hampshire, Rhode Island, and Vermont, to attend the School on Best
Practices in Addiction Treatment in Waterville Valley, New Hampshire.
Participants discussed the emergence of opiate abuse and dependence
among adolescents.

***Web Block Grant Application System.*** The FY 2007 Uniform
Application for Substance Abuse Prevention and Treatment Block Grant
funds was disseminated to the SSAs on May 30. The Web-based application
for this year features an improved user interface to comply with Web
usability standards, i.e., ease of use, accessibility, etc.

***Performance Management.*** The Performance Management Technical
Assistance Coordinating Center provided technical assistance to a number
of States on implementing National Outcome Measures (NOMs), performance
management and information based decision-making. In addition, two
States received on site assessments of their readiness to collect and
report NOMs and assistance was provided to help these States in their
implementation efforts. In early August, a Technical Advisory Group met
at SAMHSA to discuss issues and approaches to using DASIS/TEDS and other
OAS datasets to address the States' Block Grant reporting requirements,
once NOMs reporting becomes mandatory.

***Drug Addiction Treatment Act of 2000 (DATA) Physician Waivers.*** As
of August 31, 2006, SAMHSA has certified 8,688 physicians and 5,430 of
these physicians are listed on the Buprenorphine Physician Locator
System.

***Opioid Treatment Program (OTP) Certification.*** As of August 31,
2006, there are 1,150 certified opioid treatment programs in the U.S.
SAMHSA/CSAT is continuing to move forward in taking decertification
actions against OTPs that have failed to achieve or sustain
accreditation.

***Opioid Treatment Data Systems for Disaster Planning Project - Phase
II, the Pilot.*** The purpose of this phase of the project is to
field-test a limited, internet-based electronic record system for
enabling patients to access care in the event of an emergency. Software
for this application has been developed with guidance provided through a
series of meetings and teleconferences held with an initial planning
group. The first in-person meeting of the Steering Committee was held in
Washington on September 13. The Drug Enforcement Administration is now
represented on the Steering Committee.

The contract was modified this summer to allow expansion of the pilot
into other locations, in addition to the New York Metropolitan area.
Pilot sites may also be set up in the New Orleans/Baton Rouge, Louisiana
area, locations in California and the Washington/Baltimore metropolitan
area. The SAMHSA newsletter will include an article on the project and
more information on D-ATM can be found at
[http://datm.samhsa.gov](http://datm.samhsa.gov/).

***Fentanyl Overdose Deaths.*** Since sentinel events related to a high
increase in overdose deaths from fentanyl-laced heroin were identified
this spring, the Centers for Disease Control and Prevention (CDC)
initiated a weekly conference call through the month of May to verify
the facts of the reported increase and identify the extent of the
outbreak. A CDC study of nine local or state jurisdictions has confirmed
583 fentanyl-related deaths by medical examiner investigation, from
September 2005 through July 2006, where screening for fentanyl was
routine. Possible and probable fentanyl-related deaths and overdoses are
believed to be considerably higher.

Since June 2006, SAMHSA has continued to lead these conference calls to
bring together providers and leaders within substance abuse treatment,
public health, mental health, emergency care, and law enforcement at the
federal, state and local levels. These calls have regularly included
federal representatives, including CDC, NIDA, FDA, DEA, NDIC, ONDCP and
SAMHSA, and state/local representatives in the affected states; public
health departments, SSAs, poison control centers, medical examiners, and
law enforcement. While the outbreak may have stabilized and declined in
the mid-western states, there appears to be an increasing problem within
DE and NY.

***Alcohol Use Disorder Identification and Treatment.*** CSAT is
developing a SAMHSA Treatment Improvement Protocol (TIP) for the medical
management of alcohol dependence that will include the use of
naltrexone, acamprosate and disulfiram in treating patients who are
alcohol dependent. The TIP will also include a discussion of laboratory
testing that can be used to establish the extent of physiological
damage, medication safety monitoring, and possible relapse. Preceding
this TIP will be an advisory specifically addressing the use of testing
for indirect and direct alcohol markers. While use of testing may be
under-utilized within the medical treatment of alcohol dependence, there
is growning concern that some newer tests for direct markers are
increasingly being used as grounds for taking adverse administrative and
legal actions against individuals who have been identified as having an
alcohol use disorder. The advisory will describe tests currently
available and their evidence-based use within a treatment program.

***Knowledge Application Program (KAP).*** KAP products received the
following awards for excellence:

**The 2006 APEX Awards for Publication Excellence.**

-   **Grand Award** in One-of-a-Kind Publications Award Category *-*
    "Faces of Change"

-   **Award of Excellence** in Health and Medical Writing Award
    Category - "Substance Abuse Relapse Prevention for Older Adults: A
    Group Treatment Approach"

**The 2006 Communicator Awards, Print Media Competition**

-   **Award of Excellence** in Technical Writing Award Category - "Brief
    Counseling for Marijuana Dependence: A Manual for Treating Adults"

-   **Award of Excellence** in Health & Medical Writing Award Category -
    "Medication-Assisted Treatment for Opioid Addiction in Opioid
    Treatment (TIP 43)"

-   **Award of Distinction** in Technical Writing Award Category -
    "Substance Abuse Relapse Prevention for Older Adults: A Group
    Treatment Approach"

The following publications will be printed this fiscal year:

-   TIP 46, Substance Abuse: Administrative Issues in Outpatient
    Treatment

-   TIP 47, Substance Abuse: Clinical Issues in Intensive Outpatient
    Treatment

-   Spanish versions of the two Anger Management publications

-   Substance Abuse in Brief fact sheet: Identifying and Helping
    Patients With Co-Occurring Substance Use and Mental Disorders: A
    Guide for Primary Care Providers

-   Substance Abuse in Brief fact sheet: Pain Management Without
    Psychological Dependence: A Guide for Healthcare Providers

-   Training curricula developed based on TIP 35, Enhancing Motivation
    for Change in Substance Abuse Treatment

-   TAP 21, Addiction Counseling Competencies: The Knowledge, Skills,
    and Attitudes of Professional Practice (revision)

-   TAP 28, The National Rural Alcohol and Drug Abuse Network Awards for
    Excellence, 2004---Submitted and Award-Winning Papers

***United Nations Office of Demand Control H-90 Project.*** The
Associate Director for Consumer Affairs continues to work on the H-90
project effort with the Puerto Rico Addiction Technology Transfer
Centers (ATTC).  A SAMHSA-sponsored addiction treatment capacity
building training was held the week of August 20-26 in San Juan, Puerto
Rico and 32 trainees from Central America were in attendance.

***National Alcohol and Drug Addiction Recovery Month (Recovery Month)
2006.*** On September 7, the National *Recovery Month* kick-off was held
at the National Press Club, Holeman Lounge -- standing room only. John
P. Walters, Director, ONDCP, Eric Broderick, SAMHSA Acting Deputy
Administrator, and Dr. Clark announced the findings of the 2005 National
Survey on Drug Use and Health. A Presidential proclamation was issued on
August 25 and is available at
<http://www.whitehouse.gov/news/releases/2006/08/20060825-2.html>.

During September, 38 SAMHSA-sponsored events will be held throughout the
country including 3 statewide Recovery Rides, 15 minority-sponsored
events, 10 state-wide events and 10 *Recovery Month* and Addictions
Professional Days. Faces & Voices of Recovery (FAVOR) continues to get
local communities involved in *Recovery Month* events and has enlisted
35 communities to host runs scheduled for September 16 throughout the
country.

***1^st^ Annual SAMHSA Recovery Month Fun Walk/Run.*** Consumer Affairs
with the support of the SAMHSA Health and Well-Being Committee is
working on the 1^st^ Annual SAMHSA Recovery Month Fun Walk/Run,
scheduled for September 27.  The 3-mile fun walk/run will start at 1
Choke Cherry Road and continue throughout the King Farm neighborhood. 

***Recovery Month Toolkits.*** All 75,000 Recovery Month toolkits have
been distributed.

***2006 Public Service Announcements (PSAs).*** Distribution of
television 2006 PSAs began on June 28 to stations throughout the
country, distribution of radio PSAs began on July 5 and are ongoing. 

Tracking for the 2006 PSAs began on July 13, 2006. For the period of
July 13 -- August 16 the PSAs received the following plays: Television:
23,547,588 viewer impressions, estimated at \$224,326 in free airtime
and accounting for 12.74 broadcast hours; Radio: 166,896,580 listener
impressions, estimated at \$1,248,799 in free airtime and accounting for
184.16 broadcast hours.

>  

*Recovery Month* is collaborating with the National Association for
Broadcasters (NAB). The NAB issues a special public affairs kit to all
radio and TV member stations and the campaign effort continues to be
highlighted on the NAB Web site for electronic downloading by stations. 

***2006 Recovery Month Web site.*** The trailer for the September
Recovery Month Web cast was sent automatically to all subscribers that
have opted to participate in a new podcasting service. The new effort
aims to target youth and young adults. More information on podcasting is
available at
<http://www.recoverymonth.gov/2006/multimedia/podcasting.aspx>

***Recovery Month Outcomes*.** As of September 12, 2006, there are were
more than 451 events, 82 proclamations and 50 Voices for Recovery posted
on the 2006 *Recovery Month* Web site.

**June 2006**

-   66,903 unique visitors

> -0.4% more than previous month
>
> -83% more than previous year

-   16.2% of unique visitors visited more than once

-   Average visit length was 16 minutes, 26 seconds

-   131,823 visits

> -1% more than previous month
>
> -77% more than previous year

-   43,972 visits
    ([www.recoverymonth.gov/2006](http://www.recoverymonth.gov/2006)) 

> -22% more than previous month
>
> -66% more than previous year (compared to 2005 site)

-   1,245,649 hits
    ([www.recoverymonth.gov](http://www.recoverymonth.gov/))

> -19% more than previous month
>
> -33% more than previous year

-   366,858 hits
    ([www.recoverymonth.gov/2006](http://www.recoverymonth.gov/2006)) 

> -27% more than previous month
>
> -23% more than previous year (compared to 2005 site)

-   807 Web cast views

-   54 events were submitted

-   7 Voices for Recovery stories were submitted

-   12 proclamations were submitted

-   The "e-mail this page" feature was used 2 times

-   The "contact us" feature was used 54 times

**July 2006**

-   82,232 unique visitors

> -22% more than previous month
>
> -103% more than previous year

-   19% of unique visitors visited more than once

-   Average visit length was 16 minutes, 8 seconds

-   154,540 visits
    ([www.recoverymonth.gov](http://www.recoverymonth.gov/))

> -17.2% more than previous month
>
> -81.4% more than previous year

-   71,429 visits
    ([www.recoverymonth.gov/2006](http://www.recoverymonth.gov/2006))

    -   62.4% more than previous month

    -   84.3% more than previous year (compared to 2005 site)

```{=html}
<!-- -->
```
-   1,422,865 hits
    ([www.recoverymonth.gov](http://www.recoverymonth.gov/))

    -   14.2% more than previous month

    -   39.7% more than previous year

-   520,409 hits
    ([www.recoverymonth.gov/2006](http://www.recoverymonth.gov/2006))

    -   42% more than previous month

    -   34.3% more than previous year (compared to 2005 site)

-   1,724 Web cast views

-   70 events were submitted

-   5 Voices for Recovery stories were submitted

-   10 proclamations were submitted

-   The "e-mail this page" feature was used 4 times

-   The "contact us" feature was used 60 times

**August 2006**

-   119,587 unique visitors

    -   45% more than previous month

    -   119% more than previous year

-   16% of unique visitors visited more than once

-   Average visit length was 13 minutes, 56 seconds

-   215,648 visits
    ([www.recoverymonth.gov](http://www.recoverymonth.gov/))

    -   40% more than previous month

    -   89% more than previous year

-   133,235 visits
    ([www.recoverymonth.gov/2006](http://www.recoverymonth.gov/2006))

    -   87% more than previous month

    -   113% more than previous year (compared to 2005 site)

-   2,696,227 hits
    ([www.recoverymonth.gov](http://www.recoverymonth.gov/))

    -   89% more than previous month

    -   55% more than previous year

-   968,302 hits
    ([www.recoverymonth.gov/2006](http://www.recoverymonth.gov/2006))

    -   86% more than previous month

    -   18% more than previous year (compared to 2005 site)

-   1,578 Web cast views

-   207 events were submitted

-   6 Voices for Recovery stories were submitted

-   33 proclamations were submitted

-   The "e-mail this page" feature was used 1 time

-   The "contact us" feature was used 33 times

***2006 Road to Recovery Web cast Series.*** National Cable and
Telecommunications Association (NCTA) is promoting the Road to Recovery
Web cast Series. They are interested in the radio versions of the Web
casts as well. Work to convert the 2006 series to a 30-minute radio
format is underway.

Aired Web casts include the following:

-   *At the Crossroads: Examining the Intersection of Care for Persons
    With Mental and Substance Use Conditions* -- (*Premiere: Wednesday,
    September 6, 2006)*

-   *The Addiction Treatment Workforce: Where We Are, Why We\'re Here,
    and Where We Need to Be -- (Premiered: Wednesday, August 2, 2006)*

-   *[Addiction and the Justice System: Deciphering the
    Maze](http://www.recoverymonth.gov/2006/multimedia/w.aspx?ID=481)*
    -- *(Premiered Wednesday, July 5, 2006)*

-   [*Building a Stronger, Healthier Community: A National Showcase of
    Events*](http://www.recoverymonth.gov/2006/multimedia/w.aspx?ID=485)
    -- will premiere on Wednesday, November 1, 2006. The Web cast will
    look at the tremendous educational and awareness raising events
    conducted in communities large and small as the country came
    together to build a stronger, healthier community.

***Recovery Month 2007.*** The *Recovery Month* planning partners met on
September 6 and continued work on the development of the *Recovery
Month* 2007 kit.

***What Anabolic Steroids Can Do to Your Health.*** This collaboration
with Major League Baseball and other partners, entitled, "What Anabolic
Steroids Can Do to Your Health," is intended to familiarize adolescent
students, their teachers, mentors, and student-athletes with the health
effects associated with steroid misuse. The contract was awarded on July
17 to W Communications, a firm based in Salt Lake City, UT, and calls
for student assemblies to be convened at as many as 10 high schools.
Assembly speakers will include professional athletes, health care
providers and others.

***Non-Denominational Individual and Family Recovery Training*.** Clergy
outreach trainings have been scheduled in the Baltimore-Washington
metropolitan area for November 14 and in Jackson, MS, for October 3. The
project acquaints clergy leaders across denominations with substance use
disorders, treatment and recovery and trains clergy to better assist
congregants and families in need of addiction treatment interventions.
The project is a collaboration of SAMHSA/CSAT and the National
Association for Children of Alcoholics (NACoA). Each event will feature
national experts introducing the knowledge and skills in the *Core
Competencies for Clergy and Other Pastoral Ministers In Addressing
Alcohol and Drug Dependence and Its Impact on Family Members* and will
address strategies and materials for educating congregants.

***Medication Assisted Treatment Consumer Education***. CSAT is printing
an additional 75,000 copies of "Introduction to Methadone" and another
25,000 copies of the "Medication Assisted Treatment Bulletin."  The
publications are products of the Patient Support and Community Education
Project, through which SAMHSA/CSAT works with representatives of patient
advocacy organizations to further public understanding of
medication-assisted therapy.  At the same time, SAMHSA/CSAT will print
and distribute an informational poster with the theme "Medication
Assisted Treatment is Recovery." Plans call for the poster to be
provided to licensed opioid treatment programs (OTPs), State Methadone
Authorities, and Single State Agencies. 

>  

***SAMHSA's National Helpline, 1-800-662-HELP***. New voice recordings
of the approved automated message will be re-recorded with Consumer
Affairs input working with the new SHIN contractor. The new contractors
have reported that 11,949 calls were received to 1-800-662-HELP hotline
from July 15 -- July 31.

## Co-Occurring Disorders

***SAMHSA's Action Plan Long Term Goals: Increase the percent of persons
with or at risk for co-occurring disorders who receive prevention and
appropriate treatment services that address both disorders. Increase the
percentage of persons who experience reduced impairment from their
co-occurring disorders following appropriate treatment.***

***National Health Information Infrastructure Initiative (NHII).*** In
collaboration with the Center for Mental Health Services, CSAT has
increased involvement in the development of National Standards for
Electronic Health Records (EHRs). These standards support the
President's plan to deploy interoperable EHR systems nationwide by 2014.
Our primary goal is to enable sharing of behavioral health electronic
records with medical doctors and other providers who serve behavioral
health clients. Our immediate concern is to protect and extend the
consent requirements of 42 CFR Part 2 for any re-disclosure of sensitive
personal information. Longer term we are developing conformance
standards for the certification of commercial, behavioral health
electronic record systems.

***HHS Confidentiality, Privacy and Security (CPS) Workgroup.*** CSAT
is representing SAMSHA on the CPS workgroup of the Secretary's Federal
Advisory Committee, the American Health Information Community (AHIC). 
Behavioral health will also be represented by a SAMHSA-nominated SSA
policy/technology expert who will serve as a full member of the CPS
workgroup.  This committee\'s work will be critical to the integration
of substance abuse and mental health confidentiality requirements into
the fundamental architecture of the nation-wide electronic health
system.

[]{#__RefHeading___Toc146441445 .anchor}**Criminal Justice**

***SAMHSA's Action Plan Long Term Goals:*** ***To increase access to
quality, evidence-based substance abuse and mental health prevention,
early intervention, clinical treatment, and recovery support services
for adults and juveniles in contact with or involved with the justice
system*.**

***12th Annual Training Conference for the National Association of Drug
Court Professionals (NADCP).*** CSAT provided support for the conference
held in Seattle, Washington, June 21-24. Noteworthy events included the
largest number of participants at this annual conference (3,000); the
announced resignation of Karen Freeman Wilson, NADCP Executive Director,
effective in November; and the last speech to the group by SAMHSA
Administrator Curie.

## Children and Families

***SAMHSA's Action Plan Long Term Goals:*** ***Increase capacity of
States and communities to provide an integrated continuum of services
and supports for children and their families. Increase number of
children who receive quality mental health and substance abuse services
and support from community-based providers who achieve positive
outcomes.***

***CSAT Women's Treatment Conference.*** On July 12--14, CSAT, in
partnership with the National Institute on Drug Abuse (NIDA) and the
National Institute on Alcohol Abuse and Alcoholism (NIAAA), convened "A
National Conference on Women, Addiction, and Recovery: News You Can
Use," at the Hyatt Regency Hotel in Orange County, California. A total
of 491 people attended the conference. Overall, the conference was a
great success, as evidenced by comments and feedback received. The
conference evaluations indicated that almost every session was highly
regarded, and participants gained valuable information to help them
address the treatment needs of women with substance use disorders and
their families. The overall mean score for all sessions (plenaries plus
breakouts) was an outstanding 4.48, based on a rating scale of 1 (poor)
to 5 (excellent). We attribute the overall success of the conference to
several important factors---many of which we identified and replicated
from the 2004 national women's conference. Elements of success included:

-   Interagency collaboration among CSAT, NIDA and NIAAA: The collective
    expertise of the conference planning committee, which included
    representatives of all three agencies, was instrumental in creating
    an excellent training opportunity.

-   The high caliber of speakers featured in the plenary, miniplenary
    and workshop sessions.

-   The wide range of important and timely topics offered in the 28
    breakout sessions.

-   The overall smooth flow of the conference event, thanks to extensive
    preparation, thorough planning and continued onsite attention to
    participants' and speakers' needs by all involved.

***CSAT Contractor Wins Award.*** For the past four years, CSAT and the
Administration for Children, Youth and Families (ACYF), Children's
Bureau, have co-funded the National Center for Substance Abuse and Child
Welfare (NCSACW), a program managed by CSAT. The Center for Children and
Family Futures (CCFF), directed by Dr. Nancy Young, operates the NCSACW
under contract. This year, in recognition of the outstanding work of the
National Center, CCFF was awarded the "ACF Assistant Secretary's 2006
Outstanding Contractor Award." This is an important accomplishment that
reflects well on our inter-agency work with ACYF.

## HIV/AIDS and Hepatitis

***SAMHSA's Action Plan Long Term Goal: Increased access to prevention
and treatment services for individuals with or at risk for HIV/AIDS and
Hepatitis due to substance abuse and mental health disorders, with a
particular emphasis on reaching minority populations disproportionately
affected by the HIV/AIDS epidemic.***

***Hepatitis A and B Vaccination Immunization Demonstration Project.***
This project is a one year pilot program to provide vaccine against
hepatitis A virus (HAV) and hepatitis B virus (HBV) infections to
individuals at-risk for or infected by HIV or hepatitis C virus (HCV) in
substance abuse treatment settings. The pilot program recruited
substance abuse treatment programs that serve minority populations,
including OTPs, office-based programs using buprenorphine (BUP)
treatment for opioid addiction, and SAMHSA Minority AIDS Initiative
Targeted Capacity Expansion (TCE) grantees that reported having the
capacity to provide vaccinations to clients to participate. As of July
2006, 40 programs were enrolled, including 20 OTPs, 5 HRSA funded
Special Programs of National Significance (SPNS) HIV primary care
providers, and 15 SAMHSA grantee programs, located at approximately 65
sites over 20 states. The project provided for a contract to purchase
and distribute 43,950 doses of the combination hepatitis A and B vaccine
(Twinrix® , a 3-dose vaccine series) to participating sites at no cost
to offer to clients 18 years and older seeking substance abuse services.
An evaluation of the project, to include assistance to projects in
tracking vaccine delivery and coverage with the 3-dose series for their
clients, will report out next year.

[]{#__RefHeading___Toc146441448 .anchor}**Disaster Readiness and
Response**

***SAMHSA's Action Plan Long Term Goal:*** ***Reduce the behavioral
health consequences of terrorism and other disasters.***

***Pandemic Influenza.*** CSAT staff began working with other SAMHSA
employees on the development of SAMHSA's Continuity of Operations Plan
for Pandemic Influenza. Each operating division within HHS is
responsible for developing a continuity of operations plan that would
allow SAMHSA to continue to fulfill essential operations under a
pandemic scenario. SAMHSA anticipates having the plan completed and
submitted to the Department by early fall.

[]{#__RefHeading___Toc146441449 .anchor}**Appendix A**

# 

[]{#__RefHeading___Toc146441450 .anchor}**CSAT's 2006 Grant Awards\***

+-----------------------------------+--------------+------------------+
| **Program Name & Announcement**   | **Total**    | **Number of      |
|                                   |              | Awards**         |
| **Number**                        | **Funding**  |                  |
+===================================+==============+==================+
| Screening, Brief Intervention,    | \$10.8       | 4                |
| Referral and Treatment (SBIRT)    | million      |                  |
|                                   |              |                  |
| TI-06-002                         |              |                  |
+-----------------------------------+--------------+------------------+
| State Infrastructure Grants for   | \$2.1        | 2                |
| Tx. of Persons with Co-Occurring  | million      |                  |
| Substance and Mental Disorders    |              |                  |
| (COSIG) TI-06-003                 |              |                  |
+-----------------------------------+--------------+------------------+
| Recovery Community Services       | \$2.5        | 7                |
| Program (RCSP) TI-06-004          | million      |                  |
|                                   |              | (4 RCO, 3FO)     |
+-----------------------------------+--------------+------------------+
| Grants to Benefit Homeless        | \$9.0        | 23               |
| Individuals (GBHI)                | million      |                  |
|                                   |              |                  |
| TI-06-005                         |              |                  |
+-----------------------------------+--------------+------------------+
| Strengthening Access & Retention  | \$2.2        | 7                |
| --State Implementation (STAR-SI)  | million      |                  |
|                                   |              |                  |
| TI-06-006                         |              |                  |
+-----------------------------------+--------------+------------------+
| Family Centered Tx. for Adoles. & | \$4.5        | 15               |
| their Families                    | million      |                  |
|                                   |              |                  |
| TI-06-007                         |              |                  |
+-----------------------------------+--------------+------------------+
| Pregnant & Postpartum Women (PPW) | \$3.4        | 8                |
|                                   | million      |                  |
| TI-06-008                         |              |                  |
+-----------------------------------+--------------+------------------+
| Targeted Capacity Expansion       | \$5 million  | 10               |
| Program for Substance Abuse Tx. & |              |                  |
| HIV/AIDS Services (TCE/HIV)       |              |                  |
|                                   |              |                  |
| TI-06-010                         |              |                  |
+-----------------------------------+--------------+------------------+
| ATTC Supplements                  | \$6.3        | 15               |
|                                   | million      |                  |
| TI-06-012                         |              |                  |
+-----------------------------------+--------------+------------------+
| Family and Juvenile Tx. Drug      | \$3.3        | 9                |
| Courts                            | million      |                  |
|                                   |              | (7 Juvenile/2    |
| TI-05-05                          |              | Family)          |
+-----------------------------------+--------------+------------------+
| Targeted Capacity Expansion       | \$3.4        | 7                |
| (TCE-Rural/Meth)                  | million      |                  |
|                                   |              |                  |
| TI-05-003                         |              |                  |
+-----------------------------------+--------------+------------------+
| Knowledge Dissemination           | \$75,000     | 2                |
| Conference Grants                 |              |                  |
|                                   |              |                  |
| PA-05-001                         |              |                  |
+-----------------------------------+--------------+------------------+

*\*Details in Appendix B*

# Appendix B

# 

## 2006 Grants Program Descriptions & Awardees

**TARGETED CAPACITY EXPANSION -- RURAL GRANTS (TCE-METHAMPHETAMINE AND
OTHER EMERGING DRUGS IN ADULT, RURAL POPULATIONS)**

CSAT awarded 7 grants to provide funding to States, units of local
government, Indian Tribes and tribal organizations to expand and/or
enhance the community's ability to provide a comprehensive, integrated
and community-based response to a targeted, well documented substance
abuse treatment capacity problem and/or improve the quality and
intensity of services. This TCE program will fund projects for treatment
focused on methamphetamine and other emerging drugs in adult rural
populations. The grantees include:

Kentucky Justice & Public Safety Cabinet Frankfort KY \$500,000

Yamhill County Chemical Dependency McMinnville OR \$495,674

Yolo County Woodland CA \$500,000

Administrative Office of the Courts Atlanta GA \$369,782

City of Cedar Rapids Development Department Cedar Rapids IA \$499,969

Illinois Department of Children & Family Services Springfield IL
\$500,000

Virginia Department of MH, MR & SA Richmond VA \$500,000

**FAMILY TREATMENT DRUG COURTS**

CSAT awarded 2 grants to provide funding to domestic public and private
nonprofit entities and individual treatment drug courts to provide
alcohol and drug treatment, wrap-around services supporting substance
abuse treatment, assessment, case management, and program coordination
to those in need of treatment drug court services. The Family Treatment
Drug Court program is designed for parents with substance use disorders
who have abused or neglected their children. The intent is to eliminate
the parental substance use in order to establish a healthy home
environment in which to return children whom the court has previously
removed. The grantees include:

Pima County Juvenile Court Center Tucson AZ \$399,995

Administrative Office of the Court Tampa FL \$399,854

**JUVENILE TREATMENT DRUG COURTS**

CSAT awarded 7 grants to provide funding to domestic public and private
nonprofit entities and individual treatment drug courts to provide
alcohol and drug treatment, wrap-around services supporting substance
abuse treatment, assessment, case management, and program coordination
to those in need of treatment drug court services. The Juvenile
Treatment Drug Court program specifically targets delinquent adolescents
with substance use disorders or co-occurring disorders. The grantees
include:

  -------------------------------------------- -------------- ----- -----------
  CAB Health & Recovery Services, Inc.         Peabody        MA    \$399,643

  Big Horn County Juvenile Drug Court          Basin          WY    \$119,636

  Santa Clara County Superior Court            San Jose       CA    \$397,000

  Wayne County Third Circuit STAND Program     Detroit        MI    \$400,000

  Philadelphia Health Management Corporation   Philadelphia   PA    \$400,000

  Travis County Juvenile Court                 Austin         TX    \$400,000

  Phoenix Houses of New England, Inc.          Providence     RI    \$391,140
  -------------------------------------------- -------------- ----- -----------

**KNOWLEDGE DISSEMINATION CONFERENCE GRANT PROGRAM**

CSAT awarded 2 conference grants to support the convening of regionally
and/or nationally significant conferences related to substance abuse
early intervention and treatment innovations. The maximum conference
grant award is \$50,000 for a 12-month project period. Only direct costs
are funded under this program. The grantees include:

  --------------------------------------------------- -------- ---- ----------
  Board of Regents University of Nevada               Reno     NV   \$37,492

  Title: *Woman's Alliance to Strengthen Treatment                  
  Access and Retention*                                             

                                                                    

  Douglas County Community Services Board             Smyrna   GA   \$37,500

  Title: *Spanning Service and Science: The Common                  
  Purpose of Methamphetamine Treatment*                             
  --------------------------------------------------- -------- ---- ----------

**SCREENING, BRIEF INTERVENTION, REFERRAL AND TREATMENT**

**COOPERATIVE AGREEMENTS (SBIRT)**

CSAT awarded 4 cooperative agreements to States to expand and enhance
state substance abuse treatment systems to include screening, brief
intervention, referral and brief treatment (SBIRT) in general medical
and other community settings. The grants will support clinically
appropriate services for persons at risk for or diagnosed with a
substance use disorder. They will also support the identification of
systems and policy changes that will increase access to treatment in
generalist and specialist settings. The grantees include:

  ----------------------------------------- ------------- ----- -------------
  Colorado State Office of the Governor     Denver        CO    \$2,800,000

  Florida State Office of the Governor      Tallahassee   FL    \$2,800,000

  Wisconsin State Office of the Governor    Madison       WI    \$2,363,458

  Massachusetts State Department of Public  Boston        MA    \$2,800,000
  Health                                                        
  ----------------------------------------- ------------- ----- -------------

**STATE INCENTIVE GRANTS FOR PERSONS WITH CO-OCCURING SUBSTANCE RELATED
AND MENTAL DISORDERS (COSIG)**

CSAT awarded 2 grants to States to enhance infrastructure to increase
capacity to provide accessible, effective, comprehensive,
coordinated/integrated, and evidence-based treatment services to persons
with co-occurring substance abuse and mental health disorders. The
program has two phases: Phase I - The first three years of a grant focus
on infrastructure development/enhancement. This phase may also include
service pilots. Phase II - An additional two years of funding will be
provided at a lower level for evaluation and continued
collection/reporting of performance data. The grantees include:

  ----------------------------------------- ------------ ----- -------------
  Minnesota State Department of Human       St. Paul     MN    \$1,050,000
  Services                                                     

  South Carolina State Governor's Office    Columbia     SC    \$1,049,038
  ----------------------------------------- ------------ ----- -------------

**PROJECTS TO DELIVER AND EVALUATE PEER-TO-PEER RECOVERY**

**SUPPORT SERVICES (RECOVERY COMMUNITY SERVICES PROGRAM-RCSP)**

CSAT awarded 7 grants to provide funding to domestic public and private
nonprofit entities to deliver and evaluate peer-to peer recovery
services to help prevent relapse, promote timely re-entry into treatment
when relapse occurs, and promote sustained recovery and an enhanced
quality of life for its participants. The services are expected to
extend the continuum of recovery by offering peer led recovery support
services that are responsive to community needs and strengths. The 7
awards include 4 Recovery Community Organizations (RCOs) and 3
Facilitating Organizations (FOs). RCOs are organizations comprised of
and led primarily by people in recovery and their family members. FOs
may not necessarily be comprised primarily of people in recovery. FOs
host a peer-run recovery support service program and ensure that people
in recovery are involved in all aspects of program. The grantees
include:

  --------------------------------------- ---------------- ------ -----------
  Tohono O\'odham Nation (FO)             Sells            AZ     \$350,000

  Pima Prevention Partnership (FO)        Tucson           AZ     \$350,000

  Center for Community Alternatives (FO)  New York         NY     \$350,000

  NAMA (RCO)                              New York         NY     \$349,998

  El Paso Alliance, Inc. (RCO)            El Paso          TX     \$350,000

  Oklahoma CART Association (RCO)         Oklahoma City    OK     \$350,000

  Recovery Consultants of Atlanta, Inc.   Atlanta          GA     \$350,000
  (RCO)                                                           
  --------------------------------------- ---------------- ------ -----------

**GRANTS FOR THE DEVELOPMENT OF COMPREHENSIVE DRUG/ALCOHOL AND
MENTAL/HEALTH TREATMENT SYSTEMS FOR PERSONS WHO ARE HOMELESS**

CSAT awarded 23 grants to provide funding to community-based public and
private nonprofit entities to enable communities to expand and
strengthen their treatment services for homeless individuals with
substance abuse disorders, mental illness, or with co-occurring
substance abuse disorders and mental illness. By statute, States are not
eligible for this program.

The grantees include:

  ----------------------------------------- -------------- ----- -----------
  Clare Foundation, Inc.                    Santa Monica   CA    \$400,000

  Baltimore Homeless Services, Inc.         Baltimore      MD    \$400,000

  Postgraduate Center for Mental Health     New York       NY    \$399,828

  Coastal Behavioral Healthcare, Inc.       Sarasota       FL    \$400,000

  County of Ventura                         Ventura        CA    \$400,000

  Contra Costa County Health Services       Martinez       CA    \$399,736
  Department                                                     

  Pine Street Inn, Inc.                     Boston         MA    \$400,000

  Gateway Community Services, Inc.          Jacksonville   FL    \$400,000

  People in Progress                        Los Angeles    CA    \$392,190

  Health Services Center, Inc.              Anniston       AL    \$400,000

  Community Connections, Inc.               Washington     DC    \$399,386

  East Bay Community Recovery Project       Oakland        CA    \$400,000

  Ridgeview Psychiatric Hospital and Center Oak Ridge      TN    \$400,000

  Mental Health Center of Denver            Denver         CO    \$400,000

  Meta House, Inc.                          Milwaukee      WI    \$400,000

  Counseling Center of Lake View            Chicago        IL    \$399,730

  Village Virgin Islands Partners/Recovery  Sunny Isles    VI    \$400,000

  Broward County Board/County Commissioners Ft. Lauderdale FL    \$301,113

  New Directions, Inc.                      Los Angeles    CA    \$400,000

  Friends of the Shattuck Shelter           Jamaica Plain  MA    \$384,142

  South Texas Substance Abuse Recovery      Corpus Christi TX    \$400,000
  Services                                                       

  Integrated Life Center, Inc.              Stone Mountain GA    \$352,356

  Hope Action Care                          San Antonio    TX    \$400,000
  ----------------------------------------- -------------- ----- -----------

**GRANTS FOR STRENGHTHENING TREATMENT ACCESS AND RETENTION --**

**STATE IMPLEMENTATION (STAR-SI)**

CSAT awarded 7 grants to provide funding to States, the District of
Columbia, territories, federally recognized Tribes and tribal
organizations to promote State-level implementation of process
improvement methods to improve access to and retention in outpatient
treatment. States are in a unique position to effect systems change by
working together with outpatient substance abuse treatment providers to
remove system barriers, streamline administrative procedures, provide
incentives and assist provider networks in their efforts to improve
access and retention performance outcomes. The grantees include:

  --------------------------------------------- ------------- ----- -----------
  Iowa Department of Public Health              Des Moines    IA    \$324,896

  Maine State Department of Health & Human      Augusta       ME    \$325,000
  Services                                                          

  Wisconsin State Department of Health & Family Madison       WI    \$287,744
  Services                                                          

  Illinois State Department of Human Services   Chicago       IL    \$325,000

  Florida State Department of Children &        Tallahassee   FL    \$325,000
  Families                                                          

  Ohio Department of Alcohol & Drug Addiction   Columbus      OH    \$325,000
  Services                                                          

  S.C. Dept of Alcohol & Other Drug Abuse       Columbia      SC    \$324,996
  --------------------------------------------- ------------- ----- -----------

**GRANTS TO PROVIDE SERVICES TO**

**ADOLESCENTS AND THEIR FAMILIES**

CSAT awarded 15 grants to domestic public and private nonprofit entities
to provide services to adolescents and their families using previously
proven effective practices that are family centered. Grantees are to
implement the Assertive Community Reinforcement Approach and the
Assertive Continuing Care treatment protocols which have proven to be
effective for youth with substance use disorders and their families.
These approaches are in the public domain, allow for cost-effective
training of multiple staff and can be sustained after the cessation of
Federal funding. The grantees include:

  -------------------------------------------- ------------ ----- -----------
  University of Arizona                        Tucson       AZ    \$299,999

  Serving Children and Adolescents in Need     Laredo       TX    \$300,000

  University of Texas Health Science Center    San Antonio  TX    \$300,000

  Prestera Center for Mental Health Services   Huntington   WV    \$300,000

  Centerstone Community Mental Health Centers  Nashville    TN    \$300,000

  Operation PAR, Inc.                          Pinellas     FL    \$300,000
                                               Park               

  University of Arkansas Medical Sciences      Little Rock  AR    \$299,999

  Southern California Alcohol/Drug Programs    Downey       CA    \$300,000

  Pima Prevention Partnership                  Tucson       AZ    \$300,000

  LUK Crisis Center                            Fitchburg    MA    \$300,000

  Tarzana Treatment Centers, Inc.              Tarzana      CA    \$300,000

  Institute for Health and Recovery            Cambridge    MA    \$300,000

  Asian American Recovery Services, Inc.       San          CA    \$300,000
                                               Francisco          

  Center for Success and Independence          Houston      TX    \$300,000

  Center for Drug-Free Living, Inc.            Orlando      FL    \$300,000
  -------------------------------------------- ------------ ----- -----------

**SERVICES GRANT PROGRAM FOR RESIDENTIAL TREATMENT FOR PREGNANT AND
POSTPARTUM WOMEN (PPW)**

CSAT awarded 8 grants to public and domestic private nonprofit entities
to provide cost effective, comprehensive high quality residential
substance abuse treatment services for pregnant and postpartum women and
their minor children that can be sustained over time. The service system
will address the individual needs of the target population, preserve and
support the family unit, and provide a safe and healthy environment for
family members. The grantees include:

  ---------------------------------------- -------------- ------- -----------
  Stanley Street Treatment & Resources     Fall River     MA      \$500,000

  University of Arkansas Medical Sciences  Little Rock    AR      \$374,828

  Heartland Family Service                 Omaha          NE      \$465,699

  Mental Health Systems, Inc.              San Diego      CA      \$500,000

  Prototypes                               Culver City    CA      \$500,000

  Village South, Inc.                      Miami          FL      \$250,000

  Walden House, Inc.                       San Francisco  CA      \$434,311

  LifeWorks Northwest                      Portland       OR      \$500,000
  ---------------------------------------- -------------- ------- -----------

**TARGETED CAPACITY EXPANSION PROGRAM FOR SUBSTANCE ABUSE TREATMENT AND
HIV/AIDS SERVICES (TCE/HIV)**

CSAT awarded 10 grants to enhance and expand substance abuse treatment
and/or outreach and pretreatment service in conjunction with HIV/AIDS
services in African American, Latino/Hispanic, and/or other racial or
ethnic communities highly affected by the twin epidemics of substance
abuse and HIV/AIDS. The grantees include:

  --------------------------------------- --------------- ------ -----------
  Long Island Association for AIDS Care   Hauppauge       NY     \$500,000

  St. Luke's-Roosevelt Institute for      New York        NY     \$499,999
  Health Sciences                                                

  University of Arizona                   Tucson          AZ     \$500,000

  Center for Community Alternatives       New York        NY     \$500,000

  Osborne Association                     Long Island     NY     \$497,280
                                          City                   

  Heritage Health & Housing, Inc.         New York        NY     \$500,000

  Neighborhood House, Inc.                Seattle         WA     \$500,000

  Tapestry Health, Inc.                   Florence        MA     \$500,000

  Health Services Center, Inc.            Anniston        AL     \$500,000

  COPE Behavioral Health Services, Inc.   Tucson          AZ     \$495,623
  --------------------------------------- --------------- ------ -----------

**PROGRAM SUPPLEMENTS FOR THE ADDICTION**

**TECHNOLOGY TRANSFER CENTERS (ATTCs)**

The current network of 15 Addiction Technology Transfer Center (ATTC)
projects was funded in two cohorts. The first cohort of seven projects,
funded in FY 2001, was scheduled to end on September 29, 2006. The
second cohort of seven projects and the National Office, funded in FY
2002, were scheduled to end March 31, 2007. CSAT has aligned the two
cohorts in preparation for the new funding cycle, to begin September 29,
2007, after a full and open competition for new grant awards to be
conducted in FY 2007. To accomplish the alignment of the two cohorts,
CSAT took the following steps:

-   The second cohort of ATTCs, whose current project periods were to
    end March 31, 2006, were asked to submit a non-competing
    continuation application for a 6-month period. This means the grants
    in this cohort will end on September 29, 2006 (rather than March 30,
    2007), thereby bringing them into alignment with the first cohort.
    In this way, all 15 current ATTC projects will end on September 29,
    2006.

-   CSAT announced a 1-year program supplement for the ATTC program.
    Applicants were limited to the current 15 ATTC grantees, and awards
    are now being issued for the 1-year period that will run from
    September 30, 2006, to September 29, 2007. These awards are listed
    below.

  --------------------------------------------- ------------- ---- -----------
  Institute for Research, Education & Training  Pittsburgh    PA   \$435,534
  in Addictions                                                    

  Virginia Commonwealth University              Richmond      VA   \$435,534

  Brown University                              Providence    RI   \$408,916

  University of Nevada                          Reno          NV   \$435,534

  University of Texas Austin                    Austin        TX   \$435,534

  Oregon Health Sciences University             Portland      OR   \$435,534

  Danya Institute, Inc.                         Silver Spring MD   \$435,534

  Universidad Central del Caribe                Bayamon       PR   \$435,534

  Morehouse School of Medicine                  Atlanta       GA   \$435,534

  Florida Certification Board                   Tallahassee   FL   \$435,534

  Curators, University of Missouri              Kansas City   MO   \$435,534

  Curators, University of Missouri (National    Kansas City   MO   \$435,534
  Office)                                                          

  University of Illinois at Chicago             Chicago       IL   \$435,534

  Regents of the University of California       Los Angeles   CA   \$435,534

  University of Iowa                            Iowa City     IA   \$435,534
  --------------------------------------------- ------------- ---- -----------

#  Appendix C

# 

[]{#__RefHeading___Toc146441454 .anchor}**Preview Of CSAT's Anticipated
FY 2007 Funding Opportunities\***

+---------------------------+-----------------+-----------------------+
| **Program Name**          | **Estimated**   | **Estimated Number    |
|                           |                 | &**                   |
|                           | **Funding       |                       |
|                           | Available**     | **Size of Awards**    |
+===========================+=================+=======================+
| Recovery Community        | \$2.9 million   | 8                     |
| Services Program (RCSP)   |                 |                       |
|                           |                 | Approx. \$350,000     |
+---------------------------+-----------------+-----------------------+
| State Infrastructure      | \$3.3 million   | 3                     |
| Grants for Tx. of Persons |                 |                       |
| with Co-Occurring         |                 | Approx. \$1 million   |
| Substance and Mental      |                 |                       |
| Disorders (COSIG)         |                 |                       |
+---------------------------+-----------------+-----------------------+
| Targeted Capacity         | \$32.1 million  | 65                    |
| Expansion Program for     |                 |                       |
| Substance Abuse Tx. &     |                 | Approx. \$500,000     |
| HIV/AIDS Services         |                 |                       |
| (TCE/HIV)                 |                 |                       |
+---------------------------+-----------------+-----------------------+
| TCE/Methamphetamine/      | \$ 25 million   | 50                    |
|                           |                 |                       |
| Access to Recovery (ATR)  |                 | Approx. \$500,000     |
| Methamphetamine           |                 |                       |
+---------------------------+-----------------+-----------------------+
| Addiction Technology      | \$8.1 million   | 15                    |
| Transfer Centers          |                 |                       |
|                           |                 | Approx. \$500,000     |
| (ATTC)                    |                 |                       |
+---------------------------+-----------------+-----------------------+
| Access to Recovery (ATR)  | \$70.5 million  | 25                    |
|                           |                 |                       |
| Choice Incentive Program  |                 | Approx. \$1-\$5       |
| (CIP)                     |                 | million               |
+---------------------------+-----------------+-----------------------+

*\* All of the information provided in this chart is projected based on
SAMHSA's request in the FY 2007 President's Budget. Some or all of this
information could change with the receipt of an FY 2007 appropriation.*

#